I doctor-in i naute hian ‘Colpocephaly’ an tih natna a nei tih a hrilh che chuan i hlauthawng a, i lungngai a, i buai thei bawk. Chutianga inhriat chu thil pangngai a ni a, a chhan chu hming mak tak, hriat loh tak a nih vang a ni. Mahse, lungngai suh. He dinhmun hi eng nge a nih, i naute a nghawng dan te, nu leh pa kan nih angin eng nge kan tih theih tih te hi i hriatthiam theih tur awlsam tak maiin i sawi dawn nia.
Colpocephaly hi eng nge ni? A awlsam zawngin i hrethiam ang u.
Awle, hei hi hetiang hian i hrethiam ang u. Kan thluak chhungah hian chamber te tak te, a nih loh leh space te pali a awm tih han ngaihtuah teh. Damdawi lamah chuan heng ventricles te hi kan ti a. Heng chamber chhungah hian tui bik a awm a, chu chuan kan thluak leh kan ruhro (spinal cord) a chawm a, a venghim bawk. He tui hi cerebrospinal fluid (CSF) an ti a.
Colpocephaly an tih dinhmunah chuan thluak hnung lama ventricles thenkhat (ventricle occipital horn) chu a nih tur aia lian deuh a ni. A chhan ber chu ventricles vel thluak tissue te hi beisei angin a lo thanglian loh vang a ni. Brain tissue than lohna avanga hmun awm chu a hmaa kan sawi tawh CSF fluid hian a khat a ni. Hei hi scan-a heng ventricles te hi lian zawka an lan lai a ni.
Pawimawh tak chu Colpocephaly hi a tam lo hle a ni. Tin, a awmchhun a nih chuan nunna atana hlauhawm a ni lo tlangpui bawk.
Naupang colpocephaly vei hian eng symptoms nge a neih?
Naupangin he natna a neih hian symptom hrang hrang a nei thei a. Naupang pakhat hian a dang angin symptom a nei lo mai thei. Naupang thenkhat chuan symptom engmah an lantir lo thei. Mahse, a lan chhuah dan tlangpui thenkhat chu a hnuaia mi ang hian tarlan a ni.
| Symptom a ni | Hei hian eng nge a awmzia? |
|---|---|
| Harsatna chinfel harsa | Buaina tenau, chhut dan awlsam tak tih ang chi, thil thar hriatthiam a harsa hle. |
| Attention leh hyperactivity lama harsatna nei | Thil pakhata ngaihtuahna seng harsa leh rilru hahdam lo leh rilru hah taka awm reng. |
| Thusawi a tlai | Kum nena inmil taka thumal sawi tan loh emaw, tawng harsat emaw. |
| Thinlung lama harsatna nei | Nitin hnathawh tur mahni inrintawkna neia zir leh thawh theihna tlahniam. |
| Movement leh coordination lama harsatna awm thei | Kea kal emaw, tlan lai emawa balance hloh, taksa peng leh ke ruhte uluk taka thunun theih lohna. |
| Seizures a awm thin | Taksa a nghing thut leh hriatna hloh. |
| Lu te tak te (Microcephaly) . | Naupang kum nena khaikhin chuan lu lian lo te. |
| Mit leh hriatna lama harsatna nei | Mit hmuh leh hriatna lama harsatna. |
Heng symptoms nasat dan azirin naupang mahni inrintawkna leh him taka awm theihna a nghawng thei a ni. Mahse, naupang tin hi an danglam vek tih hre reng ang che.
Engvangin nge naupang hian Colpocephaly a vei?
Researcher-te chuan hei hi a chhan chiang tak pakhat mah an la hmuchhuak lo. Amaherawhchu, thil hriat chhuah ber chu thluak hmun thenkhat, a bik takin thluak dinglam leh veilam hemisphere inzawmkhawmna kawngpui ang maia siam corpus callosum hi a lo thang tha lo hle a ni. Doctor te chuan hei hi corpus callosum agenesis an ti a . Colpocephaly hi he hmun hian hmun a hnutchhiah chu a lo thang tha lo a, chu chu CSF fluid-in a khat a ni.
Chuti a nih chuan engvangin nge corpus callosum hi a lo thang tha lo? Hei hi chhan hrang hrang a awm thei a:
- Genetic factors te chu: 1.1.Hei hi chhungkuaa kal zel, genetic condition a ni mai thei.
- Genetic variants thar: Naupang taksaa genetic change thar vang pawh a ni thei a, nu leh pate zingah a awm lo a nih pawhin.
Naupai laiin risk factors te
Zirna thenkhatah chuan naupai laiin harsatna thenkhat a awm chuan naupangin colpocephaly a vei theihna a tipung thei tih hmuhchhuah a ni.
- Nu naupai laia zu in dan.
- Nu hian naupai laiin natna (e.g. Toxoplasmosis ) a nei a.
- Nu chu malnourished a ni.
- Nausen (placenta)-a thisen supply tlahniam.
Naupai emaw, nau neih emaw i nih chuan hemi chungchang hi i doctor nen sawiho la, naupai hrisel tak neih theihna tura i mamawh thurawn la rawh.
Doctor-te hian engtin nge hei hi an hmuh?
Doctor chuan prenatal ultrasound neih laiin hei hi a ringhlel thei a, mahse naute a pian hnuah thluak thlalak chiang zawka hmuh theihna test tih hmangin a natna hi a dik tih finfiah a ni.
I fa doctor chuan taksa enfiahna a nei ang a, thluak lam enfiahna a nei ang a, i chhungkaw damdawi lam chanchin a zawt ang. Chumi hnuah chuan a natna finfiah nan a hnuaia test te hi an rawt thei ang:
- CT scan: Hei hian thluak cross-sectional images a la a, ventricles leh thluak hmun dang lian leh te a enfiah thin.
- Magnetic resonance imaging (MRI): Hei hi CT scan aiin thluak tissue chipchiar zawka tarlanna test a ni.
- Genetic testing: Heng test te hian he natna hi a chhan bulpui (underlying genetic cause) a awm leh awm loh hriat nan a pui thin.
Colpocephaly hi eng enkawlna nge ni?
Sawi hmasak ber tur chu structural brain abnormality colpocephaly an tih hi "dam" vek theih a ni lo tih hi a ni. Chu chu, ventricle lian zawkte chu a normal size-a tihtlem thei damdawi a awm lo tihna a ni. Mahse, naupang chu a natna lan chhuah dan leh a rilru hahna awmte kan enkawl a, a nun tha leh hlawhtling thei ang bera nung turin kan pui thei a ni.
Enkawl dan tur ruahmanna chu naupang tinah a inang lo ang a, naupang natna lan chhuah dan azirin a inang lo ang.
| Enkawlna/Therapy tih dan tur | Hei hian naupang chu a pui dawn a ni |
|---|---|
| Thusawi hmanga enkawlna | Thusawi thiamna, thu sawi thiamna leh mi dangte nena inbiak thiamna a tipung. |
| Taksa lam enkawlna | Gross motor skills, kea kal, tlan, leh taksa inthlauhna vawng reng turin a pui thin. |
| Occupational therapy hmanga enkawlna | Nitin hna hrang hrang, incheina, ei leh in leh thuziak te chu mahni inrintawkna neia thawk thei tura mamawh fine motor skill an nei thin. |
| Zirna bik programme hrang hrang neih a ni | Naupang zirlai theihna ang zela sikula tanpuina leh zirtirna bik pek. |
| Antiseizure damdawi a ni | Naupangin seizures a neih chuan a control theih nan doctor-in damdawi a pek chu pe thin ang che. |
| Glasses / Hriatna hmanrua | Mit leh hriatna lama harsatna nei te tan hmanraw mamawh pek. |
Engtikah nge Doctor ka hmuh ang?
Nu leh pa in nih angin in fa chu in hre chiang ber a ni. Chuvangin i fate nungchang emaw, a thanlennaah emaw thil danglam emaw, tihkhawtlai emaw i hmuh chuan ngaihthah suh. I pediatrician hmu nghal rawh.
Pawimawh tak: I fain a hmaa la awm ngai loh seizure a neih thut chuan emergency a ni. Hlauthawng suh la, i fa chu damdawi in hnai ber Emergency Department (ETU) -ah hruai nghal rawh .
I fain he natna hi a nei tih i hriat hian zawhna, hlauhna leh ngaihtuahna tam tak i rilruah a lo lang thin. Chung zawng zawng chu i doctor nen zalen takin sawiho rawh. "Engtin nge ka fa hi ka enkawl ang?", "Eng symptom nge ka fimkhur tur?", "Eng therapy nge ka fa tan a tha ber?"
Take-Home Thuchah a ni
- Colpocephaly hi pianpui natna hmuh tur awm lo tak a ni a, thluaka fluid chamber (ventricles) thenkhat chu a lian chho zel a ni.
- Hei hi thluak tissue a lo thang tha lo vang a ni. Hei hi nu leh pa sual vang a ni lo.
- Naupang tinah natna lan chhuah dan a inang lo thei hle a, naupang thenkhat chuan natna lanchhuahna engmah an lantir lo thei bawk.
- He natna hi tihdam kim theih ni lo mah se, thusawi, taksa leh hnathawhna lama enkawlna te hian natna lan chhuah dan tur a enkawl thei a, naupang chu nun tha tak nei turin a pui thei bawk.
- I fa dinhmun leh hmalam hun tur dik ber hriat theihna tur chuan i doctor hi a tha ber a, chuvangin zawhna i neih apiang chu a hnenah sawipui rawh.
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