I naute hi a hun hmain a piang em? Lung lama harsatna a nei em? Bronchopulmonary Dysplasia chungchang hi han sawi ila!

I naute hian a pian hma avangin thawk harsatna a nei em ? A nih loh leh doctor chuan i naute hian Bronchopulmonary Dysplasia tih natna a nei tih a hrilh che em? Hetiang hunah hian hlauhna leh lungkhamna awm hi thil pangngai tak a ni. Mahse, lungngai suh. Hemi chungchang hi awlsam tak leh i hriatthiam theih tur angin i sawi ang u. A chhan chu nang leh i naute tan hian he dinhmun hi hriat chian a pawimawh hle.

Chuti a nih chuan Bronchopulmonary Dysplasia (BPD) hi eng nge ni?

A awlsam zawngin, `(Bronchopulmonary Dysplasia)` hi lung natna a ni a, nausen piang hmaa lo awm thei a ni . Tunah en teh, naute a pian hma hian chu naute lung chu a la thang kim lo. In sak thar bang chu an la sa reng ang mai a ni. Chuvangin hei vang hian chu naupang tête chuan anmahni chauhin thawk an harsat phah a ni. Tichuan oxygen pek an ngai a (`Oxygen Therapy`) emaw, thawkna machine (`Ventilator`) nen connect a ngai a, chu chuan an thawk thei ang .

Heng enkawlnate hi naute nunna chhanhim nan a pawimawh hle nachungin, a chang chuan naute lung chhunga boruak bawm te tak te (alveoli) te chu a tul lovah a tizau thei a ni. Balloon te tak te chu a overinflated a nih chuan eng nge thleng ang tih han ngaihtuah teh. Chutiang bawkin hun kal zelah hei hian naute lung tissue leh thawkna kawng (bronchi)-a tube nalh tak takte a tichhe thei a ni. Heng tissue te chhiatna hi ``Dysplasia'' an ti a.

I naute a pian hma zia a zirin he natna hi i vei theihna a sang tih hre reng ang che . Naute ṭhenkhat chu he natna hian nasa zawkin a nghawng thei a, mahse a tam zâwk chu an dam zauh zauh . Mahse, ṭhenkhat chuan dam chhung thawk harsatna leh harsatna dang an nei thei.

Hetiang natna lan chhuah dan hi engte nge ni? Engtin nge kan hriat chian?

Bronchopulmonary Dysplasia vei nausen hrang hrangah natna lan chhuah dan a inang lo thei. Mahse, a lan chhuah dan tlangpui, i hriat tur a awm a:

• Cyanosis: Naute vun dum nei tan chuan vun leh hmui chu a sen hring (bluish tint) a nei thei. Nausen vun dum neiah chuan hmui, lei emaw, kut zungtang emaw-ah yellow-gray, grey, emaw white tinge i hmu thei. Hei hi thisen a oxygen awm zat a tlahniam vang a ni.
• Thluak lama harsatna: Naute chu thawk harsa tak angin a lang thei. I rilru a luhchilh leh pum chu a sang leh a tlak chak ang chi thil i hmu mai thei.
• Thisena oxygen level hniam: Hei hi doctor-te’n test hmang chauha an hriat chhuah a ni.
• Apnea: Naute thawk dan a tawp nghal a , second engemaw zat chhung chu naute thawk a chawlhsan.
• Tachypnea: Naute pangngai aiin thawk chak zawk.
• Wheezing: Thâwk lak hian rilruah whistling ri faint tak a ri a.

I naute hian heng symptoms pakhat emaw a aia tam emaw a neih chuan doctor hriattir nghal a tha ber.

Tute nge BPD vei tam ber?

Sawi tawh angin nausen piang hmasa te hi an hlauhawm ber a ni. A bik takin:

• Naute kar 10 aia tam piang hmaa piang .
• Nausen pian tirh atanga gram 900 (2 pounds) aia rit lo.
• Nausen lung a puitling lo emaw, an pian tirh atanga thawk lama harsatna nei te.

Nausen naupai kar 32-a piangte hi a tlangpuiin BPD vei theihna chance a hniam zawk hle.

He `(BPD)` avang hian eng harsatna dang nge lo awm thei?

Naupang tam zawk chu kum 5 an tlin chuan BPD atanga an dam leh thin a, mahse, he natna vei naupangte hi hriselna lama harsatna dang an neih theihna tur a ni a, chung zingah chuan:

• Chaw ei lama harsatna leh ei duh lohna.
• Gastroesophageal Reflux natna (GERD) a awm a, a rilru a hah hle.
• Zirna lama harsatna leh a kaihhnawih harsatna dangte.
• Neurological Disorder awm thei te.
• Hriatna leh mit lama harsatna nei.
• Pulmonary Hypertension tih a ni.

Tin, naupang leh puitling thenkhat, naupan laia BPD nei te pawhin lung lama harsatna dang an nei thei bawk. Entir nan:

• Asthma natna a ni
• Bronchitis a ni
• Mut theih lohna (obstructive Sleep Apnea) a ni
• Pneumonia natna (Pneumonia) a ni
• Reactive Airway Disease a awm thei
• `(RSV - Respiratory Syncytial Virus)` natna khirh tak tak a awm.

Heng thute i hriat hian hlauthawng suh. Heng zawng zawng hi naute zawng zawngah a thleng vek lo. Mahse, anmahni fimkhur a pawimawh.

Engtin nge doctor-te hian he natna (BPD) hi dik taka an hriat theih?

I naute hi a pian hmaa a piang a, a dam chhung ni 28 chhunga thawk tura tanpuina a mamawh a nih chuan doctor-te chuan "BPD" tih natna a nei tih an ringhlel fo ang. Hetiang dinhmun hi hriat theihna tur test bik a awm lo. Mahse, test engemaw zat a awm a, chu chuan natna hmuhchhuahna kawngah a pui thei a, a natna enkawlnaah pawh a pui thei bawk:

• Thisen test: Naute thisenah oxygen engzat nge awm tih enfiah thin ang che.
• Chest X-ray ang chi imaging test: Naute lungphun dinhmun enfiah thin.

Doctor-te chuan heng test aṭanga thu hriatte, chubakah naute natna lan chhuah dan leh damdawi lam chanchin a\angin thutlukna an siam \hin.

BPD hi a dam kim thei ang em?

Dik tak chuan Bronchopulmonary Dysplasia hi damdawi chiang tak a la awm lo . Amaherawhchu, chu chuan beiseina i nei thei lo tihna erawh a ni lo. Enkawlna hian lung chhiatna nasa zawk tihtlem nan a pui thei a, i naute lung chu a lo thanglian a, a dam leh thei bawk .

Chuti a nih chuan hei hi eng enkawlna nge ni ang?

BPD enkawlna tum ber chuA tum ber chu naute chu a rang thei ang bera oxygen atanga lakchhuah a, a mah chauha thawk phalsak a ni. Enkawlna hian naute lung hnathawh thatna tur a tum a ni. Chumi atan chuan enkawlna chi hrang hrang hman a ni a:

• Nutrition: Nausen chawa calorie awm zat tihpun hian lung thanna atan a pui a, chu chu lung cells thanna atan ei leh in tha a pawimawh avangin.
• Diuretics: Heng damdawi te hian lung chhung leh a chhehvela tui tam lutuk awm chu a ti tlem a, thawk a awlsam phah hle.
• Bronchodilators: Hengte hian thawkna kawng chhehvela taksa ruhte chu a ti hahdam a, thawkna kawng a tizau a, thawkna kawng khar hawn ang maiin hna a thawk a ni.
• Corticosteroids: Heng damdawi te hian lung chhung leh a chhehvela hliam (inflammation) a tihziaawm thei a ni.
• Nirsevimab emaw Palivizumab: Hengte hi antibody vaccine pek a ni a, RSV ang chi virus infection laka i naute venhimna atana pek thin a ni.
• Hnar `nCPAP` khawl `(Hnar Continuous Positive Airway Pressure)`: Hei hi khawl te tak te a ni. Naute hnar chhunga dah special prong pahnih (tube te tak te) hmangin lung chhungah boruak a nawr lut thin. Hei hian lung chu a inhawng reng thei a ni.
• Tracheostomy: Naute BPD na tak nei tan chuan doctor-te chuan an thawk chhuah theih nan an kawng kaltlangin thlipui (trachea)-ah direct-a tube dahin operation an ti thei a ni. Hei hi hun eng emaw chen atan a ni fo.

I naute enkawl dan tur dik ber tur chu doctor-in a ruat ang.

Naute hian enkawl zawhah a mah chauha thawk turin eng chen nge a mamawh ang?

Enkawlna a tan chuan i naute hriselna chu thla engemaw zat hnuah a ṭha chho zauh zauh ang . Hemi chhung hian i naute lung chu a dam chhunzawm zel ang a, a lo thang zel ang. A tum ber chu i naute hian engmah tanpuina awm lovin a mah chauha thawk thei turin a ni. Hei hian hun engemaw chen a la duh a, chuvangin dawhthei takin awm rawh.

Ka naute hian heng symptoms te hi a neih chuan doctor ka pan nghal tur em ni?

I naute enkawl hnua in lama a awm hnuah pawh i hriat tur thenkhat a awm. Heng symptoms zinga pakhat tal i hriat chuan doctor pan nghal rawh:

• Cough awm reng.
• Hriatrengna ri a awm reng chuan.
• Ei harsa i tih chuan, chaw i duh loh chuan.
• I thawk chhuah laiin i hnar a lian a (flaring nostrils).
• I thaw ri nasa leh rang taka i thawh chuan.
• Viral natna lanchhuahna, khawsik, thawk hah, leh khuh te i lantir a nih chuan.
• Wheezing a pung tawh a nih chuan.

Rikrum! Naute chu a thawk a chawlhsan a, thawk a harsat a, a vun emaw, a hmui emaw a sen/gray a nih chuan damdawi inah hruai nghal emaw 911 call emaw theih a ni.

BPD vei naute neih theihna tur engtin nge tihziaawm theih ang? (Naupai lai) .

Tunah hian naupai i nih chuan hrisel taka awm a, nau neih hmaa nau neih loh nan hma i lak a pawimawh hle . Hei hi a chhan chu naute lungin a lo thanlenna tur hun remchang a neih chuan BPD vei theihna chu nasa takin a tlahniam a ni. He hlauhawmna tihziaawm nan hian a hnuaia mite hi i ti thei ang:

• Zuk leh hmuam, ruihhlo leh zu hman loh vek tur a ni.
• Ei leh in tha leh tha tak ei rawh.
• I naupai chhung zawngin ruahmanna siam angin medical clinic-ah kal thin ang che.
• A theih ang angin stress tihziaawm rawh.

Heng thilte zawm hian naute hrisel tak neih theihna chance a tipung ang.

Ka naute hian BPD a nei a nih chuan eng nge ka beisei ang? In a lo thlen hunah engtin nge ka enkawl ang?

Damdawi in atanga i naute a lo haw hnuah pawh an lung chu a la thang lian zel a. Chuvangin an la nalh hle a , hliam tuar pawh an la hlauhawm hle . A pawimawh ber chu i naute hi a hrisel thei ang bera enkawl hi a ni. Chutiang ti tur chuan a hnuaia mite hi ti rawh:

• I naute chu thawkna kawng natna nei, a bik takin RSV nei te lakah hla takah dah la.
• Chhungkaw zinga mi zawng zawng tan influenza (flu) vaccine hi la rawh.
• I naute chu zuk leh hmuam meikhu leh meikhu dang (a bik takin cigarette meikhu) lakah venhim vek rawh.

BPD vei naute hian ei leh in harsatna an nei thei a, an thau a tlahniam thei a, an thanlenna pawh a tlahniam thei bawk. Chuvangin, regular date-a doctor hmu a, naute hmasawnna enfiah a pawimawh hle . Tichuan, harsatna a awm chuan rang taka chinfel theih a ni.

A hun hmaa an pian avângin, BPD vei naute chuan an ṭhanlenna kawngah tihkhawtlai engemaw zat an nei thei a ni . Chumi awmzia chu naute dangte tih ang (e.g., nuihzatthlak, kawr vawn, kekawrte) tih nan hian hun rei vak lo an hmang thei tihna a ni. Mahse lungngai suh, naute tam tak chuan heng tihkhawtlai te hi enkawlna hrang hrang (e.g., physical therapy, speech therapy, occupational therapy) hmangin an hneh a, midangte pawh an phak lo.

BPD natna khirh tak ṭhenkhat chu nunna atana hlauhawm thei mah se, naute tam zâwk chu an dam chhuak . An lo thang lian a, an thau chhoh zel chuan an hriselna a tha chho zauh zauh a.

I fate thawk chhuah harsat lai hmuh hi thil hrehawm tak a ni. Amah emaw, amah emaw chu i chelh duh a ni. Mahse chu ai chuan naute chu monitor leh thawkna hmanrua (breathing aids)-ah an inzawm khawm zawk a ni. A hriselna i ngaihtuah nasa hle. "Aw, hetiang hi ka chungah thleng ta se" tih i ngaihtuah mai thei. Mahse, min ring rawh, i naute enkawltu doctor leh nurse te hian a mah chauha thawk thei tur state-a hruai thleng turin theihtawp an chhuah a ni.Hun engemaw chen a la ngai a nih pawhin i naute hian a mah chauhin a thawk tan ngei ang a, i hruai haw thei bawk ang.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Okay, chuvangin kan sawi tawh atanga i hriat reng tur thilte chu hetiang hi a ni:

• Bronchopulmonary Dysplasia (BPD) hi lung natna a ni a, nausen piang hmasa te a nghawng ber a ni .
• Hei hi lung puitling lo leh nunna chhanhimna damdawi (oxygen, ventilator) hmanga lung a tihchhiat theih vang a ni.
• A lan chhuah dan chu thawk harsa, vun sen, leh thawk rang te a ni thei.
• Damdawi awm lo mah se, enkawlna hian lung chu a ti thang lian thei a, a tidam thei bawk.
• I naute chu in lama i hruai hnuah pawh thawkna lama natna laka venhim a pawimawh hle a, meikhu laka inthiarfihlim a, medical checkup neihpui fo a pawimawh hle
• Nausen tam tak chu he natna atang hian an dam leh a, nun hrisel tak an hmang thin. Chuvangin a pawimawh ber chu a tha zawnga ngaihtuah a doctor te thurawn zawm hi a ni .

Zawhna dang, ngaihtuahna dang, rinhlelhna i neih chuan i doctor nen zalen takin sawi rawh. An pui ang che.

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