Natna mak tak, rulhut atanga lo chhuak? Rat Lungworm chungchang i zir dawn teh ang.

Lettuce hnah nei rulhut te tak te i ei palh ang tih han ngaihtuah teh, a nih loh leh naupangte’n bet ang maia slug an ei lai pawh a awm fo thin. Hei hi thil tenawm tak angin lang mahse, hei hmang hian i taksaah hian parasite hlauhawm tak a lut thei a ni. Hemi avanga natna lo awm hi a tlem hle nachungin, a chang chuan a na thei hle. Chuvangin vawiin hian he rat lungworm, a nih loh leh `Rat Lungworm` chungchang hi kan sawi dawn a ni.

He rat lungworm hi eng nge ni?

A awlsam zawngin sawi ila, hei hi parasitic worm a ni a, rat taksaah a awm a ni. Damdawi lamah chuan `Angiostrongylus cantonensis` an ti a. Heng rulhut te nun chhung zawng zawng, chu chu rulhut te tak te an nih hi chu rulhut taksa chhungah chauh a awm a, a bik takin lung thisen kalna kawngah a thleng thin. Chungte chu rannung dang taksaah an luh chuan larva te chu rei lo te an dam a, chutah chuan an thi ta a ni.

He parasite hi mihring taksaah a luh chuan natna `angiostrongyliasis` kan nei a. Hei hi kan nervous system a nghawng avangin `neural angiostrongyliasis (NAS)` an ti bawk. Hemi avanga harsatna thlentu hlauhawm ber chu `eosinophilic meningitis`, thluak khawsik a ni. Hei hi mi pakhat atanga mi dangah kai theih a ni lo. Amaherawhchu, a nasat phawt chuan nunna atana hlauhawm hial a ni thei.

Engtin nge he rulhut hi mihringah a kai darh?

A nun kawng (life cycle) hi a awlsam hle.

1. Rat atanga tan a ni: Rat natna vei chuan ek a chhuah chuan heng worm larvae te hi ek nen environment ah an chhuak thin.

2. Snail leh slugs: Rannung, snail leh slugs ang chite hian rulhut thite an ei hian rulhut larvae te chu rannung taksaah an lut a. Chu taksa chhungah chuan larva thenkhat an lo piang chhuak thin.

3. Rats again: Rat in hri kai rulhut a ei chuan rulhut larvae te chu rat taksaah an lut a, chutah chuan roundworm ah an lo thang lian a, an nun chhung chu an zo ta a ni.

Mihringte hi raw emaw undercooked snail, slug emaw, intermediate host dang (a hnuaia en la) emaw, parasite kengtu ei hian kan kai a ni . Larvae te hi kan taksaah hian an lut a, heng rannungte nena an inhmu tawh, lettuce sil loh leh hnah hring dang ei a ni.

Hei hi rulhut chauh hian an piang em?

No. Tun hma chuan chutianga ngaih ni mah se, tunah chuan rannung chi dang tam tak kaltlangin a kai theih tih hmuhchhuah a ni ta.

Chuvangin heng rannungte hi raw emaw undercooked emaw ei loh a pawimawh hle. Tin, he parasite hi tui bawlhhlawhah darkar 72 thleng a dam thei bawk. Tui thianghlim hman a pawimawh.

Eng nge a lan chhuah dan?

Mi thenkhat chuan symptom engmah an nei lo mai thei. Mi dangte chuan symptoms na lo tak tak an nei thei a, ni engemaw zat hnuah a bo thei bawk. Mahse, eosinophilic meningitis i vei chuan a symptoms a langsar zual ang. Heng symptoms te hi hri kai atanga kar 1-3 chhungin a lang thei a ni.

Ka fa hi hlauhawmah a awm em?

Awle. Naupangte chu hei hi an hlauhawm zawk a ni. A chhan chu thil hriat duh vangin rulhut leh rulhut an la a, a chang chuan an hmuiah an dah bawk. Ṭhiante pawhin heng thilte hi an ti thei a ni. I fain a chunga kan sawi ang chite hi a neih a, chutiang ran chu a khawih emaw, a ei emaw tih rinhlelhna tlemte pawh i neih chuan doctor pan nghal rawh.

Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?

I doctor chuan i symptoms te leh raw snails i ei tawh em tih te, etc. a zawt hmasa ang a, a chang chuan chu information atang chauh chuan natna hi rinhlelh theih a ni.

Test thenkhat chu thluaka khawsik a awm leh awm loh hriat theih a ni.

• Thisen test: Thisenah eosinophil cell a pung em tih enfiah thin ang che.
• CT scan: Thluak ah danglamna a awm em tih en nan.
• Spinal Tap / Lumbar Puncture: Hei hi test chiang ber a ni. I ruhro chu a numb a, needle na tak tak dah a ni a, i thluak leh ruhro (cerebrospinal fluid) vel tui tlemte chu lakchhuah a ni a, rulhut emaw, thil danglam dang emaw a awm leh awm loh enfiah a ni.

Enkawlna chungchangah chuan a tam zawkah chuan enkawlna bik a ngai lo. A chhan chu heng rulhut te hi kan taksaah hun engemaw chen hnuah anmahni chauhin an thi thin. Doctor chuan a natna lan chhuahna thunun nân damdawi a pe fo ang a, chu chu taksaa natna leh inflammation atân a ni .

Mahse, a natna a nasat chuan anti-parasitic drug albendazole ang chi chu rulhut te chu thluak a tihchhiat belh hmaa tihlum turin pek theih a ni a, inflammation tihziaawm nan steroid pek theih a ni bawk. Hei hi i doctor kutah a awm vek.

Engtin nge he thil hi i dam khawchhuah theih ang?

A tha ber chu hei hi ven hi a ni. A ven nan heng thil awlsam tak takte hi i ti thei a ni.

• Raw ei suh: Ran, snail, slug, frog, shrimp, leh crab te chu raw emaw undercooked emaw ei ngai suh .
• Thlai leh greens te uluk takin silfai: A bik takin thil raw ei thin, lettuce leh greens huana chin te chu hman hmain tui luang hnuaiah uluk takin silfai thin ang che. Silfai hmain tuiah chi emaw vinegar emaw tlem nen minute engemaw zat dah hmasak a tha ber . Hei hian rulhut te tak te, an chunga innghat thei zawng zawng chu a paih vek ang.
• Kut sil tur: Huana hnathawh laiin, rulhut i khawih chuan kutkawr vuah tur a ni. Tichuan sahbawn hmangin i kut chu uluk takin silfai ang che.
• Naupangte zirtir: Naupangte chu rannung, rulhut leh rulhut ang chi an kâa dah hlauhawmzia zirtir rawh.
• Control rats: In chhehvela rats infestation control hian indirect takin he natna darh zel hi a tiziaawm bawk.

Hetiang dinhmun hi Sri Lanka-ah hian hmuh tur awm lo mah se, ram lum tak a nih angin keini pawh hi kan hlauhawm hle. Chuvang chuan eitur thianghlim leh him taka buatsaihin hetiang natna duh loh lakah hian kan him thei a ni.