I naute chu hlauhawmah a awm em? Fetal Hydantoin Syndrome chungchang hi han sawi ila

Naupai emaw, nu nih thuai i tum emaw a nih chuan i damdawi ei tur i hriat chian a pawimawh. A bik takin epilepsy (seizures) ang chi natna damdawi i ei a nih chuan, chu damdawi chuan i nausen piang lai chu a nghawng dawn em tih i ngaihtuah mai thei. Chuvangin, vawiin hian naupai laia damdawi thenkhat ei avanga naute chunga thil thleng thei chiang tak takte kan sawi dawn a ni.

Fetal Hydantoin Syndrome hi eng nge ni?

A awlsam zawngin, Fetal Hydantoin Syndrome hi naute naupai laiin nuin seizure damdawi a ei thenkhat, a bik takin Phenytoin (brand name Dilantin®) Doctor-te chuan heng damdawi te hi teratogens tiin an ko a, chu chu nausen hmasawnna pangngai tibuaitu thil a ni tihna a ni.

He syndrome chhinchhiahna thenkhat hi pian tirh atangin hmuh theih a ni. Entirnan, pianpui (congenital malformations) thenkhat chu naute hmai, lu leh kut zungtang-ah te hmuh tur a awm.

Mahse, symptom thenkhat chu a lang nghal lo mai thei. Hmasawnna tlai leh rilru lama harsatna awmte chu a hnuah chauh a lang lo thei. Chuvang chuan doctor leh chhungte tanpui a ngai a, a natna chhan zawng chhuakin, naute chu a tul anga enkawlna leh tanpuina pek a ngai a ni.

Mahse, hriat tur pawimawh tak chu heng damdawi ei nausen zawng zawng hian Fetal Hydantoin Syndrome an nei vek dawn lo. A tam zawkah chuan a ni lo. Mahse, hlauhawmna engemaw zat a awm avangin i naupai chhung zawngin i doctor chuan uluk takin a enkawl ang che. I damdawi ei turte pawh thlak danglam a ngai mai thei.

Doctor thurawn tel lova i damdawi ei kha i chawlhsan ngai loh a pawimawh hle. Chutianga tih chu nang leh i nausen piang lai tân a hlauhawm thei a ni. I doctor chuan i damdawi ei tur chu a tul angin a tihtlem ang che, a nih loh leh damdawi dang hmangin a thlak ang che. Chuvangin, i doctor thupek ang chiah hian zawm rawh. I hriatthiam loh thil a awm em tih zawt rawh.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Statistically chuan Phenytoin damdawi hmanga nausen 5% leh 11% inkar chuan Fetal Hydantoin Syndrome an nei thei a ni.

Mahse, heng number ringawt atanga thutlukna siam hi a dik lo. Doctor-te chuan naupai laiin anti-fit damdawi hman dan tlangpui an en tlangpui. Chu chu, doctor-te chuan anti-fit damdawi hrang hrangte hian nghawng a neih theih zawng zawng – a mah chauha ei leh ei dun pawhin – syndrome pakhat chu engtiang chiahin nge a hluar tih an ngaihtuah zawk tihna a ni.

Entirnan, seizure damdawi pakhat aia tam a ruala ei chu pakhat chauh ei ai chuan a hlauhawm zawk thei. Tin, damdawi thenkhat (valproate awmna product ang chi) hian a dang aiin side effect na tak a thlen tam zawk bawk.

I doctor chuan i damdawi ei hian i naupai lai a nghawng theih dan chiang takin a hrilhfiah thei che a ni. I risk an ennawn ang a, chutiang chuan thurawn an pe ang che.

Nausen hydantoin syndrome natna lan chhuah dan chu engte nge ni?

Fetal Hydantoin Syndrome natna lan chhuah dan thenkhat, pian tirh atanga hmuh theih te chu:

• Mit hi a pangngai aia inthlau zawk (damdawi lamah chuan hypertelorism an ti) a ni.
• Mit inzawm (strabismus) .
• Hmai leh/ emaw, hmui hrual .
• Hnar bridge chu a tlangpui aia flatter emaw a zau zawk emaw a ni.
• Lu lian zawng pangngai aia te zawk (microcephaly) .
• Fingernail leh toenail te a thang tha lo emaw, a deformed emaw a ni.

I naute chu a lo upa chhoh zêl chuan, a ṭhanlenna a tlai tih chhinchhiahna i hmu thei a ni . I naute chu a kum rualpui naute dangte nena khaikhin chuan a hmasawnna tur thil engemaw zat a thlen tlai hian a tikhawtlai tih hi a ni. Entîr nân, a vawi khatna atâna nuih, a inher, a nih loh leh a ke pen hmasak ber.

Tin , rilru lama harsatna nei chhinchhiahna i hmu thei bawk . Intellectual disability chu i fain a chhehvel khawvel a zir dan leh a inpawh dan a nghawng a ni. Entîr nân, i fa chu i duh angin toilet training emaw, mahni in enkawlna hna a thawk thei lo emaw a ni thei. A nih loh leh, sum leh pai leh hun hman dan ang chi concept hriatthiam harsatna an nei thei bawk.

Hei hi eng nge a chhan?

Fetal Hydantoin Syndrome thlentu ber chu naupai laia nausen hnena damdawi pekte chu nausen (placenta) kaltlangin a kal tlang vang a ni.

Zirchiangtute chuan heng damdawi te hian heng mutations leh inthlak danglamna dang a thlen dan hi an la hre chiang lo hle. Thil dang, genetics ang chi pawhin hmun a chang thei niin an ngai. Entîr nân, gene-a mutation ṭhenkhat chuan i taksain ruihhlo a tihchhiat dân a nghawng thei a ni. Chu chu naupai laiin ruihhloin a nghawng theih chhan pawh a ni thei bawk.

Nakin lawka zirchiannaah hian he syndrome hi engtin nge a lo awm tih leh tute nge hlauhawm ber tih hriat belh a nih beisei a ni.

Engtin nge doctor-te hian he dinhmun hi an hriat theih?

Doctor-te chuan Fetal Hydantoin Syndrome hi a pian tirh emaw, naupan lai emaw-ah naute hian he natna lan chhuah dan tlangpui a lantir hian an hmuchhuak thin. Nu medical history (damdawi te pawh tel) hian diagnosis siamnaah a pui bawk. Fetal Hydantoin Syndrome hi diagnostic test bik a awm lo.

Chutiang bawkin nau neih hmaa Fetal Hydantoin Syndrome a awm leh awm loh finfiahna tur test bik a awm lo. Mahse, doctor-te chuan scan ang chi test-naah nau piangsualna hmuh chhuah ṭhenkhat aṭangin he syndrome hi an ringhlel thei a ni.

Enkawlnate chu engte nge ni?

Doctor-te chuan i naute chu a natna lan chhuah dan leh a mamawh bikte a zirin an enkawl ang. Heng enkawlnate hi i naute a lo upat deuh deuh chuan a danglam thei a ni. Enkawlna hman theih ṭhenkhat chu:

• Surgery: Entirnan, hmui leh hmui cleft siamthatna tur surgery.
• Damdawi chi hrang hrang.
• Taksa lam enkawlna.
• Occupational therapy hmanga enkawlna.

I fa chuan zir tûrin ṭanpuina dang a mamawh mai thei. I fate damdawi lam team chuan Individualized Family Service Plan (IFSP) siam turin an thawk ho ang che. Hei hi i fate mamawh ang zela siam document a ni. I fain a mamawh theih service, assistive technology leh speech therapy te chu a ruahman a ni.

I fa enkawl tura thawk ho doctor leh therapist-te chu:

• Naupang enkawltu doctor te.
• Plastic surgeon te an ni.
• Maxillofacial surgeon te an ni.
• Naupang rilru lam thiamte.
• Naupang neurologist te an ni.
• Occupational therapist te an ni.
• Thusawi thiamte.

Ka naute hian hetiang dinhmun hi a nei a nih chuan eng nge ka beisei ang?

I naute damdawi lam team chuan i naute natna lan chhuah dan a zirin i beisei tur an hrilh ang che. I naute hian a naupan laiin operation engemaw zat a mamawh thei a, service thenkhat, zirlai tanpui ang chi te chu a upat deuh deuh chuan a mamawh thei bawk.

Vawikhatah engkim ngaihtuah buai suh. Step khat khatin la rawh. Stress emaw, tension emaw i neih tam chuan therapist pan rawh . I rilru put hmang an sawi thei a, i stress tihreh dan tur hrisel tak tak zawng turin an pui thei bawk che a ni.

Fetal Hydantoin Syndrome hi a veng thei ang em?

A châng chuan, a bîk takin damdawi chu i hrisêlna atâna a pawimawh a nih chuan, chu damdawi chuan i nausen piang lai chu a tichhe lo thei lo. Mahse, i doctor chuan nausen hydantoin syndrome vei theihna tihtlem nan a pui thei che a ni. Entîr nân, anni chuan:

• Naupai hma leh naupai lai damdawi thlak danglam. Hei hian ni khata damdawi i ei zat tihtlem a huam thei. A nih loh leh, nausen tichhe thei lo damdawi dang lama inthlak.
• Hmeichhia te chu naupai hma leh naupai laiin folic acid supplement ei turin fuih la, hei hian nau piangsual laka invenna a pui ang.

I doctor chuan i naupai chhung zawng hian uluk takin a enkawl ang che a, i damdawi ei tur pawh a tul angin a siam danglam ang che. Chuvangin, i appointment te kha vawng reng la, zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor hnenah hrilh rawh.

Engtikah nge damdawi lam thurawn i lak ang?

I taksa hriselna atana puitu tur damdawi i ei a, naupai theih i nih chuan, emaw, naupai i tum a nih chuan i doctor nen inbiakna neihpui ngei ngei tur a ni. I damdawi te chu an enfiah ang a, tihdanglam a ngai em tih an rel ang.

Naupai tawh a, fit tan damdawi i ei a nih chuan i doctor appointment schedule dik takin zawm tur a ni. Heng appointment te hi a pawimawh hle a, a chhan chu chutih hunah chuan i doctor chuan i naupai chu a enfiah thei a, a tul angin i damdawi a siamrem thei bawk. Fit lo turin theihtawp an chhuah ang a, chutih rualin i naute tana harsatna awm thei zawng zawng pawh an ti tlem thei ang.

Doctor hnenah eng zawhna nge ka zawh ang?

Naupai hmaa zawhna i zawh duh ṭhenkhat chu:

• Naupai hi ka tan a him em?
• Ka damdawi ei danah eng inthlak danglamna nge ka siam a ngai ang?
• Ka damdawi hian nausen hmasawnna a nghawng theihna chance engzat nge ni?
• Engtikah nge ka rawn hmu leh ang che?

I naute chu Fetal Hydantoin Syndrome a vei tih hriat a nih leh nih loh zawh tur zawhna:

• Hetiang dinhmun hian ka naute hi engtin nge a nghawng ang?
• Eng enkawlna nge i rawt a, engtikah nge an tan?
• Engtin nge in lamah ka naute ka enkawl ang?
• He dinhmun hian engtin nge ka fa hmasawnna emaw, finna lama a theihna emaw a nghawng ang?
• Ka fa a lo puitlin hunah eng nge ka beisei ang?

Naupai lai hi hriat loh tam tak a ni. Tin, damdawi ei ngai khawpa natna i neih chuan, chu damdawi chuan i naute chu engtin nge a nghawng ang tih i ngaihtuah mai thei bawk. Naupai laiin fit atana damdawi an pek hian nausen hydantoin syndrome emaw, duh loh zawng dang emaw a thlen thei a ni. Engpawhnise,Damdawi hian i naupai chu a nghawng lo mai thei – chu chu a awm theihna ber a ni. I doctor chuan i beisei tur a hrilh belh thei che a, i kalna apiangah a thlawp thei bawk che a ni.

Take-Home Thuchah a ni

Vawiin a kan sawi tawh Fetal Hydantoin Syndrome hi naute zingah hian nuin naupai laia seizure damdawi Phenytoin ang chi a ei thin avanga lo awm thei a ni. Hei hi mi zawng zawngah a thleng lo , mahse risk a awm.

A pawimawh ber chu fit atana damdawi i ei a, naupai i ngaihtuah a nih chuan, emaw, naupai tawh i nih chuan i doctor nen inbiakna neih hi a ni. Doctor thurawn tel lo chuan i damdawi ei kha bansan ngai suh. I doctor chuan i damdawi ei tur chu nangmah leh i naute tan pawh a him ber ang bera enkawl turin a pui ang che.

I naute hian he natna hi a neih chuan hlauthawng suh la, damdawi lam thurawn zawng la, a tul anga enkawlna leh puihna dawng rawh. Nangmah chauh i ni lo tih hre reng la, doctor, therapist leh chhungte tanpui tur che an awm tih hre reng ang che.

` Fetal hydantoin syndrome, naupai laiin damdawi, phenytoin, epilepsy leh naupai, nau piangsual, than chak lohna, Dilantin