I fa te hian an thanlenna a tikhawlo niin a lang em? He (Growth Faltering) chungchang hi han sawi ila!

I fa tê tê ṭhan chhoh dânah rinhlelhna emaw, hlauhna emaw i nei ngai em? I naute chu a thau tha lo niin i hria a, a lo thang zawi lutuk emaw pawh a ni thei. Hei hi a takah chuan nu leh pa tam takin harsatna an tawh a ni. Chuvangin vawiin hian he dinhmun "failure to thrive" an tih hi kan sawi dawn a, a hmaa an sawi thin ang kha kan sawi dawn a ni. Tunah chuan "growth faltering" an ti ta a ni.

Hei hi eng nge ni ``Growth Faltering''?

A awlsam zawngin, growth faltering chu i fain a kum a zirin a rihna emaw, a san zawng emaw a tihpun loh chuan a ni. Hei hi a chhan ber chu malnutrition a ni a, chu chu naupangin nutrients, a bik takin calorie a dawng tlem tihna a ni. Hetiang dinhmun hi nausen hnute pe laiah a awm thei a, chutiang bawkin naupang kum upa zawkah pawh a awm thei a, naupang kum tlemte chauh pawh a awm thei bawk.

Hei hi ``Failure to Thrive'' an ti thin. Chu thute hriat chu a châng chuan a tithinur thei a, lungngaihna a thlen thei bawk. "Ka chungah thil a thleng dik lo em?" Mahse naupang thanlenna tichhe thei thil tam tak a awm a, chu chu kan thunun theih loh tam tak a ni. Chuvangin tunah chuan doctor-te chuan ``Failure to Thrive'' tih aiah ``Growth Faltering'' tih hi an hmang ta a ni. Hei hian thanlenna lama harsatna a kawk a, nangmah emaw i fa emaw "fail" tihna a ni lo. ``Weight Faltering'' an ti bawk a, hei hian taksa rihna tihtlem tihna a ni.

I naupang enkawltu doctor chuan a chhan chu a ruat ang a, i fa enkawl tan ang. I fate ei leh inah hian inthlak danglamna engemaw zat i siam a ngai mai thei. Entirnan, nau hnute i pe a nih chuan i fate chu formula pek a ngai mai thei a, a nih loh leh i naute formula-ah nutritional supplement i dah tel a ngai mai thei a, a nih loh leh calorie tamna ei tur i dah tel a ngai mai thei bawk. Tin, i fate thanlenna tichhe thei damdawi lam dinhmun hnuaia awm a awm chuan chu pawh chu an enkawl ang.

Eng nge puitlin lohna chhan ber?

Vawi tam tak chu naupang than chak lohna chhan ber chu naupangin calorie a mamawh zat a hmuh loh vang a ni. Doctor-te chuan hei hi ``Inadequate caloric intake'' an ti bawk. Naupangin a mamawh ang calorie a dawn loh chhan tam tak a awm thei. Heng chhante hi naupang kum a zirin a inang lo bawk.

Nausen hnute pekte hian calorie an ei tlem theihna chhan:

• Nu nau hnute pe laiah bawnghnute supply tlahniam.
• Naute hian latch harsatna a nei a , chu chu naute hian a mamawh angin bawnghnute a pe thei lo tihna a ni.
• Formula pek hi a buatsaih dik lo a ni.
• Naute hian nitin hnute a dawng tlem hle.

Naupang kum upa zawkte’n calorie an ei tlem theihna chhan:

• Ei leh in lama harsatna `(Avoidant/Restrictive Food Intake Disorder)` tih ang chi te. A awlsam zawngin, ei tur thenkhat ei duh loh emaw, ei duh loh emaw ang chi thil.
• Ei leh in lama harsatna dangte.

Naupang kum tin a nghawngtu dang chu ei leh in lama harsatna ( food insecurity ) hi a ni . Chu chu chaw tha tak tak hmuh harsatzia a ni. Hetiang dinhmun hian naupangin an mamawh calorie a hmuh loh phah thei a, an thanlenna a tikhawtlai thei bawk.

Hmasawnna tlakchham chhan dang a awm em?

Calorie tling lo (hei hi a chhan ber a ni) tih loh chu naupangte’n an than chak loh chhan dang engemaw zat a awm a:

• Nutrient absorption tling lo: Chumi awmzia chu naupangin chaw ei mah se, chu chaw chhunga nutrient awmte chu naupang taksain a hip lut tha lo tihna a ni. Chuvangin buaina chu calorie ei zat a ni lo va, chu calorie chu engtin nge an lakluh a, an thanlenna atana an hman dan a ni.
• Hei hi a nghawng thei dinhmun thenkhat chu:
• Celiac natna a ni
• Digestive system structure tichhe thei dinhmun, biliary atresia, pyloric stenosis, leh tracheoesophageal fistula te hi a ni
• Cystic fibrosis natna (cystic fibrosis) a awm thin
• Inflammatory bowel natna a ni
• Bawnghnute protein allergy a awm

• Metabolic demand tihpun: Chumi awmzia chu naupang taksain a hnathawh dan pangngai atan beisei aia tam calorie a mamawh tihna a ni.
• Hei hi entirnan thenkhat chu hetiang hi a ni:
• Ngawt
• Pianpui thinlung natna
• Pianpui lung natna (congenital lung disorder) a awm thin
• HIV hrik kai
• Hyperthyroidism natna (Hyperthyroidism) a awm
• Metabolism lama pianpui tihsual
• Kal natna
• Tuberculosis natna a ni

Growth retardation symptoms te chu engte nge ni?

I fate chunga i hmuh theih chhinchhiahna ṭhenkhat chu:

• Beisei angin taksa rihna a tipung lo.
• A sang lo emaw, a sei lo emaw.
• Beisei aiin a tap nasa zawk.
• Beisei aia tam mut , a chang chuan nau hnute pek lai pawhin.
• Naupang thanlenna stage nena inmil tura midang nena inpawh loh (entir nan, i hmel lan dan entawn loh).

Hengte hi hmasawnna tlai chhinchhiahna a ni tih i hre nghal lo mai thei a, mahse, "Eng emaw a dik lo" i ti mai thei. I fa chungchangah harsatna i neih chuan, a bik takin harh harsa an tih chuan naupang enkawltu doctor pan nghal rawh.

A châng chuan i fateah inthlâk danglamna i hmu lo mai thei. Doctor-te chuan he natna hi clinic pangngaia naupang rihna leh san zawng an teh hian an hre thei chauh a ni.

He natna hi enkawl loh a nih chuan eng harsatna nge awm thei?

Nausen than chak lohna hi enkawl a nih loh chuan a hnuaia thil awmte hi a awm thei a ni:

• Hri kai fo thin.
• Brain development a nghawng a, intellectual disability a awm thei bawk.
• Kan tar chhoh zel chuan natna khirh tak tak , rilru lam natna leh metabolic syndrome te kan nei thei a ni.
• I upat deuh deuh chuan i san zawng chu beisei aia tawi a ni thei.

Research atanga a lan dan chuan naupang dam kum hnih hmasa berah he growth retardation hi enkawl hi nakin lawka harsatna lo thleng tur venna atan a pawimawh hle a ni.

Engtin nge doctor-te hian growth retardation hi an hriat theih?

Doctor-te chuan naupangin a ṭhan chak lohna a neih leh neih loh chu an rih zawng leh an san zawng/sei zawng tehna hmangin an teh a, chu value chu standard growth chart-te nen an khaikhin a ni. Heng growth chart te hian naupang kum hrang hranga an than beisei dan a tarlang a ni. Chart thenkhatah chuan thil bik, nau piang hma emaw, nau piang emaw, genetic condition thenkhat nei emaw te pawh a insiamrem bawk.

I fate thanlenna chu beisei aia hniam zawk a nih chuan i naupang enkawltu doctor chuan a chhan awm thei chungchang a sawipui ang che. I fate thanlenna tichhe thei thilte hriatthiam nan i hnen atangin thu engemaw zat a lak a ngai dawn a ni. Mahse, doctor tum ber chu nangmah dem emaw, rorelsak che emaw a ni lo va, i fa tanpui leh i chhungte enkawl hi a ni tih hre reng ang che. Thu i ​​insem tam poh leh doctor chuan a pui thei zawk a ni.

Hengte hi i sawi theih tur thenkhat (naupang kum a zirin a inzawm lo mai thei):

• How is breastfeeding going , leh harsatna i nei em?
• Eng ang formula nge i hman a, engtin nge i siam?
• Naute hian solid foods a ei tan tawh em , engtin nge naute hian a chhanlet?
• I fain chaw a ei lai a symptom i hmuh apiang (e.g. khuh, luak chhuak, hnunglam hawi).
• Naupang ei leh in dan leh duhzawng , snacks leh duh loh zawng te pawh a tel.
• Engtin nge chaw ei chu an rawn pe thin? Naupangin chaw a ei lai hian tute nge a bulah awm?
• Ei leh in chungchanga i chhungkaw nunphung kalphung.
• Engtin nge i chhungte hian ei tur tha tak tak an hmuh theih ?

I naupang enkawltu doctor chuan i fate damdawi lam record a enfiah ang a, i chhungte damdawi lam chanchin a zawt ang. Hei hi natna thenkhat chu "genetic" a nih vang a ni a, chu chu i fate chu i hriat lohvin a tir lamah i tuar tawh mai thei tihna a ni. I fa thisen chhungte’n an neih nia i hriat diagnosis list siam hian doctor chu a kimchangin a hmu thei a ni.

Taksa enfiahna

I naupang enkawltu doctor chuan i fate hmasawnna tehna tur leh damdawi lam dinhmun chhinchhiahna awm leh awm loh enfiah turin taksa enfiahna kimchang a ti ang. He exam hian i fate:

• Vital signs - pulse leh thisen sang ang chi te.
• Muscle mass leh thau insem dan.
• Sam hriselna.
• Vun hriselna dinhmun.
• Lu sir vel a ni.

Testing neih a ni

Doctor-te chuan eng test pawh nei lovin an than chak loh chhan hi an hmuchhuak thei fo. Mahse, a hnuaia damdawi lam dinhmun a awm leh awm loh hriat nan test an order thei bawk a, chungte chu:

• Thisen test a ni.
• Zun test a ni.
• Stool test neih a ni.
• Damdawi lam harsatna bik hriat theihna tur test, entirnan, cystic fibrosis awm leh awm loh sweat test.

Hei hi eng enkawlna nge ni?

Enkawlna hian i fate chu an thanlenna tur atana ei tur tha tawk pek hi a ngaih pawimawh ber a ni. I naupang enkawltu doctor chuan a hnuaia mi hi a rawn rawt thei ang:

• Nau hnute pek harsatna i neih chuan lactation consultant tanpuina la rawh.
• Nu hnute tui bakah formula pek. Doctor chuan eng formula chi nge pek tur tih leh pek dan tur a sawifiah ang.
• I fa mamawh ei tur zawng zawng te pawh telna ei tur ruahmanna felfai tak siam.

I fain a hnuaia damdawi lam dinhmun a neih chuan, i damdawi lam team chuan chu natna chu enkawlna \ha tak pek an rawt ang. Hei hi diagnosis a zirin a danglam thei hle. I fa medical team te chuan i beisei tur chu an hrilh belh ang che.

I naupang enkawltu doctor chuan i chhungkaw mamawh phuhruk turin specialist dang - entirnan, dietitian, social worker, emaw child psychologist - hnenah a refer thei che a ni. Chaw ei tur i neih loh emaw, thil dang i neih loh emaw a nih chuan pui thei tur khawtlang nunphung (community-based program) zawng turin an pui thei bawk che a ni. I fa hriselna chungchangah harsatna i neih chuan i doctor hnenah hrilh hreh suh.

Naupang tam zawk hi in lama i tihdanglamna hmanga enkawl an ni a, i fa doctor-te puihna (leh regular follow-up visit) nen. Mahse naupang thenkhat chu an than chak loh avangin damdawi inah dah a ngai mai thei. Hei hian doctor-te chu naupangin calorie a ei zat a enfiah thei a, a thang chak lohna chhan dik tak chu a hriat theih phah a ni.

Growth hlawhchham vangin damdawi inah dah a ni

Naupang damdawi ina dah hi a hnuaia thil awmteah hian a hlawkpui thei ang:

• In lama enkawlna hian a puih loh chuan.
• Doctor-te chuan naupangin ei leh in chi hrang hrang leh a dawn zat dik taka an teh a ngai a nih chuan.
• Naupang tan chuanMedical condition underlying serious tak i neih chuan.
• Naupang chu ei leh in lama harsatna nasa tak emaw tui tlakchham emaw a nih chuan .
• In lama i fa dinhmun enkawl harsatna i neih chuan.
• In lama thil awm dan thenkhat avanga damdawi in hi naupang tan hmun him zawk a nih chuan.

Ka naute hian growth retardation a nei a nih chuan eng nge ka beisei ang?

I fate hmasawnna enfiah turin regular follow-up clinic-ah i kal a ngai dawn a ni. Hei hi kar khatah vawi khat vel a ni thei a, mahse hei hi naupang mamawh dan azirin a danglam ang.

Naupangin a duh ang thanlenna rate a thlen theih nan thla li atanga thla kua vel a ngai thei. I fain a rih zawng leh a san zawng/sei zawng a thlen hun tur chu i naupang enkawltu doctor chuan a hrilh ang che. Chu level chu a thlen chuan naupang chu a stunt tawh lo va, chutah chuan naupang chu a pangngaiin a lo thanglian thei ta a ni.

Mahse naupang zawng zawng hi an inang vek lo. Naupang thenkhat chuan relapses an nei thei bawk. Hei hi a thang chak lohna chhan leh a chhan chu a tha tawk em tih ah a innghat a ni. I naupang enkawltu doctor chuan thil awmdan chu uluk takin a enfiah ang a, a tul chuan enkawlna dang a pe ang.

Hetiang dinhmun hi ven theih a ni em?

Growth failure hi a veng thei ngai lo. Naupang dang aiin i fa chu a lo thang zawi zawk mai thei. Mahse i fate thanlenna leh thanlenna tur pui turin thil tam tak i tih theih a awm – an pian hma pawhin:

• I naupai lai hian clinic zawng zawngah kal la , naupai laiin i in enkawl dan tur doctor-in a hrilh ang che.
• I fa chu well visit zawng zawngah hruai vek tur a ni.
• I naute kum khatna leh a hnu lama ei leh in mamawh dan zir la , zawhna i neih chuan doctor zawt rawh.
• I faah hian natna lan chhuah dan danglam tak i hmuh chuan , emaw, i fa hriselna chungchangah ngaihtuahna dang i neih chuan i doctor hnenah hrilh rawh.
• I chhungte hian ei leh in lama harsatna an neih chuan i doctor hnenah hriattir rawh. Naupangte’n an mamawh ei tur an hmuh theihna tura pui thei khawtlang level-a thil awmte an hre fo thin.

Engtikah nge Doctor ka hmuh ang?

I fate thanlenna emaw, an thanlenna kawng dang emaw chungchangah ngaihtuahna i neih chuan naupang doctor pan nghal rawh. Growth failure hian symptom chiang tak a lantir ngai lo. Chuvangin i fa chu clinic pangngai apiangah hruai a, i fa than dan chu doctor-in a enfiah tir a pawimawh.

I fain a than chak loh chuan i doctor chuan follow-up clinic-a lo kal fo tur chu a hrilh ang che. Heng clinic te hi i fate thanlen dan enfiah nan leh a tul anga enkawlna ruahmanna siamrem nan a pawimawh hle.

Doctor office-ah routine, nitin check-up turin i kal ngei ang. Mahse, chutah chuan i fa hian hmasawnna a tlai tih an hrilh che a. Vawilehkhatah zawhna tam tak i rilruah a rawn lang ta mai thei. "Engtin nge hetiang thil hi a lo awm? Ka fa hian midang a rawn man em? Thil dik lo ka ti em?"

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Lungngai suh. A tam zawkah chuan growth failure hi i control theih loh thil vang a ni. Naupang thenkhat chu an kum nena inmil rate-a an thanlen theih nan tanpuina tlem tal an mamawh belh thin. Tin, chhungkaw tin hian resources inang an nei vek lo. Doctor te hian hei hi an hria a, tanpui turin an inpeih reng a ni.

I naupang enkawltu doctor chuan nang leh i chhungte nen thawk hovin i fate hmasawnna tur pui turin nang leh i fate mamawh tur chu a zawng chhuak ang. Thla engemaw zat a la ngai thei a, mahse i fa chuan a rawn man ang a, chutah chuan naupan lai zawng zawngah beisei angin a lo thanglian ang. He zin chhung hian eng emaw i mamawh a nih chuan i doctor hnenah hrilh hreh suh.

A tawp berah chuan hei hi hre reng ang che.

Chuvangin, naupang `(Growth Faltering)` emaw, stunted growth emaw chu eng nge a nih, a chhan, a symptom leh a enkawlna te chu i hrethiam mai thei. A pawimawh ber chu hei hi i sualna a ni lo tih hriatthiam hi a ni. A tam zawkah chuan heng dinhmunte hi kan thunun theih loh chhan vang a ni. I hlauthawng lo a, damdawi lam thurawn dik tak i la a, doctor-in a sawi ang i tih chuan i fate chu hrisel leh hrisel taka a lo seilian theih nan a mamawh ṭanpuina i pe thei ang. Zawhna emaw rinhlelhna emaw i neih chuan doctor nen inbia ang che. I tanpui turin an awm reng a ni.

` Hmasawnna hlawhchham, thanglian loh, naupang ei leh in, ei leh in tha lo, naupang thanlenna, calorie, naupang hriselna