I kawr chu lump ang maiin a hring em? Scrofula chungchang hi i zir dawn teh ang!

Mi thenkhatin an kawr sir khatah hnah te tak te an nei tih i hmu ngai em? A châng chuan a lian thei a, hnah hring hring inzawm khawm ang mai a ni. A tam zawkah chuan a na lo a, a nih loh leh na tê chauh a awm. A châng chuan purple emaw, vun rawng inang emaw pawh a ni thei. Chu chu vawiinah hian kan sawi tur condition chu a ni a, chu chu scrofula a ni.

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

A awlsam zawngin, scrofula chu i kawr chhunga lymph node, nodes kan tih chu bacteria infection avanga a lo hring chhuah hi a ni. Thil thleng chu node pakhat emaw a aia tam emaw an inzawm khawm a, i kawr chhungah mass lian tak, flat tak an siam a ni.

Tun hma chuan "lal sualna" an ti a, a chhan chu miten lalin a tidam thei nia an ngaih vang a ni. Mahse tunah chuan doctor te chuan mycobacterial cervical lymphadenitis an ti ta a ni . Hming sei deuh a ni lo maw? Mahse chutiang chiah chu he condition hi a ni.

Dik tak chuan Scrofula hi Tuberculosis chi khat a ni . Amaherawhchu, lungah chauh a ni lo va, kawr chhunga glands te pawh a nghawng tel a ni.

Scrofula hi engtiang chiahin nge a awm?

Dik tak chuan scrofula hi a awm lo hle . Tuberculosis symptoms nei zinga 5% vel chauhvin scrofula vei an ni . Chuvangin i hre fo lo.

Scrofula natna lan chhuah dan chu engte nge ni?

Mi tam tak tan chuan scrofula chhinchhiahna ber chu kawr chhunga hnim hring a ni a, chu chu kawr kil khat emaw, a sir lehlamah emaw a hring ang maiin a awm thei. Mahse, mi thenkhat chuan bacteria infection ang chi symptoms an nei thei bawk a, chungte chu:

• Khawsik.
• Zanah thawk hah.
• Tum loh vanga taksa rihna tihtlem.
• Chau tih hriat reng reng. (Chau)

Ngaihtuah teh, ni khat chu Nilanthi Akka-i chuan a kawngah hnah te tak te a nei a. A tirah chuan thil pangngai tak niin a ngai a. Mahse rei vak lo hnuah chuan a lian zual sauh sauh a, zan lamah chuan khawsik a nei tan ta a ni. Chutah chuan doctor hmu turin a kal ta a ni.

Eng thilin nge scrofula hi a thlen?

Puitlingte zingah scrofula vei chhan ber chu Mycobacterium tuberculosis an tih bacterium a ni . Hei hi TB (TB) thlentu bacteria a ni. He bacteria hi i thawk chhuah hian i lung chhungah a lut a, i kawr chhunga glands-ah a kal a, chu chuan he natna hi a thlen thin.

Mahse, Mycobacterium infection chi dang pawh hian naupang tê têah scrofula a thlen thei a, chuvangin naupangteah chuan a chhan chu a danglam deuh thei a ni.

Hemi atan hian tute nge hlauhawm ber?

Scrofula vei theihna tur risk factor ber chu HIV nena nun hi a ni a, a chhan chu HIV hian taksa immune system a tichak lo a ni.

Chubakah chuan:

• Ei leh in lama harsatna (malnutrition) a awm
• I taksa hriselna tichak lo thei dinhmun dang (entir nan, immunosuppressive damdawi hman te, autoimmune natna thenkhat neih te, cancer thenkhat neih te) hian he hlauhawmna hi a tipung thei a ni.

A awlsam zawngin sawi ila, i taksain natna a do theihna a tlahniam a nih chuan heng natna chi hrang hrang hi i vei awlsam zawk a ni.

Scrofula avanga harsatna awm thei te chu engte nge ni?

A châng chuan, scrofula vanga swelling chu a puak thei a, a chhuak thei bawk. Hei hian i vunah sinus , a nih loh leh tunnel a siam thei a ni. He hliam hian hliam a thlen thei bawk . A hliam chu a awm reng thei bawk.

Engtin nge scrofula hi kan hriat theih ang?

Neck glands natna thlentu dang tam tak a awm avangin, i doctor chuan scrofula i vei em tih hriat nan test engemaw zat a ti thei emaw, a rawt thei bawk. Hengte hi a tlangpuiin an ti thin:

• Biopsy: He test ah hian doctor chuan lump emaw tissue sample emaw chu needle hmangin a la chhuak thin. Chumi hnuah sample chu mycobacteria a awm leh awm loh en turin culture a ni a, special stain hmangin bacteria chu an zawng a ni.
• Thisen test: I thisen sample lak theih a ni a, mycobacteria leh natna dang a awm leh awm loh enfiah theih a ni.
• Imaging test: I doctor chuan i lung emaw, i kawr emaw thlalak chiang tak hmuh theih nan chest X-ray , CT scan , emaw ultrasound scan emaw a ti thei ang.
• Tuberculosis test: PPD vun test emaw thisen test emaw hian TB i vei em tih a hriat theih.
• Acid-fast bacilli test: Hei hi i lung atanga tissue sample emaw, mucus sample emaw lak a, mycobacteria zawng a ni.

Heng test zawng zawng hi natna chi dik tak finfiah nan tih vek a ni.

Engtin nge scrofula hi enkawl a nih?

Doctor-te chuan scrofula hi mycobacterial infection tan bik antibiotic damdawi hmangin an enkawl thin.(Entirnan, macrolide pakhat). Heng damdawi te hi thla engemaw zat atanga kum khat chhung i ei a ngai tlangpui ang . Mycobacterial infection atana antibiotics chi hrang hrang pek thin te chu hetiang hi a ni:

• Ethambutol a ni
• Isoniazid (INH) hmanga siam a ni.
• Pyrazinamide hmanga siam a ni
• Rifampin a ni
• Clarithromycin hmanga siam a ni

A pawimawh ber chu he damdawi hi i doctor-in a tih ang chiah, damdawi ei chhung zawng zawng ei tur a ni. A chanve vel i ei tawh loh chuan natna chu a lo let leh thei a ni.

A châng chuan i doctor chuan a natna hrik awm chu operation hmanga paih chhuah a rawt thei bawk. DOT (Directly Observed Therapy) tih ang chi pawh an rawt thei bawk. Hei hian i chhungte ni lo mi dangin damdawi chu a pe che a, i ei hma loh chuan i bulah a awm reng a ni. Hetiang hian i damdawi ei loh tur ngaihtuah buai a ngai tawh lo.

Scrofula ka neih chuan eng nge ka beisei theih ang?

If you take the right treatment , scrofula atang hian i dam leh vek thei. Mahse doctor-in a sawi angin, enkawl hun chhung zawnga damdawi hi ei dik a pawimawh. Hei hian thla engemaw zat atanga kum khat chhung a daih thei tih hre reng ang che. Hliam avanga hliam awm chu a awm reng thei bawk.

Scrofula hian thihna a thlen thei em?

Scrofula hi enkawl a nih chuan a thihpui tam lo hle. Mahse, thihna rate dik tak sawi a harsa a, a chhan chu thihna zirchiannaah hian lung chhunga mycobacterial infection te hi a langsar ber a ni. A result pawh a inang lo thei hle.

Scrofula hi ven theih a ni em?

Ni e, eng emaw chen chu. Scrofula vei theihna chu latent TB infection test i neih chuan i ti tlem thei a ni . Latent TB hi natna lanchhuahna a awm lo a, mahse i taksa hmun dangah a darh thei a, scrofula ang chi natna a thlen thei a ni. TB natna i vei tih i hriat chuan a darh hmain enkawlna i la thei ang.

Tuberculosis tan Bacillus Calmette-Guérin (BCG) vaccine hi i la thei bawk a, mahse BCG vaccine hi TB vei tamna hmunah chauh pek a ni tlangpui.

Engtin nge ka in enkawl ang?

I tih theih tha ber chu i doctor nen inpawh taka awm a, i damdawi ei tur a tih ang chiah chiah ei hi a ni.Tuberculosis (TB) emaw nontuberculous mycobacteria infection i neih laiin, midang nena in inzawmna tihtlem hmangin bacteria darh zel tur venna kawngah pawh i pui thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Engtin nge damdawi hi ka ei ang?
• Damdawi dose khat ka ei loh chuan engtin nge ka tih ang?
• Eng chen nge ka enkawl a ngai dawn?
• Eng chen nge ka dam leh theih nan a la ngai ang?
• Eng symptom thar emaw, a zual zel emaw nge ka en tur?
• Engtikah nge ka rawn hmu leh ang che?

A tawp berah chuan (Take-Home Message) hi hre reng ang che.

Scrofula hi natna awm lo mahse a tlangpuiin tihdam theih a ni. Enkawlna atan hian hun engemaw chen a la ngai thei – i dam hma chuan hun engemaw chen i dawhtheih a ngai mai thei. Doctor hmu fo la, a bik takin HIV ang chi underlying condition i neih chuan. I doctor chuan i hmasawnna a enfiah thei a, a tul chuan i damdawi chu a siamrem thei a, enkawlna chhunga harsatna lo awm apiang a chinfel sak thei bawk. Chuvangin hlauthawng suh, i mamawh enkawlna dawng la, hrisel taka awm tum rawh!

` Scrofula, kawng nodules, erysipelas, TB, mycobacteria, bacteria infection, lymph nodes