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Talkbox

Like when enter or join, a shrine, another's sphere, or back: good for greating, bye, veneration, short talks, quick help. Some infos on regards .


2024 Mar 24 19:07:11
អរិយវង្ស:  _/\_ _/\_ _/\_ 😌

2024 Mar 24 14:13:29
blazer: Bhante Dhammañāṇa  _/\_ _/\_ _/\_

2024 Mar 24 06:25:25
Dhammañāṇa: A blessed full moon Uposatha by following the conducts of the Arahats.

2024 Mar 23 13:11:16
blazer: Hello everyone  _/\_

2024 Mar 21 01:07:56
Dhammañāṇa: Nyom

2024 Mar 21 00:28:58
Moritz: Vandami Bhante _/\_ _/\_ _/\_

2024 Mar 20 14:25:49
blazer: Bhante Dhammañāṇa  _/\_ _/\_ _/\_

2024 Mar 20 12:06:29
Dhammañāṇa: Nyom

2024 Mar 20 11:24:06
blazer: Good morning everyone  _/\_

2024 Mar 18 21:42:50
blazer:  _/\_ _/\_ _/\_

2024 Mar 18 19:43:59
Dhammañāṇa: Mudita, Nyom.

2024 Mar 18 19:36:35
blazer: Bhante Dhammañāṇa  _/\_ _/\_ _/\_ Undertaking this Sila day at my best.

2024 Mar 18 06:17:10
Dhammañāṇa: Those who undertake the Sila day today: may it be of much metta.

2024 Mar 18 02:16:41
blazer:  _/\_ _/\_ _/\_

2024 Mar 17 21:09:31
អរិយវង្ស: 🚬🚬🚬

2024 Mar 17 06:30:53
Dhammañāṇa: Metta-full Sila day, those after it today.

2024 Mar 17 00:02:34
blazer: Bhante Dhammañāṇa  _/\_ _/\_ _/\_

2024 Mar 11 09:16:04
Dhammañāṇa: Once totally caught by google, AI and machines, every door has been closed for long, long term.

2024 Mar 11 09:14:04
Dhammañāṇa: People at large just wait that another would do his/her duty. Once a slight door to run back, they are gone. By going again just for debts, the wheel of running away turns on.

2024 Mar 10 18:59:10
Dhammañāṇa: Less are those who don't use the higher Dhamma not for defilement-defence, less those who don't throw the basics away and turn back to sensuality "with ease".

2024 Mar 10 06:51:11
Dhammañāṇa: A auspicious new-moon Uposatha for those observing it today.

2024 Mar 09 06:34:39
Dhammañāṇa: A blessed New-moon Uposatha, and birth reminder day of a monarchy of wonders.

2024 Mar 08 21:39:54
Dhammañāṇa: The best way to keep an Ashram silent is to put always duties and Sila high. If wishing it populated, put meditation (eating) on the first place.

2024 Mar 03 21:27:27
Dhammañāṇa: May those undertaking the Sila day today, spend it off in best ways, similar those who go after the days purpose tomorrow.

2024 Feb 25 22:10:33
អរិយវង្ស:  _/\_ _/\_ _/\_

2024 Feb 24 06:42:35
Dhammañāṇa: A blessed Māgha Pūjā and Full moon Uposatha with much reason for good recallings of goodness.

2024 Feb 24 01:50:55
blazer: Bhante Dhammañāṇa  _/\_ _/\_ _/\_

2024 Feb 23 06:39:57
Dhammañāṇa: Nyom

2024 Feb 23 00:19:58
blazer: Taken flu again... at least leg pain has been better managed since many weeks and it's the greatest benefit. Hope Bhante Dhammañāṇa is fine  _/\_ _/\_ _/\_

2024 Feb 18 01:06:43
blazer:  _/\_ _/\_ _/\_

2024 Feb 18 00:02:37
អរិយវង្ស:  _/\_ _/\_ _/\_

2024 Feb 17 18:47:31
Dhammañāṇa: A blessed rest of todays Sila-day.

2024 Feb 17 18:46:59
Dhammañāṇa: Chau Marco, chau...

2024 Feb 16 23:32:59
blazer: Just ended important burocratic and medical stuff. I will check for a flight for Cambodia soon  _/\_

2024 Feb 09 16:08:32
blazer:  _/\_ _/\_ _/\_

2024 Feb 09 12:17:31
អរិយវង្ស:  _/\_ _/\_ _/\_

2024 Feb 09 06:42:17
Dhammañāṇa: May all spend a blessed New moon Uposatha and last day of the Chinese year of the rabbit, entering the Year of the Naga wisely.

2024 Feb 02 21:17:28
អរិយវង្ស:  _/\_ _/\_ _/\_

2024 Feb 02 19:53:28
Dhammañāṇa: May all have the possibility to spend a pleasing rest of Sila day, having given goodness and spend a faultless day.

2024 Jan 26 14:40:25
អរិយវង្ស:  _/\_ _/\_ _/\_

2024 Jan 25 10:02:46
Dhammañāṇa: May all spend a blessed Full moon Uposatha.

2024 Jan 11 06:37:21
អរិយវង្ស:  _/\_ _/\_ _/\_

2024 Jan 07 06:31:20
Dhammañāṇa: May many, by skilful deeds,  go for real and lasting independence today

2024 Jan 06 18:00:36
អរិយវង្ស:  _/\_ _/\_ _/\_

2024 Jan 04 16:57:17
blazer:  _/\_ _/\_ _/\_

2024 Jan 04 12:33:08
Dhammañāṇa: A blessed Sila-day, full of metta in thoughts, speech and deeds.

2023 Dec 30 20:21:07
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Dec 27 23:18:38
Dhammañāṇa: May the rest of a bright full moon Uposatha serve many as a blessed day of good deeds.

2023 Dec 26 23:12:17
blazer:  _/\_ _/\_ _/\_

2023 Dec 24 16:52:50
Dhammañāṇa: May all who celebrated the birth of their prophet, declaring them his ideas of reaching the Brahma realm, spend peaceful days with family and reflect the goodness near around them, virtuous, generously.

2023 Dec 20 21:36:37
blazer:  _/\_ _/\_ _/\_

2023 Dec 20 06:54:09
Dhammañāṇa: A blessed Sila day, by conducting in peacefull manners.

2023 Dec 12 23:45:24
blazer:  _/\_

2023 Dec 12 20:34:26
Dhammañāṇa: choice, yes  :)

2023 Dec 12 13:23:35
blazer: If meaning freedom of choice i understand and agree

2023 Dec 12 12:48:42
blazer:  _/\_ _/\_ _/\_

2023 Dec 12 06:13:23
Dhammañāṇa: May all spend a great New Moon Uposatha, following the conducts of the Arahats.

2023 Dec 10 12:51:16
Dhammañāṇa: The more freedom of joice, the more troubled in regard of what's right, what's wrong. My person does not say that people at large are prepared for freedom of joice even a little.

2023 Dec 10 10:59:42
blazer: Hope they eat more mindfully than how they talk. It is clear for the gross food, we had more than a talk about this topic. I have put so much effort in mindful eating at the temple, but when i was back i wanted more refined food. I was used to get a choice of more than 10 dishes every day

2023 Dec 10 06:57:44
Dhammañāṇa: A person eating on unskilled thoughts will last defiled, Nyom. Gross food does nothing for purification at all.

2023 Dec 09 21:41:58
blazer: I've had a couple of not nice experiences with monks that were not so pure in my opinion. They surely eat far better than me at temple.

2023 Dec 09 21:41:41
blazer: Ven. Johann  _/\_ _/\_ _/\_

2023 Dec 09 11:38:36
Dhammañāṇa: Spiritual prostitution, just another way of livelihood.

2023 Dec 05 20:59:38
Dhammañāṇa: May all spend a pleasing rest of Sila-day.

2023 Nov 27 14:47:22
អរិយវង្ស:   _/\_ _/\__/\_

2023 Nov 27 05:41:32
Dhammañāṇa: May all spend a blessed Anapanasati- Fullmoon and reflect the goodness of Ven Sāriputta as well today.

2023 Nov 20 19:18:13
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Nov 20 18:20:15
Dhammañāṇa: May all spend a pleasing rest of Sila-day.

2023 Nov 20 02:48:24
Moritz: Hello _/\_ Still possible to join: An-other Journey into the East 2023/24

2023 Nov 18 13:55:11
blazer: Hello everyone  _/\_ _/\_ _/\_

2023 Nov 12 01:09:01
Dhammañāṇa: Nyom

2023 Nov 12 00:45:21
Moritz: Vandami Bhante _/\_ _/\_ _/\_

2023 Nov 09 19:42:10
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Nov 09 07:17:02
Dhammañāṇa: សិលា​នាំ​ទៅ​រក​ឯករាជ្យ​នៃ​ជាតិ! សូមឱ្យមនុស្សជាច្រើនប្រារព្ធទិវាឯករាជ្យ(ពី)ជាតិ។

2023 Nov 09 07:06:56
Dhammañāṇa: Sila leads to independence of Jati! May many observe a conductive Independence day.

2023 Nov 07 00:54:02
Dhammañāṇa: Nyoum

2023 Nov 07 00:39:55
Moritz: Vandami Bhante _/\_ _/\_ _/\_

2023 Nov 06 15:47:51
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Nov 06 12:21:27
Dhammañāṇa: A blessed Sila observation day today.

2023 Oct 30 15:17:36
Dhammañāṇa: It's common in to give up that what's given to do assist me toward release, common that seeking security in what binds.

2023 Oct 30 13:22:27
អរិយវង្ស: ព្រះអង្គ :) កូណាលុប delta chat ហើយ :D _/\_ _/\_ _/\_

2023 Oct 23 18:56:09
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Oct 22 20:36:01
Dhammañāṇa: May all spend a pleasing rest of this Sila-day.

2023 Oct 19 20:31:12
Dhammañāṇa: Nyom Sreyneang

2023 Oct 15 07:07:01
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Oct 14 06:53:21
Dhammañāṇa: May all spend a New moon Uposatha based on goodwill for all, find seclusion in the middle of family duties.

2023 Sep 29 07:35:30
blazer:  _/\_ _/\_ _/\_

2023 Sep 29 07:23:47
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Sep 29 07:03:11
Dhammañāṇa: A blessed full moon Uposatha and begin of the ancestor weeks by lived metta and virtue: lived gratitude toward all being, toward one self.

2023 Sep 22 22:07:43
Dhammañāṇa: If no rush turn toward reducing sensuality and make Silas the top of priority, it's to fear that an Atomic conflic will be chosen soon, in the battle of control of the "drugs".

2023 Sep 22 14:59:39
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Sep 22 06:35:51
Dhammañāṇa: A blessed Uposatha Observance on this Sila-day, by conducting similar the Arahats.

2023 Sep 16 19:29:27
blazer: Ven. Johann  _/\_ _/\_ _/\_

2023 Sep 16 19:29:13
blazer: Hello everyone! I've just come back home. I had a long trip and no sleep for more than 30 hours, but currently feel quite good. I've had a good experience, i'm happy. I've found out much inspiration and many ideas about the training and the holy life. I'll recollect and write about them as soon as i've taken some rest. Hope to find you all well and in good health  _/\_ _/\_ _/\_

2023 Sep 15 05:25:24
អរិយវង្ស:  _/\_ _/\_ _/\_

2023 Sep 14 21:09:49
Dhammañāṇa: A blessed rest of New moon Uposatha today (later as no connection before).

2023 Sep 10 01:55:47
អរិយវង្ស:  _/\_ _/\_ _/\_?

2023 Sep 09 18:52:54
Dhammañāṇa: No existence, no 'way of life', can excel the finally journey, just 'busy' in given away all of what ever made one's own. A total remorse-less existence. May many go for it, and see the way toward the deathless, no more worry of past, future and present as well.

2023 Sep 09 18:52:28
Dhammañāṇa: No existence, no 'way of life', can excel the finally journey, just 'busy' in given away all of what ever made one's own. A total remorse-less existence. May many go for it, and see the way toward the deathless, no more worry of past, future and present as well.

2023 Sep 08 06:19:20
Dhammañāṇa: A blessed Sila day, by maintaining goodwill toward all, not only by deeds and speech, but with nine factors, incl. a mind full of metta.

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Author Topic: ចៃដី និងជំងឺស្បែក Sand fleas - skin diseas  (Read 1033 times)

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Offline Dhammañāṇa

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Aramika   *

Dieses neue Thema (bzw. diese/r Beitrag/e) wurde  aus abgetrennten Beiträgen, ursprünglich in [Ashram] Thmo Duk (Schiffsfelsen), Aural, Cambodia, អាស្រម ថ្មទូក ស្រុកឪរ៉ាល់ , hinzugefügt. Für ev. ergänzende Informationen zur sehen Sie bitte das Ursprugsthema ein. Anumodana!
[Original post:]




Atma did now found the near cause of the many wounds also on scientific area. It's the smallest flea, the "Sand flea" ("Chai dai", soil-flea called here): Tunga penetrans , causing the Tungiasis disease, Nyom Moritz .
« Last Edit: September 17, 2020, 08:40:43 PM by Johann »
This post and Content has come to be by Dhamma-Dana and so is given as it       Dhamma-Dana: Johann

Offline Moritz

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Re: Sand fleas - skin diseas
« Reply #1 on: August 28, 2020, 10:35:58 PM »
Atma did now found the near cause of the many wounds also on scientific area. It's the smallest flea, the "Sand flea" ("Chai dai", soil-flea called here): Tunga penetrans , causing the Tungiasis disease, Nyom Moritz .

Vandami Bhante _/\_ _/\_ _/\_

Are Bhante sure about this?

Searching for images of tunga penetrans , it looks quite potentially drastic and dangerous, and not very similar to the marks that I have seen on mine and Bhante's body, which are missing the characteristic black dots in the center, not to speak of further progressed untreated signs like necrosis.

In the Wikipedia article on Tunga penetrans, it says, about the flea causing it:
Quote from: Wikipedia
The colloquial name jigger may be confused with chigger, a parasitical mite. However, the jigger is of the order Siphonaptera as it is a flea. The chigger is a minute arachnid.

I had also earlier already asked Preah Google in various ways what might be "earth lice" or "earth mites" or similar. Thinking it might be actually a mite (Wanze), similar like scabies/Krätze, I had found so-called "chiggers", Trombiculidae as possible cause for the Trombiculosis disease.

When reading about symptoms, and also searching for images of Trombiculosis , I think this looks actually much more similar to what I experience on my body.

Having had scabies/Krätze before, which is also caused by certain mites, the hardened welts forming on the skin where mites may have entered and eaten feel a bit similar to Krätze, but much less itchy (as the chigger mites do not dwell in the skin for so long and do not lay their eggs in it like the scabies mites would do, so they also don't multiply and spread further from there).

So I would rather think it is "chiggers" (certain kind of mites) that are living in the skin for a short time, and are probably much more harmless than the "jigger" flea. Actually, only the larvae of the chigger, according to the Wikipedia article, dwell for a short time in human or other mammal skin. When they are grown up, they leave the skin and become vegetarian, not feeding on humans or other mammals anymore. They would later, when grown up, lay their eggs in vegetation (not in skin, like jiggers or like scabies mites as well, would do). And that is also where one could "catch" their offspring in their larval stage of life: in high grass or similar, where they have just hatched from their eggs.

_/\_ _/\_ _/\_
« Last Edit: August 28, 2020, 10:46:12 PM by Moritz »

Offline Dhammañāṇa

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Re: Sand fleas - skin diseas
« Reply #2 on: August 28, 2020, 11:02:19 PM »
Actually very sure, as for Atmas case. If reading about the disease and all around, it's very clear. The case that Atma had/has it all over is because living, lying, sitting in soil/dust, right shoulder Atma had it often extreme (where he uses to carry sand (most after sand from the path collecting and carry sessions) and Nyom used to dig and spend much time in soil and sand (most common on feets and arms). Also, as Atma first thought that are the spines of the small mini bees, also this "sting above the skin" (actually the anus) is mentioned, and the time line, duration and process till total disapearing (month) fits right as well as other appearance according to the 4,5 different periods.



Nyom might not had clawed that hard and deep and Atma had no thought that this white round wet balls, sometimes as a whole, are living beings. They grow up to 12mm sucked full. There are further many different kinds and less reports of SE-Asian typs.

Also here:

Sandfloh (Tungiasis)


Im tropischen Amerika, Afrika und Indien ( und somit auch in Sri Lanka ) leben Sandflöhe. Sie bohren sich Barfüßigen in die Haut zwischen den Zehen, unter den Fußnägeln und überhaupt an den Füßen. Höhergelegene Partien erreichen sie nicht so gut.

Ein Sandfloh erzeugt nach einigen Tagen ein kleines Knötchen. In der Öffnung in der Mitte kann man ihn manchmal sehen. Das Knötchen juckt, kann sich entzünden und schmerzen.

Am besten erwischt man den Floh, bevor er sich ganz in die Haut gebohrt hat. Dann kann man ihn am einfachsten mit einer ausgeglühten, sterilen Nadel herausheben. Sonst wie eine Zecke (siehe unten) mit Öl, Klebstoff o.ä. ersticken und dann ausgraben. Aber auch ohne Behandlung kommt er heraus, wenn er sich sattgefressen hat. Ein toter Floh, der sich nicht entfernen ließ, wird vom Körper unter Zerfall des Knötchens ausgestoßen. Wichtig ist in diesem Zusammenhang der Impfschutz gegen Wundstarrkrampf.

Some, in the case Atma is right and Nyom got the same, might be still alive in Nyom, as living about 5 weeks.
« Last Edit: August 28, 2020, 11:17:40 PM by Johann »
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Offline Moritz

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Re: Sand fleas - skin diseas
« Reply #3 on: August 28, 2020, 11:50:26 PM »
Hmm... Still very much in doubt here in my case. As I really do not see and have at no point seen the clear signs, like the black mark "spine"/anus of the flea in the middle. It is also written that the burrowed female would release hundreds of eggs, of about 0.6mm size, as shown here for example. This should be visible, but nothing seen here. Normally most affected areas are said to be under toenails. But I had never anything there. The skin, after the female dies inside it would usually turn dark brown or black, as shown here for example . But here it has only ever been light-greyish pink.

So I really still don't believe there could be some of these jigger fleas here.
Maybe it could be even that both chiggers and jiggers are present around Thmor Duk, and I may have had only chiggers so far.

_/\_ _/\_ _/\_

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Re: Sand fleas - skin diseas
« Reply #4 on: August 29, 2020, 12:00:59 AM »
The stages, Nyom, and if remember, Nyom reported very small animals/insects (Atma would possible not see),

The following discussion will give an overview of the symptoms beginning in stage 2 because patients are not likely to present themselves at the early stages of infection, mostly because the flea's burrowing is usually not felt. This may be due to a keratolytic enzyme secreted during stage 1.[4]

The patient with a single flea may present as early as stage 2 when, though the erythema is barely perceptible, a boring pain and the curious sensation of pleasant itching occur. This inflammatory reaction is the initial immunological response to the infestation. Heavily infested patients may not notice a stage 2 infection due to the other fleas’ causing irritation as well. Feces may be seen, but this is more common in the 3rd stage.[11] Around the third day after penetration, erythema and skin tenderness are felt, accompanied by pruritus (severe itching) and a black furuncular nodule surrounded by a white halo of stretched skin caused by the expansion of the flea. Fecal coils may protrude from the center of the nodule where the flea's anus is facing upward. They should be washed off quickly as the feces may remain in the skin unless removed. During this 3a substage, pain can be severe, especially at night or, if the nodule is on the foot, while walking. Eggs will also begin to be released and a watery secretion can be observed. The radical metamorphosis during the 3rd to 6th day after penetration, or neosomy, precedes the formation of a small caldera-like rim rampart as a result of the increased thickness of the flea's chitin exoskeleton. During the caldera formation, the nodule shrinks a bit and it looks as if it is beginning to dry out; this takes 2 weeks and comprises substage 3b.[11]

At the third week after penetration and substage 4a, the eggs’ release will have stopped and the lesion will become smaller and more wrinkled. As the flea is near death, fecal and water secretion will stop altogether. Pain, tenderness, and skin inflammation will still be present. Around the 25th day after penetration, the lesion looks like a black crust and the flea's carcass is removed by host repair mechanisms and the skin begins to heal. With the flea gone, inflammation may still persist for a while.[11]

Although patients would not present within the 5th stage of tungiasis as the flea would be dead and no longer in the body, this stage is characterized by the reorganization of the skin (1–4 weeks) and a circular residue of 5–10 mm in diameter around the site in penetration. An intraepithelial abscess, which developed due to the presence of the flea, will drain and later heal. Although these disease residues would persist for a few months, tungiasis is no longer present.[11]
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Re: Sand fleas - skin diseas
« Reply #5 on: August 29, 2020, 12:16:03 AM »
The stages, Nyom, and if remember, Nyom reported very small animals/insects (Atma would possible not see),

I think those might have been only the small "malaria moscitos" after all, as suggested by Bhante. Or other animals that only appeared in the area of the new building site in the later afternoon a few times, and never elsewhere again.

Also never any severe pain in the affected areas. So I still don't think I can recognize most of the symptoms and stages here.

* Moritz now taking leave for today. Not sure yet if going to work or sleep through the night, as the days are too hot for both as well. May Bhante find soon good rest. _/\_ _/\_ _/\_

Offline Dhammañāṇa

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Re: Sand fleas - skin diseas
« Reply #6 on: August 29, 2020, 05:16:01 AM »
Chiggers look also reasonable unless there are the thorn-like apprearances. Maybe Atma can investigate the next new ones in detail.

The secondary infection might be various. One thing the wounds always start though the "thorn"-like itchy place, not inflamed yet, is treaded in what ever way, 2 or three days later an inflammation, usually smaller but more and longer hurtful if not itchy, or crawl as to wish to remove the "thorn".
« Last Edit: August 29, 2020, 05:35:51 AM by Johann »
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Re: Sand fleas - skin diseas
« Reply #7 on: August 29, 2020, 07:17:30 PM »
As told, let Atma observe new

Yesterday evening, a small red place (right, left is an older scretched one), with a small point in the middle, on upper leg, itchy, and when touching like as if a thorn is inside.

[img]
user:johann:gallery:archiv2020:20200828_01.jpg

Not only because of observation scratching and crawling as hard and as deep as possible is now total avoided, aware of the reasonable possibility of hurting of even killing a living being.

Today evening: the place became more visible and a round swelling with a rose ring, diameter maybe 1,5mm, appears. In the middle like a hole with a small thorn. No more that itchy but more hurtfull if touching "the thorn", now better feelable, and wetting from inside.

[img]
user:johann:gallery:archiv2020:20200829_04.jpg

[img]
user:johann:gallery:archiv2020:20200829_05.jpg

Atma was also wondering about small swellings (~10-15mm) like balls under wounds sometimes, but when pressing only transoarent fluid came out, like this one.

[img]
user:johann:gallery:archiv2020:20200829_06.jpg

now of course no more pressing till blood will come out, "knowing" a dying mother "enjoys" last meal.
« Last Edit: August 29, 2020, 07:34:09 PM by Johann »
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Re: Sand fleas - skin diseas
« Reply #8 on: August 30, 2020, 08:45:14 PM »
third day: the crater has grown a little and a swelling like a ball of about 4mm  under the skill can be felt. Also the "thorn" (possible anus of the flea) can be felt more. Not much itchy and little pain just when touching the "thorn".

[img]
user:johann:gallery:archiv2020:20200830_17.jpg

[img]
user:johann:gallery:archiv2020:20200830_18.jpg

[img]
user:johann:gallery:archiv2020:20200830_19.jpg
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Re: Sand fleas - skin diseas
« Reply #9 on: August 30, 2020, 08:57:43 PM »
Vandami Bhante _/\_ _/\_ _/\_

I kana found on fb search about this:

ជំងឺគ្រុន តុកកែខ្សាច់ខាំ ចៃកណ្តុរខាំ ឬ ចៃសត្វខាំ Scrub typhus / Rickettsia typhi

ជំងឺគ្រុនចៃតុកកែខ្សាច់ ឬ ចៃសត្វខាំ វាត្រូវបានគេស្គាល់ផងដែរ ថា bush typhus ឬ Murine Typhus / Rickettsia typhi ជាជំងឺដែលបណ្តាលមកពី បាកតេរី ឈ្មោះ Orientia tsutsugamushi ។ ជំងឺគ្រុន តុកកែខ្សាច់ខាំ ឬ ចៃសត្វខាំ គឺឆ្លងតាមរយៈចៃតុកកែខ្សាច់ ឬ ចៃសត្វខាំ។ អាការៈរោគភាគច្រើននៃជំងឺនេះរួមមាន គ្រុនសន្ធុំ ឈឺក្បាល ឈឺខ្លួន ឈឺឆ្អឹងឆ្អែង ពេលខ្លះឡើងកន្ទួលលើស្បែក។ ករណីជំងឺនេះភាគច្រើនកើតនៅតំបនដាច់ស្រយាលនៃតំបន់អាស៊ីអគ្នេយ៍ ដូចជានៅប្រទេសកម្ពុជា។ អ្នកដែលរស់ឬធ្វើដំណើរទៅកន្លែងដែលមានចៃតុកកែខ្សាច់ឬ ចៃសត្វ ត្រូវបានគេ រកឃើញថាមានកើតជំងឺនេះច្រើន។

Scrub typhus, also known as bush typhus, is a disease caused by a bacteria called Orientia tsutsugamushi. Scrub typhus is spread to people through bites of infected chiggers (larval mites). The most common symptoms of scrub typhus include fever, headache, body aches, and sometimes rash. Most cases of scrub typhus occur in rural areas of Southeast Asia, Cambodia  etc . Anyone living in or traveling to areas where scrub typhus is found could get infected.

សញ្ញានិងអាការៈរោគ  Signs and Symptoms
អាការៈរោគ ជំងឺគ្រុនចៃតុកកែខ្សាច់ ឬ ចៃសត្វខាំ ជាទូទៅផ្តើម១០ថ្ងៃ បន្ទាប់ពីវាខាំ។
Symptoms of scrub typhus usually begin within 10 days of being bitten.

សញ្ញានិងអាការៈរោគ  អាចរួមមាន Signs and symptoms may include:

* គ្រុនក្តៅសន្ធុំ និងគ្រុនញាក់ ដូចគ្រុនចាញ់អញ្ចឹង Fever and chills
* ឈឺក្បាល Headache
* ឈឺខ្លួននិងឈឺសាច់ដុំ Body aches and muscle pain
* ឈឺនៅខាងក្រោយគ្រាប់ភ្នែក ពេលធ្វើចលនាភ្នែក ចុះឡើង  Pain behind eyeballs when moving eyes up and down.
* មានក្រមរខ្មៅនៅកន្លែងខាំ A dark, scab-like region at the site of the chigger bite (also known as eschar)
* ផ្លាស់ប្តូរសតិ ចាប់ពីការភាន់ភាំ និង សន្លប់មិនដឹងខ្លួន ។ Mental changes, ranging from confusion to coma
* កូនណ្តុរឡើងធំ Enlarged lymph nodes
* ឡើងកន្ទួលលើស្បែក Rash

អ្នកជំងឺធ្ងន់ធ្ងរអាចវិវត្តខូចដល់សិរីរាង្គនិងហូរឈាម ដែលអាចបណ្តាលឱ្យស្លាប់ប្រសិនបើមិនព្យាបាល។ ការមិនព្យាបាលអាចបណ្តាលឱ្យឈឺធ្ងន់ធ្ងរហើយអាចខូចសិរីរាង្គួយឬច្រើន រួមទាំងខូចថ្លើម តម្រងនោម បេះដូង សួត និងខួរក្បាល។
People with severe illness may develop organ failure and bleeding, which can be fatal if left untreated. Untreated disease can cause severe illness and damage to one or more organs, including the liver, kidneys, heart, lungs, and brain.

រោគវិនិច្ឆ័យ ស្រដៀង និង Differential Diagnosis
គ្រុនចាញ់ Malaria
គ្រុនពោះវៀន Typhoid Fever   

បើធ្វើតេស្ត៍ ឈាម រក គ្រុនចាញ់និង គ្រុនពោះវៀន មិនឃើញទេ គឺ ធ្វើ តេស្តិ៍ ឈាម រក ជំងឺគ្រុនចៃតុកកែខ្សាច់ឬ ចៃសត្វខាំ វិញ។

Diagnosis and Testing

* អាការៈរោគជំងឺគ្រុនចៃតុកកែខ្សាច់ឬ ចៃសត្វខាំ គឺស្រដៀងនិងជំងឺផ្សេងទៀត។ The symptoms of scrub typhus are similar to symptoms of many other diseases.
ប្រសិនបើពេលថ្មីេនះអ្នកបានធ្វើដំណើរទៅទីកន្លែងណា សូមប្រាប់អ្នកផ្តល់សេវាសុខភាពនូវកន្លែងដែលអ្នកបានទៅ។  If you have recently traveled, tell your health care provider where and when you traveled.

អ្នកផ្តល់សេវាសុខភាពនិងធ្វើតេស្តិ៍ឈាមរកជំងឺគ្រុនចៃតុកកែខ្សាច់ឬ ចៃសត្វខាំ ឬជំងឺផ្សេងទៀត។
* Your health care provider may order blood tests to look for scrub typhus or other diseases.
តេស្តិ៍ពីមន្ទីរពិសោធន៍និងរបាយការណ៍អាចសុីពេលយូរហូតដល់ច្រើនសប្តាហ៍ ដូច្នេះ អ្នកផ្តល់សេវាសុខភាពអាចឱ្យថ្នាំព្យាបាលមុនលទ្ធផលតេស្តិ៍ចេញពីមន្ទីរពិសោធន៍។
* Laboratory testing and reporting of results can take several weeks, so your health care provider may start treatment before results are available.
 
ការព្យាបាល Treatment
* ជំងឺគ្រុនចៃតុកកែខ្សាច់ ឬ ចៃសត្វខាំ ត្រូវព្យាបាលថ្នាំអង់ទីបាយូទិច ឈ្មោះ Doxycycline។ លេប ថ្នាំ doxycycline លេខ ២០០ មីលីក្រាម មួយដងហើយ មួយគ្រាប់ មួយថ្ងៃពីរដងលេខ១០០ មីលីក្រាម រយៈ៧ថ្ងៃ។ 
    * Scrub typhus should be treated with the antibiotic doxycycline.

    * ថ្នាំ Doxycycline អាចប្រើទៅលើមនុស្សគ្រប់វ័យ មិនថាចាស់ក្មេង can be used in persons of any age.
អ្នកជំងឺដែលត្រូវគេព្យាបាល ថ្នាំ doxycyclineជាធម្មតា ឆាប់ជា។
* People who are treated early with doxycycline usually recover quickly.

សូមចំណាំ ៖ ជំងឺនេះ  លេបថ្នាំ Tetracycline ក៍បានដែរ តែសូមកុំឱ្យកុមារ  ក្មេង និង ស្រ្តីមានផ្ទៃពោះ លេប Tetracycline ព្រោះវាធ្វើឱ្យធ្មេញខ្មៅ ។ បើលេបថ្នាំ Tetracycline ហាមផឹកទឹកដោះគោ ព្រោះធ្វើឱ្យថ្នាំមិនរលាយ។

 _/\_ _/\_ _/\_


Offline Dhammañāṇa

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Re: Sand fleas - skin diseas
« Reply #10 on: August 30, 2020, 09:10:25 PM »
That (Scrub typhus ) sounds like reasonable for secondary infection, since "eschar " often appear after a while and Atma has sometimes such symptoms, which are a little similar to that of Malaria.
Yet still not sure about the primer infection, flea or mites.
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Re: Sand fleas - skin diseas
« Reply #11 on: September 04, 2020, 02:21:05 PM »
Once they are in a little deeper, there is no more change to get them 'easy' out, so progressing like used to since long: as soon traced such 'thorn' on undamaged skin, crawl it out (if no needle or else is on side) with some skin around quick. Waiting an hour means to have a wound for 2-4 month, if flea get's deep enough to start objected birth-program and male might be around on the surface, a lot of additional fleas are to come soon. Sure enough already provided by the many animals living next, mouses, bats...

[img]
user:johann:gallery:archiv2020:20200904_12.jpg

[img]
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Of course, secoundary infections could be even much worst, so without actually good health it's better to stay out of direct touch and stay in clean area especially in the rains.

Again, as often told, total stupid habit that people do building work intentionally in the rains. That's hard core.
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Re: Sand fleas - skin diseas
« Reply #12 on: September 04, 2020, 08:15:45 PM »
Most annoying, next the other symptoms, kidney pain, head ache, fiber..., of Scrub typhus are that what is mentioned as "Mental changes, ranging from confusion to coma" as it is like strong drunken, easy to lose control if not much mindful. It, how ever, binds one down to slow motion and "Schwindel".
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Re: Sand fleas - skin diseas
« Reply #13 on: September 04, 2020, 09:17:40 PM »

Aramika   *

Ein oder mehrer Beiträge wurden hier im Thema abgeschnitten und damit in neues Thema "Kuti Johann " eröffnet, dem angehäng.
« Last Edit: September 04, 2020, 09:25:50 PM by Johann »
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Re: Sand fleas - skin diseas
« Reply #14 on: September 06, 2020, 07:12:33 PM »
There where skin is very thin it's clear and doubtless to see. Untouched there isn't any pain and so easy overseen. Once that deep and large not easy ways to remove.

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[img]
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Especially when clear perceiving would intentional harm, kill.
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