Tunlai hian khawsik chi hrang hrang kan hre fo thin a ni lawm ni? Dengue leh influenza ang chi thil te bakah hian hming dang lo lang leh chu "flea fever" tih hi a ni. Mi thenkhat chuan hei hi an hlau tak zet a ni. Chuti a nih chuan, he flea fever hi eng nge ni tak tak? A hlauhawm em? Engtin nge kan fimkhur theih ang? Vawiin hian heng zawng zawng hi awlsam takin kan sawi dawn a, kan thianpa nen kan inbia ang maiin kan sawi dawn a ni.

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A awlsam zawngin Scrub Typhus hi eng nge ni?

Scrub typhus, emaw (Scrub Typhus), hi a takah chuan rulhut atanga kai theih natna a ni lo. Kan mit hmuh theih loh khawpa te tak te, mite chi khat larvae seh atanga kai a ni. Heng mite te hi (chiggers) an ti a. He natna hi bacterium Orientia tsutsugamushi an tih atanga lo chhuak a ni.Heng mite te te hian he bacteria hi engtin nge an neih tih hi han ngaihtuah teh. A tam zawkah chuan he bacteria hi heng mite-ah hian rat ang chi rannung vun atanga kai a ni. Tichuan, chu mite chuan min seh chuan bacteria chu kan taksaah a lut ta a ni. Heng mite te hi an te em em a, a chang chuan kan hmu thei lo. An rawng hi a sen, sen, emaw, orange emaw an ni tlangpui.

Khawiah nge he natna hi a hluar ber?

He natna hi Asia ramah hmuh tur a tam hle a, a bik takin thingtlang, ramngaw hmunah te hmuh tur a awm.

Asia hmarchhak ram hrang hrangte
India
Indonesia ram a ni
China ram a ni
Japan ram a ni
Australia hmar lam bial te

Heng mite te hian ramngaw, thinghnah, hnim, leh thlasik hmuna awm an duh zawk . Chumi awmzia chu i huana hmun enkawl ṭha lo takah emaw, ramngaw kam emaw, hnah chhe tawh tak tak awmna hmunah emaw, tuiin a chim lai thing hnuaiah emaw hmuh theih an ni tihna a ni. Heng mites te hi thlasik tawp lam leh thlasik lai hian an thawk nasa hle.

Flea fever natna lan chhuahna chu engte nge ni?

He mite hian a seh pawh i hre lo mai thei. A hrehawm lo. Mahse darkar tlemte hnuah chuan a hmun chu a hring nasa tan ang a, vun sen te te i hmu mai thei. Bacteria taksaa a luh hnu ni 6-10 vel chhung chu engmah i hre lo mai thei. Ni 10-12 hnuah symptoms a lang nghal tan thin. Heng symptoms te hi chiang taka hriat a pawimawh hle.

Symptom a ni	Hrilhfiahna
Khawsik	Khawsik sang leh khawsik a lo awm nghal.
A hring hring (Eschar) .	Hei hi he natna danglamna ber a ni. Tick sehna hmunah chuan khawsik a lo luh hnuah chuan vun dum, te tak te, rulhut ang chi a lo awm thin.
Vun a rawn chhuak	Taksaah hian vun sen a awm thei.
Taksa natna	Lu na na tak, taksa na, leh taksa ruh na.
Thil dang pawh a awm	Buaina, lymph node hring, mit sen, luak chhuak, luak chhuak, leh lung natna te.

A pawimawh ber: Heng symptoms te hi enkawl vat a nih loh a, damdawi lam pan a nih loh chuan natna hi a zual a, coma emaw organ failure ang chi natna khirh tak a thlen thei a ni.

Engtin nge doctor chuan flea fever hi dik taka a hriat theih ang?

Heng symptoms te hi i neih chuan, a bik takin ramngaw emaw, thingtlang hmunah emaw i kal tawh a nih chuan doctor pan nghal rawh . Doctor chuan i taksa chu a enfiah hmasa ang a, a bik takin black scab (eschar) a awm leh awm loh a enfiah hmasa ang. Hei bakah hian thisen test neih a ni ang a, natna a awm tih finfiah a ni ang a, taksain natna hrik laka a siam antibody a awm leh awm loh enfiah a ni bawk ang. Hemi chungchanga harsatna pakhat chu flea fever symptoms hi kan rama natna tlanglawn tak tak, dengue, leptospirosis, leh typhoid fever te symptoms nen a inang hle a ni. Chuvangin doctor chuan heng natna zawng zawng hi a ngaihtuah a, diagnosis a lo thlen a ngai a ni. A chang chuan thisen test hmasa ber kha dik taka hmuh theih a nih loh chuan kar 1-3 hnuah test dang tih leh a ngai mai thei. Chutiang hunah chuan doctor chuan a result nghah ngai lovin a natna lan chhuah dan a zirin enkawlna a tan thei a ni.

Hei hi eng enkawlna nge ni?

Thu lawmawm tak chu flea fever hi antibiotics hmanga tihdam vek theih natna a ni. A pawimawh ber chu a rang thei ang bera enkawl tan hi a ni. Tichuan i dam thuai thei ang. Doctor in a hrilh ngei ang cheAntibiotic doxycycline hi pek a ni. Hei hi ni 7 aia rei ei tur a ni. A chang chuan thisenah pek theih a ni (IV). Naupang tê tê tan, a bik takin natna a na lo a nih chuan ni 5 chhung rei lote ei a tha. Hei hi he damdawi hi hun rei tak hman a nih chuan ha hring ang chi side effects awm loh nan a ni. Hmeichhe naupai emaw, doxycycline allergy nei tan chuan antibiotics dang him zawk azithromycin te pek thin a ni.

Enkawl loh chuan harsatna na tak tak a awm thei

He natna hi enkawl loha dah a nih chuan, flu mai nia ngaih a nih chuan taksa peng pawimawh tak takte a tichhe thei a ni.

Taksa kalphung	Complication awm thei
Thinlung	Heart rhythm disorder leh heart muscle inflammation (myocarditis) ang chi natna te.
Chaw ei dan (digestive system) a ni	Luak chhuak, luak chhuak, thin lama harsatna, pancreatitis, leh chhungril thisen chhuak.
Thluak lam hawi	A nasat chuan lungah tui a pungkhawm a, thawk a harsa a, chu chuan nunna atana hlauhawm tak Acute Respiratory Distress Syndrome (ARDS). tih a thlen a ni
Kidney a ni	Acute kidney injury (AKI) leh kal tha lo a awm bawk.
Nervous system a ni	Meningitis leh meningoencephalitis ang chi natna, seizure leh nungchang tidanglam thei.

Heng natna khirh tak tak zinga pakhat tal i neih chuan doctor hmu nghal la, a nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.

Flea fever hi vaccine a awm em? Engtin nge kan inven theih ang?

Tun thleng hian flea fever venna tur vaccine siam a la ni lo .

Chuvang chuan a tha ber chu natna a lo chhuah hmaa inven hi a ni. Chu chu rulhut seh loh nan a ni.

Ramngaw, thingtlang hmuna kal tur i nih chuan hengte hi tih ngei ngei tur a ni:

I taksa pum huap vek tur angin inchei rawh. Pants sei leh kawr sei ha la. I pants tawp ber chu i socks chhungah i tuck thei a nih chuan a tha zawk.
Insect repellent hmang rawh. Vun leh thawmhnaw langsar takah DEET awmna repellent hnawih thin ang che.
Thing leh mau chungah direct-in thu suh.
Naute leh naupang tê tê pawn lama hruai chhuah dawnin an kut leh ke chu uluk takin khuh tur a ni. An stroller emaw carrier emaw chu safety net hmangin khuh rawh.
Insect repellent hi naupang vunah direct-a theh loh tur a ni. I kut ah spray hmasa la, chutah chuan i fa vunah hnawih rawh. Naupang kum 2 hnuai lam tan i hman hmain doctor zawt hmasa phawt ang che.
Pawn atanga i lo haw hnuah i thawmhnaw zawng zawng chu tui lum ah minute 30 vel hnim la. Tin, i taksa chu sahbawn leh tui lum hmangin uluk takin silfai bawk ang che.
Ramngaw hmuna i zin fo chuan i thawmhnaw leh pheikhawk te chu Permethrin 0.5% awmna tui hmangin i pre-treat thei ang. Hei hian mites a that a, vawi tam tak silfai hnuah pawh a thawk tha reng a ni. Hei hi i vunah hnawih suh. Thawmhnaw tan chauh.

Take-Home Thuchah a ni

Scrub Typhus hi natna hrik kai a ni. A pawi hle thei a, mahse antibiotics hmangin a tidam vek thei .
Thing leh mau ang chi hmuna awm mites te (chiggers) te seh atanga kai a ni.
A lan chhuah dan ber chu khawsik, taksa na, leh rulhut sehna hmuna hnah dum (eschar) siam te hi a ni.
Heng symptoms te hi i neih chuan hlauthawng suh la, doctor pan nghal rawh. Enkawl i tan hma chuan a tha zawk.
A tha ber chu natna laka inven hi a ni. Bush hmuna i kal dawnin i taksa chu khuh la, insect repellent hmang bawk ang che.