Rulin a seh che a nih chuan engtin nge ni ang? (Snake Bite) Hlauthawng suh la, heng thilte hi hre chiang rawh!

Rul tih thumal kan hriat hian kan hlauthawng deuh vek a ni lawm ni? Thingtlang lama i kal emaw, huan enkawl emaw i tih a, rang taka rul i hmuh chuan i mangang ang tih han ngaihtuah teh. Chuti a nih chuan chu rul chuan a seh che a nih chuan engtin nge ni ang? Ngaihtuah a hlauhawm takzet. Mahse hlauhna hian awmzia a nei lo, a chhan chu chutiang thil a thlen chuan a pawimawh ber chu tih tur leh tih loh tur dik tak hriat hi a ni.

Rul seh chu eng nge ni a, engvangin nge a hlauhawm theih?

A awlsam zawngin sawi ila, rul seh chu rulin a hmui hmanga i vun a hliam a, hliam a siam hi a ni. Rul hi rannung chi khat a ni a, ke nei lovin a tlan kual thin. Ramsa man tur leh inven nan an seh thin. Rul seh ṭhenkhat chu a tenau chauh a nih laiin, ṭhenkhat erawh chu nunna atana hlauhawm tak a ni thei.

I beisei loh laia rul i hmuh chuan hlauthawng leh mangang lutuk hi thil pangngai a ni. I heart rate a sang thei a, i au chhuak thei bawk. He hlauhna hi rulin a seh nasat em avangin a tizual thei a ni. Chuvangin, Rul seh hian taksa hliam bakah rilru lam harsatna a thlen thei a ni.

Rul zawng zawng hi rimchhia an ni em?

Ni lo, rul zawng zawng hi rimchhia an ni vek lo. Rul hian a taksa chhunga a siam chhuah rimchhia (poisonous substance) a ni. A ei tur man turin a pui a, a inveng thei a, a ei tur a ei theih nan a pui bawk. Rul rimchhiain a seh chuan a rimtui chu a hmui hmangin taksaah a inthun lut a ni.

Rul chi hrang hranga venom chi hrang hrang hi a inang lo. Tin, venom hian kan taksa a nghawng dan pawh a danglam hle bawk. Heng thil thleng thei tur venom chi hrang hrangte chu hetiang hi a ni:

• Cytotoxins: Hengte hian a sehna hmunah hian a hring a, tissue a tichhia bawk.
• Haemorrhagins: Hengte hian i thisen kalna kawng a nghawng a, thisen a chhuak thin.
• Anti-clotting agents: Hengte hian thisen zam a titawp a, chu chu hliam tenau tak pawhin thisen chhuahna nasa tak a thlen thei tihna a ni.
• Neurotoxins: Hengte hian nervous system a tichhe thei a, paralysis ang chi condition a thlen thei bawk.
• Myotoxins: Hengte hian i taksa ruhte a ti chhe thin.

"Poison" leh "Venom" hi eng nge an danglamna?

Hei hi thil buaithlak deuh angin lang mah se, hriatthiam a awlsam hle.

Poison chu kan thaw chhuah emaw, kan vun kaltlanga kan lakluh emaw, kan ei emaw chuan taksaah a lut thei a ni.

Venom hi thil rimchhia tak a ni a, taksaah a inject a ni.

A awlsam zawka sawi chuan:

Thil i ei (chew) a, symptoms i neih chuan poisonous a ni .

Thil pakhatin a seh hnua symptoms i neih chuan venomous a ni .

Entirnan, rulin a seh che chuan rimtui a pai a ni. Mahse, toad chi thenkhat chu, i ei emaw, i kâa i dah emaw chuan an vunah rimchhia chu i taksaah a lut thei a, i natna a thlen thei a ni. Chu chu Poisonous an tih chu a ni.

Rul seh hi a hlauhawm tak tak em?

Ni e, rul seh hi a hlauhawm thei hle. Mahse, bite zawng zawng hi a inang vek lo.

• Dry bites: Hengte hi rulin a seh a, taksaah rulhut a inject lo tihna a ni. A tam zawkah chuan heng chi hrang hrang hi rul rimtui lo (non-venomous snake) vang a ni. Mahse, rul rimtui thenkhat chuan a chang chuan rimtui inject lovin an seh thei a ni.
• Venomous bites: Hengte hi bite hlauhawm ber leh nunna atana hlauhawm ber an ni. Hetah hian rul chuan a seh laiin taksaah rimtui a inthun lut thin.

Rul rimchhiain a seh chuan a duhthusamin rimtui a inject thin. Tin, vawi khatah venom a inject zat pawh a control thei bawk. Zirna hrang hrangah chuan rul rimchhia seh zinga 50% leh 70% inkar ah venom inject a ni tih a tarlang.

Chuvangin, i sehtu rul chu non-venomous a ni tih 100% a i chian loh chuan rul seh apiang chu medical emergency angin i enkawl tur a ni. Rul rimchhia seh avanga enkawlna zawng lovin second liam apiang hian i nunna a tichhe vek a ni. Hliam na tak a thlen thei a, vanduaithlak takin thihna thlengin a thlen thei bawk.

Sri Lanka rama rul rimchhia hmuh tur awmte chu engte nge ni?

Khawvel hmun hrang hrangah hian rul rimtui chi hrang hrang an awm a. Rul rimchhia hi pawl lian tak pahnih a awm a, chungte chu:

• Rul Elapidae chhungkaw (Elapids - rul chhungkua): He pawlah hian chi 300 vel an awm a, chungte chu rul, garter rul, leh tuifinriat rul te an ni. An hmui chunglam hma lamah chuan hmui tawi, rimchhia tak tak an nei a. A hnuai lam hawia nawr lehin an seh a, chutah chuan an seh leh thin. An rulhut hi neurotoxic a ni ber. Mahse, taksa peng leh thisen cell te a tichhe thei bawk. Entirnan, rulin a seh che chuan thinlung leh lung a ti paralysis thei a, chu chuan rang takin thihna a thlen thei a ni.
• Viperidae (Vipers): He chhungkua hian viper chi 200 chuang a huam a, chung zingah chuan vipers, pit vipers leh cobras te pawh an tel. An hmui sei tak, hollow, venomous fangs an nei a. Heng fangs te hi upper jaw-a movable bones-ah an inzawm a ni. Hman loh chuan an hmuiah an inhnukdawk leh thin.

Pawimawh: Rulin a seh che a nih chuan eng rul nge tih chiang taka hriat a harsa thei a, a chhan chu an seh a, an che chak em em a ni. Chuvangin, Rul seh zawng zawngah damdawi lam pan vat hi a finthlak hle.

Rul seh hian eng symptoms nge a neih?

Rul seh chi hrang hrang a zirin symptoms a inang lo.

Rul rimchhia lo seh a nih chuan:

• Tlemte a hring chhuak.
• Vun rawng danglam (i vun rawng aiin a sen emaw, a dum zawk emaw).
• Bite site atanga thisen tlem lo chhuak.

Rul rimchhia seh natna lan chhuah dan:

• Vunah hian line rough tak tak a lang a.
• I sehna hmunah emaw, a natna hmun zawng zawngah emaw natna nasa tak (sting, kang, emaw stinging ang chi) i nei thei. Mahse, rul rimchhia thenkhat chu a na lo thei.
• Vun rawng a inthlak thin.
• Thaw chhuak leh/ emaw, hmui chhuak.
• Nausea leh luak chhuak.
• Lu na , luak chhuak , leh mit hmuh lohna.
• Ka chhungah metallic taste a awm tih hriat.

Rul rimchhia seh natna lan chhuahna na tak tak:

• Thisen chhuah tawp lo (thisen chhuah dan dik lo).
• Thisen sang a tlahniam a, heart rate a sang a, pulse a chak lo bawk.
• Thâwk harsa.
• Hmai leh/ emaw taksa peng hrang hranga taksa ruh chak lohna emaw, a inthlak danglam emaw, a rilru a buai emaw.
• A hring nasa hle.

Rul rimchhia seh hi medical emergency a ni! Rulin a seh hnua heng symptoms te hi i neih chuan damdawi in hnai ber emergency room-ah kal nghal rawh. A nih loh leh 1990 ah call rawh.

Rul seh hian allergy a thlen thei em?

Ni e, mi ṭhenkhat chuan rulin a seh chuan allergy nasa tak an nei thei a, chu chu anaphylactic shock an ti a ni. Rul rimchhia seh nen a symptoms hi a inang hle. Chu bâkah, allergy-a chhinchhiahna chiang tak tak i nei thei bawk a, chu chu:

• Thlarau tight, lei hring, leh tawng harsa.
• Vun a rawn sen chhuak.
• Khuh leh/ emaw thawk hah fo.

Rul hian vawi khat aia tam a seh thei em?

Ni e, rul chuan inven a tum a nih chuan vawi khat aia tam a seh thei. Rul rimchhiain vawi tam tak a seh che chuan, a seh apiangin i taksaah rimtui tam zawk a inject thei a ni. Hei hian i symptoms a ti na zual thei a, enkawlna dawn hun pawh a ti tlem thei bawk.

Rul seh avanga hlauhawm zawk tu nge awm?

Rulin a seh theihna i neih theihna a sang thei a, chu chu:

• Pawn lama hnathawh i nih chuan (e.g., loneitu, plantation hnathawk).
• Khaw lum, vawt emaw, khaw lum emaw awmna hmun (Sri Lanka ang chi)-a i awm chuan.
• Rul mantu emaw, rulhut mantu emaw i nih chuan.
• Thingtlang hmuna awm i nih chuan.

Rul seh avanga harsatna awm thei te chu engte nge ni?

Rul seh hian harsatna a thlen thei a, chungte chu:

• Hliam chu a hring a, a na a, a rawng a danglam a, a hnim emaw tui emaw a chhuak (infection).
• Hliam chhehvel vun dum leh thihna (necrosis) .
• I immune system hian infection (Sepsis) a awm chuan a chhang tha lo hle .
• Septic shock hi infection avanga thisen sang nasa taka tlahniam leh organ failure a awm thin a ni.
• Rash, thawk harsa leh/ emaw, hliam na tak (allergic reaction).
• Thihna.

Heng harsatnate hi a bik takin damdawi in leh enkawlna dik tak hmuh awlsamna hmunah a sang hle. Hun rei tak chhung natna leh seh na hmuna vun te pawh a awm fo bawk.

Rul seh hi engtin nge an hriat theih?

Doctor chuan i natna lan chhuah dan enfiahin rul seh i nei tih a hmuchhuak ang. Clue hmasa ber chu i vunah rul seh chhinchhiahna a awm tih hi a ni. Thisen test hian i taksaah venom a awm leh awm loh a hriat theih bawk. Hei hian enkawl dan tur hriatfiah nan a pui thei a ni.

Rul seh i hmuh chuan rul chhinchhiahna bik, a rawng leh a hrual te hriat reng a pawimawh hle a, Doctor hnenah hrilh a pawimawh hle.

Rul seh chu engtin nge kan enkawl ang?

Rul rimchhia lo seh enkawl dan:

Rul rimtui lo seh enkawlna chu a hliam enkawl dan tur dik taka enkawl hi a ni. Chumi awmzia chu:

• Hliam chu sahbawn leh tuiin uluk takin silfai ang che.
• Hliam chu bandage fai tak hmanga khuh.
• Hliam chu natna lan chhuahna, a hring, a hring emaw, a na zual emaw a awm leh awm loh enfiah thin ang che. Chung zinga pakhat tal i hriat chuan doctor hnenah hriattir nghal rawh.

Rul rimchhia a seh enkawl dan:

Rul rimchhia seh enkawlna ber chu antivenom (Antivenin) a ni. Antivenom hi antibody chi khat a ni a, i taksaa rul rulhut awmte chu a tichhe thei a ni. Injection angin emaw, i kut chhunga vein pakhata saline solution (IV) hmangin emaw pek theih a ni. A thawk tan nghal vat thin.

Rul lian leh te, a rawng leh a pianzia hriat hian i doctor chu i tan antivenom chi tha ber thlang turin a pui thei a ni. Antivenom thenkhat chu rul chi khat (monospecific antivenoms) tan bik a ni a, thenkhat erawh chu hmun khata rul chi hrang hrang hmuh tur (polyspecific antivenoms) tan bik a ni thung.

Seh hian thisen tam tak a hloh tawh a nih chuan thisen pek a ngai mai thei. Thisen sang a hniam lutuk chuan saline (IV fluids) pawh pek theih a ni.

Antidote hian side effect engemaw zat a thlen theih avangin damdawi inah dah leh enkawl a ngai mai thei.

Rul seh tan First Aid - Hei hi a pawimawh hle!

Ka sawi tawh ang khan rul seh apiang hi medical emergency anga ngaih tur a ni. Rul thenkhat chu rimchhia an ni a, seh hian nunna a tichhe thei a ni. 911 call nghal la, a nih loh leh damdawi in hnai ber pan rawh. Emergency room-a mahni in khalh chu a hlauhawm thei a, i natna lan chhuah danin lirthei khalh dik a harsat phah thei a ni.

Ṭanpuina i dîl hnuah hengte hi zawm rawh:

• Ngawi rengin awm rawh. Hlauthawng suh, i bula mite hnenah rul a awm tih leh i seh tawh tih hriattir rawh.
• Rul atanga hla takah hmun him takah thu la, mu rawh. Kut/ke seh chu thinlung level hnuai lama dah tum ang che.
• Ring, bracelet, watch i bun zawng zawng chu paih vek la, hengte hi a hring a san chuan a inzawm tlat thei a ni.
• Savun leh tui hmangin, .Bite area chu zawi zawiin silfai ang che. Nang takin hnawih suh.
• Hliam chu bandage fai leh vawt emaw puan phek emaw hmangin khuh rawh.
• Hun kal zelah a danglamna eng pawh chhinchhiah la, chu chu a sehna hmuna a hring leh vun rawng inthlak danglamna te hi a ni.

Emergency service an lo thlen chuan rul rulhut natna tihziaawmna turin antivenom an pe nghal vat ang.

Rul seh enkawl hunah heng thilte hi ti ngai suh :

A châng chuan mite chu rulin a seh hian an hlauthawng ṭhin. Mahse, heng thilte hi i tih tur khawpin hlau suh:

• Ṭanpuina dil turin symptoms a lan hun nghak suh.
• Rul chu um suh, man suh, khap suh. Hei hian i seh leh theihna a tipung a ni. Rul chu thi tawh mah se, rimtui (venom) a la chhuak thei tho.
• Hliam chungah tourniquet khin suh. Hei hian thisen kal zel tur tihtawp nan nghet taka khin tihna a ni.
• Hliam chu tan suh.
• Poison chu suck chhuakin paih chhuah tum suh.
• Hliam chungah ice dah suh la, tuiah pawh hnim suh.
• Zu in loh tur.
• Caffeine awmna in tur (tea, coffee, cola) in loh tur.
• Damdawi lam thurawn tel lo chuan natna tidamtu (e.g. ibuprofen, aspirin) engmah ei loh tur a ni. Painkiller thenkhat chuan thisen chhuah a tipung thei.

Enkawlna avang hian side effect a awm em?

Antivenom hian side effect awm thei pakhat chu serum sickness disease a ni . Hei hi antivenom pek a nih atanga ni 4 leh ni 10 inkarah a thleng thei a ni. Heng symptoms te hi i neih chuan doctor hnenah hrilh rawh:

• Vun tichhe thei.
• Itching a ni.
• Joint natna.
• Khawsik.
• Lymph node a lo hring chhuak.

Enkawl hnua dam leh theih nan eng chen nge a duh?

A dam kim theih nan hun rei zawng chu rul chi hrang hranga i seh dan leh a rimchhia zat a innghat a ni. Kar tlemte atanga thla engemaw zat chhung chu khawi hmunah pawh a ni thei tlangpui. Mi thenkhat chu midang aiin an dam rei zawk thei.

A tam zawkah chuan ni khat tal damdawi inah i awm a ngai dawn a ni. Hei hi doctor ten i thisen sang leh hriselna zawng zawng an enfiah theihna hmun a ni. Chumi hnuah chuan in lamah i haw thei a, i dam leh thei bawk.

Rul seh hi a veng thei ang em?

Rul tamna hmuna awm emaw, hnathawhna hmunah emaw, chawlh hmang emaw i nih chuan rul seh loh chu a harsa thei hle. Mahse, rul seh lakah i inveng thei a, hengte hi i zawm thei ang:

• I kut leh ke i dahna hmunah fimkhur rawh. Rul a inthup em tih enfiah hmasa lovin khur hriat loh, hmun thim emaw, furniture hnuaiah emaw kut lut suh.
• I chhehvel fimkhur rawh. Rul awm theihna hmunah mu emaw, ṭhu emaw suh.
• Kea kal emaw, thing leh mau tamna hmuna hnathawh emaw hian boots leh pants sei tak ha thin ang che.
• Rul man, khawih leh vulh tum suh.
• Rul i tawk a nih chuan zawi zawiin inthiarfihlim la, khawih tum suh.

Rul seh avanga hmalam hun eng nge ni?

Rul seh hnua i dinhmun chu rul seh chi leh i taksaa rulhut lut zat a innghat a ni. Antivenom hmanga enkawlna i dawn hma chuan i dam theihna chance a sang zawk. Rul seh rimchhia hi enkawl loh emaw, enkawl tlai lutuk emaw a nih chuan nunna atana hlauhawm emaw, thihna thlen thei emaw pawh a ni thei.

Engtikah nge Emergency Treatment Unit (ETU) ah ka kal ang ?

Rulin a seh che a nih chuan 911 call nghal la, a nih loh leh i damdawi in hnai ber emergency room-ah kal rawh. I sehtu rul chu rimchhia a ni lo tih i chiang tak tak loh chuan rul seh zawng zawng hi medical emergency angin enkawl rawh. Rul seh hnuah mahni in khalh tum suh. Ṭanpuina lo thleng nghak la, a nih loh leh damdawi inah mi pakhatin a khalh tir che a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Rul min seh kha a rimchhia em ni?
• Rul seh hnuah damdawi inah ka awm a ngai em?
• Rul seh hnuah natna tidamtu damdawi ka ei thei ang em?
• Eng side effect nge ka fimkhur tur?
• Engtikah nge ka dam leh ang?

Rul i tawk a, a bikin a seh che chuan thlamuang taka awm chu a harsa thei hle. Heng rannungte hlauhna hi an hlauhawm vang a ni. Khawvelah hian rul chi 3,000 vel awm mah se, 15% chauh hi rimchhia an ni. Rul hian a seh rang em avangin, a rimchhia nge rimtui lo tih i hre thei lo mai thei. I heart rate a chak hle a nih pawhin thawk la la, rulin a seh hnuah emergency services call nghal rawh. Fimkhurna him tak a ni. I hlauhna chuan i seh natna chu a khuh bo thei a, chu chuan a seh chu a nihna tak aiin a na lo zawkin a lang thei a ni. Enkawlna rang tak neih hian nunna atana hlauhawm harsatna awm thei tur venna kawngah a pui thei a ni.

Thupui tawi leh Take-Home Message

Chuvangin, rul seh hi thil hlauhawm tak ni mah se, a chungchang dik taka hriattir kan nih chuan, kan dinhmun hi kan tuar thiam thei a ni.

A pawimawh ber chu rulin a seh che a nih chuan hlauthawng lo la, damdawi lam pan nghal mai tur a ni. Rul seh che kha non-venomous a ni tih 100% i chiang a nih loh chuan venomous bite a ni tih ngaihtuah fo ang che.

I tih tur leh tih loh tur thil a awm tih hre reng ang che . Hliam tan te, rimtui chu hrual te, leh nghet taka press te ang chi thilte chuan thil awmdan chu a tichhe zual thei a ni. Chuvangin, hlauthawng suh, muangchangin awm la, damdawi inah kal nghal rawh. Enkawlna rang tak chuan i nunna a chhanhim thei a ni. Fimkhur rawh!

` Rul seh, rul rim, first aid, antidote, rul, rul rimchhia, himna