I fa pum chu a lian chho zel a, a ke leh ke pawh a thim chho zel em? Hemi (Kwashiorkor) chungchang hi i zir dawn em ni?

Vawiin hian kan naute ten an lo neih theih tur dinhmun hlauhawm tak kan sawi dawn a, mahse kan hre kim lo mai thei. A châng chuan naupang pum lian tak leh ke ruh tliak kan hmuh hian thil dang a dik lo ngei ang tih kan ngaihtuah ṭhin. Mahse hei hi ei leh in lama harsatna nasa tak (Kwashiorkor) tih a ni thei. Chuvangin, hei hi hriat chian a pawimawh hle.

Kwashiorkor chu eng nge ni? A awlsam zawngin i hrethiam ang u.

A awlsam zawngin, Kwashiorkor hi protein tlakchhamna nasa tak avanga lo awm a ni . Kan taksa, a bik takin naupang tê tête ṭhanlenna atan protein hi a pawimawh hle. Chuvangin, Kwashiorkor hi taksain protein mamawh zat leh micronutrient pawimawh thenkhat a dawn loh chuan a thleng thin.

Hetiang dinhmunah hian thil thleng chu protein a awm loh chuan taksa tissue te hian tui a khawlkhawm a, a hring chhuak thin. Damdawi lamah chuan `(edema)` kan ti a. He swelling hi Kwashiorkor hi malnutrition condition dang atanga danglamna ber a ni. Nausen ke ruhte chu a thim hle tih i hmu thei a, mahse a kut, ke, hmai, a bik takin a pum chu a hring vek tih i hmu thei. Chu pum hring chu a hmuh chuan, a châng chuan hriatna nei lo chuan naupang chu a ei ṭha a, a tui tawh niin a ngai mai thei. Mahse a takah chuan ei leh in lama harsatna nasa tak a tuar a ni .

He natna hian tute nge a nghawng nasa ber (Kwashiorkor)?

Kwashiorkor hi ram changkang zawk, Europe leh America-ah te hmuh tur awm lo tak a ni. Ram changkang zawkah hmuh tur a tam ber. Retheihna, ei leh bar indaih lohna, inthiarna \ha lo, leh natna hrik kai darh tamna ramteah chuan a hlauhawmna a sang zawk.

Kwashiorkor hian kum eng pawh a nghawng thei a, mahse naupang te, a bik takin kum 3 leh 5 inkar te a nghawng tam ber a, hei hi naupang tam zawk chu hnute hnute atanga hnute hnek atanga ei tur dang nena inhmeh tir an nih hun a ni. A châng chuan, an ei leh inah hian carbohydrates (i.e. starchy foods, buhfai, chhang, leh alu) a tam thei a, mahse protein leh nutrient dang a tlem thei bawk. Hei hi buaina a lo awm chhoh lai a ni.

(Kwashiorkor) leh (Marasmus) te hi eng nge an danglamna?

Tunah chuan i ngaihtuah mai thei, Kwashiorkor hi malnutrition na tak awmchhun a ni em? Ni lo, Marasmus tih hming pu dang a awm bawk. Khawvel hmun hrang hranga health worker-te hriat chhuah protein-energy undernutrition na tak chi hnih chu Kwashiorkor leh Marasmus te hi an ni.

Heng pahnih inthlauhna ber chu:

• Kwashiorkor hi a bul berah chuan protein tlakchhamna a ni .
• Marasmus hi macronutrients zawng zawng, protein, carbohydrates, leh fat te tihtlem a ni a, chu chu calorie intake zawng zawng tihtlem tihna a ni.

A awlsam zawngin, marasmus vei chu a hring a, a taksa a chak lo hle niin a lang. A tlangpuiin calorie an hmu tlem hle. Ei emaw, an ei tlem lutuk emaw, an taksain chakna a hmang nasa lutuk emaw (entir nan, ril\am chhunzawm zel a\angin), emaw, a pahnih emaw pawh ni se. Mahse kwashiorkor vei chuan a hring vangin calorie a ei tlem hle niin a lang thei a, mahse protein an hmu tlem hle.

Kwashiorkor natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat chian?

Okay, chuti a nih chuan engtin nge he dinhmun (Kwashiorkor) hi kan hriat theih ang? Naupangin eng symptoms nge a hmuh theih? Hengte hi kan hriat chian a pawimawh hle a, a chhan chu chutih hunah chuan hma kan la nghal vat thei a ni.

• Swelling (edema): Hei hi a lan chhuah dan ber a ni. A bik takin ke ruh, ke, kut leh hmaiah hian taksa chu tuiin a khat ang maiin a hring chhuak thin.
• Abdominal distention (large belly): Tui awm (ascites) avangin pum hi a lian chho thin. Mi thenkhat chuan hei hi "tummy tuck" an ti bawk.
• Sam a inthlak: Sam a vawt a, a hring a, a sam a tla a, a chang chuan sam rawng a inthlak a, a hring (pigmentation a tlahniam) a ni.
• Vun lama harsatna (Dermatitis): Vun a vawt a, a hring (flak) bawk. Hmun thenkhatah chuan crust emaw red spots angin a lang thei. A hliam a nih chuan a dam thuai dawn lo.
• Liver lian zawk: Hei hi thau liver natna chhinchhiahna a ni thei.
• Muscle wasting: Kan taksa peng hrang hranga taksa ruh te chu a hring leh a hring thin. Mahse mak tak maiin vun hnuaia subcutaneous fat chu a awm reng thei.
• Dehydration: Taksaah tui tlakchhamna.
• Anorexia: Ei duhna hloh leh ei duhna a tlahniam.
• Thinrimna leh hah lutuk: Naupang chu a thinrim fo thin a, a chau hle a, inkhelh duhna a nei lo.
• Naupangte an than chhoh dan chu a zawi a: an sang lo va, an thau lo a, an kum rualpui naupang dangte aiin an te zawk bawk.

Kwashiorkor avanga harsatna dang lo awm thei te

Heng symptoms bakah hian condition (Kwashiorkor) hi enkawl tha a nih loh chuan harsatna lian zawk a thlen thei a ni. Chûngte chu nunna atana hlauhawm pawh a ni thei.

• Thisen sugar level hniam (Hypoglycemia).
• Taksa lumna tlahniam `(Hypothermia)`.
• Thisen volume tlahniam (Hypovolemia) leh a chhuak shock (hypovolemic shock) te.
• Dehydration avanga taksaa electrolyte inthlauhna awm.
• Immune system hi a chak lo hle a ni. Chumi avang chuan natna hrik (khawsik, khawsik, ril\am, lung infection ang chi) a awm fo va, hliam dam nan hun rei tak a ngai a ni.
• Cirrhosis of the liver (liver hardening) leh liver failure.
• Pancreas (chaw ei tura min puitu enzyme siamtu) chu a lo tlem a, chaw ei kawngah harsatna a siam thin.
• Digestive tract (gastrointestinal mucosa) chhunga lining tihthianghlim. Hei hian a chang chuan small intestinal bacterial overgrowth a thlen thei bawk.
• Naupangte thanlenna leh thluak thanlenna nasa taka tihkhawtlai.
• A tawpah chuan chaw nghei hian thihna hial a thlen thei a ni.

Engvangin nge hetiang (Kwashiorkor) hi a lo awm? A chhante chu engte nge ni?

Protein tlakchhamna hi Kwashiorkor thlentu ber nia ngaih a ni. Zirchiangtu tam tak chuan hei hi a chhan ber niin an ngai. Mahse, ṭhenkhat chuan hei hi an pawm kim lo. A chhan chu a then phei chuan ei leh in-a protein dah hian Kwashiorkor hi a veng thei lo va, a tidam thei lo bawk. Hei hian protein tlakchhamna hi thawnthua a tel ve chauh a ni tih a tilang a, a chhan dang pawh a awm thei.

Kwashiorkor nena inzawm thil pawimawh ber berte chu:

• Carbohydrate tamna eitur ei: A bik takin Africa, Central America leh Southeast Asia hmun rethei zawk, hlauhawmna hmuna awmteah chuan miten carbohydrate chi khat chauh an ei a ngai fo thin. Entirnan, thlai starchy tak tak, buhfai, corn, cassava, leh sweet potato te. Hengte hi protein tamna ei tur (sangha, sa, artui, bawnghnute, leh lentils ang chi) aiin a man a tlawm zawk a, hmuh a awlsam zawk bawk. Hei hi thingtlang hmuna lo neihna hmunah chuan a dik hle a ni. Chhungkaw thenkhatah chuan naupangte chu nilengin buhfai leh mashed potato chauh pek an ni thei tih han ngaihtuah teh. Tichuan protein an hmu tling lo. Protein tlachham nute chuan chu tlakchhamna chu an fate hnenah an thlen thei a ni.
• Nau hnute hnek hnua chaw thlak tur tling lo: Kwashiorkor tih hming hi Africa ram Ghana tawng atanga lak a ni. "Naute thar lo thlen huna naute upa zawkin natna a neih" tih ang chi tihna a ni. Hei hian dinhmun tlanglawn tak a kawk a ni. Nausen thar hnute pek tan a nih chuan nausen upa zawk, hnute pe mek chu a hnute a hnek nghal a ni. Tichuan, resources tlakchham vang emaw, ei leh in chungchanga hriat lohna vang emaw, a pahnih vang emaw pawh ni se, nausen hnute hnek tawh chuan a thlakna tur ei tur dik tak a hmu lo. Tichuan a nutritional status chu a chhe ta hle mai. Nu \henkhat chuan an fa tê tê tê chauh an pe a, buhfai emaw, buhfai emaw chauh an pe a. Mahse protein tamna thil, lentils, sangha te tak te, egg yolk ang chi te dah belh an theihnghilh a, a nih loh leh chutiang ti tur chuan sum an nei tlem hle.

Hei bakah hian Kwashiorkor hmasawnna thlen thei thil dang engemaw zat a awm bawk a:

• Vitamin pawimawh (vitamin A, B vitamin ang chi) leh mineral (iron, zinc ang chi) tlakchhamna.
• Diet-a antioxidants (hei hi taksa cell venghimtu thil a ni) tlakchham.
• Aflatoxins hi toxins a ni a, chu chu mold chi khat atanga lo chhuak a ni a, chu chu khaw lum leh vawt takah buh leh buh chi hrang hranga lo thang a ni.
• Parasites, rulhut leh natna hrik kai theih, measles, malaria, leh HIV te. Heng natnate hian taksa a tichak lo a, chaw tha (nutrients) lakluhna a ti tlem bawk.
• Nunna atana dinhmun khirh tak tak, riltam, retheihna, indona, leh thilsiam chhiatna te.

Engtin nge Kwashiorkor hi hmuhchhuah a nih?

Engtin nge doctor-te hian he natna (Kwashiorkor) hi dik taka an hriat theih?

A tam zawkah chuan doctor chuan naupang chu taksa enfiahin a hmaa kan sawi tawh (a bik takin a hring, vun inthlak danglamna, leh sam inthlak danglamna) te chu a zawng chhuak hmasa ang.

Chubakah chuan:

• Nu emaw, enkawltu emaw hnenah naupang ei leh in chungchang te, nitin ei tur chi hrang hrang an ei dan te, protein an dawng tlem em tih te zawt la.
• Natna hmasa leh hri kai mekte zawt rawh.
• Naupang rih zawng leh san zawng ratio leh kum khata san zawng tehna leh World Health Organization-in growth chart a siamte nen khaikhin a ni. Heng tehnate hian doctor hnenah naupang ei leh in lama harsatna a nasat zia leh an thanlenna a nghawng dan te chu a hre chiang thei a ni.

Kwashiorkor hi engtin nge enkawl a nih?

Kwashiorkor hi a natna a ni a, emergency medical treatment a ngai a ni. Enkawlna hun rei zawk tihkhawtlai a nih poh leh harsatna a awm tam thei hle. World Health Organization (WHO) chuan ei leh in lama harsatna nasa tak enkawl huna hmalakna tur 10 a tarlang. Hengte hi uluk taka tih tur a ni a, damdawi inah doctor enkawlna hnuaiah tih tur a ni.

1. Hypoglycemia ven/enkawl dan: Ei leh in lama harsatna nei naupangte ei tur pek thut a nih chuan an thisen sugar level hlauhawm takin a tlahniam thei a ni. Chuvangin, a bik taka siam tui (glucose awmna) chu zawi zawiin pek thin a ni.

2. Hypothermia ven/enkawl: Rannung ei leh in lama harsatna nei te hian an taksa lum leh vawt tihdanglam harsa an ti thin. Chuvang chuan lum taka vawn (thawmhnaw lum, puan nen) an mamawh a ni.

3. Dehydration venna/Enkawl dan: Kwashiorkor-a tui tlakchhamna enkawlna atan hian formula bik RESOMAL (`REhydration SOlution for MALnutrition`) an pe thin. Taksa chhunga tui leh chi (a bik takin sodium) inthlauhna siam\hat leh vawng reng tura siam a ni. Kawng hmanga pek theih a ni a, a tul chuan tube hmanga pek theih a ni bawk.

4. Electrolyte inthlauhna siamthat: Taksa chhunga electrolyte inthlauhna, potassium leh magnesium te hi a pawi hle a, nunna atana hlauhawm tak a ni. Chûngte chu a danglam thei a, a bîk takin ei leh in lama harsatna nei mi pakhatin chaw a ei ṭan leh chuan a danglam thei a ni. Hriselna lama thawktute chuan hengte hi siamthat hmasak an tum a, a tam zawkah chuan (RESOMAL) solution hmangin siamthat an tum thin.

5. Infection laka invenna/Enkawl dan: Kwashiorkor nena lo kal immune system chak lo tak avang hian eng infection pawh hi dam lehna tur hlauhawm tak a ni. Chuvangin rinhlelhna a awm a nih pawhin broad-spectrum antibiotics pek a ni.

6. Micronutrient tlakchhamna siamthat: 1.1.Vitamin leh mineral tlakchhamna pawimawh tak tak, vitamin A, folic acid, zinc, leh iron te chu siamthat a ni. Mahse, thir hi naupang a dam deuh hnuah chauh pek thin a ni.

7. Fimkhur taka chaw pek tan: Hei hi thil pawimawh tak a ni. Mi ei leh in lama harsatna nei te metabolism (taksain chakna a siam chhuah dan leh a hman dan) chu a danglam ta a ni. Chaw an ei tan leh chuan an metabolism chu a danglam tan leh thin. Mahse hei hi a thleng rang lutuk a nih chuan nunna atana hlauhawm tak, ``refeeding syndrome'' an tih chu a thleng thei a ni. Chuvangin, chaw pek hi uluk takin, a tlem berah, ni khatah vawi eng emaw zat, uluk taka enkawl tan a ni. A bik takin (Kwashiorkor)-ah chuan protein hi zawi zawiin, zawi zawiin luhtir leh tur a ni.

8. Catch-up growth: Naupang dinhmun a nghet tawh a, chaw pek pawh a tuar tha hle nia a lan chuan calorie leh protein pek zat chu zawi zawiin a pung a ni. World Health Organization chuan a bik taka siam, ei leh in lama tam, ready-made therapeutic foods (RUTF) a siam chhuak a ni. Chungte chu ei emaw, tube emaw hmanga pek theih a ni a, a tul chuan pek theih a ni. Hei hi nutritional rehabilitation phase a ni. Hei hian kar engemaw zat (a tlangpuiin kar 2-6 vel) a daih thei.

9. Sensory stimulation leh emotional support pe rawh: Kwashiorkor vei naupangte chu hun rei tak chhung chu an chau thei a, an chau thei bawk. An intellectual, neurological, leh social development chu ei leh in tha lo vangin a tlahniam thei a ni. Infiamna thil, inbiakna, leh an hmasawnna neih leh theihna tura hmangaihna leh hmangaihna pek te ang chi thil tihchak hi enkawlna ruahmannaah hian a tel a ni. A theih chuan health worker-te pawhin naupang nu pawh he thilah hian an telpui ang.

. A tul chuan immunization pek thin a ni. A theih chuan ei tur nghet leh tha tak neih theih nan tanpui ang che.

Kwashiorkor hi engtin nge kan ven theih ang?

"Natna a lo awm hnua enkawl ai chuan ven hi a tha zawk." Chuvangin invenna tur thil kan tih theih a awm (Kwashiorkor).

• Zirna leh hriatthiamna: Nu leh pa leh khawtlang mipuite hnenah ei leh in bulpui, nau hnute pek pawimawhna (thla 6 tal nau hnute chauh pek, a hnuah kum 2 thleng ei tur (complementary foods) hmanga hnute pek), naupang leh nute ei leh in lama an mamawh dan te zirtir a pawimawh hle. Kum dik tak leh a dik taka complementary foods ei tan dan zirtir a ngai bawk.
• Nutritional support: Sorkar leh pawl hrang hrangin nutritional programme an kalpui. Entirnan, nu naupai, nu hnute pe lai leh naupang tê tête hnêna nutritional supplement (e.g. Thriposha) pek. Tin, tualchhung thlai (moringa, spinach, peas, soy ang chi) protein leh micronutrients pe thei te tihhmasawn.
• Natna thununna: Natna hrik kai theih (riltam, thawkna lam natna) leh hri kai venna. Chungte chuan taksa a tichak lo va, nutrients absorption a ti tlem bawk. Faina tihchangtlun (kut sil, tui thianghlim in, toilet hman) leh a hun taka hri danna pek hian ei leh in tha lo venna kawngah kawng thui tak a zawh a ni.
• Food security: Chhungkaw tinin ei tur tha tak tak kan neih theih nan.

Kwashiorkor hi enkawl loha dah a nih chuan eng nge thleng ang? Dam leh theihna tur kawng eng nge awm?

Hei hi kan hriat a ngai tak zet a ni.

Enkawl loh chuan Kwashiorkor hi a thihpui thei a ni. Thihna hi infection, dehydration, heart failure, liver failure avanga lo awm thei a ni.

Enkawlna an tan tirh pawhin a hmaa kan sawi tawh ang khan ``refeeding syndrome'' tih complication a awm theihna a awm a, chuvang chuan damdawi ina dah leh damdawi lam enkawlna hnuaiah enkawl a ni.

Mahse, naupang hlawhtling tak leh a hun taka enkawl leh insiamthat an nih chuan damna tha tak an siam thei a ni. Kwashiorkor hian hun rei tak chhunga nghawng a neih ṭhenkhat (e.g., puitlin lohna, zirlai lama harsatna) awm mah se, a bo thei bawk.

Kwashiorkor atanga harsatna lo chhuak chu enkawl loh a nih rei poh leh a na zual a, a rei zawk bawk. Naupang thenkhat chu an thanlenna leh an thanlenna tlai lutuk atang hian an dam kim ngai lo mai thei. Liver natna leh pancreatic insufficiency an vei chhunzawm zel thei bawk.

Chuvangin, natna hi hmuhchhuah a nih thuai a, enkawl tan a nih chuan a rah chhuah a tha zawk tih hre reng ang che.

A tawp berah chuan Kwashiorkor hi a hring leh a puak avangin malnutrition angin a lang lo mai thei. Beisei loh, thup side effects, ei duh lohna leh fatty liver disease te pawh a nei thei bawk. Kwashiorkor hi uluk taka enkawl tur chuan hriatthiam a pawimawh. In lama protein tamna ei tur pek mai mai chu a tawk lo mai thei a, a hlauhawm pawh a ni thei. Chuvangin Kwashiorkor natna lanchhuahna i neih chuan a rang thei ang bera damdawi lam pan a pawimawh a, a bik takin naupang tê tête tan chuan. I inrawlh hma poh leh ei leh in lama harsatna i tuar tlem zawk thin.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Hei hi hre reng ang che:

• Kwashiorkor hi ei leh in lama harsatna nasa tak a ni a, protein tlakchham vang a ni , a bik takin naupang te te a nghawng nasa hle.
• A lan chhuah dan ber chu pum lian, ke ruh hring, mahse taksa hring . Chu bâkah, vun leh sam-ah inthlâk danglamna a awm thei a, ei duhna a tlahniam thei a, thinrimna a awm thei bawk.
• Hei hi thihna thlen thei dinhmun a nih avangin damdawi lam pan vat a pawimawh hle. In lamah enkawl tum suh.
• Naupang ei leh in chungchang, a bik takinI naute chu protein tamna ei tur (nga, sa, artui, bawnghnute, lentils, leh peas ang chi) i pe ngei ngei tur a ni. I naute hian hnute hnute a chhuah dawnin ei leh in tha tak a dawng tih enfiah thin ang che.
• Faina (kut sil, tui thianghlim) leh natna laka invenna (vaccination) te hian he dinhmun hi a tiziaawm thei a ni.
• I fa hian heng symptoms te hi a neih chuan tihkhawtlai suh la, a hnai ber doctor emaw damdawi in emaw pan rawh. Inenkawl vat chuan naupang nunna a chhanhim thei a, hun rei tak chhunga nghawng a neih pawh a ti tlem thei bawk.

` Kwashiorkor, ei leh in tha lo, protein tlakchham, naupang ei leh in, puak, luak chhuak, ei leh in lama harsatna