I naute hmai sir khat chu a dang aiin a te zawk em? Hemifacial Microsomia chungchang hi han sawi ila!

A chang chuan naute hmai sir khat chu a sir lehlamah a danglam deuh a, a danglam deuh pawh a ni mai thei tih i hre ngai em? A nih loh leh beng chu hmun dang deuhah a awm emaw, a hmui chu a insiam tha lo niin a lang. Nu leh pate hian hetiang thil an hmuh hian tlem a hlauhthawn leh lungkhamna an neih hi thil pangngai tak a ni. Chu chu vawiin a kan sawi tur condition chu a ni a, Hemifacial Microsomia an tih chu a ni. Lungngai suh, he thu hi chipchiar takin sawi ila.

Hemifacial Microsomia hi eng nge ni?

A awlsam zawngin, Hemifacial Microsomia hi pianpui natna a ni . Naute hmai sir khata hmun thenkhat, beng, hmui leh hmui ruh te chu a sir lehlamah khaikhin chuan a lo thang tha lo a nih chuan a thleng thin. Hmai a lo pian chhuah lai hian a sir khata ‘element’ tlem lo awm angin ngaihtuah rawh. Hei hi Craniofacial Microsomia an ti \hin.

A tam zawkah chuan hei hian hmai sir khat chauh a nghawng a ni . Mahse, a tlem hle a, he natna hian hmai sir lehlamah a nghawng thei a ni. Chutiang a nih chuan Bilateral Hemifacial Microsomia kan ti thin.

Hetiang dinhmun hian hmai hmun hrang hrang a nghawng thei a ni:

• Cheekbones a awm
• Mit
• Beng pawn lam leh beng lai tak
• Facial nerves (hei hi kan hmel lan dan leh nuihzatthlakna control tu a ni) .
• Mandible a ni
• Hmai ruh (muscle) te
• Nghawng
• Luruh a ni
• Ha

A tlem hle nachungin, a chang chuan Hemifacial Microsomia hi taksa system dang, thinlung, kal, rilru ruh (ribs), leh ruhroah te harsatna a awm thei bawk.

Statistically chuan he natna hian naute piang 3,000 atanga 5,600 zinga 1 vel a nghawng a ni. Hmaiah hian congenital anomaly awm tam ber pahnihna a ni a, cleft lip emaw cleft palate emaw hnuaiah a awm.

Eng nge a symptoms chu ni thei ang?

Hetiang natna lan chhuah dan hi mi hrang hrangah a inang lo thei hle. Mi thenkhat chu tlemte chauh an awm a, thenkhat erawh chu a na zawk . Chumi awmzia chu heng natna lan chhuah dan leh a nasat dan hi hmai hmun engzat nge lo awm tawh tih a zirin a inang lo tihna a ni.

Hengte hi a lan chhuah dan tlangpui thenkhat chu an ni:

• Microtia: Hei hi beng a te, a inmil lo emaw, a pianzia pangngai lo emaw a ni. A bo vek thei hial a ni.
• Hypodontia: Ha thenkhat chu a lut ngai lo, chu chu ha zung atanga lo thang chhuak lo tihna a ni.
• Facial nerve chak lohna avanga hmai paralysis: A natna lam mit khar dik, nuihzatthlak, mitmeng tiharh ang chi thil tih harsa tak a ni thei.
• Skin tags te chu:Heng vun extra pieces te hi beng bulah hmuh tur a awm tlangpui a, a chang chuan hmuiah pawh hmuh tur a awm bawk.
• Mit pakhat te te (Microphthalmia): Mit natna vei chu mit dang nena khaikhin chuan a te zawkin a lang thei. Mitmeng ngei pawh hi a te zawk pawh a ni thei.
• Nuih dan inang lo (Uneven Smile): Muscle leh nerve te hi a lo thang tha tawk lo a, nuih lai hian hmai sir lehlamah a inang lo thei.

Hengte hi a symptom langsar ber berte chu an ni. Mahse ka sawi tawh ang khan mi zawng zawng hian heng symptoms zawng zawng hi kan nei vek lo va, symptoms awm dan nasat dan pawh a inang lo hle.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Dik tak chuan mithiamte chuan Hemifacial Microsomia awm chhan dik tak hi an la hre lo . Naupai hnu kar ruk chhung (chu chu naupai thla hmasa leh a chanve a ni) chhunga nausen hmasawnna tibuaitu thil vang niin an ngai. Chu kar hmasa lamah chuan naute hmai hmun thenkhat chu a lo piang tan thin tih hre reng ang che. Chutih lai chuan thil engemaw, thisen tlakchhamna tlemte pawh a ni mai thei, a kal sual thei a ni.

Researcher-te chuan he thil nena inzawm gene bik emaw, environment factor emaw bik an la hmuchhuak lo. Chu chu nuin naupai lai thil a tih leh tih loh vang a ni tih ngaihtuah suh tihna a ni. Hei hi tumah sual a ni lo.

Mahse, chhungkaw ṭhenkhatah chuan he natna hi mi pakhat aia tam an neih avângin, chu chu thlahtute aṭanga lo chhuak a ni thei niin an ring . Mahse chu chu finfiah turin zirchianna a la tling lo.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Hmêl inthlak danglamna bakah hian Hemifacial Microsomia vei naupangte hian harsatna dang engemaw zat an nei thei bawk. Hengte pawh hi hriat chian a tha:

• Hriatna hloh: Hetiang harsatna hi a awm thei a, a bik takin beng leh beng kawng a lo thang tha lo a nih chuan. A châng chuan, a sir khatah chuan hriatna a bo vek thei bawk.
• Chaw ei harsat vanga ei leh in lama harsatna: A hnuai lam a inrem loh emaw, ha lama harsatna a awm emaw chuan naute tan hnute pek a harsa thei a, a hnua ei tur a ei a, a chet a harsa thei bawk. Hei hian taksa rihna tihtlem leh than chak lohna a thlen thei a ni.
• Oral health conditions: Ha hrual, ha hrual, leh cavities te hi a awm fo thin.
• Thusawi lama harsatna (Speech disorders): Hmai ruh, hmui ruh leh hmui lama harsatna a awm avangin thu sawi leh chiang taka sawi a harsa thei hle.
• Vision issues: Mit hmuhna hi microphthalmia (mit te) leh mit lama harsatna dangte hian a nghawng thei a ni.
• Thâwk lama harsatna nei: 1.1.A bik takin a hnuai lam chu a te lutuk a, hnar kawng a zim a nih chuan mut laiin thawk harsatna (sleep apnea) a awm thei.

Hengte hi kan hriat chian a, a tul anga damdawi lam thurawn leh inenkawlna zawng a pawimawh hle.

Engtin nge hei hi i diagnose?

Doctor-te chuan naute taksa enfiahna uluk tak an nei hmasa tlangpui. Thil tam takah chuan he natna hi naute pian veleh hriat theih a ni a, a chhan chu hmai inthlak danglamna, a bik takin beng leh hmuiah chiang taka hmuh theih a nih vang a ni.

Mahse, a then phei chuan naute pian hma, chu chu nu pum chhunga a la awm laiin nausen pian hmaa ultrasound emaw MRI (Magnetic Resonance Imaging) test emaw tih hian he natna hi a hriat theih phah a ni. Mahse, chutiang chu a thleng ngai lo.

Hemifacial Microsomia hmuhchhuah a nih leh nih loh finfiah nan te, a chhiatna zau zawng hriat nan te, leh thluak hmun engte nge a nghawng tih chiang taka hriat theih nan doctor-te chuan imaging test dang an ti thei a ni Entir nan:

• X-ray: Hmai ruh awm dan enfiah thin.
• CT scans (Computed Tomography scans): Hengte hian hmai ruh leh soft tissue te chu chiang zawk, three-dimensional image a siam thei a ni. Hei hian surgery ruahmannaah a pui hle.

Heng test te hian hmai ruh, ruh leh nerve te chiang takin a tarlang thei a, hei hi enkawlna ruahmanna siamnaah a pui hle.

Engtin nge enkawl a nih?

He natna enkawl dan hi naupang a nghawng nasat danah a innghat a ni . Hemifacial microsomia nei naupangte hian an hmai hmun thenkhat siamthat emaw siam thar emaw nan operation an mamawh tlangpui.

Heng surgery te hi eng nge an nih leh engtikah nge an tih tih hi naupang tin hian a inang lo a, naupang mamawh, kum leh a natna hmun hrang hrang a zirin a inang lo.

Naute chu a naupan lai, chu chu nausen lai a nih chuan , enkawlna tum ber chu naute thawk leh chaw ei tha tura tanpui hi a pawimawh hle. Hengte hi a bulpui ber a ni.

Tichuan, naupang chu a lo upat deuh deuh a, chu chu naupan lai leh tleirawl lai a ni , enkawlna tum ber chu hmêl hnathawh leh hmel lan dân tihchangtlun a ni . Chu chu, thusawi, ei leh in, nuihzatthlak ang chi thil awlsam zawka siam ruala hmai symmetry leh hmel lan dan tihchangtlun tihna a ni.

A tam zawkah chuan he surgery hi vawi khatah tih theih a ni lo. Naupang a lo seilian chuan a hmai ruh te chu a lo thang lian a, he procedure hi stage hrang hrangah an ti thin.Hengte hi tih tur a ni. Surgery thenkhat chu naupang a lo puitlin chuan sawn a ngai thin. Hei hi hun engemaw chen la ngai, dawhtheihna ngai thil a ni.

Surgery hmanga enkawl a ni

Hemifacial Microsomia enkawlnaah hian a hnuaia mite hi a tel thei. Hengte hi specialist team-in an ti a:

• Beng, hnar leh beng surgery (ENT surgery): a bik takin beng siam thar leh hriatna implant.
• Facial plastic leh reconstructive surgery: Hmai symmetry leh hmel lan dan siam that leh. Fat grafting emaw tissue dang soft tissue tlakchhamna hmuna grafting emaw.
• Mit surgery / Ophthalmic surgery: Mit a te deuh emaw, mitmeng lamah harsatna a awm chuan siam that tur a ni.
• Maxillofacial surgery / Orthognathic surgery: Kawng hnuai lam, hmui chunglam, hmui ruh, etc. sei zawng leh awmna siamthat nan a chang chuan distraction osteogenesis technique te hman a ni.
• Oral surgery: Ha lak chhuah a nih chuan lakchhuah, ha dang lakchhuah.

Heng zawng zawng hi naupang chu a pangngai thei ang bera a awm theih nan tih a ni.

Nau piang tharte surgery tih a ni

Naute piang thar chuan thawk harsatna a neih emaw, a hnute a pe thei lo emaw a nih chuan , doctor-te chuan naute a pian veleh enkawlna an ṭan nghal thei a ni. Chûngte chu nunna chhanhimna hmanrua a ni thei.

Nausen pian hnu lawka tih theih dan tlangpui pahnih a awm a, chungte chu:

• Tracheostomy: Hei hian naute kawr leh thlipui (windpipe)-ah incision te tak te siamin, an thawk chhuah theih nan tube an dah a ni. Hei hi thawkna kawng a inkhar a nih chuan tih a ni.
• Tube feeding (Nasogastric tube or Gastrostomy tube): Nausen chu amah chauhin a hnute a pe thei lo a nih chuan tube hmangin nutrition pek a ni. Hei hi hnar atanga pum chhunga lut tube (NG tube), emaw, pum chhunga lut nghal tube (G-tube) pawh a ni thei.

Surgery hmanga enkawlna ni lo

Surgery bakah hian doctor-te chuan heng ang chi non-surgical treatment te pawh an rawt thei bawk. Naupang nunphung tihsan nan hengte hi a pawimawh hle bawk:

• Braces leh orthodontic device dang: Hengte hi ha hrual a nih chuan hmui awmna siamthat nan hman a ni.
• Hearing aids: Hriatna lama harsatna i neih chuan cochlear implants emaw bone-anchored hearing aids (BAHA) emaw hman a ngai mai thei.
• Thusawi hmanga enkawlna:Chaw ei harsa a awm a, tawng harsa a awm chuan tanpui rawh. Hei hian thumal chiang taka sawi chhuah a pui a, hmai ruh a tichak bawk.

Heng zawng zawng hi naupang nun awlsam zawka siam turin a inzawm khawm a ni. Hei hian mi tam tak ṭanpuina a mamawh a, chung zingah chuan doctor, surgeon, dentist, speech therapist, leh audiologist te pawh an tel a ni.

Hemifacial Microsomia hi ven theih a ni em?

Vanduaithlak takin he dinhmun hi ven theih a ni lo . A chhan chu, a hmaa ka sawi tawh ang khan, zirchiangtute hian eng nge a thlen tih chiang takin an la hre lo. Genetic link a awm thei nia rinhlelh ni mah se, chu pawh chu chiang taka hmuhchhuah a la ni lo.

I naute hian Hemifacial Microsomia a vei a nih chuan naupai laia i thil tih leh tih loh vang a ni lo tih hriatthiam a pawimawh hle Chu chu pawi ti suh la, nangmah leh nangmah in dem suh.

Hetiang dinhmun hi engtin nge a hmalam hun?

A tam zâwk chuan, he dinhmun hian naupang dam rei zawng a tikhawtlai lo . Chumi awmzia chu hetiang natna nei naupang hian dam chhung pangngai a hmang thei tihna a ni a, chutiang natna nei lo naupang ang bawkin.

Mahse, Hemifacial Microsomia hian naupang nunphung a nghawng thei a ni . Naupangte an lo puitlin chuan mi dangte aiin an hmel danglam tih hriatna avanga harsatna lo thlengte chu an hmachhawn a ngai a ni.

Surgery chu hlawhtling mah se, heng naupangte hian naupang dangte awlsam taka an tih theih thil, ei leh in, inbiakna leh mut te chu an harsat phah thei a ni. Chuvangin chu lam pawh kan fimkhur a ngai a ni.

Engtin nge ka fa ka enkawl ang?

Hemifacial Microsomia vei naupangte hian damdawi lam enkawlna kalpui zel an mamawh a, chutah chuan vawi tam tak operation pawh a tel thei. Mahse, puitlin hma an tlin meuh chuan zai an ngai tawh lo mai thei.

Mahse, harsatna a lo awm leh em tih emaw, hun kal zelah harsatna awm tawhte chu a zual zel em tih hriat nan hun rei tak enkawl a ngai mai thei. Entîr nân, hriatna hmanrua leh implant ang chi thilte chu a hun hunah siamrem a ngai mai thei. Ha hriselna pawh enkawl reng tur a ni.

Taksa lama harsatna ang bawkin, danglam taka awmin rilru lam nghawng a neih hian naupang rilru hriselna a nghawng thei a ni. Chuvangin naupang hian coping strategies a siam theih nan counselling a dawn a pawimawh hle.

Nu leh pa ka nih angin mi zawng zawngin i naute hi nangmah ang bawka hmu se i duh tih ka hrethiam.Naupangte hian an lo upat deuh deuh a, sikul an tan chuan hlauhna an nei hi thil pangngai tak a ni. A châng chuan naupangte, a bîk takin anmahni aia danglam nia an hriatte chu an rilru a na thei a, an nuihzat thei bawk.

I fa chu hrethiam thei tûra a lo puitlin meuh chuan an dinhmun chungchâng chu zalen takin sawipui rawh . Hetiang inbiakna hi thil thleng fo tura siam hian chakna a pe mai bakah an hmel danglamna hian tu nge an nih a tichiang lo tih an hriatthiam theih nan a pui bawk ang.

Surgery hian Hemifacial Microsomia taksa peng tam tak a siam tha thei a ni. Chu bâkah, talk therapy hian i fate chu an rilru put hmang sawi chhuah a zir theih nân leh khawtlâng mi dangte nêna ṭha taka thawhpui tûrin a ṭanpui thei a ni. I doctor hnenah thu belhchian dawl zawk leh tanpuina zawt rawh. I tanpui turin an awm reng a ni.

Hemifacial Microsomia leh Goldenhar Syndrome hi eng nge an danglamna?

Goldenhar Syndrome hi pianpui natna hmuh tur awm lo tak a ni. Oculoauriculovertebral spectrum (OAVS) an ti bawk.

Hemifacial Microsomia hi a takah chuan Goldenhar Syndrome natna langsar tak a ni thei. Chu chu, Hemifacial Microsomia features bakah hian Goldenhar Syndrome vei chuan mitah cancer ni lo tumor (epibulbar dermoids) emaw, spinal abnormalities (e.g., fusion of the vertebrae) emaw a nei thei tihna a ni. Thinlung emaw, kal (kidney) lamah pawh harsatna a awm thei bawk.

A awlsam zawngin sawi ila, Hemifacial Microsomia hi hmai hmasawnna a nghawng ber a ni. Goldenhar Syndrome hi natna chi hrang hrang a nei thei a, taksa peng dang pawh a nghawng thei a ni. Hemifacial Microsomia vei zawng zawng hian Goldenhar Syndrome an nei vek lo a, mahse Goldenhar Syndrome vei tam tak chuan Hemifacial Microsomia symptoms an nei vek thung.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh Hemifacial Microsomia chungchanga hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Hei hi pianpui (congenital condition) a ni a, hmai sir khat (a nih loh leh a pahnih pawh ni thei) hmun thenkhat chu a lo thang tha lo a ni.
• Hetiang thil hi engvanga lo thleng nge tih chiang takin ka hre lo . Chuvangin, i sualna a ni lo.
• Symptoms hi mi hrang hrangah a inang lo , thenkhat chuan an nei tlem a, thenkhat chuan an nei tam zawk.
• Surgical leh enkawlna dang pawh a awm . Hengte hi naupang lo thanglian zel angin specialist doctor team-in an ruahman a ni.
• Hetiang natna nei naupangte hian dam chhung pangngaiin an hmang thei a ni .
• Naupang tan chuanTaksa leh rilru lamah pawh tanpuina pek a pawimawh hle. Doctor leh counselor te hnen atangin tanpuina zawng rawh.
• I fate nena zalen taka inbiakna neih hi he dinhmun nena nunpui theihna tura chakna ropui tak a ni.

He thu hi in tan a tangkai ngei ka beisei. Nangmah emaw, i hriat emaw hian hetiang harsatna hi i nei a nih chuan a tha ber chu a rang thei ang bera doctor thiam tak tak lak hi a ni. Kaihhruaina dik tak an pe thei ang che.

` Hemifacial Microsomia, Hemifacial Microsomia, Facial Deformities, Nau piangsual, Naupang hriselna, Surgery, Craniofacial Microsomia, Goldenhar Syndrome