I naute hian hmui cleft a nei em? Cleft lip chungchang hi han sawi ila!

Naute piang, an hmui chunglam ah cleft te tak te awm thin thu hi i hmu tawh emaw, i hre tawh emaw a ni mai thei. Nu leh pate hian hei hi an hmuh hian an mangang a, an lungngai a, an hlauthawng tih hi thil pangngai tak a ni. "Ka naute kha eng thil nge thleng?" "Hei hi siam that theih a ni lo maw?" Zawhna tam tak rilruah a lo lang thei a. Mahse , lungngai suh, a tha em? He natna hi cleft lip an tih hi damdawi lam chuan `(Cleft Lip)` tia hriat a ni. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni. I hriatthiam theih dan chuan thian nena inbiakna ang mai a ni.

Cleft lip chu eng nge ni tak tak?

A awlsam zawngin sawi ila, hmui hrual (cleft lip) chu hmui chunglam a gap emaw, inthen emaw, nausen hmai pum chhunga a lo thanglian lai a lo awm a ni. Thawmhnaw pakhata gap te tak te ang maiin ngaihtuah la , stitch row hnih a line dik loh chuan . Naute hmai hi a naupai kar hmasa berah a lo piang tlangpui. Hemi hun chhung hian hmui leh hmui chunglam chu a sir lehlamah a inzawm khawm a, a laiah a inzawm khawm a ni. A chang chuan he fusion hi a thleng kim lo. Chutah chuan hmui cleft a lo awm ta a ni.

He cleft hi a sir khatah chauh (chu chu hmui dinglam emaw veilam emaw a ni thei). A nih loh leh a sir lehlamah a awm thei bawk. Nausen thenkhatah chuan hei hi hmuiah chuan a hrual te tak te angin hmuh tur a awm lo a, naute thenkhatah chuan he cleft hi hnar thlengin a inzar pharh thei a ni. Tin, a chang chuan hmui hrual (upper palate)-ah pawh cleft lip nen a awm thei bawk . Hei hi cleft palate an ti a. Heng pahnih hi a awm dun thei a, a hranpain a thleng thei bawk.

Engvangin nge naupang tête chungah hetiang hian a thlen? A chhan engte nge ni?

Nu leh pa tam tak chuan, "Thil dik lo kan ti em tih kan hre lo," tiin an ngaihtuah thin. Chu chu hrehawm ti suh. Vawi tam tak chu, a chhan chiang tak, pakhat chauh hmuh a harsa thin. Mahse doctor-te chuan he natna hi thil hrang hrang inzawmkhawm vang a ni thei niin an ngai.

Genetic Factors te hi a ni

A châng chuan hei hi rochun aṭanga lo chhuak a ni thei bawk. Chu chu chhungkuaa mi (nu, pa, unaupa) pakhatin hmui a hrual a nih chuan naupang dang chuan hetiang dinhmun hi a nei tlem zawk tihna a ni. A nghawngtu gene bik a awm. Mahse hei hi mi zawng zawng tan chuan a awm lo.

Naupai laiin Environment Factors

Naupai laia thil thleng \henkhat chuan naute thanlenna a nghawng thei a ni.

• Damdawi thenkhat: Naupai lai damdawi thenkhat (entir nan, epilepsy damdawi thenkhat) hian hei hi a nghawng thei a ni. Chuvangin naupai lai hian damdawi engmah ei loh tur a ni a, damdawi lam thurawn tel lo chuan ei loh tur a ni.
• Meizial zu leh zu in: Naupai laiin nuin zu a in emaw, a in emaw chuan naute a nghawng thei a ni.
• Ei leh in lama harsatna: a bik takin folic acidA chhan awm thei pakhat chu naupai tirh lamah he vitamin hi i ei tlem hle mai thei. Hei vang hian doctor tam tak chuan nu naupai tan folic acid pill hi an rawt thin a ni.
• Infection thenkhat: Naupai laia nuin a kai thin viral infection thenkhat te pawhin naute a nghawng thei bawk.
• Diabetes Mellitus: Naupai laia nuin zunthlum thunun loh a neih pawh hi a hlauhawmna a ni.

A pawimawh ber chu, a tam zawkah chuan hei hi tumah sualna a ni lo. Chuvangin nangmah leh nangmah in dem suh.

Cleft lip chi hrang hrangte chu engte nge ni?

Tlem kan sawi tawh ang khan heng lip cracks te hi chi khat emaw, chi dang emaw a lo awm thei a ni.

• Unilateral Cleft Lip: Hei hi hmui chunglam sir khat chauh, dinglam emaw veilam emaw a cleft a awm hian a ni.
• Bilateral Cleft Lip: Hetah hian hmui chunglam sir lehlamah cleft a awm a. A laiah chuan section te tak te chu a inthen angin a lang thei.
• Incomplete Cleft Lip: A hmuiah hian crack emaw cut emaw te a awm a. Cleft hi hnar thlengin a inzar pharh lo.
• Complete Cleft Lip: Hetiang a nih chuan cleft hi hmui atanga hnar kawngkhar thlengin a inzar pharh a ni.
• Cleft Lip with Cleft Palate: Nausen cleft lip nei tam tak pawhin cleft palate an nei bawk. Hei hi unilateral, bilateral, complete, emaw incomplete emaw pawh a ni thei.

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

A tam zawkah chuan hmui hrual (cleft lip) hi naute pian hnuah chauh hmuhchhuah a ni a, a chhan chu a chiang em em a ni. Mahse a chang chuan chu mi hma pawhin a hriatchhuah theih.

Naupai lai hian i hre thei em?

Ni e, a then phei chuan a theih tho. Naupai laiin routine scan (`(Ultrasound Scan)`) neih lai , a bik takin `(Anomaly Scan)` neih lai hian doctor chuan naute hmaiah hetiang cleft hi a hmu thei a ni. Chu chu hriat lawk hian nu leh pate chu hemi chungchang hi zirchian belh leh rilru lama inbuatsaih hun a pe a ni. Nau neihna tur damdawi in leh specialist team dik tak thlan nan a pui bawk.

Pian tirh atanga hriat chian

Naute a pian veleh Doctor ten uluk takin an enfiah thin. A hmui cleft a awm chuan chiang takin a lang ang. Doctor emaw nurse emaw chuan hei hi a hrilhfiah nghal ang che. Tin, hmuiah pawh cleft palate a awm em tih an enfiah bawk ang.

Naute hmui hrual nei chuan eng harsatna nge a hmachhawn theih?

Naute hmui hrual neia piangte hian a tir lamah harsatna engemaw zat an tawk a, mahse uluk taka enkawl leh enkawl chuan heng zawng zawng hi hneh theih a ni.

• Bawnghnute in harsatna: 1.1.Hei hi harsatna lian tak a ni. A bik takin cleft palate a awm chuan naute tan chuan a hmuiah vacuum dik tak siamin hnute chu a hip a harsa hle. Chuvang chuan bawnghnute chu hnar a\angin a chhuak thei a, in laiin kawr chhungah a tla thla thei a ni. Hei hian bawnghnute bottle bik hman leh hmun dik taka dah a ngai a ni. Hospital-a nursing staff leh lactation consultant-te chuan hei hi an zirtir tha hle ang che.
• Beng natna leh hriatna lama harsatna: Kan beng leh kan beng inzawmna tube te tak te a awm a, chu chu Eustachian Tube an ti a. Naute cleft palate neiah chuan he tube hian hna a thawk tha lo a, hei hian beng lai takah tui a tipung thei a, beng natna a thlen fo a, hei hian hun kal zelah hriatna a tichhe thei a ni. Chuvangin doctor-te chuan beng enfiah fo tur leh a tul chuan beng chhungah tube te tak te (grommets) dah turin an rawt thei a ni.
• Thusawi harsatna: Ka hmuiah chauh ni lo, hmui hrual (cleft palate) a awm chuan naute thusawi thiamna pawh a nghawng thei a ni. Thumal lam chhuah hian hnar hmanga thusawi a awm thei. Chumi atan chuan Speech therapy hi a pawimawh hle.
• Ha lama harsatna: Hmai leh hmui hrual hian ha luh dan a nghawng thei bawk a, ha thenkhat chu a bo thei a, a khat a, a hrual a, a bo pawh a ni thei. Chuvangin, naupan lai atang tawhin ha enfiah a pawimawh a, a tul chuan orthodontic treatment lak a pawimawh bawk .
• Khawtlang leh rilru lama nghawng a neih dan: Naupang chu a lo upat deuh deuh chuan a hmel leh a thusawi danah a inngaihtuah tlem hle mai thei. Mahse, zai a nih hnuah a hmel chu a tam zawk chu a pangngaiin a kir leh dawn a ni. Nu leh pate hmangaihna te, fuihna te, leh a tul chuan psychiatric counseling te hian he hun lai hian a pui thei bawk.

Hei hi eng enkawlna nge ni? Dam theih a ni em?

Ni e, a dik tak zet! Cleft lip hi hlawhtling taka enkawl leh tihdam theih a ni. Surgery hmanga enkawl a ni ber. Tin, doctor pakhat chauhin a tih tur a ni lo. Naute enkawlna tha ber tur ruahman turin specialist hrang hrang team a ngai a ni.

Inzai

• Lip repair surgery (Hmei siamthat surgery / Cheiloplasty):

Hei hi surgery tih hmasak ber a ni. He surgery hi naute thla 3 leh thla 6 inkar a nih chuan tih thin a ni . Doctor-te chuan naute chu a rihna a pung tawk em tih leh thisen a nei tha em tih an enfiah thin. He surgery hi cleft lip dik taka inzawm tir a, hmui chu a lan dan leh a hnathawh dan pangngaia siam turin tih a ni. Ngaihtuah teh, surgeon thiam tak chuan thlalak a siam ang maiin a hmui pahnih chu mawi takin a thlunzawm a.

• Palate siamthatna surgery (Palatoplasty): 1.1.

Naute hian a hmui a cleft a nih chuan a siamthatna tur surgery hi thla 9 leh thla 18 inkar a ni tlangpui. He surgery hi nau hnute pek leh tawng thiamna atan pawh a pawimawh hle.

• Surgery dang neih belh tur:

Naupang ṭhenkhat chu an lo puitlin chuan operation vawi khat emaw, a aia tam emaw an mamawh thei a ni. Entîr nân, hnar pianzia siam ṭha tûr te, ha awmna siam ṭha tûr te, a nih loh leh thusawi siam ṭhat nân te.

Multidisciplinary team atanga tanpuina (Multidisciplinary Team Approach) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Hei hi cricket team ang mai a ni. Mi zawng zawng hian tanpuina kan mamawh a ni. He team-ah hian specialist te an tel tlangpui a, chungte chu:

• Naupang enkawltu: Naute hriselna zawng zawng a enkawl.
• Plastic leh Reconstructive Surgeon: An hmui leh hmui surgery an ti ber.
• Oral and Maxillofacial Surgeon: Ha leh hmui nena inzawm surgery atan pawh a ni thei.
• Orthodontist: Ha leh hmui lama harsatna awmte a enkawl.
• Speech therapist: Thusawi harsatna hneh turin a pui thin.
• Ear, Nose and Throat Specialist (ENT Specialist): Beng natna leh hriatna lama harsatna nei te a enkawl thin.
• Audiologist: Naute hriatna a test thin.
• Psychologist emaw counselor emaw pawh a ni mai thei: Naupang leh nu leh pate chu rilru lam puihna a pe thin.

Heng mi zawng zawng hian i naute enkawlna tha ber tur ruahmanna siam turin an thawk ho a ni. Chuvangin anmahni i rin tlat a ngai a, an thupekte chu uluk taka zawm mai tur a ni.

Nu leh pa kan nih angin eng nge kan tih theih?

He zinkawngah hian i thawhhlawkzia pawh a pawimawh hle.

• Dawhtheihna leh hmangaihna hi a pawimawh ber a ni. Hei hian hun engemaw chen a la ngai thei a, mahse i hmangaihna leh dawhtheihna hi i naute tan chakna ropui tak a ni.
• Doctor thupek dik takin zawm rawh. Doctor-in a hrilh che zawng zawng ti rawh, a hun taka i damdawi ei te, operation hnua i hliam enkawl te, nau hnute pek te. Clinic tinah a hun takah kal rawh.
• A rang thei ang bera enkawl tan a pawimawh. A tul anga enkawlna chu tihkhawtlai loha tan a nih chuan a result a tha zawk hle.
• I naute chu pui rawh. I tanpuina hi i naute tan a hlu hle a, a bik takin hnute i pek lai leh thusawi zir lai hian a hlu hle.
• Hemi chungchang hi zir rawh. Hetiang dinhmun hi i hriat tam poh leh i naute chu i pui thei ang.
• Nu leh pa dangte nen inbia ang che. Chutiang thil tawn tawh nu leh pa dangte nêna inbiakna chuan nangmah chauh ni lo ang maiin a ṭanpui thei che a ni. An hnen atangin thil tam tak i zir thei bawk.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Okay, chuvangin kan sawi tawh atang hian thil pawimawh tlemte i hriat nawn tir leh ang u.

• Cleft lip hi naute zingah a awm fo thin a, mahse doctor thiam tak takte puihnain hlawhtling taka enkawl theih a ni a, a dam kim vek tawh mai.
• He natna hi a hmaa hriatchhuah a, a hun takah damdawi lam enkawlna (a bik takin operation) dik tak pek hian i naute chu naute dang zawng zawng ang bawkin nun hrisel, thawkrim leh hlim takin a nung thei a ni.
• He zinkawngah hian nangmah chauh i ni lo. Nang leh i naute tanpui leh kaihruaitu tur doctor thiam, khawngaihthlak tak tak leh healthcare worker tam tak an awm a.
• Chuvangin hlau suh, huaisenna (chakna chak) la la, positive takin awm rawh. I hmangaihna leh i inpekna hi naute chakna ber a ni.

Hemi chungchang hi hriat belh i duh emaw zawhna i neih chuan i pediatrician emaw plastic surgeon emaw zawh hreh suh. An pui ang che.

` Cleft Lip, Multidisciplinary Medical Team, Surgery, Nau hnute pek, Speech Therapy, Nu leh pa te hnena thurawn pek te