Ni engemaw zat chhung chu khawsik sang tak i nei ang tih han ngaihtuah teh. Tichuan khawsik chu a mah chauhin a reh ta a ni. I dam tha i ti a. Mahse kar khat vel hnuah chhan hriat lohvin khawsik sang tak i nei leh ta a ni. Hetiang khawsik hi a lo thleng a, a kal zel bawk... A mak deuh lo maw? Hei hi Tick-Borne Relapsing Fever (TBRF) chhinchhiahna ber a ni. Hei hi natna tlanglawn tak a ni lova, mahse fimkhur a pawimawh hle.
He natna hi engtin nge a lo awm?
A awlsam zawngin, he natna hi bacteria chi khat avanga lo awm a ni . He bacteria hi kan taksaah hian rulhut chi khat bik seh hmangin a lut thin . Heng ticks te hi ‘soft ticks’ kan ti thin.
Kan hriat chian tawh tick khauh tak tak ang lo takin heng tick nêm tak takte hi kan taksaah ni tam tak chhung an innghat lo. Hun rei lote chhung, minute 15 atanga 30 vel chhungin thisen an hip a, an lo chhuahna hmunah an kir leh thin. A pawimawh ber chu heng rulhut te hian an seh hian natna kan nei lo. Chuvangin a chang chuan rulhut hian min seh tawh em tih pawh kan hre lo.
Heng rulhut te hi rannung te tak te, mice leh squirrel te awmna hmunah an cheng thin. Chuvangin he natna hi tlangram hmuna rustic cabin te nen a inzawm tlat a ni. A chhan chu chutiang hmunah chuan mize ang chi rannungte chuan bang leh inchung chhungah bu an siam thin a ni. Zanah kan mut lai hian heng bungraw chhunga rulhut te hi an rawn chhuak a, kan thisen an hip thin.
Sri Lanka ramah hian he natna hi hmuh tur awm lo mah se, ram dang, a bik takin United States, Canada, Mexico ang ram, tlangram hmuna zin i nih chuan hei hi hriat a pawimawh hle.
Hei hi eng symptoms nge ni?
Tick seh hnua symptoms a lan theih nan kar khat vel a ngai tlangpui. A lan chhuah dan ber chu ka sawi tawh ang khan khawsik sang tak, lo kal leh chhuak thin hi a ni.
Khawsik hi ni 3 atanga ni 5 vel a awm tlangpui. Tichuan, ni 5 atanga ni 7 vel khawsik awm lovah chuan khawsik chu a lo lang leh ta a ni. Enkawl loh chuan he cycle hi a chhunzawm zel a ni.
Fever episode tin tawp lamah chuan i taksa lumna chu a sang hle thei (106.7 F thleng pawh a ni mai thei). Hei hi minute 10-30 vel a daih thei. Tichuan, khawsik chu a tlahniam nghal a, i thawkrim hle mai thei.
He symptom lian ber bakah hian symptom dang engemaw zat hmuh tur a awm bawk.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Lu na | Lu na na tak. |
| Muscle leh ruh natna | Taksa na leh ruh natna. |
| Khua a vawt a, a khur bawk | Khawsik na tak, khawsik nena lo awm. |
| Luak chhuak leh pum na | Nausea, luak chhuak, leh pum na. |
| Thil dang pawh a awm | Khuh, ril na, mit na, ril\am, vun rawng, leh buaina te pawh hmuh tur a awm thei bawk. |
Engtin nge diagnosis hi siam a nih?
Heng symptoms te hi i lantir a nih chuan i doctor chuan uluk takin a enfiah hmasa ang che. Tun hnaia zin chungchang pawh a zawt ang a, a bik takin tlangram leh thinga in hlui, heng soft ticks te awmna hmuna zin te pawh a zawt ang.
Diagnosis finfiah nan i thisen sample lak a ni. He thisen sample hi khawsik i neih chuan lak thin a ni tlangpui. Laboratory-ah chuan scientist pakhatin i thisen sample te tak te chu microscope hmangin a enfiah a. Hei hian natna thlentu bacteria, *Borrelia* an tih chu i thisenah a awm leh awm loh chiang takin a hriattir ang che. Microscope hnuaiah chuan heng bacteria te hi corkscrew te tak te ang mai an ni.
Enkawlnate chu engte nge ni?
A tam zawkah chuan he natna hi enkawl ngai lovin a dam thei a ni. Mahse, natna hi a dik tih finfiah a nih chuan i doctor chuan antibiotics a pe ang che . Chungte chuan natna thlentu bacteria te chu an that thin. Damdawi hman tam ber chu tetracycline leh doxycycline te an ni. Hmeichhe naupai leh naupang tê tête chu damdawi dang, erythromycin ang chi an pe tlangpui.Antibiotic pakhat pek a ni. Mi tam zawk chuan damdawi an ei tan atanga ni engemaw zat chhungin an dam tha hle.
Thil danglam tak hriat reng tur!
Hetah hian thil danglam tak hriat tur a awm: Enkawlna dawngtu zinga a chanve aia tam chuan antibiotics an ei tan hnu darkar tlemte chhungin an natna lan chhuah dan (khawsik sang, khawsik) chu rei lo te chhung atan an pung thei a ni.
Hlauthawng suh! Doctor-te chuan he natna hi Jarisch-Herxheimer reaction tiin an sawi a. Antibiotics hmanga bacteria tihhlum a nih chuan a thleng a, chu bacteria thi atang chuan toxin a chhuak a ni.
A tam zawkah chuan heng symptoms te hi darkar tlemte chhungin a mah chauhin a bo vek ang. I doctor chuan damdawi i ei tan hnu darkar tlemte chhung chu damdawi inah enfiah turin a ti thei che a ni. A tlem hle a, mi thenkhat chuan thawk harsa an ti thei. Hetiang a nih chuan damdawi lam thurawn lak emaw, Emergency Department (ETU) pan vat a pawimawh.
Complication a awm thei em?
Antibiotic damdawi dik tak pek a nih chuan he natna hi ni engemaw zat chhungin a lo thianghlim vek ang. Complication a awm tlem hle.
Mahse, a tlem berah chuan TBRF hian i mit emaw beng emaw inzawmkhawmtu nerve te chu a tichhe thei a ni. Hei hian hriatna a tichhe thei a, mit a tichhe thei bawk. Hmai ruhte chu hun engemaw chen a tichhe thei bawk a, chu chu Bell’s palsy an ti a ni. A tlem berah chuan thinlung inflammation a awm thei.
Naupai laiin he natna hi i kai a nih chuan nau piang hma emaw, nau piang rit lo emaw ang chi harsatna a thlen theihna a sang deuh thei a ni. Chuvangin nu naupai chuan he thil hi a bik takin a fimkhur a ngai a ni.
He natna lakah hian engtin nge i inven theih ang?
A tha ber chu rulhut seh loh hi a ni.
- Tick awm theihna hmun i pan dawn a nih chuan pawn lama i awm laiin bug repellent hmang ang che. Thawmhnaw-ah permethrin awmna liquid i hmang thei a, vun leh thawmhnaw-ah DEET awmna product i hmang thei bawk.
- Thing hmanga siam resort hluiah i awm a nih chuan rodents awm leh awm loh enfiah rawh. Bee colony ang chi thil te enfiah thin ang che. I hmuh chuan pest control professional puihnain rodent leh an awmna hmunte chu paih bo rawh.
Take-Home Thuchah a ni
- Tick-Borne Relapsing Fever (TBRF) hi tick-borne disease a ni a, khawsik a lo kal leh a, a reh a, a lo let leh thin.
- Hei hi rannung burrow-a rats ang maia awm ‘soft ticks’ vang a ni. Hetiang hlauhawmna hi tlangram hmuna thing cabin hlui (rustic cabin)-ah chuan a sang hle.
- Heng symptoms te hi i neih chuan, a bik takin zin chhuah hnuah doctor pan nghal rawh.
- He natna hi antibiotics hmanga tihdam kim theih a ni.
- Enkawlna darkar tlemte chhungin a natna lan chhuah dan chu rei lo te chhungin a pung thei (Jarisch-Herxheimer reaction). Hei hi hlau suh la, damdawi lam thurawn zawm rawh.
- A tha ber chu natna kai loh nan a ni. Tick laka inven nan a tul angin hma la rawh.
Khawsik, Ticks, TBRF, Relapsing Fever, Borrelia, Enkawl dan, A lan chhuah dan, Infection te











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