Anencephaly: I sawi dawn nia

In zavaia duhthusam ber chu nu in nih angin naute hrisel, a hun kim tak hrin hi a ni tih kan hria. Mahse, a châng chuan kan ngaihtuah ngai loh buaina a lo chhuak thei a ni. Anencephaly hi thupui sensitive tak a ni a, hriat tur pawimawh tak a ni. Hei hi piansualna a ni a, nausen thluak leh lu ruh a lo thanglian tha lo a nih chuan a lo awm thin. Hetiang thil i hriat hian i hrehawmna leh mangang lutuk hi sawi theih loh khawpin a awm. Mahse he dinhmun hi dik tak leh awlsam taka hriatthiam a pawimawh hle. Vawiin hian he natna Anencephaly an tih hi kan sawi dawn a ni.

A awlsam zawngin, Anencephaly chu eng nge ni?

Anencephaly hi pianpui natna a ni a, pian tirh atanga lo awm thin a ni. Hetiang dinhmunah hian naute thluak leh luruh hmun pawimawh thenkhat chu a lo thang lian lo. Hei hi natna khirh tak a ni a, naute nervous system a nghawng a ni.

Ngaihtuah teh, naupai thla hmasa berah naute thluak, luruh, ruhro leh ruhro te chu a lo insiam tan a. Chungte chu ‘neural tube’ an tih, a bik takin an siam a ni. He tube hi khar a ngai a, zipper ang bawkin. Anencephaly a nih chuan he neural tube chunglam, thluak leh luruh siamna hmun hi a khar tha lo hle. Chuvangin neural tube defect an ti bawk.

Thluak hian kan nunah engkim a thunun a, min nung reng a ni. Chuvangin thluak peng bulpui te tel lo chuan naupang tan dam khawchhuah a harsa hle. Chuvangin, naute anencephaly neia piangte chu minute tlemte, darkar tlemte emaw, ni engemaw zat emaw chauh an dam thei tlangpui. A tam zawkah chuan chutiang naupai chu nau pai emaw, nau piang thi emaw-ah a tawp thin.

Anencephaly chi hrang hrang a awm em?

Ni e, anencephaly hi chi thum a awm a. Chi pathumte hian naupang nunah nghawng lian tak an nei vek a ni.

He natna hi hriat theihna tur symptoms te chu engte nge ni?

He natna hi naupai laiin test hmangin a hmain hriat theih a ni. Doctor ten hei hi an ngaihven hle a ni.

• Thisen test: Nu thisenah protein pakhat alpha-fetoprotein (AFP) an tih chu a sang hle. Hei hi naupai kum hnihna (second trimester)-a tih thin test a ni.
• Scan: Naute chhehvela amniotic fluid awm zat hi a tam lutuk thei. Hei hi polyhydramnios an ti a . Tin, ultrasound scan hmangin naute lu ruh leh thluak hmun thenkhat a bo tih chiang takin a lang thei bawk.
• Naute pian dan: Naute pian tirh hian naute lu ruh hmun thenkhat a bo tih i hmu mai thei a, thluak tissue a lang chhuak a, beisei aia lu a te zawk tih i hmu mai thei.

Nausen piang thar hian eng nge a hriat?

Hei hi nu emaw, pa emaw tan chuan ngaihtuah phak loh khawpa hrehawm tak a ni. Hetiang natna neia piang naute tan:

• Hriatthiamna a awm lo.
• Vision a awm lo.
• Hriatthiamna a awm lo.
• Natna ka hre lo.

A châng chuan naute thluak zung (brainstem) engemaw chen lo thanglian tawhte chuan an khawih hian reflexes engemaw zat an lantir thei ṭhin. Thâwk lak, an taksa peng hrang hrang tihchet ang chi thil. Heng thilte hi i hmuh hian naute hian min hre reng tih ngaihdan i nei mai thei. Mahse, hriatna neia tih a ni tak tak lo. Automatic a thil thleng a ni. A chhan chu thluak peng lian tak tak a awm loh avangin naute hian engmah a hre lo va, a hrethiam lo bawk.

Anencephaly vei chhan leh risk factors te chu engte nge ni?

Anencephaly thlentu hi eng nge ni tih chiang taka sawi theih a ni lo a, mahse a thlen theihna tur risk factor engemaw zat hmuhchhuah a ni.

Naupai lai hian engtin tak nge he dinhmun hi hriat theih ?

I naupai laia clinic-a i kal chuan doctor-te chuan nau piangsual hriat theih nan test eng emaw zat an ti ang. Heng test te hian anencephaly hmuhchhuahna kawngah a pui ber a ni.

• Quad Marker Screen: Hei hi nu thisen test a ni. Neural tube defects leh genetic condition dangte hriat theihna turin AFP level ang chi thil a check thin.
• Ultrasound scan: Hei hi hman tlanglawn ber a ni. Anomaly scan, kar 18-20 inkar chhunga tih thin hian naute luruh, thluak leh ruhro (spinal cord) te a enfiah thin. Anencephaly a awm chuan he scan hmang hian chiang takin a hriat theih a ni. A châng chuan a hma pawhin hriat theih a ni a, kar 8-12 vel a ni.
• Fetal MRI (Magnetic Resonance Imaging): Scan-a harsatna a awm chuan i doctor chuan thluak leh ruhro thuk zawka zirchian nan MRI neih a rawt thei ang.
• Amniocentesis: He test-ah hian naute chhehvel amniotic fluid sample tlemte tak tak lak a ni a, test a ni. Chu fluid-a AFP level a san chuan neural tube defect chhinchhiahna a ni thei.

Hei hi enkawl dan tur a awm em?

Hei hi he thupui thudik khauh tak chu a ni. Anencephaly hi enkawlna leh damdawi a awm lo. Nunna nena inmil lo dinhmun a ni.

Hetiang diagnosis i dawn hian doctor leh hospital staff te chuan nang leh i chhungte tan emotional support i mamawh chu an pe ang che. Anni chuan dinhmun chu an hrilhfiah ang che a, i duhthlannate an sawi ang a, he hun harsa tak karah hian an ṭanpui ang che.

Hetiang dinhmun hi venna tur hian eng emaw tih theih a ni em?

A ven kim theih loh laiin, i risk tihziaawmna tur thil engemaw zat i tih theih a awm. Hengte hi naupai leh i tum a nih chuan a pawimawh hle.

• Folic acid ei: Hei hi a pawimawh ber a ni. Naupai hma thla 3 tal nitin folic acid 400 mcg (micrograms) ei tan tur a ni. Naupai kar hmasa berah neural tube defect a awm thin avangin naupai tum atanga folic acid ei a pawimawh hle. Naute neural tube defect nei i lo nei tawh a nih chuan i doctor chuan folic acid dose sang zawk pek a rawt thei ang.
• Damdawi lam thurawn zawng rawh (Preconception Counseling):Naupai i tum a nih chuan naupai hmain doctor pan hmasa phawt ang che. Damdawi i ei lai te, damdawi lam harsatna dang i neih te (zunthlum ang chi) te sawi la, naupai hrisel tak neih theihna tura kaihhruaina i mamawh chu la rawh.
• Nunphung hrisel: Ei leh in inthlau tak ei la, zu leh zu in loh tur. I hriselna enkawl that hian i naute hriselna a nghawng nghal vek a ni.

Hetiang fa boral avanga lungngaihna leh mangang lutuk hi a hneh thei hle. I rilru put hmang sawipui tur leh sawipui tur mi neih a pawimawh. I pasal, chhungte leh i thiante nen inbia ang che. Ṭanpuina i mamawh chuan rilru lam hriselna lama mithiamte ṭanpuina zawng hreh suh. Chutiang thil tawn tawh nu leh pa dangte nena support group-a tel ve pawh hi chakna nasa tak a ni thei bawk.