I fa te chu khawsik ang maiin a khuh tan a, chutah a khuh na tak zet em ni, engtik lai pawhin? A châng chuan khuh laiin thawk a harsa ṭhin em, i thawk chhuah hian “whooping” ri mak tak a siam em? Hei hi khuh pangngai a ni lo va, thawkna lama natna hlauhawm tak, tawngkam hmannaah “ whooping cough ” an tih a ni thei a, damdawi lam pawhin `( Pertussis )` tia hriat a ni. Hei hi hriat a pawimawh hle a, a bik takin in in chhungah naupang tê tê i neih chuan.
Whooping cough tih hi eng nge ni? A awlsam zawngin i hrethiam ang u.
Whooping cough hi natna hrik kai theihna nasa tak a ni a, kan kawr leh thawkna kawng a nghawng a ni. Kum eng pawh a nghawng thei a, mahse nausen leh naupang tê tê tan chuan a hlauhawm zual hle. A bul tanna chu common cold angin a ni. Mahse kar khat emaw kar hnih emaw vel hnuah chuan khuh na tak, tihtawp theih lohah a chang ta a ni.
He khuh hi vawi khatah a lo thleng vek lo. Khuh chu a rawn lang nghal a, rei vak lo hnuah a rawn let leh thin. Doctor-te chuan he khuh natna hi ``paroxysms`` an ti. He khuh hi a lo awm chuan ei leh in, thawk, mut pawh a harsa hle. Khuh a tawp a, thawk lak i tum chuan chu “whoop” ri sang tak chu i rilru atanga lo chhuak chu i hre ta a ni. Amaherawhchu, nausen te te hian khuh lovin thawk harsa an ti thei a.
Mi thenkhat chuan hei hi “ni 100 chhung khuh” tiin an sawi thin. Hei hi a chhan chu heng symptoms te hi a reh kim theih nan kar tam tak, thla tam tak pawh a ngai thei a ni.
Whooping cough natna lanchhuahna chu engte nge ni? Stage hrang hrangah
Whooping cough hi vawi khatah a na zual lo. Stage thum kaltlangin zawi zawiin a kal zel a ni. Chu stage pathum chu eng nge ni tih i han en teh ang.
| Dawhsan | Hrilhfiahna |
|---|---|
| Stage khatna: Khawsik ang maiin | Hetiang hian kar khat emaw kar hnih vel zet chu a awm tawh a ni. Hei hi natna hrik kai tam ber lai a ni a, mahse khawsik pangngai mai mai niin kan ngai. A lan chhuah dan chu: – Hnar khar leh hnar luang chhuak - Hrawk thip – Mit atanga mittui lo chhuak – Khuh te te, zawi zawiin a pung zel – Taksa nunna nei lo – Khawsik tlem (100.4°F / 38°C aia hniam) . |
| Stage 2: Khuh natna nasa tak | Hei hi kar khat atanga kar ruk thleng a daih thei a, kar 10 thleng pawh a daih thei bawk. Hetih lai hian thawkna kawng chu mucus thick takin a khat a, khuh na tak a awm thin. – A vawi khatah minute engemaw zat non-stop a bark thin. – I khuh hnua i thawk chhuah chuan “whoop” ri i hre thin. – Khuh laiin i luak chhuak thei a, i taksa pawh a chau hle thei bawk. – Tap, ei leh in, nuih hian khuh a pung thei. – Chhun leh zan lamah pawh khuh ka nei a, zanah erawh a na zawk. |
| Stage Pathumna: Zawi zawiin dam lehna | Hei hi kar 6 thleng a daih thei. Hetih lai hian khuh natna nasa tak chu a hma angin a lo thleng ngai lo. Mahse khuh te tak te a lo thleng a, a kal zel bawk. Zawi zawiin khuh a reh deuh deuh a. Amaherawhchu, he hun chhung hian taksa a la chak lo a, chuvangin thawkna lam natna dang pawh awlsam takin a lo awm thei a ni. Chuvangin fimkhur a pawimawh hle. |
A bik takin naute te te lakah fimkhur rawh!
Nausen naupangte natna lan chhuah dan chu puitling leh naupang kum upa zawkte nen a danglam thei. Khuh an nei lo tak tak thei a, thawk harsa chauh an nei thei.
- I naute chu thawk a harsa hle niin a lang em?
- I thawh lai hian i pum a lut ang maiin a lang em?
- Oxygen tlakchham vangin ka chhehvel vun emaw hmui emaw chu blue/gray a ni em ? Hei hi `( cyanosis )` kan ti a.
- Thâwk hi rei vak lo a chawlhsan em? (apnea) (apnea) tih a ni.
Heng symptoms zinga pakhat tal i hmuh chuan tihkhawtlai suh. I fa chu damdawi in hnai ber Emergency Department (ETU) ah hruai nghal rawh.
Engtin nge he natna hi a lo than chhoh a, a darh zel?
Whooping cough hi bacteria pakhat Bordetella pertussis an tih atanga lo chhuak a ni. He bacteria hian kan thawkna kawng lining a tichhia a, a ti hring chhuak thin. He swelling hian thick mucus a siam a, khuh na tak a thlen thin.
Hei hi natna hrik kai theih tak a ni. Hri kai mi a khuh chuan , .Naupangin a khuh laia boruakah a chhuak thin droplet te te (respiratory droplets) hmangin midangte hnenah a darh thin. I fate class-a naupang pakhatin he natna hi a vei ang tih han ngaihtuah teh. I fa pawhin a man theihna chance a sang hle.
He hri kai atanga ni 5 atanga ni 10 inkar ah symptoms hi a lang tlangpui. Mahse, a chang chuan ni 21 thleng a la ngai thei. Mite chuan natna lan chhuah tirh ni atanga khuh na tak a lo chhuah atanga kar thum thlengin midang hnenah an kai darh thei a ni.
Whooping cough avanga harsatna awm thei
Hei hi khuh awlsam tak a ni lo kan ti a, a chhan chu harsatna hlauhawm tak a thlen theih vang a ni. A bik takin naute thla 12 hnuai lam tan chuan a hlauhawm hle.
| Nausen leh naupang tê tête chunga harsatna awm thei | Thalai leh puitlingah harsatna awm thei |
|---|---|
| – Pneumonia `(Pneumonia)` – Beng natna – Hnar thisen chhuak – Thlawhna lama harsatna – Ei leh in lama harsatna (malnutrition). – Thluak chhiatna (encephalopathy) – Hei hian thluak a tichhe reng thei a, thihna thlengin a thlen thei. | – Pneumonia `(Pneumonia)` – Kahinā panna kawngah rib pakhat tihchhiat – Thil hriatna hloh – Migraine natna (Migraine) a awm – I taksa rihna tihtlem – Zun chhuah loh (urinary incontinence) . |
Tute nge a bik takin hlauhawma awm?
- Nausen vaccine lak ngai lo (a nih loh leh naupai laiin a nuin vaccine lak loh) .
- Naupang immunity hniam nei te
- Naupang asthma na tak nei te
Engtin nge doctor hian he natna hi dik taka a hriat theih ang?
Doctor i pan hunah he natna hi dik taka a hriat theih nan hengte hi a ti ang:
- Taksa enfiahna tih: Naupang rilruah stethoscope dahin, auscultated a, general examination tih a ni.
- Symptoms chungchang zawhna: I khuh awm dan te, a ri te, leh eng chen nge a awm tawh tih te zawh i ni ang.
- Mucus sample test: Nasopharyngeal swab hi hnar chhungah stick te tak te dahin laboratory-ah thawnin virus a awm leh awm loh enfiah thin a ni.
I chhehvela mi tu emaw chuan whooping cough emaw, khuh chhunzawm zel emaw an neih chuan doctor hnena hrilh chuan natna hriatchhuahna kawngah a pui hle ang.
Whooping cough enkawl dan tur chu engte nge ni?
Doctor ten whooping cough enkawl nan antibiotics an pe thin. Damdawi an pek tam ber chu azithromycin leh clarithromycin te an ni.
Hetah hian thil pawimawh tak a awm: Antibiotics hian i khuh chu a ti reh lo vang a, i khuh natna pawh a ti tlem lo vang. Mahse, midangte hnena natna thehdarh chu an titawp ang che. Tin, natna atanga i ei tan chuan i natna lanchhuahna nasatzia a tiziaawm thei bawk.
I fate dinhmun a nasat chuan damdawi inah enkawl a ngai mai thei. Chutah chuan doctor leh nurse ten naupang thaw dan an enfiah thei a, a tul chuan oxygen an pe thei a, saline solution an pe thei bawk.
Doctor hmuh a hun ta!
A hnuaia thil thlengah hian i fa chu doctor hnenah entir ngei ang che.
- Naupang chu whooping cough laka vaccine tha taka pek a nih loh chuan.
- Whooping cough vei i bulah i awm tawh a nih chuan.
- Khuh a nasat a, nitin a na zual a, a nih loh leh luak chhuak a awm chuan.
- Khuh leh khawsik i neih chuan.
- Bawnghnute, formula, ei tur i dah hniam thei lo a nih chuan.
Heng symptoms te hi i neih chuan damdawi in pan nghal mai rawh!
I fain thawk a harsat emaw, a vun chu a sen/a sen (a bik takin hmui leh kut zungtang) a nih chuan 1990 call nghal la, damdawi in hnai ber Emergency Department (ETU)-ah hruai rawh!
In lama i tih theih thilte chu hahdamna i hmuh theih nan
Doctor-in a pek damdawi i ei lai hian heng thilte hi in lama tih hian hahdamna engemaw chen i hmu thei a ni.
- Khawizu tlem pe rawh: Khawizu hian khuh a tidam thei. Mahse, naute kum khat hnuai lam chu khawizu pe ngai suh! (Thil hlauhawm tak `(botulism)` tih a thlen thei).
- Chawlhna tam tak nei rawh: Taksa a dam theih nan chawlh hahdam a pawimawh.
- Fluid tam tak in rawh: Tui leh soup ang chi thil in hian mucus thick tak chu a ti thick ang a, khuh pawh a ti awlsam ang.
- Cool-mist humidifier hmang rawh: Hei hian room chhunga humidity tihpunna hmangin mucus a tizau thei a ni.
- Tlemte chaw pek: Vawi khata chaw lian vawi khat ei ai chuan a tlem zawka chaw pek hian luak chhuak a tiziaawm thei a ni.
- Khuh thlentu thil lakah hlat rawh:Leivut, meikhu, leh chemical na tak tak (faina tui thenkhat ang chi) te hian khuh a tipung thei a ni.
Engtin nge whooping cough lakah i inven theih ang?
He natna hlauhawm tak laka invenna kawng tha ber leh awmchhun chu vaccination hi a ni.
- Naupang tê tête hnena pek ṭhin `(DTaP)` vaccine hi.
- `(Tdap)` vaccine hi thalai, nu naupai, leh puitling tan pek a ni.
Heng vaccine te hian natna kai theihna a ti tlem a, natna i kai a nih chuan a nasat dan leh a harsatna te nasa takin a tihziaawm thei bawk. Mahse, vaccine i lak rei poh leh immunity i nei tlem zawk ang. Chuvangin i doctor nen nang leh i fa tana vaccine pek dan tur chungchang sawipui rawh.
A then phei chuan natna vei i tawk a nih chuan, i doctor chuan a natna lan chhuah hma pawhin, invenna atan prophylactic antibiotics a pe thei a ni.
Take-Home Thuchah a ni
- Whooping cough hi khawsik emaw, khuh emaw chauh a ni lo. Infection na tak a ni a, a bik takin naupang tê tê tan chuan thihna thlen thei a ni.
- Hemi laka invenna tha ber chu vaccine lak hi a ni. I fa leh nangmah ngei pawh i vaccine pek dan tur i hriat chian theih nan i doctor nen inbia ang che.
- Whooping cough i vei nia i rinhlelh chuan doctor rawn la nghal rawh. Inenkawl hmasak hian natna darh zel tur ven nan a pui thei a ni.
- Naupang thawk harsatna emaw, a sen hring emaw i hmuh chuan emergency a ni. Damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh.
- Antibiotics hian khuh a tidam lo a, mahse midangte hnena natna a darh loh nan a veng a ni. Doctor-in a pek damdawi dose kimchang ei a pawimawh.
Khuh, Sinhala tawngin Pertussis, ni 100 chhung khuh, naupang khuh, thawk harsa, khuh damdawi, khuh vaccine
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