I naute chu a pian laiin hlauhawmah a awm dawn em ni? Nau piang hliam chungchang hi i zir chiang ang u.

Nu leh pa zawng zawng hian naute an beisei lai hian an hlauthawng deuh vek a ni lawm ni? Naute chu a hrisel ang em, harsatna a awm ang em tih an ngaihtuah thin. A tam zawkah chuan engkim a kal tha hle a, mahse a chang chuan naute hi khawvela a lo luh hian hliam tenau te a awm thei a, chu chu ‘birth injuries’ an ti a ni. Mahse, lungngai suh, hengte hi thil tenawm tak a ni tlangpui.

He nau piang hliam hi eng nge ni?

A awlsam zawngin sawi ila, nau piang hliam emaw, doctor-te’n an tih angin, ‘neonatal birth trauma’ tih hi naute pian laia chhiatna thleng apiang a ni. Hengte hi a tam vak lo va, a tam zawkah chuan hliam tenau te an ni. Mahse, a tlem hle a, natna khirh tak tak a awm thei a, enkawl belh a ngai bawk.

Nang leh i naute enkawltu doctor leh nurse te hian heng hlauhawmnate hi ven emaw, a tlem berah chuan a nghawng tih tlem emaw an tum vek a ni. Mahse, i delivery kal dan tur dik tak chu tumahin an thunun thei lo tih hre reng ang che. Tin, hetiang thil hi a thleng a nih chuan i sualna a ni lo tih hre reng ang che .

Mahse, chu chuan engmah i ti thei lo tihna erawh a ni lo. Nau neih chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i Ob/Gyn provider zawt rawh. Ani chuan a kaihruai thei che a, nau piang harsa tak neih theihna tur tihziaawmna tur kawngte pawh a zirtir thei che a ni.

Nau piang hliam chi hrang hrangte chu engte nge ni?

Nau piang hliam hi chi hrang hrangah then theih a ni. Eng nge an nih i en ang u:

• Scalp injuries: Naute lu vunah hliam. Hengte hi a tam ber a ni.
• Ruh tliak: A châng chuan, naute a lo chhuah chuan, a kut, ke emaw, a ke ruh emaw ruh chu a chhe thei a ni.
• Mit hliam: Mit hliam tenau leh chhungril thisen chhuak tenau te a awm thei.
• Luruh chhunga thisen chhuak: Hei hi ngaihtuahna engemaw chen mamawh a ni.
• Nerve chhiatna: Nau neih lai hian nerve thenkhat chu compression vangin a chhe thei a.
• Thluak hliam: Hei pawh hi a tlem hle a, mahse a lo awm chuan a na thei hle.

Nau piang hliam hi a tlangpuiin a awm lo. Kum 2021-a zirchianna pakhatah chuan nau piang nung 1,000 zingah nau piang hliam 29 chauh an awm tih hmuhchhuah a ni. Chu mi 29 zinga 23 chu lu vun hliam an ni. Chuvangin ngaihtuah tur tam tak a awm lo a ni lawm ni?

Nau piang hliam tlangpui chu engte nge ni?

Tunah hian nau piang hliam tam zawk thenkhat kan sawi dawn nia. Chûng zînga ṭhenkhat chu i hre tawh mai thei.

• Collarbones / clavicles chhe tawh: 1.1.Hei hi nau neih laiin naute chhuah harsatna a neih chuan a thleng tlangpui a, chu chu a kekawrte a tlakbuak ang chi hi a ni. Mahse a dam thuai a, a chang chuan enkawlna bik a ngai lo.
• ‘Caput Succedaneum’: Hei hi nausen piang thar lu vun vun a lo hring chhuak thin a ni. Lu chungah lump ang mai a ni. Hei hi ni engemaw zat hnuah a mah chauhin a bo tawh ang. Thil ngaihtuah tur a ni lo.
• Cephalohematoma: Hei hi nausen lu vun hnuaia thisen tlem a khawlkhawm a ni. ‘Caput’ aiin localized zawk a ni. Hei pawh hi kar tlemte chhungin a mah chauhin a dam tlangpui.
• Erb’s Palsy: Hei hi brachial plexus, kawng atanga kut thlenga nerve network a chhiat chuan a thleng thin. Hei hian naute kutah chak lohna emaw, paralysis emaw a thlen thei a ni. Hei hian physical therapy ang chi enkawlna a mamawh thei.
• Mitmeng hring: Hei pawh hi thil tenawm tak a ni a, a dam thuai ang.
• Nausen piang thar subcutaneous fat necrosis: Hei hi naute vun hnuaia thau layer tihchhiatna hmun tlemte a ni. Vunah hnah te te angin a lang thei. Hei hian a mah chauhin a tidam tlangpui.
• Facial nerve paralysis: Hetiang a nih chuan naute hmai sir khata nerve pakhat chu a compress a, chu chuan chu lam chu a tlahniam deuh a ni. Entirnan, tap laiin hmui chu a sir khatah a tla thla thei. A tam zawkah chuan hei hi hun eng emaw chen atan a ni a, ni rei lo te chhungin a reh mai thin.
• Kut chunglam ruh (Humerus) a tliak.
• Femur ruh tliak a awm. Hengte hi collarbone fracture aiin a tlem zawk hle.
• Intracranial hemorrhage - entirnan, subdural thisen chhuak. Hengte hi ngaihven engemaw zat ngai dinhmun a ni.
• Hmai emaw lu vun emaw a lacerations.
• Hnar hliam, entirnan, septum deviated.
• Retinal emaw Subconjunctival emaw atanga thisen chhuak. Hengte hian mit a ti sen tlangpui a, mahse a dam thuai a, mit hmuhna a nghawng lo.
• Luruh a tliak. Hengte hi a tlem hle.

Nau piang Hliam awm lo leh hmuh tur awm lo

Tunah chuan nau piang hliam awm lo, a nih loh leh hmuh tur awm lo thenkhat chu han en ila. Chung zinga ṭhenkhat chu a pawi khawp mai thei a, chuvangin hengte pawh hi hriat chian a tha.

• Thluaka thisen chhuak chi hrang hrang, epidural emaw subarachnoid bleeding emaw hi damdawi lam pan vat ngai dinhmun a ni.
• Oxygen tlakchham vanga thluak chhiatna (Hypoxic-Ischemic Encephalopathy / HIE).Hei hi dinhmun pawi tak a ni. Hei hi nausen naupai laiin oxygen a hmuh theih lohna a awm chuan a thleng thei a ni.
• Internal organs chhiatna, entirnan, liver emaw spleen emaw-a thisen chhuak.
• Rib ruh tliak a awm.
• Spinal cord hliam a awm. Hei pawh hi a tlem hle a, mahse a na hle.
• Subgaleal hemorrhage: Hei hi lu vun leh lu vun khuhtu membrane inkara thisen chhuak lian tak a ni. Hei hi ngaihtuah vat ngai dinhmun a ni bawk.

Heng accident hmuh tur awm lo thenkhat hi chu a pawi khawp mai. I doctor chuan i naute tan accident nasat zia chiang takin a hrilhfiah ang che. Hlauthawng lova an thusawi ngaihthlak a pawimawh.

Nau piang hliam chhinchhiahnate chu engte nge ni?

Nau piang hliam hian natna lan chhuah dan chi hrang hrang a thlen thei a, chu chu hliam awm dan azirin a ni. Entirna tlemte chu hetiang hi a ni:

• Pawn lam atanga inthlak danglamna: Bruising (Ecchymosis) , swelling (Edema) , vun rawng tidanglam thei hmun te te (Petechiae) . Naute hmun thenkhat chu a sen a, a hring thei bawk.
• Taksa peng thenkhat che thei lo: Hei hi ruh tliak vang emaw, nerve tihchhiat vang emaw a ni thei. Entirnan, kut pakhat i che thei lo a nih chuan Erb’s Palsy an tih natna chhinchhiahna a ni thei.
• Nau hnute pek harsatna. Naute hian a hnute a hnek tha lo emaw, a hnute a pek hnuah a luak emaw a nih chuan chu pawh chu enfiah tur a ni.
• Nungchang inthlak danglamna, tap fo leh hahdam loh ang chi te. I naute chu a tap fo mai emaw, thlamuan harsa a nih chuan, chu chu i doctor hnenah pawh hrilh bawk ang che.
• Aw ri bengchheng, tap laiin thawk hah (Stridor).
• Thâwk harsa.
• Seizure ang chi dinhmun.

Heng symptoms pakhat emaw a aia tam emaw i hmuh chuan doctor lam pan nghal a tha ber.

Nau piang hliam hi engte nge ni?

Nau piang hliam chhan lian ber ber eng emaw zat a awm. Eng nge an nih hi han thlir ila:

• Naute chu birth canal atanga chhuak harsa a nih chuan: Entirnan, shoulder dystocia emaw macrocephaly ang chi case-ah chuan naute lu a lian lutuk thin. Naute a lo sei chhoh zel chuan nu pianna kawngkhar a\anga chhuak chu a harsa \hin.
• Nau neih laia naute sawn kual leh hmun dik taka dah tum hian doctor-te chuan naute dinhmun hi an thlak danglam a ngai fo thin.
• Birth canal-a contractions-in nghawng a neih avangin. Heng contraction te hi naute chu a chhuah tir thin a, mahse a chang chuan chu pressure chuan hliam tenau te pawh a thlen thei bawk.
• Assistive devices hman hunah: Entirnan, ‘vacuum’ hmanga naute lakchhuah hunah (Vacuum Extraction Delivery) ., Forceps Delivery , emaw C-section Surgery emaw hian a chang chuan hliam tenau te a thlen thei. Heng hmanrua te hi emergency-ah te hman a ni a, nu leh naute tan pawh himna atan hman a ni.

Nau piang hliam tuar thei tur risk factors te chu engte nge ni?

Nau piang hliam thlen thei risk factor engemaw zat a awm. Anni chu:

• Nau piang rihna sang: He hlauhawmna hi naute kilogram 4 (8 pounds leh 13 ounces) aia rit tan a sang zawk a, chu chu naute ' fetal macrosomia ' vei te tan a ni.
• Nau piang rit lo emaw, nau piang hma lutuk emaw: Hetiang hlauhawmna hi naute piang hma emaw, nausen te tak te tan a sang zawk a, a chhan chu an taksa hi a nalh em em a ni.
• Naute dinhmun: Naute chu a dinhmun dik lo a nih chuan, entirnan, breech position -ah , accident a thlen theihna a sang zawk.
• Lu lian leh te: Hei hi naute lu lian tak nei mai mai te chungah a thleng thei. Tin, damdawi lam thil thenkhatah chuan lu lian tak a awm thei bawk.
• Nau neih harsa: Nau neih a harsat a, a rei lutuk chuan chetsualna chance a sang zawk.
• Precipitous births: He hlauhawmna hi naute chu a pian dan pangngai aia rang zawka piang pawhin a awm thei.
• Diabetes: Zunthlum vei nu atanga naute piang te hi nau piang laia hliam tuar an tam zawk. Hei hi a chhan chu zunthlum vangin nausen a lian thei a ni. Chuvangin naupai lai hian thisen sugar level control a pawimawh hle.
• Nu taksa pianphung: A châng chuan, nu taksa mizia ṭhenkhat, entîr nân, pelvis pianzia , hian nau neih a ti harsa thei a ni. Tin, naute lu lian leh te leh nu pelvis hian a nghawng thei bawk.

Nau piang hliam hian eng harsatna nge a thlen?

Research atanga a lan dan chuan nau piang hliam hian harsatna chi hrang hrang a thlen thei a ni. Chung zinga ṭhenkhat chu:

• Cerebral Palsy: Hei hi thluak chhiat avanga chetna leh dinhmun lama harsatna awm a ni.
• Fetal distress: Naute hian a pum chhunga a awm laiin harsatna engemaw zat a tawk thin.
• Nausen piang thar jaundice hi bilirubin level sang (hyperbilirubinemia) vang a ni.
• Meconium Aspiration Syndrome: Hei hi nautein a pum chhunga a la awm laiin a ek chhuah a, a tui a inhnim hian a thleng thin. Hei hian lung infection a thlen thei a ni.
• Respiratory Distress Syndrome: Thâwk harsa.
• Mechanical ventilation emaw CPAP (Continuous Positive Airway Pressure) machine emaw hman a ngai.
• Seizures a awm thin.
• Sepsis: Infection na tak a ni a, taksa pum puiah a darh.
• Transient Tachypnea: Hun eng emaw chen atana thawk chak.

Heng harsatnate hi nau piang accident apiangah a thleng ngai lova, mahse fimkhur a pawimawh hle.

Nau piang hliam engtin nge kan hriat theih ang?

Obstetrician leh gynecologist (Ob/Gyns), neonatologist, emaw perinatologist te chuan heng nau piang hliam te hi an hmuchhuak thin. Thil tih dan hrang hrang an hmang a:

• Physical exam: Doctor-in naute a pian hnua a enfiah nghal hi standard procedure a ni. Hei hi pianpui natna leh nau piang hliam te enfiah nan tih a ni. A lu, a ke leh a ril te hi uluk taka enfiah vek a ni.
• Diagnostic imaging: Brain ultrasound , CT scan , emaw X-ray ang chi test hian naute taksa chhunga hliam leh ruh tliak te chu a hriat theih nan a pui thei a ni. Rarely , MRI pawh hman a ni.
• Thisen test: Laboratory test hian doctor-te chu nau piang hliam emaw, harsatna emaw thenkhat, natna hrik leh bilirubin level te hriatchhuah nan a pui thei a ni.

Thil awmdan azirin test dang pawh tih theih a ni. I naute doctor chuan heng test te hi a puih theih chhan te a hrilh belh thei che a ni.

Nau piang hliam hi engtin nge enkawl a nih?

Nau piang hliam enkawl dan hi a hliam awm danah a innghat nasa hle. Enkawlna hman tlanglawn tak tak thenkhat chu:

• Observation and Watch: Nau piang hliam tam tak chu anmahniin an dam chhuak thin. Entirnan, collarbone fracture tenau te, caput succedaneum te, leh brachial plexus nerves te te a tichhia te. Hengte hi Doctor ten hliam chhinchhiahna an neih leh neih loh an enfiah ang.
• Immobilization: Kut emaw ke emaw ruh a tliak chuan naute chu a dam hma chuan kar engemaw zat immobilization a ngai dawn a ni. Hei hian a bik taka siam splint emaw, harness emaw bun a huam thei.
• Physical therapy: Brachial plexus nerve hliam tan chuan taksa lam enkawlna hi a \angkai hle. Nerve tihchhiat belh emaw, taksa ruh chak lohna emaw ang chi harsatna awm thei tur venna atan a pui thin. Naute chu a taksa ruh tichak turin exercise an pe thin.
• Inzai:Thil engemaw takah chuan lacerations ang chi thil siam that nan operation neih a ngai mai thei. Naute lu ruh chhunga thisen awm khawm a, thluaka pressure a siam loh nan surgery an ti bawk. A châng chuan operation hian thluak vêla nerve signal thawn chhuahnaah a ṭanpui a, nerve tihchhiatna a thlen thei bawk.

Thil awmdan azirin i medical team chuan enkawlna dang an rawt thei bawk. I naute doctor chuan he thil hi a hrilh belh thei che a, enkawlna kawng hrang hrang a rawn rawt thei bawk.

Ka naute hian nau piang hliam a neih chuan eng nge thleng ang?

Nau piang hliam tur thlirna chu hliam chi leh a nasat danah a innghat nasa hle. Mahse a tlangpuiin, nau piang hliam tam zawk—a bîk takin a tam zâwkte—te chu a ṭha hle. Kum sawmhnih kalta chhung khan mithiamte chuan nau piang hliam hlauhawmna leh an enkawl dan tihchangtlun tumin nasa takin hma an la a. Kum 30 kalta aiin tunah chuan nau piang hliam na tak hi a tlem zawk hle. Kum 1993 khan nau piang thar thihna thlentu lian ber 11-na chu nau piang hliam hi a ni. Mahse kum 2007 atang khan nau piang hliam hi chutiang list-ah chuan a awm tawh lo. Chu chu thil tha tak a ni lo’m ni?

Ka naute hian nau piang hliam a neih chuan eng nge ka beisei ang?

I naute hian nau piang hliam a neih chuan i medical team chuan a hliam enkawl nan theihtawp an chhuah ang a, thil thleng chungchang pawh an sawipui ang che. Nau piang hliam tam zawk hi chu a tenau a, enkawl vak ngai lo a ni. Mahse, a then phei chuan i doctor chuan nang leh i naute chu i naute a dam tha tawk a, in lama haw hma chu damdawi inah awm turin a rawt mai thei.

In i haw hunah i doctor chuan i naute enkawl dan tur te, fimkhur tur thilte leh thil dang dang te a sawipui ang che. Nau neihna avanga mut theih lohna nen thil theihnghilh a awlsam thei a, chuvangin heng thupekte hi ziak emaw, printed copy dil emaw chu a \angkai thei a ni.

A pawimawh ber chu, thil i hriatthiam loh chuan, hlauhna leh rinhlelhna i neih chuan Doctor hnenah hrilh hreh ngai suh. Thil hrilhfiah che leh i rilru hahdam taka dah chu an pawi lo. A chhan chu nang leh i naute tan pawh a tha ber tih an duh vang a ni.

Nau piang Hliam hi a veng thei ang em?

Nau piang hliam hi pumpelh kim theih a ni lo a, mahse naupai lai hian thil engemaw zat i tih theih a awm a, chu chuan heng hliamte hi i vei theihna tur a ti tlem thei a ni.

• I obstetrician/gynecologist (Ob/Gyn) nen a rang thei ang bera inbiakna neihpui rawh. I naupai hma pawhin inbuatsaihnaah a pui thei che a ni. A tul chuan perinatologist ang chi specialist te hnenah an refer thei che a ni.
• I natna khirh tak takte chu enkawl rawh.I obstetrician emaw fetal medicine specialist emaw chuan heng natnate hi i enkawl dan tur a kaihruai thei che a ni. Hei hian zunthlum ang chi natna avanga nau piang hliam hlauhawmna a ti tlem thei a ni.
• Nau neih dan tur ruahmanna siam rawh. I doctor chuan nau piang hliam hlauhawmna tihziaawm thei tur thil tih dan emaw, tih dan tur bik emaw a hrilh thei che a ni. Backup plan chungchang pawh an hrilh thei che a, chu chu C-section hi nang leh i naute himna atana duhthlan tur tha zawk a nih hunah te pawh a ni.

I medical team chuan nau piang hliam hlauhawmna tihziaawmna turin theihtawp an chhuah ang. Doctor, nurse leh clinical staff dangte chuan nang leh i naute tanpui turin an thawk ho vek ang.

Ka naute doctor hnenah eng zawhna nge ka zawh ang?

I naute doctor hnenah heng zawhnate hi zawh a tha ang:

• Ka naute hian eng ang pianpui hliam nge a neih?
• Engtiang chiahin nge a serious?
• Enkawl a ngai em?
• Eng enkawlna (a awm a nih chuan) nge i rawt?
• Engtikah nge ka naute chu a haw theih ang?
• Ka naute ka hruai haw hunah eng nge ka ngaihven tur?
• Engtikah nge i office ka call ang emaw, naute chu damdawi inah ka hruai ang?

Engtikah nge ka naute hi doctor hnenah ka hruai ang?

I naute doctor chuan follow-up schedule a siam ang a, a nih loh leh i naute enkawl chhunzawm thei tur pediatrician hnenah a refer ang che. I naute dam leh dan enfiah tur leh engkim a kal tha em tih enfiah turin tlawh fo an nei ang. A tul chuan enkawl dan tur pawh an thlak danglam thei bawk.

Engtikah nge ka naute hi damdawi inah ka hruai ang?

I naute doctor chuan emergency treatment ngai thilte a hrilh ang che. Entirnan (mahse a huam chin erawh a ni lo):

• Naute hian thawk harsatna a neih chuan .
• Activity a tlahniam a nih chuan (Lethargy) , chu chu mutthilh, nunna nei lo rilru put hmang a awm chuan tihna a ni.
• Vun chu a vawt, a sen, a nih loh leh a rawng a danglam a nih chuan .
• Nappy chu darkar 12 emaw a aia rei emaw a vawt tawh chuan (chu chu zun a awm loh chuan).
• I rilru a hahdam lo emaw i muhil emaw a nih chuan .
• Bawnghnute i in loh chuan.

Hetiang thil i hmuh chuan damdawi lam thurawn zawng nghal la, a tul chuan damdawi inah hruai rawh.

A tawp berah chuan thil hriat reng tur

I naute pian hun chu hlim tak, hun ṭha famkim angin i ngaihtuah a ni mai thei. I naute hian nau piangah hliam a tuar tih hriat chu nu leh pa thar tu pawhin an hriat duh loh thil a ni. Nau piang hliam hi thil mak a ni lo. Mahse nang leh nangmah leh i naute enkawltu zawng zawngte pawhin engkim dik takin ti vek a nih pawhin, a chang chuan hetiang thil hi a thleng thei a ni.

Mahse a lawmawm chu, .Nau piang hliam tam zawk hi chu a tenau tak tak a ni a, tanpuina tlemte emaw, tanpuina awm lo emaw pawhin anmahni chauhin a reh thei. Thil pawi zawkah chuan i naute doctor-te chu a rang thei ang bera enkawl tan turin an awm ang.

Thil i hriatthiam loh chuan, emaw, i lungkham emaw, i hlauhthawn emaw chuan i naute doctor nen inbia ang che. Thil an hrilhfiah thei che a, he thil tawn hi enkawl leh hmachhawn thei tur specialist dangte nen pawh an inzawm tir thei che a ni. Lungngai suh, nangmah chauh i ni lo!

` Nau piang accident, nau piang hliam, nau piang thar, nau piang, naute hliam, luruh hliam, nerve chhia, damdawi lam thurawn