I fa te i tihnghing chuan thil rapthlak tak tak thleng thei tur chu i hrechiang ang u! (Shaken Baby Syndrome) a awm em?

In lama naute kan neih hian hlimna leh mawhphurhna kan nei nasa hle a ni lawm ni? A châng chuan naute a ṭap reng hian kan rilrua lungkhamna leh thinrimna lo thleng ṭhin, hriat loh pawha tihsual tê tê kan nei tam zawk ṭhin. Chutiang hunah chuan eng thil vang pawha tih loh tur thil hlauhawm tak a awm a , mahse a chang chuan hriat lohna avang hian hei hi ‘Shaken Baby Syndrome’ an ti thin. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila, a chhan chu hei hi nu tin, pa zawng zawng leh naute enkawltu zawng zawngin an hriat tur a ni.

‘Shaken Baby Syndrome’ hi eng nge ni tak tak?

A awlsam zawngin, hei hian naute emaw, naupang tê emaw chu nasa taka tihnghing a nih huna thluaka chhiatna thleng thei chu a kâwk a ni . Ngaihtuah teh, naute lu hi an taksa dang nena khaikhin chuan a lian deuh a, a rit deuh bawk. An kawr ruh hi a la chak tawk lo. Chuvangin mi pakhatin naute a vawrh nasat chuan naute thluak chu a lu chhungah a rawn zuang chhuak leh zel a ni. Coconut chhunga tui tihhnim ang mai a ni. Hei hian thluak chhungah a hring thei a, a hliam a, thisen a chhuak thei bawk. A châng chuan he natna hian naute mit, kawr leh ruhro pawh a tichhe thei a ni. Hei hi a hming dang chu ‘Abusive Head Trauma’ tih a ni. Lu hliam na tak tihna a ni.

Engvangin nge leiah hian hetiang hi a lo awm?

Hei hi naute a tap hian a nu emaw, a pa emaw, a enkawltu dang emaw a lungawi loh vang emaw, a thinrim vang emaw a ni fo thin. Naute tihnghing chuan tap chu a titawp ang tih an ngaihtuah mai thei. Hun dangah chuan enkawltu chu a buai hle mai thei. Tichuan naupang enkawl hna chu an phur thei lo. Mi thenkhat chuan naute tihnghing hi a hlauhawm em em tih pawh an hre lo.

Mahse thil pakhat hriat reng tur. Nausen tap hi thil pangngai tak a ni. A châng chuan eng thil pawh ti mah la, chawlhsan lovin an tap ṭhin. Mahse, a chinfelna chu naute chu tihnghing ngai lo, vuak leh paih ngai lo hi a ni. Naute chu hun rei lote chhung, second 5 vel ang maia tihnghing pawhin chhiatna nasa tak a thlen thei a ni. Thluak a tichhe thei a, chak lohna a thlen thei a, thihna thlengin a thlen thei bawk.

He dinhmun hian tute nge a nghawng ber?

He ‘shaken baby syndrome’ hi tu chungah pawh a thleng thei. A tam zawkah chuan naute nen hian direct relationship nei (nu, pa) emaw, indirect relationship nei (babysitter, chhungkaw member dang) emaw hian naute chu a ti nghing thin. Hnam, sum lakluh leh chhungkaw dinhmun eng pawhah a innghat lo.

Nausen kum khat hnuai lam te hi he natna hi an vei awlsam ber a ni. Nausen thla 2 leh thla 8 inkar te hi an hlauhawm zual hle. Hei hi naupang kum 2 chunglam chungah a thleng tlem tlangpui nachungin, a chang chuan naupang kum 6 mi lek te pawh hetiang hian tihduhdahna an tawk fo thin.

Hetiang dinhmun hi engtiang chiahin nge a awm tak tak?

National Center on Shaken Baby Syndrome chhinchhiah danin, United States-ah ringawt pawh kum tin hetiang hri kai hi mi 600 atanga 1,400 vel an awm thin. America rama naupang kum 5 hnuai lam zinga naupang tihduhdahna vanga thihna thlentu lian ber nia sawi a ni. Hetiang hi Sri Lanka-ah pawh hmuh tur a awm a, mahse a tam zawkah chuan hmuhchhuah lohvin an awm thin.

Ngaihtuah teh, naute tê tê chu nasa lutuka tihnghing hian thluak chhungah thisen chhuahna nasa tak a thlen thei a ni. Hei hi an dam chhung zawnga nghawng nei thei thil a ni.

Hei hian naute chu engtin nge a nghawng? Eng chhiatna nge a thlen theih?

Shaken baby syndrome hian naute tan hriselna lama harsatna lian tak a thlen thei a ni. Eng thil nge thleng ber tih hi han thlir ila.

Thluak a chhiat phah

• Subdural hematoma: Hei hi naute thluak chunglam leh thluak hualtu dura an tih membrane khauh tak inkara thisen awmkhawm a ni. Naute chu an sawn chuan thluak atanga he dura thlenga thisen kalna kawng te tak te te chu a inzawm khawm thei a, a chhe thei bawk a, thisen a chhuak thei bawk.
• Subarachnoid hemorrhage: Hei hi naute thluak leh thluak hualtu spider-web ang chi membrane (the arachnoid) inkara thisen chhuahna a ni.
• Direct brain trauma : Hei hi naute thluak lu chhungah nasa taka vuak a nih chuan a thleng thei.
• Thluak chhiatna: Naute chu a tihnghing laiin thawk a chawlhsan chuan thluak hian oxygen a hloh thei a, thluak a tichhe thei bawk.
• Brain cell tihchhiat: Chemical hi nerve cell hliam a\angin a chhuak a, chu chuan thluaka oxygen a thlen zat a ti tlem lehzual a, cell te chu a thi thei bawk.

Mit chhiatna

• Retinal hemorrhages: Hei hi naute mit a retina hnung lama thisen chhuak a ni. Hei hi shaken baby syndrome chhinchhiahna tlanglawn tak a ni.

Kawng, ruhro leh ruh dangte hliam

• Kawng leh ruhro chhiatna: Kawr leh ruhro chhunga nerve nalh tak takte chu a chhe thei a ni.
• Fractures: Luruh, ruh, kawr ruh leh kut leh ke ruh thlengin a chhe thei.

Symptoms a lan theih nan eng chen nge a duh?

Naute tihnghing hnu lawkah 'Shaken Baby Syndrome' symptoms a awmSymptoms a lo lang tan thei. Heng symptoms te hi exposure atanga darkar 4 leh 6 inkar ah a sang ber thin. Symptom thenkhat chu a lang nghal mai thei a, a then erawh chu nakin lawkah a lang thei bawk. Entirnan, naupang pakhatin naupang a nih laiin hetiang shock hi a tawk a, a lo puitlin chuan ngaihvenna leh nungchang lama harsatna a nei thei a ni.

Hemi chhinchhiahna berte chu engte nge ni?

Naute chu tihnghing avanga hliam a nih chuan, hriatna hloh, seizure, leh shock ang chi symptoms rang tak, na tak tak an nei thei a ni. A lan chhuah dan dangte chu:

• Nui lo, tawng lo, sawi ri lo.
• Hahdam lohna nasa tak, thinrimna.
• Luak chhuak .
• Chaw ei duh lohna , bawnghnute in harsat.
• Thâwk harsa.
• Chauh lutuk, mutthilh, chau lutuk, leh mutthilh theih loh.
• Vun dum emaw, sen hring emaw.
• Kut leh rilruah hliam a awm.
• Lu chu a lianin a lang a , hmai chu hmalam panin a rawn chhuak a.
• Lu chunglama hmun nalh tak fontanelle , chu a hring a, a bulh bawk.
• Lu chawi sang thei lo.
• Zirlai zau zawk.
• Hmun khata mit dah theih lohna, thil che thei zawng zawng en thei lo.
• Tremors a awm.
• Hriat lohna (coma) a awm.

He dinhmun hi hriat loh leh hriat loha awm theih a ni em?

Ni e, a châng chuan pâwn lam aṭanga tihduhdahna emaw, hliam emaw lantîrna hmuh theih a awm lo thei bawk. Naute chu a lo nghing tih hre lo enkawltu emaw, doctor emaw chuan a chhunga chhiatna thleng chu an hre nghal thei lo mai thei. Naute zinga heng natna lan chhuah chhan hi thil dang, viral fever ang chi hi niin an ngai mai thei. Chuvang chuan hei hi hriat chian a pawimawh em em a ni.

Eng thil tak nge hei hi a thlen?

Shaken baby syndrome hi mi pakhatin naute emaw naupang te tak te chu nasa taka leh rang taka a tihngheh hian a awm thin . Naupang lu-a vuak emaw, paih emaw, tumruh taka thlak emaw a nih pawhin a thleng thei bawk. Naupang chu tihnghing emaw, vuak emaw a nih chuan an thluak chu a lu chhungah rang takin a rawn inher leh chhuak thin.

Naupang tê tê thluak hi a nêm hle mai. An ligament te chu a chak lo hle. An kawr ruh (muscle) te hi a la thang kim lo hle. Tin, an taksa dang nena khaikhin chuan an lu hi a lianin a rit hle bawk. Hei hi nasa taka tihnghing chuan naupang thisen kalna kawng, nerve leh tissue te chu a tikehsawm a ni. Hei hian thluak a ti na a, a tikehsawm a, thisen a chhuah bawk.

Hei hi naute a tap chhunzawm zel a, a enkawltu a lungawi loh leh a thinrim hian a thleng fo thin. Thinrimna leh lungkhamna chu an thunun thei lo. A tam zawkah chuan enkawltu hian tumruh takin naute a ti na lo va, mahse hei hi naupang tihduhdahna pawi tak a ni bawk.

Chuti a nih chuan, naute chu zawi zawia chelh a, i khup chunga chelh a, i tiharh a, hei hi a thleng em?

No. Shaken baby syndrome hi naupang tihduhdahna chi khat a ni. Miin nausen emaw, naupang tê emaw chu tharum thawha leh rang taka a tihnghing hian a thleng ṭhin. Hengte avang hian a thleng lo:

• Naute chu i khup chungah vawn a, zawi zawiin i vawm a.
• Naute chu zawi zawiin chawi sangin, chelh lehin (mahse hei pawh hi fimkhur taka tih a ngai).
• Naute nen bike khalh (naute chu safety seat-ah dahin) hmangin.
• Naute chu chair atangin a tla palh a (hei pawh hi a hlauhawm hle a, mahse SBS a thlen lo).
• Car khalh laiin a ding nghal a, kawngpuiah khur a paltlang laiin.

Heng thiltih te hi a hlauhawm thei avangin a tha lo hle a, mahse ‘shaken baby syndrome’-a hmuh theih hliam na tak tak hi a thlen lo. A bulpui ber chu SBS hi tharum thawhna, rang, thunun theih loha nghing avanga lo awm a ni.

Engtin nge doctor-te hian hei hi an hriat chian?

Shaken Baby Syndrome hi a chang chuan hriat a harsa thei hle. Hei hi chhan hrang hrang a awm a:

• Doctor-te hian a chanchin kimchang an hre ngai lova, naute hliam hi a khuh leh inkungkaihna a ni emaw, a inkungkaih lo emaw.
• Doctor-te chuan naute leh naupang tê tak tête chu eng nge dik lo tih leh khawiah nge a na tih an hrilh thei lo.
• Shaken baby syndrome chhinchhiahna tam tak (rilru hahdam lohna, luak chhuak, leh mut theih lohna ang chi) hi damdawi lam thil dang ( virus infection ang chi)-ah pawh hmuh theih a ni.

Chuvangin Doctor chuan mit hmuhna chhinchhiahna leh test hmangin a natna chu a hriat theih nan leh a nasat dan a hriat theih nan a hmang thin. Naute mitah thisen an zawng a, lu vun, kut leh kea chhinchhiahna awm zawng zawng an zawng a, a kawr leh a rilruah hliam an zawng bawk.

He natna hi hriat theih nan eng test nge tih thin?

Doctor-te chuan shaken baby syndrome tih hriat nan imaging test thenkhat an hmang thei a ni. Heng test-te hian naute chu a lu ruh emaw, a ruh emaw-ah a hring emaw, thisen a chhuak emaw, a tliak emaw a nih leh nih loh a hriat theih a ni. Heng test hrang hrangte hi:

• X-ray hmanga tih a ni
• CT scan (Computed tomography – CT scan) hmanga tih theih a ni.
• MRI scan (Magnetic resonance imaging – MRI scan) hmanga enfiah a ni.

I naute doctor pawhin mit enfiahna a nei thei bawk a, retina-a thisen chhuak (retinal hemorrhages) a awm leh awm loh a enfiah thei bawk. He thisen chhuahna hi retina chung lamah emaw, hnuai lamah emaw, retina chhungah emaw a awm thei. Hliam vang hian i naute mit (retina) layer te chu a inthen thei a (retinoschisis). Mit chhunga jelly ang chi (vitreous) hian thisen a khat thei bawk.

Hei hi engtin nge enkawl a nih?

I naute hian shaken baby syndrome chhinchhiahna a neih chuan doctor pan nghal rawh. Hei hi in lama enkawl theih thil a ni lo.

A natna khirh lo zawkah chuan naute chu damdawi pek a ngai thei a, damdawi inah enkawl a ngai thei bawk.

A nasat zawkah chuan nunna chhanhim thei enkawlna a ngai mai thei. Naute hian thawk harsatna a neih chuan thawkna kawng (breathing tube) dah a ngai mai thei. Naute thluaka thisen chhuah tihtawp emaw, a hring tihziaawmna emaw turin surgeon chuan operation a tih a ngai mai thei.

Engtin nge leiah hian hetiang thil hlauhawm tak hi kan ven theih ang?

Nu leh pa emaw, enkawltu emaw, naute tihnghingtu chuan naute a tap lutuk a, a tawp theih loh laia thleng a ni an ti tlangpui. Naute tap hi thil pangngai a ni a, a lungchhiatthlak tak zet thei bawk. Mahse, he ‘shaken baby syndrome’ hi i veng thei a, i naute tihnghing hlauhawmzia hrethiam a, a tul huna tanpuina zawngin i veng thei a ni. Heng thilte hi han ti ve teh:

• A hmasa berin naute hian harsatna a nei em tih enfiah hmasa phawt ang che. Diaper a fai em, a ril a tam em, a vawt em tih enfiah thin ang che. Natna chhinchhiahna a awm leh awm loh enfiah thin ang che, khawsik, a hring, a nih loh leh eng thil avanga na a neih leh neih loh enfiah thin ang che.
• I naute mamawh zawng zawng a phuhruk zawh chuan aw dang rawn luh tir rawh. Radio dah la, hla sa la, i naute nen inbia ang che. Naute thenkhat chuan vacuum cleaner, washing machine, hair dryer, fan ri te chu an duh thin.
• Naute chu infiamna leh pacifier pe rawh.
• Bawnghnute pek tum la, bottle-a i pek theih chuan pe rawh.
• Naute chu swaddle la, a nih loh leh zawi zawiin rock rawh.
• I naute chu car-ah rei vak lo kal turin hruai la (naute chu car seat him takah dah rawh).
• Naute chu stroller-ah dah la, kal kual rawh.
• Naute chu pawnah swing-ah dah la, ride rawh.
• I chau hle emaw, i thinrim em em emaw a nih chuan midang (i thian, chhungte, thenawmte) hnenah nausen chu rei lo te enkawl tura pui turin ngen ang che. Ṭanpuina dil hi zahthlak a awm lo.
• Mi dang an awm loh chuan naute chu him takin a mutna khumah dah la, a rilru hahdam theih nan room atang hian rei vak lo chhuahsan rawh. Naute hi an tap chuan harsatna an tawk lovang tih hre reng la, mahse an tihnghing chuan an hliam ngei ang.

I naute enkawltu tu pawhin (nausen enkawltu, enkawltu, enkawltu dangte) naute tihnghing hlauhawmzia an hriat chian em avangin. I naute enkawl laiin stress an neih chuan tih tur leh tih loh tur an hriat a pawimawh bawk. I enkawltute background uluk takin enfiah fo ang che. I naute chu i rintlak loh mi hnenah hlan ngai suh.

Hetiang dinhmunah hian eng outlook/prognosis nge awm?

Shaken baby syndrome hi natna khirh tak a ni. Naute hliam nasat dan azirin a thlir dan a inang lo a, mahse a tlangpuiin a tha vak lo.

Nausen 25% vel chu hliam vangin an thi. A tam zawkah chuan thihna thlentu chu:

• Naute lu leh thluak chhunga a hring leh pressure sang.
• Naute thluak chhunga thisen chhuak.
• Naute thluak tissue tearing.

Damchhuak zinga 80% thlengin damdawi lama harsatna lian tak, thluak lam chhiatna nasa tak, leh dam chhung zawnga chak lohna an nei thei a ni . Naute shaken baby syndrome avanga harsatna tawk lo anga langte pawhin an naupan laiin hmasawnna lama harsatna an nei thei a ni. He natna avanga lo awm thei dinhmun thenkhat chu:

• Thusawi leh hmasawnna tlai lutuk.
• Zirna lama harsatna nei te.
• Mit hmuh hloh emaw mitdel emaw.
• Hriatna hloh reng reng.
• Cerebral palsy natna a ni.
• Epilepsy natna a ni.
• Seizures a awm thin.
• Paralysis a awm.

Shaken baby syndrome hi taksa lama naupang tihduhdahna na tak a ni a, nu leh pa emaw, enkawltu emawin naute emaw naupang emaw nasa taka an tihngheh hian a thleng thin. Hei hi naute tap a chawlhsan loh hunah a thleng fo thin a, chu chuan enkawltu chu a thinrim a, a ti lungngai thin. Hetiang dinhmun hi ven theih vek a ni. I naute chu a tap tawh lo a nih chuan a chunga tips thenkhat hi han en teh, a nih loh leh enkawltu rintlak tak hnenah tanpuina dil rawh.

A tawp berah chuan thuchah pawimawh ber hriat reng tur

Naupang tê tê chu mi nalh tak a ni. An taksa, a bikin an lu leh kawr hi uluk taka enkawl a ngai a ni. Naute te tak te chu eng thil vang pawhin, engtikah mah, eng ang pawhin thinrim emaw, chau emaw pawh nise, tihnghing ngai suh. Chu second tlemte chhunga i thil tih chuan naute nun pum pui a tichhe thei a ni.

I naute enkawl tura nawrna chu tuar theih loh khawpa lian nia i hriat chuan zak suh la, tanpuina dil rawh. I mawhphurhna a ni. I naute himna hi thil dang zawng aiin a pawimawh zawk. Hei hi midangte hriattir rawh. Tichuan chutiang thil lungchhiatthlak tak takte chu kan ti tlem thei ang.