Rubella (German Measles): Hei hi i hria em? Chipchiar takin sawi ila!

Natna pakhat, khawsik hniam tak leh hmai leh taksa zawng zawnga vun sen te te a thlen thin kha i hre reng mai thei. Mi thenkhat chuan ‘German measles’ an ti bawk. Chu chu vawiinah kan sawi dawn a ni, Rubella. A hmasa berah chuan, ‘Aw, hei hi measles tlemte chauh a ni’ i ti mai thei. Mahse, hei hi natna awlsam taka ngaih tur a ni lo va, a bik takin nu naupai a nghawng chuan, nausen pum chhunga naute tan chuan a na hle thei a ni Chuvangin, he rubella chungchang hi i zir vek ang u, kan zir dawn em ni?

Rubella chu eng nge ni? A awlsam zawngin...

Rubella hi natna hrik kai theih a ni . `(RuV virus)` an tih virus atanga lo chhuak a ni. Hei hi a lan chhuah dan ber pakhat chu taksaa vun rawng (rash) a ni. A dik tak chuan heng vun sen te hi i hmaiah a intan a, chutah chuan i taksa zawng zawngah a darh vek a ni. Hei vang hian mi thenkhat chuan ‘German measles’ emaw ‘ni thum chhunga measles’ emaw an ti thin. Mahse, hei hi common measles kan hriat nen a inang lova, mahse a thlentu virus, rubella virus hi a tha zawk. Chuvangin heng natna pahnih hi inthlau suh ang che.

A pawimawh ber chu nuin naupai laiin rubella a vei a nih chuan naute hian hriselna lama harsatna lian tak a nei thei a ni . Chumi chungchang chu nakinah kan sawi leh ang.

Congenital Rubella Syndrome (CRS) hi eng nge ni?

Hei hi rubella natna hlauhawm ber a ni. `(Congenital Rubella Syndrome)` emaw `(CRS)` tih awmzia chu nu naupaiin rubella a vei chuan a pum chhunga naute hnenah hri hi a kai darh tihna a ni. Ngaihtuah teh, he natna hi nu atanga naute hnena kai a nih chuan naute hian natna khirh tak tak a nei thei a, chungte chu vun lama harsatna, hriatna hloh, mitdel, thinlung natna, leh a pian tirh atanga thluak thanlenna nena inzawm harsatna te a ni. Chuvang chuan nu naupai te hian he thil hi an fimkhur zual tur a ni.

Rubella leh measles hi thil inang an ni em?

Ni lo, hengte hi natna hrang hrang pahnih an ni . A lan chhuah dan chu inang mah se, heng natna pahnih hi virus chi hrang hrang pahnih avanga lo awm a ni . Chuvangin an pahnih hi inthlau lo ila a tha ber a ni lawm ni?

Rubella natna hian tute nge a tuar ber? Engtiang chiahin nge a hluar?

Dik tak chuan tu pawhin rubella an vei thei. Mahse kan sawi tawh ang khan a nghawng na ber chu naupai laia rubella vei nu atanga naute piang, chu chu `(Congenital Rubella Syndrome - CRS)` an ti a.

United States-a kan tih angin Sri Lanka-ah hian rubella tihbo a nih thu official-in puang lo mah ila, tunah chuan vaccine pek a nih avangin he natna darh dan hi nasa takin a tlahniam ta a ni. Mahse, khawvel ram thenkhatah chuan rubella hi hmuh tur a la awm a, a bik takin Asia, Africa, leh Middle East ang ramah te chuan hmuh tur a la awm reng a ni. Chuvangin ram pawna zin i nih chuan hei hi hriat chian a tha.

Rubella natna lan chhuah dan chu engte nge ni?

Rubella natna lan chhuahna ber chu vun rawng a ni . Hei hi hmai atanga intan niin taksa chhungah a darh tlangpui. Naupang tê têah chuan vun rawng hi a lan hmasak ber a ni thei. Mahse, naupang kum upa zawk leh puitlingah chuan natna lan chhuah dan dang a lo lan hnu ni engemaw zat hnuah chuan vun hi a lang lo thei.

Ngaihtuah teh, a châng chuan mi 50% thlengin rubella an vei thei a, symptom engmah an nei lo . Mahse, midangte hnenah natna hi an la thehdarh thei tho a ni. Chu chu a hlauhawm deuh a ni lawm ni?

Rubella natna lan chhuah dan tlangpui chu hengte hi a ni:

• Hmai sen (a hmasa berin hmaiah, chutah taksa zawng zawngah) .
• A khawsik tlem a awm.
• Khuh
• Hrawk thip
• Hnar luang chhuak
• Lu na
• Mit sen (Pink eye / Conjunctivitis) .
• Joint natna
• Malaise (malaise) tih hi a ni.
• Lymph node a hring (kawng, kawr chhungah ang chi) .

Rubella hi eng thilin nge a thlen?

Rubella thlentu ber chu virus `(RuV virus)` tih a ni. Virus te hi thil nung te tak te an ni. Mahni chauhin an khawsa thei lo. An tih chu mihring, rannung, a nih loh leh thlai cell-ah lutin, chu cell-te chu anmahni copy tam zawk siam nân an hmang a ni. A awlsam zawngin kan taksa an kai a ni.

Rubella hi a kai theih em? Engtin nge a kai darh?

Ni e, rubella hi natna hrik kai theih a ni . Mi pakhat atanga mi pakhatah virus droplet hmangin a darh a, chu chu mi pakhatin a thawk a, a khuh emaw, a thawk emaw a nih chuan boruakah a chhuak thin. Virus in a tihbawlhhlawh tawhna hmun khawih a, chuta tang chuan an hnar emaw, an hmui emaw khawih pawhin a darh thei bawk.

A pawimawh ber chu nu naupai atanga a nausen pum chhunga kai theih a ni bawk . A châng chuan, mi pakhatin rubella natna lan chhuahna nei lovin a darh thei a ni.

A tlangpuiin, rubella hi a kai tam ber chu a lo chhuah hma kar khat leh a lo chhuah hnu kar khat hnuah a ni .

Puitling pawhin rubella an vei thei em?

Ni e, rubella hi kai theih a nih avangin naupang tê tê emaw, puitling dang emaw, puitling emaw aṭangin a kai thei a ni.

Naupai laiin rubella i vei a nih chuan eng nge thleng?

Hei hi kan ngaihven tur pawimawh ber a ni . I naupai a nih chuan, a bik takin rubella i vei a nih chuan first trimester , i naute chu a hmaa kan sawi tawh ang kha, Congenital Rubella Syndrome (CRS) a vei theihna chance a sang hle .

Mahse, chanchin lawmawm a awm! Naupai hmaa rubella laka vaccine i lak chuan i naute chu he natna (CRS) lakah hian i humhim thei a ni.

Naupai laiin rubella test hi ``Positive'' a nih chuan eng nge a awmzia?

Symptoms i neih loh chuan, i doctor-in naupai hma emaw, naupai lai emawa rubella thisen test a neih chuan rubella dona atana antibody i neih leh neih loh an enfiah ang. Heng antibodies te hi kan taksain thil tha lo tak tak kan taksaa a luh chuan a do turin kan taksain a siam chhuah protein bik an ni.

Chuvangin, i rubella antibody test chu ``Positive'' a nih chuan rubella i lo vei tawh emaw, vaccine i la tawh emaw tihna a ni. Mahse, rubella lakah i immune tihna a ni bawk a, awlsam takin i kai leh tawh dawn lo tihna a ni bawk. Chu chu naupai lai hian thil tha tak a ni.

`(CRS)` an tih natna lanchhuahna chu engte nge ni?

Congenital rubella syndrome (CRS) symptoms chu pian tirh atangin hmuh theih a ni . Naupai laiin rubella i vei chuan i naute chu a hnuaia symptoms pakhat emaw a aia tam emaw neiin a piang thei a ni:

• Mit hmuh hloh emaw, a chhiat emaw: Mit (cataract) leh mit pressure sang (glaucoma) ang chi dinhmun avang a ni.
• Hriatna hloh emaw tlahniam emaw.
• Lung lam chhiatna.
• Thluak kaihhnawih inthlak danglamna: Thluak a lo thanglian tha lo tihna a ni a, thluak te tak te (microcephaly) neia piang, thluak inflammation, zirlai leh nungchang inthlak danglamna tihna a ni.
• Ruh natna te.
• Thisen peng hrang hrang tlahniam: thisen platelet hniam (thrombocytopenia), thisen tlakchham (hemolytic anemia).
• Thyroid natna a ni.
• Liver leh spleen lian tham (`(hepatosplenomegaly)`).
• Type 1 diabetes (`(Type 1 diabetes / insulin-a innghat zunthlum)`).

Engtin nge rubella i vei tih i hriat theih ang?

Rubella i vei em tih chiang taka hriat theih nan i doctor chuan a enfiah hmasa ang che a, i taksaah hliam a awm leh awm loh a enfiah ang. Chu bâkah, i thisen, i zun emaw, i hnar emaw, i rilru emawa rubella virus chhinchhiahna a awm leh awm loh an enfiah thei bawk.

Eng ang test nge tih thin?

Rubella hriat theihna atan hian a hnuaia test te hi hman a ni:

• Thisen test : I ban vein pakhatah needle te tak te dahin i thisen sample lak a ni. Hei hian rubella laka antibody awm leh awm loh a enfiah thin. Hei hian tunah hian natna i vei em tih emaw, a hmaa i lo vei tawh em tih emaw, vaccine i lo la tawh em tih emaw a hriat theih.
• Nasal or throat swabs : Doctor chuan i hnar emaw, i kawr emaw atangin swab a la ang. Lab-ah hian rubella virus a awm leh awm loh an test dawn a ni.
• Zun test : No fai takah zun turin an ti ang che. Zun sample hi lab-ah thawn a ni ang a, rubella virus a awm leh awm loh endik a ni ang.

Rubella test hi ``Positive`` a nih chuan eng nge a awmzia?

I hnar, i rilru, emaw i zun sample atanga sample lak chu ``positive'' a lo lang leh a nih chuan tunah hian rubella i vei tihna a ni.

Mahse, i damloh loh laia thisen test i tih chu ``positive`` a lo lang leh a nih chuan i taksaah rubella dotu antibodies i nei tihna a ni.A awm tihna a ni. Antibodies hi protein bik a ni a, virus leh bacteria ang chi invader te chu a hre thei a ni. Chuvangin, i damloh loh laiin antibodies ``(Positive)`` i neih chuan rubella i lo vei tawh tihna a ni a, a nih loh leh vaccine i la tawh tihna a ni a, tunah chuan immunity i nei tawh tihna a ni. Chumi awmzia chu i taksa immune system hian virus hi a lo let leh a nih chuan a tihchhiat dan tur a hre chiang hle tihna a ni.

Rubella hi engtin nge enkawl a nih?

Rubella hi enkawlna bik a awm lo . Ni engemaw zat chhungin a mah chauhin a reh tlangpui. I natna lan chhuah dan chu in lamah damdawi lei theih loh hmangin i enkawl thei ang.

Rubella hi kai theih a nih avangin i doctor chuan natna darh zel tur tihziaawm nan midang (`(quarantine)`) laka inthiarfihlim turin a hrilh ang che.

Engtin nge symptoms control theih ang?

A tam zawkah chuan rubella symptoms hi in lamah enkawl theih a ni. Painkiller paracetamol, khuh leh khawsik damdawi, etc. i hmang thei a, mahse, i natna lan chhuah dan tur enkawl dan tha ber doctor zawt la a tha ber .

Pawimawh: I fa tê tê rubella a vei chuan doctor zawt hmasa lovin damdawi engmah pe suh.

Chu `(CRS)` dinhmun chu engtin nge enkawl a nih?

Congenital rubella syndrome (CRS) enkawlna hi a nasat dan azirin a inang lo . Condition thenkhat chu damdawi emaw, operation emaw hmanga enkawl theih a ni. Mahse, chhiatna ṭhenkhat chu a awm reng a ni . Chutiang a nih chuan tih theih awm chhun chu dinhmun enkawl leh nunphung ṭha ber vawng reng tura ṭanpui hi a ni.

Engtin nge rubella hi i ven theih ang?

Rubella venna kawng tha ber leh pawimawh ber chu vaccination hi a ni . Chu chu MMR vaccine emaw MMRV vaccine emaw lak tihna a ni. Chu bakah, rubella laka inven nan a hnuaia mite hi i ti thei bawk:

• Kut sil fo thin la, a bik takin i damloh lai hian.
• Mimal thil cup leh plate te chu midang hnenah share suh .
• Hmuh emaw, khuh emaw hian i hmui leh hnar khuh thin ang che .
• Ram pawna zin i nih chuan chu ramah chuan rubella ang chi natna hrik kai theih a awm em tih hre hmasa phawt ang che.
• Chhungkaw din i beisei a nih chuan , chu chu naute neih a ni a, rubella vaccine lak a pawimawh hle a, a nih loh leh rubella antibodies test neih a pawimawh hle a, naupai tum hma thla khat tal

Rubella vaccine te hi engte nge ni?

Rubella vaccine hi `MMR` vaccine emaw, `MMRV` vaccine emaw angin pek theih a ni.

• `MMR` vaccine pek a ni: Hei hian natna pathum: measles, mumps, leh rubella lakah venhimna a pe vek a ni. Thla 12 chunglam chuan he vaccine hi an la thei a ni.
• `MMRV` vaccine : Hei hian natna pali: measles, mumps, rubella, leh chickenpox (`(Chickenpox / Varicella)`) lakah venhimna a pe vek a ni. Mahse, he vaccine hi naupang thla 12 leh kum 12 inkar tan chauh pek a ni .

Rubella vaccine hi tuin nge la thei ang? Tuin nge dawng lo tur?

Naupang leh puitling thla 12 chunglam tam zawk chuan rubella vaccine hi an la thei a ni. Amaherawhchu, mi thenkhat chuan vaccine hi an mamawh lo a, thenkhat chu an dawng thei lo mai thei bawk.

Rubella vaccine hi i mamawh lo a nih chuan:

• Vaccine pek tawh i nih chuan (zin chhuah hunah, sikul kal hunah, hnathawhna hmuna kal hunah emaw he thil hi ziaka finfiahna i pe a ngai mai thei).
• I thisen test-naah rubella antibodies i nei tih a chiang a nih chuan (rubella laka i immune tihna a ni).
• Kum 1957 hma lama piang i nih chuan.A chhan chu vaccine hman hmaa piang zawng zawng deuhthaw hian rubella an vei tawh nia rin a ni. (Hei hi Sri Lanka-ah hian eng emaw chen a hman theih a, mahse doctor zawh a tha zawk).

Mithiamte chuan hengte hian rubella vaccine hi lak a tha lo niin an sawi:

• Vaccine chhunga thil awm zawng zawng allergy i neih chuan .
• Naupai i nih chuan .
• I immune system a chak lo (`(weakened immune system)`) - entirnan, `(HIV/AIDS)`, cancer, emaw damdawi thenkhat i ei vang emaw a nih chuan.
• Tun hnaia thisen pek i nih chuan , i doctor hnenah vaccine pek hun sawn tur nge tih zawt rawh.
• Tuberculosis (Tuberculosis) i neih chuan .
• Kar li kalta chhung khan vaccine dang i la tawh a nih chuan .

I hliam awlsam, thisen chhuak awlsam, emaw chhungkaw member immune system lama harsatna nei i neih chuan rubella vaccine i lak hmain doctor nen inbiakna neih hmasak phawt ang che.

Rubella ka vei chuan eng nge ka beisei ang? Eng chen nge a daih ang?

Rubella hi natna na lo tak angin a lang tlangpui a, a mah chauhin a reh thei. Mahse, kar hnih thleng a kai thei a, chuvangin symptoms i neih lai leh a rash a reh hnu kar khat chhung chu midang lakah a theih ang anga inthiarfihlim a tha ber.

Naupai laiin rubella i vei a nih chuan i nausen piang lai a nghawng theih dan tur doctor nen sawiho rawh.

Rubella natna lan chhuah dan hi ni thum vel a ni tlangpui . Symptom dangte chu ni engemaw zat atanga kar khat vel thleng a awm thei.

Engtikah nge hna/sikul ka kal leh theih ang?

Rubella hi a hring tan atanga kar khat thleng a kai thei a ni. Chuvangin rash emaw symptom dang emaw i neih chuan hnathawhna hmunah emaw, sikul emaw kal suh. I haw hmain i doctor emaw, i hnathawhna hmun emaw, i sikul emaw, i fate sikul emaw hnenah eng nge i tih tur tih zawt hmasa phawt ang che.

Rubella natna avanga harsatna awm thei te chu engte nge ni?

Rubella natna avanga harsatna awm tam ber leh pawi ber chu nau pai leh kan sawi tawh congenital rubella syndrome (CRS) te hi a ni. CRS hi naupai laiin rubella vei nu atanga naute piangah a awm thin.

Chu bakah, harsatna awm lo tak takte chu:

• Arthritis natna a ni
• Thisen platelet tlem (thrombocytopenia) 1.1.
• Thluak a hring (encephalitis) .

Rubella hian nau a pai thei em?

Ni e, naupaiin rubella a vei chuan nau a pai thei a ni. Tin, naute hian piansualna a nei thei bawk a, chu chu mitdel, thinlung natna, leh hriatna hloh te a ni.

Rubella chungchangah engtikah nge doctor ka hmuh ang?

Nang emaw i fa emaw hian rubella symptoms i neih chuan doctor pan nghal rawh . Naupai i tum a nih chuan i naupai hmaa rubella laka inven dan tur doctor nen inbia ang che.

Engtikah nge emergency room (ER) ah i kal ang?

Naupai i nih a, heng symptoms te hi i neih chuan doctor pan nghal la, emergency room hnai ber pan rawh:

• Thisen chhuah tam lutuk
• Pum natna
• Khawsik
• Chills a awm

Doctor hnenah eng zawhna nge i zawh tur?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Engtin nge in lamah ka symptoms te hi ka enkawl theih ang?
• Rubella midang hnena ka darh loh nan eng nge ka tih ang?
• Engtin nge rubella lakah ka inven theih ang?
• Nau ka pai a nih chuan, a nih loh leh nau ka pai a nih chuan engtin nge ka naute piang lai chu rubella lakah ka humhim theih ang?
• Rubella laka vaccine ka lak tur em ni?

Rubella, measles leh chickenpox te hi eng nge an danglamna?

Rubella, measles, leh chickenpox te hi a inang thei a, a chhan chu an vai hian vun rawng an siam vek a ni. Mahse natna hrang hrang pathum an ni . Virus chi hrang hrang avanga lo awm an ni .

Rubella hi eng virus nge ni?

Rubella hi `(Rubivirus)` chhungkaw zinga mi a ni a, `(Matonaviridae)` chhungkaw zinga mi a ni. A genetic information chu `(RNA)` ah a awm a. He virus hian venhimna (`(capsid)`) leh khuhna (`(envelope)`) a nei a, chu chuan mihring cell chhunga a luh theih nan a pui a ni. (Hei hi scientific deuh a ni a, mahse tlem tal hriat a tha.)

Rubella leh vaccine chungchang history tlem

Tun hma chuan rubella vaccine hmuh a nih hma hian khawvel hmun hrang hrangah mi tam takin rubella an vei thin. Chutih lai chuan rubella, a bik takin hmeichhe naupaiah chuan congenital rubella syndrome (CRS), nau pai tamna leh nau piang thar thihna te nen a inzawm a ni.

Mahse, rubella vaccine hman a nih hnuah (kum 1969 vel khan khawvel pumah rubella vei an tlahniam nasa hle. Tunah chuan vaccine pek a nih avangin rubella hi hmuh tur a awm lo. Mahse, ram thenkhatah chuan rubella hi a la awm reng avangin kan zavaia tan chuan hei hi kan hriat chian a pawimawh a, vaccine kan lak a, kan venhim a pawimawh hle.

Rubella hi natna na lo tak ni tlangpui mah se, naupai tan chuan a hlauhawm hle thei a ni . Naupai laiin rubella i vei a nih chuan i naute chu taksa peng hrang hrang tihchhiat leh nunna atana hlauhawm tak tak a ni. Vaccine lak hian rubella kai leh midangte hnena a darh theihna nasa takin a tihziaawm thei a ni.

He thuziak atanga i hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvang chuan rubella chungchang hi kan sawi nasa hle. A tawi zawngin, i hriat reng tur tlemte chu hetiang hi a ni:

• Rubella hi virus atanga lo chhuak a ni a . A symptom ber chu rash a ni.
• Tu pawhin rubella hi an vei thei a, mahse nu naupaiin a vei chuan a hlauhawm ber . Nausen piang laiah natna khirh tak a thlen thei a, chu chu ``Congenital Rubella Syndrome (CRS)`` tih a ni.
• CRS hian naute mit hmuhna, hriatna, thinlung leh thluak lama piansualna a thlen thei a ni .
• Rubella venna tha ber chu MMR vaccine lak hi a ni , a bik takin naupai hmain.
• Rubella hi khuh, thawk hah emaw, virus kai thil khawih emaw hmangin a darh thei a ni .
• Rubella symptoms i neih chuan doctor pan nghal la , midang lakah inthiarfihlim rawh.
• Naupai i nih a, rubella symptoms (a bik takin thisen chhuak nasa, pum na, khawsik, khawsik) i neih chuan doctor rawn la nghal rawh.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Rubella, German Measles, Pianpui Rubella Syndrome, vaccine pek a ni