I jaw pawh a lock em? Tetanus chungchang hi i zir chiang ang u!

"Tetanus" emaw "lockjaw disease" emaw tih hi i hre tawh em? Naupang i nih lai te, i tlu emaw, i hliam emaw khan i nu chuan, "Aw, fimkhur rawh, tetanus shot i lak a ngai a ni," a ti mai thei. Hei hi a takah chuan a hlauhawm deuh a, mahse dik taka hriattir i nih chuan ven a awlsam hle. Vawiin hian tetanus hi eng nge a nih, engtin nge a lo than chhoh dan, eng nge kan tih theih tih te han sawi ila.

Tetanus chu eng nge ni? A awlsam zawngin i hrethiam ang u

A awlsam zawngin, tetanus hi i taksa ruhte chu thunun theih lohvin a nghet nghal a, a inher chhuak nghal vek a ni. Hei hi i taksaa Clostridium tetani an tih bacteria a luh avanga lo awm a ni. He bacteria hi a luh chuan toxin a siam chhuak thin . He toxin hian i nervous system a nghawng a, i taksa ruh hnathawh a tibuai bawk. Hei hi a châng chuan nunna atana hlauhawm tak a ni thei . Mahse a tha ber chu he natna hi vaccine hmanga ven theih a ni . Chuvang chuan he natna hi America ang ram changkang zawkah chuan a tlem hle a ni.

Excrement chi hrang hrang lian ber ber a awm em?

Ni e, doctor-te chuan flatulence chi pali an hmuchhuak a, chungte chu:

• Generalized tetanus: Hei hi a tam ber a ni . Chutah chuan taksa pumpui ruh , a bik takin kawr leh hmui chu a inzawm tlat a ni. Hei hi hmui hawn theih lohna leh kawr hnunglam hawia hruai kir a nih atang hian a lang thei.
• Neonatal tetanus: Hei hian naute pian atanga ni 28 chhunga piangte a nghawng thin . Ram changkang zawkah chuan a awm lo hle a ni , a chhan chu nu te hi naupai laiin tetanus laka vaccine pek an nih vang a ni . Mahse, hriselna enkawlna \ha lo leh vaccine pekna tur coverage tling lo hmunah a awm thei a ni. He natna hrik hi umbilical cord kaltlangin naute chhungah a lut a.
• Localized tetanus: Hei hi taksa chhunga bacteria luhna hliam chhehvel ruhte chauh a inzawm khawm lai a ni . Hei hi a awm vak lo a, mahse a chang chuan generalized tetanus ah a lo chang thei bawk.
• Cephalic tetanus: Hei hi local tetanus nen a inang a, mahse i luruh chhunga nerve (cranial nerves) te a nghawng a ni . Chumi awmzia chu symptoms hi i lu leh hmaiah a awm ber tihna a ni.

Nau pai loh chhinchhiahnate chu engte nge ni? Engtin nge i hriat chian?

Sprain symptoms hi a chunga kan sawi tak bacterial toxin hian i nervous system a nghawng vang a ni. A tlangpuiin kan taksa ruhte hi nervous system atanga signal lo chhuak a\angin a inzawm khawm a, a relax bawk. Mahse, he sprain toxin hian taksa ruhte chu chawlh hahdamna tur signal a dawng thei lo. Hei hian taksa ruhte chu a tikhauh a , thunun theih lohvin a ti twitch thin . A lan chhuah dan ber chu:

• Chaw ei harsa (dysphagia) emaw thawk harsa (dyspnea) .
• Drooling a chhuak .
• Rigid smile chu hmai ruh inzawmkhawm avanga duh loh vanga nuih a ni .
• Jaw area (`trismus`) a taksa ruh te a tight avangin hmui hawn theih loh . Hei hi "jaw lock" an ti bawk.
• Pum, hnungzang, kut leh kea taksa ruh (muscle twitching) a awm. A châng chuan heng twitches te hi light eng emaw thawm emaw vangin a na zual thei bawk .
• Muscle tension vangin kawr leh hnungzang chu a hnungtawlh (opisthotonos) . Bow ang mai a ni.
• Seizures a awm thei bawk.

Pawimawh: Heng symptoms pakhat emaw a aia tam emaw i neih chuan, a bik takin hliam i neih hnuah doctor thurawn i la nghal tur a ni.

Stress hian i autonomic nervous system pawh a nghawng thei a, chu chu i taksa peng pakhat, thawk leh heart rate ang chi thil control tu a ni. Heng symptoms te hi a lo lan theih nan ni engemaw zat a la ngai thei. Chung zingah chuan:

• Khawsik leh thawk hah .
• Thisen sang sang .
• Heart rate a sang ( tachycardia ).
• Zun thunun loh (`urinary incontinence`) leh riltam (`fecal incontinence`) te.

Eng thilin nge hmai vun a thlen? Engtin nge he bacteria hi taksaah a luh?

Tetanus hi bacterium Clostridium tetani (C. tetani) atanga toxin siam chhuah avanga lo awm a ni. Tetanus hi mi pakhat atanga mi dang ah a kai lo . Tetanus natna hrik hi hliam chhungah spore angin emaw, active bacteria (bacilli) angin emaw a lut thei a ni. Spore hi tihhlum harsa tak a ni a, tui lum lai pawhin a dam khawchhuak thei a ni. Heng spore te hi leiah a awm ber a, a bik takin ran ek hmanga tihbawlhhlawh leiah a awm ber a ni.. Deep cuts leh punctures te hi he bacteria luh theihna hmun a ni. Hliam thuk tak nena inzawm inflammation hi a na thei hle. He bacteria hian hliam a luh theih dan thenkhat chu:

• Ruh a tliak a, vun atanga chhuak (`compound fractures`) .
• Kangmei hliam tuar.
• Crush hliam te.
• Ha natna a awm.
• Insect seh emaw ui seh emaw a bawlhhlawh chuan.
• Surgery hmanga hliam a awm.
• Needle bawlhhlawh emaw damdawi hmanraw hman.
• In lama thil thleng , hliam tenau, hliam, leh nail bite ang chi thil.

Ngaihtuah teh, huana hna i thawh laiin nail rust-ah i tang a, a nih loh leh i tlu a, inkhelh laiin hliam tenau i nei a ni. Hei hi i vun enkawl a ngaih hun a ni.

Hliam hi natna hrik luhna kawng tam ber ni mah se, mi tam tak chuan eng hliam nge natna thlentu tih an hre lo . Zirna hrang hrangah chuan damlo 50% velah chuan hliam bik pakhat chu hriat theih a ni lo tih a tarlang.

Tute nge eczema vei theihna chance sang zawk?

Acne lo awm theihna tur risk factor lian tak tak engemaw zat a awm a:

• Kum: Kum 65 chunglamte chu measles vaccine lakah hian an him tawk lo mai thei a, a chhan chu hun kal zelah vaccine hian a thatna a tlahniam a ni. Tin, he kum lama mi tam tak hi measles vaccine hi mipuiin an hman theih hmaa piang an ni bawk.
• Vaccine pek zawh loh: Measles vaccine hi dose engemaw zat pek thin a ni. I tihfel vek loh chuan venhimna famkim i ni lovang.
• Diabetes: American statistics atanga a lan dan chuan zunthlum vei te hian hmai vun (acne) an nei thin.
• Immunocompromised people: Immune system chak lo nei te hian he bacteria hi an kai tam zawk.
• Ruihhlo inject thinte: Heng mite hian needle bawlhhlawh an hman avangin an hlauhawmna a sang hle bawk.

Engtin nge nau piang tharte hian diaper rash an neih? A chhante chu engte nge ni?

Neonatal tetanus hi nau piang tharte zingah a awm tlangpui a , chu chu nu chu tetanus laka a him loh chuan a ni . Nuin vaccine a la pek loh chuan naute chu venhim a ni lovang. Chumi hnuah chuan naute chuan hliam eng pawh kaltlangin natna hrik chu a kai thei a ni. Nauteah chuan umbilical cord a hliam vang a ni tlangpui . Neonatal tetanus vei theihna tur risk factor lian ber berte chu:

• Vaccine la lo emaw, vaccine la kim lo emaw nu.
• Umbilical cord hliam natna avanga natna hrik awm chu umbilical cord tan nan hmanraw bawlhhlawh hman emaw umbilical cord fai loh vang emaw a ni

Exoriation avanga harsatna awm thei te chu engte nge ni?

Thawhrim lutuk vang hian harsatna hrang hrang a awm thei. Ṭhenkhat chu taksa ruh (muscle spasms) vang a ni a, ṭhenkhat chu autonomic nervous system hnathawh that loh vang a ni. Chung harsatna thenkhat chu:

• Thlawhna kawng chhunga ruh (muscles) a hrual (spasm) avanga thawk hah.
• Thisen a chhuak thin.
• Kidney tha lo a awm.
• Sepsis ( thisen rimchhia).
• Thihna.

Hei hi dinhmun pawi tak a nih avangin hliam tenau pawh hi ngaihthah tur a ni lo.

Engtin nge doctor-te hian thrush hi an hriat theih?

Phlegm hmuhchhuah emaw, finfiah emaw tur hian lab test bik a awm lo . I doctor chuan i symptoms a zirin phlegm a diagnostic ang . Physics exam an ti ang a, i medical history an zawt ang. A châng chuan i doctor chuan " spatula test " an tih pawh a hmang thei bawk. Hei hian hmanraw nem tak, a nih loh leh spatula lak a, i hmui chhung atanga i rilru hnunglam thlenga khawih a huam a ni. A tlangpuiin hei hian gag a siam ang che a, a chhuah duh ang (gag reflex). Mahse, phlegm nei mi pakhatin hetiang a tih hian an taksa ruhte a tense ang a, an hmui pawh a tight ang.

Eczema hi engtin nge kan enkawl ang?

Doctor chuan strep throat i nei nia a rinhlelh chuan enkawlna an tan nghal ang . Heng enkawlnate hi a hnuaia mi ang hian a ni thei:

• Hliam enkawl: Hliam uluk taka tihfai (debriding an ti bawk) leh tissue thi lakchhuah hian bacteria a that thei a, chu chuan toxin a siam chhuak thei lo ang. Hei hian natna hrik a reh hun chhung a ti tlem thei a ni.
• Damdawi: 1.1.
• Tetanus antitoxin: Hei hian toxin hian taksa a nghawng belh zel loh nan a titawp a ni.
• Antibiotics: Metronidazole ang chi antibiotics hian bacteria la awm zawng zawng a that thei a ni.
• Damdawi chi hrang hrang muscle relaxants leh benzodiazepines te pawh pek thin a ni a, hei hian symptoms control nan a hmang thin.
• Chawlh: Eng leh thawm hian taksa ruh a ti na thei a, chuvangin i doctor chuan pindan thim leh reh takah chawlh hahdam turin a hrilh thei che a ni .
• Thâwkna lama ṭanpuina: I thawkna kawng hawn reng hi a pawimawh ber a ni. Thâwk harsa i neih chuan thawkna tube (intubation)-ah dahin mechanical ventilation pek i ngai mai thei . I rilru hahdam theih nan sedation pek i ni thei bawk.

Eng chen nge tihdam a ngaih?

Measles natna lan chhuahna a lo lan chuan natna chu a reh vek theih nan kar hnih atanga kar thum vel a ngai thei . Amaherawhchu, measlesA dam kim theih nan thla tam tak a ngai thei. I doctor chuan i dinhmun bik a zirin eng chen nge a daih dawn tih a hrilh thei che a ni.

Hei hi a veng thei lo em ni? Vaccine chungchang hi i zir chiang ang u!

Diphtheria hi vaccine hmanga ven theih natna sang tak a ni . Sri Lanka ramah chuan he vaccine hi naupang immunization schedule- a tel ve angin pek a ni (a tlangpuiin Triple vaccine angin pek a ni a, a hnuah DT vaccine, leh Adult DT emaw Td vaccine angin pek a ni).

Vawi khat chu measles i neih chuan a laka i immune leh tawh lo ang tih ring suh. Immunity a pe lo. Immunity neih theihna awmchhun chu vaccine lak hi a ni.

Tin, vaccine-in venhimna a pek chu hun kal zelah a tlahniam bawk . Chuvangin kum 10 danah booster shot i mamawh thin . Hei hi kum upa zawkte’n measles an vei theihna chhan pakhat a ni. I vaccine pek hun kal tawh pawh nise, measles vaccine lak hian i nunna a chhanhim thei a ni. Measles vaccine dose thum tal dawng tawhte chu he natna lakah hian an him fo thin. Vaccine la kim lo mah la, natna nasatzia chu a reh thei a ni. A tlangpuiin, hliam thar, thuk emaw, bawlhhlawh emaw i neih chuan measles booster shot i mamawh a, a hnuaia mi hi i tan a hman theih ang:

• Measles vaccine series dose thum aia tlem i dawng tawh a nih chuan.
• I vaccination status i hriat loh chuan .
• Booster vaccine i pek hnuhnun ber atanga kum 10 emaw a aia tam emaw a liam tawh chuan .

Rash i neih chuan eng nge i beisei theih ang?

Strep throat hi natna khirh tak, nunna atana hlauhawm tak a ni . Mahse , enkawl ṭhat a nih chuan mi tam zâwk chu an dam leh . A natna lan chhuah dan hi bacteria taksa chhunga a luh atanga kar khat vel hnuah a lang tlangpui. Mahse a châng chuan ni hnih emaw, kar thum hnuah emaw a lan chhuah theih a ni. Muscle spasm hi natna awmna hmunah a intan thin. Tichuan mit vel muscle te chu a spasm tan a, hmui hawn a harsa ta hle. Heng spasms te hi a na thei a , zawi zawiin kawr leh hnungzang thlengin a darh thei a ni. I medical team chuan i thawkna kawng hawn reng (`intubation`) an tum hmasa ang. Chumi hnuah chuan symptom dang an enkawl tan ang. Hei hian taksa peng (muscle spasm damdawi) te, natna damdawi te, leh a theih ang anga i hlim theihna tur te pawh a huam thei a ni. I strep throat nasat dan hi thil engemaw zat a zirin a danglam thei. I doctor chuan i beisei theih turte a hrilh belh thei che a ni. I dam leh huna ṭanpui thei tur thilte pawh thurawn an pe thei che a ni. Mahse, enkawl dan dik a nih chuan a hring chhuak atanga damchhuah leh dam theihna chance a tha hle.

Rust hi a rash thlentu a ni tak tak em?

Ni lo, rust hi a ni lo.. Mahse rust hi thil pakhat a hlui tawh tih chhinchhiahna a ni a, natna hrik dang a awm thei a, chutah chuan measles thlentu hrik pawh a tel thei. Huanah hna i thawk a, hliam thuk tak i nei a, a nih loh leh in lama hna i thawh laiin nail rusty tak i ke i pen tih han ngaihtuah teh. Chutiang hunah chuan measles vei hlauhawmna chu damdawi lam enkawlna tha tak nen awlsam takin pumpelh theih a ni. Measles `booster` shot i mamawh nia i hriat chuan doctor nen inbia la, emergency room-ah kal rawh. I hliam an enkawl lai hian `booster` shot an pe thei che a ni.

Stroke symptom i neih chuan damdawi in hnai ber emergency room-ah kal nghal rawh. Enkawlna mumal lo chuan stroke hi a hlauhawm thei hle. Mahse enkawlna nen chuan i damchhuah leh dam theihna chance a tha hle.

He thawnthu atang hian kan hriat reng tur thil (Take-Home Message) .

Measles hi natna hlauhawm tak ni mah se, a chungchang dik taka hriattir kan nih chuan kan inveng thei a ni.

• Tetanus hi bacteria pakhat Clostridium tetani an tih atanga toxin siam chhuah avanga lo awm a ni. He bacteria hi leilung, leivut, leh rannung bawlhhlawhah te hmuh tur a awm.
• He bacteria hi hliam hmangin taksaah a lut a. A hnah te tak te atanga hliam lian tak thlengin eng pawh a awm thei.
• Hoarseness, muscle twitching, leh ei harsat te hi a lan chhuahna ber a ni.
• A ven dan tha ber chu vaccine lak hi a ni. I naupan lai a vaccine pek che kha la rawh. Kum 10 danah booster shot lak thin kha theihnghilh suh.
• Hliam i neih chuan, a bik takin hliam thuk leh bawlhhlawh i neih chuan damdawi lam thurawn zawng nghal rawh. I tetanus vaccine hi a hun taka hman a nih ngei ngei tur a ni.
• Symptoms i neih chuan tihkhawtlai lovin damdawi in pan la. Enkawlna rang tak hian nunna a chhanhim thei a ni.

I hriselna chu i kutah a awm tih hre reng ang che. Fimkhur rawh! Diphtheria, Gavriil, Tetanus, Clostridium tetani, Hliam natna, Diphtheria Vaccine, Booster Vaccine te a awm bawk