Tularemia: He khawsik hlauhawm tak, rannung atanga kai theih hi i hria em?

I taksaah khawsik sang tak i nei nghal a, i taksaah hliam tenau, na tak tak i nei em? Tun hnaiah ramhnuaiah i kal a, lovah i thawk a, ran i enkawl a ni mai thei? Tichuan hei hi i hriat loh condition a ni mai thei, mahse i hriat ngei ngei tur a ni. Damdawi lam chuan tularemia an ti a. Natna tlemte ni mah se, a na thei hle a, chuvangin fimkhur a pawimawh hle.

A awlsam zawngin, Tularemia chu eng nge ni?

Tularemia hi Francisella tularensis an tih bacterium atanga lo chhuak a ni a . Hei hi rannung atanga mihringa kai theih natna a ni a, chu chu zoonotic disease an ti a. He bacteria hi rannung, rabbit, squirrel, leh rat te taksaah a awm tlangpui. Heng rannungte taksaa cheng rulhut, rulhut leh rulhut te pawhin a kai thei bawk.

He natna hian a kai dan azirin taksa peng hrang hrang a nghawng thei a ni. He bacterium hian symptom hrang hrang a thlen thei a, a bik takin lymph node na tak tak a hring thei a, lung, mit, kawr leh chaw ei kawng natna chi hrang hrang a thlen thei bawk . Ram thenkhatah chuan "rabbit fever" an ti bawk.

He natna vei theihna hlauhawm ber chu tute nge ni?

Tu pawhin tularemia hi an vei thei a, mahse, he natna thlentu bacteria i tawrh theihna hi i hnathawh, i thil ngaihven leh i nunphung a zirin a sang zawk thei a ni. A hnuaia mite hi a hlauhawmna a sang deuh hlek a ni:

• Sa raw man emaw, enkawltu emaw: He bacteria hi rannung man sa emaw taksa tui emaw nena inzawmna atanga kai theih a ni.
• Ran enkawltu leh ran enkawltu: Ran nena an thawh dun reng avangin hlauhawm takah an awm bawk.
• Insect-in a sehna hmuna hnathawkte: Loneitute leh ramngaw-a thawkte chu rulhut, rulhut te hian an seh theihna a sang zawk.
• Mite taksa chak lohna nei: HIV vei te , cancer vei te, emaw, immunosuppressant damdawi ei thinte hian awlsam takin heng natna chi hrang hrang hi an nei thei a ni.
• Farm hnathawk leh beram samtu: Heng hnathawkte hi ran leh an chenna boruak nena hnaih taka an thawh avangin hlauhawmna sang zawk an ni.
• Laboratory-a thawk: He bacteria chungchanga zirchianna neitute pawh hi an kai theihna hlauhawm tak an ni.

He bacteria hi taksaa a luh chuan eng nge thleng thin?

He bacteria `F. tularensis` chu i taksaah a lut a. Kan taksa invenna, immune system cell te hian he hnam dang bacterium hi man leh "engulf" an tum thin. A tlangpuiin, chu cell chhungah chuan bacteria chu a chhe vek ang.

Mahse he bacteria hi a finthlak hle. Chu immune cell chhunga inthup ai chuan an inthen darh tan a, an pung chak hle bawk. A tawpah chuan immune cells te chu a chhe vek a, bacteria rual lo chhuak chuan taksa chhunga cell dangte chu a rawn bei ta a ni. Hetianga cell tihchhiatna leh a chhanna atana immune system activation hi kan symptoms thlentu a ni.

Tularemia hi eng chi hrang hrang leh a lan chhuah dan nge ni?

Tularemia hi chi hrang hrangah then theih a ni a, chu chu bacteria taksa chhunga a luh dan leh a natna lan chhuahna hmun a zirin a ni. Hei hi chiang taka hrethiam tur chuan he table hi han en ila.

He natna hi engtin nge a kai theih? Mi pakhat atanga mi dangah a inkaichhawn em?

Tularemia kai theih dan tlangpui engemaw zat a awm a:

• Insect bites: Hri kai rulhut, rulhut leh rulhut dangte seh atanga lo chhuak.
• Ran hri kai nena inzawmna: Ran hri kai atanga seh emaw, hrual emaw hmangin. Tin, hri kai rannung atanga tissue emaw taksa tui emaw chu kan vunah hliam emaw hliam emaw hmangin taksaah a lut thei bawk.
• Chaw emaw tui hrik kai: Tui bacteria bawlhhlawh in emaw, sa tui lo (a bik takin game) ei emaw hmangin.
• Bacteria inhaling: Hei hi hriat chuan a mak deuh. He bacteria nei rannung thi awmna hmunah lawnmower emaw, machine dang emaw i hman chuan han ngaihtuah teh, chu bacteria chu boruakah chuan leivut te tak te lo chhuak te nen chuan a lut thei a, chu chu thawk chhuah pawhin natna a thlen thei a ni.

Ni lo, tularemia hi mi pakhat atanga mi dangah direct-a kai a ni lo. Chumi awmzia chu hri kai khawih emaw, biak emaw atanga kai theih a ni lo tihna a ni. Mahse, natna hrik kai theihna sang tak a ni. Chumi awmzia chu, taksaa bacteria tlem lutuk lo lut pawh hi natna thlentu atan a tawk tihna a ni.

He natna hi Doctor hian engtin nge a hriat chian?

Doctor i pan hunah i symptoms te a zawt hmasa ang che. Tun hnaia i thiltih te pawh a zawt ang. Entir nan:

• Tun hnaiah thingtlang lamah i kal tawh em?
• Rannung chu rulhut ang maiin i ei em?
• Ran (a bik takin rabbit leh rat) te hi khawih an ni em?
• Tui bawlhhlawh i in em?

Tichuan, taksa chu enfiah a ni a, lymph node hring, vun natna, ril emaw mit emaw inthlak danglamna te an zawng a, test eng emaw zat neih a ni thei bawk.

• Thisen test: Thisen sample lak a, taksain bacteria laka a siam antibody a awm leh awm loh enfiah a ni. A châng chuan hengte hi a tirah chuan hriat chhuah a ni lo thei a, chuvangin kar engemaw zat hnuah test dang i neih leh a ngai mai thei.
• Biopsy: Vun natna emaw, lymph node hring emaw atanga tissue te tak te pakhat enfiah nan lak.
• Sample dang: Throat emaw nasal secretions, leh lung chhehvela fluid awm leh awm loh fluid test te.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

Ni e, hei hi antibiotics hmanga tihdam kim theih natna a ni. A pawimawh ber chu a rang thei ang bera enkawl tan hi a ni. A châng chuan, a lan chhuah dân leh i thu hriatte a zirin, doctor chuan test result a hmuh hmaa enkawl ṭan a tum mai thei. Hei hi natna a nasat loh nan a ni.

Enkawlnaah hian ni 10 atanga ni 21 chhung antibiotics ei a ni tlangpui. Damdawi hman tam berte chu:

• Streptomycin hmanga siam a ni
• Gentamicin hmanga siam a ni
• Doxycycline ( Doxycycline ) tih a ni.
• Ciprofloxacin hmanga siam a ni

Hei hi enkawl loh chuan a dam leh dawn lo em ni? Eng harsatna nge a awm?

Mi thenkhat chu enkawl lohvin an dam leh thei a, mahse a hlauhawm hle . Enkawl loh chuan a bik takin type A bacteria i kai a nih chuan thihpui zat chu 30% vel a ni thei. Harsatna lian tak tak a thlen thei bawk.

• Lung chhiatna nasa tak (Acute respiratory distress syndrome - ARDS) .
• Thluak emaw thluak khuhna (Meningitis) atanga natna hrik awm .
• Lung natna (pericarditis) .
• Ruh natna (Osteomyelitis) .
• Liver leh kal (kidney) a tha lo

Chuvangin, symptoms i neih chuan doctor thurawn dil nghal vat chu nunna chhanhimna a ni thei.

Engtin nge he natna hlauhawm tak lakah hian kan inven theih ang?

A tha ber chu he natna hi pumpelh hi a ni. Chutiang ti tur chuan step awlsam tlemte kan zawm thei a ni.

• Insect laka invenna: Ramngaw emaw, ramngaw hmun emaw i pan dawn a nih chuan i taksa khuh vek thei thawmhnaw ha la. Bug spray hmang rawh. Pawn atanga i lo haw hnuah i taksaah rulhut a awm leh awm loh enfiah thin ang che, a bik takin i lu leh i kekawrte chu enfiah thin ang che.
• Pet Care: I ran vulhte’n rulhut laka an invenna atana an mamawh enkawlna tur chungchangah i ran enkawltu hnenah zawt rawh.
• Rannungte chu fimkhur taka khawih tur: Ramsa (nung emaw thi emaw) chu kut zungtang chauhin khawih loh tur a ni. Gloves vuah rawh. Ran i khawih zawhah sahbawn hmangin i kut uluk takin sil thin ang che.
• Chaw leh tui himna: Sa, game ang chi chu ei hmain uluk takin chhum hmasa phawt ang che. Lui leh lui thianghlim lo atanga tui direct-a in loh tur.
• Environment humhalh: Ran thi hnaihah sah emaw, sawh emaw chu pumpelh tur a ni. I tih ngei ngei tur a nih chuan leivut hip luh loh nan face mask vuah hi a finthlak hle ang.

Engtikah nge doctor i hmuh ang?

Doctor a tlangpuiin engtikah nge i hmuh ang:

• Tularemia (khawsik, hring, vun natna) symptoms i neih chuan.
• He bacteria hi i kai tawh nia i rinhlelh chuan i doctor chuan natna a lo awm loh nan antibiotics a pe thei ang.
• Enkawl lai emaw, enkawl hnu emawa symptoms a lo lang leh a nih chuan.

Damdawi in pakhata Emergency Treatment Unit (ETU) pan nghal tur chuan:

A hnuaia symptom na tak tak i neih chuan hun khawhral suh la, damdawi in hnai ber ETU- ah kal rawh.

• Khawsik hi 39.4 Celsius (103 Fahrenheit) aia sang a nih chuan.
• Dementia emaw rilru buai emaw.
• Thisen chhuahna chu luak emaw, bawlhhlawh emaw nen.
• Thisen a khuh chhuak.
• Thâwk harsa na tak.
• Vun, hmui emaw, kut zungtang emaw blue discoloration.
• Pum natna nasa tak.