I naute hian hetiang harsatna hi a nei em? Intestine a chhuak tawh em? - Gastroschisis chungchang hi i zir dawn nia

I naute chu a chhungril hmun tlemte a chhuak chhuakin a piang em? Nu leh pa tu pawhin hetiang thil an hmuh hian an lungkham hi thil pangngai tak a ni. Mahse hemi chungchang hi uluk taka hriattir i nih chuan lungkham tur a awm lo. Vawiin hian he natna Gastroschisis an tih hi han sawi ila. Hei hi i hriat chuan natna lian tak angin a lang thei a, mahse awlsam takin sawi ila.

Gastroschisis tih hi eng nge ni? A awlsam zawngin i hrethiam ang u

Ngaihtuah teh, naute chu he khawvela a lo kal hian a chhungril tlemte (chu chu a pum, a chhungril te, a chhungril lian tak tak) te chu a lo chhuak ta a ni? Chu chu gastroschisis kan tih chu a ni. Hei hi pianpui (congenital condition) a ni. He intestine hi naute pum chhunga khur te tak te atanga lo chhuak a ni a, a tlangpuiin centimetre 2 atanga 5 vel, umbilical cord atanga hla deuhah a chhuak thin.

Hei hi naute dam tirh lamah a thleng thin. Chu chu naute pum bang a lo insiam kim loh chuan gap te tak te a awm a, chuta tang chuan he organ hi a rawn chhuak ta a ni. Tichuan, intestine lo chhuakte chu nu nausen chhunga tui ang maia awm amniotic fluid-ah a inphah chhuak ta a ni. Chumi avang chuan a chang chuan heng taksa peng hrang hrangte hi a hring deuh thei a, natna tenau te a thlen thei bawk.

A pawimawh ber chu hetiang dinhmunah hian naute taksa peng hrang hrangte chu taksa chhungah dah leh a, a khur chu khar turin operation a ngai tak zet a ni .

Gastroschisis leh Omphalocele hi eng nge an danglamna?

Piansualna dang pakhat Omphalocele tih a awm bawk. Naute pum chhunga taksa peng hrang hrang chhuak chhuak te pawh a huam tel bawk. Mahse, an pahnih inkarah hian danglamna tlem a awm.

• Gastroschisis: Hetah hian, intestine hi engmah khuh lovin a chhuak thin. Chumi awmzia chu intestines chu direct-a hmuh theih a ni tihna a ni.
• Omphalocele: Hetah hian, taksa peng chhuakte chu membrane te tak te in a khuh a ni .

Doctor-te chuan naute pian hmaa ultrasound examination an neih laiin he danglamna hi an hmu thei fo.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Gastroschisis awm chhan dik tak hi hriat a la ni lo. Chumi awmzia chu hmeichhe naupai tu pawhin a nauteah a neih theihna chance a nei tihna a ni. Mahse, zirchianna thenkhat (entir nan, Centers for Disease Control and Prevention - CDC-in zirchianna) an neihah chuan thil thenkhat chuan a hlauhawmna a tipung thei tih an hmuchhuak. Chung zingah chuan:

• Kum naupang tak atanga naupai nu: Chu chu kum naupang tak atanga nu lo ni tawhte tihna a ni.
• Naupai laia zuk leh hmuam hman te, zu in emaw, ruihhlo dang hman te.

Hengte hi tun thlenga risk factors hmuhchhuah tawhte chu an ni. Mahse, heng zawng zawng ti loteah pawh hetiang dinhmun hi a awm thei tih hre reng ang che.

Gastroschisis hi engtiang chiahin nge a awm?

Hei hi thil awmdan tlemte tak a ni tak zet a ni.Entîr nân, America ramah chuan he natna hian kum tin naute 2,000 zînga pakhat vêl a nghawng a ni. Hei hi Sri Lanka-ah pawh thil mak a ni lo.

Gastroschisis natna lan chhuahna chu engte nge ni?

Hetiang dinhmun avang hian nu hian naupai laiin symptom engmah a nei lo thei. Mahse, ultrasound scan-ah chuan naute sir lamah hetiang hian a lang thei a ni:

• Naute pum, a chhungril te, a nih loh leh a chhungril lian tak chu taksa pawnah a awm niin a lang .
• Intestine lo chhuak chu a hring mai thei .
• A chang chuan intestine te hi a inzawm khawm thei bawk .
• Naute a pian hnuah , a taksa lumna a tlahniam thei (hypothermia).

Eng thilin nge gastroschisis hi a thlen?

Sawi tawh ang khan hei hi a chhan dik tak hriat a la ni lo. Chutiang chiah chu a ni: Nausen pum chhunga a lo seilian chhoh zel chuan nausen pum bang chu a lo insiam kim lo. Chu chu a chhan ber a ni. Naupai i tum a nih chuan nau piangsual laka inven dan tur doctor nen inbiakna neih a pawimawh.

Engtin nge Gastroschisis hi an hriat theih?

He natna hi naupai lai emaw, naute pian hnuah emaw hriat theih a ni. Naupai kar 18 leh kar 20 inkar routine test neihnaah hmuhchhuah a ni ber. Heng test te hi engte nge ni?

• Ultrasound: He test hian sound wave hmangin i taksa chhunga tissue te chiang takin a hmu thei a, chubakah naute pawh a hmu thei bawk. Intestine a lo chhuak tawh em tih pawh a lantir thei bawk.
• Thisen endik: Nu thisena thil engemaw zat chu teh a ni. A bik takin, alpha-fetoprotein an tih protein level chu a tlangpui aia sang (a bik takin kar 18-22 inkar) a nih chuan gastroschisis an tih natna chhinchhiahna a ni thei.
• MRI (Magnetic Resonance Imaging) test: Hei hi imaging test a ni bawk. I taksa chhung lam leh i naute thlalak chiang zawk, chipchiar zawk a la thei. Hei hi mi zawng zawngin an mamawh vek lo a, mahse doctor-te chuan special case thenkhatah chuan an rawt mai thei.

Gastroschisis hi engtin nge enkawl a nih?

Naupai laiin he natna hi hriat chhuah ni mah se, naute a pian hnuah chauh enkawl tan theih a ni.

Surgery tih ngei ngei tur a ni. He surgery-ah hian naute taksa peng hrang hrangte chu taksa chhungah dah leh a, umbilical cord bula khur chu khar a ni. Hei hian taksa peng hrang hrangte chu a chhuak leh tawh lo ang.

Naute dinhmun a nasat dan leh taksa peng engzat nge a lo chhuak tih a zirin surgery chi hnih a awm a:

1. Primary repair: A theih chuan naute a pian veleh surgery tih a ni a, a pum chhunga khur awm chu khar turin taksa peng hrang hrang dah luh a ni. Hei hi tih tum tam ber chu a ni.

2. Stage hrang hranga siamthat: 1.1 .Gastroschisis dinhmun hi a buaithlak deuh a, chu chu naute chu operation tuar thei khawpa hrisel lo tihna a ni a, emaw, naute pum chhungah heng taksa peng zawng zawng hi vawi khata awm theihna tur hmun a awm loh chuan, surgeon chuan surgery chu stage hrang hrangin a ti ang.

Naute pian a\anga operation a nih thlengin naute surgeon chuan a taksa peng lo chhuakte chu plastic bag bik silo an tihah a khuh a. Hei hian taksa peng hrang hrangte chu a kai lo va, a vawt lo va, a chhe lo bawk.

Surgery hmasa ber hnuah, a chang chuan naute pum ruh emaw, intestine emaw siam that leh nan surgery tam zawk neih a ngai thei bawk.

Operation hnuah pawh harsatna a awm em?

Ni e, gastroschisis surgery hnuah pawh harsatna engemaw zat a awm thei. Eng nge an nih?

• Surgery hmuna natna hrik awm.
• Chaw ei harsat.

Hetiang hunah hian naute chu an ei \ha leh theih hma loh chuan intravenous (IV) line, saline , emaw, nasogastric tube hmangin emaw chaw pek a ngai mai thei.

Gastroschisis enkawl hnuah intestinal problem a awm thei em?

Gastroschisis vei nausen piang zinga 25% vel chuan an intestine hmasawnna kawngah harsatna engemaw zat an nei thei a ni. Hei hi enkawl nan operation dang neih belh a ngai thei bawk. Entirnan:

• Bowel resection: Intestine hmun chhia te surgery hmanga lakchhuah.
• Ileostomy emaw Colostomy: Hei hian pum chhung bang atanga intestine tawp khat lakchhuah a, chutah chuan bag dahin bawlhhlawh khawlkhawm a ni. Hei hi mi zawng zawng tan a ngai lo, special case-ah chauh a ni.

Gastroschisis hian eng side effect nge a neih?

Gastroschisis vei nausen piangte hian an dam chhungin hriselna lama harsatna engemaw zat an tawk thei a:

• Nau piang hma: Gastroschisis vei naute hi a hun hmain an piang thei fo.
• Intestinal blockage: Surgery an neih hnuah hmun thenkhatah naute intestines a zim thei a, chu chuan ei leh in leh ek a kal tha lo thei a ni.
• Short bowel syndrome: Hei hi thil awm lo tak a ni. Nausen thenkhat chuan an intestine hmun a tlem zawk a, chu chuan ei tur atanga nutrients te dik taka lakluh a harsat phah thei a ni.

Gastroschisis surgery hnuah engtikah nge ka naute hi ka hruai haw theih ang?

Naute dinhmun a nasat em avangin damdawiin Neonatal Intensive Care Unit (NICU)-ah dah a ni.Kar hnih atanga thla engemaw zat chhung damdawi inah i awm a ngai mai thei. He hun chhung hi nausen hliamte uluk taka enfiah a, a dam tha em tih leh ei tur a ei tha thei em tih leh ei tur a ei tha thei em tih hriat a ni. A châng chuan operation dang tih belh a ngai a nih chuan damdawi ina awm rei pawh a rei thei bawk.

Engtin nge gastroschisis natna vei naute neih theihna tur chu ka tihziaawm theih ang?

He hlauhawmna hi tihbo vek theih ni lo mah se, thil thenkhat tih hian a hlauhawmna tihziaawmna kawngah a pui thei a ni:

• Meizial zu leh zuk leh hmuam hman loh tur.
• Naupai laiin zu in loh tur.
• Naupai laiin damdawi lam thurawn tel lovin natna tidamtu (a bik takin opioid) hmang suh.
• Ei leh in tha tak, inthlau tak ei rawh .

Hengte zawm hi i hriselna bakah i naute hriselna atan pawh a pawimawh hle.

Ka naute hian gastroschisis a vei a nih chuan eng nge ka beisei ang?

Naute a pian veleh a taksa peng hrang hrang dahin a pum khar nan operation neih a ngai a ni. Pum chhunga khur chu a lian a nih chuan naute pian hnu ni engemaw zat emaw, kar engemaw zat emaw hnuah doctor-te chuan a taksa peng hrang hrangte chu tlem tlemin an dah lut ang.

Operation hnuah i naute chu a dam hma loh chuan natna kai loh nan IV (intravenous) nutrients leh antibiotics pek a ni ang. I naute chu operation zawh veleh nu hnute emaw formula emaw i pe nghal thei lo. I doctor chuan i naute hnute tui/formula i pek tan theih hun tur a hrilh ang che.

A tam zawkah chuan i naute hian gastroschisis tih chauh a neih chuan a dam kim ang a, naute dang ang bawkin a lo seilian ang. Mahse, nakin lawkah chuan ei leh in lama harsatna engemaw zat neih theihna a tlem hle. I doctor chuan hemi chungchang hi a sawipui ang che.

Engtin nge naute gastroschisis vei chu i hrin ang?

Neonatal intensive care unit (NICU) leh heng natna enkawltu doctor-te awmna damdawi inah i naute hi nau neih a tha ber. Naute gastroschisis vei te hi a tlangpuiin vaginal emaw cesarean section (C-section) hmangin an piang thei. I obstetrician chuan i naute tan eng method nge tha ber tih rel turin a pui ang che.

Operation hnuah engtikah nge doctor ka hmuh ang?

Operation hnuah i naute hian heng symptoms te hi a neih chuan doctor i pan nghal tur a ni:

• Surgery hmun chu a hring a, a sen a nih chuan .
• Surgical site atanga fluid ang chi thil a leak a nih chuan.
• I luak chhuak a nih chuan emaw, bawlhhlawh i pass tha lo a nih chuan.

Hengte hi natna hrik emaw, harsatna dang emaw chhinchhiahna a ni thei a, chuvangin enkawlna zawn vat a pawimawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang hunah hian zawhna tam tak i nei mai thei. Doctor zawt hlau suh. Entirna thenkhat chu hetiang hi a ni:

• Gastroschisis natna hian hun rei tak chhunga harsatna a thlen theihte chu engte nge ni?
• Ka naute hi operation hnuah eng chen nge damdawi inah a awm ang?
• Engtikah nge ka naute hnute hnute emaw, formula emaw ka pek tan theih ang?

I naute pian tirh atanga a taksa peng hrang hrang a chhuak hmuh chu a hlauhawm thei hle. Mahse, i naute hian a taksa peng hrang hrang dah leh turin operation hnuah a dam leh theihna chance a nei tha zawk hle a, i medical team chuan engkim an hrilhfiah ang che a, surgery leh dam lehna tur kawngah an kaihruai ang che.

## In lama hruai luh thuchah

• Gastroschisis chu naute chhungril, taksa peng ang maia pum chhunga khur te tak te atanga lo chhuak a ni.
• A chhan dik tak chu ka hre lo.
• Hei hi naupai laiin ultrasound test hmangin hriat theih a ni.
• Enkawlna chu operation tih a ni a, organ chu dah luh a, a khur chu khar a ni.
• Nausen tam zawk chu he natna atang hian an dam chhuak vek a, an thanlen dan pangngaiin an lo thanglian thin.
• A hlauhawmna tihziaawm nan naupai lai hian nunphung hrisel tak zawm a pawimawh.
• Zawhna leh lungkhamna i neih chuan i doctor biak pawh hlau suh. An pui ang che.

He thu hi in tan a tangkai ngei ka beisei. Nangmah chauh i ni lo tih hre reng ang che. Doctor leh nurse te chu nang leh i naute tanpui turin an awm reng a ni.

` Gastroschisis, nau piangsual, intestinal prolapse, naute hriselna, naupai, nausen surgery, nausen enkawlna