瘧疾幻燈片(cdc)課件

HkaLiAnaHUKachinProject

1LabauHkaLiAna（malaria）gawatengrainasaianahpanlangairaingaai,dainimungkanntsahtaHkalianagawgraigabaiamanghkanglangairaingaai.Mungkanntsahtangaaimashajahpanyawngkawnnaka-anghkupdaramgawhkalianahpetsangraaijahpankawlawmngaai.shaningshaguhkalianamachyihkrumhkraaimashagawwan3-5daramre.daihtanna5ningnpumakajisen15-30daramasaksisumngaai.grainnamatsanaimungdannihtagaunnamachyihkrumhkrangaaire.2Dr.AlphonseLaveran（1845－1922）TheNobelPrizeinPhysiologyorMedicine19073HkaLiAna（malaria)：Hkalianagaw,hkalianakanu(Plasmodium)rawngaiJigrawng(Anopheles)mashahpegawannakapyaaire.

Kumlani：Hkumgahtet,salatpru,gashunggari,gachyung,gahtetkawp,lawlawlanggahtapbyinai,byinainanaraiyangsaingunyawm&kanpaikabawaai.

5【Ngasatngasa】Mashahkumhtabyinchyeaihkalianahpan4ngaai:·①、Plasmodiumvivax(Yuyuhkali)②、Plasmodiumficiparum(Hkalichyang)③、Plasmodiumoval(Po)④、Plasmodiummalariae(Pm)Hkaliana(Plasmodium)Ngasatngasaladaw2ngaai：

Mashahkumhkranggataganawnmazuplamn-ngaaishalawhtamwaai

Jigrawnghkumgata

Ayi&Alaganawnmazuplamn-ngaaishalawhtamwaai67Anahpeshakapyamaiaijigrawng(Anopheles)machyimashanasaichyuyang：

sporozoiteJIgrawngamayenkawhkannna

mashahkumnasaikaw

minutes30daram，Saisinsaidi

dindinrehkranggalainna

Tumgaranai（ganawnmazuplamn-ngaaishalawhtamwaai）

Pf5～6ya，Pv8yaPo9ya，Pm11～12ya Kungsaischizongtsen1.2～4merozoiteshaprawainkaumihpegawmacrophagesshakauaimakaumigawsaihkyengdikawshang，lawhtamwannaanabyinshangunai

8 Saihkyengdigatanaplasmodiumringform、trophozoite、schizontmerozoitesaihkyengdikapawkashaprawmerozoitematutnnakagasaidikawbaishangnnalawhtawaai

Langgadelawwaaihpang，plasmodiumnkaumigawkunggameteanophelesmashahpegawa

saikawhkannnaJigrawngkangametem/fgametepawngzygoteookineteShatkanshakumkungaihpangmayenkawbaishangmashahpeshakapya10【Epidemiological】Kapainingpawt：MachyimashahteanakanurawngaimashaKapbraailam：anophelespyikawgawaai.LayangganaPv：中華按蚊Bumgana：微小按蚊Bumlagawna：雷氏按蚊Nammaling：大劣按蚊12【Epidemiological】Mashawuhpawngkaploiailam：Byinngutaihpanghkamjannaatsamrawngwaai，raitimnananhkamai.AnakanuhpannpungaithemarenhkamjanatsammungnbungaiGahtapnnaaikaplalaraiyang，kumlayawmwaai.

14【Byinwaailam】Saihkyengdikapawgannamerozoiteshaprawdataimarangehkumhkranghtagahtet,gashunggari,salatpru…rekumlanimadunai.Anabyinaisawngnsawngkawanakanu(plasmogium)nalawshadangkawhkanai.Sawngjangbawnudeduwaai,tsilayakai15PfYawng≥1000000/mm3PVHkalungai≤25000/mm3PoPmAsakgabaaini≤10000/mm3AnakanuhpanSaihkyengdiLawshadang16【Kumla】Rawngaiaten：PV、Po14ya，Pm30ya，Pf12yaLakainnabyinai：Gawngnguibyinaihkali：Baigahtapbyinai：bradysporozoiteamarangebyinai.Laksaiaihkali：

PvPm

PoPf17Plasmodiumvivax(Pv)Lawmalawnggajawnggajaraibyinai，graunnagawbaigahtapbyinaini。ningnanbyinyanghkumgahtet、n-gunyawm、bawmachyi、n-gupnmuraiai.Ningnanehkumgahtetainmanai,gadeyannaaihpanghkringnnabaibyinwaai. ByinYangnumdaw3ngaai:12318kahtet：Kashung

hkring

ai

hpang

kahtet

shadang39.5～41℃duaiMyiman

hkyeng，Sai

hkawm

lawan，baw

tumkamachyi，shan

mawm、lamyi

laman

ni

machyi，nkup

hkraw

rai

aiSawng

ai

wa，kying

wa

ai,ndum

wa

aiByin

ai

aten2～6hours20Salatpru：Salat

pru

nna

kahtet

kawp

ai，Buhpun

palawng

yawng

madiwa

aiMachyi

masha

nga

pyaw

ai，rai

tim

grai

tsu

ba

aiNdai

ladaw2～3hours21Plasmodiummalariae(Pm)：LawngmalawngbyinnashawngkumlanmuaiByinaiatenlawmalaw72hours(3ya)Byinyang，kashung、kahtet&salatpruaitenladawgraidanlengaiSalatpruaiatenhtakahtetkawpgrailawanai，daimajawgraikyawaaiKanpaikaba/Sain-gunyawmrelamnaunngaai，RaitimJithprawailamgawlawmuai

byinaiatengalunnagahtapbyinloiai,Byinailam3ningkawnaunlaiai.ginrankaumihta，makajinibaikahtapbyinbyinraiyang,satedeahtuhkraai.23Plasmodiumoval(Po)：KumlandanlengaiGraikashung、garirelamnngaai，hkumkahtetshadangyawmai，shihkraimailuai.Sain-gunyawm,kanpaikabarelamndanlengai6langdangbyinchangbainchyekahtapbyinai.24Tsangraaimashani①.5ningpunamakajini②.Hkumgawngliaikanunumni③.Hkalianahpehkamjannaatsangajimimungnluaini265ningnpunamakajiniHkalianabyinlawjangtsangraailamniSaksumloi

aiBawnu

nyan

hpaji

yawm

wa

ai…..

27Hkumgawngliaikanunumni

MahkratwaaiShingngaitennduyangshingngaiwaaiMasiaishingngaiwaaiManbawngringai……

2830313233TsigawnlajangailamHkumkahtetaimashangayangHkalianarenguhpeshawngmyitdumnnaalawanshanyinawnaiHkalianajeplamaiaiTsirung/gawkdesaisajepnaJeplaluyangSharawun/maniamatsunhkannnatsihpeatenmanmansh