Vawiin hian thupui sensitive deuh, nu leh pa tam tak tithinur thei tak kan sawi dawn a ni. Chu chu piansualna Anencephaly an tih chu a ni. He hming hi i hre lo pawh a ni thei. Amaherawhchu, naute thar beiseitu tan chuan hei hi hriat chian a pawimawh hle. He thu chhiar hian lungngaihna leh hlauhna a thlen thei che a ni. Mahse he thu hi in zirtirna atan kan sawi a, hlauthawng tur chein kan sawi lo. Chuvangin he thu hi chipchiar tak leh awlsam takin sawi ila.
A awlsam zawngin, Anencephaly chu eng nge ni?
Anencephaly hi natna khirh tak, pianpui (piang laia awm) natna a ni . A awlsam zawngin, hetiang dinhmunah hian naute chu thluak leh luruh hmun pawimawh thenkhat tel lovin a piang a ni. Hei hi dinhmun lungchhiatthlak tak a ni.
Kan taksaa hnathawh zawng zawng hi thluak hian a thunun vek a ni. Thâwk lak atanga ngaihtuahna leh hriatna thlengin thluak hi engkim atan a pawimawh hle. Chuvangin, thluak hmun thenkhat a siam that loh avangin Anencephaly vei nausen piang chuan damchhuah theihna chance a nei tlem hle. A tam zawkah chuan chutiang naupai chu nau pai emaw, nau piang thi emaw-ah a tawp thin. Pian ni mah se, chu naute chu minute tlemte, darkar tlemte, a tam berah ni tlemte chauh an dam.
Engtin nge hetiang hi a lo thlen? Neural tube chu eng nge ni?
Hei hi hrethiam tur chuan nausen pian tirh kar hmasa lam kan pan leh a ngai a ni. Ngaihtuah teh, naute lo pian chhuah kar hmasa berah, a bik takin naupai kar thumna leh kar li inkar , naute nervous system chu a lo piang tan a. Tissue flat piece angin a intan thin. He tissue hi a inzawm khawm a, tube ang maiin a lo piang ta a ni. Hei hi neural tube kan ti a .
He neural tube hi naute nervous system zawng zawng lungphum a ni.
- Thluak leh luruh hi tube chunglam atanga lo piang a ni .
- Spinal cord hi tube lai tak atanga lo piang chhuak a ni .
- Tube hnuai lam hian backbones a siam a.
Anencephaly hi neural tube chunglam a khar tha loh chuan a awm thin . Chumi awmzia chu thluak leh luruh chu an inkhar tur hmunah a inkhar tha lo tihna a ni. Chuvang chuan naute thluak hmun pawimawh tak tak, hmalam thluak leh thluak (cerebrum) te chu a lo thang lian lo. Thluak hmun dang ṭhenkhat chu lo piang mah se, pawnah an awm a, luruh emaw, vun emawin a khuh lo. Heng chhiatna chi hrang hrangte hi Neural Tube Defects (NTDs) kan ti tlangpui.
Anencephaly chi hrang hrang a awm em?
Ni e, anencephaly hi chi thum a awm a. A chi pathumte hi nausen tan chuan thihna thlentu an ni.
- Meroanencephaly: Hetiang chi ah hian thluak bul leh thluak lai (midbrain) thenkhat chu a then a lo thang lian a. Thluak hi vun thenkhat leh luruh thenkhatin a khuh tlem thei bawk.
- Holoanencephaly natna: 1.1.Hei hi anencephaly natna chi khat a ni ber. Hetiang dinhmunah hian thluak hi a lo thang lian lo tak zet a ni.
- Craniorachischisis: Hei hi a na ber chi a ni. Chutiang a nih chuan thluak, luruh leh ruhro (spinal cord) te hi a lo thang lian lo tak zet a ni.
Hetiang dinhmun hriat hi nu leh pate tan chuan a hrehawm hle thei tih rin theih a ni. Mahse hetiang thil hi hriat chian hian naupai laiin fimkhur turin a pui thei che a ni.
Hetiang dinhmun hi engtiang chiahin nge a awm? Naupai lai hian eng symptoms nge hriat theih?
Anencephaly hi neural tube defect awm fo a ni. Zirna atanga a lan dan chuan naupai 1,000 zinga 1 vel ah a awm thin. Mahse, kan sawi tawh ang khan, heng naupai tam zawk hi nau paiah a tawp avangin, he natna nei naute piang tak tak hi a tlem zawk hle.
He natna hi naupai laiin test hmangin a hmain hriat theih a ni. Hei hi kawhhmuh thei tur chhinchhiahna engemaw zat a awm.
| Chhinchhiahna | Hrilhfiahna awlsam tak |
|---|---|
| Alpha-fetoprotein (AFP) level sang tak a ni | Hei hi naute thin (liver) atanga siam protein a ni. Anencephaly ang chi dinhmunah chuan he protein hi nu thisen leh naute chhehvel amniotic fluid-ah a leak nasa lutuk a ni. Hei hi naupai thla thum hnihnaah thisen test hmangin hriat theih a ni. |
| Polyhydramnios tih a ni | Naute chhehvela amniotic fluid awm zat a tam lutuk chuan harsatna a awm tih chhinchhiahna a ni thei bawk. Hei hi doctor chuan ultrasound scan laiin a enfiah thei a ni. |
| Scan-a thil danglam hmuh tur awm | Scan-ah hian naute luruh leh thluak hmun thenkhat chu thluak tissue-in a khuh loh avangin a bo emaw, a lang chhuak emaw tih chiang takin a lang thei. Naute lu pawh beisei aiin a te zawk hle thei bawk. |
Nausen piang tharah hian he natna lan chhuah dan hi engte nge ni?
Hei pawh hi sawi harsa tak a ni. Anencephaly neia piang naute hian thluak hmun pawimawh tak tak a tlakchham avangin engmah hriatna leh hriatna an nei lo.
Chumi awmzia chu, .
- An hmu thei lo .
- An hre lo .
- Natna an nei lo .
A châng chuan, naute thluak bul chu a lo ṭhang kim tawh a nih chuan, naute hian reflexes engemaw zat a nei thei a ni . Chumi awmzia chu i khawih chuan an flinch deuh mai thei tihna a ni. Hei hian nu leh pate tan a thlamuanthlak hle thei a ni. Amaherawhchu, hei hian naute chu a hriatna a nei tihna a ni lo va, a hre thei che tihna a ni lo va, rei tak a dam thei tihna a ni lo tih kan hriatthiam a ngai a ni. Thil thleng mai mai a ni.
Anencephaly vei chhan leh risk factors te chu engte nge ni?
Hetiang dinhmun hi a chhan pakhat chauh hriat chian a harsa hle. Genetic leh environmental factors inzawmkhawm avanga lo awm fo niin an ngai.
Hei hi thlah kal zel atanga lo chhuak thil a ni em?
Anencephaly hi rochun a ni tlangpui lo. A tam zawkah chuan sporadic genetic mutation avanga lo awm a ni a, chhungkaw history a awm lo.
Mahse, a hmain naupang neural tube defect (e.g. spina bifida) , i nei tawh a nih chuan , chutiang defect nei naupang dang i neih theihna chu mi pangngai aiin a let 20 velin a sang zawk a ni.
| Risk Factor a ni | Hrilhfiahna |
|---|---|
| Folic Acid tlakchhamna a awm | Hei hi risk factor ber leh ven theih ber a ni. Naupai hma leh naupai laiin folic acid (vitamin B9) ei tlem hian neural tube chhiatna a thlen theihna nasa takin a tipung a ni. |
| Zunthlum | Nuin zunthlum a vei a, naupai laiin a thisen sugar level a control loh chuan nausen lo thang lian zel chu a nghawng thei a, heng natnate hi a tipung thei a ni. |
| Damdawi thenkhat | Seizure, migraine, bipolar disorder enkawlna atana hman damdawi thenkhat (e.g., phenytoin, carbamazepine, valproic acid) hian he hlauhawmna hi a tipung thei a ni. Naupai i tum a nih chuan i damdawi ei zawng zawng chungchang hi i doctor nen sawiho a pawimawh. Doctor zawt hmasa lovin damdawi engmah ei kha bansan ngai suh. |
| Opioid hman dan | Naupai thla hnih hmasa berah heroin emaw, prescription painkiller thenkhat (e.g. hydrocodone) ang chi damdawi hman hian neural tube defect a thlen thei bawk. |
Naupai laiin engtin nge he natna hi kan hriat theih ang?
Tuna technology hman mek hmang hian nau neih hmaa test hmangin anencephaly hi dik takin a hriat theih a ni. Heng test te hi naupai atanga kar 18-20 inkar ah tih thin a ni.
- Quad Marker Screen: Hei hi nu atanga thisen lak atanga test a ni. Nu thisenah thil 4 a check thin. He test hian a hmaa kan sawi tawh alpha-fetoprotein (AFP) level pawh a enfiah bawk. AFP level a sang hle a nih chuan neural tube defect chhinchhiahna a ni.
- Ultrasound: Hei hi mi tam takin an hriat chian em em a ni. Sound wave hmangin naute thlalak a la thin. Hetah hian doctor chuan naute lu ruh, thluak leh ruhro (spinal cord) te hmasawnna a enfiah thei a ni. He scan hmang hian anencephaly hi chiang takin hriat theih a ni.
- Fetal MRI scan: A châng chuan finfiah belh a ngai a nih chuan doctor chuan MRI scan turin a refer thei che a ni. Hei hian thluak leh ruhro (spinal cord) thlalak chiang zawk, chipchiar zawk a siam thei a ni.
- Amniocentesis: He test-ah hian nausen pum chhungah needle te tak te tak te dahin naute chhehvel amniotic fluid sample tlemte lak a ni. He fluid hi enzyme pakhat AFP leh acetylcholinesterase level te test a ni. Heng level te hi a sang a nih chuan neural tube defect chhinchhiahna chak tak a ni.
Enkawlna leh hmalam hun chu eng nge ni?
Hei hi thinlung ti na tak a ni. Tunah hian anencephaly hi enkawlna leh damdawi a la awm lo a, thluak hi vawi khat a bo tawh chuan a lo piang thar thei lo.
Hetiang dinhmun hi thihna thlen thei a ni. Naute hian damchhuahna chance a nei lo tihna a ni. A tam zawkah chuan nausen chu a pum chhungah a thi thin. A lo piang a nih pawhin darkar tlemte emaw, ni engemaw zat emaw chhungin a thi. Hei hi nu leh pa tan chuan tuar theih loh khawpa hrehawm a ni. Hetiang hunah hian i doctor-te, nurse-te leh damdawi lam thawktu dangte chuan nang leh i chhungte chu rilru lam puihna mamawh an pe ang che a, he lungngaihna hi i hmachhawn thei ang.
Hetiang dinhmun lo thleng tur hian eng nge kan tih theih ang?
Anencephaly ang natna hi 100%-a ven theih a nih loh laiin, a hlauhawmna nasa taka tihtlem nan thil engemaw zat kan tih theih a awm
- Folic acid tling tawk neih: Hei hi a pawimawh ber a ni. Hmeichhia nau neih tum apiangin nau an pai hmain thla khat tal nitin folic acid 400 mcg (micrograms) ei tan tur a ni. Neural tube defects hi naupai thla hmasa berah a awm a, chu chu naupai i nih pawh i hriat hmain a awm thin. Chuvangin folic acid ei tan a pawimawh hle. Naute neural tube defect nei i lo nei tawh a nih chuan i doctor chuan a dose sang zawk a rawt thei ang.
- I damdawi ei tur chungchang i doctor nena inbiakna: Nau neih i tum a nih chuan tuna i damdawi ei zawng zawngte chu i doctor hnenah hrilh rawh. Damdawi thenkhat chu nausen tan a hlauhawm thei a, chuvangin i doctor chuan a dang tha tak tak a rawn rawt thei a ni.
- I hriselna dinhmun enkawl dan: Damdawi lam harsatna dang, zunthlum ang chi i neih chuan i naupai hmain uluk taka control hmasa phawt ang che. Doctor nen thurawn dil rawh.
Fa boralna lungngaihna chu engtin nge i hmachhawn?
I naute hian Anencephaly a vei tih hriat chu nu leh pa tu pawhin an tawn theih zingah chuan a lungchhiatthlak ber pawl a ni thei. Thu sawi phak bak hrehawm tak a ni. Hetih lai hian rilru natna chi hrang hrang, lungngaihna, thinrimna, beiseina nei lo, leh sualna te pawh a awm fo thin.
A pawimawh ber chu hei hi i sualna a ni lo tih hriatthiam hi a ni. I thil tih leh tih loh vangin pawi ti suh.
He lungngaihna hi nangmah chauhin tuar tum suh.
- I pasal/nupui, chhungte leh i thiante rintlak tak takte nen i rilru put hmang sawipui rawh.
- Medical staff te chuan i mamawh tur support an pe ang che. Anni chuan rilru lam hriselna lama mithiam emaw, chutiang thil tawn tawh nu leh pa dangte nena ṭanpuitu pawl emaw hnenah an refer thei che a ni.
- He lungngaihna atanga dam leh tur hian hun a la ngai dawn a ni. Hei hi i duh angin hmachhawn rawh.
Naupai hrisel tak neih theihna tura i doctor-in a tih tur a tih zawng zawng ti la, a chang chuan heng nau piangsual na tak takte hi a thleng thei a ni. Chu chu a harsh reality chu a ni. Anencephaly hi thinlung ti na tak tak a ni. Mahse he zinkawngah hian nangmah chauh i ni lo. I mamawh support chu dawng hreh suh.
Take-Home Thuchah a ni
- Anencephaly hi pianpui natna khirh tak leh thihna thlen thei tak a ni a, naute thluak leh luruh a lo thang tha lo a nih chuan a lo awm thin.
- Hei hi Neural Tube Defect (NTD) category-ah a tla a ni.
- Naupai hma leh naupai hmaa folic acid ei hi he hlauhawmna tihziaawmna tha ber a ni.
- Damdawi lam natna, zunthlum emaw, epilepsy emaw i neih chuan, emaw, chu chu damdawi i ei a nih chuan, nau i pai hmain i doctor nen sawiho hmasa phawt ang che.
- Nangmah emaw i naute emaw hian he diagnosis hi i dawng a nih chuan i sualna a ni lo tih hrethiam rawh. He lungngaihna hi i hmachhawn theih nan i medical team, chhungte, leh rilru lam hriselna lama mithiamte hnen atangin tanpuina zawng hreh suh.











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