He natna Q Fever an tih hi i hre tawh em? A ni lo mai thei, a dik em? A chhan chu hei hi kan ramah hian hmuh tur a tam lo hle a ni. Mahse, a bik takin rannung nena thawk ho emaw, lo neitute emaw, chutiang hmuna cheng emaw i nih chuan, hei hi tlem tal hriat chian a pawimawh hle. Vawiin kan thuziakah hian he Q fever hi eng nge a nih, engtin nge a lo awm tih, a natna lan chhuah dan leh a laka kan inven theih dan tur kan sawi dawn a ni.
Q Fever tih hi eng nge ni? A awlsam zawngin...
Q fever hi natna a ni a, Coxiella burnetii an tih bacterium awmna leivut chi hrang hrang kan thawk emaw, ran hri kai atanga thil siam kan ei emaw a ni. He bacterium hi rannung, beram, kêl, leh bawngte taksaah a awm ber a ni. Heng rannungte chenna leiah hian bacteria hi a awm khawm thei a ni. Chumi hnuah chuan chu leia leivut chhuak hmangin, a nih loh leh bawnghnute, bawlhhlawh leh a bik takin nau neih laiin tui chhuak hmangin mihringah a kai thei a ni.
Engvangin nge Q fever an tih? A hming awmzia chu eng nge ni?
Hei pawh hi thawnthu mak deuh a ni. Q fever-a ‘Q’ tih hi ‘Query’ tihna a ni. ‘Zawhna’ tih awmzia chu ‘zawhna’ emaw ‘zawhna’ emaw tihna a ni. Tun hma chuan kum 1930 chhoa Australia-ah leh kum 1940 chhoa America ramah, miten he khawsik mak tak hi an vei tan tirh khan doctor-te chuan a chhan chu eng nge ni tih an hre thei lo. Chuvangin he khawsik chungchangah hian ‘zawhna’ tam tak an nei a. Chuvang chuan ‘Query Fever’ emaw Q fever emaw an ti ta a ni. A awlsam hle mai, a dik em?
Chronic Q fever tih hi eng nge ni? A hlauhawm em?
Ni e, hei hi ngaihtuahawm deuh a ni. ‘Chronic’ tih thumal hian hun rei tak chhunga hman tur tihna a ni . Chuvangin, chronic Q fever hi Q fever na zawk, hun rei tak chhunga awm thei a ni. I thinlung, thisen kalna kawng, ruh , leh taksa peng pawimawh dangte a nghawng thei a ni. He natna khirh tak hi C. burnetii bacteria vei zinga za zela tlemteah a awm a, 1% leh 5% inkar a ni.
Hemi chungchanga harsatna pakhat chu he natna khirh tak hi Q fever symptoms hmasa ber a reh hnu thla emaw kum tam tak emaw pawh a lo awm thei a ni. Mi thenkhat chuan an kai tirh lai khan symptom engmah an nei lo thei a, mahse a hnuah chuan chronic Q fever an nei ta a ni. Chronic Q fever-a harsatna awm tam ber chu thinlung chhunga infection a ni. Doctor te chuan endocarditis'' an ti. Hei hi nunna atana hlauhawm thei harsatna a ni.
Q Khawsik i neih chuan eng nge thleng?
Q fever hian symptom hrang hrang a thlen thei. Mahse, a lan chhuah tam ber chu khawsik natna, khawsik leh taksa na ang chi te hi a ni . Bacteria C. burnetii hian i lung, thinlung, thluak, ruh emaw, i taksa peng dang emaw a kai thei a ni. Chumi ang chuan symptoms a inang lo. Mi thenkhat chuan hahna nasa tak an nei thin.leh symptom dangte chu thla tam tak, kum tam tak chhung pawh a daih thei bawk. Sawi tawh ang khan chronic Q fever hi nunna atana hlauhawm tak a ni thei.
Tute nge Q fever vei tam ber?
Q flu hian lo lama cheng emaw ran vulh nena inzawmna nghet tak nei emaw a nghawng tam ber . Entirnan, ran enkawltu i nih chuan, bawnghnute pianna kawnga puitu i nih chuan, lova, ran vulh hmuna thawk, ran talhna hmuna thawk i nih chuan natna kai theihna a sang zawk a ni. Hei hi a chhan chu heng mite hi hri kai ran leh an chenna boruak nen an inzawm fo vang a ni.
Q Tute nge flu natna avanga natna khirh tak nei thei tura hlauhawm zawk?
Mi thenkhat chuan Q fever vang hian natna khirh tak tak an nei tam zawk a, a bik takin:
- Hmeichhe naupai te hi naupai lai leh nau pai lai hian harsatna an tawk nasa hle.
- A hnuaia natna te hi i neih chuan chronic Q fever vei theihna i nei sang zawk a ni :
- Tun hmaa (Endocarditis) (thinlung chhungril lam natna) i neih tawh chuan.
- Heart valve-a harsatna a awm chuan.
- I thisen kalna kawngah aneurysms (thisen kalna bang chak lo leh bulging) i neih chuan.
- Kidney hnathawh that loh chuan (Renal insufficiency).
- Thisen kalna kawng tichaktu leh thisen kal chakna tur permanent implanted device (vascular prosthesis) i neih chuan.
- I immune system a chak lo a nih chuan (entir nan, HIV vei te, cancer vei te, immunosuppressive drugs ei te).
Q Flu hi engtiang chiahin nge a awm?
Q fever hi a takah chuan natna hmuh tur awm lo tak a ni . Entirnan, America ang ramah pawh kum khatah mi 200 vel chauh an awm. Sri Lanka-ah pawh a tam vak lo. Mahse, risk group-a awmte tan chuan fimkhur a pawimawh hle.
Q Khawsik natna lan chhuah dan engte nge ni?
Q fever natna lan chhuah dan hi a tir (acute) stage leh a hnu lama lo awm thei tur dang a zirin a inang lo.
Acute Q fever natna lan chhuah dan
Heng symptoms te hi bacteria taksa chhunga a luh atanga ni 3 leh ni 30 inkarah a lang tan tlangpui. Khawsik emaw, flu emaw vei te nen an inang fo thin.
- Khawsik sang tak a nei
- Chauhna leh hah lutuk
- Chills a awm
- Thawmhnaw hak
- Taksa na, taksa ruh na
- Eng hriatna, mit sen (Photophobia) .
- Lu na nasa tak a ni
- Nausea leh luak chhuak
- Kawthalo
- Khuh
- A rilru a na
- Pum natna
- Vun hnuaia hmun sen (Purpura) .
- Thâwk harsa (Dyspnea) .
A châng chuan, he Q fever na tak hian lung natna (Pneumonia), thluak emaw thluak khuhtu membrane emaw inflammation (Encephalitis emaw Meningitis), emaw liver inflammation (Hepatitis) ang chi dinhmun a thlen thei bawk.
Q fever fatigue syndrome (QFS) natna lan chhuah dan .
Q fever vei zinga 20% vel chuan hahna leh natna dang an nei thei a, chu chu a tir lama an kai hnuah thla tam tak, a chang chuan kum tam tak chhung a daih thei a ni. Hei hi Q fever fatigue syndrome an ti a.
- Chau lutuk
- Lu na
- Thawmhnaw hak
- Joint natna
- Muscle na a na
Chronic Q fever natna lan chhuah dan
Chronic Q fever hi C. burnetii bacteria kai hmasak ber atanga thla tam tak, a nih loh leh kum tam tak hnuah pawh a intan thin. Infection hmasa berah symptom i neih loh pawhin a lo awm thei. A tlangpuiin thinlung, thinlung kawngkhar leh thisen kalna kawngte a nghawng a, mahse taksa peng hrang hrang a zirin a natna lan chhuah dan a inang lo thei.
- Low-grade fever a ni
- Zan a thawk hah
- Rihna tihtlem
- Chau
- Thâwk harsa
- Ke emaw ke emaw a hring chhuak
Q Eng thilin nge khawsik a thlen?
Q fever thlentu ber chu Coxiella burnetii bacterium a ni . He bacterium hi rannung, a bik takin bawng, beram leh kêlah te a awm thei a, natna lan chhuahna engmah a lantir lo. Rannung hri kai taksa tui (zun, bawlhhlawh, bawnghnute, leh amniotic fluid ang chi) hian an chenna leilung a ti bawlhhlawh thei a, miten he bacterium hi an kai ber a, lei bawlhhlawh atanga leivut emaw tui hnim emaw an thawk chhuah vang a ni ber.
Q Engtin nge flu hi a kai theih?
Q fever darh dan ber chu leivut emaw tui hnim emaw, C. burnetii natna hrik . Hei hi rannung chenna hmuna i awm emaw hnathawh emaw a nih chuan a thleng thei a, a bik takin lo neihna hmunah chuan a thleng thei a ni. A chhan chu C. burnetii bacteria hian boruak kaltlangin hla engemaw zat a kal thei a, a dawng tur chuan rannung nen direct contact i neih a ngai lo.
Q fever kai theih dan dang, mahse a tlangpui lo zawk chu:
- Pasteurized loh bawnghnute (e.g. bawnghnute, cheese, ice cream) ei emaw in emaw.
- Tick natna vei atanga seh .
- Nu naupai atanga naupai emaw nau neih laiin a fa thlengin .
- Thisen pek hmangin (hei hi a tlem hle).
Pawimawh: Q fever hi mi pakhat atanga mi dangah a kai tlangpui lo . Nu naupai atanga a naute hnena kai tih report a awm tlem hle.
Q Engtin nge khawsik hi hriat theih?
I doctor chuan i symptoms te zawtin , i medical history a enfiah ang a , thisen sample a test ang . Tin, rannung nena in awm nge i thawhpui tih pawh an zawt thei bawk.
C. burnetii test result a lo let leh theih nan kar engemaw zat a la ngai thei a, chuvangin i doctor-in Q fever i neih a rinhlelh chuan test result nghah ngai lovin enkawl an tan thei a ni.
Q Khawsik a nih leh nih loh eng test nge tih thin?
Q fever test nan i doctor chuan i thisen sample chu needle te tak te hmangin a la ang. He sample hi lab-ah C. burnetii infection chhinchhiahna (antibodies) zawng turin thawn a ni ang. I sample atanga C. burnetii bacteria te chu culture an tum thei bawk.
Diagnosis chiang tak neih theih nan hun engemaw chen chhungin thisen sample vawi tam tak i pek a ngai mai thei.
Q Khawsik hi engtin nge enkawl a nih?
Acute Q fever hi antibiotics hmanga enkawl a ni . Chronic Q fever hi antibiotics leh anti-inflammatory damdawi inkawp hmanga enkawl a ni fo a, mahse enkawl a harsa zawk thei. I doctor chuan i dinhmun a zirin enkawlna tur ruahmanna bik a siam ang.
Q fever i vei tih hmuhchhuah a nih a, heart valve emaw thisen kalna kawng emaw i neih tawh chuan, chronic Q fever i vei theihna tur tihziaawmna turin i doctor nen enkawl hmasak dan tur sawipui rawh.
Eng damdawi/enkawlna nge hman?
Doctor chuan a hnuaia damdawi te hi a pe thei ang:
- ( Doxycycline ( Doxycycline) ) ) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a
- (Hydroxychloroquine) hmanga siam a ni
- (Trimethoprim-sulfamethoxazole (TMP-SMX)) hman a ni
- (Rifampin) tih a ni
- (Fluoroquinolones) (e.g. (Ciprofloxacin), (Ofloxacin)) te hi a awm a, a chhuahna tur hmun tur chu a hriat theih loh.
- (Clarithromycin) tih a ni
Q Khawsik hi a dam kim thei em?
Ni e, mi tam zawk chuan antibiotics hmangin acute Q fever atang hian an dam chhuak vek thei a ni. Mahse, acute Q fever vei tlemteah pawh enkawl a nih pawhin thla tam tak emaw, kum tam tak emaw pawh a awm thei. Chronic Q fever hi enkawl harsa deuh a ni.
Engtin nge Q fever ka vei theihna tur chu ka tihziaawm theih ang?
Q fever vei theihna tur tihziaawmna tur thil engemaw zat a awm a:
- Ran taksa tui, a bik takin nau neih laiin chhuak chhuakte i khawih hian mask leh kutkawr vuah tur a ni .
- Unpasteurized dairy products ei leh in loh tur .
- Zirna thenkhatah chuan Q fever vei nia hriatte heart valve lama harsatna awmte screening leh enkawl hian chronic Q fever a veng thei tih an sawi.
- Hna hlauhawm takah hna i thawk a, Q fever vaccine hmuh theihna hmuna i awm a nih chuan (tunah chuan Australia-ah chauh hman theih a ni) i doctor hnenah vaccine lak chungchang zawt rawh.
Loa ran bulah i awm emaw, i hnathawh emaw a nih chuan, Q fever avanga harsatna i neih theihna a sang zawk a nih chuan (e.g., heart valve emaw thisen kalna kawng lama harsatna nei, hmeichhe naupai, taksa hriselna chak lo nei te), Q fever laka inven dan tur chu i doctor nen sawiho rawh.
Q fever ka neih chuan eng nge ka beisei ang?
Q fever symptoms hi rei tak a awm thei a , ni 10 atanga ni 90 chhung a awm thei . Mahse, mi tam zawk chu an dam chhuak vek . Antibiotics pek i nih chuan kar hnih tal i ei a ngai dawn a ni. Mi 5 zinga 1 vel (20%) chuan thla tam tak emaw kum tam tak chhung emaw hahna ((Q fever fatigue syndrome)) an nei thei.
Mi tlemte chauh (1% leh 5%) inkar, a bik takin damdawi lam natna dang nei te chuan chronic Q fever an vei thei a ni. Chronic Q fever i neih chuan thla 18 emaw a aia rei emaw enkawl i ngai mai thei .
Q Khawsik hian eng harsatna nge a thlen?
Acute Q fever leh chronic Q fever-ah te pawh harsatna a awm thei. Mahse, hengte hi chronic Q fever-ah chuan a tam zawk a, a nasat zawk tlangpui. Harsatna awm thei te chu:
- A thisen kalna kawng chak lo, bulging (Aneurysm) .
- Arterial fistula, thisen kal dik lohna dinhmun
- Endocarditis natna (Endocarditis) a ni
- Lung chhunga hliam (Fibrosis) .
- Acute thawk lama harsatna nei (ARDS) .
- Lung lam chak lohna
- Ruh natna (Osteomyelitis) .
- Nau pai chhuah
- Nau piang rit lo
Q Flu hi eng nge ni ang?
Acute Q fever prognosis hi a tlangpuiin antibiotics hmanga enkawl a nih chuan a tha hle. Acute Q fever vanga thihna rate hi 0.5% leh 1.5% inkar a ni . Chronic Q fever vei te hi harsatna leh thihna an tawk nasa zawk. Chronic Q fever vanga thihna rate hi 12% leh 25% inkar a ni .
Engtin nge ka in enkawl ang?
Q fever i vei tih hmuhchhuah a nih chuan damdawi pek zawng zawng a hun taka ei a pawimawh hle . I doctor hnenah i natna lan chhuah dan tur leh hun rei tak chhunga natna lanchhuahna emaw, chronic Q fever emaw tihziaawm theih dan tur a awm em tih zawt rawh.
Engtikah nge Doctor ka hmuh ang?
Bawng, kel, beram nena hna i thawh emaw, i awm emaw a, Q fever symptom i neih chuan doctor pan nghal rawh . Chronic Q fever symptoms i neih chuan, leh C. burnetii bacteria te hi tun hma (a rei tawh a nih pawhin), doctor hnenah hrilh rawh.
Doctor hnenah eng zawhna nge ka zawh ang?
- Chronic Q fever hlauhawmna tihziaawmna turin damdawi ka ei hmasa tur em ni?
- Lung leh thisen kalna kawng lama harsatna ka neih leh neih loh test ka nei tur em ni?
- Engtin nge he damdawi hi ka ei ang?
- Engtikah nge ka rawn hmu leh ang che?
- Ka natna lan chhuah dan tur enkawl nan eng nge ka tih theih ang?
A tawp berah chuan thil hriat reng tur (Take-Home Message) .
Q fever hi natna hlauhawm tak ni mahse, hnathawh emaw, hlauhawmna sang tak awmna hmuna i awm emaw chuan a hriat chian a pawimawh a, invenna tur ruahmanna siam a pawimawh. Thil awlsam tak tak , mask vuah, kutkawr vuah, leh unpasteurized dairy products ei loh te hian danglamna nasa tak a thlen thei a, a bik takin lo neitu ran nena hnathawh hunah
Chronic Q fever hian mi tlemte chauh a nghawng nachungin, nunna atana hlauhawm tak tak a thlen thei a ni. Chuvangin, Q fever i vei thei nia i ngaih chuan, emaw, chutiang chungchanga ngaihtuahna i neih chuan, damdawi lam thurawn dil hreh suh . I doctor hnenah i health history leh work history hrilh hian i risk factors te chu a hrethiam ang a, enkawlna tha ber a pe ang.
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