Nail rusty tak i ke pen a, ‘Oh my, tunah chuan tetanus shot ka lak a ngai dawn’ tih i ngaihtuah ngai em? A nih loh leh hliam tenau i neih hunah ‘Hei hian a ti na lovang’ tih i ngaihtuah ngai em? Mi tam takin tetanus hi kan hre tawh a, mahse a nasat zia erawh kan hre chiang lo. Tetanus emaw, damdawi lama hriat lar tak emaw hi i ngaihtuah aiin a hlauhawm zawk hle. Vawiin hian awlsam leh hriatthiam awlsam takin kan sawi dawn a ni.
Tetanus hi eng nge ni tak tak?
A awlsam zawngin sawi ila, tetanus hi natna hlauhawm tak, kan nervous system tichhe thei a ni. Bacteria `Clostridium tetani` an tih atanga siam toxin kan taksaa a luh hian a lo awm thin. He bacteria spore hi boruak hmun apiangah hmuh tur a awm vek tawh. Leilung, leivut, leh rannung bawlhhlawhah te an tam hle . Nail rusty ang chi thir thil hlui awmna hmunah chuan bawlhhlawh leh leivut a awm avangin he bacteria hi a awm theihna chance a sang zawk a ni.
Ngaihdan dik lo awm fo chu rust hian blisters a siam tih hi a ni. Dik tak chuan, blister hi rust avanga lo awm a ni lo va, bawlhhlawh emaw bawlhhlawh emawa bacteria, rust hmanruaa innghat thei a nih vang a ni.
Heng bacteria spore te hi i vunah hliam thuk tak atanga i taksaah an luh chuan oxygen tlemna hmunah an lo thang lian tan thin. Chumi hnuah chuan toxin hlauhawm tak `tetanospasmin` an siam chhuak ta a ni.He toxin hian thisenah a kal a, kan nerve tawp lamah a inzawm a, ruhro (spinal cord)-ah a kal a ni. Chutah chuan kan taksa ruhte chu chawlh hahdam tura hrilhtu signal te chu a block a ni. Chuvang chuan taksa ruhte chu a nghet a, jaw ruhte chu a inzawm khawm a, `lockjaw` an tih condition a lo awm ta a ni.
Hei hi dinhmun pawi tak a ni. Tunlai damdawi in intensive care unit-a enkawl a nih pawhin hri kai zinga 10% leh 20% inkar chu an thi thei a ni. Chuvangin hei hi thil awlsam tak a ni ngai lo.
Engtin nge rash hi a lo awm theih?
Clostridium tetani bacteria hian hliam atanga taksaa a luh chuan tetanus a thlen thei a ni. A hnuaia table-ah hian hetiang thil thleng dan hi han en ila.
| Hliam awm dan (nature) a ni | Entirna leh sawifiahna |
|---|---|
| Puncture Hliam a awm | Thil chi hrang hrang, nail, hling emaw, thinghnah hrual emaw avanga vun chhunga lut thei hliam thuk. |
| Hliam bawlhhlawh tak tak | Lei, ran ek, hmui, etc. a tihbawlhhlawh hliam. |
| Hliam, tissue thi tawh | Kangmei nasa tak, frostbite. |
| Chhan dang | Damdawi inject nana hman thin needle bawlhhlawh te, hmanraw bawlhhlawh hmanga surgery tih te, rannung seh te, insect sting te (a tlem hle). |
A pawimawh ber chu, i measles vaccine i la tha lo a nih chuan heng hliam zinga pakhat tal hi i nei thei tihna a ni.
A bik takin pawl engemaw zat an awm a, chungte chu:
- Ruihhlo inject thinte.
- Mite taksa chak lohna nei (e.g. cancer vanga chemotherapy la mekte).
- Zunthlum vei te.
- Kum 70 chunglam (hun kal zelah vaccine laka invenna a tlahniam thei avangin).
Nau pai loh chhinchhiahnate chu engte nge ni?
Flu vei atanga ni 3 leh ni 21 inkarah symptoms a lang thei. A tlangpuiin ni 8 vel a ni. A symptom hmasa ber chu lockjaw a ni. Chumi awmzia chu hmui a hawng thei lo tihna a ni. Tichuan a natna lan chhuah dan chu taksa pum puiah a darh zauh zauh a.
| A lan chhuah dan ber |
|---|
| Lockjaw (jaw lock) a ni. |
| Chaw ei harsa. |
| Taksa pumpuiah muscle tightness na tak a awm. |
| Sudden, muscle spasm na tak. |
| Lu na, khawsik, leh thawk hah lutuk. |
| Thisen sang leh heart rate inthlak danglamna. |
| A nasat chuan seizures a awm thei. |
Muscle Spasms hi eng ang nge ni?
Hei hi seizure symptom na ber leh hrehawm ber pakhat a ni. Ngaihtuah teh, thawm tê tê hriat emaw, mi pakhatin i taksa a khawih emaw, light on emaw chuan heng taksa peng hrang hrangte hi a tichhuak thei a ni. Hetih lai hian i kawr leh i hnungzang chu thal ang maiin a hnunglam a inher a, i ke chu a dinglam a, a nghet a, i kut chu kut zungtang angin a inzawm khawm a ni. Hetiang dinhmun hi minute engemaw zat a daih thei a, he hun chhung hian thawk harsa i ti mai thei.
Heng symptoms te hi i neih chuan damdawi in Emergency Treatment Unit (ETU) pan vat a pawimawh hle.
Engtin nge enkawl a nih?
Measles natna hriat theihna tur thisen test bik a awm lo. Doctor chuan i natna lan chhuah dan te, i hliam dan chipchiar tak te, leh vaccine i pek tawh dan te a enfiah ang.
Eclampsia enkawl nan hian damdawi ina awm a ngai tlangpui a, intensive care unit (ICU)-ah a awm fo thin . Enkawlna kawng hrang hrang a awm a, chungte chu:
- Hliam enkawl dan: A hmasa ber chu hliam chu uluk taka tihfai a, hliam chhunga tissue thi leh Fremdkörper (thil dang) awm zawng zawng chu paih chhuah a ni. Hei hi bacteria lo thang zel tur tihtawp nan a ni.
- Tetanus Immune Globulin (TIG) vaccine: Hei hian taksaa tetanus toxin kal kual vel tichhe turin antibody a pe nghal a ni.
- Antibiotics: Antibiotics Metronidazole ang chi hi bacteria Clostridium tetani tihlum nan pek thin a ni.
- Muscle spasms control nana damdawi: Takru spasm na tak tak te hi sedative medications `Diazepam` pek hmanga control theih a ni.
- Supportive care: Damloin a mah chauha thawk a harsat chuan mechanical assistance pek thin a ni. Chaw an ei theih loh avangin hnar hmangin tube an dah a, ei leh in sang tak an pe bawk. Damlo hi a dam kim hma loh chuan medical team-in uluk takin an vil reng a ni.
Invenna hi a tha ber - vaccine la rawh!
Measles chungchanga thil tha ber chu vaccine hmanga ven theih vek a ni.
A pawimawh ber chu, vawi khat chu chickenpox i vei tawh vang mai maiin i vei leh tawh dawn lo tih ngaihtuah suh. He natna atanga i dam leh pawhin i taksa hian permanent immunity a nei lo. Chuvangin, i dam hnuah pawh vaccine lak leh tur a ni.
Kan ramah hian naupangte hi an naupan laiin `DTaP` (diphtheria, pertussis, leh whooping cough) vaccine pek an ni. Mahse chu immunity chu dam chhungin a daih lo. Chuvangin, puitling i nih tawh chuan hengte hi i hre reng tur a ni:
- Kum 10 danah measles tan booster shot lak thin ang che .
- Hliam thuk emaw bawlhhlawh emaw i neih chuan, i vaccine hnuhnun ber atanga kum 5 chuang a liam tawh a nih chuan (a nih loh leh engtikah nge tih i hre thei lo) , doctor pan nghal la, booster shot la rawh.
Hemi chungchangah hian rinhlelhna i neih chuan hliam hi a tenauah ngai suh. Doctor hnenah thurawn dil nghal rawh.
Take-Home Thuchah a ni
- Tetanus hi natna khirh tak a ni a, nervous system a nghawng a, rust vang ni lovin, lei leh leivut a bacteria awm vang a ni.
- Hoarseness leh muscle spasm nasa tak hi a lan chhuahna ber a ni a , hei hian thihna a thlen thei a ni .
- Enkawlna atan chuan damdawi ina dah ngei ngei tur a ni a, thil buaithlak tak a ni.
- He natna laka invenna tha ber chu kum 10 danah measles tan booster shot lak hi a ni.
- Hliam thuk leh bawlhhlawh i neih chuan ngaihthah suh la, i vaccine pek dan enfiah turin doctor pan nghal rawh .
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