Leiah, a bik takin lei bawlhhlawhah kekawr bul lo kal hian i taksaah parasite hlauhawm tak a rawn luhtir thei tih i ngaihtuah ngai em? I rilru a hah deuh mai thei, mahse i ngaihtuah lo mai thei. Vawiin hian rulhut natna, ngawi rengin i taksaah a lut thei a, kum tam tak chhung i taksa chhungah a awm thei a, mahse a chang chuan nunna atana hlauhawm thei a ni tih kan sawi dawn a ni. Hei hi Strongyloidiasis an ti a.
A awlsam zawngin, Strongyloidiasis chu eng nge ni?
Strongyloidiasis hi parasitic worm `(Strongyloides)` an tih avanga natna hrik a ni. He rulhut hi vun hliam hmangin kan taksaah a lut thin . Ngaihtuah teh, i vunah hliam awm lo mahse, heng rulhut te hi vunah khur atang hian taksaah an lut thei a ni. Taksa chhunga an luh hnuah kan lung leh intestin-ah an kal nghal a. Chutah chuan heng rulhut te hi an lo thang lian a, rulhut an pai a, an piang leh thin.
He natna danglam bikna chu mi thenkhat chu kum tam tak chhung an kal thei a , engmah chhinchhiahna an nei lo . Mi dangte chuan vun natna, vun hring, a nih loh leh pum natna, a hun hunah lo thleng leh chhuak an nei thei bawk. Mahse, mi pakhat taksa hriselna a chak lo a nih chuan , he rulhut natna awlsam tak hi a na hle thei a, nunna pawh a tichhe thei bawk.
Khawiah nge he rulhut hi a tam ber? Tu nge hlauhawm ber?
Strongyloides worm hi khawvel hmun hrang hrangah hmuh theih ni mah se, khaw lum ram (tropical leh subtropical) leh thingtlang hmuna bawlhhlawh paihna hmuna awm tam ber a ni.
Tu pawhin he natna hi an vei thei a, mahse mi thenkhat chuan an kai theihna chance a sang zawk.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Immunity a chak lo | A bik takin steroid damdawi ei thin (corticosteroid therapy), HTLV-1 virus vei, cancer vei (a bik takin leukemia, lymphoma), leh taksa peng thlak tawhte tan chuan a hlauhawm hle. |
| Kekawr bul lova kal | Kekawr bul lo kal hian hlauhawmna nasa tak a thlen a, a bik takin lei bawlhhlawhah chuan lei nena inzawmna a neih reng avangin a hlauhawm hle. |
| Hna thenkhat | Loneitu, lung laih, emaw, thil danga hnathawkte chu leilung nena inzawmna nei fo thin hna thawktute chu an hlauhawm zawk a ni. |
| Faina tha lo awmna hmun | Leilung mihring ek a tihbawlhhlawh tamna hmuna awm hian natna kai theihna a tipung a ni. |
He rulhut hian taksa chhunga a luh veleh eng nge a tih?
Hei hi movie ang mai a ni. Ngaihtuah teh, leia rulhut (larva) te te chu i vun hmangin i taksaah an lut a.
1. Skin penetration: Heng larvae te hi vun chhunga an luh hmasak ber hian vun sen, a hring, leh a hring nasa hle thei a ni .
2. Lung lam pan: A dawtah chuan thisenah an lut a, thisen nen chuan lung lam panin an kal a. Chutah chuan an lian deuh deuh thin. Hetih lai hian mi thenkhat chuan khuh na tak emaw, rilru na tak emaw an nei thei .
3. Intestines-a lut: Chuap atanga rulhut kan khuh chhuah hian kawr chhungah a lut a, kan hriat lohvin kan ei zo ta a ni. Tichuan pum chhungah an kal tlang a, intestines-ah an lut ta a ni.
4. Transmission: Heng tapeworm te hian an rulhut chu intestine ah an dah thin. Egg te hi larvae ah an lo piang a, chu chu feces ah an pass out thin. An pass out chuan leilung an tibawlhhlawh a, midang an kai thei bawk.
Hemi chungchanga hlauhawm ber chu heng rulhut te hi bawlhhlawh atanga chhuak lovin, intestines ah an lut leh thei a, thisenah an lut leh thei a, cycle pumpui chu an tan leh thei a ni. Hei hi ``autoinfection'' an ti a, hei vang hian enkawl loh chuan kum tam tak chhung a awm thei a ni.
Hyperinfection: Natna khirh tak, nunna atana hlauhawm tak a ni
A tlangpuiin mi hrisel tak, taksa hriselna tha tak nei taksa hian heng rulhut te hi a thunun thei a, chuvangin natna lanchhuahna na tak a awm lo.
Mahse, taksa chak lohna neiin he natna hi a kai chuan rulhut hian natna hi a thunun thei tawh lo. Worm te hi an pung chak hle a, intestine an chhuahsan a, taksa peng dang thluak, thin leh thinlungah te an darh ta a ni. Hei hi ``hyperinfection`` emaw ``disseminated strongyloidiasis`` emaw an ti a.
Hetih lai hian rulhut te hian intestine atanga an chhuah rual hian intestine atang hian bacteria thisenah an dah tel bawk. Hei hian harsatna na tak, nunna atana hlauhawm tak, ``sepsis`` (thisen rimchhia) leh ``pneumonia`` (pneumonia) te a thlen thei a ni.
Tute nge natna khirh tak (hyperinfection) vei theihna sang zawk?
- Hun rei tak chhung corticosteroid ei thinte tan
- HTLV-1 vei te tan
- Thisen kaihhnawih cancer, leukemia emaw lymphoma emaw nei tan
- Organ transplant emaw bone marrow transplant emaw nei tawhte tan
He natna lan chhuah dan engte nge ni?
Mi tam tak chuan symptoms an nei lo mai thei a, a chang chuan an lo kal leh chhuak thei bawk. Symptoms a awm tak tak a nih chuan:
- Skin lesions: A sen, sang tak, itchy lesions, che rang tak anga lang (larva currens). Hengte hi hnute inkarah emaw, kekawrteah emaw, kutphah laiah emaw hmuh tur a tam ber.
- Pum natna: Pum chunglam na (gastritis nen a inang), pum na, luak chhuak, leh ril\am.
- Khuh: Khuh vawt emaw, kawr hrual emaw.
Natna hriatchhuah leh enkawl dan
Heng symptoms te hi i neih emaw, risk group-a i awm emaw chuan doctor pan a pawimawh . Doctor chuan zawhna a zawt ang che a, a enfiah ang che a, i natna hriat chian nan test eng emaw zat a ti ang.
- Stool test: Worm emaw an larva emaw a awm leh awm loh enfiah thin ang che.
- Sputum test: Chuap chhungah rulhut a awm leh awm loh hriat nan.
- Thisen test: Taksain rulhut laka antibody a siam leh awm loh a enfiah thin.
Enkawlna atan doctor chuan anti-parasitic damdawi a pe ang. Hemi atan hian Ivermectin leh Albendazole hi damdawi hman tam ber a ni. Damdawi hi ni engemaw zat atanga kar hnih chhung ei a ngai tlangpui.
A pawimawh ber chu symptoms nei lo mah la, natna i vei tih finfiah a nih chuan enkawlna i zawng ngei tur a ni. A chhan chu nakin lawkah i immunity a chak loh chuan he silent worm hi ``hyperinfection`` a lo ni thei a, nunna atana hlauhawm tak a ni thei bawk.
He natna lakah hian engtin nge i inven theih ang?
He natna laka inven hi a takah chuan a awlsam hle.
- Kekawrte ha fo ang che: Kekawrte emaw, pheikhawk emaw ha la, a bik takin huanah, lovah emaw, lei i tawn apiangah emaw ha la.
- I faina fimkhur rawh: Toilet i hman zawhah i kut te uluk takin silfai thin ang che. Faina \ha lo hmuna leia inhnaih loh tur.
- I doctor hrilh rawh: Eng thil vang pawha immunosuppressant i ei a nih chuan, cancer enkawl i nih chuan, emaw, taksa peng dang thlak tura i inbuatsaih a nih chuan i doctor hnenah hrilh rawh. A tul chuan enkawl tan hmain tapeworm an test thei che a ni.
Engtikah nge Doctor i hmuh ang?
A hnuaia dinhmun i neih chuan chhungkaw doctor pan ngei ngei tur a ni.
- Strongyloidiasis (a bik takin vun natna mak tak tak, pum na) symptoms i neih chuan.
- I immune system a chak lo a, hetiang natna hrik i hlauh chuan.
- He natna vei tamna hmuna zin i nih chuan.
- I taksa hriselna tichak lo thei damdawi eng pawh i tan hmain.
Engtikah nge ETU (Emergency Treatment Unit) pan nghal tur
Strongyloidiasis i vei nia i rinhlelh a, a hnuaia natna khirh tak tak i neih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal rawh.
- Khawsik sang (39.4 Celsius aia sang / 103 Fahrenheit) .
- Beidawnna emaw, hriatna danglam emaw
- Thisen sang a hniam hle
- Thâwk harsa
- A rilru a na
- Zun a chhuak tlem hle emaw, a chhuak lo emaw
Take-Home Thuchah a ni
- Strongyloidiasis hi lei bawlhhlawh a awm, vun hmanga taksa chhunga lut, parasitic worm atanga lo chhuak a ni.
- Mi tam tak chuan kum tam tak chhung chu symptom an nei lo.
- Immune system chak lo (e.g., steroid ei thin, cancer vei) tan chuan he natna hi a na hle thei a, nunna pawh a tichhe thei bawk.
- He natna lakah hian awlsam takin pheikhawk bun a, faina tha taka kalpuiin i inveng thei a ni.
- Natna lanchhuahna a awm lo a nih pawhin hri kai hmuhchhuah a nih chuan damdawi lam pan tur a ni.
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