I fa te hian congenital hand difference a nei em? (Congenital Hand Difference) – Hemi chungchang hi han sawi ila!

I naute a lo pian hian an kut a inthlak danglamna tlemte i hmuh chuan mangang leh lungngai tih hi thil pangngai tak a ni. ‘Engvangin nge ka naute chungah hetiang thil hi a lo thlen?’ tiin i ngaihtuah mai thei. Hetiang hunah hian nangmah chauh i ni lo tih hriat reng a pawimawh. Hemi chungchang hi chipchiar zawkin sawi ila, kan sawi dawn em ni?

Hei hi tumah sualna a ni lo, chu chu i hrethiam phawt ang u, kan ti em?

Vawi tam tak chu nu leh pate chuan, ‘Thil dik lo kan ti em tih ka hre lo, chuvang chuan naute hian hetiang hian a ti a ni’ tiin an ngaihtuah fo thin. Naupai laia enkawl ṭhat an nih loh vang te, doctor-te'n hei hi a hmaa an hriatchhuah theih loh vang te pawh an thinrim hle thei bawk.

Mahse thudik tak chu hei hi tu mawh a ni lo. Heng kut inthlauhna, damdawi lama ``Congenital Hand Differences'' kan tih te hi thlahtute atanga lo piang a ni lo. Tin, a tam zawkah chuan ven theih an ni lo. A châng chuan, nau neih hmaa ``scan'' pawhin a hmu lo thei bawk. Chuvangin nangmah leh nangmah in dem suh.

He ‘Congenital Hand Difference’ hi eng nge ni?

A awlsam zawngin sawi ila, ‘congenital hand deformity’ hi i naute kut siam danah a danglamna tlem a ni a, a pangngai nen khaikhin chuan. ‘Congenital’ tih thumal hi ‘pian atanga awm’ tihna a ni. Hei hi kut pianzia, kut zungtang awm zat, kut zungtang awm dan a inang lo thei a ni.

Heng inthlak danglamna te hi naute pian veleh hmuh theih a ni. Inthlâk danglamna ṭhenkhat chu fiah lo tak a ni thei a, ṭhenkhat erawh chu a langsar zâwk thei bawk. Amaherawhchu, heng inthlak danglamna te hi hriat chian a pawimawh hle.

Kut ah hian eng ang inthlak danglamna nge thleng thei?

Heng inthlak danglamna te hi chi hrang hrangah then theih a ni. Eng nge an nih hi han thlir ila:

• Kut pum pui emaw, a then emawa hmasawnna lama harsatna awm. Entîr nân, kut pêng pakhat chu a ṭhang ṭha lo thei a ni.
• Kut hmun thenkhat (entir nan, kut zungtang) chu a inthen darh ta a ni.
• Kut zungtang emaw kutpui emaw dah tam lutuk.
• Kut, kut zungtang emaw, kutpui emaw a lo thanglian loh (a te lutuk) emaw, a lo thanglian lutuk (a lian lutuk) emaw a ni.

Tunah chuan, heng chipui ber thenkhat hi chipchiar deuhin kan sawi dawn em ni?

1. Kut zungtang inzawm (Syndactyly) .

Hei hi heng natna zingah hian a tam ber a ni. ``(Syndactyly)`` chu naute kut zungtang pakhat emaw a aia tam emaw inzawmkhawm emaw, kut zungtang inkar vun chu a tlangpui aia sang zawka inzawm emaw a ni. Ngaihtuah teh, duck ang maiin, a kut zungtang inkarah vun web a awm a, chutiang thil chu.

Hei hi a chang chuan syndactyly awlsam tak a ni thei a, chu chu kut zungtang inkar vun chauh a inzawm tihna a ni. Mahse, a châng chuan complex syndactyly , ruh, nerve, leh thisen kalna kawngte pawh kut zungtang inkârah a inzawm thei a ni.

2. Polydactyly hmanga tih a ni

Polydactyly chu nausen kut zungtang emaw ke ruh panga aia tam a neih chuan a ni. Poly tih awmzia chu "tam tak" tihna a ni. A châng chuan kut zungtang dang chu vun chi khat chauh a ni thei a, nerve-ah chauh a inzawm thei bawk. A châng dangah chuan kut zungtang pangngai hmun ṭhenkhatah emaw, ruh dang emaw, kut ruh pakhatah emaw a inzawm thei bawk.

Hei pawh hi chi hnih lian tak a awm bawk:

• Ulnar Polydactyly: Hei hi a tam ber a ni. Hei hi kut zungtang te tak te (fist kan siam huna kut zungtang te tak te awmna kut sir) sir lama kut zungtang dang emaw, kut zungtang thenkhat emaw a lo awm hian a ni. Ulna hi kan kut hmawr ruh lian tak a ni. Kut zungtang te tak te sir lamah a awm a.
• Radial Polydactyly: Thumb polydactyly an ti bawk a, hei hi kut pakhata kutpui pakhat aia tam a awm chuan a ni.

3. Radial Club Kut `(Radial Club Kut)`

`(Radial Club Hand)` chu kut radial lam, chu chu kutpui lam hawi a lo insiam tha lo tihna a ni. `(Radius)` tih hian kut hmalam ruh dang, a te deuh deuh (kutpui lam ruh) a kawk a ni. Hei hian kut hmawr chu a tawi a, kut chu kutphah atanga chhung lam hawiin a ben a, ‘J’ letter ang maiin a lang bawk. Thumb hi a te hle thei a, a bo vek thei bawk.

Hmai a tawi avangin hetiang natna vei te hian kut pahnih hman harsa an ti thei a, entirnan thil lian tak tak an lak hian. Hei hi unilateral (kut khatah) emaw, bilateral (kut pahnihah) emaw pawh a ni thei.

4. Kut hrual (cleft hand) hmel

`(Cleft Hand)` chu kut lai takah kut zungtang pakhat emaw a aia tam emaw a awm loh avangin 'V' letter ang chi gap emaw crack emaw a awm a ni. Hetiang dinhmun nen hian `(Syndactyly)` (kut zungtang inzawm) leh `(Polydactyly)` (kut zungtang dang) te pawh hmuh tur a awm fo bawk. `(Cleft Hand)` pawh hian chi hrang hrang a nei bawk.

Hetiang natna vei hian an kutphah ah gap a nei tlangpui a, a kut zungtang lai tak emaw, a kut zungtang emaw a awm lo. Hei hi kut pakhat emaw, kut pahnih emaw ah a thleng thei. (Mi thenkhat chuan kut leh ke pahnihah hian chhungkaw history-ah hetiang dinhmun hi an nei thei a ni.) ``Cleft Hand''-ah chuan kut hi a lian pangngai a ni tlangpui a, kut ruh pawh a pangngai fo bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi mi tam takin an zawh thin a ni. A vaiin nau piang thar 1,000 zinga pahnih vel chuan he pianpui kut danglamna hi an nei thei a ni. Chu chu chutiang thil mak a ni lo tihna a ni. Hetiang dinhmun hi tlangval zingah a tam deuh niin an sawi bawk.

Engvangin nge heng kut inthlak danglamna hi a lo awm?

Nausen chu nausen angin a pum chhungah a awm chuan kar lina leh kar ruk inkarah kut leh kut zungtang te chu a lo piang tan thin. Hei hi thil kalphung buaithlak tak a ni. Thil engemaw hian he thil hi a tibuai a nih chuan kut inthlak danglamna a thlen thei a ni.

Mihring kut siam danah nghawng nei thil engemaw zat a awm a. Hengte hi a bik takin genetic factors leh...Environment factors hi hetiang hian then theih a ni:

Genetic factors atanga lo chhuak a ni

Kan taksaa cell tinte thanlen leh hnathawh dan tur thupek chu gene-ah a awm a. Heng genes te hi nu leh pa atanga fate hnena pek chhuah a ni. Mahse, a chang chuan heng genes te hi anmahniin an inthlak danglam thei (mutations).

Kut inthlak danglamna chungchang sawi dawn chuan, heng genetic variation te hi chhan hriat lohvin a thleng fo thin . Heng dinhmunte hi thlah khat atanga thlah danga inthlak danglam thin, genetic variation avanga lo awm hi a tlem hle.

Environment lam thilte

Environment factors-ah hian nuin naupai laiin natna a vei thenkhat te, chubakah nuin a hman damdawi thenkhat te pawh a tel. Entirnan, tun hmaa natna enkawlna atana hman thin damdawi ``Thalidomide`` (tunah chuan ram tam takah hman loh), leh cancer enkawlna atana hman thin ``Chemotherapy`` damdawi thenkhat te hian hetiang hi a thlen thei a ni.

Heng environment factors avang hian tissue normal taka hrisel taka lo thanglian tur te chu a chhe thei a, kut than dan pawh a danglam thei a, kut ah pawh inthlak danglamna a awm thei bawk.

Kut danglamna thenkhat chu heng genetic emaw environmental factors emaw hian sawifiah theih a nih laiin, thenkhat tan chuan a chhan hmuh tur a awm lo. A chang chuan kut inthlak danglamna hi ``isolated event`` mai a ni. A châng chuan taksa peng dang nghawng thei symptoms ``syndrome``-ah a tel thei bawk.

Heng kut inthlak danglamna atang hian eng harsatna nge lo awm thei?

I fain piansualna chi hrang hrang a neih leh a nasat dan azirin harsatna awm lovin an insiamrem thei a, nitin nun an hmang thei bawk. Naupang tam tak chuan heng thilte hi mak tak maiin an insiamrem thin. Mahse, naupang thenkhat chuan enkawl loh chuan harsatna engemaw zat an tawk thei a ni.

Heng natna avanga harsatna awm thei te chu:

• Hmasawnna tihkhawtlai (e.g., crawling, grasping toys, etc. tihkhawtlai) .
• Nitin hna leh mamawh bulpui (ei leh in, incheina) mahni chauha thawh harsa.
• Infiamna leh thil dang thenkhata tel theihna tur tihkhawtlai.
• Psychological leh social problems (mualphona, naupang dangte nuihzat, hnawhchhuah vanga lungngaihna, etc.).

Engtin nge he dinhmun hi kan hriat theih ang?

Doctor-te chuan naute a pian veleh heng kut inthlak dan hi an hre nghal tlangpui. Chutih hunah chuan naute chu uluk takin an enfiah ang. Mahse, i naute doctor chuan ``X-ray`` test a ti thei a, hei hian kut ruh leh tissue te a nghawng dan chiang takin a hre thei ang. Hei hian inthlâk danglamna chu a awlsam nge a buaithlâk tih hriat nân a ṭanpui ang. A châng chuan, specialist dangte ṭanpuina a ngai mai thei.

Enkawlnain eng hlawkna nge a neih?

Kut deformity nei naupang zawng zawng hi an danglam vek a, chuvangin enkawl dan chu i fa mimal mamawh danah a innghat ang.

Enkawlna tum ber leh hlawkna ber chu naute hnathawh theihna tihchangtlun hi a ni.Tin, thil tum dang chu kut hmel chu eng emaw chen tihchangtlun leh naute inngaihhlutna siam tura puih hi a ni.

Heng kut thlak danglamnate hi eng enkawlna tur nge ni?

Kut deformities enkawl dan hrang hrang a awm a. Doctor ten naute dinhmun a zirin eng enkawlna nge \ha ber tih an rel ang.

• Stretching exercise tih te hi a ni.
• Splint emaw cast emaw (kut chu a awmna tur dik takah dah rawh).
• Physical therapy (kut chakna leh hnathawh tihpun, kut hman dan zirtir).
• Kut hmun emaw ruh emaw hloh (a bik takin kut ruh thenkhat a awm loh chuan) thlak nan prosthetics hman.
• Inzai.

Entirnan, syndactyly hi a tlangpuiin kut zungtang te chu surgery hmanga then hran a ni. Kut zungtang inthen hnua vun a la awm loh chuan vun graft a ngai mai thei. Operation hnuah i doctor chuan i kut hnathawh that theihna turin casting, splinting, leh physical therapy te a rawt thei a, a bik takin thil buaithlak takah chuan.

Polydactyly (extra fingers) hi surgery hmanga kut zungtang emaw kutpui emaw extra chu lakchhuah a, kut zungtang emaw kutpui dang la awm chu inzawm lehin enkawl a ni.

Radial Club Hand enkawl dan hi i fa hnathawh theihna leh mamawh danah a innghat a ni. Splinting emaw casting emaw, leh/ emaw surgery emaw pawh a huam thei.

A pawimawh ber chu heng enkawlnate hian i naute kut a danglamna chu ‘a tidam kim vek’ thei lo tih hriatthiam hi a ni. Mahse, heng enkawlnate hian kut hnathawh leh hmel tihchangtlunna kawngah nasa takin a pui thei a ni. Nangmah leh i naute rilru put hmang \ha tak neih leh he danglamna pawm hi enkawlna hlawhtlinna atan leh naute hrisel taka a thanlenna atan a pawimawh hle.

Enkawlna hrang hrangah hian hlauhawmna a awm em?

Ni e, damdawi lam enkawlna dang ang bawkin, hlauhawmna a awm. Nerve chhia, infection, thisen chhuah, leh kut a khauh te a awm thei. Tin, enkawlna hnuah kut zungtang emaw kut pangngai ang maia lang chu i tipung thei lo mai thei bawk. I doctor chuan hei hi chipchiar takin a sawipui ang che.

Kut pianpui (congenital hand deformities) hi ven theih a ni em?

Heng dinhmunte hi nausen nausen laia thil thleng (complex processes) avanga genetic factors emaw, tihbuai emaw avanga lo awm a ni fo thin a, chuvangin ven theih a ni lo. Mahse, naupai hma leh naupai laiin i hriselna i enkawl tha chuan i naute chu hrisel taka bul tan theihna hun tha ber i pe thei a ni.

I prenatal clinic-ah te kal ngei ngei tur a ni. Naupai lai hian meizuk leh zu in loh vek tur a ni. I doctor-in a pek angin zawm rawh.

He natna enkawl hian eng nge a rah chhuah?

I fa kut natna chi hrang hrang leh a buaithlak dan azirin enkawlna result a inang lo. Kut deformity chauh a awm a, symptom dang a awm loh chuan a result a tha tlangpui. Naupang tam zawk chuan an piansualnate nena insiamrem dan an zir thei a ni. Thil tih dan mak tak tak an hmu chhuak thin.

Mahse he danglamna hi `(Syndrome)` thenkhata tel a nih chuan a result chu `(Syndrome)` chi leh a nasat danah a innghat a ni.

Engtin nge ka fa ka enkawl ang?

Naupang pianpui kut inthlauhna nei nu emaw pa emaw i nih angin i fate chu i theih ang anga thlawp i duh a ni.

I naute doctor hnenah nangmah ang naupang leh nu leh pate tanpuitu support group chungchang zawt rawh. Nangmah ang bawka thil tawk mek midangte nena inbiakna neih hian nang leh i fa (an upa deuh deuh hunah) tan a \angkai hle thei a ni. Mahni chauh ni lo ang maia inhriat theihna kawng tha tak a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

I naute dinhmun chungchangah zawhna tam tak i nei mai thei. Anmahni zawh chu hlau ngai suh. Entirnan, doctor hnenah hetiang zawhna hi i zawt thei ang:

• Ka naute hian eng ang kut deformity nge a neih? Eng nge an tih?
• Eng ang enkawlna nge i rawt? Beiseina chu eng nge ni?
• Heng enkawlnate hian eng chen nge a daih ang?
• Ka naute hian naupang pangngai angin a inkhel thei ang em, sikul a kal thei ang em, leh hna a thawk thei ang em?
• Engtin nge ka naute chu he kut thlak danglamnaah hian a insiamrem theih nan ka puih theih ang? In lama ka tih theih bik a awm em?

Naute i beisei lai emaw, i naute pian hnuah emaw, i naute emaw, naute emaw hmalam hun atana thil thleng tur ngaihtuah buai hi thil pangngai tak a ni. Congenital abnormalities tam tak chu ven theih a nih loh laiin, environment-in nghawng a neih theihna tur tihtlem nan hma i lak theih tur a awm. I doctor nen i ngaihtuahnate sawipui fo la, test leh damdawi chungchanga a thurawn chu zawm fo ang che.

Thinlunga thuchah

Kan sawi tawh atang hian i hriat reng tur pawimawh ber berte chu hengte hi a ni:

• I naute hian congenital hand deformity a neih chuan i sualna a ni lo. A tam zawkah chuan a chhan i hmu thei lo. Chuvangin nangmah leh nangmah in dem suh.
• Heng natnate hi enkawlna hrang hrang a awm a. Heng enkawlnate hian a tum ber chu kut hnathawh leh a lan dan tihchangtlun a ni.
• He inthlak danglamna hi rilru tha leh pawm hi nang leh i naute tan pawh a pawimawh hle. I naute chu hmangaih leh him nia inhriat tir rawh.
• I naute chu he inthlak danglamna hi a hmachhawn theih nan leh nitin hnathawh tur a enkawl theih nan i hmangaihna, i thlawpna leh i dawhtheihna hi a pawimawh hle.
• A tul chuan doctor te, physical therapist te, leh support group te hnen atangin tanpuina dil hreh ngai suh. Nangmah chauh i ni lo.

`Congenital Kut danglamna, Syndactyly, Polydactyly, Radial Club Kut, Kut Cleft, Kut chhunga pian danglamna, Naupang hriselna