‘Hemorrhagic fever’ tih hi i hre ngai em? Ebola ang natna hlauhawm chungchang sawiin chanchinbuah i hre tawh mai thei. He hming hriat pawh hian a hlauthawng deuh thin, a ni lawm ni? He thupui hi kan hriat chian a ngai vek a ni. A awlsam zawngin sawi ila, Viral Hemorrhagic Fevers (VHF) hi virus infection group pakhat hming chawia hman tlanglawn tak a ni. Heng virus te hian kan taksaa thisen kalna kawngte a tichhe a, thisen zam (natural process of blood clotting) a tibuai a, taksa chu thunun theih loh khawpin thisen a chhuah tir a ni.
Heng hemorrhagic fever (VHF) chi hrang hrangte hi engte nge ni?
Natna tam tak hi VHF an tih zingah hian an tel ve a ni. Ṭhenkhat chu a nêm hle a, mahse ṭhenkhat chu nunna atana hlauhawm tak an ni thei. Kan zinga hriat hlawh tak Dengue natna pawh hi he category-ah hian a tel ve a ni.
Hengte hi VHF chi hrang hrang hmuh tur lian ber berte chu an ni:
- Ebola Virus Natna (EVD) .
- Marburg Virus Natna (MVD) 1. A rilru a hah lutuk chuan a rilru a buai em em a.
- Hantavirus avanga natna awm dan
- Dengue Fever - Hei hi Sri Lanka-ah hian kan hriat chian em em a ni lawm ni?
- Lassa Fever a ni
- Yellow Fever a ni
- Crimean-Congo-a thisen chhuak natna (CCHF) .
Khawiah nge heng natnate hi a tam ber?
Heng VHF chi hrang hrangte hi khawvel hmun hrang hrangah hmuh tur a awm a. Hengte hi report a ni fo thin:
- Africa ram atanga lo kal: a bik takin West leh Central Africa atanga lo kal.
- Central leh South America atanga lo kal a ni.
- Asia ram a\angin: Kan chenna Asia ramah pawh Dengue ang chi VHF hi a tam hle.
- Pacific Islands atanga lo chhuak a ni.
A tlangpuiin heng natnate hi America, Canada, Europe ram ang ramah te hmuh tur a awm lo. Chu ramah chuan Hantavirus hri kai chauh an awm tam ber.
Heng flu natna lanchhuahna awm thei te hi engte nge ni?
Hei hi a pawimawh hle a ni. A chhan chu a tir lamah chuan he natna lan chhuah dan hi viral fever pangngai nen hian thliar hran a harsa deuh thei a ni. Mahse, a bik takin kan dinhmun a nasat huna a lan chhuahna (symptoms) te hi kan ngaihven a ngai a ni.
| Natna chungchang hi a ni | Symptoms hmuh theih a awm |
|---|---|
| A lan chhuah hmasak (a lan hmasak ber) . |
|
| Condition a nasat huna symptoms lo awm thin |
A pawimawh ber chu, khawsik ruala heng natna khirh tak tak te hi i neih chuan damdawi lam thurawn lak nghal a pawimawh hle .
Engvangin nge heng virus te hian thisen a chhuah tir?
Hei hi thawnthu buaithlak deuh a ni. A awlsam zawngin, heng VHF virus te hi kan taksaa an luh hian thil pawimawh pahnih an ti thin.
1. Thisen kalna kawng a tichhe: He virus hian kan taksa pum puia thisen kalna kawng nalh tak takte bang a tichhia a. Tichuan, chu thisen kalna kawng atang chuan thisen a chhuak tan ta a ni.
2. Thisen zam a tibuai: A tlangpuiin kan taksaa cut kan neih hian thisen a chhuah loh avangin thisen a chhuak thin. He virus hian chutiang thila inrawlh cell (platelet) leh protein te chu a tibuai a ni. Tichuan, thisen chhuak tlemte pawh hi tihtawp theih a ni lo.
Heng chhan pahnih hi a inzawm khawm chuan taksa chhung leh pawnah thisen chhuahna chu thunun theih lohvin a luang tan thin.
Eng virus chhungkua nge hetiang hi thlen?
VHF thlentu virus te hi chhungkaw lian paliah then theih a ni a:
- Arenavirus te hi a awm a
- Filovirus (Ebola leh Marburg te hi he chhungkaw zinga mi an ni) .
- Bunyavirus te hi a ni
- Flavivirus (dengue leh yellow fever te hi he chhungkaw zinga mi an ni) .
Heng natnate hi engtin nge an inkaichhawn?
Heng natna inkaichhawn dan hi a inang lo. VHF zawng zawng hi a inang vek lo. A tlangpuiin heng natnate hi kai theih dan tlangpui engemaw zat a awm a.
- Mosquito bites: Hei hi dengue leh yellow fever ang chi natna te hi a darh dan a ni.
- Through tick bites: Crimean-Congo fever ang chi natna hi tick atanga kai a ni.
- Hri kai taksa tui nena inhnaih chuan:Damlo thisen, zun, ek, hmui, nu hnute tui, semen, emaw, serh atanga chhuak emaw chu mi hrisel tak, hliam, hliam emaw, mucous membrane emaw hmanga taksa chhunga a luh chuan (Ebola ang natna hi hetiang hian kai theih a ni).
- Ran natna vei taksa tui nena inzawmna: VHF chi thenkhat chu rannung te tak te, rulhut, sava leh rulhut te zun leh ek nena inzawmna atanga kai theih a ni.
Heng natnate hi engtin nge an enkawl?
Vanduaithlak takin VHF natna tam zawk hi "damdawi" chiang tak a awm lo. Natna tlemte chauh, Ebola ang chite chauhvin antiviral treatment an rawn hmang thar a.
Chuvangin, supportive care pek a ni fo thin a, chu chu damlo taksa hnathawh thatna tura tanpui tihna a ni.
- Taksa tan tui mamawh zat pek: Saline (IV fluids) hi vein kaltlangin pek thin a ni a, chu chu luak leh riltam vanga tui tlakchham loh nan a ni.
- Oxygen: Thâwk harsa a awm chuan oxygen pek a ni. Mechanical ventilation nena inzawm a ngai thei bawk.
- Symptom control: Damdawi hi khawsik, natna, leh luak chhuak te control nan pek a ni.
- Thisen pek: Thisen chhuah tam lutuk emaw, platelet count tlem emaw i neih chuan thisen emaw, platelet emaw pek a ngai mai thei.
Damdawi inah chuan heng damlote hi midang aiin a hranin enkawl an ni fo thin a, himna tur ruahmanna bik siamin an awm fo thin. Hei hi mi dangte hnena natna darh zel tur venna atan a pawimawh hle.
Heng natnate lakah hian engtin nge i inven theih ang? (Invenna) 1.1.
A tha ber chu heng natna hlauhawm laka inven hi a ni. Chutiang ti thei tur chuan thil engemaw zat kan tih theih a awm.
- Vaccine lak: Natna engemaw zat tan vaccine a awm a, chu chu yellow fever, dengue, leh Ebola te hi a ni. Mahse, heng vaccine te hi ram zawng zawngah a awm lo. Heng natna vei tamna ramah i zin a nih chuan i chhuah hmain i doctor hnenah he thu hi zawh hmasak phawt a pawimawh.
- Insect laka invenna: Rulhut leh rulhut laka inven nan theihtawp chhuah thin ang che.
- Taksa khuh kim thei thawmhnaw ha la.
- Mosquito net hmang rawh.
- Mosquito repellents hmang rawh.
- A chhehvelah dengue thosi chinna hmun a awm chuan tihchhiat vek tur a ni.
- Rannung nena inhnaih loh tur: Heng natna keng thei rannung, a bik takin rat leh bat te nena inhnaih loh tur.
- Hriselna dan zawm rawh: Hetiang damlo (e.g., healthcare worker) i enkawl a nih chuan, Personal Protective Equipment (PPE) gloves, goggles, leh mask te hi vuah ngei ang che. Damlo taksa tui nen direct contact reng reng chu pumpelh tur a ni.
Engtikah nge doctor i hmuh ang?
He natna hi a hluarna hmuna i awm a, tun hnaia pakhat i tlawh tawh emaw, hlauhawm dang i neih a, a chunga kan sawi tak ang chi natna lan chhuah hmasak te hi khawsik ruala i neih chuan doctor pan nghal tur a ni.
Engtikah nge damdawi in Emergency Department (ETU) ah i kal nghal ang?
A hnuaia symptom na tak tak te hi i neih chuan , damdawi in hnai ber Emergency Department (ETU) ah tihkhawtlai lovin kal rawh. Damdawi in i kal dawnin VHF i vei nia i rinhlelh thu staff te hriattir a pawimawh bawk.
- A rilru, kawr emaw, pum emawa natna nasa tak
- Thâwk harsa
- Luak chhuak emaw, luak chhuak emaw tihtawp theih loh
- Seizure neih a ni
- Buaina emaw, hriatna hloh emaw
- Taksa khawi hmun atang pawha thunun theih loh thisen chhuak
Take-Home Thuchah a ni
- Viral Hemorrhagic Fevers (VHF) hi virus natna hlauhawm tak tak, thunun theih loha thisen chhuah tir thei pawl a ni.
- Sri Lanka rama kan tawn fo thin Dengue fever pawh hi he VHF group-a tel ve ve a ni.
- A tir lamah chuan khawsik pangngai ang maia hriat ni mah se, a natna a nasat chuan natna hlauhawm tak tak, hmui thisen chhuak leh thisen chhuak ang chi a awm thei a ni.
- Natna tam tak enkawlna bik a awm loh avangin damdawi ina dah leh supportive care hi enkawlna ber a ni.
- Heng natnate hi rulhut, rulhut laka invenna te, faina tha taka kalpui te, natna hlauhawmna hmuna i zin a nih chuan damdawi lam thurawn lak te hian a veng thei a ni.
- Khawsik ruala symptom na tak (a bik takin thisen chhuak) i neih chuan tihkhawtlai suh la, doctor hmu la, damdawi in pan nghal rawh.
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