I nau piang thar hian hnute ei harsatna a nei em? Esophageal Atresia a ni thei bawk.

I nau piang thar chu bawnghnute i pek hian a khuh a, a rilru a na nghal em? A hmuiah a foam em? Nu emaw pa emaw i nih angin heng thilte hi i hmuh hian i hlauthawng hle ngei ang. A chang chuan heng symptoms te hi congenital condition Esophageal Atresia an tih vang a ni thei bawk. Lungngai suh. Hemi chungchang hi vawiinah hian thu awlsam takin sawi ila, engkim hi hrethiam ila.

A awlsam zawngin, Esophageal Atresia (EA) hi eng nge ni?

Esophageal Atresia ("esophagus" tia lam tur) hi nau piangsual a ni. A dik tak chuan naute chaw kawng (esophagus) lama harsatna a ni. Kan ei huna ka atanga kan pum thlenga chaw phurtu tube. "Atresia" tih thumal hian taksa chhunga kalkawng pakhat chu a inkhar emaw, a inkhar emaw tihna a ni. Chuvangin, esophageal atresia a nih chuan naute esophagus chu a pum nena a inzawm tur atanga a lo thang hniam lo va, a chanve vel a tawp a, a block ta a ni. Tui pipe pahnih a inthen ang mai a ni. Chumi avang chuan naute chuan bawnghnute a in thei lo va, chaw pangngaiin a ei thei lo bawk. Hetiang natna avanga harsatna lian tak dang hmuh theih chu tracheoesophageal fistula (TEF) a ni. Hetiang a nih chuan chaw kawng (esophagus) chu pum nen a thlunzawm ai chuan naute trachea, thawkna kawng (breathing tube) nen a inzawm a ni. Hei hi a hlauhawm hle a, a chhan chu nautein a ei thin bawnghnute leh hmui ang chi thilte chu lung chhungah direct-in a lut thei a ni.

Hetiang dinhmun hi chi hrang hrang a awm em?

Ni e, heng Esophageal Atresia leh Tracheoesophageal Fistula (TEF) natna te hi an lo awm dun dan emaw, a hranpa emaw a zirin chi hrang hrangah then a ni. I doctor chuan i enkawl dan tur chi dik tak a zirin a ruahman ang.

Engtin nge i naute hian he natna hi a nei tih i hriat theih ang? Eng nge a lan chhuah dan?

Doctor leh nurse ten nausen piang thar an enfiah hian heng chhinchhiahnate hi uluk takin an ngaihven thin. A bik takin chhinchhiahna lian 3 an ngaihven hle.

• Khuh: A bik takin bawnghnute tlem in tum hian.
• Choking : Choking hi bawnghnute emaw, chil emaw ei theih loh vang a ni.
• Cyanosis: Taksaah oxygen tlakchham vangin vun leh hmui a rawn sen thin.

Hengte hi chu additional features te chu an ni:

• Kawng atang hian foamy mucus a chhuak thin.
• Salivation tam lutuk.
• Nau hnute pek tum laiin luak emaw, luak chhuak emaw.
• Thâwk harsa leh thawk rang .

A tlangpuiin, natna dang ei harsa titu te hian thawk harsa an ti lo. Mahse, ei harsa leh thawk harsa pahnih hi a awm dun a nih chuan , a chhan ber chu Esophageal Atresia with Tracheoesophageal Fistula (TEF) tih natna vang a ni.

Engvangin nge naute chungah hetiang hi a thlen? A chhan ber chu eng nge ni?

Hei hi pianpui (congenital condition) a ni. Chu chu nausen pum chhunga a lo seilian lai a thleng tihna a ni. A tlangpuiin nausen pian tirh lamah chuan esophagus leh trachea hi tube pakhat a ni. A hnuah chauh he hmun hi hmun hnih ah a inthen a, esophagus leh trachea a siam ta a ni. Esophageal atresia -ah chuan he inthenna hi a famkim lo. He thil hi a chanve vel a tihtawp chhan hi zirchiangtute chuan an la hre chiang thei lo. Mahse , genetic leh environmental factors inzawmkhawm hian hmun a chang thei niin an ngai.

He natna hi Doctor ten engtin nge an hriat chian?

A chang chuan nau neih hmaa scan hian clues a pe thei a, mahse a tam zawkah chuan naute pian hnuah natna hi hriatchhuah a ni.

Nau neih hmaa natna hriat chian (prenatal Diagnosis).

A châng chuan hemi chungchânga clues hi anomaly scan-ah hmuh theih a ni a, chu chu naupai kar 20 vêlah tih a ni.

• Polyhydramnios: Naute chhehvelah amniotic fluid a tam lutuk chuan. Hei hi a chhan chu naute hian he tui hi a ei tlangpui vang a ni. Naute hian a ei theih loh avangin tui hi a pung khawm thin.
• Stomach bubble te tak te emaw, hmuh theih loh emaw: Scan laiin naute pum chu tuiin a khat loh chuan .

Hetiang thil i hmuh chuan i doctor chuan test dang neih belh a rawt thei a, chu chu nausen MRI tih ang chi hi a ni.

Naute a pian hnuah (Postnatal Diagnosis) .

Doctor-te chuan naute pian tirh atanga a chunga kan sawi ang chi hi a lan chhuah hian hetiang dinhmun hi an ringhlel thin. A finfiah nan test ber chu hnar kaltlangin leh pum chhungah tube te tak te (nasogastric tube) dah tum hi a ni. Esophagus a block chuan tube chu pum chhungah lut lovin a chanve vel a tawp thin. Tichuan X-ray hmangin chaw kawng chu khawiah nge a block tih chiang takin an enfiah a, trachea nen a inzawm em tih te, lung chhungah tui a lut em tih te an en a. He natna hi finfiah a nih chuan doctor-te pawhin a kaihhnawih piansualna dangte pawh an enfiah thin.

He natna hi operation hmangin a dam vek thei ang em?

Awle. A tam zawkah chuan a theih. He natna hi hriat chhuah a nih veleh naute dinhmun chu a nghetin a rang thei ang bera operation hmangin buaina chu chinfel a ni. Amaherawhchu, naute \henkhat chu an zai hmain damdawi inah rei vak lo an awm a ngai mai thei.

• Nausen piang hmaa an taksa rihna engemaw chen an neih hma loh chuan.
• Esophagus hmun hnih inkar gap a lian lutuk chuan (Long-gap esophageal atresia - LGEA). Chutiang hunah chuan a peng pahnih chu tlem a lo seilian a, a hnaih hma chu i nghah a ngai dawn a ni.
• Nunna atana hlauhawm harsatna dang a awm a nih chuan, chu chu thinlung lama harsatna lian tak tak , chu chu enkawl hmasak a ngai a ni.

Hemi chhung hian naute hian Neonatal Intensive Care Unit (NICU)-a specialist doctor leh nurse-te enkawlna hnuaiah enkawlna tul zawng zawng a dawng vek a ni. Naute chu tube (enteral nutrition) emaw, intravenous (paranteral nutrition) emaw hmangin ei tur mamawh pek a ni. Chuvangin naute ei theih loh tur ngaihtuah buai a ngai lo.

Engtin nge enkawlna leh surgery te hi an tih thin?

Enkawlna kawngah hian thil tum lian tak tak engemaw zat a awm a, chungte chu: naute thawk tihngheh te, ei leh in him tak pek te, a tawpah chuan operation hmanga a dinhmun siamthat te hi a ni.

Instant management a ni

Naute hian he natna hi a vei tih hriat a nih veleh, operation atana inbuatsaih laiin a hnuaia thilte hi tih thin a ni:

• Kawngkhar leh hmuiah mucus leh saliva awm khawm chu suction hmangin a paih chhuak thin.
• Thlawhna kawng venhim nan thawkna kawng (breathing tube) dah a ni.
• Feeding tube emaw IV line emaw hmangin ei leh in leh tui pek a ni.
• Antibiotics hi lung infection (pneumonia) laka inven nan pek thin a ni.

Surgery (Surgical Repair) tih a ni.

Medical team-in naute chu operation atan a inpeih tawh tih an hriat hnuah surgery chu an ti leh ta a ni. A tum ber chu: 1. Esophagus hmun hrang hrang pahnih inzawmkhawm leh (anastomosis). 2. Fistula (esophagus leh thlipui inzawmna), a awm chuan khar tur. Tunah chuan a theih phawt chuan surgeon-te chuan he surgery hi minimally invasive surgery hmangin an ti thin . Chumi awmzia chu a rilruah incision lian tak siam ai chuan incision tenau engemaw zat hmangin camera (thoracoscope) leh instrument nalh tak tak te dah a ni tihna a ni. Hei hian naute chu a dam thuai thei a ni.

Operation hnua dam lehna

Surgery zawhah naute chu NICU-ah hruai kir leh a ni. Ni engemaw zat hnuah X-ray special esophagram an tih chu an incision chu a dam tha em tih leh leakage a awm em tih enfiah a ni. Engkim a tha tih finfiah a nih hnuah, naute chu damdawi lam enkawlna hnuaiah zawi zawiin hnute pek tan a ni. Hei hian naute a thiam theih nan hun engemaw chen a mamawh a ni.

Enkawl zawhah naupang nun chu eng ang nge ni ang?

Naupang tam zawk chu an dam tha a, nun pangngai an hmang thin. Mahse, naupang thenkhat chuan he natna leh operation avang hian hun rei tak chhung harsatna an nei thei a ni. Chungte chu hun kal zelah a tha tlangpui a, mahse kum engemaw zat chhung chu damdawi lam enkawlna a ngai thei bawk.

• Tracheomalacia: Hei hi trachea chhunga cartilage a chak lo a, thawk kan lak laiin trachea a ti tawi deuh thin. Hei hian thawk hah , mut laiin thawk harsatna, leh rilru natna (pneumonia, bronchitis) a thlen fo thei.
• Chaw ei harsatna: Naupang thenkhat chuan chaw kawng (esophageal dysmotility) avangin ei harsa an nei thei. He harsatna hi a bik takin solid foods luhtir hian a thleng thei a ni. Hei hi ei tur te te tea then a, tui hmanga pek hmanga enkawl theih a ni.
• Gastroesophageal Reflux Disease (GERD) a awm a, a chhuahna tur a awm lo.Hei hi stomach acid chu esophagus (gastritis nen a inang) atanga a lo chhuah hian a ni. Hetiang dinhmun hi EA hmanga enkawl naupang zinga a chanve vel ah a awm thin. Hei hi doctor thupek anga enkawl a pawimawh hle.

I fain heng harsatnate hi a neih chuan i doctor nen sawiho fo ang che. I fa mamawh puihna pe turin specialist, speech-language pathologist leh nutritionist te tanpuina i dil thei a ni. Esophageal atresia, esophageal obstruction, tracheoesophageal fistula, piansualna, nau piang thar, nausen chok, nausen surgery, esophagus