I naute hi pian tirh lamah a rihna a hniam em? (Low Birth Weight) Hei hi i fimkhur ang u!

Nausen piang thar chu a thau lo tih i hre ngai em? Chutiang chanchin i hriat chuan tlem chuan hlauthawng leh hriat duhna i nei thin, a dik em? "Engvangin nge chutiang chu a nih? Naute chu a dam tha ang em?" Zawhna tam tak rilruah a lo lang thin. Chuvangin vawiin hian he natna Low Birth Weight tih hi kan sawi dawn a ni. Hei hi nu leh pa tam takin an hriat a ngai a ni.

Nau piang rit lo (low Birth Weight) tih hi eng nge ni?

A awlsam zawngin, i naute piang thar chu gram 2500 aia rit lo a nih chuan (chu chu kilogram 2.5 emaw pound 5 8 ounces emaw a ni) , chu chu nau piang rit hniam kan tih chu a ni. Hei hi naute pian tirh atanga an rit zawng chu a ni.

A vaiin naute term-a piang (naupai kar 37 leh 41 inkar) zinga 80 vel chu gram 2,600 (kg 2.6) leh gram 3,800 (kg 3.8) inkar an ni.

Mahse hei hi a ni, naute chu pian tirh atanga a rihna hniam tak neia piang a nih vang mai mai chuan an lo puitlin hunah nausen rihna hniam tak an ni dawn tihna a ni lo. Dik tak chuan nausen pian tirh laia rit lo tak tak thenkhatte chu te tak te ni mahse an hrisel thin.

Mahse, naute pian tirh a rit zawng hian doctor-te chu a pian hnu lawkah enkawlna bik a mamawh leh mamawh loh thutlukna siam turin a pui thei a ni. Hei hi a chhan chu nausen thenkhatin an pian laia an taksa rihna a tlem avangin hriselna lamah harsatna lian tak an nei thei a ni. I naute chu a pian laiin a tê hle a nih chuan, a tân ei a harsa zâwk thei a, a rihna a tipung thei a, natna a do a harsa zâwk thei bawk . Nausen thenkhat chuan hun rei tak chhung hriselna lama harsatna an nei thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Khawvel hmun hrang hrangah nausen piang hniam tak tak an piang chho zel a, kan ramah pawh an piang chho zel a ni. Entîr nân, United States-ah chuan kum 2021-a naute piang 12 zînga pakhat vêl chu nau piang rit lo tak neia piang an ni. Chu chu nau piang nung zinga 8.52% vel a ni. Chuvangin hei hi chutiang thil mak a ni lo.

Nau piang rihna hniam hian eng symptoms nge a neih?

Nausen piang rit lo tak takte chu naute hrisel, rihna pangngai aiin an te zawkin an lang . Tin, naute lu chu taksa dang zawng aiin a lian zawkin a lang thei bawk. Taksa thau an neih tlem avangin an hlim hmel hle bawk.

Nau piang rihna hniam chhan chu eng nge ni?

Nau piang rihna hniam chhan ber pahnih a awm. Anni chu:

1. Nau piang hmasa ber

2. Nausen thanlenna tihkhawtlai

Hun hmaa nau neih

Premature birth, emaw ``Preterm birth`` tih hi i naute chu naupai kar 37-na hmaa a pian hian a ni. Nau piang hmasa tih awmzia chu i naute hian i nausen pum chhungah a lo thanglian tur leh a rihna tur hun a nei tlem tihna a ni. Hei hi a chhan chu naute hian a naupai kar hnuhnung berah a rihna tam zawk a pung vang a ni.

Nausen thanna tur khap tlat

A chhan lian dang chu nausen thanna tihkhawtlai a ni a, a nih loh leh doctor-te'n ``Intrauterine Growth Restriction (IUGR)'' an tih hi a ni. Hei hi naute chu a pum chhunga a awm laiin a thang lian thei lo va, a thau tur angin a thau thei lo a nih chuan a ni. A châng chuan, naute chu a nu leh pa te an têt avângin a tê têin a piang thei bawk. Hei hi thil pangngai a ni.

Mahse naute thenkhat chuan IUGR an nei a, a chhan chu naupai laiin thil engemaw takin an thanlenna a tibuai vang a ni. Hei hi a chhan chu:

• Placenta Problems: Naute hian a mamawh nutrients leh oxygen chu placenta kaltlangin a dawng a. Chuvangin, nausen (placenta)-ah harsatna a awm chuan naute thanlenna a nghawng dawn a ni.
• I hriselna: Naupai laia nuin natna thenkhat (e.g. thisen sang, zunthlum) te hian naute thanlenna a nghawng thei a ni.
• Naute hriselna: A chang chuan, naute chhunga genetic condition emaw infection emaw avanga thanlenna a tlahniam thei.

Hei hi eng risk factors nge a nghawng?

Nausen rit lo tak neih theihna tur thil engemaw zat a awm. Chung zinga ṭhenkhat chu hetiang hi a ni:

• Naupai laia natna khirh tak tak i neih: Entirnan, hun rei tak chhung natna, zunthlum emaw thisen sang emaw i neih chuan.
• Naupai laia hri kai: Infection thenkhat chuan naute thanlenna a nghawng thei a.
• Naupai laia damdawi thenkhat hman dan: Hetih hun chhung hian doctor thurawn tel lovin damdawi engmah ei loh tur a ni.
• Naupai laia zu leh zuk leh hmuam ang chi thil hman dan: Hengte hi naute tan a pawi hle.
• Naupai laia taksa rihna tihpun loh emaw, taksa rihna vawn that loh emaw: Ei leh in inthlau tak ei hi a pawimawh hle.
• Naute pakhat aia tam naupai (Multiples): He risk hi twins emaw triplet emaw i beisei hunah a sang zawk.
• Lead emaw boruak bawlhhlawh emaw avanga inhriatthiamna.
• Nu kum 17 hnuai lam emaw kum 35 chunglam te.
• Hun hmaa nau neih.

"Hetiang risk factor zawng zawng nei zawng zawng hian nau piang rit lo an nei vek dawn lo. Tin, heng thil pakhat mah nei lo chuan nau piang rit lo a la nei thei tho. Chuvangin hlau suh, mahse hei hi hriat a pawimawh hle.

Hetiang dinhmun hian eng harsatna nge a thlen?

Nausen piang rit lo tak takte chu hriselna lama harsatna engemaw zat an neih theihna chance a sang zawk a ni. An taksa te tak te te hi nausen piang rit pangngai neia piang te angin a chak lo. Ei leh in lamah harsatna an nei thei a, an taksa rihna an tipung thei a, natnate an do thei bawk . Tin, naute pianpui rit lote chuan taksa thau an nei tlem a, chu chuan an tan lumna a ti harsa zawk a ni .

Naute pian tirh atanga a rih zawng a hniam poh leh harsatna a thlen theihna a sang zawk. Heng harsatna lo awm thei thenkhat chu:

• Pian tirh atanga oxygen level hniam.
• Infection awm thei te.
• Jaundice a awm.
• Thâwk harsatna: A bik takin Infant Respiratory Distress Syndrome (IRDS), thawkna lam natna, lung puitling lo vanga lo awm.
• Nervous system lama harsatna: Entirnan, thluak chhunga thisen chhuak (Intraventricular Hemorrhage - IVH) a awm thei.
• Digestive system lama harsatna: ``Necrotizing Enterocolitis (NEC)`` ang chi, intestinal tissue tihchhiatna nasa tak thlentu.

Hun rei tak chhunga harsatna neih theihna a sang zawk bawk :

• Motor leh khawtlang hmasawnna tihkhawtlai: Hei hian kea kal leh thusawi ang chi thil hi a tlai deuh mai thei tihna a ni.
• Zirna danglamna.
• I upat deuh deuha lo awm thei hriselna dinhmun: thisen sang, thinlung natna, thau lutuk, leh zunthlum ang chi thil.

Nau piang rit lo hi engtin nge kan hriat theih ang?

I naupai laiin clinic i kal hian i doctor chuan i naute lian leh te chu a hriat theih nan kawng hrang hrang a hmang ang. Kawng khat chu i taksa rihna sang chhoh dan track hi a ni. A dang chu `fundal height` tehna a ni. Hei hi nausen pum chunglam atanga pubic bone thlenga hlat zawng a ni. I doctor pawhin `(ultrasound)` scan hmangin naute than leh than dan a enfiah ang.

Pian hnu darkar tlemte chhungin doctor chuan naute chu a rit zawng a teh ang. Naute rih zawng leh naupai kum an khaikhin ang a, medical record-ah an ziak lut ang. Naute gram 2500 (kilogram 2.5) aia rit chu nau piang rit lo an ti a, naute gram 1500 (kilogram 1.5) aia rit chu nau piang rit lo tak an ti bawk .

Nau piang rit lo hi engtin nge enkawl a nih?

I naute doctor chuan naute pianpui rit lo tan eng enkawlna nge mamawh tih a rel ang. He enkawlna hi i naute:

• Naupai lai kum.
• Hriselna dinhmun zawng zawng.
• Damdawi lam chanchin.
• Damdawi, damdawi lam kalphung, a nih loh leh enkawlna a tuar theih dân a zirin .

Nau piang rit lo enkawlnaah hian a tlangpuiin:

• Neonatal Intensive Care Unit (NICU) enkawlna: Hei hi nau piang tharte enkawlna hmun a ni.
• Naute chu temperature controlled bed-a dah: Hei hi a pawimawh hle a, a chhan chu naute naupang tan chuan an taksa lumna vawn that a harsat avangin.
• Chaw pek bik: A chang chuan naute chu a hnute a pek theih loh chuan intravenous (IV) line emaw, pum chhunga dah tube emaw hmangin tui angin bawnghnute pek thin a ni.
• Complication dang a awm chuan enkawl ngai.

Nausen piang rit lo deuha piangte hian harsatna dang a awm loh chuan hun kal zelah taksa thanlenna lamah naute dangte an phak tlangpui. I naute dinhmun a zirin i doctor chuan specialist hnenah enkawl belh turin a refer thei bawk.

Ka naute hi pian tirh atanga a rihna hniam tak neia piang a nih chuan eng nge thleng ang?

I naute chu pian tirh laia a rihna hniam tak neia piang a nih chuan damdawi ina neonatal intensive care unit (NICU)-ah enkawlna bik a mamawh mai thei . NICU-ah hian a taksa rihna a tihpun hma leh doctor-te'n a dam tawk tawh nia an ngaih hma chu a awm reng dawn a ni.

Nausen rit lo piang damchhuahna rate chu a pian tirh a a rih zawngah a innghat a ni. Nausen gram 500 (0.5 kg) aia rit lote chu damchhuah theihna chance hniam ber an ni. Mahse, medical science lama hmasawnna chuan nausen te tak te pawh chhanchhuah theih a ni ta a ni.

NICU-a i fate i hmuh hunah chuan i lungngai hle ang a, i hlauthawng hle ang. Chu chu thil pangngai a ni. Mahse, i naute doctor-te chu ring tlat ang che. I naute chu a thau chhoh theih nan theihtawp an chhuah ang a, damdawi in atanga haw turin an buatsaih ang.

Nau piang rit hniam hi ven theih a ni em?

Ni e, i naute chu nau piang rit lo tak nena a pian loh nan i pui thei a ni. I naupai lai hian heng thilte hi fimkhur rawh:

• A hun takah clinic pan (Regular checkups): Doctor thupek dik takin zawm rawh.
• Calorie leh nutrition dik tak hmu rawh: Ei leh in inthlau tak, ei leh in tha tak ei rawh.
• Zunthlum i vei chuan i thisen sugar level control la.
• Zu leh zuk leh hmuam hman loh vek tur a ni.

Engtin nge ka naute ka enkawl ang?

I naute hi pian tirh laia a rihna hniam tak neia piang a nih chuan, a taksa rihna tihpun leh hrisel taka a awm theih nan eng nge i tih theih tih doctor zawt rawh. I naute a lo upat deuh deuh chuan ei tur hrisel a ei a, a inkhelh a, a active hle tih hria ang che . A vaccine pekna tur atan a hun taka clinic-a hruai a pawimawh bawk .

Clinic-a kal fo hian i naute doctor chuan a lo puitlin huna harsatna thlen thei hriselna dinhmun a hmu thei a ni. Vaccine pek hian i naute chu natna hlauhawm lakah a veng thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah hetiang zawhna hi i zawt thei ang:

• Nau piang rit lo tak neih theihna tur tihtlem nan eng nge ka tih theih ang?
• Ka naute hi pian tirh laia a rihna hniam tak neia piang a nih chuan a thau tihpun nan eng nge ka tih theih ang?
• Ka naute hian nau piang a rihna a tlem avangin harsatna lian tak a nei dawn em ni?
• Ka fa hian test emaw, medical procedure emaw a mamawh em?
• Ka fa tan hian eng enkawlna nge i rawt?
• Ka fa hian damdawi ei a ngai em?

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

Nausen piang rit lo thenkhat chu an te a, an hrisel bawk. Mahse i nausen piang thar rihna hian doctor-te chu a pian hnu lawkah enkawlna bik a mamawh leh mamawh loh thutlukna siam turin a pui thei a ni. Nausen \henkhat chuan nau piang laia an taksa rihna a hniam avangin hriselna lamah harsatna lian tak an nei thei a. I naute hi a pian tirh atanga a rihna hniam tak a piang a nih chuan NICU-ah a awm a ngai mai thei. Chu chu tuar harsa tak a ni thei. Mahse i naute doctor-te chu ring rawh . I naute tanpui nan theihtawp an chhuah mek a ni. Tin, naupai lai atang tawhin thil hrisel tak tak i neih a pawimawh bawk a, naute i neih hnuah pawh i doctor thurawn zawm a pawimawh bawk.

` nau piang rihna hniam, nau piang hma, nausen than dan khap, NICU, nausen hriselna, naupai, nau enkawl