He natna hi ui in a chil chhak a lo awm nghal mai thin hi i hre tawh em? (Cat Scratch Disease) A chipchiar zawkin sawi ila!

I in chhungah hian ui emaw, ui no emaw i nei ngei ang, a dik em? Naupang te pawhin ui hi an ngaina hle. Anmahni khelhpui leh cuddle hi an ngaina hle. Mahse, a châng chuan, beisei loh taka chetsualna a thleng thei a ni. Ui hian a seh thei che a, a tlangpuiin thil lian tak a ni lo, mahse vawiinah hian natna pakhat, fimkhur a pawimawh em em chungchang kan sawi dawn a ni.

Cat Scratch Disease hi eng nge ni?

A awlsam zawngin, ``Cat Scratch Disease`` hi bacteria chi khat , chu chu natna hrik te tak te atanga lo chhuak a ni. Naupang tê tête hian he natna hi an vei thei a, a bîk takin he bacteria hi a hrual emaw, a seh emaw, ui emaw, ui no emaw mitah a luh chuan. A tam zawkah chuan, hei hi natna tenau angin a lo thleng a , ngaihtuah tur a awm lo. Mahse, chutih lai chuan, kan tê tête tân thil a nih avângin fimkhur a ṭha.

Engvangin nge he natna hi a lo awm? Eng nge a chhan?

He natna thlentu ber chu bacteria chi khat `(Bartonella henselae)` an tih hi a ni. He bacteria hi ui natna vei te hmuiah a awm a. Mak tak maiin he bacteria hian ui a ti na lo. Chu chu, ui chu a damlo angin a lang lo va, a hrisel a, a tlan kual a, a inkhelh thin tihna a ni. Mahse, he bacteria hi ui pakhat atanga ui dangah chuan rulhut (fleas) te hian a kai darh thin . Ni e, chutiang rulhut te tak te, ui taksaa awm te chu. Chuvangin, fleas nei ui hian he natna vei ui dang atanga natna hi a kai theihna chance a sang hle. Chuvangin i ui chu rulhut laka venhim a pawimawh hle.

He natna lan chhuah dan engte nge ni?

Okay, tunah chuan kan naupangte hian ``Cat Scratch Disease'' an neih hian eng symptom nge an lantir tih hi han en ila. Heng symptoms te hi hriat a pawimawh hle a, chutiang chuan i hriat thuai theih nan. A chhinchhiahna hmasa ber chu ui a hliam emaw, a seh emawna hmunah hian blister emaw, lump te tak te emaw a lo lang a, chu chu ni thum atanga ni sawm vel a ni thei . A châng chuan hei hi rulhut seh ang maiin a lang thei. Chuvangin ui atanga lo chhuak thil a ni tih ngaihtuah nghal chu thil harsa tak a ni thei. Tichuan, a hliam hnu kar khat emaw kar hnih emaw chhungin a hliam na hmun bula lymph node pakhat emaw a aia tam emaw chu a lo hring chhuak ang a, khawih a nih chuan a na tan ang. Heng lymph node te hi kan taksa chhunga guard post te te ang mai an ni. Natna a lo thlen chuan an hring chhuak a, indo turin an inpeih ta a ni. A tam zawkah chuan heng lymph node hring te hi armpits-ah te, kawr sir lehlamah emaw, groin area-ah te hmuh tur a awm . Chu chu scratch hnaih berna hmunah a ni. An lian zawng hi inch chanve vel (centimetre 1.3 vel) atanga inches hnih (centimetre 5 vel) thleng a ni thei. A châng chuan heng hruihrual vêlah hian vun hnuaiah hian hliam lian tak a awm thei bawk. Tin, a hringna hmuna vun chu a sen thei a, khawih pawhin a lum thei bawk . Naupang tê tê tê tê tê tân chuan heng lymph node hring hringte hi a lan chhuahna ber a ni. Chuvangin he natna hi natna tenau angin a rawn lang fo thin. Mahse, symptom dang pawh a lang thei bawk. Anni chu:

• Khawsik (a tlangpuiin khawsik na lo, 38.3°C emaw 101°F aia hniam) .
• Chau lutuk
• Chaw ei chakna hloh
• Lu na
• Vun vun rawng (a chang chuan) .
• Hrawk thip
• A general feeling of discomfort, a pum puia natna hriatna mai mai

Heng lymph node hring te hi thla hnih atanga thla li chhungin an dam tlangpui a , mahse a chang chuan a rei zawk thei a, thla tam tak pawh a daih thei bawk.

A tlem hle, chu chu a tlem hle a, harsatna lian tham engemaw zat a awm thei tihna a ni. Hei hi naupang te emaw immune system chak lo nei te tan chuan a dik hle . Chuvangin rinhlelhna i neih chuan Doctor pan a tha ber.

He natna hi engtin nge doctor hian a hriat theih ang?

I ngaihtuah mai thei, 'Okay, hengte hi a symptoms a nih chuan engtin tak nge doctor hian ``Cat Scratch Disease'' hi a hriat theih ang?'' A tam zawkah chuan doctor chuan he natna hi a zawt che a, i fa a enfiah ang.

• Doctor chuan ui i inzawm tawh em tih te, i hliam emaw, i seh emaw a awm em tih te, leh chuta tang chuan eng chen nge a lo awm tawh tih te a zawt ngei ang . Doctor hnenah eng chipchiar nge i neih tih chiang takin i hrilh a ngai a, chu chu i veng chhunga ui i neih leh khelh loh te hi a ni .
• A dawtah chuan doctor chuan ka sawi tawh ang khan a hrualna hmunah hian blister a awm em tih te, lymph node te chu a hring em tih te, engzat nge a lian tih te, leh a na em tih te a enfiah ang
• A tlangpuiin heng chipchiar leh test te hi natna hriat chian nan a tawk.

Mahse, a châng chuan, a lan chhuah dân chu a chiang lo deuh a nih chuan, emaw, natna dang rinhlelh a nih chuan (lymph node hring chhuak chhan dang a awm avângin), doctor chuan test bik ṭhenkhat a ti thei bawk

• Thisen test: Hei hian bacteria `(Bartonella henselae) laka antibody a awm leh awm loh a enfiah thei a ni.` Mahse, he test hi a tul ngai lo.
• Lymph node sample tlemte enfiah (lymph node biopsy) lak: 1.1.Hei hi tih a tlem hle. Chu chu, thla engemaw zat chhung lymph node hring (swelling) a tlahniam loh chuan emaw, natna khirh tak dang (entir nan, cancer) rinhlelhna a awm chuan chauh tihna a ni. Hei hian anesthetic light pek a, lymph node hring hring atanga a tlem te lak a, microscope hmanga en a huam a ni.

A pawimawh ber chu, rinhlelhna i neih chuan, i fain harsatna a tawk a nih chuan Doctor pan nghal mai tur a ni. Thil dik lo dik tak hmuchhuakin a tul ang ang titu an ni.

Hei hi eng enkawlna nge ni?

Okay, tunah chuan he `(Cat Scratch Disease)` hi eng ang enkawlna nge awm tih i en ang u. A tam zawkah chuan ka sawi tawh ang khan hei hi natna tenau tak a ni . Chu chu nausen chu enkawlna bik nei lovin a dam leh thin tihna a ni. Taksa ngeiin he natna hrik hi a do a, natna hi a tidam a ni. Mahse, naupang rilru hahdam zawk nan thil engemaw kan tih theih a awm a:

• Lymph node hring a na a nih chuan: Doctor nen inbiakna nei la, Paracetamol ang chi natna tidamtu damdawi ei rawh. Compress lum tak hnawih hmangin hahdamna i hmu thei bawk , chu chu puan thianghlim tui lum takah hnim la, tui chu hrual chhuakin, a hringna hmunah minute engemaw zat dah tihna a ni.
• Khawsik a awm chuan: Chumi atan pawh `(Paracetamol)` i pe thei bawk. Tin, naupang tui leh tui in tur tam tak pek a pawimawh hle bawk.

A châng chuan doctor chuan antibiotics pêk a rel thei a ni . Engtikah nge chu chu?

• Naupang chu a damlo hle a nih chuan , khawsik a tlahniam lo a, ei leh in loh a neih chuan.
• Lymph nodes a lian hle a, a hring a, a na hle a nih chuan , a nih loh leh a inflamed a, pus a siam chhuak ang tih a nih chuan.
• Naupang taksa hriselna a chak lo a nih chuan (entir nan, natna dang damdawi ei vang emaw, HIV ang chi natna avang emaw).
• Natna hian mit, thin, ril, a nih loh leh nervous system ang chi hmun a nghawng nia rinhlelhna a awm chuan . Hengte hi a tlem hle a, mahse a lo awm a nih chuan antibiotics a ngai a ni.

Doctor thurawn tel lovin i fa chu antibiotics pe ngai suh tih hre reng ang che. A chhan chu he natna atan hian an mamawh lo fo a ni. A tul lova antibiotics hman hian harsatna dang a thlen thei a, antibiotic resistance an tih dinhmun pawh a thlen thei bawk.

He natna hi engtin nge kan ven theih ang?

Hei hi a pawimawh hle a ni. ‘Tihdam aiin invenna a tha zawk’ an ti. Chuvangin, kan fate te hi `(Cat Scratch Disease)` laka humhim turin thil engemaw zat kan ti thei a ni.

• Flea control dan tur:Hei hi a pawimawh ber a ni. A chhan chu fleas te hi ui zingah he natna hi thehdarhtu an ni. In lama ui i neih chuan flea damdawi pe fo ang che. Hemi atan hian ran enkawltu hnen atangin thurawn tha tak i dawng thei ang.
• Naupangte chu ui nena inkhelh dan zirtir rawh:
• Naupangte chu ui tihnat loh leh tibuai lo turin zirtir rawh .
• I ui chu nangmah nena inkhelh rough lo turin hrilh la, chutih hunah chuan ui chuan a seh emaw, a hrual emaw a duh zawk a ni.
• Naupangte chu an hriat loh, ui vakvai nen inkhelh lo turin zirtir rawh .
• Scratch leh dents awm loh nan:
• I ui nail chu trim fo ang che. Hei hian hri kai an nih chuan hliam na tak tuar theihna a ti tlem ang.
• Naupangte ui nena an inkhelh hian an hmai emaw, mit emaw hnaih lo turin zirtir la, an mitah hmui a luh chuan natna a thlen thei a ni.
• I hliam a nih chuan tifai vat rawh:
• Ui in a chil emaw, a seh emaw chuan a hmun chu sahbawn leh tui hmangin uluk takin silfai nghal rawh. Hei hian natna hrik luh theihna nasa takin a tihziaawm thei a ni.
• I ui chu lick che suh: A bik takin i vunah hliam emaw, hliam emaw i neih chuan.
• A bik takin taksa hriselna chak lo i neih chuan fimkhur rawh: I chhungkuaah HIV/AIDS ang chi natna nei, cancer damdawi ei thin, emaw, kawng danga taksa chak lohna nei i neih chuan, ui note (kum khat aia upa lo) nena an inzawmna tihtlem hi a tha hle a, ui note hian he bacteria hi an keng tel tam zawk avangin.

Heng thil tenawm tak takte hi i enkawl chuan nang leh i chhungte chu i ui duh tak nen hian hlim leh hrisel takin i awm thei ang.

Engtikah nge Doctor i hmuh a ngaih?

Awle, tunah chuan, ‘Engtikah nge ka fa hi doctor hnenah ka hruai ang?’ tih hi i ngaihtuah mai thei. Hemi chungchang hi chiang takin sawi ila. A tlangpuiin, ui hliam hnuah doctor pan a ngai ngai lo va, a bik takin hliam chu a te a, sahbawn hmanga uluk taka silfai a nih chuan. Mahse, heng thil thlengah hian doctor i pan ngei tur a ni:

• Mihringin a seh emaw, a hrual emaw a, a hliam chu a tui chhuak, a sen, a hring, a na, a hring chhuak angin a lang a nih chuan hengte hi bacteria infection chhinchhiahna a ni thei.
• Scratch bula lymph node te chu a hring a, a na a, ni engemaw zat hnuah a hring a tlahniam lo a nih chuan, a lian deuh a nih chuan.
• Naupangin khawsik a neih chuan, a bik takin a hliam atanga kar khat emaw kar hnih emaw chhungin.
• Naupang chu a chau hle a, ei duhna a nei lo va, a chau a nih chuan .
• Naupang mit a sen emaw, a na emaw, a mittui a tla emaw a nih chuan, .A bik takin ni engemaw zat ui nen an inkhelh hnuah. (Hei hi `(Parinaud’s oculoglandular syndrome)` tih hming pu dinhmun a ni thei a, hei hi `(Cat Scratch Disease)`-ah pawh a tel ve a ni).
• I fain natna lan chhuah dan danglam tak tak , vun rawng, pum na, ruh na, emaw, ruh natna emaw a neih chuan .
• I fain taksa chakna a chak lo (e.g., HIV a nei a, cancer enkawl mek a ni) a, uiin a seh a nih chuan , a natna lan chhuah hun nghak lova doctor pan chu a finthlak hle ang.
• Ringhlelna emaw, hlauhna emaw i neih chuan nu emaw pa emaw hnenah an fa chungchanga rinhlelhna tlemte pawh ngaihthah turin i hrilh thei lo. Chuvangin, i chiang lo a nih chuan Doctor zawt la.

Doctor hmuh hma chuan naupang chu a dam thuai ang a, a natna chu uluk takin a hmuchhuak ang a, a tul chuan enkawl tan a, naupang chu a dam thuai theih nan a pui ang tih hre reng ang che. Ngaihtuah buai suh, Doctor te min pui turin an lo kal a ni.

A tawp berah chuan thil hriat reng tur

Okay, chuti a nih chuan vawiin hian `(Cat Scratch Disease)` chungchang hi kan sawi nasa hle a ni lawm ni? Hemi atang hian thil pawimawh tak i zir chhuah ngei ka beisei. A tawp berah chuan heng thute hi hre reng ang che:

• Cat Scratch Disease hi ui atanga natna hrik kai a ni. A tam zawkah chuan natna tenau tak a ni.
• A lan chhuahna ber chu a hrualna hmun bula lymph node-te a hring leh a hring (tenderness) a ni.
• Naupang tam tak chu enkawlna bik nei lovin an dam leh thin.
• Flea control leh ui nena inhmuhna him tak hi he natna laka invenna tha ber a ni.
• Ui in a chil emaw, a seh emaw chuan a hmun chu sahbawn leh tui hmangin uluk takin silfai nghal rawh.
• If your child shows any unusual symptoms , emaw rinhlelhna i neih chuan doctor pan nghal rawh. Hlau suh, Doctor biak a, thurawn lak a finthlak.

In lamah ui duh tak i neih chuan uluk takin enkawl la, ui note pawh enkawl bawk ang che. Mi zawng zawng hriselna tha neih duhsakna kan hlan e! Cat Scratch Disease Sinhala, Cat-borne Disease, Cat Scratch Fever, Bartonella Henselae, Lymphadenopathy, Naupang natna, Mihring natna