I naute hian khawsik a nei fo em? RSV (Respiratory Syncytial Virus) a ni thei! Hemi chungchang hi han sawi ila.

Tunlai hian nausen leh naupangte hian khawsik leh khuh an nei fo thin a ni lawm ni? A chang chuan khawsik pangngai angin a lang a, mahse naupang thenkhat tan chuan a harsa deuh thei. Chu chu a dik a ni, RSV hi virus a ni a, a bik takin naupangte thawkna kawng a nghawng nasa hle. Vawiin hian RSV (Respiratory Syncytial Virus) chungchang hi i zir belh ang u.

Naute zingah RSV hi eng nge ni?

A awlsam zawngin sawi ila, RSV (Respiratory Syncytial Virus) hi virus a ni a, chu chuan thawkna kawng, chu chu kan thawkna system a nghawng a ni. Virus a ni a, hun engemaw chen, a bik takin khaw lum laiin a kai tam zawk a, nausen naupang leh naupangte zingah a darh chak hle.

Naupang tam zawk tan chuan hei hi khawsik pangngai ang a ni a, ni rei lo te chhungin a dam leh thin. Mahse a chang chuan, a bik takin nausen naupang tak takah chuan a na hle thei a, thawk harsatna leh lung infection a thlen thei bawk.

Preemies, naute thla 6 hnuai lam, leh naupang hriselna lama harsatna dang nei, congenital heart disease leh lung disease , te hi RSV atanga harsatna an neih theihna a sang zawk . United States ang ramah pawh kum tin naupang kum 5 hnuai lam 58,000 leh 80,000 vel chu RSV vei damdawi inah an awm nia chhut a ni. Chu chu a châng chuan hei hi a pawizia i ngaihtuah thei tihna a ni.

Engtin nge naute hian RSV an neih?

Nausen kum khat hnuai lam chu RSV hian nasa takin a nghawng thei a ni. Dik tak chuan RSV hi nausen damdawi ina awm chhan lian ber a ni. United States ang ramah chuan RSV vei naute 3% vel chu damdawi inah dah an ngai a ni.

Damdawi inah ni reilote chauh awm pawh ni se, nu leh pate tan chuan a hlauhawm em em a ni lawm ni? Naute ṭhenkhat phei chuan intensive care an mamawh thei bawk. Chuvangin hei hi hriat chian a pawimawh hle.

Naupang tê tê hian engtikah nge RSV an neih?

Naupang 90% velin kum hnih an tlin hmain RSV an vei niin an sawi. Ngaihtuah teh, chutiang chuan a awm fo! A tam zawkah chuan khawsik pangngai ang a ni a, mahse naupang tê ṭhenkhat (naupang kum 1-3 inkar) tan chuan a natna lan chhuah dan chu a na deuh thei a ni.

Nausen leh naupang kum 2 hnuai lam zinga 40% velin a vawi khatna atana RSV vei te chuan bronchiolitis emaw pneumonia emaw ang chi harsatna an nei thei a ni.

• Bronchiolitis hi lung chhunga thawkna kawng te tak te (kan thawkna tube te tak te) te inflammation a ni. Hei hian naute thaw a ti harsa thin.
• Pneumonia hi lungah natna hrik a awm a.

Hetiang dinhmunah hian doctor thurawn i la nghal tur a ni.

Naupang kum upa zawk (naupang) te hian engtikah nge RSV an neih?

Naupang kum upa zawk (kum 5 aia upa)-ah chuan RSV hi in lama enkawlna hmangin a reh tlangpui a, chu chu khawsik pangngai ang bawkin a ni. Amaherawhchu, naupang naupang zawkah chuan symptoms a na zual thei. Naupang inkhawmna hmun, sikul leh daycare-ah te RSV hi awlsam takin a darh a ni. In lamah pawh unau pakhatin a neih chuan mi dangah a darh thei a ni.

Naupangte zingah RSV natna lan chhuah dan engte nge ni?

RSV symptoms hi i fa kum a zirin a inang lo thei a, infection hian harsatna dang a thlen em tih a zirin a danglam thei bawk.

Nausen (kum khat hnuai lam)-a natna lan chhuah dan .

Naute kum khat hnuai lam chuan khawsik natna lan chhuahna an nei tlangpui:

• Khawsik (100.4°F aia sang) .
• Khuh (khuh vawt emaw, khuh hnim hring emaw pawh a ni thei) .
• Soto fluid a chhuak thin
• Hnar hnar (hnar congestion) a awm
• Hriak chhuak

I naute chu a tap fo thei a , hnute pek pawh a ti tlem thei bawk .

A chang chuan RSV hian Bronchiolitis (lung chhunga thawkna kawng te te a ti na) a thlen thei a, chu chuan thawk a ti harsa thei hle. Naute bronchiolitis vei pawhin khawsik natna a nei thei bawk a, chungte chu:

• Thâwk rang tak
• Thâwk chhuah laiin hnar kawng a flaring
• Thâwk chhuah laiin grunting ri a awm
• Thâwk chhuah laiin chest caving in/retractions
• Wheezing, emaw, rilru atanga thawm ri nasa tak lo chhuak emaw

Nausen piang thar leh nausen thla 6 hnuai lam te hian common cold symptoms an nei lo thei a, mahse hengte hi an lantir thei a ni:

• Thâwk harsa (a chunga kan sawi tak symptoms) .
• Fussiness emaw irritability emaw awm fo thin
• Ei duhna a tlahniam
• Inkhelh leh thiltih lama ngaihvenna tlem ber

Ngaihven! I naute hian thawk harsatna a nei tih i hriat emaw, a hma aia tha a danglam emaw tih i hriat chuan damdawi in hnai ber emergency department-ah hruai nghal rawh. A nih loh leh 1990 ah call rawh.

Naupang tê (Kum 1-3)-a natna lan chhuah dan .

Naupang kum 1 leh 3 inkar te hian heng symptoms te hi an nei thei a:

• Soto fluid a chhuak thin
• Khuh leh thawk hah
• Ei leh in ei tlem
• Inkhelh duhna hloh
• Chaw ei harsa
• A pangngai aia rang zawka thawk

Naupang Upa zawk (kum 5 chunglam) te natna lan chhuah dan .

Naupang kum 5 chunglam chuan khawsik chhinchhiahna an nei tlangpui:

• Soto fluid a chhuak thin
• Hnar hnar (hnar congestion) a awm
• Hrawk thip
• Lu na deuh
• Nunna nei lo taksa
• Khawsik
• Khuh

Harsatna awm thei chu thawk hah, khuh ( croup) .), leh thawk harsatna a awm thei bawk. Naupang natna dang thenkhat nei te chu natna lanchhuahna na tak an neih theihna chance a sang zawk. Entir nan:

• Naupang taksa hriselna tichak lo thei dinhmun
• Chaw ei harsatna thlen thei dinhmun
• Mucus paih harsa ti thei dinhmun

I naupang enkawltu doctor nen inbia la, eng symptom nge i ngaihven tur tih leh engtikah nge doctor thurawn i lak tur tih hre rawh.

RSV vei naute chu engtikah nge damdawi inah hruai tur?

Nausen leh naupang tê tête chu an RSV symptoms a nasat chuan damdawi inah dah a ngai mai thei. Heng symptoms te hi i hmuh chuan emergency room-ah kal nghal la, 911 ah call rawh:

• Thâwk ri nasa tak i neih chuan
• An thawk chhuah apiangin an hnar a lian chho zel a nih chuan (an hnar kawngkhar (flaring of their nostrils) .
• Ka hmui, hmui, leh kut zungtangte chu a sen emaw, a sen emaw a nih chuan (hei hi oxygen tlakchhamna chhinchhiahna a ni - cyanosis chhinchhiahna a ni) .
• An pum chhunga thawk emaw, an rilru chhunga caving in emaw ang maia an awm chuan
• Thâwk hi a thuk lo emaw, a rang emaw a nih chuan
• Thâwk chhuah laiin pause i neih chuan
• Naute hian tui tlakchhamna chhinchhiahna a lan chuan (e.g. mittui tla lova tap, hmui leh lei a vawt, darkar 6-8 chhung zun loh, mittui tlak).

Nausen leh naupangte zingah eng thilin nge RSV hi a thlen?

RSV hi Viral infection a ni. Chu chu virus vang a ni tihna a ni. Hei hi a thlentu virus bik chu Respiratory Syncytial Virus (RSV) a ni. He RSV virus hi thawkna hun laia hri kai tam ber zinga mi a ni.

RSV hi a kai theih em?

Ni e, RSV hi natna hrik kai theih tak a ni . RSV vei naupangin a khuh, a thawk hah emaw, a hnar a vuak emaw atanga chhuak thawkna tuikhuah te te hmangin a darh thin. Heng droplets te hian feet engemaw zat an kal thei a – naupang te te pawhin an hmui khar chungin an khuh emaw, an thawk hah emaw pawh a tlem hle!

Heng droplets te hi midang mit, hnar, emaw ka chungah emaw a tlak chuan natna hi a darh thei a ni. Hei hi nausen leh naupang te tak te, infiam ho zingah a hluar hle. RSV virus hi dawhkan, ṭhutphah, kawngkhar khar, leh inkhelhna thil chi hrang hrangah darkar eng emaw zat a awm thei bawk. I fa hian hri kai thil eng emaw a khawih a, chumi hnua a kut ngeia a hmai a khawih emaw, a kaa infiamna bawlhhlawh a dah emaw chuan a natna a hlauhawm zawk.

RSV hi naute leh naupang tê tê tan a hlauhawm em?

Ni e, a châng chuan hei hi thil pawi tak a ni thei . Sawi tawh ang khan bronchiolitis leh pneumonia ang chi complication a awm thei. Hengte hi thawkna kawng hnuai lam natna (lower respiratory tract infection) a ni a, damdawi ina dah pawh a ngai thei.

Nausen emaw naupang tê emaw pawhin RSV aṭangin he lung infection hi an nei thei a ni. Dik tak chuan naute hrisel, full-term pawh RSV vangin damdawi inah dah theih an ni. Mahse, RSV hi a bik takin heng mite tan hian a hlauhawm hle a ni:

• Naute piang hmaa piang tan.
• Nausen tan, a bik takin naute thla 6 hnuai lam tan.
• Naupang kum 2 hnuai lam congenital heart disease emaw chronic lung disease nei.
• Naupang taksa hriselna lama harsatna nei emaw, naupang neuromuscular disorder nei (e.g. Cerebral Palsy) emaw a ni.

Heng naute leh naupangte hi RSV vanga natna khirh tak nei emaw, thihpui emaw theihna a sang zawk a ni.

Nausen leh naupangte RSV hi engtin nge kan hriat theih ang?

Naupang enkawltu doctor-te chuan RSV hi i fa natna lan chhuah dan zawtin an taksa enfiahna hmangin an hmuchhuak thin. Test a ngai lo mai thei. Mahse, doctor-in a duh chuan i fa hnar atanga mucus sample (nasal swab test) la in RSV virus a awm leh awm loh an test thei a ni.

Nausen leh naupang damdawi ina awmte chuan harsatna emaw, harsatna dang emaw an neih leh neih loh enfiah nan test an neih a ngai mai thei. Entir nan:

• Chest X-ray emaw CT scan (computed tomography scan) te hi test a ni.
• Thisen test a ni.
• Zun test a ni.

Nausen leh naupangte RSV enkawl dan tur chu engte nge ni?

Antiviral damdawi ribavirin an tih hian naupang damlo nasa tak emaw, hriselna lama harsatna dang nei emaw tan RSV enkawlna atan a pui thei a ni. Mahse, virus infection tam zawk ang bawkin naupang tam zawk chuan RSV hi enkawlna bik an mamawh lo.

Chu ai chuan naupang enkawltu doctor-te chuan natna lan chhuah dan tihtlem leh i fate rilru hahdam zawka siam turin in lama enkawl an rawt zawk a ni. Tips thenkhat chu hetiang hi a ni:

• Tui tam tak pe rawh: Naute hian an hnar a inkhar avangin an in tur angin bawnghnute an in thei lo mai thei. Naupang tê tête pawhin ei leh in lam an ngaihven lo thei bawk. I fa chu tui (hydrated) a neih reng a pawimawh hle. I fa kum a zirin i doctor hnenah thurawn i dil thei a ni. Soup lum leh porridge pawh hi kawr tan a tha hle.
• I naute hnar khar chu suction hmangin tifai rawh: Nasal aspirator ang chi hmanrua hian naute leh naupang tête hnar khar chu a tiziaawm thei a ni. Mucus thenkhat lakchhuah hian i naute tan ei leh in a ti awlsam thei a ni. I naute chu a upa deuh a nih chuan a hnar tha taka puak dan tur i zirtir thei ang.
• Saline spray leh humidifier hmang rawh:Saline nasal spray hi naupang kum tin tan hman theih a ni. Thick mucus tihzauh nan a pui hle. I fate room-a cool mist humidifier neih hian thawk a ti awlsam thei bawk.
• Damdawi i pek dawnin doctor thupek uluk takin zawm rawh: Damdawi thenkhat hi nausen leh naupang tan a tha lo. Damdawi lam thurawn tel lova pek ngai loh tur damdawi te chu khuh leh khawsik damdawi leh aspirin te hi a ni. Nausen thla 6 chunglam khawsik tihziaawm nan naupang tan paracetamol/acetaminophen emaw ibuprofen emaw pek hi a him tlangpui. Mahse, i pediatrician hnenah i dose dik i hriat chian hmasak phawt thin ang che.

I fa chu a damlo hle a nih chuan damdawi inah enkawl a ngai mai thei. Chutah chuan naupang mamawh dan azirin oxygen, antiviral damdawi, leh/ emaw IV fluid pek an ni thei bawk. Health worker ten naupang thaw leh oxygen level an enfiah ang. Nausen leh naupang tam zawk chu ni engemaw zat hnuah an haw thei a, mahse ṭhenkhat chu intensive care unit-a enkawl an ngai mai thei.

Nausen leh naupangah RSV hi eng chen nge a awm?

RSV symptoms hi naute leh naupangte zingah kar khat emaw kar hnih emaw vel a awm tlangpui. Ni thumna leh ni nga inkarah hian natna lan chhuah dan a chhe ber fo thin.

Engtikah nge ka fa chu daycare emaw sikul emaw-ah ka tirh leh theih ang?

I naupang enkawltu doctor chuan i fa chu daycare, sikul emaw, naupang dangte inkhawmna hmun dangah emaw thawn kir leh chu engtikah nge a him tih a hrilh ang che. A tlangpuiin, i fate khawsik tihziaawmna damdawi hmang lovin darkar 24 tal a tlahniam tur a ni a, hnar luang chhuak pawh hi thunun theih a ni tur a ni.

RSV hian hun rei tak chhung nghawng a nei em?

Nausen RSV avanga bronchiolitis na tak nei te chu an naupan laiin asthma vei an tam thei hle. Researcher-te chuan inzawmna a awm tih an hria – chu chu nausen laia RSV vanga damdawi ina dah naupangte chu a vei lo naupangte aiin asthma na tak an vei tam zawk tihna a ni. Mahse, inzawmna emaw, inzawmna emaw chu a chhan leh a rah chhuah inzawmna nen a inang lo. Researcher-te chuan heng hun rei tak chhunga harsatna awmte hi RSV complication vang nge, thil thleng mai mai a ni em tih an la chhui mek a ni.

RSV hi naute tan chuan thihna thlen thei a ni em?

Nausen leh naupang tê tam zawk chu RSV vangin an dam leh thin. Mahse, a then phei chuan RSV hian thihna a thlen thei a ni. Khawvel pumah naupang kum 5 hnuai lam maktaduai 3 chuang chu kum tin RSV vei damdawi inah dah an ni. Chu naupang zinga 100,000 chuang chu an thi a ni.

Retheihna nasa tak leh hriselna enkawlna tha lo ramteah chuan thihna hi a tam zawk hle. Nausen leh naupang tê, thinlung, lung, emaw, immune system lama harsatna nei te chu natna khirh tak vei theihna a sang zawk a ni. Amaherawhchu, nausen hrisel leh natna dang nei lote pawh an damlo hle a, damdawi inah an awm thei a, RSV vangin an thi hial thei a ni. Chuvangin hei hi hriat chian a pawimawh.

Ka fain RSV a vei loh nan ka veng thei ang em?

RSV hi engtik lai pawhin ven theih a ni lo, nausen leh naupang tête zingah awlsam taka darh thei natna tlanglawn tak a nih avangin. Amaherawhchu, i fa humhimna tur thil engemaw zat i tih theih a awm. Chung zingah chuan:

• I naupai laiin RSV vaccine la rawh: Naupai atanga kar 32 leh kar 36 inkarah RSV vaccine i la thei. He vaccine hian i naute chu a dam chhung thla 6 hmasa berah a venghim a ni. I doctor hnenah thu belhchian dawl zawk zawt rawh.
• I naute chu immunization pe rawh: Thla 8 an tlin thlengin RSV laka monoclonal antibody vaccine nirsevimab an tih chu an dawng thei a ni. I naupang enkawltu doctor chuan i naute RSV season hmasa berah hei hi dose khat a pe thei che a ni. I naute chu RSV na tak vei theihna a nih chuan a kum lehah a vawi hnihna pek an rawt thei bawk. Monoclonal antibody vaccine dang palivizumab tih hi naupang kum 2 hnuai lam thenkhat, RSV na tak vei theihna hlauhawm tak tan chuan a tha hle. I naupang enkawltu doctor chuan RSV season chhung hian he vaccine hi vawi tam tak a pe duh mai thei. Naupai laia vaccine i lak chuan i naute hian kum khatnaah he vaccine hi a mamawh lo mai thei.
• Nu hnute pek: Nu hnute tui chhunga antibody awmte hian i naute chu natna hrik lakah a venghim a ni. Mithiamte chuan thla 6 hmasa berah nau hnute chauh pek an rawt a ni. Hetih lai hian nu hnute tui chhunga antibodies te hian i naute chu a hlauhawm ber hun chhungin RSV (leh natna dang tam tak) lakah a venghim a ni.
• I naute natna hrik laka invenna ti tlem rawh: RSV hri leng lai hian a theih chuan naute chu mipui tamna hmuna hruai loh tur a ni. Mi damlo (khuh, thawk hah) te lakah hla takah dah la. I naute khawih apiangin sahbawn leh tuiin an kut an sil hmasa phawt tur a ni. Hei hi i naute dam chhung thla 6 hmasa berah a pawimawh zual hle. Hei hi a chhan chu i naute taksa chakna (immune system) a la thang chho zel a, chuvangin RSV na tak a vei theihna a sang zawk a ni.
• Khawih fo thinna hmun chu fai takin dah rawh: Infiamna leh kawngkhar khar ang chi thil te chu silfai fo thin ang che.
• I fate zirtir rawh: I fa chu a upa deuh a nih chuan khuh emaw, a hah emaw laia an hmui chu tissue hmanga khuh tur leh kut sil fo turin zirtir rawh.

Engtikah nge naupang doctor i koh ang?

I fain heng symptoms zinga pakhat emaw a aia tam emaw a neih chuan i pediatrician call rawh:

• Naute thla 3 hnuai lam, khawsik 100.4°F (38°C) aia sang a neih chuan.
• Kum eng pawha khawsik 102°F (39°C) aia sang i neih chuan.
• Kar khat hnuah a natna a zual a nih chuan, a nih loh leh ni 10-14 aia rei a natna lanchhuahna a awm reng chuan.
• Beng atanga tui chhuak a awm chuan (hei hi beng natna chhinchhiahna a ni thei).

Engtikah nge ka fa hian emergency treatment a mamawh?

Thâwk leh oxygenation nena inzawm symptoms hi ngaihtuah tur a ni. I fate chu:

• Thâwk lak harsa i tih chuan.
• Thâwk chhuah laiin i chawlhsan chuan.
• Thâwk hi a tawi, a thuk lo leh/ emaw a rang a nih chuan.
• Thâwk chhuah laiin thawm i siam a nih chuan (noisy breathing).
• Vun chu a sen emaw, a sen emaw a lo nih chuan (an vun rawng dum emaw, a sen emaw a ni).

... Chutiang dinhmunah chuan , 1990 call nghal la, a nih loh leh naupang chu emergency room hnai berah hruai rawh.

Naupang enkawltu doctor hnenah eng zawhna nge i zawh tur?

RSV chungchang leh i fa venhim dan tur chu i fa naupang enkawltu doctor nen inbiakna hmangin thil tam tak i zir thei ang. Hemi chungchang hi i fa damloh hma pawhin i sawi thei a ni. Inbiakna ṭanpui tûr zawhna ṭhenkhat chu hetiang hi a ni:

• Ka fa kum lamah RSV natna lan chhuah dan tlangpui engte nge ni?
• Engtin nge ka fa chu RSV a vei chuan in lamah ka enkawl ang? A hnena pek tur tha ber berte chu engte nge ni?
• Eng symptoms nge ka fa chu damdawi inah ka hruai ang?
• Ka fa hian RSV hi eng chen nge a kai theih?
• Hetiang thil hi ka chhungkuaa midangte hnena a darh loh nan engtin nge ka ven theih ang?
• Engtin nge ka fa hi RSV leh natna tlanglawn dang lakah ka humhim theih ang? Vaccine chungchang hi ka zir belh thei ang em?

A tawp berah chuan hriat reng tur tlemte (Take-Home Message) .

Nu leh pa tan thil harsa ber pakhat chu an fa damloh lai en hi a ni. Hnar tê tê emaw, khuh emaw chauh pawh ni se, chu chu RSV hian a tih tlangpui a ni. Mahse a chang chuan RSV hian natna lanchhuahna na tak a thlen thei a, damdawi ina dah a ngai bawk.

Mahse hre reng ang che, damdawi inah ni engemaw zat awm mah la, nausen leh naupang tam zawk chu an dam tha hle. Hlauthawng suh la, damdawi lam thurawn tul tak tak la la, i fa chu uluk takin enkawl rawh. I naupang enkawltu doctor chuan he thawkna lama hri leng karah hian i fa chu a hrisel thei ang bera enkawl dan tur leh i fate hrisel theih dan tur a hrilh belh thei che a ni. Doctor hnenah thurawn dil ila a tha ber fo.

` RSV, Respiratory Syncytial Virus, nausen, naupang, khawsik, khuh, thawk harsa, pneumonia, bronchiolitis, RSV, thawkna virus, naupan lai natna, naupang tê, khawsik, thawk harsa, lung infection