Tun hnaiah khawsik kaihhnawih natna chi hrang hrang kan hre nasa hle a ni lawm ni? Dengue emaw, flu emaw ang chi ngaihtuahna tlanglawn tak takte rual hian thumal dang a lo chhuak fo tawh a: “Scrub Typhus.” Ngaihtuahna neia inhriat chu hriatthiam theih a ni a, mahse i ti chhe vek ang u. Eng nge ni tak tak? A hlauhawm em? Engtin nge i inven theih ang? Kan thianpa nen kan inbiak ang maiin awlsam takin sawi ila.
A awlsam zawngin: Scrub Typhus hi eng nge ni?
A hming tlanglawn tak ni mahse, Scrub Typhus hi a takah chuan rulhut hian a kai lo. Larval mite hri kai, `(chigger)` tia hriat lar, a seh avanga lo awm a ni. Heng mite te hi an te em em a, mitin hmuh theih loh tluk a ni. He natna ngei pawh hi bacteria pakhat `Orientia tsutsugamushi` tih atanga lo chhuak a ni.
Hetiang hian han ngaihtuah teh: heng larva te te hian rat leh mice ang chi rodent atang hian bacteria hi an la chhuak thin. Hri kai larva in a seh che chuan bacteria chu i taksaah a lut a ni. Heng mite te hi an te hi rintlak takin an awm a, an rawng pawh a sen, a sen emaw, a sen emaw a ni fo thin.
Khawiah nge he natna hi hmuh a nih?
He natna hi Asia khawmualpui hmun hrang hrangah a awm ber a, a bik takin thingtlang emaw, ramngaw emaw hmunah a awm a ni.
- Asia chhimchhak ramte
- India
- Indonesia ram a ni
- China ram a ni
- Japan ram a ni
- Australia hmar lam a ni
Heng mite te hi thlai awmna, brushy, moist, leh shaded environment -ah te an thang lian thin . Chumi awmzia chu i huan enkawl lohna hmunah te, ramngaw kamah te, hnah chhe tak tak awmna hmunah te, emaw, thinghnah hnim hring tak takah te i tawng thei tihna a ni. Mite activity hi a tlangpuiin thlasik tawp lam leh thlasik lai hian a sang ber thin.
Scrub Typhus natna lan chhuah dan chu engte nge ni?
Chigger bite pawh i hre lo mai thei; a tlangpuiin a na lo. Mahse, darkar tlemte hnuah chuan a hmun chu a hring tan thei a, a hring hring te tak te i hmu thei bawk.
I taksaah bacteria a luh hnuah ni 6-10 vel incubation period a awm a, chutah chuan i dam tha thei ang. Symptoms hi a tlangpuiin exposure atanga ni 10-12 vel ah a lang nghal vek thin. Heng chhinchhiahnate hi hriat hi a pawimawh hle.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Khawsik | Khawsik sang tak, khawsik leh khur nasa tak nena inzawm. |
| Eschar chuan a rawn ti a | Hei hi natna hrik hriatna (tell-tale sign) a ni. Chigger-in a sehna hmunah chuan hnah te tak te, dum, scab ang chi a lo awm a. |
| Bawl | I taksaah vun sen hring i nei thei. |
| Taksa Natna | Lu na na tak, taksa na, leh taksa ruh na. |
| Symptom dang a awm thei | Buaina, lymph node hring, mit sen, luak chhuak, luak chhuak, leh lung natna te. |
Pawimawh ber: Heng symptoms te hi enkawl loh a nih chuan natna hi harsatna na tak takah a kal thei a, coma emaw organ failure emaw pawh a tel thei.
Engtin nge doctor hian Scrub Typhus hi a hriat theih ang?
Heng symptoms te hi i neih chuan, a bik takin tun hnaia thing leh mau awmna hmuna i awm a nih chuan, i healthcare provider pan nghal rawh .
I doctor chuan taksa enfiahna a nei ang a, a bik takin `eschar` chu a zawng ang. Chu bâkah, i taksain bacteria do tûra a siam antibodies hriat nân thisen test tûrin thu an pe thei bawk.
Hei hi hriat chian chu a harsa thei hle a, a chhan chu a natna lan chhuah dan chu natna tlanglawn dengue, leptospirosis, typhoid te nen a inang a ni. Chuvang chuan i doctor chuan thil awm thei engemaw zat a ngaihtuah a ngai a ni. A châng chuan thisen test hmasa ber chu a chiang lo a nih chuan kar 1-3 hnuah follow-up test neih a ngai mai thei. Chutiang hunah chuan i doctor chuan lab result nghah ai chuan clinical symptoms atanga enkawlna a tan thei ang.
Engtin nge enkawl a nih?
Thu lawmawm tak chu Scrub Typhus hi antibiotics hmanga tihdam theih vek a ni. A pawimawh ber chu a dam thuai theih nan a hma thei ang bera enkawl tan hi a ni.
I doctor chuan antibiotic `doxycycline` tih a pe mai thei a, a tlangpuiin ni 7 emaw a aia rei emaw a pe mai thei. A nasat chuan thisenah (IV) pek theih a ni. Naupang tan chuan ha rawng danglam ang chi side effects awm lo turin ni 5 chhung course tawi zawk ei a tha fo thin. Hmeichhe naupai emaw, doxycycline allergy nei tan chuan antibiotics him dang `azithromycin` ang chi hman a ni.
Infection enkawl loh avanga harsatna awm thei
Enkawl loh chuan Scrub Typhus hian taksa peng pawimawh tak takte a tichhia thei a:
| Taksa System | Harsatna awm thei |
|---|---|
| Thinlung | Arrhythmias, myocarditis (thinlung ruh natna) a awm. |
| Chaw ei theihna | Luak chhuak, ril\am, thin lam harsatna, pancreatitis, leh chhungril lama thisen chhuak. |
| Thlawhna lam | A nasat chuan Acute Respiratory Distress Syndrome (ARDS) a ni a, chu chu nunna atana hlauhawm tak a ni a, chu chu lungah tui a lo awm khawm thin. |
| Kidney a ni | Acute Kidney Injury (AKI) leh kal tha lo a awm thin. |
| Nervous System a ni | Meningitis emaw meningoencephalitis emaw, chu chuan seizure leh nungchang a tidanglam thei a ni. |
I natna lan chhuahna na tak i neih chuan i doctor hnenah damdawi lam pan vat la, i hnai ber damdawi in emergency department pan rawh.
Vaccine a awm em? Engtin nge him taka i awm theih ang?
Tunah hian Scrub Typhus laka invenna tur vaccine a la awm lo .
Chuvangin invenna hi a tha ber a ni. A tum ber chu chigger-in a seh loh nan a ni.
Thingtlang hmun emaw, brush awmna hmuna i kal dawn a nih chuan heng fimkhur turte hi ti rawh:
- Invenna thawmhnaw ha rawh. Pants sei leh kawr sei ha la. I pants chu i socks chhunga tucking hian extra protection a belhchhah thei.
- Insect repellent hmang rawh. Vun leh thawmhnaw langsar takah ` DEET ` awmna repellent hnawih thin ang che.
- Thing leh mau chungah direct-a thut loh tur.
- Nausen leh naupang tê tê tan chuan an taksa pengte chu uluk taka khuh vek tur a ni. An stroller emaw carrier emaw chu venhimna netting hmangin humhim rawh.
- Naupang vunah hian repellent hi direct-in spray suh. I kut ngeiah spray hmasa la, chutah chuan naupang chungah hnawih rawh. Naupang kum 2 hnuai lam repellent i hman hmain i pediatrician rawn hmasa phawt ang che.
- Pawn lama i awm hnuah tui lum (a tha ber chu minute 30 tal)-ah i thawmhnaw sil la, sahbawn hmangin tui lum takin inbual rawh.
- Ramngaw hmuna i venture fo chuan i thawmhnaw leh i gear te chu 0.5% permethrin hmanga pre-treating ngaihtuah rawh. Hei hian chiggers te chu contact-ah a that a, vawi tam tak silfai pawhin a thawk tha reng a ni. Hei hi vunah direct-a hnawih loh tur. Thawmhnaw leh gear atan chauh a ni.
Take-Home Thuchah a ni
- Scrub Typhus hi natna hrik kai a ni. A pawi hle thei a, mahse antibiotics hmangin a dam vek thei .
- Grass leh brushy area-a chigger te te te seh atanga darh a ni.
- A lan chhuah dan tlangpui chu khawsik, taksa na, leh seh na hmuna hnah dum (eschar) lo lang te hi a ni.
- Heng symptoms te hi i neih chuan thlamuang takin awm la, doctor rawn nghal rawh. Enkawl hmasak hi a pawimawh ber a ni.
- Damdawi aiin invenna hi a tha zawk fo: i vun khuh la, pawn lama hlauhawmna hmuna i awm laiin insect repellent hmang rawh.
Scrub Typhus, typhus, chiggers, Orientia tsutsugamushi, eschar, doxycycline, hriselna lama thurawn, khawsik natna lan chhuah dan te
