Naupang viral fever nei chu aspirin i pe tur em ni? He natna hlauhawm tak (Reye’s Syndrome) hi fimkhur rawh .

I fain khawsik, khawsik, chickenpox ang natna a neih hian eng nge i tih tlangpui? A chang chuan, "Aw... aspirin tlem pe mai rawh," tiin kan ngaihtuah thin. Mahse, chutiang hun laia aspirin pek chu i fa tan a hlauhawm hle thei tih i hria em? Vawiin hian sawi hlawh lo zawk, mahse a thlentu dinhmun na tak tak kan sawi dawn a ni. Chu chu Reye-a Syndrome, a nih loh leh Reye-a Syndrome .

A awlsam zawngin, Reye’s Syndrome hi eng nge ni?

Reye’s Syndrome hi natna hmuh tur awm lo mahse natna khirh tak a ni a, thin leh thluak a ti na thin. Kum eng pawh a nghawng thei a, mahse naupang leh puitling tleirawl, flu emaw chickenpox ang chi virus infection atanga dam lehte zingah a tam ber.

Doctor-te zirchianna chuan hei hi a thlen theihna tur ber chu naupang pakhatin virus a kai laiin aspirin emaw, a ang chi damdawi dang, chu chu salicylates awmna damdawi emaw pek hi a ni tih an hmuchhuak.

Engvangin nge hetiang dinhmun hi a lo awm?

Doctor-te chuan Reye’s Syndrome thlen chhan dik tak hi an la hre chiang lo hle a, mahse naupang ṭhenkhat chu virus kai laiin aspirin pek an nih chuan he natna hi an vei tam zawk tih an hria.

Tin, naupang dang thenkhat chuan he natna hi an vei theihna a sang zawk a ni. Chung zingah chuan:

• Taksa chhunga thau acids te tihchhiat dan (Fatty Acid Oxidation Disorder) nena inzawm genetic disorder an neih chuan.
• Chemical tha lo tak tak, paint thinners, insecticides, leh weed killers te i tawk tawh a nih chuan.

Reye’s Syndrome a lo awm chuan taksa cell te chu a lo hring chhuak a, an chhungah thau a awm tan thin. Chutih rual chuan thisen sugar level pawh a tlahniam nghal bawk. Thisenah hian thil tha lo tak tak, ammonia leh acidity a pung a. Heng inthlak danglamna hian thin (liver) leh a bik takin thluak a tichhe nasa thei hle a, a chhan chu heng taksa peng hrang hrangte hi a hring nasa hle a ni.

Eng nge a lan chhuah dan? Engtin nge kan hriat chian?

Reye’s Syndrome symptoms hi virus infection a lo chhuah atanga ni 3 atanga ni 5 hnuah a lang tlangpui. Heng symptoms te hi kum a zirin a danglam deuh thei a, chuvangin hei hi uluk taka ngaihven a pawimawh hle.

Hriatthiam awlsam zawk nan heng mizia te hi table-ah han thlir ila.

Hei hi emergency a ni! Hêng chhinchhiahna na tak tak, nungchang lama inthlâk danglamna nasa tak, rilru hahna, a nih loh leh hriatna hloh ang chi i hmuh chuan, i fa chu damdawi in Emergency Department (ETU)-ah hruai nghal vat rawh Hei hian nunna a tichhe thei a, chuvangin rang taka hriatchhuah leh enkawl a pawimawh hle.

A châng chuan heng chhinchhiahnate hi meningitis, zunthlum natna emaw, poisoning emaw nen pawh a inthlau thei bawk. Thil tha lo (e.g. herbicide) i rinhlelh chuan Colombo National Hospital-a National Poisons Information Center-ah thurawn dil nghal rawh.

Engtin nge doctor hian he natna hi a hriat chian tak tak?

Reye’s Syndrome chungchangah hian test pakhat chauh a awm lo a, chuvangin doctor-te chuan a natna lan chhuah dan leh a chanchin hi uluk takin an enfiah tlangpui a, test eng emaw zat an kalpui a, natna dang a awm loh nan an hmang thin.

Chung zingah chuan:

• Thisen leh zun test: Hengte hian thil chi hrang hrang, thin hnathawh, thisen sugar, leh ammonia level te a enfiah thin.
• Fatty acid metabolism disorder awm leh awm loh screening: Hei hi thisen test bik neih thin a ni.
• Spinal Tap / Lumbar Puncture: He test hi thluak leh spinal cord-a pressure tehna atan leh natna hrik awm leh awm loh enfiah nan tih a ni.
• Liver Biopsy: Hei hian liver cells tihchhiat nasat zia dik tak hriat theih nan a pui a ni.
• CT emaw MRI scan: Hengte hian thluaka swelling awmte enin harsatna dang a awm leh awm loh a hre thei a ni.

Hei hi enkawl dan tur a awm em?

Reye’s Syndrome hi a titawp vek thei tur enkawlna bik a awm lo. Mahse, doctor-te chuan damlo chu damdawi inah dahin, a natna lan chhuahna na tak takte chu an veng thei a, a bik takin thluak natna chu an thunun thei a ni. Thil tih tur thenkhat chu hetiang hi a ni:

• Intravenous (IV) tui leh ei leh in tur.
• Diuretics hi taksa atanga tui leh chi tam lutuk paih chhuaktu damdawi a ni a, a hring (swelling) a tiziaawm a ni.
• Thisen chhuah loh nan damdawi.
• Liver atanga thisen chhuak ang chi dinhmun a lo awm chuan thisen zam tur atan vitamin K, plasma leh platelet te pek thin a ni.

Hun rei tak chhunga nghawng a neih dan chu eng nge ni thei ang?

Thu lawmawm tak chu medical science lama hmasawnna avang hian tunah chuan he natna hi a hma hlein hriat theih a ni tawh a, thihna rate pawh 50% atanga 20% aia tlem loah a tlahniam ta a ni. Chumi awmzia chu naupang leh tleirawl puitling tam zawk, he natna vei te hian an dam kim vek tihna a ni.

Mi pakhat a dam that dan leh hun rei tak chhunga thluak a tihchhiat theihna chu thluak a lo hring chhuah danah a innghat a ni . Symptoms a nasat thuai a, coma a thlen chuan thluak chhiatna a thlen theihna a sang zawk.