I fate lu chu a flat hmel em? He ‘Flat Head Syndrome’ (Positional Plagiocephaly) chungchang hi han sawi ila!

I fate lu sir khat chu a zau deuh tih i hmu tawh mai thei, a nih loh leh an lu pianzia chu a danglam deuh hlek tih i hre tawh mai thei. Nu leh pa tharte hian thil tenawm ber berte pawh tlem an ngaihtuah hi thil pangngai tak a ni. Mahse, ngaihtuahawm tur a awm lo. Hetiang dinhmun hi damdawi lam chuan ‘Positional Plagiocephaly’ an ti a. Kan sawi hian ‘Flat Head Syndrome’ kan ti tlangpui. Chuvangin, vawiin hian he thu hi chiang takin sawi ila, a tha em?

‘Positional plagiocephaly’ tih hi eng nge ni?

A awlsam zawngin, hei hi i naute lu-ah hmun zau tak a lo awm a, a tlangpuiin a sir khatah a awm thin. Hei hian i naute lu chu a asymmetrical deuhin a lang thei a, chu chu a sir lehlamah a inang lo tihna a ni.

Tunah chuan, naute chu mut turin an hnungzang chungah dah tur a ni tih kan hre vek tawh . A chhan chu Sudden Infant Death Syndrome (SIDS) an tih, an dinhmun hlauhawm tak laka venhimna atan a ni. Mahse, naute chu an hnungzang chunga rei lutuka dah a nih chuan hetiang chi lu hrual hi a chang chuan a awm thei a ni. Thu lawmawm tak chu mutna hmun tlem tal thlak danglam (`repositioning techniques`) chuan he dinhmun hi nasa takin a tihziaawm thei a ni.

Plagiocephaly chi hrang hrang a awm em?

Ni e, ‘positional plagiocephaly’ hi a tam ber a ni. A chang chuan ‘deformational plagiocephaly’ an ti bawk. A chi dang engemaw zat a awm bawk:

• Brachycephaly: Hei hi nausen lu hnunglam a hrual (flat) lai a ni. Lu hnunglam chu a tawi leh zau zawkin a lang thei.
• Scaphocephaly: Hetiang lu hi a sei a, a tawi bawk. A bik takin nausen piang hma leh nausen neonatal intensive care unit (NICU)-a hun tam tak hmang thinte zingah a tam hle.
• Craniosynostosis: Hei hi thil awm lo leh ngaihtuahawm tak a ni a, nau piang lai hian a awm thin. Congenital plagiocephaly an ti bawk. Hei hi naute luruh chhunga cranial sutures te chu a hun hmaa an inzawm khawm hian a thleng thin. Hei hian lu pianziaah deformity a siam thin. Hei hi damdawi lam pan ngai tak condition a ni.

Engtiang chiahin nge ‘positional plagiocephaly’ hi a hluar?

Zirna atanga a lan dan chuan naute 50% vel, chu chu a tam hle a, he natna hi an nei thei a ni. Mahse a tam zawkah chuan a nêm hle. Chuvangin ngaihtuahawm tur a awm lo.

Plagiocephaly natna lan chhuah dan chu engte nge ni?

Heng symptoms te hi a natna chi leh a nasat dan azirin a danglam thei. ‘Positional plagiocephaly’ ah hian hetiang hi i hmu mai thei:

• Naute lu hmalam, sir lam emaw hnung lamah emaw hmun zau tak a lo lang a.
• Lu chungah hmun khatah sam a bo ang mai a ni.
• Lu pianzia a danglam tawh a, .A hrual tawh ang maiin a lang.
• Hmai, mit emaw, hmui emaw, a sir khata lian zawk leh khat zawka lang.
• Hnar chu a sir khatah nawr ang maiin a lang.
• Beng hi a symmetrical lo va, beng pakhat chu chunglam emaw hmalam emaw a nawr a ni.

Engvangin nge he ‘flat head syndrome’ hi a lo awm?

Ngaihtuah teh, naute lu ruh hi a nem hle a, awlsam takin a tichhe thei a ni. Nitin darkar tam tak chhung chu an hnungzang chungah an mu thin. Chutianga an mut lai chuan an lu chu a sir lehlamah an hawi thei fo thin.

Chuvangin, i naute chu a lu chu a sir khata hawi chunga a mut chuan an lu hmun khat chu mattress emaw, crib chunglam emaw-ah a innghat reng a ni. Hmun khata pressure pek reng a nih chuan an lu nêm tak chu a flatten thei a ni. Lei ball pakhat hmun khata i press chuan a flatten out ang bawkin.

Naute thenkhat chu he natna hi an vei theihna chance a sang zawk em?

Ni e, naute thenkhat chu midang aiin he ‘positional plagiocephaly’ hi an vei theihna chance a sang deuh hlek a ni.

• Nausen piang hma: An lu ruh hi a lo seilian kim loh avangin a flatten duh zawk. Damdawi inah leh in an thlen hnuah pawh hun an hman tam avangin hlauhawmah an awm bawk.
• Naute thenkhat chuan plagiocephaly nen hian congenital muscular torticollis tih natna an nei thei bawk. Hei hi naute kawr ruhte a inkhauh a, chu chuan a lu chu a sir khatah a hrual a, a inher a ni. Hetiang torticollis natna hi physical therapy (PT) hmanga enkawl theih a ni.
• Risk factor dangte chu:
• Vawi khata fa tam tak neih, twins neih ang chi.
• Nausen piang laiin forceps emaw vacuum extractor emaw ang chi hmanrua hmanga nau neih pui.
• Naupang hmasa ber nih hi .
• Tlangval a nih avangin .
• Hnathawh tur awm lo.
• ‘Tummy time’ tih awmzia chu naute chu an harh laia an pum chunga vawn hun tlem zawk tihna a ni.

Engtin nge ‘positional plagiocephaly’ hi hriat theih?

He lu flatness hi i naute kar 6 atanga kar 8 vel a nih hunah i hmu thei ang. I naute doctor, doctor emaw, midwife emaw pawh ni ila , i naute en mai mai leh lu flatness en mai mai hian hei hi a hre thei ang. He ‘flat head syndrome’ hi finfiah leh tehna atan hian test bik neih a ngai lo.

Engtin nge ‘positional plagiocephaly’ hi enkawl a nih?

Chumi enkawlna chu naute dinhmun thlak danglam atanga tan a ni. Hei hi naute mut lai emaw, a harh lai emaw pawhin i ti thei a ni.

Hun kal zelah i dinhmun i thlak danglam chuan i naute lu-ah pressure chu a insem darh vek ang a, kawr ruhte pawh a chak chho bawk ang. Hengte hi i ti thei ang:

• I naute mut dan hi thlak fo thin ang che:Naute hian an lu chu êng lam hawiin, ri lam hawiin, i.e. tukverh lam hawiin, emaw, pindan lai takah emaw an hawi tlangpui. Chuvangin, ni khat chu i naute chu crib-ah a lu nghatin i muttir a, a tuk zingah lu hnuai lam hawia i muttir chuan an lu chu a sir khatah emaw, a sir lehlamah emaw an hawi ang.
• I naute mut laiin a lu sir lam thlak: I naute a muthilh hnuah zawi zawiin a lu chu a duh loh ber lam hawitir la.
• I naute chu chelh fo rawh: Hei hian i naute chu hmun zau takah a mut rei zawng a ti tlem ang. I naute i vawn lai hian nau i hnute i pek dawnin a sir lehlamah inthlak danglam thin ang che. I naute chu i rilruah mu tir rawh.
• I naute chu a harh laiin i en laiin ‘tummy time’ engemaw chen pe rawh: ‘Tummy time’ chu i naute chu a pum chunga i dah hi a ni. Hei hian ‘flat head syndrome’ a pui mai bakah naute kawr, kut leh hnungzang ruhte a tichak bawk. I fa tê tê chu a hrual ṭan hunah heng ruhte hi a pawimawh dâwn êm êm tih hi han ngaihtuah teh!
• I naute hian an lu zalen taka a inher theih lohna hmuna mut hun chu tihtlem rawh: Curved baby swings emaw, car seat-a chetna khaptuah emaw hun tam tak hman loh tur.
• Strategically divert your naute attention: Crib pawnah, a thlen theihna hmunah, toy emaw mobile emaw i dah chuan, chu lam hawi turin a lu a hawi thei a ni.

Pawimawh: Heng zawng zawng i tih hian naute a tihnat loh nan zawi zawia tih a ngai a ni.

Posture thlak danglam hian risk a nei em?

I naute dinhmun thlak danglam, dik taka tih a nih chuan a hlauhawm lo. Mahse, mut dan thenkhat chu a hlauhawm thei hle. I naute chu hetiang hian mut tir ngai suh:

• An pum chunga muthilh tir.
• An sir lamah hawitir a, muthilh tir.
• Mut theih nan crib chhungah blanket nem tak leh infiamna dah.

Heng thilte hian SIDS vei theihna a tipung a ni.

Naute dinhmun hi engzat nge ka thlak ang?

Naute lu ruh hi a nem leh a inthlak danglam theih nan hun bituk a nei a. Heng repositioning technique te hi naute thla 4 a tlin hmain a hlawk ber a ni. Chumi awmzia chu heng thilte hi a hma thei ang bera tan a tha ber tihna a ni.

I dinhmun thlak danglam chu a tawk lo a nih chuan engtin nge ni ang?

Naute thenkhat chuan torticollis (tight neck muscles) an nei a, chubakah flat head syndrome an nei bawk. Heng naute hian physical therapy leh home exercise program an mamawh tlangpui. Physics therapist chuan exercise leh stretch te a zirtir ang che, chu chuan i naute kawr ruhte chu a tizau a, a tidik thei ang.

Plagiocephaly condition hi a nasat deuh chuan, i doctor chuan i naute chu lu khuhna bik plagiocephaly helmet an tih chu bun turin a rawt thei ang. Orthotist chuan i naute lu nena inmil turin helmet chu a siam ang. Helmet hi lu flat area-ah chuan loose takin a fit ang a, rounded area-ah chuan tight takin a fit ang. Hei hian lu chhunga flat area te chu a lo thanglian thei dawn a ni. I naute hian an lu pianzia a insiamrem theih nan thla engemaw zat chhung chu helmet hi a bun a ngai dawn a ni.

Engtin nge ‘flat head syndrome’ hi kan ven theih ang?

Naute dinhmun thlak danglam (infant repositioning) hi chutiang venna tha ber a ni. Naute mut laiin a lu sir lam thlak theihnghilh suh. Tin, naute a harh hunah i en laiin ‘tummy time’ tam tak pe bawk ang che. Heng thil awlsam tak takte hian danglamna nasa tak a thlen thei a ni.

Ka naute hian ‘positional plagiocephaly’ a neih chuan eng nge ka beisei ang?

Plagiocephaly vei naute tam zawk chu anmahni chauhin an dam tha thin. Midangte chuan an dinhmun siamthat nan enkawlna an mamawh thei bawk . I naute dinhmun chungchang hi doctor nen sawipui a tha ber.

Position thlak hian a puih loh chuan Doctor ka pan tur em ni?

I naute dinhmun thlak danglamin flat head syndrome hi i siam tha thei tur a ni a, a tlem berah chuan i tih tlem thei tur a ni. A pawimawh ber chu bul tan hmasak a, chu chu tih chhunzawm zel hi a ni. Mahse, position thlak danglam hian a pui lo a nih chuan, emaw, i naute kawr ruh a tight angin a lang a nih chuan doctor pan ngei ang che. Physical therapy emaw, helmet emaw hian a pui thei a ni.

Ka naute doctor hnenah eng zawhna nge ka zawh ang?

Doctor hnenah hetiang zawhna hi i zawt thei ang:

• Ka naute lu hi enkawl loh chuan a mah chauhin a dam ang em?
• ‘Flat head syndrome’ hi enkawl loh a nih chuan hun rei tak chhung nghawng a nei em?
• Ka naute hian ‘plagiocephaly helmet’ a bun chuan engtin nge a chhan ang?
• ‘Plagiocephaly helmet’ man hi insurance hian a huam em? (Hei hi Sri Lanka rama insurance system a zirin a danglam thei a, chuvangin zawh a tha.)
• Positional plagiocephaly hi enkawl hnuah a lo kir leh thei ang em?

‘Flat head syndrome’ hi ka naute tan a tha lo em?

Ni lo, flat head syndrome hian naute thluak a tichhe lo va, naute hriselna pawh a nghawng lo. Amaherawhchu, naute chu tlem a danglam deuh thei a ni. Flattened area-ah hian sam a tlem thei a, hmai pawh a symmetrical lo deuh thei bawk (hei hian mit lama harsatna engemaw zat a thlen thei bawk). Naute beng chu a lu lehlamah hmalam pan ang maiin a lang thei a, a hmai chu hmalam a rawn chhuak thei bawk. Kawng, hmui leh hmai pawh asymmetrical angin a lang thei bawk.

Nu leh pa ngaihsak lohna avanga ‘flat head syndrome’ hi thil dang a ni em?

Ni miah lo!Positional plagiocephaly hi nu leh pa emaw, enkawltu emaw tihsual avanga lo awm a ni lo. Dik tak chuan thil i tih dik vang a ni fo thin – i naute chu an hnungzang chunga muthilh tir vang a ni.

Take-Home Thuchah hnuhnung ber

Positional plagiocephaly, a nih loh leh flat head syndrome hi naute zingah a awm fo a, a tlangpuiin a na lo hle. Naute dinhmun thlak danglam, a bik takin tan tirh a nih chuan a chinfelna tha ber a ni fo thin.

A pawimawh ber chu SIDS vei theihna tihziaawmna turin i naute chu a hnungzang chunga mut tir fo hi a ni. Hei hi kan ngaih pawimawh ber a ni.

Hemi chungchangah hian rinhlelhna emaw zawhna emaw i neih chuan i naute doctor biak pawh hlau suh. I mamawh thurawn leh thlawpna an pe ang che. Nangmah chauh i ni lo tih hre reng ang che, nu leh pa tin hian hetiang thil tenawm tak hi an ngaihtuah thin. A pangngai a ni!

` Plagiocephaly, Flat Head Syndrome, Naute Lu Flat, Naute hriselna, Positional Plagiocephaly, Tummy Time, Naute mut tir