Rannung atanga kai theih natna Bartonellosis an tih hi i hria em?

In lamah ui duh tak, i seh emaw, i chil tlem emaw i nei ngai em? A tam zawkah chuan kan ngai pawimawh a, kan theihnghilh thin. Mahse, a chang chuan hetiang thil tenawm tak hnu hian a hliam chu a lo hring deuh a, ni engemaw zat hnuah chuan kawr leh kawr ang hmunah te chuan vun ang maiin a lo lang a, taksa chu a khawsik a ni thei. Khua a vawt hlein kan ngai. Mahse hei hnuaiah hian bacteria pawl pakhat `Bartonella` an tih hi a awm thei. Vawiin hian hêng rannung a\anga min kai theih natna `Bartonellosis` kan sawi a ni. Lungngai suh, hei hi awlsam takin i hrethiam ang u.

A awlsam zawngin Bartonellosis chu eng nge ni?

Bartonellosis hi natna pakhat chauh a ni lo. Natna hrik kai thei pawl pakhat a ni a, chu chu bacteria an tih Bartonella an tih a ni. Tunah hian he bacteria chi hrang hrang 22 hriat chhuah a ni a, chung zinga chi 15 vel chuan mihringah natna a thlen thei a ni.

He natna hi kan tan chuan a pawimawh a , a chhan chu zoonotic natna a nih vang a ni . Chumi awmzia chu kan ran vulh emaw, in chhunga ran dang emaw hnen atangin kan dawng thei tihna a ni. He bacteria hi rannung pakhat atanga rannung dangah leh rannung atanga kan hnenah vectors, fleas, lice, sand flies hmangin a darh thin. Tin, rannung hri kai chuan a seh emaw, a chil che emaw chuan bacteria chu i taksaah a lut thei a, direct pawhin a lut thei bawk.

Bartonellosis hi engte nge ni?

`Bartonella` bacteria hi kan taksa chhunga rawn lut ruh ang mai a ni. Taksa chhunga a luh hnu chuan he bacteria hian kan thisen sen , macrophages , immune system atana cell pawimawh tak tak, leh endothelial cells, kan thisen kalna kawng chhunga awmte chu direct-in a target a ni. He bacteria hian heng cell-ah hian lutin an chhunga inthup hmangin natna a thlen thin.

Bartonella bacteria avanga natna lo awm hi a chi hrang hrang a zirin a inang lo. Kan hmuh leh sawi tam ber chi thum a awm a.

Bartonellosis natna lan chhuah dan chu engte nge ni?

Bartonellosis natna lan chhuah dan tlangpui chu khawsik, khawsik, hahna, leh lu na te a ni. Mahse, kan sawi tawh ang khan natna thlentu bacteria chi hrang hrang a zirin symptom bik a inang lo.

Cat Scratch Natna a awm

Hei hi Bartonellosis chi khat zingah chuan a tam ber a ni. Ui a seh hnu ni engemaw zat emaw, kar engemaw zat emaw hnuah symptoms a lang thei.

• Lesion awmna hmun: Hmun sen angin a intan a, kar khat vel hnuah chuan bump te tak teah a lo thang lian thin. A na lo va, a hnim lo bawk. A châng chuan tuiin a khat a, chutah a vawt a, kar 1-3 chhungin a dam leh a, hliam a awm ta a ni.
• Lymphadenopathy: Hei hi he natna lanchhuahna ber a ni. Hliam bula lymph node te chu a lo hring chhuak thin. Entirnan, kut ah hliam a awm chuan node te chu armpit ah a hring thei a, ke ah emaw, groin ah emaw, kawr ah hliam a awm a nih chuan node te chu kawr ah a hring thei bawk. A khawih chuan heng a hring hringte hi a na thei a, a lum thei a, a sen pawh a sen thei bawk. Mi thenkhatah chuan hengte hi an kai thei bawk.
• A lan chhuah dan dang: Taksa na, hah, lu na, khawsik, chaw ei chak lohna, ril na, leh taksa rihna tlahniam te pawh a awm thei bawk.

Mi hrisel takah chuan heng symptoms te hi thla hnih atanga thla thum chhungin enkawl lohin a reh tlangpui. Amaherawhchu, taksa chak lohna nei mi pakhatah chuan he natna hrik hi mit, thin, thinlung, thluak, ril, a nih loh leh ruh thlengin a darh thei a, natna khirh tak a thlen thei a ni.

Carrion-a Natna a ni

Hei hi Sri Lanka-ah chuan a awm vak lo. Hei hi stage lian pahnih a awm a.

• Acute stage (Oroya Fever): Hei hi khawsik sang tak, khawsik, lu na nasa tak, chak lohna, leh vun rawng hring (pale skin) te a ni. Thisen sen (red blood cells) tihchhiat hian thisen tlakchhamna (anemia) a thlen thei a, chu chuan natna khirh zawk, thawk harsatna leh rilru natna te a thlen thei a ni.
• Chronic stage (Verruga Peruana): Acute stage hnuah vunah hian red-purple bumps (Peruvian warts) a lo lang tan thin. Hun a kal zel a, hengte hian blister, ulcerate, leh thisen chhuak thei a ni.

Trench Fever a ni

Hei pawh hi kan ramah a awm lo. Hetiang a nih chuan natna hrik taksaa a luh atanga kar 5 vel hnuah khawsik, lu na, luak chhuak, leh taksa na te chu a lo lang nghal a ni. Thil danglam bik chu ni 5 vel a khawsik hi a reh thei a, a lo lang leh thei a ni.

He natna hi engtin nge dik taka kan hriat theih ang?

Bartonellosis natna lan chhuah dan hi bacteria infection tlanglawn dang nen a inang avangin a lan chhuah dan ringawt atanga doctor pawhin a finfiah a harsa hle. Chuvangin hei hi chiang taka hriat chian nan thisen test a ngai a ni.

I doctor chuan thisen sample a la thei a, test bik PCR (Polymerase Chain Reaction) emaw DNA Sequencing emaw hmangin Bartonella bacteria DNA fragment a zawng thei bawk. Kan taksain he bacteria laka antibody a siam chhuah zawng turin test an nei thei bawk.

Natna a nasat chuan natna kai tissue (e.g., lymph node hring) sample te tak te (biopsy) lak a, test theih a ni.

Bartonellosis natna enkawl dan tur chu engte nge ni?

Thu lawmawm tak chu mi hrisel takah Cat Scratch Disease ang chi natna na lo tak chu antibiotics tel lovin thla engemaw zat chhungin a reh thei tlangpui.

Mahse, i natna lan chhuah dan a nasat chuan, emaw, taksa hriselna a chak lo a nih chuan, i doctor chuan antibiotics a pe ngei ang. He enkawlna hi kar 4-6 chhung a awh tlangpui. Khawsik leh natna damdawi an pe bawk ang che.

• Cat Scratch Disease: Hemi atan hian antibiotics `Azithromycin`, `Rifampin`, `Ciprofloxacin` te pek a ni tlangpui. Damdawi `Penicillin` leh `Amoxicillin` te hi a tha lo hle a, a chhan chu he bacteria hian a do thei a ni.
• Carrion’s Disease: Hei hi damdawi `Ciprofloxacin` emaw `Chloramphenicol` emaw hmanga enkawl a ni. Thisen tlakchhamna a nasat chuan thisen pek a ngai thei bawk.
• Trench Fever: Hei hi `` Doxycycline( ) hmanga enkawl a ni.Damdawi Doxycycline emaw Gentamicin emaw hi kar 2-4 chhung pek thin a ni.

He natna lakah hian engtin nge i inven theih ang?

He natna laka him taka awm hi chutiang chuan a harsa lo. Step tenau tlemte zawm mai pawh a tawk.

• I ran vulh (ui, ui) te chu a hun takah a tul anga enkawlna pein rulhut leh parasite dangte lakah humhim rawh .
• I ui nen in inkhelh hunah a theih ang anga scratch leh bite kha pumpelh rawh. I ui nen i inkhelh hnuah i kut chu sahbawn hmangin uluk takin silfai thin ang che.
• Hriselna (a bik takin taksa hnim hring) lakah inveng rawh. Fai takin awm rawh.
• Sandfly awm tamna hmunah chuan sandfly lakah inveng rawh. Insect repellent leh mosquito net hmang thin ang che.
• I taksa chak lohna a chak lo emaw, ran vulh i neih emaw, ngaihtuahna dang i neih chuan i doctor nen thurawn dil rawh.