Black Death chungchang hi history bu leh movie-ah te i hre tawh mai thei. Hetih lai hian Europe leh Asia ramah mi maktaduai tam tak he natna vangin an thi a. Chu natna râpthlâk tak chuan tûn laia hripui kan tih hi a thlen ta a ni. Mahse, lungngai suh, chutih lai ang khan tunah chuan a awm tawh lo. Mahse, he natna hi khawvel a\angin a bo vek lo. Chuvang chuan he natna hlauhawm tak hi fimkhur a pawimawh hle.
A awlsam zawngin, he hripui hi eng nge ni?
Plague hi natna khirh tak a ni a, chu chu `Yersinia pestis` (Y. pestis) an tih bacterium atanga lo chhuak a ni. Rannung atanga mihringa kai theih natna a ni. A dik tak chuan, he natna hi a tlangpuiin, rulhut hian he bacteria nei rannung, rulhut ang chi a seh a, chu rulhut chuan a rawn seh che a ni.
He bacteria hi i taksaah vawi khat a luh chuan hripui chi thum a awm a, chu chu taksaa a awmna hmun a zirin a ni. Chipchiar takin pakhat theuh han thlir ila.
Hripui chi thum lian ber berte
Chu bacteria (`Y. pestis`) chu i taksaah a lut ta niin han ngaihtuah teh. Chumi hnuah i taksaa a kalna hmun chu eng hripui chi nge i neih tih a hril a ni.
| Plague chi hrang hrang | Taksa peng a nghawng | Hrilhfiahna |
|---|---|---|
| Bubonic Plague a ni | Lymph nodes a awm thin | Hei hi a tam ber chi a ni a, enkawl a nih chuan dam theihna chance tha ber a ni. Lymph node pakhat emaw a aia tam emaw chu na takin a lo hring chhuak thin. Heng lump hring hring te hi "bubos" an ti bawk. |
| Septicemic natna hripui (Septicemic Plague) a ni | Circulatory System (Thisen chhuak) 1.1. | Hetiang dinhmun hi bacteria thisenah direct-a luh hian a awm thin. Hei hian tissue a tichhia thei a, gangrene ang chi condition a siam thei a, organ failure a thlen thei bawk. |
| Pneumonic Plague natna (Pneumonic Plague) a ni | Chuap | Hei hi a tlem ber leh hlauhawm ber chi a ni. Bacteria hian lung a thlen chuan a lo awm thin. Khawsik pangngai ang a ni a, khuh leh thawk hah hmangin mi pakhat atanga mi dangah a darh thei a ni. |
A pawimawh ber chu, pneumonic plague tih loh chu chi hnih dang hi mi pakhat atanga midang hnenah awlsam taka kai theih a ni lo. Mahse, pneumonic plague hi a kai rang thei hle.
Hripui (plague) chhinchhiahnate chu engte nge ni?
Plague natna lan chhuah dan tlangpui bakah hian kan sawiho chi hrang hrang a zirin chhinchhiahna bik a awm bawk.
A lan chhuah dan tlangpui
- Khawsik sang tak a lo chhuak nghal
- Khua a vawt vangin a khur
- Lu na na tak leh taksa na
- Taksa hahna leh chak lohna nasa tak
- Luak chhuak thei
- Nausea, luak chhuak, leh luak chhuak
A chi hrang hrang a zirin symptom bik a awm
- Bubonic plague: A sehna hmun bula lymph node pakhat emaw a aia tam emaw (arpit, groin, emaw neck ang chi) chu a na hle a, a hring bawk. Chungte chu lump lian tak ang maiin a lang thei.
- Septicemic plague: Pum na, hnar, ka leh vun hnuai atanga thisen chhuak. A châng chuan kut zungtang, kut leh ke ang chi hmuna tissue awmte chu a thi a, a dum (gangrene) a ni.
- Pneumonic plague: Thâwk harsa, rilru na, khuh na tak, leh thisen emaw tui chhuak emaw awmna phlegm.
Lemziak hluiah chuan hripui vei te chu an taksa pum puiah hliam neiin an lang a, mahse hei hi a takah chuan hripui chhinchhiahna a ni lo. Natna dang, smallpox ang chi a nih a rinawm zawk. Plague chhinchhiahna ber chu lymph nodes (buboes) a hring (swellen lymph nodes) a ni.
He natna hi engtin nge a kai theih?
Tlem kan sawi tawh ang khan Y. pestis bacteria hi mihringah a kai theih dan tlangpui engemaw zat a awm.
1. Fleas atanga: Hei hi a kawng ber a ni. Chumi hnuah chuan hri kai tawh mouse emaw rannung emaw chu rulhut ang maia seh chuan he natna hi a kai thei che a ni.
2. Ran hri kai atanga direct-a kai theih: Rannung hri kai taksa tui emaw tissue (nung emaw thi emaw) i vunah hliam emaw hliam emaw hmanga i taksaa a luh chuan natna hi a kai thei a ni.
3. Mi pakhat atanga mi dang hnenah: Hei hi Pneumonic Plague an ti a.A neitu hnen atangin chauh. Mi dangin an khuh emaw, an thawk hah emawa a tla chhuak chhuakte chu thawkin natna hi a kai thei a ni.
Rat chauh ni lovin, rulhut, guinea pig, ui, ui, sakeibaknei, leh sanghawngsei te pawhin he natna hi an kai thei a, an kai thei tih hre reng ang che.
Engtin nge doctor hian hei hi a hriat chian? Enkawlnate chu engte nge ni?
Plague symptoms i neih chuan, a bik takin fleas-in a seh theihna hmuna i awm tawh a nih chuan, emaw, lymph node (bubo) na tak i neih chuan doctor pan nghal tur a ni. I doctor hnenah a hnuaia mi hi hrilh rawh:
- Tun hnaiah hripui natna hriat theihna hmunah i zin tawh em?
- Fleas i nei tih i ringhlel em?
- Rannung hri kai thei i khawih tawh em?
Natna finfiah nan i doctor chuan i thisen, i khuh emaw, i lymph node hring atanga i tui sample chu laboratory-ah a thawn ang a, Y. pestis bacteria a awm leh awm loh a enfiah ang.
Tihdamna
Plague hi natna a ni a, enkawl vat ngai a ni. A lan chhuah tirh atanga darkar 24 chhunga enkawl tan theih a nih chuan a dam theihna chance a sang zawk hle.
Chumi atan chuan antibiotics hman a ni. I dinhmun azirin i doctor chuan test result nghah ngai lovin enkawl tan a tum mai thei. Heng damdawi te hi thisenah (IV) emaw, pill angin emaw pek theih a ni. Damdawi hman tlanglawn tak takte chu `Ciprofloxacin`, ` Doxycycline( Doxycycline(Doxycycline) ) ) `, `Gentamicin` te an ni.
Enkawlna i hmuh chuan kar khat emaw kar hnih emaw vel hnuah i rilru a hahdam tan ang. Mahse, lymph node (buboes) hring hringte chu a dam theih nan kar engemaw zat a ngai thei. Hetiang damdawi chi hrang hrangte hi doctor thurawn tel lovin ei ngai suh.
Engtin nge hripui laka inven theih ang?
Chutiang laka invenna tha ber chu rulhut leh rannung natna vei thei te laka inthiarfihlim hi a ni.
- Environment thianghlim taka vawn: Thingpui leh bawlhhlawh bawm, rannung, rulhut leh rulhut ang chi te inthup theihna hmun chu paih vek tur a ni.
- Ramsa ei tur pe suh: Ran chaw ei tur chu pawnah dah suh. Ramsa a hip thei a ni.
- Fleas lakah inveng rawh: Ramngaw hmuna kal tur i nih chuan DEET awmna bug spray hmang ang che.
- I ran vulhte enkawl rawh: I ui emaw, i vawk emaw tana flea enkawlna chungchang i ran enkawltu hnenah zawt rawh.
- Ran i khawih dawnin fimkhur rawh:Ran damlo emaw, thi emaw i khawih a ngai a nih chuan kutkawr vuah ngei ngei tur a ni.
- I ran vulhte chu chhuah tir suh: Hripui natna thlenna hmuna i awm chuan pawnah i ran vulhte chhuah tir suh.
Hripui i kai tawh tih rinhlelhna tlemte pawh i neih chuan i doctor nen inbia nghal la, natna lo awm tur venna atana antibiotics i ei tur leh ei loh tur chungchangah thurawn dil rawh.
Take-Home Thuchah a ni
- Plague hi natna khirh tak, mahse tunah chuan a tlem hle a, Yersinia pestis bacterium avanga lo awm a ni.
- Plague hi chi thum a awm a, chungte chu bubonic, sepicemic, leh pneumonic te an ni. Chung zingah chuan pneumonic plague hi mi pakhat atanga mi dangah kai theih a ni.
- A lan chhuah dan ber chu khawsik thut, taksa na, leh lymph node (nodules) na tak tak te a ni .
- Hei hi natna hlauhawm tak a nih avangin a natna lan chhuah veleh damdawi lam pan vat a pawimawh hle. Damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal a tha.
- Antibiotics hian hlawhtling takin he natna hi a tidam thei a, mahse enkawl tan vat a ngai a ni.
- Hei hi venna tha ber chu rulhut leh rannung natna phur thei laka inven hi a ni.
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