Kan taksaah hian rulhut te tak te emaw, rulhut emaw a inbun lai kan hmuh chuan kan ngaihven vak lo a ni lawm ni? Kan scratch off mai a, kan move on mai thin. Mahse a chang chuan hetiang thil thleng tenau tak pawh hi natna khirh tak bul tanna a ni thei. Vawiin hian tick-borne disease, sawi tam vak loh chungchang kan sawi dawn a ni. Human Granulocytic Anaplasmosis, a tawi zawngin HGA tih a ni.
A awlsam zawngin Anaplasmosis chu eng nge ni?
Hei hi a takah chuan bacteria infection a ni. He natna hi `Anaplasma phagocytophilum` an tih bacterium-in a kai darh a, chu chu hri kai flea (a bik takin `Ixodes` type of flea)-in a seh a ni. He bacteria hi a finthlak hle. Kan taksaah direct-in a lut a, kan taksa invenna ang chi thisen var (white blood cells) te chu a bei a ni. Hei hian kan immune system a tichak lo va, symptom hrang hrang a lo lang tan thin.
He natna hi kum 1990 chho vela hmuhchhuah a ni. Chumi hnuah chuan khawvel hmun hrang hrang a\angin hri kai hmuhchhuah a ni a, a bik takin North America, Europe, leh East Asia-ah te hri kai hmuhchhuah a ni.
Tute nge he natna vei theihna sang zawk?
He natna kengtu flea te hi thlai, thinghnah leh thing tamna hmunah an awm tam ber. Chuvangin, a hnuaia mite hi tlem chuan risk sang zawkah an awm a ni:
- Thingtlang lama chengte tan, a bikin huan leh lo bula chengte tan.
- Lo neitute tan.
- Ramngaw lama thawk (e.g. forest officer) te tan.
- Ramsa man tura kalte tan.
- Tlâng lawn leh ramngaw chhunga kea kalte tan.
- Ui chu ran vulh anga enkawltu tan (ui chunga fleas te chu awlsam takin in chhungah an lut thei ang).
A pawimawh ber chu tu pawhin he natna hi a awmna hmun an tlawh chuan an kai thei a ni. Chuvangin fimkhur a pawimawh hle.
Eng nge a lan chhuah dan? Engtin nge i hriat chian?
A natna lan chhuah dan hi hri kai flea-in a seh hnu ni 5 leh ni 14 inkarah a lang tlangpui. Mi zawng zawng hian symptoms inang an nei vek lo. Mi thenkhat chuan symptoms na lo tak tak an nei thei a, thenkhat erawh chuan symptoms na tak tak neiin damdawi ina dah ngai an nei thei bawk. Kum upa lam leh taksa hriselna chak lo (zunthlum emaw cancer vei ang chi) te hian natna lanchhuahna na tak an nei tam zawk.
A hnuaia tarlan te hi a lan chhuah dan tlangpui tarlan a ni.
| Symptom a ni | Thu belhchian dawl zawk |
|---|---|
| Khawsik leh khawsik | Hei hi symptom hmasa ber a ni. Vawikhat, khawsik sang tak a lo awm thei. |
| Lu na na tak | Lu na pangngai aia nasa zawk leh tuar theih loh lu na a awm thei. |
| Taksa na leh ruh natna | Ka taksa chu a na a, viral fever ka nei ang mai hian. |
| Luak chhuak leh luak chhuak | Damlo thenkhat chuan pum na, luak leh riltam te an nei thei. |
| Thil dang pawh a awm | Khuh, vun rawng, buai, leh thisen tlakchham (thisen tlakchhamna) ang chi symptoms te pawh hmuh tur a awm lo. |
Engtin nge hei hi i hmuh theih, Doctor?
Heng symptoms nei doctor i pan hunah zawhna tlem a zawt ang che. A bik takin, tun hnaia ramngaw hmunah i kal tawh em tih leh i taksaah rannung rulhut ang chi i inzawm tawh em tih a zawt ngei ang.
Tichuan, thisen test vawi engemawzat nei turin an ti ang che a, natna chu finfiah turin an ti ang che.
- Full Blood Count: Hei hian thisen var (Leukopenia) a tlahniam a, platelet a tlahniam (Thrombocytopenia) a lantir thei bawk. Liver enzyme pawh a sang thei bawk.
- Specialized tests: Natna finfiah nan hian thisen test bik `(IFA - Indirect Immunofluorescence)` leh `(PCR - Polymerase Chain Reaction)` te tih a ni. Hengte hian bacteria nena inzawm antibody emaw, bacteria genetic fragment emaw direct-in a hmuchhuak thei a ni.
- Blood Smear: Thisen tla khat lak a, microscope hmanga enfiah theih a ni a, thisen var chhungah hian bacteria a awm em tih hriat theih a ni.
Pawimawh:Doctor i hmuh hmain antibiotics hmanga mahni invenna tih loh tur. Chutianga tih chuan thisen test dikna a nghawng thei a ni.
Enkawlna pawimawhna leh enkawl hmasak dan
He natna chungchanga thu lawmawm ber chu a enkawlna hlawhtling tak a awm tih hi a ni . Mahse, condition pakhat a awm. Chu chu a rang thei ang bera enkawl tan a ngai tihna a ni .
- Chumi atana damdawi pek ber chu antibiotic doxycycline a ni .
- A hnu lama enkawl i tan poh leh natna chu a nasat phah a, pneumonia, kal chak lohna, leh thihna thlengin a thlen thei a ni.
- Chuvangin, doctor-in i natna lan chhuah dan leh history a zirin he natna hi a rinhlelh veleh thisen test result pawh nghah ngai lovin a enkawl tan thei a ni. Chu chu tih tur dik leh him ber a ni.
Engtin nge natna laka inven theih ang? - Invenna hi a tha ber!
He natna hri danna hi tun thlengin a la awm lo. Chuvangin a tha ber chu fleas atanga inthiarfihlim hi a ni. Ramngaw emaw, huan emaw, ran in emaw i kal dawn a nih chuan heng thilte hi ngaihtuah la.
| Eng nge tih tur | Engvangin nge chu chu? |
|---|---|
| Thawmhnaw khuh kim vek rawh. | Pants sei, kawr sei, pheikhawk, leh socks ha rawh. I pants chu i socks chhungah tuck rawh. Hei hian fleas te chu i vun thleng a ti harsa zawk a ni. |
| Thawmhnaw rawng hring tak tak ha rawh. | Flea dum chu thawmhnaw rawng hring chungah a kal a nih chuan hmuh a awlsam hle. |
| Insect repellent hmang rawh. | Thawmhnaw leh vun langsar takah DEET emaw permethrin emaw awmna repellent hnawih thin ang che. |
| In i thlen hnuah i in check leh ang. | Armpit, groin, lu, leh beng hnung lam ang chi hmun te enfiah thin ang che. A theih chuan mi pakhatin enfiah tir rawh. |
| Ran vulh te enfiah rawh | Pawn lama inkhelh atanga lo lut ui leh vawk te chu rulhut awm leh awm loh enfiah fo ang che. |
Take-Home Thuchah a ni
- Anaplasmosis hi bacteria infection a ni a, fleas atanga kai theih a ni a, enkawl loh chuan a na thei hle.
- Ramngaw hmun i tlawh hnua khawsik sang, lu na, taksa na ang chi symptom i neih chuan ngaihthah suh.
- Doctor pan vat rawh. Natna leh i kal tawhna hmunte chiang takin sawi rawh.
- A hmaa hriatchhuah a nih a, antibiotics ` ( Doxycycline) ` ang chi hman tan a nih chuan he natna hi a dam kim thei a ni.
- Natna tuar ai chuan rulhut laka invenna tur hmalakna hi a pawimawh zawk hle.
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