Rannung atanga khawsik mak tak mai? ‘Tularemia’ chungchang hi han sawi ila!

``Tularemia'' tih natna hi i hre tawh em? He hming hi a thar deuh pawh a ni mai thei. Mahse kan hriat a ngai a, a chhan chu rannung atanga kan hnena kai theih natna hrik a nih avangin, a pawi hle thei bawk. Mi thenkhat chuan "rabbit fever" an ti bawk. Chuvangin, lungngai suh, vawiin hian ``Tularemia'' chungchang hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

‘Tularemia’ chu eng nge ni? A awlsam zawngin...

Tularemia hi natna hrik pakhat Francisella tularensis (F. tularensis) an tih atanga lo chhuak a ni. Zoonotic natna a ni. A dik zawk chuan mihringah hian hri kai rannung nena inzawmna emaw, bacteria kengtu rannung, rulhut leh rulhut te nena inzawmna atanga kai a ni .

He natna i neih hian i lymph nodes te chu na takin a lo hring thei a ni . Chu mai pawh ni lovin, i taksaa bacteria luhna hmun azirin i lung, mit, i ril leh i intestines-ah te pawh symptom hrang hrang i nei thei bawk. Ngaihtuah teh, a chang chuan ramngaw-a kan kal lai hian, rannung te tak tein min hrual emaw, min seh emaw, rulhut ang maiin, hliam kan nei a, chu hliam atang chuan he bacteria hi kan taksaah a lut thei a ni.

Tularemia hi taksaah eng ang nge a nih?

Tularemia chhinchhiahna ber chu lymph nodes a lo hring chhuak a, chu chu taksaah lump lian tak angin a lang thei a, chu chu kawr leh kawr chhungah te pawh a lang thei a ni. A châng chuan, taksaa bacteria luhna hmunah ulceration a awm thei bawk . Chumi awmzia chu hliam te tak te ang mai a ni tihna a ni.

He ‘tularemia’ hi tute nge vei tam ber? Tute nge hlauhawma awm?

Tupawh tularemia hi an vei thei. Mahse, i hna, i thil tih nuam, a nih loh leh i awmna hmun chuan he bacteria hi i kai theihna a tipung thei a ni. Heng mite zingah hian i tel ve em tih en rawh:

• Sa tui lo man emaw, khawih emaw : Hei hi ran sa hmanga kai theih a ni.
• Rannung nena thawk ho fo thinte, ran enkawltu leh ran enkawltu officer te : hri kai ran nena inzawmna hnai tak an neih avangin an hlauhawm hle.
• Mite chu rulhut leh rulhut seh tamna hmuna chengte .
• Mite taksa chak lohna nei : Entirnan, HIV vei, cancer vei, emaw, immunosuppressant damdawi ei thinte.
• Loa hnathawkte, beram hrualtute, leh bacteria `F. tularensis` in laboratories : Heng mite hian `Pneumonic tularemia` an vei theihna a sang hle a, chu chuan lung a tichhe thei a ni.

He natna hi ram thenkhatah, a bik takin United States-a state thenkhatah chuan sawi tam tak ni mahse, he natna hrik awmna hmun apiangah hian tu pawhin he natna hi an kai thei a ni. Sri Lanka ramah hetiang zat hi report a la ni lo nachungin, kan tan fimkhur a tha.

Tularemia hi engtiang chiahin nge a awm?

Khawvel hmun tina hmuh tur natna a ni lo va, a tlem deuh . Mahse, ka sawi tawh ang khan a lo thleng a nih chuan a pawi khawp mai thei a, chuvangin hei hi kan hriat chian a pawimawh hle.

He natna hian taksa peng engte nge a nghawng?

Tularemia hian i lymph nodes, vun, mit, i rilru, i gut, emaw, i lung emaw a nghawng ber a ni . Amaherawhchu, a nasat chuan eng organ-ah pawh inflammation a thlen thei a, thluak leh thinlungah pawh a ti na thei a ni.

He bacteria hian engtin nge taksa chhungah hna a thawh?

A awlsam zawngin, `F. tularensis` bacteria hi kan taksaah a lut a, kan immune system cell te chuan bacteria chu an "engulf" ta a ni. A tlangpuiin heng cell te hian bacteria chu an tichhia ang. Mahse, a `F. tularensis` bacteria hi an fing hle. Chu cell chhungah chuan bacteria te chu an pung zel a ni . A tawpah chuan immune cells te chu a chhe vek a, bacteria tam tak chu taksa pum puiah a darh a, cell dangte pawh a kai ta a ni.

Hetianga cell tihchhiatna leh kan immune system-in he bacteria a chhân lêtna hi taksa peng hrang hranga natna lan chhuahtîrtu a ni.

Tularemia chi hrang hrang a awm em?

Ni e, tularemia hi chi hrang hrang lian tak tak a awm. Hengte hi bacteria i kai dan leh a natna lan chhuahna hmun a zirin classified a ni.

1. Ulceroglandular tularemia a awm thei

Hei hi tularemia chi khat zingah chuan a tam ber a ni . A tlangpuiin rannung, rulhut emaw, hri kai emaw seh hmanga kai a ni. I vun leh sebaceous glands te a nghawng a ni. A lan chhuah dan ber chu sebaceous gland a hring a, vun natna a awm bawk.

2. Glandular tularemia a awm thin

Hei hi a chunga kan sawi tawh ang chi nen hian a inang a, mahse vun natna a thlen lo va, gills chauh a hring chhuak . Tick ​​bite vang emaw, hri kai ran direct contact vang emaw a ni thei.

3. Mit tichhe thei chi (Oculoglandular tularemia) .

Hetiang natna hi chu natna hrik kai tui emaw, rannung taksa tui emaw i mit chhunga i luh chuan a thleng thin. Mit ah symptoms a siam thin . Mit pakhat chauh a nghawng tlangpui.

4. Hlo leh chaw ei kawng tichhe thei chi (Oropharyngeal tularemia) .

Hetiang chi hi ei leh in bawlhhlawh ei emaw, tui bawlhhlawh in emaw, bacteria bawlhhlawh kut chu silfai lovin ka chhunga dah emaw a ni thei. A lan chhuah dan ber chu rilru natna nasa tak a ni . A chang chuan gastrointestinal symptoms pawh a awm thei bawk.

5. Lung tichhe thei chi (Pneumonic tularemia) .

Hei hi tularemia natna hlauhawm ber a ni . Pneumonia ang chi symptoms a thlen thin. A lo thanlen theih dan kawng hnih a awm a:

• Direct inhalation a nih chuan bacteria `F. tularensis` tih a niLung chhunga lut.
• Taksa hmun dangah F. tularensis natna chu lungah a darh .

6. Typhoidal tularemia a awm thei

Hetiang tularemia hi khawsik sang tak a ni a , taksa peng hrang hrang a nghawng a ni . Tularemia chi dang ang bawkin a lo awm thei bawk.

‘Tularemia’ leh ‘Lyme natna’ hi a inang em?

Hei hi mi thenkhatin zawhna an zawh thin a ni. ``Tularemia`` symptom thenkhat chu ``Lyme disease`` nen inang mahse, natna pahnih hian taksa a nghawng dan a inang lo hle. ``Tularemia`` hi natna a ni a, taksa peng hrang hrang a nghawng thei a, nunna atana hlauhawm pawh a ni thei . ``Lyme natna`` hi nunna atana hlauhawm lo zawk a ni tlangpui a, mahse a chang chuan hun rei tak, enkawl harsa tak tak a thlen thei bawk.

Tularemia natna lan chhuah dan chu engte nge ni?

Tularemia symptoms hi i neih chi hrang hrang a zirin a inang lo. A chi tam zawk chu khawsik leh vun natna chi hrang hrang a ni . Tin, natna kai awmna hmun a zirin symptom bik a awm bawk.

Ulceroglandular leh Glandular chi hrang hrang vun natna leh nodules te mizia:

• Khawsik.
• Lymph node lian tak tak, na taka hring chhuak .
• Vun a hliam (ulcer emaw lesion) a awm - hei hi `Ulceroglandular tularemia` tan chauh a ni.

Oculoglandular type natna lan chhuah dan:

• Mit na a na.
• Mit a mittui tla zawih zawih.
• Eng laka sensitivity (photophobia) - chu chu eng en harsa tihna a ni.
• Beng emaw kawr vel a hring leh na.
• Mit chhunga hliam inhawng (corneal ulceration).

Oropharyngeal type-a natna lan chhuah dan, rilru leh chaw kawng (esophagus) a nghawng dan:

• Khawsik.
• A rilru natna nasa tak .
• Thlalak a hring, a sen, leh a var a awm bawk.

Mi thenkhat chuan hetiang hian an tawng ve thei bawk:

• Luak chhuak.
• Diarrhea (thisen nen pawh a ni thei).
• Pum natna.

Pneumonic type natna lan chhuah dan: lung a nghawng dan:

• Khawsik.
• Khuh.
• Thâwk harsa (dyspnea).
• Chest na emaw tightness emaw a awm.
• Muscle na a na.
• Vun-a vun sen emaw, hliam emaw (erythema nodosum) a awm.
• Thisen khuh (hemoptysis) a awm.

Typhoid fever natna lan chhuah dan:

• Khawsik sang tak a nei.
• Chills a awm.
• Lu na (lu na).
• Chaw chu a thlum lo.
• Muscle na a na.
• Hrawk thip.
• Pum natna.
• Kawthalo.
• Nausea emaw, luak chhuak emaw.
• Rilru tibuai.

Natna a lo lan hma hian natna hrik taksaah eng chen nge a luh?

Tularemia incubation period, bacteria nena an inhriat atanga symptoms a lan thlenga hun chhung hi a ni tlangpuiNi thum atanga ni nga vel , mahse mi thenkhat chuan kar hnih thleng symptom an nei lo mai thei.

He natna ‘Tularemia’ hi eng nge a chhan?

A hmaa ka sawi tawh ang khan `Francisella tularensis` (`F. tularensis`) an tih bacterium atanga lo chhuak a ni. He bacteria hi rannung taksaah a awm tlangpui (heng natna kengtu rannungte hi "reservoir" an ti bawk) – a bik takin rabbit, hares, rannung te tak te, mice, leh cats te taksaah a awm tlangpui. Tin, rulhut leh rulhut seh te pawhin a kai thei bawk.

He `F hi chi hnih lian tak a awm a. tularensis` bacterium - type A leh type B. Type A hian natna khirh zawk a thlen tlangpui a, America ramah a tam ber. Type B hian natna lanchhuahna na zawk a thlen tlangpui a, North America leh khawvel hmun tam zawkah hmuh tur a awm.

He natna hi engtin nge kan chungah a darh?

Tularemia hi kan hnena kai theih dan kawng hrang hrang a awm a:

• Insect seh, rulhut, rulhut, leh deer fly te seh .
• Rannung hri kai te seh a nih avangin.
• Rannung hri kai te khawih hmangin . Ran natna vei tissue emaw taksa tui emaw i khawih chuan i vunah a break tlemte hmangin bacteria chu i taksaah a lut thei a ni. Tin, `F. tularensis` bacteria leh chumi hnuah i hmai, mit, hnar, emaw i hmui emaw khawih.
• Tui hrik in emaw, natna hrik ei emaw hmangin.
• Bacteria `F. tularensis` tih a ni . Hei hi a thleng thei a, entirnan, ran hri kai chu lawnmower emaw, lo neihna hmanrua emaw hmanga tan a nih chuan, chu natna hrik chu boruakah chhuah a, thawk chhuah theih a nih chuan.

Tularemia hi mi pakhat atanga mi dangah a kai theih em?

Ni lo, tularemia hi a kai thei lo. Chu chu hri kai nena inbiak emaw, kut inthlak emaw avanga darh a ni lo tihna a ni . Mahse, a kai thei hle . Chu chu, bacteria tlemte chauh taksaah lut mah se, natna vei theihna a sang hle tihna a ni.

Tularemia vei rannung ei hi a him em?

Sa chu uluk taka chhum a nih chuan bacteria a thi. Mahse, rannung pakhatin ``Tularemia'' a vei tih i hriat chuan chu rannung sa ei chu a tha lo .

Engtin nge doctor hian Tularemia hi a hriat theih ang?

Tularemia hriat theih nan doctor chuan a enfiah ang che a, i natna lan chhuah dan a zawt ang che a, i thisen emaw taksa tui dang emaw test turin a ti ang. I natna lan chhuah dan azirin i hmui, i ril, i mit leh i vun chu a hliam, a hring, a nih loh leh i vun a enfiah ang.

Hemi atan hian eng test nge tih a nih?

Tularemia hriat theih nan i doctor chuan a hnuaia test te hi a ti thei ang:

• Thisen test a ni: I kut atanga thisen sample lak chu lab-ah thawn a ni ang a, tularemia chhinchhiahna a awm leh awm loh enfiah a ni ang a, F. tularensis bacteria a lo thang lian em tih enfiah a ni ang. F. tularensis bacteria hi a lo thang zawi zawi a, thisen test hmasa ber chu a pangngai mai thei. Chuvangin kar tlemte hnuah thisen test dang i neih leh a ngai mai thei.
• Biopsy : I vun a hring nasa emaw, vun natna a awm emaw chuan i doctor chuan chu hmun atang chuan tissue te tak te (`biopsy`) a la ang a, lab-ah a thawn ang a, `F. tularensis` bacteria hi a awm emaw, a lo thang lian emaw a ni.
• Nasal or throat swab : Doctor chuan stick sei takah vuahin swab hmangin i hnar emaw i kawr atanga mucus sample a la ang a, lab-ah a thawn ang a, F. tularensis bacteria awm leh awm loh a enfiah ang.
• Pleural fluid test / thoracentesis : I lung chhehvelah tui a awm khawm (pleural effusion) chuan i doctor chuan thoracentesis tih hmangin sample a la ang a, test turin a thawn ang.

Awle, he natna ‘Tularemia’ hi eng enkawlna nge ni?

Tularemia hi broad-spectrum antibiotics hmanga enkawl a ni . Chungte chu injection angin emaw, pill angin emaw pek theih a ni. Harsatna lian tak i neih chuan enkawlna dang i mamawh mai thei.

Tularemia hi a rang thei ang bera enkawl tan a pawimawh hle. A châng chuan, doctor-te chuan i lab report a luh hmain antibiotics an pe ṭan ang a, a chhan chu a nasat loh nan tihtawp an duh vang a ni.

Mite hi he natna, Tularemia atang hian an dam kim thei ang em?

Ni e, a theih. Tularemia hi tihdam theih a ni. Antibiotics hian a thlentu bacteria te chu a that thei a ni.

Tularemia tan hian eng damdawi nge pek thin?

Tularemia enkawlna atana antibiotics hman chi hrang hrangte chu:

• `Streptomycin hman a ni` tih a ni
• `Gentamicin` tih a ni
• ` Doxycycline (Doxycycline) hmanga siam a ni `
• `Azithromycin` tih a ni
• `Ciprofloxacin' emaw `levofloxacin' emaw a ni thei ang.

Damdawi ka ei lai hian engtin nge in lamah ka in enkawl ang? Engtin nge symptoms hi ka enkawl ang?

I doctor-in antibiotics a pek zawng zawng chu a hun bituk chhung zawnga ei vek a pawimawh . I doctor-in a tih hma loh chuan damdawi ei kha titawp suh. Antibiotics i ei loh vat chuan i taksaah bacteria thenkhat chu a awm reng thei a, natna chu a lo let leh thei a ni.

Antibiotics pek chhuah bakah hian tularemia symptom thenkhat chu in lamah i enkawl thei bawk. I doctor hnenah over-the-counter (OTC) damdawi emaw, i natna lan chhuahna atana pui thei tur enkawlna dang emaw zawt rawh.

He natna ‘Tularemia’ an tih laka kan him theih nan enge kan tih theih ang?

Tularemia vei theihna chu i tihziaawm thei a, chu chu nangmah leh i ran vulhte chu rulhut seh lakah i inven a, rannung nena inpawh hunah fimkhur a, sa uluk taka siam a ni.

• A theih phawt chuan pawn lama i taksa khuh tha thei thawmhnaw ha la, a bik takin thlai sang emaw, thingtlang hmunah emaw chuan i taksa khuh tha thei tur thawmhnaw ha la . DEET awmna bug spray hmang ang che.
• Pawn atanga i lo haw hnuah nangmah leh i ran vulhte chu rulhut awm leh awm loh enfiah rawh . Mi dangin awlsam taka i hmuh theih loh hmun, lu ang chi te chu enfiah tir la, a tha hle.
• I ran vulhtu hnenah i ran vulhte chu rulhut laka i humhim theih nan eng nge i tih theih tih zawt rawh . Pawn lama chhuak ui te hian tularemia an vei thei.
• I ran vulhte chu pawn lama an chhuah hunah enkawl rawh. Tularemia hi rannung dang seh hmanga kai theih a ni.
• Ran (nung emaw thi emaw) i khawih hian kutkawr vuah tur a ni . Ramsa chu i kut zungtang chauhin khawih ngai suh. Gloves i bun a nih pawhin rannung i khawih zawhah sahbawn leh tuiin uluk takin kut sil thin ang che.
• Sa chu a lumna tur hmunah uluk takin chhum rawh . Chaw i buatsaih zawhah kut, lei chung leh bungrua te uluk takin silfai fo ang che. Wild game hian tularemia thlentu bacteria a pai thei a.
• Tui thianghlim lo in loh tur.
• A theih chuan ran ruang bulah thing phun emaw, machine dang emaw hman loh tur a ni . A theih chuan rannung engmah machinery-ah dah suh. Lawnmower emaw agriculture hmanrua emaw hman hunah face mask vuah hian boruaka thil te te thawk chhuah a veng thei a, mahse hei hi finfiah turin zirchianna tam zawk neih a ngai a ni.
• Tularemia i tawk tawh mai thei nia i hriat chuan, natna lo awm tur venna atan antibiotics i ei tur em tih doctor zawt la.

Tularemia i vei chuan eng nge thleng? A dam leh theih nan eng chen nge hun a duh?

Tularemia vei tam zawk chu an dam vek . Ni 10 atanga ni 21 chhung antibiotics i ei a ngai dawn a ni.

I natna lan chhuah dan azirin i doctor chuan enkawlna i tan hnu ni engemaw zat chhung chu uluk takin a enkawl ang che. I natna lan chhuah tirh atanga antibiotics i ei tan hma lutuk chuan harsatna lian tak i nei thei a ni.

Mi thenkhat chuan an natna lan chhuah dan chu an dam leh hnuah (relapse) a lo lang leh thei a ni. Chutiang chu i chungah a thlen chuan antibiotics course dang i ei a ngai mai thei.

Tularemia enkawlna hi kar hnih atanga kar thum chhung a ni tlangpui. Mahse, a dam vek theih nan hun rei zawk a la ngai thei. A chang chuan tularemia vanga vun natna hian hliam awm reng thei a siam thei bawk.

Engtikah nge hna/sikul ka kal leh theih ang?

Tularemia hi mi pakhat atanga mi dang kai theih a nih loh avangin, i dam apiangin hna emaw, sikul emaw i kal leh thei a ni .

Tularemia vei tur chu eng nge ni?

Tularemia vei theihna tur hmalam hun chu enkawl vat a nih chuan a tha hle . Antibiotics hmanga enkawl vat a nih chuan tularemia vanga thihna hi 1% aia tlem a ni.

Tularemia natna avanga harsatna awm thei te chu engte nge ni?

Tularemia natna hi pneumonic emaw typhoid fever emaw a awm tlangpui. Chung zinga ṭhenkhat chu:

• Thâwk harsa na tak (Acute Respiratory Distress Syndrome - ARDS).
• Thluak khawsik (meningitis emaw meningoencephalitis emaw).
• Thinlung natna (`myocarditis`, `pericarditis` emaw `endocarditis`) a awm.
• Ruh, ruhro, emaw ruhkawr (osteomyelitis emaw arthritis emaw) a inflammation.
• Thin natna (hepatitis) a awm.
• Renal failure a awm.
• Chhungril lama thisen chhuak (thisen chhuak).

Tularemia hi antibiotics tel lovin tihdam theih a ni em?

Mi thenkhat chu antibiotics tel lovin tularemia atanga an dam thei a ni. Mahse, harsatna lian tak tak, taksa peng chhiatna te pawh a thlen theihna a sang hle . Enkawl loh chuan type A tularemia hian 30% velin thihna a thlen thei a ni. Chuvangin rinhlelhna a awm chuan damdawi lam thurawn la nghal mai chu a finthlak hle ang.

Engtikah nge Doctor ka hmuh ang?

Doctor hmu rawh, i tih chuan:

• ‘Tularemia’ symptoms i neih chuan .
• Tularemia i vei tawh nia i ngaih chuan doctor chuan natna a lo awm loh nan antibiotics ei turin a rawt thei ang.
• Enkawl zawh chhung emaw, enkawl zawh hnuah emaw tularemia symptoms a lo lang leh a nih chuan .

Engtikah nge Emergency Treatment Unit (ETU) ah i kal a ngai ?

If you have these serious symptoms , i hnai ber emergency room-ah kal nghal rawh:

• Khawsik hi 103 Fahrenheit (39.4 Celsius) aia sang a nih chuan.
• Buaina emaw, rilru lama inthlak danglamna dang emaw.
• Luak emaw, ek emaw-ah thisen a awm chuan.
• Thisen i khuh chuan.
• I vun, hmui, i kut zungtang-ah rawng dum i hmuh chuan (hei hi oxygen tlakchhamna chhinchhiahna a ni - `hypoxia`).
• Pum natna nasa tak.
• Thâwk harsa na tak emaw, rang tak emaw.

Doctor ka zawh tur pawimawhte chu engte nge ni?

Doctor i hmuh hunah heng zawhnate hi zawh a tha ang:

• Engtin nge ka damdawi hi dik taka ka ei ang?
• In lama ka natna lan chhuah dan tihziaawm nan eng nge ka tih theih ang?
• Engtikah nge ka rawn hmu leh ang che?
• Engtikah nge emergency room-ah ka kal ang?

Tularemia hi biological weapon atan hman a ni tawh em?

A kai chak em em avangin tularemia thlentu bacterium F. tularensis hi biological weapon atan hman theih a ni ang tih ngaihtuahna a awm. Mahse, bioweapons nena inzawm tularemia hri leng report leh finfiah a la awm lo .

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chuvangin, he ‘Tularemia’ hi natna hlauhawm tak, mahse a chang chuan na tak, enkawl ngai a ni . I tawk tawh nia i hriat chuan, emaw, natna lan chhuahna i neih chuan doctor pan nghal rawh . Enkawlna i hmuh thuai chuan i dam kim thei a ni. Chuvangin, a pawimawh ber chu hlauhna ni lovin, fimkhur leh fimkhur hi a ni. Hrethiam e?

` Tularemia, Francisella tularensis, rabbit fever, deer fly fever, zoonotic natna, lymph nodes, tick-borne disease, bacteria infection, tick-borne natna te