Written by
- Dr Zodinpuia Pachuau
ASYMPTOMATIC CHUNGCHANG MAWLH HI!
WHO-in official-a an sawi chhuah dan Jeff Craven leh Katie Lennon thu ziahah COVID-19 hri natna lang chhuak lo (asymptomatic) in mi danga an kaichhawn theihna a sang lo (rare) tih a ni a. Rare tih WHO hman dan hi sawi fiah a har viau mai. Rare chu ngaihmawh tham loh (not so much of interest or value), tam lo (not occurring often) te pawh a tihtheih ang a.
Chutihrual chuan, ngaihven tlak (remarkable, worthy of attention) pawh a tihtheih tho awm e. Scripps Research Translational Institute, La Jolla, California Jupiter, Florida, US-a mi pahnih, Daniel P. Oran leh Eric J. Topol te'n Annals of Internal Medicine a an zirbingna an chhuah sawifiahna denchhena Maria Van Kerkhove, Ph.D, WHO's COVID-19 technical lead leh infectious disease epidemiologist pawhin June ni 8, 2020 a WHO General Headquarter, Geneva aṭanga news briefing a nei phah hialna niin; 'data kan neih aṭang chuan hri natna lang chhuak lovin - asymptomatic - mi dang a kaichhawn theihna hi a sang lo' tiin lo sawi tawh mah se, Scripps Research Translational Institute-a an zirna chuan, acute respiratory syndrome coronavirus 2 (SARS-CoV-2) hri veite hi 40%-45% ah hri natna lang chhuak lo an nih avangin, kan lo suangtuah piah lamah he virus hi ngawi renga darh thei a nihna an sawi lawi si.
Dr. Van Kerkhove-i chuan, He hri lang chhuak lova mi dang kaichhawn theih a nihna chu zirchian harsa tak ni mah se, kan hriat theih innghahna rintlak report aṭang chuan asymptomatic ni si, hri kai bawk siin mi dang a kaichhawn theihna chu hri natna lang chhuak (Symptoms nei) aiin a tlem daih a ni, a ti a (Comprehensive studies on transmission from asymptomatic individuals are difficult to conduct, but the available evidence from contact tracing reported by Member States suggests that asymptomatically-infected individuals are much less likely to transmit the virus than those who develop symptoms).
WHO aṭanga thusawi chhuah hi Public Health lam aṭangin an tisual ve a ni ang, thu dik lo pek an nih vang a ni ang tia tihdiksak tumna na tak a awm takah chuan, Dr. Van Kerkhove-i chuan sawi fiahna a nei leh a, he hri natna lang chhuak loin mi dang an kai darh theih dan zirchianna a awm loh thu leh tunah chuan natna lang chhuak (symptomatic) aṭang chauha inkaidarh hriat a nih thu, a sawi a. Natna lang chhuak miah lo (asymptomatic) anga ngaih, mahse natna na lo tak ni si an awm a, COVID-19 hri natna la lang chhuak lem lo (pre-symptomatic) a hnua lang leh ta si an awm bawk avanga contact tracing ram ṭhenkhatin an tihnaah inkaichhawn a awm lohnate pawh a awm thu sawi chhuakin, 'It's very rare' a ti a ni. COVID-19 hri natna lang chhuak (symptomatic) chuan mi dang an kai darh thei a ni tih chu zirnain a tichiang tawh a, ram hrang hranga an tawn mek hrechiang turin zirbingnain asymptomatic emaw pre-symptomatic-in a kai darh chak theih dan erawh mumal takin a la awm lo a ni.
WHO-in thu chiang lo sawi chhuaka mipuia buaina a thlen avangin, Harvard Global Health Institute chuan, he hri natna lang chhuak (symptomatic) chuan SARS-CoV-2, COVID-19 virus hi an inkaidarh thei ngei a nih thu a sawi bakah chhui zawn theihin he hri natna lang chhuak lem lo pawhin an inkaidarh thei mai pawh ni lovin, pre-symptomatic hun laiin mi hrisel pangngai ang mai an nih avanga kai darh chak thei tak an nih thu an sawi chhuak nghe nghe a ni.
Scripps Research Translational Institute-a an zirbingna hi a hrut zau em em a, an zirna chuan COVID-19 hri natna lang chhuak si lova (asymptomatic) test an tih atanga he hri pai chu 30% to 80% vel a ni a. Chutiang chu kan dinhmun ṭheuh a nih theih avangin symptomatic chauh ni lovin asymptomatic-in hriat (detect) mai si lovin SARS-CoV-2, COVID-19 virus hi nasa takin an tidarh thei a ni tih a tichiang mai awm e.
Dr. Seth Trueger, MD, emergency physician leh emergency medicine-a Assistant Professor, Northwestern University, Chicago a mi pawhin, 'A tir aṭang tawh khan asymptomatic leh pre-symptomatic inkaidarh chu a awm ngei alawm' tiin a sawi a. Tuna kan hriat theih chin hi chu khawi lai emaw zirna leh report entirna (sample) chauh a la ni a, eng nge a nihna tak hriat theih tura tinzawn tur aiawh (representative) kan la nei thei lo chu a ni ber mai. Chu bakah chuan kan test kalhmang leh test dan pawh hi duhthu a la sam lova, tin, khawi hi nge hri kai (infected) hriatna RNA chu tih leh khawi hi nge RNA fragments (RNA pangngai) kan test ti-positive-tu tak chu tih a tak ramah hriat hran a har fo avangin, kan hnar leh ka inzawmna (nasopharyngeal) atanga swabs lak hmanga Reverse Transcriptase Polymerase Chain Reaction hmanga kan ti thei a nih chuan, chu chuan kan test dan kawngah pawh result ṭha lehzual leh chiang zawk min hriattir theih ngei a beisei thu a sawi bawk a ni.
RT-PCR chu kan hriat tawh angin RNA aṭanga genes lak hran, a genetic sequence leh SARS-CoV-2 a inan leh an loh en na, a inan chuan COVID-19 positive anga pawm theih tura hriattirtu a ni a. Reverse Transrciptase-PCR chu RNA ziarang (template) aṭanga DNA rawn insiam, RNA hriat duh tak test in COVID-19 positive a nih thu a tarlan nemnghettu (complimentary) cDNA a nih leh nih loh hriatna a ni ve thung a ni. Dr. Trueger-a chuan, "Kan beisei leh rin dan aia asymptomatic avanga inkaidarhna a san zawk phei chuan ngunhnam a tawn tawna hriam ang hri kan do mek a ni thei ang," a ti bawk.
Milan Sharma zirbingna chuan, "Indian-ah chuan asymptomatic case kan neihte hi 80% anga ngaih a ni a, asymptomatic (emaw pre-symptomatic) a hri veite hi ngawi renga he hri leng thehdarhtu/kaidarhtu (Silent Spreader) an ni thei reng a ni," a ti. 20% te chu symptoms nei an ni a, 15% te chu hospital enkawl ngai niin 5% te chu oxygen leh ventilator te nen a enkawl ngai an ni.
Theodore Roosevelt chuan, "Asymptomatic positive te hian he hri natna hi ni 14 chuang mi dang a kaichhawn theih a rin thu a sawi a. Rin thu mai ni mah se, a thutlukna siamna chu khawvel pum huap thlirin he ti khawpa hun rei lo tea hrileng nasa tak a nihna chuan COVID-19 avanga symptoms nei lote'n mi dang an kaichhawn zelna a ni lo tih chu a findings leh sawifiahna chuan a ṭhelh pawhin a ṭhelh tam a rin loh vang a ni mahna.
Heng kan han thai lan tlem te te hian Mizoramah pawh kan dinhmun tur a sawi fiah ve thei mai awm e. Sorkarin Lockdown an puang leh hi a tisualin a rinawm loh. Chuti chung chuan beng sika thuneitute'n kan hma hun an thlir thiam a pawimawh hlein a hriat a. Thutlukna an siam kawngah pawh ngaihtuahna nasa tak seng chunga hma an lak a pawimawh fo dawn a ni. Mipui hriselna nghawngtu hripui leng mek hi Mizote pawhin kan hmelhriat ṭan chhoh zel a, kan dona kawngah mipui pawh kan ṭhanharh ve zel a pawimawh khawp ang.
COVID-19 dona
kawnga a field-a che tak taktu, mahni chang ni lo, mahni nupui fanaute pawh hlauhawma dah ngai a, CQC te HQ thleng pawha enkawlte, mipui chet vel kawnga sorkar thuchhuak bawkzuitute pawh tha tharin ṭan i la leh sauh sauh ang u khai. Ramria venhimna hna thawkte hi kan IDOL in ni a, kan ngaisang che u a, tha thlah lova ṭan lo khawh zel turin kan in-ngen tak meuh meuh bawk a ni. Engkim hi vawi leh khatah a ngaihtuah kim vek theih loh avangin, Sorkar pawhin in mamawhte pawh a ṭul ang azir zelin a ngaihtuah em em ang tih hi a rinawm a ni.