I naute thluak hian oxygen a tlachham em? HIE (Hypoxic-Ischemic Encephalopathy) hlauhawm tak hi i zir dawn teh ang!

I chhûngkuaa mi thar i hmuh huna i hlimzia chu thuin a sawifiah thei lo. Mahse a chang chuan beisei loh takin heng naupang te te hian hriselna lama harsatna engemaw zat an nei thei a ni. Vawiin hian nau piang tharte nghawng thei, a nasat deuh, mahse kan hriat vek a ngai dinhmun kan sawi dawn a ni. Chu chu HIE, a nih loh leh hypoxic-ischemic encephalopathy a ni.

HIE (Hypoxic-Ischemic Encephalopathy) tih hi eng nge ni? A dik takin i hrethiam ang u.

A awlsam zawngin sawi ila, HIE (Hypoxic-Ischemic Encephalopathy) hi thluaka oxygen leh thisen supply tlakchham vanga thluak hliam a ni. Ngaihtuah teh, kan taksa peng zawng zawng ang bawkin thluak hian a hnathawh theih nan oxygen leh nutrients a mamawh bawk. Chungte chu thisen kaltlangin thluaka an thlen a ni. He supply hi engti kawng pawhin tihbuai a nih chuan thluak cell te chu a chhe tan thin. Hei hi HIE chu a ni.

This condition most often affects newborns , a bik takin nau neih laiin harsatna a awm chuan. Mahse, a châng chuan naupang leh puitling upa zawkte pawhin thawkna lama harsatna lian tak, tuiah pil ang chi a awm chuan HIE an vei thei bawk .

A pawimawh ber chu HIE hi natna khirh tak, nunna atana hlauhawm tak a ni . Chuvangin i fa hian HIE symptoms a nei nia i hriat chuan doctor advice i dil nghal tur a ni.

He HIE natna atan hian i doctor hian hming dang a hmang tih i hre tawh mai thei. Entir nan:

• Nau piang chhuak asphyxia
• Nausen piang thar rilru lam natna
• Nau neih lai hian hypoxia a awm

Hei hi eng hming pawha vuah mah la, dinhmun inang a ni.

HIE chi hrang hrang a awm em? Engtin nge a natna hi a nasatzia i teh ang?

Ni e, doctor-te chuan naupang prognosis angin HIE hi an classified a. Chûngte chu chi thum-ah ṭhen a ni ber a : mild, moderate, leh severe . He classification hian naupang nervous system a nghawng dan tur a hril thei a ni.

Mahse, HIE hi a na lo hle a nih pawhin medical emergency a ni tih hre reng ang che . A chhan chu nunna atana hlauhawm harsatna awm thei laka inven nan enkawl vat a pawimawh a ni. Doctor chuan i fa dinhmun sawifiahna tha ber a pe thei ang che. Tichuan i rilru i siam thei ang a, hma i sawn thei ang.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Statistics-a a lan dan chuan HIE hian naute piang 1,000 zinga 1 leh 6 inkar a vei a ni . United States ang ramah pawh kum tin nau piang thar 9,000 atanga 12,000 velin he natna hi an tawk thin. Sri Lanka ramah hian statistics dik tak hmuh harsa hle mah se, hei hi ngaihthah theih tur condition a ni lo.

HIE natna lan chhuah dante chu engte nge ni? Nausen piang tharah engtin nge ni ang?

Nausen piang tharin HIE na lo emaw, a na lo emaw a neih chuan, hetiang ang chi natna hi an nei thei a ni:

• Taksa chu a hring a, nunna nei lo (`hypotonia`) emaw, a khauh leh a hrual (`hypertonia`) emaw a ni.
• Bawnghnute in harsat.
• Chau rilru put hmang lantir fo.
• Chhan awm lova tap reng, rilru hahdam lohna.
• Chak lo zet hian a tap a.
• Vun, kut zungtang leh hmuiah a rawng dum, a sen, a dum (`cyanosis`) a awm.

HIE a nasat chuan a symptoms a na zawk:

• I khawih emaw, thawm i chhuah emaw pawhin chhanna a awm lo tluk a ni .
• Reflexes chak lo tak tak a ni.
• Thâwk lak dan pangngai lo (e.g., thawk rang, thawk hah).
• Lungphun mumal lo emaw, a slow lutuk emaw.
• Seizures a awm thin .
• Thil hriatna hloh.

Pawimawh: I fain heng natna lan chhuah dan hi a lantir chuan damdawi in hnai ber hnenah hruai la, 911 call nghal rawh . HIE hi mild angin lang mahse emergency a ni. Inenkawl vat hi a pawimawh ber a ni.

HIE hi engte nge ni?

HIE thlentu ber chu thluaka oxygen leh thisen supply tlakchham vang a ni. Hei hi a thlen theih dan kawng hrang hrang a awm.

HIE hi nausen pum chhunga nausen lo seilian laiin a lo awm thei a, hei hi a chhan chu:

• Nausen thinlung emaw lung emaw hmasawnna emaw hnathawh dan pangngai lo.
• Nu hian natna hrik (toxoplasmosis emaw CMV emaw ang chi) a nei a.
• Nu naupai thisen sang lutuk tihsan emaw tihhniam emaw.
• Nu naupai thisenah oxygen level a tlahniam.

Naupai emaw nau neih lai emawa harsatna a awm chuan naute hian HIE a vei theihna a sang zawk. Entir nan:

• Umbilical cord, nausen pian hmaa vagina atanga lo chhuak (`cord prolapse`).
• Umbilical cord compression emaw a thisen kal tihtawp emaw.
• Nausen hnute (placental abruption) a awm.
• Uterine rupture a awm.
• Placenta previa (cervix khuh) a ni.

Naupang kum upa zawk leh puitlingah HIE (thâwk harsa) awm chhan:

• Lungphung lama harsatna (`Arrhythmia`) a awm.
• Suffocation (e.g. tuiah pil, chil chhak - `asphyxiation`).
• Damdawi emaw damdawi emaw hman tam lutuk.
• Poisoning (e.g. mercury hmanga rimchhia).
• Shock-ah a kal ta.

Tute nge HIE vei theihna sang zawk?

Nausen piang thar chu HIE vei theihna a sang zawk thei a, chu chu:

• Pian tirh atanga taksa rihna hniam tak neia piang .
• Vaginal fluid tihbawlhhlawh.
• Nausen lo piang chhuak tlai (a bik takin taksa peng thenkhat, lung ang chi te lo thanglian kim lo).

Nu naupai chu nau a pai laiin harsatna a tawk nasa hle a, hetiang dinhmun hi a awm thei a ni:

• Naupai laiin thisen sang (`Preeclampsia`).
• Naupai laia zunthlum vei.
• Hun rei tak nau neih.
• Ruihhlo hman dan.

HIE avanga harsatna awm thei te chu engte nge ni? Chûngte chu a hlauhawm em?

HIE hi natna khirh tak a ni a, thihna thlen thei pawh a ni. Chu bâkah, thluak tihchhiat rengna chuan hun rei tak chhûnga harsatna chi hrang hrang a thlen thei bawk. Chung zinga ṭhenkhat chu:

• Developmental delays : Thusawi leh kea kal ang chi thila tihkhawtlai.
• Hmasawn harsatna.
• Hriatna emaw, mit hmuhna lama harsatna emaw.
• Cognitive function chungchang, rilru lama harsatna .
• Thil ngaihtuah harsa tak a ni.
• Epilepsy natna a ni .
• Cerebral palsy a awm a .
• Hri kai fo thin.

Heng harsatna tam tak hi a lang nghal lo. I fain sikul a kal tan chauhvin an rawn lang thei. I fain an kum a zirin hmasawnna tur thil pawimawh tak tak a tlin loh chuan, emaw, class-a zir harsatna a neih chuan doctor pan nghal rawh.

Engtin nge doctor-te hian HIE hi dik taka an hriat theih?

HIE hi medical emergency a nih avangin doctor-te chuan naute pian hma leh a pian hnua a natna chhinchhiahna te hi an fimkhur hle a ni. Hei hi naute thluak hian oxygen leh thisen a dawn tawk em tih chian nan a ni. Nau piang laia harsatna a awm chuan, naute official-a hriat chhuah a nih hmain doctor-te chu enkawl turin an inpeih reng a ni.

HIE hriat theih nan doctor chuan taksa enfiahna kimchang a nei ang. Symptoms an zawng ang a, test eng emaw zat an order ang a, an natna hmuhchhuah chu an finfiah ang.

Nausen piang thar HIE atan chuan naute pian hma leh a pian hnuah heng test te hi tih theih a ni:

• Nausen thinlung enkawl dan.
• Nausen thisen test a ni.
• Nausen piang thar hriselna tehna ( `Apgar score` ).
• Umbilic cord chhunga thisen leh gas level test.
• Imaging test te chu `Ultrasound` emaw `MRI` (Magnetic Resonance Imaging) emaw a ni.
• EEG (Electroencephalogram) test (thluak electric hnathawh dan tehna atan).

Thisen test dang neih belh hian doctor-te chu HIE-in naupang taksa peng dangte a nghawng dan an hriatthiam theih nan a pui a ni.

HIE enkawlna tur engte nge ni? (Tihdamna)

Doctor ten HIE hi a hnuaia mi ang hian an enkawl thin:

• Naupang taksa tihlum (therapeutic hypothermia) a, chu chu a lumna pangngaia dah leh hian thluak a tihchhiat belh zel loh nan a pui thei a ni.
• While the child is in the hospital , EEG hmangin seizures a awm leh awm loh enfiah a ni a, seizures venna atan damdawi pek a ni bawk.
• Thluaka thisen leh oxygen kal dan tur siam that, .A chhan bulpui (underlying cause) thlawptu enkawlna (e.g., face mask emaw nasal cannula hmanga supplemental oxygen pek).

Naupang a lo puitlin chhoh zel chuan harsatna a awm chuan tanpuina dang a ngai mai thei. Hei hian a huam tel a ni:

• Taksa lam enkawlna emaw hnathawhna hmanga enkawlna emaw a ni thei.
• Thusawi hmanga enkawlna.
• Naupangte zirtirna programme hrang hrang.
• Assistive devices, glasses emaw hearing aids emaw te pawh a awm thei.

Enkawlna atang hian side effect a awm thei ang em?

Seizure damdawi hian side effect engemaw zat a nei thei. Chungte chu damdawi pek dan azirin a inang lo. Enkawlna i tan hmain i fa doctor hnenah heng side effects te hi sawipui la, eng symptoms nge i fimkhur tur tih te hi sawipui hmasa phawt ang che. ``Therapeutic hypothermia`` (taksa tihlum nana enkawlna) hian side effect a nei thei bawk a, thisen platelet tlahniam te pawh a awm thei bawk.

Naute enkawl zawha a dam leh theih nan eng chen nge a mamawh ang?

Naute natna lanchhuahna tlemte chauh nei leh thluak chhiatna nei lote chu kar hnih chhungin an dam vek tlangpui. Mahse, a natna a nasat chuan dam chhung zawng harsatna a awm thei a, hun rei tak enkawl a ngai a ni.

Ka naute hian HIE a nei a nih chuan eng nge ka beisei ang? Eng ang thlirna nge ni ang?

HIE natna nasat dan hian naupang hmalam hun a hril a ni. Research atanga a lan dan chuan HIE vei naute 20% leh 50% inkar chu an thi thin . Tin, 25% leh 60% inkar chuan hun rei tak chhunga thluak lam harsatna emaw, zirlai lama harsatna emaw, cerebral palsy emaw epilepsy emaw an nei bawk .

Mahse, a then phei chuan HIE hi a dam kim thei a ni. HIE enkawl thuai a, thluak chhiatna a awm loh chuan a rah chhuah a tha zawk. Mahse, nausen zawng zawng hi an dam kim vek dawn lo tih hi kan hriatthiam a ngai.

HIE a nasat chuan naute dam rei zawng a ti tawi thei a ni. Nausen thluak chhiatna nasa tak nei chu nausen lai emaw, naupan lai emaw pawhin a thi thei. Mild HIE hian dam rei zawng a nghawng lo tlangpui. HIE hniam lutuk hian dam rei zawng a nghawng thei a, a nghawng lo thei bawk. HIE na lo leh na lo nei naute tam zawk hi chu dam rei zawng pangngai an ni. Nunna atana hlauhawm thei tur tih tlem nan supportive treatment a awm bawk.

HIE laka inven dan tur a awm em?

Vanduaithlak takin HIE hi engtik lai pawhin ven theih a ni lo.

Mahse, naupai laiin checkup neih fo hian HIE vei theihna i tihziaawm thei a ni . I doctor chuan him taka awm dan tur leh hriselna tha neih dan tur thurawn a pe ang che. Mahse, naupai lai hian eng ang pawhin hrisel mah la, HIE hi a la awm thei tho.

Tin, ruihhlo hman dan control hi nangmah leh i naute nghawng thei tur harsatna awm lo turin a pawimawh hle bawk.

Naupang kum upa zawk leh puitling tan chuan thil hlauhawm tak tak i tih hmain himna atana fimkhur takin HIE venna kawngah i pui thei ang. Entirnan, tui chawi tur i nih chuan lifeguard awmna hmuna tui chawi chauh hian tuiah i pil loh nan a pui thei a ni.

Engtik hunah nge doctor ka hmuh ang?

I fain a kum a zirin hmasawnna tur thil a tlin loh chuan, a nih loh leh a lo puitlin rualin harsatna a neih chhinchhiahna a lantir a nih chuan i fa doctor pan rawh. I fain hnute pek harsatna a neih chuan Doctor pan rawh.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Nangmah emaw, i fa emaw, i hriat miin emaw heng HIE symptoms te hi i neih chuan 911 call nghal la, emergency room hnai ber pan rawh:

• Thâwk harsa.
• A seizure a ni.
• Vun chu a hring, a sen, a dum emaw a nih chuan.
• Thil hriatna hloh (fainting).

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• HIE hi engtiang chiahin nge a serious?
• Ka naute thluak a chhiat em?
• Eng complication nge ka fimkhur tur?
• Enkawlna hian side effect a nei em?
• Engtikah nge ka fa hian damdawi in a chhuahsan theih ang?
• Engtikah nge ka fa hriselna enfiah turin ka rawn kal leh ang?

A tawp berah chuan nu leh pate tan take-home message tlem te

Nu emaw pa emaw chuan nausen piang tharin HIE (Hypoxic-Ischemic Encephalopathy) a vei tih an hriat hian an hlauhthawn leh an lungkhamzia ka hrethiam. Naute thluak hian oxygen leh thisen a dawng tlem em tih enfiah turin medical team te chuan nitin an thawkrim avangin tanpui ngai lo takin i inhria thei a ni.

Hemi chhung hian i doctor chuan i naute dinhmun a hriattir zel ang che . Zawhna i neih apiang chhang turin an awm reng a ni. Tin, he thil tawn harsa tak paltlang tura pui turin i chhungte leh i thiante ang chi puihna pawl chak tak nen in hual vel bawk ang che. A tul chuan mental health counselor nena inbiakna pawh hi a \angkai hle thei bawk. Nangmah chauh i ni lo tih hre reng ang che.

` Hypoxic-ischemic encephalopathy, HIE, thluaka oxygen tlahniam, thluaka thisen pek tlem, nau piang thar, nau piang tha lo, thluak chhiatna, hmasawnna tlai