Leeches atanga lo chhuak khawsik i hria em? Rocky Mountain Spotted Fever (RMSF) chungchang hi han sawi ila!

Leech ang chi rannung te tak te hian natna engzat nge a thlen theih tih i ngaihtuah ngai em? Vawiin hian hetiang leeches atanga kai theih natna kan sawi dawn a, chu chu a nasat deuh thei a, mahse uluk taka enkawl a nih chuan i dam thuai thei a ni. Hei hi Rocky Mountain Spotted Fever an ti a . He hming hi i hre lo mai thei, mahse a chanchin hriat a pawimawh hle.

Rocky Mountain Spotted Fever (RMSF) hi eng nge ni?

A awlsam zawngin sawi ila, hei hi bacteria infection a ni. Chumi awmzia chu he natna hi natna hrik te tak te taksa chhunga a luh avanga lo awm a ni tihna a ni. He bacteria hi Rickettsia rickettsii an ti a. Mahse he bacteria hi kan taksaah a rawn lut mai mai lo. Carrier a nei a. Chu carrier chu leech a ni. Leech zawng zawng ni lo mahse he bacteria `(Rickettsia rickettsii)` an tih hian leech a seh chuan he natna hi kan vei thin. Dengue thosi ang chiah a ni a, rulhut zawng zawng hian dengue an thehdarh vek lo va, dengue hri vei thosi pakhat chauhvin a thehdarh thin. Chutiang chu a ni.

He natna hi ‘Rocky Mountain’ tia koh ni mah se, tlangram hmunah chauh a awm lo va, khawvel hmun dangah, a bikin North leh South America-ah pawh hmuh tur a awm. He natna hi Sri Lanka ramah hian hmuh tur a awm lo hle a, mahse hei hi hriat a tha a ni, a chhan chu leeches leh ram pawna zin te tan natna dang kai theih a awm avangin

He natna hi engtin nge a kai theih? Engtin nge leeches te hi an inrawlh?

Okay, tunah chuan he leech hian engtin nge he thil hi a thehdarh tih hi han en ila. Leech, a bik takin he natna kengtu leech chi hian a taksaah bacteria `(Rickettsia rickettsii)` a phur a. He leech hi a lo kal a, mi taksaah, a nih loh leh a chang chuan ui ang chi rannung taksaah a inzawm a, thisen a hip chuan chu bacteria chu kan thisenah chuan leech hmui nen a lut a ni.

Syringe te tak te ang maiin han ngaihtuah teh. Leech hian thisen a hip hian a natna hrik te chu kan taksaah a inject thin. Mahse natna hi leech a inzawm hnuah a darh nghal lo. A tlangpuiin, leech hi taksaa bacteria luh theih nan thisen a hip theih nan darkar engemaw zat (darkar 4-6 emaw a aia rei emaw vel) taksaah a inbun a ngai thin. Chuvangin leech chu i taksaah a inzawm tih i hmuh chuan paih nghal mai a tha.

He natna hi thlasik leh thlasik lai hian a tam ber . Chu chu a tlangpuiin March atanga September thla thleng tihna a ni. Hei hi chu chutih lai chuan leeches te hi an active ber vang a ni. Ramngaw, thingtlang hmun leh thing tamna hmunah te an tam ber. Chuvangin pawn lama hnathawh emaw, kea kal emaw i nih chuan, a bik takin ramngaw hmunah te, park-ah te, i huanah emaw pawh nise, leeches lakah fimkhur a pawimawh hle.

Rocky Mountain Spotted Fever (RMSF) natna lan chhuah dante chu engte nge ni?

He natna hian symptom lian tak tak a lantir nghal lo. A tlangpuiin leech-in a seh hnu ni 2 leh ni 14 inkar a ni .Hei hi symptoms a lan tan hun a ni. A tam zawkah chuan ni 5-7 chhungin symptoms a lang thin.

A hmasa berin a hnuaia features te hi a lo awm ang:

• A lum hle mai. Vawikhatmah ka taksa a lum a, khawsik ka nei ta.
• Lu na na tak . I lu-ah hian natna hrik hrual (throbbing pain) i nei mai thei.
• Taksa a na, taksa ruh a na. Viral fever i neih lai ang bawkin i taksa a na.
• Nausea leh luak chhuak. I pum thlengin i na a, i luak chhuak thei bawk.
• Pum a na.
• Mit a sen vek .
• Chaw ei chakna hloh.

Heng symptoms te chauh hi a lo thlen chuan hei hi viral fever pangngai niin kan ngai mai thei. Chu chu he thila hlauhawm awm chhun chu a ni. A chhan chu diagnosis dik tak siam a tlai tawh mai thei.

Mahse he natna hian mizia bik tak a nei a. Chu chu vunah a rawn lang chhuak thin rash chu a ni . Hei vang hian ‘spotted fever’ an ti bawk.

• Heng hliam te hi kutphah leh ke ruh vel ah hian red dot te te emaw spot emaw angin a lang hmasa thin.
• Tichuan heng hliam te hi zawi zawiin kutphah leh kephah thlengin a darh ta a ni . Hei hi a danglam deuh a, a chhan chu natna zawng zawng hian kutphah leh kephah ah hliam a siam vek lo.
• Chumi hnuah chuan heng hliamte hi kut leh keah a darh tan a, trunk lam hawiin a darh tan thin .
• A tirah chuan heng hmunte hi a sen a, mahse ni engemaw zat hnuah chuan a chang chuan thisen chhuak te te nen purple a lo ni thei bawk. Hei hi `( petechiae )` an ti bawk.

A pawimawh ber chu mi zawng zawng hian heng symptoms te hi kan nei vek lo. Mi thenkhat, a bik takin tar leh a chang chuan naupang te hian heng natna hi an nei lo mai thei a, khawsik leh natna dang an nei mai thei. Chutiang a nih chuan natna hriat chian a harsa lehzual.

Heng symptoms te hi khawsik tan atanga ni 2-5 chhungin a lang tlangpui. Chuvangin khawsik, taksa na, leh heng symptoms te hi i neih chuan, a bik takin leeches awmna hmunah i awm tawh a nih chuan doctor pan nghal ngei tur a ni.

Engtikah nge Doctor kan hmuh ang?

Ka sawi tawh ang khan symptoms i neih chuan – high fever, headache, body aches , nausea, and that specific rash – a bik takin leech-in a seh i hriat reng emaw, leeches awm theihna hmuna i awm tawh emaw a nih chuan , doctor advice lak hmasak phawt a tha ber.

Ngaihtuah teh, i fa nen huana inkhelh atanga i lo haw chauh emaw, thingtlang lama hike rei lo te i kal emaw a ni. Ni engemaw zat hnuah i fa chu khawsik a nei a, taksa na a sawisel a, chutah chuan a kut leh keah sen te te a lo awm tan ta a ni. Chutiang a nih chuan doctor i pan ngei tur a ni.

He natna hi hriat hmasak leh enkawl hi nunna himna atan a pawimawh a, enkawl tlai chuan harsatna lian tham a thlen thei a ni.

He natna hi Doctor ten engtin nge an hriat chian?

Doctor chuan i natna lan chhuah dan te, leeches i tawk tawh leh tawh loh te, leh he natna hi hriat theih nan taksa enfiahna te a en ber ang. Chutiang rash pattern bik i neih chuan tanpuina lian tak a ni.

Mahse hei hi a natna lan chhuah dan chauh atanga thlir chuan Rocky Mountain Spotted Fever (RMSF) a ni em tih hriat a harsa a, a chhan chu a lan chhuah hmasak dan hi flu ang chi natna dang nen a inang a ni.

Chuvangin Doctor ten thisen test eng emaw zat an order tlangpui. He bacteria laka kan taksain antibody a siam chhuah zawng zawng test a awm a. Mahse heng antibody te hi ni eng emaw zat an lo awm thin avangin heng test result hi natna tan tirh lamah chuan negative a ni thei.

A chang chuan, a hliam atang hian sample te tak te (skin biopsy) lakchhuah a ni a, bacteria a awm leh awm loh enfiah theih a ni.

A pawimawh ber chu Doctor ten he natna hi an rinhlelh veleh enkawlna an tan nghal a, thisen test result nghah ngai lovin. A chhan chu hetiang dinhmunah hian enkawl vat a pawimawh hle a ni.

Hei hi eng enkawl dan nge ni ang?

He natna hi antibiotics hmanga enkawl a ni. Chumi atan chuan antibiotic doxycycline hi hman a ni ber. Puitling leh naupang tan pawh a tha hle.

Doctor-in a dose dik tak chu a hun chhung zawnga ei a pawimawh hle. Ni hnih emaw ni thum emaw chhunga i khawsik a reh tawh vang leh i dam tawh vang mai maia damdawi ei kha bansan suh. Damdawi ei zawng zawng chu i zo vek tur a ni.

Enkawl tan hma, chu chu natna lan chhuah atanga ni 5 chhunga enkawl tan a nih chuan mi tam zawk chu ni rei lo te chhungin an dam vek a ni.

A chang chuan natna hi a na deuh a nih chuan damdawi inah dah a ngai mai thei a, intravenous (IV) antibiotics pek a ngai thei bawk. Hei bakah hian enkawlna dang pek a ni bawk a, chu chu tui tlakchhamna tur saline leh khawsik tihziaawmna tur damdawi te pawh a ni.

Enkawlna pek loh chuan eng nge thleng? (Buaina awm thei) .

Hei hi kan ngaih pawimawh ber tur chu a ni. Rocky Mountain Spotted Fever (RMSF) hi a enkawl loh chuan nunna atana hlauhawm tak a ni.

Enkawlna tihkhawtlai emaw, enkawl loh emaw a awm chuan he natna hrik hi taksa pum puiah a darh thei a, taksa peng hrang hrang a tichhe thei a ni.

• Thisen kalna kawng a chhiat: Hei hian taksa chhungah thisen a chhuah tir thei a ni.
• Thluak a nghawng dan: Thluak na tak tak, thluak na (encephalitis), seizures, leh coma te a awm thei.
• Thluak lam a nghawng dan: Pneumonia leh pulmonary edema a awm thei.
• Kidney tha lo a awm.
• Thinlung chunga nghawng a neih dan.
• A châng chuan ke ruhtea thisen kal chu a tibuai a, chu pêngte chu a thi hial thei (gangrene). Chutiang a nih chuan, chu pêngte chu operation hmanga lak chhuah a ngai mai thei.

Chuvangin ka sawi tawh a, heng symptoms te hi i neih chuan, a bik takin leech in a seh nia i hriat chuan doctor pan nghal tur a ni. Damdawi a hun taka i ei chuan heng dinhmun hlauhawm tak takte hi i pumpelh thei a ni.

Engtin nge leeches leh RMSF lakah hian kan inven theih ang? (Invenna) 1.1.

He natna laka invenna tha ber chu rulhut seh loh hi a ni. Chutiang ti tur chuan thil engemaw zat kan tih theih a awm a:

• Leeches awmna hmunte chu pumpelh rawh: Ramngaw, thlai sang tak tak, leh thing tamna hmunah a theih ang anga kal loh tur. Chutiang hmuna kal a ngai a nih chuan kawngpui lai takah leh hmun zau takah kal tum ang che.
• Invenna thawmhnaw ha rawh: Pants sei leh kawr kawr sei ha rawh. I pants chu i socks chhungah tuck rawh. I kekawrte chu i socks chungah dah rawh. I thawmhnaw chungah leeches a awm chuan awlsam zawka hmuh theih turin thawmhnaw rawng hring ha la.
• Insect repellent hmang rawh: Insect repellent chemical `(DEET)` leh `(Permethrin)` te awmna chu i vun leh thawmhnaw ah hnawih la. Mahse, hengte hi i hman hunah chuan thupekte chu i zawm tur a ni. Damdawi lam thurawn zawng la, a bik takin naupang tê tête chunga i hman hunah. `(Permethrin)` hi puan in ang chi thawmhnaw leh bungruaah chauh hnawih tur a ni a, vunah direct-a hnawih tur a ni lo.
• Pawn atanga i lo haw hnuah i taksa enfiah rawh: Leeches awmna hmun atanga i haw hunah i thawmhnaw zawng zawng thlak vek la, i taksa pumpui uluk takin enfiah rawh. Lu vun, beng, kawr, kawrfual, kekawr bul, leh khup hnunglam ang chi hmunte chu a bik takin ngaihven rawh. I fate pawh uluk takin enfiah bawk ang che.
• Thawmhnaw sil: Pawn lama i thawmhnaw hak tawhte chu tui lum ah silfai thin ang che. A theih chuan clothes dryer-ah vawt rawh. Hei hian leeches awm thei zawng zawng chu a that vek ang.
• I ran vulh te enfiah: In lamah ui leh vawk ang chi ran vulh i neih chuan leeches awm leh awm loh enfiah fo ang che. An tan chuan leeches tel lo thil hmang rawh. A chhan chu rannung chunga leeches te hian i in chhungah an rawn lut thei a, nang pawh an seh thei bawk.
• I huan tifai rawh: I huana thlai chu tawi te tein tan rawh. A hnah hring awm zawng zawng chu paih vek tur a ni. Hei hian leeches te inthupna hmun a tihtlem phah dawn a ni.

I taksaah leech a inzawm a nih chuan engtin nge i tih ang?

I taksaah leech a inzawm tih i hmuh chuan hlauthawng suh. A pawimawh ber chu uluk taka paih chhuah hi a ni.

1. Tweezer tip tha tak tak hmang rawh.

2. Forceps hmangin leech chu vun hnaih thei ang berah man la, a lu sir lamah chelh rawh.

3. Dinglam hawiin, zawi zawiin leh fimkhur takin, chakna mumal takin tlan rawh. Twist emaw squeeze emaw suh. Chutianga tih chuan leech lu chu vunah a tang thei a, taksaah hrik a thehdarh belh thei bawk.

4. Leech i lakchhuah zawh chuan a hmun chu sahbawn leh tuiin uluk takin silfai la, chutah chuan zu ang chi thil hmangin silfai ang che.

5. Leech lakchhuah chu toilet-ah paih thla la, a nih loh leh zu awmna bawm chhungah dah rawh. A nih loh leh tape hmangin bawlhhlawh bawmah paih rawh. I kut hmang mai mai suh.

6. Leech lakchhuah ni kha hre reng ang che. Kar leh lamah chuan khawsik emaw, khawsik emaw ang chi symptoms i neih chuan doctor hnenah hrilh la, leech-in a seh che tih hrilh rawh.

A tawp berah chuan take-home message

Okay, chuti a nih chuan tunah hian Rocky Mountain Spotted Fever (RMSF) chungchang hi kan sawi nasa hle tawh a ni lawm ni? Hei hi leeches atanga kai theih natna a ni a, a na deuh thei a, mahse a hmaa hriat a, enkawl a nih chuan a dam vek thei a ni.

• Leeches laka invenna hi a pawimawh ber a ni. Ramngaw emaw, ramngaw emaw hmuna kal dawnin invenna thawmhnaw ha la, insect repellent hmang la, in i thlen hunah in enfiah rawh.
• I kutphah leh ke ruh atanga intan a, khawsik, lu na leh taksa na te nen a darh zel a nih chuan, a bik takin leech-in a seh i rinhlelh chuan doctor lam pan nghal rawh.
• Doctor ten he natna hi an rinhlelh chuan enkawl tan an tikhawtlai lovang. Chuvangin symptoms i neih chuan Doctor pan hun tikhawtlai suh.
• Antibiotics hi a tih ang chiah chiah, a hun chhung zawng ei tur a ni.

Sri Lanka ramah hian he natna hi a awm lo nain, natna dang, leeches atanga kai theih a awm bawk. Tin, mi tu emaw ram pawna zin a, heng symptoms te hi a lan chhuah chuan he natna pawh hi rinhlelh a tha.

Hemi chungchanga zawhna dang i neih chuan chhungkaw doctor zawt hreh suh. Hrisel takin awm rawh!

` Rocky Mountain Spotted Fever, RMSF, leeches, leech-borne diseases, khawsik, vun natna, bacteria infection, Rickettsia rickettsii, antibiotics, doxycycline( Doxycycline ) , tick-borne disease, tick bite venna