Sri Lanka mite kan nih angin, thosi kaihhnawih natna kan ngaihtuah hian dengue hi kan rilruah a lo lang nghal a ni lawm ni? Mahse Dengue ang bawkin khawvelah hian natna dang, thosi atanga kai theih, mahse tlem a hlauhawm zawk thei, thluak a nghawng thei a awm bawk. Vawiin hian chutiang natna pakhat chungchang kan sawi dawn a ni. A hming chu Western Equine Encephalitis a ni. Hei hi kan ramah chuan a awm ve lo nachungin hetiang thil hi fimkhur a pawimawh hle.
Western Equine Encephalitis hi eng nge ni?
A awlsam zawngin sawi ila, virus natna a ni a, rulhut seh avanga kai darh a ni. A dik tak chuan "arboviral" group-a tel natna a ni. Chu chu, virus natna a ni a, arthropods, rulhut leh rulhut ang chi te hian an kai darh thin tihna a ni. A thlentu virus hi thluak khawsik chi dang pahnih, Eastern Equine Encephalitis leh Venezuelan Equine Encephalitis virus te nen a inang hle.
He natna hian mihring leh sakawr a nghawng thei a ni . He natna hi rulhut hrik kai atanga kai a ni. Hemi atana mawhphurtu rulhut chi lian ber chu `(Culex tarsalis)` a ni. Amaherawhchu, dengue hrik darh thei nia hriat, thosi chi `(Aedes)` leh `(Culiseta)` te pawhin he hri hi an kai thei a ni.
He virus natural cycle hi sava leh thosi inkara awm a ni. Chu chu, rulhut chuan sava hri kai chu a seh a, chu chuan sava hrisel tak chu a seh a, natna chu a darh ta a ni. Mihring leh sakawr hi he cycle-ah hian accidental host chauh an ni. Chu chu sava atanga natna hi direct-a kan kai lo tihna a ni. Mahse, a tlem hle a, he natna hi nu naupai atanga a fa hnenah nausen (placenta) kaltlangin a kai thei a ni. Hei hi thawkna lam natna a ni lo.
Tu nge hlauhawm zawk?
- He natna hi a hluarna hmunah (a bik takin United States chhim leh chhim lam state-ah) i awm a nih chuan.
- Chutiang hmuna zin i nih chuan.
- Pawn lama hun tam tak i hman chuan.
He natna lan chhuah dan engte nge ni?
A tlangpuiin natna hrik kai rulhut in a seh atanga ni 5 leh ni 15 inkarah a lan chhuah tan thin. Symptoms hi a tir lamah chuan common cold nen a inang hle.
| A tir lama a lan chhuah dan | Hrilhfiahna |
|---|---|
| Khawsik | Taksa lumna a sang. |
| Lu na | Lu na na tak. |
| Nausea leh luak chhuak | Pum natna neia luak chhuak. |
| Chaw chakna | Chaw ei duhna hloh. |
| Chauhna leh chak lohna | Engmah tih theih loh khawpa chau lutuk nia inhria. |
A tam zawkah chuan heng natna lan chhuah dan tlangpui te hi a reh ang a, natna chu a dam tawh ang. Mahse, a châng chuan a dinhmun chu a na zual thei a ni. Ngaihtuah teh, he hri hi kan thisenah hian a darh chak hle a, thluak vengtu natural barrier (blood-brain barrier) chu paltlang a, thluak chhung ngeiah pawh lut ta se eng nge thleng ang?
Chutah chuan natna chu a hlauhawm ta hle mai. Virus hi thluaka a luh hian encephalitis , thluak tissue a hring chhuak a, meningitis , chu chu thluak khuhtu membrane inflammation a ni
Hetianga nervous system a nghawng chuan a hnuaia symptoms te hi a lo lang thei a ni.
- Luak chhuak thei
- Eng êng tak en thiam lohna (photophobia) .
- Dementia leh thil tibuaitu nungchang
- Mutthilh lutuk
- Thil hriatna hloh vek (coma) .
- Muscle a nghet lo leh a hrual (spasticity) .
- Seizures a awm thin
- Hun rei tak chhunga nghawng nei thei, zirlai harsatna ang chi
Naupang tê leh tarte hi heng neurological complications hi an vei tam ber a ni . He natna avanga thihna hi 3% leh 7% inkar a ni. Tin, he natna atanga dam chhuak zinga 15% leh 30% inkar hian hun rei tak chhung thluak lama chhiatna an nei thei bawk.
Engtin nge natna hi hriatchhuah leh enkawl a nih?
He natna vei tamna hmunah i zin a, a chunga kan sawi ang chite hi i neih chuan doctor pan nghal rawh . He natna lan chhuah dan hi virus meningitis chi dang nen a inang a, chuvangin diagnosis hi a harsa deuh thei a ni.
Doctor-in i nervous system a nghawng nia a rinhlelh chuan damdawi inah dah i ni thei a, test eng emaw zat tihsak i ni thei bawk.
- Lumbar puncture: Thluak leh ruhro (CSF)-a tui awmte enfiah nan .
- CT scan hi test a ni.
- MRI scan hi test a ni.
- Antibody test: Hengte hian natna hi chiang takin a nemnghet thei a, mahse a result hi a lo let leh theih nan kar engemaw zat a la ngai thei.
He natna atana antiviral damdawi bik a la awm lo. Chuvangin, enkawlna hian a pui thei a ni . Chu chu doctor-te chuan khawsik leh natna ang chi symptoms control nan damdawi an pe tihna a ni. Nervous system a nghawng nasat chuan intensive care unit (ICU)-ah enkawl a ngai mai thei. Hei hian mechanical ventilation, seizures control, taksa tui level vawn that, leh intracranial pressure sang ang chi thil hlauhawm tak tak control te a huam a ni.
He natna lakah hian engtin nge i inven theih ang?
He natna laka sakawr venhimna tur vaccine tha tak a awm a. Mihring tan vaccine siam ni mah se, clinical-a hman tur chuan a tam lo hle. Mimal risk sang tak, laboratory-a thawkte tan chauh hman a ni.
Chuvangin, kan tih theih tha ber chu a theih ang anga rulhut laka kan inven hi a ni . Heng tips te hi dengue laka kan invenna atan pawh a pawimawh ve ve.
| Invenna hmanrua | Eng nge tih tur |
|---|---|
| Pawn lam hun | Zing leh tlai (zing leh ni tlak)-ah, rulhut an tam ber lai hian pawn lama i inhmuhna chu tihtlem rawh. |
| Thawmhnaw | Pants sei tak leh kawr sei tak tak, taksa khuh tha thei tur ha la. |
| In humhalh | Kawngkhar leh tukverh-ah mosquito net dah rawh. |
| Mut dawnin | Mosquito net hmang rawh. Net chu mattress hnuaiah nghet takin secure rawh. |
| Mosquito hnawhchhuahna a ni | Vun langsar takah insect repellent hnawih thin ang che. DEET leh picaridin ang chi thil telte chu a hlawk ber. |
| Thawmhnaw leh bungrua | Thawmhnaw, mosquito net, leh camping hmanruaah 0.5% (permethrin) theh tur a ni. Hei hian rulhut a hnawtchhuak emaw, a that emaw ang. |
| Mosquito piang tur venna | Dengue rulhut darh zel tur venna atana kan tih ang hian i in leh a chhehvel fai takin vawng reng ang che. Tui khawlna hmun ruak (sava inbualna, bucket, pangpar dahna, tire) kar khatah vawi khat tal dah tur a ni. Tui dahna te chu khar tlat tur a ni. |
Take-Home Thuchah a ni
- Western Equine Encephalitis hi thluak natna hlauhawm tak, mahse natna hlauhawm tak, rulhut atanga kai theih a ni.
- A natna lan chhuah dan chu khawsik pangngai atanga thluak nghawng thei khawpa na tak thlengin a awm thei. Naupang tê leh tarte chu an hlauhawm hle.
- Hei hi enkawlna bik a awm loh avangin, a tha ber chu natna laka inven hi a ni . Chumi atan chuan thosi laka inven a pawimawh hle.
- Natna lanchhuahna rinhlelh awm tak tak i neih chuan, a bik takin natna hluarna hmuna i zin tawh chuan tihkhawtlai lohvin i doctor pan tur a ni .
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