Kum tam tak chhung i pum chhunga awm thei he rulhut natna hi i hria em? (Strongyloidiasis) tih hi a awm lo.

Kan naupan lai atang tawhin rulhut chungchang hi kan hre vek tawh a ni lawm ni? Worm kan ngaihtuah hian damdawi tlemte hmanga tihdam theih tur thil kan ngaihtuah tlangpui. Mahse, i taksa chhungah hian kum tam tak, kum sawm tam tak chhung pawh ni se, engmah chhinchhiahna awm lovin , rulhut chi hrang hrang a awm tih i hria em? Vawiin hian natna khirh zawk, thup, rulhut natna kan sawi dawn a ni. Hei hi Strongyloidiasis an ti a.

A awlsam zawngin, Strongyloidiasis chu eng nge ni?

Strongyloidiasis hi intestinal infection a ni a, chu chu roundworm `Strongyloides stercoralis` an tih vang a ni. Hemi chungchanga thil danglam tak chu he rulhut hian i rilruah rulhut a pai a, chu rulhut atanga rulhut lo chhuak te chuan i taksa chu an kai leh thei a ni. Hei hi `autoinfection` kan ti a. In luahtu chu insawn chhuak lovin, chu ai chuan chhungkaw nena insawn ang mai a ni. Hei vang hian he natna hi kum tam tak chhung chu chhinchhiahna awm lovin a awm thei a ni.

Engtin nge he rulhut hi taksaah a luh?

Chumi thlentu parasite, Strongyloides worm chu lei bawlhhlawh, tui emaw, bawlhhlawh emaw-ah a cheng a ni. Lei bawlhhlawhah kekawr bul lova i kal emaw, lova i hnathawh emaw, tui bawlhhlawh i tawk emaw hian heng rulhut larva te hian i vun chhungah an lut thei a, i taksaah an lut thei a ni. A chhunga an luh hnu chuan heng larva te hi i thisen kal tlangin an kal a, a tawpah chuan i small intestine an thleng ta a ni. Chutah chuan an rulhut an dah thin. Hmeichhia chuan ni khatah artui 40 thleng a pai thei. Chung rulhut thenkhat chu ek chhungah a chhuak a, leilung a ti bawlhhlawh leh thin. Chumi hnuah chuan egg dang atanga lo piang larvae te hian intestinal wall emaw rectum vel vun chhungah an lut a, i taksaah an lut leh a, autoinfection an tih cycle chu an chhunzawm leh a ni.

Hei hi eng symptoms nge ni?

Hemi chungchanga thil mak tak chu he natna vei zinga a chanve vel chuan symptom an nei lo. Chuvang chuan he natna hi an nei tih pawh an hre lo. Symptoms nei ve thote chuan chaw ei kawngah harsatna an nei tlangpui.

Engtin nge natna hi dik taka kan hriat theih ang?

He natna hi hriatchhuah a harsa thei hle. A chhan chu microscope hmanga stool sample enfiah hian rulhut hi a hmuchhuak ngai lo. Chuvangin, ni engemaw zat chhunga stool sample engemaw zat (3-5 tal) test hian result rintlak zawk a pe thei a ni. Tin, a chang chuan thisen test pawh tih theih a ni a, natna hrik dotu antibody a awm leh awm loh enfiah theih a ni bawk. Natna a lo zual zel a, lung a nghawng a nih chuan lung atanga tui (sputum) emaw, small intestine atanga tui emaw sample lak hmangin a natna hriat chian theih a ni.

Hei hi tute tan nge a hlauhawm theih ang? (Hyperinfection Syndrome) a awm thei lo.

Immune system a chak loh chuan heng rulhut, taksa thununna atanga tlanchhuakte hi an pung nasa lutuk a, intestine atang hian an chhuak a, taksa peng pawimawh dang lung, thin, thinlung leh thluak ah te an darh tan thin. Hetiang dinhmun hi `Hyperinfection Syndrome` kan ti a. Chutiang hunah chuan thihna rate hi 80% vel a ni thei.

Hyperinfection Syndrome vei theihna sang zawkte chu:

• Steroids `(Steroid damdawi rei tak ei thinte (e.g. asthma leh arthritis ang chi natna tan) .
• Cancer (a bik takin thisen cancer) enkawl mekte .
• Mite chu organ transplant nei tawh leh immune system titawp thei damdawi ei mekte
• Zunthlum vei te
• HIV hrik kai te
• Virus kai hmuh tur awm lo `HTLV-1` an tih te
• Zu in tam lutuk te
• Natna khirh tak tak nei te, kal ( kidney failure) te

Engtin nge enkawl a nih? Tin, engtin nge a ven theih?

He natna hi enkawlna tha tak tak a awm a. Infection tlanglawn tak tan chuan damdawi `Ivermectin` an tih hi ni 1-2 chhung pek theih a ni. A then phei chuan damdawi `Albendazole` an tih chu ni 7 chhung pek thin a ni. Mahse, damdawi dawrah hian i duh angin heng damdawi te hi ei suh tih hre reng ang che . Doctor pan ngei ngei tur a ni a, a dose leh enkawl hun chhung tur chu i ei ngei ngei tur a ni. A bik takin `Hyperinfection Syndrome` natna khirh takah chuan damdawi inah dah a ngai a, kar tam tak chhung enkawl a ngai a ni.

Invenna hi a tha ber!

He natna laka kan inven nan hian thil awlsam tak tak kan tih theih a awm a:

• Kekawr bun: Kekawr emaw, pheikhawk emaw bun ngei ngei tur a ni a, a bik takin lei, leilung emaw, lei hnim emawa i kal hunah. Huan enkawl emaw, loneih emaw ti thinte chuan he thil hi an fimkhur tur a ni.
• Toilet hman dan leh bawlhhlawh sawngbawl dan: Faina dan dik zawm tur. Environment-a bawlhhlawh a pung khawm loh nan ven.
• Faina: Tui bawlhhlawh emaw, bawlhhlawh awmna hmun emaw nena inhnaih loh tur.
• Ran vulh: Ui ang chi ran vulh te ek chu uluk taka paih chhuakin silfai tur a ni.

Strongyloidiasis, rulhut natna, intestinal worm, Strongyloides, leia natna, hyperinfection, Ivermectin