I naupang tê chu a sen tawh em? Nau piang thar jaundice chungchang i zir dawn teh ang!

I naute piang thar vun chu a sen deuh tih i hmu ngai em? A châng chuan an mit var pawh hi a sen angin a lang thei bawk. Nu leh pa thar tam tak chuan hei hi an hmuh hian an buai deuh thin. But don't worry , hei hi naute piang thar zingah a thleng fo thin. Hemi chungchang hi vawiin hian han sawi ila.

Nausen piang tharte zingah jaundice hi eng nge ni?

A awlsam zawngin, jaundice chu nausen piang thar vun a sen vek hian a ni. Doctor te chuan hei hi ``Hyperbilirubinemia'' an ti a, he rawng sen hi naute thisenah thil sen ``Bilirubin'' an tih tam lutuk vang a ni.

Ngaihtuah teh, `bilirubin` hi kan thisen sen (red blood cells) a chhiat chuan a lo piang chhuak thin a ni. I naupai lai hian i thin hian i naute tan he `bilirubin` hi a paih chhuak thin. Mahse naute a pian hnuah chuan naute thin (liver) hian he hna hi a thawk tur a ni. Chuvangin, a chang chuan naute thin a la puitling lo a nih chuan he `bilirubin` hi a paih chhuak tha thei lo. Tichuan, he extra `bilirubin` avang hian naute vun chu a sen a ni.

Nausen piang tharah hian jaundice hi a tam hle . A tam zawkah chuan a serious lo va, kar hnih khat chhungin a mah chauhin a bo vek ang. Amaherawhchu, i naute chu doctor hnena hruaiin jaundice a awm leh awm loh enfiah a pawimawh . A châng chuan jaundice hi a nasat a, a enkawl ṭhat loh chuan thluak a tichhe thei a ni.

Jaundice chi hrang hrang a awm em?

Ni e, naute piang tharte zingah hian jaundice chi hrang hrang a awm thei.

Taksa lam Jaundice a awm

Hei hi naute zinga jaundice chi hmuh tam ber a ni. Hei hi thil pangngai a ni. Nausen tam zawk chuan an pian atanga ni hnih atanga ni thum chhungin he natna hi an nei thin. Naute thin a lo thang zauh zauh chuan bilirubin chu a paih chhuak tan ta a ni. Hetiang jaundice chi hi a nasat loh tlangpui a, kar hnih chhungin a mah chauhin a dam leh thin.

Naupai lai Jaundice

Nausen hnute pekte hian formula-fed naute aiin jaundice an vei tam zawk. Hetiang chi hi ``Breastfeeding jaundice'' tia koh hi naute dam chhung kar hmasa berah a awm thin. Hei hi naute hian hnute tui a dawng tlem vang a ni . Nausen hnute a hnek ṭhat loh vang emaw, a nuin bawnghnute a la siam ṭhat loh vang emaw pawh a ni thei. Hetiang jaundice chi hi a dam theih nan hun rei tak a ngai a ni.

Nu hnute hnute Jaundice

Hei hi a hmaa kan sawi tawh `(Breastfeeding jaundice)` nen a danglam hle. Nu hnute tui chhunga thil \henkhat chuan nausen thin (liver) chu `bilirubin` ti chhe thei khawpin a nghawng thei a ni. Hei hian `bilirubin` a ti khawm thei bawk. Hetiang dinhmun `(Breast milk jaundice)` an tih hi naute pian tirh kar khat hnuah hmuh theih a ni a, a bo theih nan thla khat emaw a aia rei emaw pawh a ngai thei.

Hei bakah hian naute hian damdawi lam harsatna dang a neih chuan chumi avang chuan jaundice pawh a awm thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Nausen piang tharte zingah jaundice hi eng nge ni?A tam hle mai. Dik tak chuan naute full-term zinga 60% vel chuan an dam chhung kar hmasa berah jaundice an nei thin. Tin, naute piang hmasa 80% vel chuan kar hmasa berah jaundice an nei bawk. Chuvangin hei hi a hluar zia chu i hmu thei ang.

Eng nge a lan chhuah dan? Engtin nge i hriat chian?

Jaundice natna lan chhuahna ber chu naute vun a sen (yellowing) hi a ni . Hei hi natural light awmna hmunah, window hmaah ang chiah hian a langsar ber. A tlangpuiin naute hmai chu a sen hmasa ber a ni. Tichuan naute mit var leh lei lining chu a sen thei a ni. Bilirubin level a san chuan he yellowing hi naute rilru, pum, kut leh keah te a darh thei a ni.

I naute vun rawng hi a dum deuh a nih chuan he rawng sen hi hriat a harsa deuh mai thei. Mahse, i naute hian jaundice a vei em tih chu an mit rawng leh an lei hnuai lam enin i la hre thei tho.

Engvangin nge naute hian jaundice an neih?

Sawi tawh ang khan naute thisenah bilirubin a tam lutuk chuan jaundice a awm thin. Bilirubin hi chemical a ni a, kan taksaah thisen sen hlui a chhe vek a, kan taksaah hian chemical a lo piang chhuak thin a ni. A tlangpuiin kan thin hian thisen atang hian he bilirubin hi a filter a, a paih chhuak thin. Chumi hnuah chuan kan taksa atangin ek chhungah a chhuak leh thin.

Chuvangin, i naute thin (liver) chu bilirubin paih chhuak thei tur khawpa a lo thanglian loh chuan taksaah a lo pungkhawm tan thin. Hetianga bilirubin a punkhawm hian naute vun a ti sen a ni. Hemi avang hian naute tam tak chuan an dam chhung ni engemaw zat chhungin jaundice an nei thin. Hei hi a chhan chu naute thin (liver) lo thanglian tur leh bilirubin tha taka a paih chhuah theih nan ni engemaw zat a mamawh vang a ni.

A chang chuan jaundice hi a na thei hle . A chhan chu:

• Naute hian thisen natna (sepsis) a neih chuan.
• Naute thisen hi i thisen nen a danglam a nih chuan.
• Naute chu harsatna neia piang a nih a, hliam a awm a nih chuan.
• Naute hian thisen zam (red blood cells) a neih tam lutuk chuan.
• Naute hian oxygen level a hniamna ``hypoxia`` tih natna a neih chuan.
• Liver natna biliary atresia ang chi i neih chuan.

Engtin nge doctor-te hian hei hi chiang taka an chhui chhuah?

Damdawi ina i awm chhung hian i naute doctor emaw nurse emaw chuan i naute chu jaundice chhinchhiahna a awm leh awm loh a enfiah ang. I naute bilirubin level hi kum thum leh kum nga inkarah a sang ber a ni . Chuvang chuan he hun chhung hian i naute doctor pan leh a pawimawh hle .

Doctor chuan naute lu chungah hmanraw te tak te a dah thei a, chu chuan bilirubin level chu engzat nge a nih tih a hre thei a ni. He test hian ``Transcutaneous bilirubin - TcB'' level a teh a ni. Hetiang level hi a san chuan doctor chuan thisen test turin a ti ang a, a finfiah ang. Chumi atan chuan naute kekawr atanga thisen sample te tak te lak a ni. He thisen test hian ``Total serum bilirubin - TSB'' level a teh a ni.

Doctor-te chuan naute enkawlna a mamawh leh mamawh loh hriat nan ``newborn jaundice level chart`` an hmang a, chu chu standard pawm (American Academy of Pediatrics-in a rawt ang chi) angin. Heng chart te hi naute ``TSB`` level leh naute kum atanga chhut a ni.

Engtin nge jaundice hi enkawl a nih?

Nau piang thar jaundice tam zawk hi chuan enkawlna bik a mamawh lo . Mild jaundice hi naute thin a lo thanglian zel chuan a mah chauhin a reh tlangpui. Hei hian kar khat emaw kar hnih emaw a daih thei. I naute hi hnute pek fo (ni khatah vawi 10-12) hian a ril a ti na fo ang. Hei hian naute chu a taksaa bilirubin extra awm chu a paih chhuak thei dawn a ni.

A pawimawh ber chu i naute hnute pek that hi a ni. Hei hian taksa atanga bilirubin paih chhuahna a pui a ni.

Mahse, i naute bilirubin level a sang lutuk emaw, a sang zel emaw chuan i doctor chuan phototherapy tih damdawi a rawt thei ang. He phototherapy-ah hian naute chu thawmhnaw ha lovin dahin, light blue bik hnuaiah dah a ni. Naute hi an mit venna atan diaper te tak te leh mask vuah chauh a ni. He phototherapy hian naute thin (liver) atanga bilirubin extra chu a paih chhuak thei a ni. Heng light te hian naute a tichhe lovang. Phototherapy hmanga enkawlna hi ni khat emaw ni hnih emaw chhung a awh ang. I naute bilirubin level a san vak loh chuan he light treatment hi in lamah i ti thei mai thei.

A tlem berah chuan phototherapy hian hna a thawk lo a nih chuan i doctor chuan exchange transfusion tih damdawi a rawt thei a ni. Hei hian naute thisen thenkhat lakchhuah a, thisen pek thar hmanga thlak a huam a ni.

Jaundice hi ven theih a ni em?

Jaundice hi nau piang tharte zingah a awm fo va, a tam zawkah chuan ven theih a ni lo . Mahse, i naute hian jaundice na tak a neih theihna tur chu i ti tlem thei a ni. Hei hi naute hnute pek fo hian tih theih a ni . Nausen hnute pek fo hian i naute chu a ril a tichhuak fo a, hei hian taksa atanga bilirubin a paih chhuak thei a ni.

• Nausen hnute hnute pek tan: Naute chu a dam chhung kar hmasa chhungin ni khatah vawi 8 atanga vawi 12 vel hnute pe thin ang che.
• Formula-fed naute tan: Naute dam chhung kar hmasa berah darkar hnih atanga darkar thum danah formula ounces khat atanga ounces hnih (30-60 millilitres) pek thin tur a ni. Darkar 24 chhungin vawi 8 tal hnute pek tur a ni.

Tin, damdawi in atanga i haw hmain i naute bilirubin level i doctor-in a enfiah hmasak phawt theihnghilh suh. Tin, i naute dam chhung kar hmasa berah bilirubin level enfiah leh turin doctor hmu turin appointment siam bawk ang che.

Jaundice hi eng chen nge a awm?

Nausen piang tharte hian jaundice an vei hi thil awmze nei tak a ni. Pian atanga ni hnih atanga ni thum chhungin a intan fo thin.

• Formula pek naute jaundice hi kar hnih chhungin a mah chauhin a dam tlangpui.
• Nausen hnute hnute pekJaundice hi thla khat emaw a aia rei emaw a daih thei.

Hei hian naute chungah eng ang nghawng nge a neih theih ang? (Hmuh dan tur) .

Nausen piang tharah hian jaundice hi a awm fo thin. Nausen tam zawk chu enkawl loh chuan kar khat emaw kar hnih chhungin an dam leh thin. Mahse, i naute bilirubin level enfiah a pawimawh . Bilirubin level a san lutuk chuan, enkawl vat loh chuan hriselna lama harsatna lian tak a thlen thei a ni. Chung zingah chuan cerebral palsy, bengchheng, leh thluak tichhe thei, kernicterus an tih pawh a tel thei. Chuvang chuan doctor ten an buaipui a ni.

Engtikah nge ka naute hi doctor hnenah ka hruai leh ang?

Damdawi in atanga i haw veleh i naute doctor i pan leh tur a ni . Naute bilirubin level hi ni thum atanga ni nga inkar a ni a, chuvangin chutih chhung chuan test neih a pawimawh hle. Appointment lo awm tur chu i naute damdawi ina i chhuah huna kum, chutih laia bilirubin level leh thil dang a zirin a innghat ang.

Doctor koh ngai emergency sign te chu engte nge ni?

I naute jaundice chu a zual deuh niin a lang a nih chuan , emaw , kar hnih aia rei a awm tawh a nih chuan, i doctor chu ko ngei ang che. Jaundice na tak lan chhuah dan chu:

• Naute vun hian rawng dum emaw, orange emaw a nei a .
• Naute chu a muhil hle a , chaw pe turin kaihthawh a harsa hle.
• Naute chu a rilru a hahdam lo hle a ni .
• Naute hian a hnute a hnek tha lo (nu hnute tui emaw bottle atang emaw).
• Naute chu a zun leh/ emaw a zun a chhuah tlem .

Engtikah nge ER (Emergency Room) ah i kal a ngaih?

I naute hian heng symptoms te hi a neih chuan 911 ah call la , emergency room hnai ber ah kal rawh :

• A tap nasa hle mai .
• Ka khawsik a nei a .
• Taksa chu thal ang maia ben (lu/kawr emaw kekawrte hnunglam leh taksa hmalam hawia ben).
• Taksa chu a khauh a, nunna a nei lo va, a innghat bawk .

Doctor hnenah eng zawhna nge i zawh tur?

I naute piang tharin jaundice a neih hian tlem a lungkham deuh hi thil pangngai a ni. Damdawi inah emaw, in thlen hnuah emaw, i naute hian jaundice a neih chuan zawhna tam tak i nei thei. I doctor zawh theih zawhna tlanglawn thenkhat chu hetiang hi a ni:

• Engtin nge ka naute hian jaundice a vei tih chiang taka ka hriat theih ang?
• Jaundice vang hian eng harsatna nge awm thei?
• Ka naute hian jaundice natna enkawlna a mamawh dawn em?
• Ka naute jaundice hi in lamah ka enkawl thei ang em?
• Phototherapy hian ka naute a tichhe thei em?
• Jaundice hi a dam theih nan eng chen nge a mamawh?
• Engtikah nge checkup dang nei turin kan lo haw leh ang?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

I naute a sen lai hmuh chu a hlauhawm thei a, mahse hre reng ang che, jaundice hi nau piang tharte zingah a awm fo thin . Damdawi in atanga i haw hmain i naute bilirubin level i enfiah hmasa tur a ni a, a pian atanga ni nga chhungin i enfiah leh tur a ni. Jaundice hi a nasat loh tlangpui a, mahse enkawl loh chuan a hlauhawm thei hle . I nau piang thar jaundice chu a dam lo ang tih a hriat chuan, a nih loh leh a na zual deuh niin a lang a nih chuan i naute doctor ko nghal rawh . Chumi hnuah chuan i naute bilirubin chu a test leh thei a, i naute chu a hrisel em tih a enfiah leh thei bawk. I enkawlna leh i doctor kaihhruaina hian i fate chu a hrisel tir thei a ni!

` Nausen jaundice, bilirubin, nau piang thar, jaundice, phototherapy, thin, nausen hriselna