I naute pum chhunga taksa peng hrang hrang a lo chhuak tawh em? He Omphalocele an tih hi kan sawi dawn em ni?

Nu emaw pa tu pawhin an fate pum chhunga taksa peng thenkhat chu navel atanga rawn chhuak an hmuh chuan an lungkham hi thil pangngai a ni. Damdawi lam hawi chuan he natna hi Omphalocele kan ti a. Hei hi hlauhawm deuhin a lang thei a, mahse, chu mi chungchânga hriatthiamna dik neih chuan i tuar chhuak thei ang. Chuvangin, chipchiar takin sawi ila.

Omphalocele chu eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, omphalocele chu pian tirh aṭanga lo awm, pianpui thil danglam tak a ni . Naute pum chhunga awm tur taksa peng hrang hrang, intestine ang chi te chu belly button atanga rawn chhuak a ni. Mahse, heng taksa peng chhuak chhuakte hi membrane te tak te, langtlang takin a khuh a ni . He membrane hi pum chhunga lining peritoneum an tih atanga siam a ni.

Hei hi nausen pum chhunga a la awm lai, chu chu a pian hmaa thil thleng a ni. Hei hi engtin nge a lo awm tih i lo en ang u:

• Naupai kar 6 leh kar 10 inkar: Hetih hun chhung hian naute chhungril a lo thang chhoh zel chuan umbilical cord lam pan chuan tlem a nawr thei a ni. Hei hi thil pangngai a ni a, ngaihtuahawm tur a awm lo.
• Kar 11-ah: A tlangpuiin hetiang hian intestine chhuak chu pum chhungah a lut leh tur a ni. Mahse chutiang a nih loh chuan omphalocele condition a lo awm ta a ni.

Pawimawh tak chu omphalocele vei naute hmun thuma ṭhena hmun hnih aia tam chuan natna dang nen an vei a ni. Entir nan:

* Spinal lama harsatna nei

* Chaw ei leh in lama harsatna a awm

* Lung lam harsatna nei

* Urinary system lama harsatna nei

* Ke leh ke leh ke leh ruh lama harsatna nei

Hei hi hming dang a awm a, chu chu `(exomphalos)` tih a ni.

Omphalocele chi hrang hrangte chu engte nge ni?

Hetiang dinhmun hi minor leh major pawh a ni thei. Chumi ang chuan chi hnih a awm a:

• Small Omphalocele: Hetah hian intestine hmun tlemte chu pum atang hian a rawn chhuak a. He protrusion hi a lian zawng hi centimetre 5 aia tlem a ni tlangpui.
• Omphalocele lian tak: Hetah hian pum chhung peng tam tak (intestines, liver, leh spleen ang chi) chu pum chhung atangin a rawn chhuak a. Hei hi centimetre 5 aia lian a ni. Doctor-te chuan hei hi ``giant omphaloceles`` an ti bawk.

He natna hi Omphalocele an tih hi engtiang chiahin nge a awm?

America ang ram atanga statistics atanga a lan dan chuan naute 4,200 zinga pakhat velin he natna Omphalocele an tih hi an vei thei a ni. Sri Lanka-ah pawh hetiang dinhmun hi kan hmu a ni.

Engvangin nge naute hian omphalocele an vei?

Kan sawi tawh ang khan naupai kar rukna atanga kar sawmna thlenga intestines a lo thanglian zel chuan umbilical cord hian chhunglam a nawr hi thil pangngai a ni. Kar sawm leh pakhatnaah chuan pum chhungah an awm leh tawh tur a ni. Hei hi a thleng dik loh chuan omphalocele a lo awm thin.

Dik tak chuan naute thenkhatin hetiang hi an neih a, thenkhatin an neih loh chhan hi mithiamte chuan an la sawi chiang thei lo . Tin, naupai laiin a venna tur i tih theih a awm em tih pawh an hre lo. Chuvangin ngaihtuah buai suh.

Omphalocele vei theihna tur risk factors te chu engte nge ni?

Researcher-te chuan hetiang thil thleng thei tur risk factor thenkhat chu an la chhui mek a ni. Chûng zîngah chuan:

• Nu kum hi kum 35 chunglam a ni.
• Naupai laia zu in.
• Chemical emaw toxin emaw thenkhat nena inzawmna: Entirnan, pesticide emaw solvent emaw ang chi thil.
• Genetics: A chang chuan he natna hi chhungkuaah a kal thei thin. Chromosomal abnormalities nen pawh a inzawm thei bawk. Entirnan: `(Trisomy 13)`, `(Trisomy 18)`, leh `(Trisomy 21)`, chu chu `(Down syndrome)` a ni.
• Nu hriselna dinhmun: Nu thau lutuk, zunthlum, leh thisen sang ang chi dinhmun.
• Nu nutritional deficiencies: Naupai laiin nuin ei leh in mamawh emaw, vitamin thenkhat emaw a tlahniam.
• Meizial zuk.
• Damdawi thenkhat ei: Naupai laia damdawi thenkhat ei, entirnan, antidepressant SSRI an tih emaw, naupai theihna damdawi thenkhat emaw.

Hengte hi risk factors hmuhchhuah tawh thenkhat an ni. Mahse, heng thil nei zawng zawng hian he natna hi an nei vek dawn lo tih hriat reng a pawimawh.

Omphalocele hian eng harsatna nge a thlen theih?

Naute omphalocele neia piangte hian harsatna dang an nei fo a, chungte chu:

• Beckwith-Wiedemann syndrome: Hei hi lei lian, insulin level sang leh thisen sugar hniam vang a ni.
• Chromosome-a thil awm dan dik lo.
• Lung lam thil tha lo (malformations) a awm.
• Digestive process hi a slow hle.
• Lung a lo thang tha lo.

Doctor-te chuan naupai laiin he natna hi an hmuchhuak tlangpui. Chumi hnuah chuan an sawipui ang che a, naute pian hnua eng enkawlna nge mamawh tih an hrilhfiah ang che. Naute a pian veleh medical team chuan naute humhim turin a tul angin hma an la ang a, enkawlna an tan ang.

Engtin nge he Omphalocele an tih hi an hriat theih?

Doctor-te chuan naupai thla thum hnihna leh thla thumnaah ultrasound scan an neih laiin hei hi an hmu fo thin. Chutah chuan nausen pum chhung bang pawna a taksa peng hrang hrangte a lo thang lian tih a tarlang a ni. Hei hi a hriatchhuah hnuah i doctor chuan fetal echocardiogram (naute thinlung ultrasound scan) a order mai thei a, chu chuan thil danglam a awm leh awm loh a enfiah ang.

A châng chuan naupai laiin hriat chhuah a ni lo thei bawk. Chutiang a nih chuan naute pian hnu lawkah hriatchhuah a ni ang. Tichuan medical team te chuan rang takin naute hriselna venhim nan a tul angin hma an la thei ang.

Kei leh ka naute hian eng test nge kan neih a ngai ang?

I doctor chuan i nausen piang lai chu he natna hi a vei tih a hriat chuan i naupai chhung zawng hian test vawi tam tak i neih leh a ngai mai thei. Entir nan:

• Amniocentesis: Hei hian i nausen pum chhung atanga amniotic fluid sample lak a, chromosomal problem a neih leh neih loh test a huam a ni.
• Thisen test: I thisenah protein pakhat alpha-fetoprotein tih chu a sang em tih enfiah a ni ang. He protein hi naute thin (liver) ah siam a ni a, chumi hnuah i thisenah a lut leh thin. Level a san chuan i naute chu test belh a ngai tihna a ni.
• MRI (Magnetic Resonance Imaging) Scan: He test hi naute thinlung, lung leh taksa peng dangte en nan pawh tih theih a ni.
• Ultrasound scan: Ultrasound scan hi naute than dan enfiah nan tih fo thin a ni.

I naute a pian hnuah doctor chuan omphalocele chu uluk takin a enfiah ang a, a tul chuan test dang neih belh turin a ti ang.

Omphalocele hi engtin nge enkawl a nih?

Hei hi enkawl dan hi thil engemaw zatah a innghat a, chungte chu:

• Gestational age chu naute pian kar a ni.
• Naute hriselna zawng zawng.
• A natna a nasat dan.
• Omphalocele lian tham tak a ni.
• Omphalocele: Umbilicus chhehvel membrane a chhe lo em tih.

Omphalocele te tak te enkawl dan

Omphalocele te tak te tan chuan naute pian hnu lawkah surgeon-te chuan operation an ti ang. He surgery-ah hian naute pum chhungah taksa peng chhuakte chu dah lehin, pum chhunga khur chu khar a ni. Hei hian natna hrik leh tissue tihchhiatna a veng thei a ni.

Omphalocele lian tak enkawl dan

I naute hian omphalocele lian tak, a taksa peng tam tak a lo chhuak a nih chuan, surgeon-te chuan surgery hi stage hrang hrangin an ti tlangpui. Zawi zawiin naute pum chhungah taksa peng hrang hrangte chu ni emaw, kar emaw chhungin an dah leh thin. Hemi chhung hian taksa peng hrang hrangte chu natna hrik laka ven nan sterile sheet-in an khuh thin.

Engvangin nge hetiang hi stage engemaw zatah tih a nih? Hei hi omphalocele lian tak tan chuan hmanraw him ber a ni. A chhan chu naute pum hi vawi khata taksa peng zawng zawng chelh thei tur khawpa lian a ni lo va, a lo thanglian tha lo bawk. Organ te hi vawi khata dah vek a nih chuan an mamawh thisen kalna chu an hmu thei dawn lo. Reilote hnuah chuan naute pum chu a lian lehzual ang. A tam zawkah chuan a normal theih nan kar hnih chhungin operation vawi hnihna an nei leh thin.

A châng chuan surgeon chuan a khur chu khar nân a pum aṭanga vun ṭhenkhat a lak chhuah a ngai mai thei. A dang erawh chuan skin flap hmangin a khur chu khar theih a ni. Chumi awmzia chu taksa peng khat atanga vun lak chhuah a, hmun danga dah luh a ni tihna a ni.

Naute omphalocele nei, pum chhunga a lo thang tha lo a nih chuan thawk harsa an ti thei . Anmahni chauhva thawk thei tura thawk turin ventilator-ah connect a ngai mai thei.

Ka naute hian operation hnuah chaw a ei dawn em ni?

I naute chu in lama haw a inpeih meuh chuan an ei tha tawh tlangpui. Mahse, harsatna dang, thinlung emaw, lung lam emaw harsatna an neih chuan feeding tube an mamawh mai thei. Mahse, naute tam zawk chuan he tanpuina hi an mamawh lo.

Operation hnua thiltih tur khapna a awm em?

I naute hian a kum leh a thanlenna level nena inmil thil a ti thei a ni . Hemi chungchangah hian Doctor ten thurawn an pe ang che.

Omphalocele hi ven theih a ni em?

Zirchiangtute chuan he natna hi a awm loh nan kawng an la zawng mek a ni. Naupai laiin a venna tur thil chiang tak a awm em tih erawh a la chiang lo.

Mahse a tlangpuiin, i naupai lai leh i nausen piang lai tan pawh harsatna awm thei tur tihtlem nan heng thilte hi i ti thei ang:

• Zu in loh tur.
• Meizial zuk kha bansan rawh.
• I taksa rihna hrisel tak, i duh ang angin vawng reng ang che.

Omphalocele vei naute tan eng nge hmalam hun?

A hmalam hun chu omphalocele lian leh te leh naute hian hriselna lama harsatna dang a neih leh neih lohah a innghat a ni.

Hriselna lama harsatna awm chhun chu omphalocele a nih chuan i naute chu a dam vek mai thei. Mahse, omphalocele hi piansualna dang nen a awm fo thin. Heng dinhmunte hian naute hriselnaah nghawng rei tak a nei thei a, a hnu lamah harsatna a thlen thei bawk. I doctor chuan hei hi chipchiar takin a sawipui ang che.

Naute omphalocele vei dam rei zawng chu engzat nge ni ang?

A pum puiin naute omphalocele neia piang zinga 95% chu an dam chhuak a ni. Mahse, heng statistics te hi nghawng thei thil engemaw zat a awm. Entirnan, naute hian hriselna lama harsatna dang a nei em tih leh chu harsatna chuan taksa kalphung eng nge a nghawng tih te.

I medical team te chu i tanpui turin an awm reng a ni. I dinhmun hrethiam tura puitu tha ber an ni.

Engtin nge naute omphalocele nei chu i hrin ang?

Damdawi inah naute hi nau neih a tha ber a, a tul anga specialist leh hmanraw awmin, enkawlna rang tak pek a tha ber bawk. I doctor chuan i nau neih dan tur a sawipui ang che. C-section i neih a ngai mai thei a, a bik takin i naute hian omphalocele lian tak a neih chuan.

Engtikah nge ka naute doctor chu operation zawhah ka biak ang?

Operation hnua heng symptoms te hi i neih chuan doctor ko nghal rawh:

• Hliam atang hian pus ang chi thil a chhuak a nih chuan.
• Khawsik.
• Vomiting, a bik takin green a nih chuan (hei hian bowel obstruction a tilang thei).
• Hliam a sen a nih chuan.

Omphalocele hi a mah chauhin a dam thei em?

A tlem hle a, omphaloceles te tak te tak te hi anmahni chauhin an khar thei. Mahse, he natna vei naute tam zawk chuan operation an mamawh dawn a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

I naute hian omphalocele ang chi pianpui natna a nei tih i hriat chuan hlauhna leh rilru hah lutuk hi thil pangngai a ni. Eng thil nge thleng dawn tih hriat chian lohna hian naupai laia stress a tizual thei a ni.

Mahse, theihnghilh suh, i medical team te chu i bulah an awm reng a ni. Zawhna zawt hreh suh la, an thlawpna zawng rawh. Nau i neih huna i beisei tur atanga a hnua i naute enkawlna tur ruahmanna chu eng nge ni ang tih thlengin engkim an hrilhfiah ang che. Nangmah chauh i ni lo, i bulah kan awm vek a ni.

Omphalocele , nau piangsual, naute pum huap chhuak, navel, pum chhunga taksa peng hrang hrang, naupang enkawlna