I doctor-in i nausen piang thar emaw, nausen piang thar emaw chu hmui emaw, hmui emaw a hrual tih a hrilh che chuan, mangang leh hlauhna i nei thei a ni. "Engvangin nge ka naute chungah hetiang hi a lo thlen?", "Hei hi siam that theih a ni em?", "Engtin nge ka naute ka chawm theih ang?", leh a dangte. Hei hi thil pangngai tak a ni. Mahse, lungngai suh, nangmah chauh i ni lo. He dinhmun hi hre chiang ila, he zinkawng hi i hmachhawn dun ang u.
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Cleft lip leh cleft palate tih hi eng nge ni?
A awlsam zawngin sawi ila, hei hi pian tirh laia lo awm thin dinhmun a ni. A dik tak chuan hei hi pianpui thil dik lo (congenital abnormality) a ni. Lungngai suh, "defect" tia sawi ni mahse, hei hi surgery hmanga hlawhtling taka siamthat theih thil a ni.
Ngaihtuah teh, nausen pum chhunga a lo than chhoh tirh kar tlemte chhung hian naute hmai peng hrang hrangte chu a sir lehlamah a inzawm khawm a, a laiah a inzawm khawm a ni. Hetiang hian hmui chunglam leh hmui chunglam chu a lo piang ta a ni. Eng emaw chhan vanga heng tissue te hi an inzawm tha lo a nih chuan gap te tak te, emaw cleft emaw chu chutah chuan a awm ta a ni. Chu chu cleft lip emaw cleft palate emaw kan tih chu a ni.
Cleft lip chu eng nge ni?
Naupai atanga kar 4 leh kar 7 inkarah hmui chunglam hi a lo thang lian thin. Hetih lai hian tissue a fuse tha lo a nih chuan cleft lip a lo awm thin. Hei hi hmui chunglam a gap a ni. Naute thenkhat tan chuan hei hi line te tak te ang mai a ni thei. Mi dangte tan chuan hnar thlenga zau, gap lian tak a ni thei bawk. A châng chuan, he cleft hian gums a nghawng bawk.
Chuti a nih chuan cleft palate chu eng nge ni?
Naupai atanga kar 6 leh kar 9 inkar velah chuan hmui chung emaw, hmui emaw chu a lo thang lian thin. Hetih lai hian palate tissue te a fuse tha lo a nih chuan cleft palate a awm thin. He gap hi hmalam hard palate-ah emaw, hnunglam soft palate-ah emaw a awm thei.
A pawimawh ber chu naute hmui leh hmui hrual (cleft lip and palate) hi stage hrang hrang pahnih-ah a lo thang lian a ni. Chuvangin, heng dinhmunte hi kawng hrang hrangin kan hmu thei a ni.
- Cleft palate awm lovin hmui hrual chauh neih theih a ni.
- Hmai cleft nei lovin cleft palate neih theih a ni.
- Cleft lip leh cleft palate hi a awm dun thei (hei hi hmuh tam ber a ni).
Engvangin nge ka naute chungah hetiang hian a lo awm? A chhan engte nge ni?
He zawhna hian a tibuai che a ni mai thei. Dik tak chuan, a tam zâwk chuan, a chhan pakhat chauh a awm lo . Tin, nu leh pate hian a venna tur engmah a awm lo. Chuvangin ngaihtuah buai suh. Scientist-te chuan he dinhmun hi genetic leh environmental factor pahnih inzawmkhawm vang niin an ngai. Chumi awmzia chu chhungkaw zinga mi tu emaw hian he natna hi a neih chuan naute pawhin a vei theihna chance tlemte a awm tihna a ni.
| Risk tipung thei thil | A sawifiahna awlsam tak |
|---|---|
| Naupai laia damdawi ei \henkhat | Antiseizure damdawi, Acne tan Accutane , Cancer leh arthritis tan Methotrexate , etc. (Naupai i nih chuan doctor thurawn tel lova damdawi engmah ei loh tur). |
| Ei leh in lama tlakchhamna | A bik takin folic acid tlakchhamna. Hei vang hian naupai hmaa folic acid ei a pawimawh. |
| Nu hriselna dinhmun | Naupai laiin thau lutuk, meizuk emaw ruihhlo hman emaw. |
| Virus emaw chemical emaw a awm thei | Naupai laiin virus emaw chemical emaw thenkhat nena inzawmna. |
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Check Availability →Hetiang dinhmun hi a hmain hriat theih a ni em?
Ni e, a tam zawkah chuan a theih. Doctor-te chuan naute hmaiah hetiang cleft hi anomaly scan , a nih loh leh ultrasound hmangin an hmu thei a, chu chu naupai kar 20 vel a ni. A hmui cleft chu chiang takin a lang. Mahse, hmui cleft nei lo cleft palate chauh a awm chuan scan hmanga hriat a harsa deuh.
Scan-in a man lo a nih pawhin naute pian hnu lawka taksa enfiahna neih chhung hian doctor chuan naute hmui, hnar leh hmui a enfiah ang a, he natna hi a awm leh awm loh a enfiah ang.
Naute hian eng harsatna dang nge a neih theih ang?
He mittui tla hian naute chu harsatna engemaw zat a hmachhawn thei a ni. Chûngte hriatna chuan i tân ṭanpuina nasa tak a ni ang.
- Ei leh in harsatna: 1.1.Palate-ah gap a awm avangin naute hian a hnute a hne hian hnar atang hian hnute a rawn chhuak thei a ni. Tin, vacuum (suction) mumal tak siam theih a nih loh avangin hnute pek leh bottle-a pek pawh a harsa thei bawk.
- Hriatna lama harsatna: Naute hmui hrual (cleft palate) te hian an beng lai takah tui a awm fo thei. Enkawl loh chuan hei hian hriatna a tichhe thei a ni.
- Thusawi harsatna: Nausen thenkhat chuan an hmui a thawk tha lo a, a chhan chu tawngkam chiang taka sawi harsa an ti thei. An aw chu hnar angin a ri thei.
- Ha lama harsatna: Ha luhna hmuna hnim hring (fissure) hian ha a lo nghawng tawh a nih chuan ha chu a bo thei a, a lo chhuak thei a, hmun dik lovah a chhuak thei bawk.
Heng harsatna zawng zawng hi enkawlna leh chinfel dan tha tak tak a awm a ni. Chuvangin lungngai suh. I naute pui turin doctor team ropui tak tak an awm a.
Engtin nge enkawl a nih? Hei hi tihdam theih a ni em?
Ni e, a theih ngei ang! Enkawlna ber chu surgery a ni . He surgery hi naute hian engmah a hriat loh nan general anesthesia hmanga tih a ni.
Cleft Lip siamthatna tur
He surgery hi naute thla 3 leh thla 6 inkar a nih chuan tih thin a ni . A hmui chhunga gap awm chu khar vek sewing a ni. A châng chuan, lip-taping ang chi hmanraw awlsam tak hmangin operation hmain hmui chu a inzawm khawm thei bawk. Operation hnuah pawh pink scar te tak te a awm reng ang a, mahse hei hi naute a lo seilian chuan a bo vek ang.
Cleft Palate siamthat a ni
Cleft palate surgery hi naute thla 12 vel a nih chuan tih thin a ni . Surgery hian ei leh in, in leh thusawi lama pui turin cleft palate khar a tum a ni. Surgery neih chhung hian beng chhunga tui a awm loh nan ear tube an dah fo thin.
Heng surgery lian tak tak hnuah hian naute a lo seilian chhoh zel chuan surgery tam zawk neih a ngai mai thei.
- Thusawi thiamna tihhmasawn nan: Kum 5 vel.
- Gums buatsaih nan: Ha nghet tak a lo chhuah tan chuan ruh graft a ngai thei a, kum 6 leh 10 inkar a ni.
- Hmai hmel leh hnar pianzia ti mawi turin: Tleirawl lai.
Nang leh i naute tanpuitu medical team
He zinkawngah hian nangmah chauh i ni lo. Field hrang hrang atanga doctor leh health professional team te, nang leh i naute tanpui thiam tak tak an awm a.
| Specialist a ni | An chanvo a ni |
|---|---|
| Naupang Plastic Surgeon a ni | Naute hmui leh hmui hrual (cleft lip and palate surgery) titu doctor ber. |
| Naupang enkawltu doctor | Naute hriselna zawng zawng, a than dan leh a ei leh in dan te enfiah mek a ni. |
| Otolaryngologist/ENT hmanga enkawl a ni | Naute hriatna leh a kaihhnawih harsatnate kan chhui mek a ni. |
| Thusawi-Ṭawng Pathologist | Naute thusawi leh tawng thiamna tihhmasawn nan a pui thin. |
| Ha enkawltu (Orthodontist) a ni | Ha hrual chu align leh jaw awmna siamthat nan treatment pek a ni. |
| Audiologist a ni | Naute hriatna chu enfiah fo a ni. |
| Lactation Consultant hna thawk tur a ni | I naute hnute pek emaw, kawng dang hmanga hnute pek emaw turin kaihhruai i ni ang. |
Ka naute hi ka hnute ka pe thei ang em? Nu tam takin zawhna an neih chu.
Hei hi zawhna pawimawh tak a ni. Ni e, naute thenkhat chu hnute pek theih an ni , mahse a bik takin tanpuina leh kaihhruaina a ngai a ni.
Naute chuan a hmui chhungah vacuum (suction) siamin a hnute tui a hip a. Palate-a gap a awm chuan he vacuum hi siam a harsa hle. Chuvang chuan naute hian bawnghnute a hmeh tha thei lo.
- Naute hmui hrual chauh nei te hian hlawhtling takin an hnute an pe thei fo thin.
- Naute lu hnung lama gap tlemte chauh nei te pawhin hetiang hi an ti thei mai thei.
- Naute hmui hrual lian tak nei, emaw, hmui leh hmui hrual pahnih nei tan chuan hnute pek a harsa hle.
Hetiang hunah hian naute hian hnute pek tumin nasa takin hna a thawk a, mahse a pum khat tur khawpa hnute a hmu lo.
Engtin nge ka tih?
Lungngai suh. I tih theih tha ber chu damdawi inah lactation consultant nen inhmuhkhawm hi a ni. Heng thilah hian a pui ang che:
- I naute hnute pekna hmun remchang ber zawng rawh.
- I hnute chu express la, i naute chu bottle, cup, spoon, syringe bik hmanga chaw pek dan zirtir rawh.
- Hetiang hian naute tan chauh siam special bottle a awm bawk. Eng nge an nih ka rawn entir ang che.
- Naute chu a thau tha em tih enfiah thin ang che.
Direct-a hnute i pe thei lo a nih pawhin i bawnghnute express a, i naute hnena pek hian i naute chu natna laka a humhimna atana a mamawh nutrition leh immunity a pe a ni. I naute thilpek hlu ber zinga mi a ni.
Take-Home Thuchah a ni
- Cleft lip leh palate hi piansualna awm fo a ni. I sualna an ni lo.
- He dinhmun hi surgery hmangin hlawhtling takin siamthat theih a ni. Naute chu nun pangngai, hrisel takin a nung thei a ni.
- He zinkawng hi a rei thei hle. I naute a lo seilian chhoh zel chuan operation leh enkawlna dang eng emaw zat i mamawh ang. Mahse nang leh i naute tanpui turin doctor team ropui tak an awm a.
- Chaw ei chungchangah hian a tir lamah harsatna awm thei mah se, thurawn leh thlawpna dik tak nen chuan hneh theih a ni. Hemi chungchang hi i doctor nen inhawng takin sawi rawh.
- I fa chu an hmel lan danah a mualpho mai thei. Hmangaihna, thlawpna leh fuihna pek hi a pawimawh hle.
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