I mit chu a sen reng a, a na reng em? I mit atang hian tui chhuak a awm em? I mitmeng a hring a, hmuh a harsa mai thei? Hengte hi chhinchhiahna tha tak a ni lo. Hengte hi mit natna trachoma an tih chhinchhiahna hmasa ber a ni thei a, vawiinah hian kan sawi dawn a ni. Lungngai suh, hei hi chiang takin sawi ila. A chhan chu natna dang ang bawkin a hriat hma chuan enkawl a awlsam zawk thin.
Trachoma chu eng nge ni? Engvangin nge a hlauhawm?
A awlsam zawngin sawi ila, trachoma hi kan mit a bacteria infection a ni. Chlamydia trachomatis an tih bacteria atanga lo chhuak a ni. Enkawl loh chuan zawi zawiin mitdelna a thlen thei a, a tâwpah chuan mitdelna pawh a awm thei . Chu chu a hrehawm êm êm tih han ngaihtuah teh.
He natna hi khawvel hmun rethei, thingtlang hmun hrang hrangah a tam ber a. Chumi awmzia chu he natna hi a darh theihna tur chu thianghlimna tha lo, tui thianghlim leh bawlhhlawh paihna hmun, leh mipui tamna hmuna chenna hmunah a sang zawk tihna a ni Ngaihtuah teh, mi tam tak in te tak te pakhatah an cheng a, faina tha lo a awm a nih chuan, hetiang natna hi mi pakhat atanga mi dang hnena kai theih a nih chuan eng angin nge a tam zawk ang.
World Health Organization chhinchhiah danin, kum 2020 chhung ringawt pawh khan mi maktaduai 32.8 vel chu trachoma natna dotu antibiotics pek an ni. He natna avang hian mi 42,000 chuangin zai an ngai a ni. Mi maktaduai 1.9 vel chu trachoma vangin mitdel emaw mitdel emaw an ni . Hetiang dinhmun hi a lungchhiatthlak takzet a ni lawm ni? He natna hi Africa khawmualpuiah a na ber a ni. Mahse trachoma hi Asia, Australia, Middle East, Central leh South America ang ramah te pawh hmuh tur a awm.
Trachoma natna lan chhuah dan chu engte nge ni?
Trachoma chhinchhiahna hmasa thenkhat a awm. Eng nge an nih hi han thlir ila:
- Mit sen hring leh kang mai mai ang maia hriat.
- Mitmeng a hring chhuak.
- Chiang taka hmuh theih loh, blurry anga lang.
- Mit atang hian tui (snot) a luang chhuak thin.
- A châng chuan hnar ruh a awm thei bawk.
Heng symptoms te hi i hmuh hian mi thenkhat chuan, "Aw, hei hi mit natna mai a ni," an ti mai thei. Mahse hei hi chutiang awlsam taka hnawl tur a ni lo. A chhan chu, buaina chu he natna hi a lo awm leh a, mit chhunga inflammation a siam hian a zual zel chauh a ni .
Natna a zual (Trachomatous trichiasis) hian eng nge thleng?
He bacteria hian mit a tihbuai chhunzawm zel hian mit chhungah, chu chu mitmeng chhungah, hliam na tak (scar tissue) a lo awm tan tih han ngaihtuah teh Heng hliamte avang hian mitmeng chu chhung lam hawiin a tlahniam a, mitmeng chunga mitmeng chu chhung lam hawiin a inher bawk . Tuna hi buaina lian ber a ni. Hetianga chhung lam hawia mitmeng hi, kan mit kan chhing apiangin , mit ring dum, chu chu mitmeng (cornea) a ni .
Cornea hi kan mit hmalam a "window" langtlang, curved tak a ni. Fiah taka hmuh theih turin min pui thin.
Chuvangin, mitmeng chu chutianga mitmeng (cornea)-a a hrual reng chuan a hrual chhuak thin. Sandpaper hmanga glass hnawih ang mai a ni. Hun a kal zel a, chu scratch-te chuan mitmeng chu a ti thim zauh zauh a, opaque-ah a awm a, chu chuan êng a paltlang thei lo . Chutah chuan vision a bo ta a ni.
Trachoma natna zual takah chuan a lan chhuah dan te chu:
- Mitmeng hi scar tissue vangin chhunglam hawiin a inkhai nghet hle.
- Mitmeng chu chhung lam hawiin a hawi a.
- Mit natna tuar theih loh, mitmeng chu mitmeng (cornea)-a a hnawih avanga mit natna.
- Eng en thiam lohna (photosensitivity).
- Mitdelna, a tawpah mitdelna.
Eng thilin nge trachoma hi a thlen? Engtin nge a kai darh?
Kan sawi tawh ang khan trachoma hi bacteria infection a ni. A tirah chuan "mit natna" tlanglawn tak ``(Conjunctivitis)`` ang deuh a ni. Mit chu a sen a, a hring a, a hring bawk. A tha ber chu doctor i hmuh hmasak a, antibiotics i ei chuan a dam vek thei a ni .
He natna hi mimal inbiakpawhna hmanga darh a ni . Chu chu, hri kai mit emaw, hnar emaw atanga tui (sputum, mucus) lo chhuak chu midang kut, thawmhnaw emaw, khum emaw-ah a lut a nih chuan a kai thei tihna a ni. Fly te pawh hi kai theihna lian tak an ni . Hri kai mit emaw hnar emaw-a rulhut an tlak chuan hrik chu an la a, mi dang mitah an tla thla thin. Chumi hnuah natna chu a inkai darh ta a ni.
He natna hrik hi taksaa a luh atanga ni 5 atanga ni 12 chhungin a lan chhuah dan tlangpui. Hmeichhia leh naupang te te hi he natna hi an vei theihna a sang zawk . Hei hi a chhan chu nute hi naupangte nena hun hmang tam ber leh enkawltu ber an nih tlangpui vang a ni. Tin, naupang tê tête pawhin awlsam takin an kai thei a, a chhan chu an mit leh hnar an khawih fo a, faina lam an ngaihsak vak loh vang a ni.
Engtin nge doctor hian trachoma hi a hriat theih ang?
A chunga kan sawi tak symptoms i neih chuan mit lam doctor pan ngei ngei tur a ni. Doctor chuan zawhna a zawt ang che a, medical history a la ang. A bik takin, trachoma vei tamna hmunah i zin tawh em tih emaw, a vei tamna hmunah i awm em tih emaw an zawt ang.
Tichuan mit enfiahna an nei leh a. A châng chuan mit chu a zau thei a, mit aṭanga tui sample tlemte lak a, lab-ah thawn theih a ni bawk. Hei hian natna hrik hi bacteria (Chlamydia trachomatis) avanga lo awm a nih leh nih loh hriat theih nan a pui dawn a ni.
Trachoma enkawl dan tur chu engte nge ni?
Hei hi a pawimawh ber a ni. A tir lamah chuan doctor-in antibiotics a pek hmangin a dam vek thei a ni . Trachoma damdawi chi hnih an pek tlangpui chu Azithromycin an tih pill leh mit hriak Tetracycline awmna te an ni.
Mahse, enkawl loh a nih chuan, emaw, trachoma a lo awm nawn leh a nih chuan, a hmaa kan sawi tawh ang khan natna khirh tak, `(Trachomatous trichiasis)` (mitmeh chhung lam hawia inher) chu a awm thei a ni. Chutiang a nih chuan doctor chuan operation neih a rawt ang . He surgery hi inverted eyelash chu a dinglam angin a lang leh theih nan tih a ni. Tichuan mitmeng chu mitmeng (cornea)-ah a hrual tawh lo va, hliam dang pawh a awm tawh lo.
Mahse, mit (cornea) chu nasa taka a chhiat chuan doctor chuan mit (cornea) thlak a rawt thei a ni .
Hriat tur pawimawh ber chu trachoma avanga mitdel i nih tawh chuan a dam thei lo tih hi a ni. Chuvang chuan early detection leh treatment hi a pawimawh em em kan ti a ni.
Trachoma ka vei chuan eng nge thleng ang? Dam theih a ni em?
Trachoma vawi khat i vei a, antibiotics i ei tha chuan i dam thuai ang, ngaihtuahawm tur a awm lo . He natna hi a lo awm nawn leh a, mit (cornea) a chhiat tan atang hian buaina hi a intan thin.
Mitmeng zai hnuah mitmeng (cornea) chu a chhe lehzual tawh lo ang. Mahse, trachoma vanga mitdelna chu tihdam theih a ni lo .
Trachoma vei tihtlem nan eng nge kan tih ang?
Hei hi a pawimawh ber a ni. Trachoma tihtawp nan tui thianghlim leh bawlhhlawh paihna lama hmasawnna tihchangtlun a pawimawh hle . Chumi awmzia chu mi zawng zawngin tui thianghlim leh bawlhhlawh paihna tha kan neih a ngai tihna a ni. Tin, mipui tam lutuk tihziaawmna tur leh rulhut avanga harsatna awm thei tihziaawmna tur a pawimawh bawk. Khawvel hmun hrang hranga thuneitute chuan trachoma leh a thlentu mitdelna tihbo tumin heng hmalaknate hi an kalpui mek a ni. Hei atan hian SAFE tih acronym hman a ni:
- S - `(Surgery)`: Natna zual tak tihdam nan surgery a ni.
- A - `(Antibiotics)`: Hri kai tan antibiotics.
- F - `(Facial cleansing)`: Natna darh zel tur venna atana hmai fai taka vawn.
- E - `(Environmental changes)`: Tui thianghlim leh bawlhhlawh paihna service te ang chi boruak inthlak danglamna.
Hmun thenkhatah chuan naupang kum 1 leh 9 inkar te chu kum khatah vawi khat tal antibiotics pek an ni. Hei hi "blanket therapy" emaw "blanket antibiotic therapy" emaw an ti a. Mahse , hetianga antibiotics pek chhunzawm zel a nih chuan bacteria te hian antibiotic resistance an nei thei tih ngaihtuahna a awm .
Mimal level-a thil tih theih ṭhenkhat a awm a, a bik takin trachoma natna hmuna awm emaw, i zin emaw a nih chuan:
- I faina hi uluk takin enkawl rawh . I hmai uluk takin silfai la, i mit leh hnar atanga tui awm zawng zawng chu paih chhuak rawh.
- Kut uluk takin sil fo thin ang che.Hei hi a pawimawh hle a, a bik takin naupang tê tête nena kan inbiak hunah chuan.
- I towel leh mutna hman tawhte chu midangte hnenah share suh .
- A theih ang angin rulhut awmna hmunte chu pumpelh rawh .
Engtikah nge Doctor kan hmuh ang?
Trachoma vei hmuna i awm a nih chuan, emaw, i kal tawh a, i mit emaw, i hnar emaw aṭanga tui chhuak i nih chuan, doctor pan ngei ang che . A bik takin mit na i neih chuan ngaihthah suh . Mit na chungchang, a nih loh leh symptom i rinhlelh apiang doctor hnenah hrilh la a tha ber.
Chlamydial conjunctivitis leh trachoma hi eng nge an danglamna?
Hei hi mi tam takin an zawh thin a ni. Chlamydial conjunctivitis hi mipat hmeichhiatna hmanga kai theih natna (STI) Chlamydia avanga mit natna a ni. A thlentu bacteria chu trachoma thlentu bacteria Chlamydia trachomatis nen a inang a, mahse he natna hrik subtype erawh a danglam thung . Pawimawh tak chu trachoma hi mipat hmeichhiatna atanga kai theih natna a ni lo .
Trachoma natna vei tamna hmuna awm i nih chuan, emaw, hmun pakhata i zin a nih chuan, he natna darh zel tur venna atana hma lak a pawimawh hle. I kut silfai leh hmai fai taka vawn rengin i inveng thei a ni. I mit a sen emaw, a na emaw a nih chuan doctor pan ngei ngei tur a ni. A natna lan chhuah dan leh a kaihhnawih enkawlna atan antibiotics an pe thei a ni.
Thil pawimawh hriat reng tur (Take-Home Message) .
Okay, chuti a nih chuan vawiin hian trachoma chungchang hi kan sawi nasa hle a ni lawm ni? A tawp berah chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:
- Trachoma hi mit natna khirh tak, bacteria avanga lo awm a ni a, mitdelna hial a thlen thei a ni.
- Faina hi a pawimawh ber a ni. Kut sil that te, hmai fai taka vawn te, tui thianghlim hman te hi a pawimawh hle.
- A natna lan chhuah dan i hriat hmasak a, enkawlna i hmuh chuan i tidam vek thei a ni. Chuvangin mit sen, itchy, crusty ang chi symptom i neih chuan doctor pan nghal rawh.
- Fly lakah fimkhur rawh. Fly te hi he natna darh zel tura puitu ber an ni.
- Enkawl loh chuan mitmeng chu chhunglam hawiin a inher thei a, mitmeng a tichhia a, mit hmuhna a tichhe thei bawk.
- World Health Organisation-in SAFE approach (surgery, antibiotics, hmai tihfai, boruak tihdanglam) hi he natna hi thunun nan a pawimawh hle.
Chuvangin, heng point te hi kan enkawl that chuan he hmêlma ngawi reng trachoma an tih lakah hian kan inveng thei ang. Hemi chungchanga zawhna dang i neih chuan Doctor zawt hreh suh. Mit hrisel pahnih hi nunah hlutna ropui tak a ni!
`Trachoma, mit natna, mit natna, Chlamydia trachomatis, mitdelna, mit hriselna, invenna











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