Thingtlang lama kal turin i chhuak tawh em, emaw, i ran vulh ui emaw, i ui emaw nen in inkhelh a, ni engemaw zat hnuah rang takin natna i nei a, khawsik nasa tak i nei tawh em? Chumi rual chuan lu na leh taksa na i nei em? A tlangpuiin, ‘Hei hi virus fever a ni’ tiin kan ngaihtuah thin. Mahse, rannungin rulhut ang maia a seh che nia rinhlelhna tlemte i neih chuan hei hi thil awlsam tak a ni lo mai thei. Vawiin hian chutiang rulhut hmanga kai theih natna kan sawi dawn a, chu chu a rang leh dik taka enkawl loh chuan nunna atana hlauhawm thei a ni. Chu chu Rocky Mountain Spotted Fever, a tawi zawngin RMSF a ni.
A awlsam zawngin, Rocky Mountain Spotted Fever (RMSF) hi eng nge ni?
Rocky Mountain Spotted Fever hi natna hrik pakhat `(Rickettsia rickettsii)` an tih vang a ni. Dengue virus hi rulhut hmanga kan taksaah a lut ang bawkin he `R. rickettsii` bacteria hi natna vei rulhut seh hmangin kan taksaah a lut thin.
Hemi chungchanga harsatna lian ber chu a tir lamah chuan a natna lan chhuah dan hi khawsik emaw, viral fever emaw nen a inang hle a ni. Mi tam tak chuan khawsik, lu na, leh taksa na ang chi thil avang hian pawi an ti lo. Mahse enkawlna a tlai chuan a pawi hle thei a ni.
Mi thenkhat chuan hei hi tick-borne disease dang, Lyme disease ang chi nen a inang niin an ngai. Mahse, heng natna pahnih hi bacteria chi hrang hrang pahnih avanga lo awm a ni. A natna lan chhuah dan pawh a inang lo. Chuvangin, natna pahnih hi inthlunzawm suh ang che.
He natna vei theihna hlauhawm ber chu tute nge ni?
Dik tak chuan, rulhut (fleas) nena inzawm apiangin he natna hi an vei thei a ni. Fleas te hi thlai sang takah te, thingtlang hmunah te, leh pawn lama kan ran vulh te chungah te an awm thei a ni. Khawvel ram hrang hrangah he natna hi hmuh tur a awm tawh a.
Mahse, mi thenkhatin he natna hi an vei chuan natna lanchhuahna na tak an neih theihna chance a sang zawk. Tute nge an nih i en ang u.
| Risk category a ni | Hrilhfiahna |
|---|---|
| Kum | He natna hi naupang kum 10 hnuai lam leh puitling kum 70 chunglam tan a na thei hle. |
| Immune system chak lo nei te | Damdawi lam thil dang (e.g. cancer) emaw damdawi emaw avanga taksa hriselna chak lo nei te chu an hlauhawm zawk. |
| G6PD tlakchhamna nei te | Hei hi genetic condition a ni. ``Glucose-6-phosphate dehydrogenase (G6PD) tlakchhamna'' nei te pawhin he natna hi an vei tam zawk bawk. |
Natna taksaa a luh hian eng nge thleng tak tak?
Hri kai flea pakhatin a seh che tih han ngaihtuah teh. Flea hmui hian bacteria `R. rickettsii` chu i thisenah a lut a. Chuta tang chuan bacteria hian a tum ber chu kan thisen kalna kawngte hi a ni .
A awlsam zawngin sawi ila, he bacteria hian kan thisen kalna kawngte a tichhia a ni. Tui pipe-in khur te te a neih ang bawkin, he bacteria hian kan thisen kalna kawng a tihchhiat hian a chhehvel tissue-ah thisen leh tui a luang lut tan thin. Hei hi a symptoms thlentu a ni. He leakage hian kan taksa ruh, kan nerve leh kan taksa peng pawimawh tak tak thluak leh kal (kidney) te a tichhe thei a ni.
Eng nge a lan chhuah dan? Engtin nge kan hriat chian?
Flea seh hnu ni hnih atanga kar hnih chhungin symptoms a lang thei. Chungte chu natna lan chhuah hmasak leh a hnu lama natna lo lang chhuak, natna a zual zel anga lo awm thinah then theih a ni.
| Symptom a ni | Thu belhchian dawl zawk |
|---|---|
| A tir lamah chuan symptoms a awm thin | |
| Khawsik sang tak a nei | A khawsik thut, na tak a ni. |
| Lu na na tak | Lu na, a puak dawn ang maia hriat. |
| Chaw ei chak lohna, luak chhuak, leh luak chhuak | Chaw ei i duh lo mai thei a, pum na leh luak i nei thei bawk. |
| Taksa a na | Natna nasa tak i nei thei a, a bik takin taksa peng hrang hrangah. |
| Vun a hring chhuak | Natna intan atanga ni 3 vel ah chuan vunah hian a sen te te a lo lang thei a. Hengte hi kut leh ke kutphah leh ke ruh atanga tan a ni tlangpui. Chumi hnuah chuan taksa pum puiah an darh thei a ni. Mahse, mi zawng zawng hian rash hi an nei vek lo. |
| Natna a zual zel laiin symptom na tak tak a awm thei | |
| Rilru lama buaina | Disorientation, agitation, thusawi thiam lo. |
| Thâwk harsa | Thâwk hahna (dyspnea). |
| Numbness, taksa peng hrang hranga chak lohna | Taksa peng hrang hrangah nunna nei lo anga inhriatna. |
| Seizures a awm thin | Fit ang chi condition a ni. |
A pawimawh ber chu, a hring chhuak tur chu nghak suh. Mi thenkhat chuan rash hi an nei lo a, a tlai thei bawk. Khawsik leh lu na ang chi symptom i neih a, flea bite i rinhlelh chuan doctor pan nghal rawh.
Doctor hian engtin nge natna a hriat chian?
Doctor i pan dawnin a tih hmasak ber chu zawhna a zawt che a ni.
- I symptoms te chu eng nge ni a, eng chen nge i neih tawh?
- Tun hnaiah ramngaw, ramngaw sang tak awmna hmunah i kal tawh em?
- In lamah ran vulh an awm em?
- I taksa hmun dangah flea a innghat i hmu tawh em?
Heng zawhnate i chhanna a\angin i doctor chuan a enfiah ang che. I natna lan chhuah danin hei hi RMSF a ni thei tih a hriat chuan enkawl tan theih a ni.
Thisen test a awm a, a chang chuan vun biopsy pawh a awm a, chu chuan natna hmuhchhuah a nih leh nih loh finfiah a ni. Mahse, heng test result hi a lo let leh theih nan ni 7 atanga ni 10 vel a ngai thei a ni. Natna a nasat em avangin i doctor chuan a result a nghak lovang. I natna lan chhuah dan leh i thu hriatte chuan RMSF i vei tih a tilang a nih chuan enkawl tan nghal a ni ang.
Enkawlnate chu engte nge ni? A dam leh theih nan eng chen nge hun a duh?
RMSF enkawlna tha ber leh rawt awmchhun chu antibiotics a ni . Chumi atana hman bik antibiotic chu `( Doxycycline ( Doxycycline ) a ni.
- A hmaa tan a pawimawh: Enkawlna hi a lan chhuah tirh ni 5 chhunga tan a nih chuan a hlawk ber.
- Complete: He damdawi hi ni 7-10 chhung i ei a ngai tlangpui. Ni hnih emaw ni thum emaw chhungin i rilru a hahdam a nih pawhin doctor-in a pek ni zawng zawng chu damdawi hi i ei tur a ni. Chutiang a nih loh chuan natna chu a lo let leh mai thei.
- A nasat dan: Natna a nasat chuan damdawi inah dah a, enkawl a ngai mai thei. Tin, thisenah antibiotics leh enkawlna dang (mechanical ventilation ang chi) i dawng a ngai thei bawk.
Treatment i tan tha chuan , darkar 48 chhungin i dam tan ang.
He natna lakah hian engtin nge i inven theih ang?
He natna hi vaccine a awm loh avangin a tha ber chu flea bites loh hi a ni. Hetiang a nih loh nan thil engemaw zat i tih theih a awm.
- I huan leh huan fai takin vawng la: Thing leh mau sang tak takte hi rulhut awmna hmun tha tak a ni. Chuvangin i yard grass chu trim leh tifai takin dah rawh.
- Ramhnuaiah i luh dawnin him takin awm rawh: Thingtlang emaw, ramhnuaiah emaw i kal dawn a nih chuan i taksa khuh thei thawmhnaw hain a theih ang anga inchei ang che. Pants sei, kawr sei, pheikhawk, leh socks ha rawh. I pants chu i socks chhungah i tuck thei a nih chuan a tha zawk.
- Insect repellent hmang rawh: Fleas ang chi insect hnawhchhuahna repellent hmang rawh. DEET awmna te hi a tha ber. Tin, thawmhnaw-a i hnawih theih tur special spray a awm bawk.
- Pawn lama i chhuah hnuah i taksa enfiah rawh: Pawn atanga i lo haw hnuah, a bik takin thlai awmna hmunah chuan i taksa pum pui chu rulhut a awm leh awm loh enfiah thin ang che. I armpits, groin, lu, i beng hnunglam, leh belly button ang chi hmunte chu a bik takin ngaihven rawh.
- I ran vulhte humhim rawh: I ran vulh, ui leh vawk te chu rulhut lakah humhim rawh. Veterinarian rawn la, damdawi leh belt mamawh te chu uluk takin hmang rawh. An taksa chhuah tir hnuah enfiah thin ang che.
Engtikah nge Doctor ka hmuh ang? ETU ah ka kal tur em ni?
Hei hi thil pawimawh tak a ni a, a chhan chu a hun taka thiltih hian nunna a chhanhim thei a ni.
| Nihna | Eng nge tih tur |
|---|---|
| Flea hian min seh tawh niin ka ring a, ni engemaw zat chhungin khawsik, lu na, leh taksa na ang chi symptoms ka nei ta. | Chhungkaw doctor hmu nghal rawh. Tikhawtlai suh. |
| Flea-in a seh a, mahse symptom a nei lo. | Hetih lai hian Doctor hmuh a ngai tawh lo. Symptoms nei lo antibiotics ei hian a pui dawn lo. Mahse, kar hnih chhungin symptoms a lo lang leh dawn em tih erawh hre reng ang che. |
| Heng natna lanchhuahna na tak tak te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) ah kal nghal tur a ni. | |
| |
Take-Home Thuchah a ni
- Rocky Mountain Spotted Fever (RMSF) hi bacteria infection a ni a, fleas atanga kai theih a ni a, enkawl vat loh chuan nunna atana hlauhawm tak a ni.
- A tir lama a lan chhuah dan (khawsik, lu na, taksa na) chu virus flu tlanglawn tak nen a inang tih hi bum suh.
- Skin rash lo lang nghak suh. Mi thenkhat chuan rash an nei lo mai thei.
- A chunga kan sawi takte hi flea awmna hmuna i awm hnuah a lo lang a nih chuan doctor pan nghal tur a ni.
- He natna hi enkawl tan a nih chuan a dam kim thei a ni.
- He natna laka invenna tha ber chu rulhut laka inven hi a ni.
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