I naute lu pianzia hi tlem i ngaihtuah em? Craniosynostosis chungchang hi han sawi ila

I fa naupang lu pianzia hi tlem i ngaihtuah ngai em, i hre duh tawh em? I lu chu a danglam deuhin a lang mai thei, a nih loh leh a sir khat chu a flat a, a nih loh leh i hmai a rawn chhuak mai thei em? Nu emaw pa emaw chuan chutiang thil an hmuh chuan hlauhna tlem an nei hi thil pangngai tak a ni. Vawiin hian lu pianzia tidanglam thei dinhmun bik kan sawi dawn a ni. Chu chu doctor-te’n craniosynostosis an tih chu a ni. Ngaihtuah buai suh, he thu hi awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.

Craniosynostosis tih hi eng nge ni?

A awlsam zawngin, craniosynostosis hi i naute luruh ruh, sutures tia koh chu a hun hmaa khar a, a inzawm khawmna a ni. Hei hi pianpui piansualna a ni a, pian tirh lamah a awm tihna a ni.

Tunah chuan naute piang thar lu chu ruh engemaw zat aṭanga siam niin, puzzle chi hrang hrang ang maia inzawm khawm a ni tih han ngaihtuah teh. Heng ruhte inkarah hian gap te te a awm a. Damdawi lamah chuan heng gap te hi ``sutures'' kan ti a, heng sutures te hi a pawimawh hle. A chhan chu, naute thluak a lo seilian chhoh zel chuan heng suture te hian lu chu a lo seilian ve thei a ni. Naute lu chung lamah hmun nem tak "fontanelle" (or soft spot) an tih i hre tawh mai thei. Heng ruhte hi an inzawm tha tawk loh vang a ni. A tlangpuiin heng suture te hi kum 2 emaw kum 3 emaw an tlin chuan an khar vek a, luruh ruh te chu a inzawm khawm ta a ni.

Mahse, naute craniosynostosis neiah chuan heng suture pakhat emaw a aia tam emaw hi a khar rang lutuk a, thluak chu a lo thanglian kim hmain ruhte chu a fuse khawm thin. Chuti a nih chuan eng nge thleng? Sutures khar rang lutukna hmunah chuan lu chu a lo thang lian tawh lo. Mahse, suture la inhawngna hmunah chuan lu chu a thang chhunzawm zel a ni. Hei vang hian naute craniosynostosis vei te hian lu pianzia danglam tak an nei a, pianzia hrang hrang an nei thin.

Hei atanga harsatna lo awm thei ber chu intracranial pressure tihpun hi a ni. Ngaihtuah teh, naute thluak chu a thang chhunzawm zel a, mahse a lu chhungah chuan a thang lian theihna tur hmun a awm lo. Tichuan thluak chu a nawr a. Hetianga pressure sang hian thluak thanna a tikhawtlai thei a, thluak tissue a tichhe thei a, chu chuan naute thanlenna a tichhe thei a ni. Chuvangin he natna hi enkawl vat a pawimawh hle.

Craniosynostosis chi hrang hrangte chu engte nge ni?

Craniosynostosis hi chi hrang hrang a awm a. Luruh chhunga suture eng nge khar rang ber tih an zir chiang thin. Chumi ang chuan naute lu pianzia chu a inthlak danglam thin.

• Sagittal craniosynostosis: Hei hi a tam ber a ni.Hei hian lu chunglam central suture a nghawng a, chu chu hmalam atanga hnunglam thlengin a kal a ni. He suture hi a khar rang lutuk chuan naute lu chu a sei zawng, a tawi (`scaphocephaly`) . A hmai chu a zau angin a lang thei.
• Coronal craniosynostosis: Hei hian beng atanga lu chunglam (a sir lehlamah emaw a sir lehlamah) suture pakhat a nghawng a ni. Hetiang chiah hian naute hmai chu a sir khatah a flatten thei a, lu chu a zau zawngin a awm thei bawk .
• Lambdoid craniosynostosis: Hei hian lu hnung lama suture a nghawng a. Hetiang chi ah hian naute lu hnunglam chu a flattened shape (plagiocephaly) .
• Metopic craniosynostosis: Hei hian hnar chunglam atanga hmai chunglam thlenga suture kal chu a nghawng a ni. Hetiang chiah hian naute lu chu triangular angin a awm thei . Hmai lai tak atanga ridge lo chhuak ang mai pawh a ni thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Craniosynostosis hi a awm lo hle. United States-a chhinchhiah dânin, he natna hian naupang 2,500 zînga pakhat vêl a nghawng a ni . Hetiang dinhmun hi Sri Lanka-ah pawh hmuh tur a awm.

Craniosynostosis natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna ber leh langsar ber chu naute luruh pianzia dik lo hi a ni. A tlangpuiin kan lu hi a zungbun a ni. Hetiang dinhmunah hian naute lu hmun thenkhat chu hetiang hian a lang thei a ni:

• Elongation tih hi a ni
• Triangular a nih avangin
• Narrowing a ni
• Flattening tih a ni

Hei bakah hian feature dang pawh hmuh tur a awm bawk:

• Naute soft spot (fontanelle) chu a awm lo emaw, a te hle emaw a ni.
• Naute lu i khawih chuan , a stitches awmna hmunah chuan ridge khauh tak, sang tak ang maiin a lang.
• Hmêl lan dâna symmetry hloh (e.g., mit pakhat chu a dang aiin a sang emaw, a hniam emaw a dah).
• Naute lu vel hi an kum a zirin a tlangpui aia tlem a ni.

A châng chuan craniosynostosis hi hriselna dinhmun dang hnuaia awm nen a inzawm thei bawk. Chutiang a nih chuan symptoms te pawh i nei thei a, chungte chu:

• Epilepsy (`Seizures`) natna lan chhuah dan.
• Cognitive development lama harsatna awm thei.
• Mitdelna emaw mitdelna emaw.

Craniosynostosis hi engte nge ni?

Dik tak chuan zirchiangtute chuan eng thil nge a thlen tih chiang takin an la hre lo. A châng chuan random genetic change (gene change emaw variation) avanga lo awm a ni . A tlem berah chuan he genetic change hi chhungkaw history nen a inzawm thei a ni.

Doctor-te chuan heng thilte hian craniosynostosis lo awm theihna kawngah a pui thei tih an hmuchhuak a:

• Naute pum chhunga a awm laiin luruh pawn lam atanga pressure.
• Lu vun leh luruh bul vel a membrane lo awm dan pangngai lo.
• Genetic condition hnuaia awm pakhat.

Craniosynostosis thlentu genetic condition te chu engte nge ni?

Craniosynostosis hi genetic condition thenkhat symptom angin a awm thei. Entirna thenkhat chu:

• Apert natna a ni
• Carpenter natna a ni
• Crouzon natna (Crouzon syndrome) a ni
• Pfeiffer natna a ni
• Saethre-Chotzen natna a ni

Hengte hi damdawi lam thumal buaithlak deuh a ni a, mahse i doctor chuan chipchiar zawkin a sawifiah ang.

Risk factors a awm em?

Research atanga a lan dan chuan a hnuaia mite hian naute craniosynostosis vei neih theihna a tipung thei a ni:

• Thyroid natna: Naupai laiin thyroid natna enkawlna dawng nu tan.
• Damdawi thenkhat: Nu naupai hma emaw, naupai lai emawa naupai theihna damdawi clomiphene citrate ei thinte tan.

Naupai emaw, nau pai tum emaw pawh nise, naupai laia hriselna tha neih dan tur chungchang doctor nen inbiakna neih a pawimawh hle.

Craniosynostosis natna avanga harsatna awm thei te chu engte nge ni?

Hetiang dinhmun hian harsatna engemaw zat a thlen thei a, chuvang chuan enkawl vat a pawimawh hle.

• Naute luruh chhunga pressure sang (intracranial pressure).
• Hmasawnna tlai emaw, rilru lama harsatna emaw.
• Thâwk harsa.

Naupang thenkhat chuan mahni inngaihsakna leh taksa lem (body image ) -ah harsatna an nei thei a, chu chu an hmai asymmetry emaw, naupang dangte aia lu pianzia danglam emaw pawh ni se. Chutiang hunah chuan, support group, counseling, leh psychotherapy te hian naupang chu mahni inngaihtuahna tha tak nei turin a pui thei a ni.

Engtin nge doctor-te hian hei hi an hriat chian? (Diagnosis) tih a ni.

I naute a pian hnuah doctor chuan taksa enfiahna a nei ang . Naute lu-ah soft spot (fontanelles) a awm leh awm loh an enfiah ang a, stitches khar tawhna hmuna lumps emaw bumps emaw awm leh awm loh an enfiah bawk ang. Tin, naute lu vel chu an teh ang.

Heng test atanga rinhlelhna a awm chuan X-ray emaw CT scan emaw hmangin a natna hriat chian theih a ni.

Pian tirh atanga hmuhchhuah a nih loh chuan i naute a lo upat deuh deuh chuan well-child visit regular takah i doctor chuan a hmu thei ang. I naute lu chu an taksa dang angin a thang chak lo tih i hmu mai thei a, a nih loh leh an kum a zirin hmasawnna milestone an tlin lo tih i hmu mai thei bawk.

I naute chungchangah harsatna i neih chuan doctor office i kal hunah sawi hreh suh. Doctor chuan a tul anga test a ti ang a, a dinhmun dik tak a hriat chian ang.

Craniosynostosis enkawl dan tur chu engte nge ni?

Enkawl dan tur chu craniosynostosis chi hrang hrang, a natna nasat dan leh naupang a nghawng danah a innghat a ni.

• Helmet therapy: Naute thenkhat craniosynostosis na lo tak nei te chu special medical helmet vuah theih an ni . He helmet hian luruh chu zawi zawiin pressure a pe a, hei hian hun kal zelah luruh pianzia a siam tha thei a ni.
• Surgery: A tam zawkah chuan he natna enkawlna ber chu surgery a ni. Surgery hi naute lu ruh pianzia siamthat nan te, luruh chhunga pressure sang zawk tihziaawmna tur te, naute thluak thang thei tura tih a ni. Surgery chi leh tih hun tha ber chu surgeon-in a ruat a ni. Naute kum khatna chhungin operation tih theih a ni .
• Supportive therapy: Naute chu kum nena inmil taka hmasawnna milestone a thlen theih nan physical therapy, occupational therapy, leh speech therapy te ang chi therapies dang a ngai mai thei.

Surgery hian side effect a nei em?

Surgery atanga side effects awm hi a awm lo. Mahse, a tlem berah chuan a hnuaia mi hi a thleng thei a ni:

• Air embolism (thlipui bubble) 1.1.
• Asymmetry a ni
• Hliam atanga thisen chhuak (`wound dehiscence`), thisen chhuak tam lutuk (thisen pek a ngai mai thei) .
• Thisen chhuak
• Ruh chhiatna emaw, a mumal lo emaw
• Cerebrospinal fluid a chhuak thin
• Taksa lumna sang (hyperthermia) .
• Kaichhawng
• Surgery vawi hnihna neih a ngai
• Epilepsy natna lan chhuah dan (`Seizures`) .

Heng harsatnate hi a tlem hle nachungin, a chang chuan nunna atana hlauhawm tak a ni thei a, a hun hmaa thihna a thlen thei bawk.

Naupang tê, a bik takin naute zai a nih thu i hriat hian hlauthawng tih hi thil pangngai tak a ni. Mahse, i naute doctor-te hian i fa tana ṭha ber tur tih an tum reng tih hre reng ang che. Surgeon te pawh tiamin medical team te hi heng surgery chi hrang hrangah hian training sang tak leh tawnhriat ngah tak an ni. Heng surgery te hi uluk takin an ti a, harsatna awm thei chu a ti tlem hle.

Engtikah nge Doctor ka hmuh ang?

I fain craniosynostosis symptom a neih chuan doctor pan nghal rawh:

• Lu chu a zungbun a nih loh chuan, emaw, beisei aia pianzia danglam a nih chuan .
• Hmasawnna lama thil pawimawh tak takte chu a tlai a nih chuan .
• Lu chungah ridge sang tak a awm chuan.

I fa chu craniosynostosis a vei tih hmuhchhuah a nih tawh chuan, epilepsy (seizures) symptoms a neih emaw, thawk harsatna a neih emaw chuan 911 (1990 Suwaseriya in Sri Lanka) call nghal la, emaw emergency room hnai ber pan rawh.

Ka doctor hnenah eng nge ka zawh ang?

I fa doctor hnenah hetiang zawhna hi i zawt thei ang:

• He craniosynostosis an tih hi eng nge a thlen theih ber?
• Eng enkawlna nge i rawt?
• Surgery neih hian eng hlauhawmna nge a neih?
• Surgery neih loh kan tum chuan eng nge thleng ang?
• Ka naute lu pianzia hian thluak hnathawh a nghawng em?
• Fa dang ka neih chuan chu naupang pawhin he natna hi a neih theihna chance engzat nge awm?

Heng naupangte hmalam hun chu eng nge ni? (Prognosis) tih a ni.

Naupang hriselna zawng zawng leh luruh chhunga suture engzat nge khar tih a zirin naupang prognosis hi a inang lo thei a ni. Naupang tam zawk chuan an natna hmuhchhuah leh enkawl hmasak an nih chuan damna tha an beisei thei a ni. Enkawlna, a bik takin naute kum khatnaah hian hmasawnna lama harsatna awmte chu a ti tlem thei hle.

Craniosynostosis hi underlying genetic condition symptom a nih chuan naupang hmalam hun chu a danglam deuh thei. Hemi chungchangah hian i doctor chuan a tha ber ber a pe thei che a ni.

Craniosynostosis vei dam rei zawng chu engzat nge ni ang?

Naute tam zawk chu craniosynostosis vei nia hriatte chuan dam chhung hun pangngai an nei , a bik takin doctor-te chuan an dam chhung kum engemaw zat chhunga an natna hi an hmuchhuak a, an enkawl a nih chuan. Mahse, naupang tinte dam chhung chu an natna nasat dan azirin a inang lo thei a ni.

Craniosynostosis hi ven theih a ni em?

Tunah hian he natna hi ven dan tur hriat a la ni lo. Naupai laiin nau neih hmaa genetic test thenkhat tih hian he natna thlen thei tur genetic changes a hmuchhuak thei a ni. Genetic counselor chuan i naupai hmain i genetic risks te leh i naute hi he natna neia piang a nih chuan enkawl dan tur te a zirtir thei che a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Nu leh pa thar kan nih angin i naute hian craniosynostosis ang chi hriselna lama harsatna a nei tih i hriat chuan lungkhamna leh hlauhna neih hi thil pangngai a ni. Mahse, i naute medical team chuan a natna hi an hmuchhuak ang a, i naute thluak thanlenna tichhe thei tur harsatna awm lo turin enkawlna ruahmanna an siam ang. A hun taka enkawl a nih chuan craniosynostosis vei naute tam zawk chu hrisel leh tha takin an lo seilian ang. I naute i puih theih dan tur zawhna i neih chuan i naute doctor nen inbia ang che. Nangmah chauh i ni lo va, doctor, nurse leh a tul chuan counselor te pawh an awm reng a ni.

` Craniosynostosis, luruh, naute lu, suture, thluak thanlenna, surgery, nau piangsual, luruh pianzia, fontanelle