I naute hian he intestinal problem lian tak hi a nei em? (Necrotizing Enterocolitis - NEC) Hemi chungchang hi han sawi ila!

Aw, a chang chuan naute te te an lo pian hian hriselna lama harsatna hrang hrang an nei thin a ni lawm ni? A bik takin nausen naupai kum hniam lama piangte. Vawiin hian chutiang nausen intestinal disease na tak, an neih theih chungchang kan sawi dawn a ni. Hei hi necrotizing enterocolitis an ti a, a tawi zawngin NEC an ti bawk. He hming i hriat hian hlau suh, awlsam takin i hrethiam ang u.

He necrotizing enterocolitis (NEC) hi eng nge ni?

A awlsam zawngin sawi ila, NEC (Necrotizing Enterocolitis) hi intestinal disease na tak a ni a, naute, a bik takin naute piang hmasa te intestines a nghawng a ni . Hetiang dinhmunah hian intestinal tissue a lo hring a, a thi tan thin. Intestine chhunga tissue tichhe thei hliam ang maiin ngaihtuah rawh.

Hei hi a hlauhawm thei hle a, a chhan chu a chang chuan intestine-ah khur (perforation) a lo awm thei a ni. Chutiang a nih chuan, hrik , bacteria ang chi chu chu khur aṭangin, pum chhungah emaw, thisenah emaw a chhuak thei a ni. Hei hi naute pian atanga kar hnih atanga kar ruk inkar velah a thleng tlangpui.

Naute thenkhat tan chuan NEC hi natna na lo tak a ni a, nunna atana hlauhawm tak a ni. Naute ṭhenkhatah chuan a na hle thei a, nunna atana hlauhawm tak a ni thei bawk . "Nek-ruh-tiz-ing n-ter-o-ko-ly-tis" tiin kan lam thin.

Intestine chu eng nge ni?

Kan chaw ei kawngah hian small intestine leh large intestine hi thil pawimawh tak pahnih an ni . Kan ei tur kan ei theih nan min pui a, nutrients te min hip lut a, bawlhhlawh paih chhuah te min ti bo bawk. Heng bawlhhlawh te hi a tawpah chuan bawlhhlawh angin an paih chhuak thin.

Tute nge NEC tipung thei ber? Engtiang chiahin nge a hluar?

Dik tak chuan NEC vei naute 10 zinga 9 chu a hun hmain an piang a ni . Chu chu nausen naupai kar 37 hmaa piang tihna a ni. A bik takin:

• Kar 37 hmaa piang ( premature babies ) tan.
• Naute chu an pum chhunga tube dah hmangin enteral nutrition pek a ni. Hei hi nausen \henkhatin bawnghnute kâa ei harsa an tih vang a ni.
• Naute pian tirh atanga pound 5 1/2 aia rit tan.

NEC hi nausen piang hmaa intestinal disease awm fo a ni. A tlangpuiin nausen piang hmasa 1,000 zinga 1 velin a nghawng a ni. A bik takin naute pian tirh atanga pound 2 aia rit lo tan chuan a hlauhawm hle.

Mahse, nausen hun pumhlum (full-term infants) hian NEC hi an nei tlem hle. Nausen 10,000 zinga pakhat vel chauhvin NEC an vei ang.

NEC chi hrang hrang a awm em?

Ni e, doctor-te chuan NEC hi a lan chhuah hun leh natna thlen chhan a zirin an thliar hrang thin. A chi hrang hrang a awm a, chungte chu:

• Classic NEC: 1. A rilru a hah lutuk chuan a rilru a buai em em a.Hei hi a tam ber chi a ni. Naupai kar 28 hmaa piangte a nghawng tam ber. Pian atanga kar thum atanga kar ruk inkar velah a lo lang thin. A tam zawkah chuan, he dinhmun hi a lo thleng nghal a, vaukhânna tel lovin , naute chu a dam ṭhat leh a dinhmun a ṭhat laiin.
• Transfusion-associated NEC: Naute thenkhat chuan thisen pek an mamawh a, a chhan chu anemia , thisen sen tlakchhamna an neih vang a ni. Nausen piang hmasa 3 zinga 1 velin thisen an pek atanga ni thum chhungin NEC an nei thin.
• Atypical NEC: A tlem hle a, NEC hi naute pian kar hmasa berah emaw, naute a vawi khatna atana hnute pek hma emaw pawhin a lo awm thei.
• NEC in term infants: Naute hi term-a a pian hian piansual vang a ni fo thin. Entirnan, pianpui thinlung natna , gastroschisis , emaw, nau piang laia oxygen level hniam emaw.

A châng chuan, NEC hi neonatal intensive care unit (NICU)-ah pawh a darh thei . Hei hi naute engemaw zatin a ruala NEC an neih hian a ni. Bacteria, E. coli emaw, hrik dang emaw hian hetiang hi a thlen thei a ni. Mahse hei pawh hi a tlem hle.

Engvangin nge he NEC hi a lo awm? A chhante chu engte nge ni?

Doctor-te chuan NEC thlentu hi eng nge ni tih chiang takin an la hre lo a, mahse naute piang hma chuan taksa hriselna a chak lo zawk tih kan hria . Immune system hi natna hrik dotu a ni.

Tin, heng naute chaw ei dan hi a chak lo hle a, a lo thanglian kim lo hle bawk. Chuvangin, naute piang hma chuan intestinal infection a neih chuan an immune system leh digestive system tan chuan do a harsa hle.

Thil dang pakhat chu nausen piang hmasa te hian an intestine-ah oxygen phur thei thisen an kal tlem thei tih hi a ni. Hetianga thisen kal tlem hian intestinal tissue a tichhe thei a ni. Hetiang chhiatna hian bacteria chu intestine atang hian a chhuak a, abdominal cavity emaw thisenah emaw a lut thei a ni.

NEC symptoms te chu engte nge ni?

NEC hi nau piang atanga kar hnih atanga kar ruk inkar velah a lang tlangpui. A natna chi leh a chhan a zirin a danglam thei. Ni engemaw zat chhungin natna lanchhuahna hi a lo lang zauh zauh thei a, a nih loh leh naute hrisel takah a lo lang nghal thei bawk.

NICU (Neonatal Intensive Care Unit) -a naute zingah NEC hi harsatna awm fo a nih avangin, chuta doctor leh nurse-te chuan hei hi an hre reng a ni.

NEC natna lan chhuah dan ber chu:

• Pum na leh a hring.
• Heart rate, thisen sang, taksa lum leh thawk dan inthlak danglamna.
• Diarrhea leh thisen chhuak bawlhhlawh .
• Green emaw yellow emaw a chhuak thei.
• Naute chu a muhil a, nunna nei lo ( lethargy ) a ni.
• Bawnghnute in duh lohna leh taksa rihna tihpun loh.

Engtin nge NEC i neih leh neih loh i hriat theih ang?

I naute enkawltu doctor chuan i naute chu a enfiah ang a, a hring emaw, NEC chhinchhiahna dang emaw a awm leh awm loh a enfiah ang.

Tin, test te pawh tih theih a ni bawk a, chungte chu:

• Thisen test: Thisenah hian bacteria emaw, hri kai chhinchhiahna dang emaw a awm leh awm loh enfiah thin ang che.
• Fecal test: I naute ek chu thisen a awm leh awm loh enfiah thin ang che. A chang chuan ek kan hmuh theih loh thisen a awm thei a, he test hian a hmuchhuak thei a ni.
• X-ray: Pum chhunga X-ray lak hian intestine vel emaw, pum chhunga gas bubble awmte chu an zawng thin. Heng gas bubble te hian intestine a chhiat emaw, khur a awm emaw a tilang a ni.

NEC avanga harsatna awm thei te chu engte nge ni?

NEC vei naute pawh harsatna dang nei thei tura hlauhawm a ni. Chung harsatna thenkhat chu:

• Abdominal infection: Nausen thenkhat chuan an intestines wall-ah khur an nei a. He khur hian bacteria chu pum chhungah a luh tir thei a ni. Hei hian natna khirh tak peritonitis an tih chu a thlen thei a ni . He peritonitis hian sepsis , thisen natna nunna atana hlauhawm tak, vei theihna a tipung a ni.
• Intestinal stricture: NEC vei naute 3 zinga 1 vel chuan an naupan laiin an intestine a narrowing ang. Hei hi naute NEC atanga a dam leh hnu thla engemaw zat hnuah a thleng tlangpui. Intestine a zim chuan ei leh in tur kal tlang a harsa thin. Naupang thenkhat chu an intestine narrowed tihzauh nan operation an mamawh mai thei.
• Short bowel syndrome (SBS): Hetiang dinhmun hi NEC avanga small intestine thenkhat a chhiat emaw a chhiat emaw chuan a awm thei. Hei hian taksain tui leh ei tur tha a hip thei lo ( malabsorption ). SBS vei naupangte hian an dam chhungin ei leh in tha an dawn theih nan enkawlna bik an mamawh a ni. Naupang thenkhat chu tube ( enteral feedings ) hmanga chaw pek a ngai mai thei.
• Growth failure leh development tihkhawtlai: Hengte hi hun rei tak chhunga harsatna pawimawh tak tak a ni. Hetiang hlauhawmna hi naute operation nei tawhte tan chuan a sang hle. Chutiang naute thanlenna leh neurodevelopmental outcome chu enfiah reng tur a ni.

NEC hi engtin nge enkawl a nih?

Naute rilte hi chawlh hahdam leh dam a ngai a ni. Chuvangin NEC enkawl huna tih hmasak ber chu tube hmanga emaw, ka hmanga ei emaw pek tawh loh hi a ni. Chu ai chuan naute chu a mamawh ei tur leh tui chu thisenah (IV) , chu chu vein chhunga saline ang mai a ni.

Chu bakah, naute hian enkawlna a dawng thei bawk a, chungte chu:

• Nasogastric tube: Doctor chuan hnar kaltlangin (a chang chuan ka hmangin) tube sei tak, te tak te chu pum chhungah a dah lut a , chu chuan pum atanga boruak leh tui tam lutuk a chhuah tir thin.
• Antibiotics: Hengte hian bacteria infection dona kawngah a pui thin.

Naute 4 zinga 1 vel chu operation neih a ngai dawn a, chu chuan an intestine hmun thi te chu paih chhuakin, a khur awm apiang siamthat a ngai dawn a ni. Doctor chuan ostomy tih pawh a ti thei bawk . He surgery hi:

• Naute pum chhungah hian khur te tak te, stoma an tih chu a lo awm a.
• He stoma nen hian intestine lian tak hi a inzawm tlat a ni.
• Tichuan, bawlhhlawh chu he stoma hmang hian taksa chu a chhuahsan a, taksa pawn lama pouch-ah a lut ta a ni.

Naute chu a chak deuh deuh chuan doctor chuan a intestines chu a thlunzawm leh ang a, a pum chhungah a dah ang.

A châng chuan naute chu a te lutuk (pound 1 aia rit lo) emaw, a na lutuk a, operation tih theih loh emaw a nih chuan doctor chuan a pum chhungah tube te tak te ( drain/catheter ) a dah thei a ni. He tube hi pum atanga tui tha lo, hrik kai leh boruak paih chhuah nan leh natna lanchhuahna tihziaawmna atan hman a ni. Nakinah chuan naute chu a lo upa deuh a, a tha deuh deuh chuan surgery pawh tih theih a ni.

NEC hi ven theih a ni em?

Nau piang hmaa neih hlauhawm i nih chuan i doctor chuan corticosteroid injection a pe thei che a ni. He damdawi hian nausen pum chhunga naute hriselna tihchangtlun nan hna a thawk a ni. Naute lung leh intestines-a harsatna awm theihna a tiziaawm thei a ni.

Tin, nau hnute pek hian NEC vei theihna a ti tlem tih hmuhchhuah a ni bawk. Zirna ṭhenkhat chuan nu hnute emaw, formula emaw-ah probiotics , a nih loh leh bacteria ṭha tak tak dah tel pawhin a ṭangkai thei tih an sawi.

NEC a lo awm chuan naute chungah eng nge thleng ang? (Hmuh dan tur) .

A tlangpuiin NEC vei naute 10 zinga 8 chu an dam chhuak a ni. Amaherawhchu, heng naute thenkhat hian NEC vangin hun rei tak chhung hriselna lama harsatna an nei thei a ni.

Pawimawh: I naute piang hmasa chu a dam tha ang tih a hriat a, NEC ang chi harsatna a neih thut chuan i lungngai hle thei a, i lungngai hle thei bawk. Hei hi thil pangngai a ni. NICU-a doctor leh nurse-te chu heng harsatnate hrechiang thei tur leh rang taka hma la turin training pek an ni. Naute thenkhat chu enkawlna tlemte chauh hmangin an dam leh thin. Surgery hmang pawhin naute tam tak chu an dam leh a, nun pangngaiin an nung thin. Mahse, naute ṭhenkhat chuan chaw ei kawngah harsatna an nei chhunzawm zel thei.

I doctor/doctor zawh tur thil

I naute hian NEC a vei a nih chuan i doctor hnenah hetiang thil hi zawt la a tha ang:

• Engvangin nge ka naute hian NEC a neih?
• Ka naute hian eng ang NEC nge a neih?
• Ka naute tan hian eng enkawlna tha ber nge ni ang?
• Enkawlna avanga harsatna awmte chu engte nge ni?
• NEC hian hun rei tak chhunga nghawng a neihte chu engte nge ni?
• Ka naute hi special diet pek ka ngai em?
• Ka naute ka hruai haw hunah eng harsatna nge ka fimkhur tur?

A tawp berah chuan a pawimawh ber

NEC hi natna khirh tak a ni a, a bik takin kan naupang tête a nghawng hian. Mahse, tunlai hian medical science hi a hmasawn hle tih hre reng ang che. NICU (Neonatal Intensive Care Unit) -a doctor, nurse leh staff te hian heng naute chhanchhuahna kawngah hian nasa takin hma an la nasa hle tih rin theih a ni.

Nu hnute pek ang chi thil awlsam tak tak pawhin he hlauhawmna hi a tihziaawm thei hi a ropui hle. I naute hian he natna hi a neih chuan hlau suh la, i doctor thurawn chu zawm rawh . Fimkhur takin sawipui la, zawhna i neih zawng zawng zawt rawh. Dam leh thuai turin duhsakna kan hlan e!

` Necrotizing enterocolitis, NEC, nausen piang hma, intestinal infection, naute hriselna, NICU, chaw ei dan