Viral hemorrhagic fevers (VHF) tih hi i hre tawh em? He dinhmun hlauhawm tak hi han sawi ila!

Khawsik i neih hian i taksa peng hrang hrang atangin thisen a chhuak thei bawk tih i ngaihtuah ngai em? Dengue natna chungchang hi i hre tawh mai thei. Dengue pawh hi viral fever pawl pakhata tel a ni a, thisen chhuak thei a ni. Hei hi damdawi lama `(Viral Hemorrhagic Fevers)` emaw `(VHFs)` emaw kan tih chu a ni. Hengte hi a hlauhawm deuh thei a nih avangin vawiin hian he thu hi chipchiar tak leh awlsam takin han sawi ila.

``Viral Hemorrhagic Fevers'' tih hi eng nge ni tak tak?

A awlsam zawngin `(Viral Hemorrhagic Fevers)` hi hri kai pawl khat a ni. Heng virus te hi kan taksaa an luh hian kan thisen kalna kawng a tichhe thin. Chu chuan kan thisen zam a tibuai a, chu chu thisen a chhuah tan tirh chuan a titawp tihna a ni. Tui pipe-a leak ang maiin ngaihtuah la, kan thisen kalna kawng atang hian thisen a chhuak tan ta a ni. A châng chuan thil tenawm tak angin a inṭan a, mahse uluk taka enkawl a nih loh chuan nunna atana hlauhawm khawpin a pawi thei a ni. Amaherawhchu, `(VHF)` zawng zawng hi an serious vek lo. Ṭhenkhat chuan common cold ang chi symptoms chauh an nei. Mahse thenkhat chu an hlauhawm hle.

Heng `(Viral Hemorrhagic Fevers)` chi hrang hrangte hi engte nge ni?

Hetiang zingah hian natna engemaw zat a awm a, chungte chu ``Viral Hemorrhagic Fevers'' an ti a ni. Chung zinga ṭhenkhat chu i hre tawh mai thei.

• Dengue fever: Hei hi kan ramah kan sawi fo tawh a, mi tam takin a vei a ni. Thosi atanga kai a ni.
• Ebola virus natna (EVD): Hei hi a hlauhawm hle tih i hre tawh mai thei. Africa ramah a tam ber.
• Marburg virus disease (MVD): Hei hi Ebola ang maia na a ni a, Africa ramah a tam ber.
• Lassa fever: Hei hi Africa ramah pawh hmuh tur a awm.
• Yellow fever: Hemi atan hian vaccine a awm bawk. Africa leh South America-ah a tam ber.
• Crimean-Congo hemorrhagic fever (CCHF): Hei hi tick-borne disease a ni a, Asia, Africa leh Europe ram thenkhatah te hmuh tur a awm a.
• Hantavirus pulmonary syndrome: Hei hi rannung, rat ang chi atanga kai a ni. America ramah a awm tam ber.

Hetiang ang hi engemaw zat a awm bawk. An vai hian an darh vek lo va, chutiang chuan an na lo vek bawk.

Khawiah nge heng `(Viral Hemorrhagic Fevers)` te hi a tam ber?

Heng `(Viral Hemorrhagic Fevers)` te hi khawvel hmun tinah hmuh tur a awm lo. `(VHF)` chi tin hi khawvel hmun hrang hrangah a darh zel a.

• Africa: Natna chi hrang hrang, Ebola, Marburg, Lassa fever, leh yellow fever te hi a hluar hle a, a bik takin West leh Central Africa-ah te, Uganda ang ramah te pawh a tam hle.
• Central leh South America: Natna chi hrang hrang Yellow fever, dengue fever, hantavirus te a awm a.
• Asia khawmualpuiah:Kan biala Dengue natna hi a tam ber a, mahse ram thenkhatah pawh a awm ve tho a, Crimean-Congo hemorrhagic fever ang chi te pawh a ni.
• Pacific Islands: Dengue ang chi natna hmuh tur a awm.

Amaherawhchu, United States, Canada, Europe ang ramah chuan VHF chi hrang hrang hi Hantavirus vang a ni. Heng Hantavirus te hi Bunyavirus chhungkaw virus zinga subfamily pakhat an ni. Heng virus te hian United States-ah Hantavirus pulmonary syndrome an tih natna a thlen a, Europe-ah chuan hemorrhagic fever with renal syndrome a thlen bawk.

Chuvangin, heng natnate hi a hluarna ramah i zin a nih chuan fimkhur a, a tul anga himna tur ruahmanna i lak a pawimawh hle.

`(Viral Hemorrhagic Fevers)` natna lan chhuah dan chu engte nge ni?

Heng ``(VHFs)`` te symptoms hi case hrang hrangah a inang lo thei. Mahse, a tir lamah chuan natna lan chhuah dan tlangpui thenkhat i hmu fo thin a, chu chu viral flu pangngai ang bawkin a ni.

• Fever: A lan chhuah dan ber chu khawsik a lo chhuah thut hi a ni.
• Taksa na: I taksa pum a na ang maia inhriatna. Muscle leh ruh a na thei.
• Luak chhuak: I lu a inher ang maia inhriatna, a chang chuan ding thei lo khawpa lian.
• Chauhna: Engmah tih theih loh khawpa chau anga inhriatna.
• Lu na: Lu na na tak a awm thei.
• Skin rash: Taksaah hian vun sen emaw chi dang emaw a lo lang thei.

Hengte hi chhinchhiahna lo lang hmasa berte chu an ni. Amaherawhchu, natna a nasat phawt chuan a natna chu a na hle thei a ni. Tichuan symptoms te chu:

• Hnar, mit, hmui, emaw, serh atanga thisen chhuak.
• Luak na tak emaw, luak chhuak emaw: Luak leh riltam hi a chang chuan thisen nen a inzawm thei.
• Thisen chhuak.
• Thisen nen riltam.
• A rilru, kawr emaw, pum emawa natna nasa tak.
• Thâwk harsa.
• Thisen sang a tlahniam hle .
• Seizures a awm thin .
• Coma ah a awm .

Heng natna khirh tak tak zinga pakhat tal a lo lang a nih chuan damdawi ina dah vat a pawimawh a, hei hian nunna a tichhe thei a ni.

Heng `(Viral Hemorrhagic Fevers)` te hi eng nge a thlen?

Hemorrhagic fever virus hian engtin nge hetiang thisen chhuahna nasa tak a thlen tih hi doctor-te chuan an la hre chiang lo hle. Mahse he virus hian kan thisen kalna (blood vessels) a tichhe niin an ngai . Tichuan, chu thisen kalna kawng atang chuan thisen a chhuak tan a, a nih loh leh "leak" tan ta a ni.

Chu bâkah, heng virus te hian kan thisen zam (blotting process) a tibuai bawk.. A tlangpuiin khawi emaw laiah hliam kan tuar a, thisen kan chhuah hian, chu thisen chu rei vak lo hnuah a inzawm a, a tawp ta em ni? Hei hi heng virus te hian an tibuaitu chu a ni. Tichuan, hliam te tak te pawhin thisen chhuah chu a titawp thei lo. Chutiang bawk chuan taksa chhungah thisen chhuah a intan thei bawk. Ngaihtuah teh, hei hi tui tap off theih loh ang mai a ni.

Heng chhan pahnih hi a inzawm khawm chuan thisen chhuak nasa tak a awm a, thil awmdan chu a hlauhawm ta hle a ni.

Eng virus chi nge `(VHF)` thlen?

Heng `(Viral Hemorrhagic Fevers)` thlentu hi virus chi hrang hrang a awm a. Pawl pali chungchang kan sawi thei ber a:

• Arenavirus: He virus pawl hian Lassa fever ang chi natna a thlen thin.
• Filoviruses: Heng virus te hian Ebola leh Marburg ang chi natna hlauhawm tak tak an thlen thin.
• Bunyaviruses: Crimean-Congo hemorrhagic fever leh hantavirus natna te hi he pawla tel an ni.
• Flaviviruses: He virus pawl hian dengue fever leh yellow fever ang chi natna a thlen thin.

Mahse thil pakhat hriat reng tur. Heng virus group-a virus zawng zawng hian hemorrhagic condition (thisen chhuahna conditions) an thlen vek lo. Entirnan, `(Zika)` virus hi i hre tawh mai thei. `(Flavivirus)` group-ah pawh a tel ve bawk. Amaherawhchu, `(Zika)` hrik hian `(VHFs)` angin thisen kalna kawng a tichhia a, thisen a chhuah tir lo.

Heng `(Viral Hemorrhagic Fevers)` te hi engtin nge an kai theih?

Hemorrhagic fever thlentu virus te hi kawng hrang hrangin an kai darh a. An vai hian inkaichhawn dan inang vek an ni lo. An inkaichhawn dan tlangpui han thlir ila:

• Mosquito bites: Hei hi dengue leh yellow fever ang chi natna te hi a darh dan a ni. Chuvang chuan thosi laka inven tur leh boruak thianghlim taka vawng reng turin kan ti fo thin.
• Tick ​​bites: Crimean-Congo hemorrhagic fever ang chi natna hi tick atanga kai a ni.
• Hri kai taksa tui nena inhnaih: Chu chu hri kai thisen, zun, ek, hmui, nu hnute tui, semen, emaw, serh atanga chhuak emaw ang chi thil pakhat chu mi hrisel tak taksaah a luh chuan tihna a ni. Hetiang hian Ebola ang natna hi a darh thei a ni.
• Ran natna vei taksa tui nena inzawmna: ``(VHF)`` thenkhat chu rannung, rulhut, sava, bawng, leh thei chi hrang hrang atanga kai theih a ni. Chu rannungte ek, zun leh hmui kaltlangin an kai darh a ni. Entirnan Hantavirus leh Lassa fever te hi a ni.

Chuvangin heng natna laka inven nan hian heng natna kai dan te hi kan hriat chian a pawimawh hle.

Tute nge `(VHFs)` vei theihna chance sang zawk?

He hemorrhagic fever virus (VHF) hi kai theihna hi virus chi hrang hrang a zirin a inang lo. Mahse a tlangpuiin a hlauhawmna chu a hnuaia mite tan hian a sang deuh hlek a ni:

• VHF hluarna ram a awm emaw, zin emaw tan: Entirnan, Africa ram hmun thenkhata zin mi tu emaw chuan Ebola ang natna vei a hlauhawm thei.
• `(VHF)` virus kengtu rannung nena inzawmna nei te tan:He hlauhawmna hi rannung, rulhut leh rulhut awmna hmuna hnathawkte tan emaw, heng rannungte hi ran vulh anga enkawltute tan (ram thenkhatah chuan) tan a awm a ni.
• `(VHF)` vei damlo enkawltu emaw enkawltu: Healthcare worker-te chu an hlauhawm zual hle. Chuvang chuan invenna thawmhnaw bik `(Personal Protective Equipment - PPE).` an hmang thin

Thil danglam bik dang chu naupaiten ``(VHF)'' thenkhat an neih chuan natna khirh tak tak leh harsatna an neih theihna chance a sang zawk hle.

`(VHFs)` avanga harsatna awm thei te chu engte nge ni?

Heng ``(VHF)`` te hi toy natna a ni lo. Enkawl that loh chuan harsatna lian tak tak an thlen thei a, nunna atana hlauhawm pawh a ni thei.

• Nau pai, nau piang rit lo emaw, nau piang hma emaw: He hlauhawmna hi nu naupaiin VHF a neih chuan a sang hle.
• Swelling (Edema): Taksa peng hrang hrang, a bik takin lung hi a hring thei.
• Shock: Thisen sang a tlak hniam lutuk a, taksa peng hrang hrangin thisen an dawng tlem lutuk. Hei hi a hlauhawm hle mai.
• Internal bleeding: Taksa chhunga thisen chhuak, hmuh theih loha intan. Hei hi nunna atana hlauhawm tak a ni bawk.

Hetiang khawpa harsatna nasa tak a awm avang hian heng natnate hi a rang thei ang bera enkawl a pawimawh a ni.

`(Viral Hemorrhagic Fevers)` hi engtin nge kan hriat theih ang?

(VHF) symptoms i neih chuan, a bik takin natna vei tamna hmuna i zin tawh chuan doctor-in a hmuh veleh a ringhlel mai thei. Mahse symptoms ringawt hian natna chu eng nge a nih chiang takin a sawi thei lo.

Chuvangin, doctor-te chuan i taksa tui sample an test ang a, virus chhinchhiahna a awm em tih an enfiah ang. Hei hian test te pawh a huam thei a, chungte chu:

• Thisen test: Hei hi test pawimawh ber a ni. Thil tam tak a enfiah thei a, chu chu thisenah virus a awm em tih te, thisen zam harsatna a awm leh awm loh te, thin emaw kal emaw a nghawng tawh em tih te a enfiah thei a ni.
• Throat swab: Throat atanga sample lak test.
• Urinalysis: Zun sample an enfiah thin.
• Lumbar puncture / spinal tap: Hei hi tih a tlem hle a, thluak emaw ruhro emaw inrawlh nia rinhlelhna a awm chauhvin tih a ni.

Doctor-te chuan heng test result atang hian diagnosis dik tak an siam thin.

Engtin nge `(Viral Hemorrhagic Fevers)` hi enkawl an nih?

Vanduaithlak takin `(Viral Hemorrhagic Fevers)` tam zawk tan hian damdawi chiang tak a la awm lo. Chu chu hripui tichhe vek thei `(VHF)` zawng zawng tan damdawi a awm lo tihna a ni.

Mahse, VHF thenkhatah chuan antiviral treatment an mamawh a ni.An awm. Entirnan, Lassa fever leh `(VHF)` dang thenkhat tan damdawi `(Ribavirin)` an pe thin. Ebola vei atana pawm `(monoclonal antibody treatment)` `(Inmazeb®)` leh `(EbangaTM)` te pawh a awm.

A tam zawkah chuan healthcare provider-te chuan i symptoms enkawl dan leh i taksa nghet taka awm tir hi an ngaihtuah ber ang. Hei hian enkawlna hman a huam thei a, chungte chu:

• Supplemental oxygen emaw mechanical ventilation emaw: Thâwk harsa a awm chuan.
• Intravenous (IV) fluids: Saline ang chi thil hi taksaah tui a tlakchham emaw, thisen sang a hniam emaw chuan pek thin a ni.
• Symptoms control nana damdawi: Damdawi hi khawsik, natna, leh riltam ang chi thil atan pek thin a ni.

A pawimawh ber chu natna lan chhuah veleh damdawi lam thurawn lak a, a tul chuan damdawi ina awmtir hi a ni. Enkawlna tan hma chuan harsatna a tlem phah thei a ni.

`(VHFs)` hi ven theih a ni em?

Ni e, a takah chuan `(VHF)` laka kan invenna tur thil engemaw zat a awm. ‘Tihdam aiin invenna a tha zawk’ an ti.

• Vaccine lak: Natna engemaw zat vaccine a awm a, chung zingah chuan yellow fever, dengue, leh Ebola te pawh a tel. Mahse, heng vaccine te hi ram tinah mi zawng zawng hnenah pek vek a ni lo. Chu ram emaw, i kalna hmun emawa risk awm dan azirin pek an ni. VHF vei theihna hmuna i zin hmain i doctor emaw, public health official emaw hnenah vaccine lak i mamawh leh mamawh loh zawt hmasa phawt ang che.
• Insect seh loh tur: Inveng la, a bik takin rulhut leh rulhut lakah.
• I taksa khuhna tur thawmhnaw ha la, kawr sei leh kawr sei tak te ha la .
• Mosquito net hmang la, a bik takin zan mut hunah.
• Bug spray hmangin rulhut leh rulhut hnawtchhuak rawh.
• Rat, bat leh rannung dang phur thei (VHF) te nen direct contact loh tur. Tin, heng rannungte hian an bawlhhlawh an paihna hmunte tihfai hunah pawh fimkhur hle ang che.
• Mihring thisen leh taksa tui nena direct-a inhnaih loh tur. Hemorrhagic fever virus vei nia i ngaih mi i enkawl a nih chuan mimal invenna hmanraw \ha tak tak (gloves, goggles, apron, leh mask) hmang ngei ang che. Hei hi a pawimawh a, nangmah himna tur leh midangte hnena natna darh zel tur venna atan pawh a pawimawh hle.

Kan ramah hian dengue a hluar em em a, keini zawng zawng tan thosi venna kawnga kan thawhpui a pawimawh hle. In chhehvela tui awm rengte tihbo a, rulhut hnawih damdawi hman hian dengue chauh ni lovin, rulhut kaihhnawih natna dang tam tak lakah pawh kan inveng thei a ni.

`(Viral Hemorrhagic Fever)` ka neih chuan eng nge thleng ang?

``(VHF)'' i neih a, i natna lan chhuah dan a nasat chuan i doctor chuan damdawi inah enkawl turin a dah mai thei che. Hei hi i symptoms control nan leh complication lo awm thuai thei zawng zawng enkawl nan a ni.

A châng chuan, damlo dang a\anga in\henin, mi dang hnena hripui a darh loh nan special unit (isolation unit)-ah dah i ni thei bawk. Hei hi i himna tur leh midangte himna tur a ni. Thil ngaihtuah tur a awm lo, kalphung pangngai a ni.

Hemorrhagic fever hi tihdam theih a ni em?

Ni e, a dik tak zet. Hemorrhagic fever chi hrang hrang na lo tak takte chu tihdam theih a ni. Entirnan, Lassa fever, dengue fever, yellow fever ang chi natna te hian symptoms na lo tak tak a nei fo thin. Amaherawhchu, heng natna khirh tak takte hian thihna a thlen thei a ni. Chuvang chuan inenkawl hmasak a pawimawh.

Mahse, hemorrhagic fever chi hrang hrang, Marburg leh Ebola , te hi a thihpui fo thin. Chumi awmzia chu chutiang natnate chu i kai chuan i thihpui a rinawm zawk tihna a ni.

Hemorrhagic fever vanga thihna rate hi engzat nge ni?

Hemorrhagic fever vanga thihna rate hi virus a zirin a inang lo. Chu chu VHF zawng zawng hi a inang vek lo tih hi a ni.

• Entirnan, Marburg leh Ebola te hi hemorrhagic fever zingah chuan thihna thlentu ber an ni. Heng natnate hi a vaiin thihpui zat chu 40% aia tam a ni a, chu chu a vei mi sawm zinga pali aia tam an thi tihna a ni.
• Mahse, Lassa fever emaw dengue fever ang natna te hian mi 1% vel chauh an that thin . Chu chu a kai mi za zinga pakhat vel tihna a ni.

Heng statistics te hian `(VHF)` thenkhat chu an hlauhawm zia a tarlang a, thenkhat erawh chu an thihpui tlem zawk thung. Amaherawhchu, eng `(VHF)` pawh hi ngaihthah tur a ni lo.

Engtikah nge damdawi lam thurawn ka lak ang?

VHF awmna hmuna i awm a nih chuan, emaw, tun hnaia chutiang hmuna i kal tawh a nih chuan, emaw, hlauhawmna dang (e.g., rannung nena hnathawh) i neih chuan, natna lan chhuahna i neih chuan doctor pan nghal rawh.

Doctor chuan i in enkawl dan tur leh enkawlna dang i mamawh leh mamawh loh a hrilh ang che. Khawsik pangngai a ni thei a, mahse (VHF) a nih leh nih loh hriat chian a pawimawh.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

If you have any of these severe symptoms , damdawi in hnai ber emergency room-ah kal nghal rawh. I kal dawn chuan `(VHF)` i nei thei nia i rinhlelh thu staff te hnenah hrilh rawh.

• A rilru, kawr emaw, pum emawa natna nasa tak.
• Thâwk harsa.
• Luak chhuak nasa tak emaw, luak chhuak emaw (a bik takin thisen a awm chuan).
• Seizures a awm thin .
• Confusion ( thusawi mumal lo, hriat loh anga inhria).

Hetiang symptoms hian natna hi a nasatzia a tilang a ni. Chuvangin a tha ber chu hun khawhral lova damdawi inah a rang thei ang bera kal hi a ni.

Ka doctor hnenah eng nge ka zawh ang?

(VHF) i vei nia i rinhlelh emaw, i vei tih hmuhchhuah a nih chuan, i doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Engtin nge hri darh zel tur hi ka ven theih ang? (Midang hri kai loh nan eng nge ka tih ang?)
• Eng enkawlna kawng nge ka neih?
• Engtin nge ka in enkawl ang? (In lamah eng nge ka tih ang, eng nge ka ei/ei loh, etc.)
• Eng chen nge ka dam leh theih nan a la ngai ang?
• Eng symptom thar emaw, a zual zel emaw nge ka en tur?
• Engtikah nge ka rawn hmu leh ang che? (Follow-up atan)

Heng zawhnate bakah hian i rinhlelhna emaw, hlauhna emaw i neih chuan i doctor hnenah sawi hreh suh. I tanpui turin an awm reng a ni.

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

Okay, chuvangin tunah chuan vawiin a kan sawi `(Viral Hemorrhagic Fevers - VHFs)` te hi in hriatthiam ka beisei. Hengte hi dinhmun khirh tak tak, enkawl ngai tak tak an ni a, a chang chuan hlauhawm tak tak an ni thei bawk. Amaherawhchu, heng zinga a na zualte hi an tlem hle.

A pawimawh ber chu awareness leh safety a ni.

I hnathawh vang emaw, i hobby vang emaw, i zin chhuahna hmun avang emawa natna (VHF) i neih theihna tur hlauhawma i awm chuan i doctor nen in inven dan tur zawt rawh. Vaccine a awm leh awm loh te, fimkhur dan tur dang te, leh natna lanchhuahna a lo awm chuan eng nge tih tur tih te a hrilh thei che a ni.

Kan ramah chuan dengue natna hi ``(VHF)`` category-ah chuan a tam ber a ni. Chuvangin, thosi laka kan inven nan kan zavaia kan thawhho a pawimawh hle. Kan huan leh a chheh vel fai taka kan vawn hian chutiang natna tam tak lakah kan inveng thei a ni.

Hlau suh, fimkhur reng ang che! I hriselna enkawl hi a pawimawh ber a ni.

` Viral Hemorrhagic Fevers, VHFs, Dengue, Ebola, A natna lan chhuah dan, Invenna