I naute lung pawh khuh hmasak ber khan a nghawng tawh em? (Meconium Aspiration Syndrome) Hemi chungchang hi han sawi ila!

Nu leh pa i nih angin nausen piang thar thaw harsa i hmuh hian engtiang chiahin nge i hlauh? A chang chuan naute thaw harsat chhan hi naute ek hmasa ber, meconium an tih, naute lung chhunga lut a ni. Vawiin hian he natna `(Meconium Aspiration Syndrome)` tih hi kan sawi dawn a ni.

Meconium chu eng nge ni? Naute lungah a luh chuan eng nge thleng ang?

A awlsam zawngin, meconium hi i naute bawlhhlawh hmasa ber, a nih loh leh poo hmasa ber a ni. Regular poop ang a ni lo. A thick, sticky, dark greenish-black, tar ang chi a ni. I nautein a pum chhunga a ei chhuah thil atanga siam a ni. Chumi awmzia chu naute vun cell, mucus (mucus ang chi), naute sam tha tak (lanugo), bile leh thil dang atanga siam a ni tihna a ni.

Naute hian an pian atanga darkar 48 chhungin meconium an pass tlangpui. Mahse, a chang chuan, a bik takin naute hian a pum chhungah pressure emaw, nuam lo emaw a neih chuan (`(Fetal Distress)`), naute hian he meconium hi a pian hmain, chu chu a pum chhunga a la awm laiin a pass thei a ni. A pass tak tak chuan chu meconium chu naute chhehvel amniotic fluid-ah a dah tel ang.

Meconium Aspiration Syndrome (MAS) hi naute lung chhunga meconium a inhmeh emniotic fluid a luh avangin thawk harsa a tih thin a ni. He meconium-mixed amniotic fluid hi naute thaw laiin naute lungah a lut thei a, a pian hma emaw, a pian tirh emaw pawhin a thawk thei a ni.

Chu tar ang maia meconium thuk tak, sticky tak chu naute zun leh lung chhunga a luh chuan eng nge thleng tih han ngaihtuah teh.

• Naute thawkna kawng a tikhawlo thei .
• Lung a chhe thei .
• Meconium hian thil pawimawh tak ``Surfactant'' tih hnathawh a tikhawlo thei bawk a, chu chuan lung chu a inflate a, a thawk tha thei bawk.

Hei hian naute thaw a ti harsa hle a ni. A châng chuan, he dinhmun hi nunna atân pawh a hlauhawm thei . Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

A vaiin nau piang 100 zinga 12 atanga 20 vel chu amniotic fluid-ah meconium an inhmeh ang. Hei hi "meconium-stained amniotic fluid" kan ti a ni. Hetiang dinhmun hi naute full-term (kar 40) leh post-term (kar 42 hnuah) ah a tam ber.

Mahse hetah hian i ngaihtuah theih tur thil pakhat a awm. Naute meconium-stained water hmanga piang zawng zawng hian ``MAS'' an nei vek lo. Za zela tlemte chauh, chutiang naute zinga 2% leh 10% inkar chauhvin he ``MAS'' natna hi an vei thin.

Naute hian meconium a aspirate hian eng symptoms nge a neih?

Tunah chuan meconium hi lung chhunga a luh chuan a hlauhawm thei tih kan hre ta. Chuvangin, i naute hian meconium a inhal tawh a nih chuan:

• Thâwk harsa: .Naute hian thawk a harsat hmel hle.
• Heart rate tlahniam: Naute lungphu a ti hniam.
• Blue skin (Cyanosis): Nausen vun, a bik takin hmui leh kut zungtang te chu a sen a ni. Hei hi taksain oxygen a hmuh tlem vang a ni.
• Thâwk rang: A châng chuan naute chu a thawk rang hle.
• Thâwk thawm neia thawk: Thâwk chhuah hian "Huh... Huh..." tih ang thawm hi a chhuak ṭhin.
• Chest sinking: Thâwk chhuah laiin rilru chhung chu a pil lut ang maiin a lang.
• Nunna nei lo: Naute chu nunna nei lo leh nunna nei lo angin a lang.

Hetiang symptoms i hmuh chuan medical staff te hriattir nghal a pawimawh hle.

Engvangin nge hetiang hi a lo awm? Eng nge a chhan?

Meconium chu lung chhunga a luh chhan ber chu naute hian a pum chhung emaw a pian lai emawa a tawn thin stress vang a ni . Hetiang stress hi chhan hrang hrang a awm. Entir nan:

• Nu emaw naute emaw ah natna hrik neih.
• Naute tan oxygen intake tlahniam.

Hetiang dinhmun hahthlak takah hian naute chuan thawk thuk tak, rang takin a thawk chhuak nghal a. Kan hlauthawng em em laia thaw kan vawn tlat ang bawk hian. Chutih lai tak chuan tui thuk tak (leh meconium a awm chuan) chu naute lung chhungah a lut ta a ni. Tichuan meconium thuk tak chu lung chhunga air sacs (`(Alveoli)`)-ah a tang a, thawk a harsa hle.

Engtin nge tuiah meconium a awm leh awm loh i hriat theih ang?

Amniotic fluid hi a thianghlim tlangpui. Mahse, meconium an dah chuan tui a chhiat huna tui chhuak chuan greenish-brown color a nei ta a ni . Tin, naute meconium ei hian an pian tirh lamah vun leh kut zungtang sen an nei thei bawk. Mahse, lungngai suh, i doctor leh nurse te hian hei hi an hre chiang hle a ni. Hetiang chhinchhiahna hi an lo thlir reng a ni.

Naute hian meconium a ei chuan harsatna a awm em?

Hei pawh hi nu tam takin harsatna an tawh a ni. Nausen pum chhunga a awm laiin amniotic fluid a ei hi thil pangngai a ni. Naute thanlenna atan pawh a tul a ni. Chuvangin, meconium tlem tal chu amniotic fluid-ah chawhpawlh a, naute chuan a ei a nih chuan harsatna lian tak a ni lovang. Hlauhawm tak chu meconium chu lung chhunga inhnim luh hi a ni a, ei hi a ni lo.

Engtin nge doctor-te hian hei hi an hriat chian? Enkawlnate chu engte nge ni?

I tui a chhe a, i amniotic fluid-ah meconium i hmuh chuan doctor-te chuan i naute chu a pian hnua ``MAS'' chhinchhiahna a awm leh awm loh uluk takin an en ang. Sawi tawh ang khan naute zawng zawng hian meconium vangin he natna hi an nei vek lo.

Diagnosis lian ber berte chu:

• Naute dinhmun enfiah: Naute thawk dan, taksa rawng leh thiltih dan te enfiah a ni.
• Chhung lam ngaihthlak: Naute rilru chu stethoscope hmanga ngaihthlak a, thawm danglam tak tak a awm leh awm loh enfiah a ni.
• Chest X-ray hmanga lak chhuah:Hei hian meconium chu lungah a tang em tih emaw, tui a awm khawm em tih emaw chiang takin a hmu thei a ni.
• Blood Gas Test: He test hian naute thisena oxygen leh carbon dioxide awm zat leh thawk lama harsatna a tawh nasat zia hriat theih nan a pui a ni.

Engtin nge a enkawl dan?

Enkawlna chu nautein meconium a ei zat, a thuk zia leh naute thawk harsatna a neih danah a innghat a ni.

• Naute chu a pian laiin a tap tha a, a thawkrim hle a nih chuan enkawlna bik a ngai lo fo thin.
• Suctioning: Hei hi a hmasa ber a ni. Bulb syringe te tak te hmangin naute ka, hnar leh kawr atanga meconium lakchhuah a ni. A châng chuan, naute thlipui (trachea)-ah hian tube te tak te pawh dahin, chutah chuan meconium awm zawng zawng chu paih chhuah a ni.
• Oxygen pek: Naute hian thaw a la harsat a nih chuan a hmaiah oxygen mask dahin oxygen pe thin ang che.

MAS na tak nei naute thenkhat chu Neonatal Intensive Care Unit (NICU)-ah specialized care atan dah a ngai mai thei. Chung zingah chuan:

• Ventilator nena inzawm: Naute hian mahni chauha thawk harsatna a neih chuan he machine hian a pui thin.
• Surfactant Therapy: Surfactant an tih hi artificial-a pek a ni a, chu chuan lung a inhawng thei a ni.
• Antibiotics: Chuap ah infection a awm chuan a enkawl nan pek thin a ni.
• ECMO (Extracorporeal Membrane Oxygenation): Hei hi damdawi bik a ni a, natna khirh tak takah hman thin a ni. Naute thinlung leh a lungte chu chawlhna pek a ni a, machine hmangin thisenah oxygen dah belh a ni.
• Radiant Warmer: Naute taksa lum leh vawt control nan a pui thin.
• CPAP (Continuous Positive Airway Pressure) machine: Naute lung a inhawng reng theih nan a pui thin.

Heng enkawlna zawng zawng hi i naute a dam thuai theih nan tih a ni tih hre reng ang che. Doctor leh nurse te chuan i naute mamawh enkawlna tha ber an pe ang.

Meconium aspiration hi a veng thei ang em? Risk factors te chu engte nge ni?

Dik tak chuan nauteah meconium aspiration hi a pumpelh vek theih loh . A chhan chu naute stress nena thil thleng a nih vang a ni. Mahse, doctor-te chuan amniotic fluid-ah meconium a awm leh awm loh leh naute chu ``Fetal Distress''-ah a awm leh awm loh an ngaihven fo thin. Hetiang dinhmun hi hriat hmasak a nih chuan meconium aspiration na tak chu ven theih a ni a, enkawl tan thuai theih a ni.

Meconium aspiration syndrome lo awm theihna tur risk factor thenkhat a awm a:

• Naupai hnua naupai:Chu chu naupai hun chhung chu kar 42 aia rei tihna a ni.
• Nu hian zunthlum emaw thisen sang emaw a nei a.
• Hun rei tak emaw, nau neih harsa emaw.
• Naupai laiin naute oxygen level a tlahniam.
• Nausen thanna tur tihkhawtlai (FGR).

Doctor-te chuan heng risk factors nei nu atanga naute piangte hi an ngaihven zawk thin.

Eng harsatna nge awm thei? Eng chen nge tihdam a ngaih?

MAS natna hian hun rei tak chhunga harsatna awm thei hi a tlem hle a, a tlangpuiin ni engemaw zat chhungin enkawl leh tihdam theih a ni.

Mahse, naute ``MAS'' vei te chu naute dang aiin heng natna hi an vei theihna chance a sang deuh thei a ni:

• Pneumonia ( lung natna a awm) .
• Asthma natna a ni
• Nausen piang tharte lungphu sang (PPHN) .
• Lung `(Pneumothorax)` a tlakbuak
• Oxygen tlakchhamna `(Hypoxia)`

Mahse hre reng ang che, naute meconium ei zawng zawng hian `(MAS)` an nei vek lo va, nausen `(MAS)` nei zawng zawng hian heng harsatna hi an nei vek lo. Hriat hmasak leh enkawl hmasak a nih chuan hei hi a tam zawkah chuan tihdam theih a ni.

Naute tam zawk chu darkar tlemte chhungin meconium aspiration hmangin an dam leh thin. A nasat zawkah chuan naute chu NICU-ah ni engemaw zat emaw, kar engemaw zat emaw a awm a ngai thei a, a nih loh leh supplemental oxygen a rinchhan a ngai thei bawk.

Kan hriat reng tur (Take-Home Message) .

Meconium Aspiration Syndrome hi nausen piang tharte zingah a awm thei a, mahse enkawl theih a ni. I doctor chuan i naute amniotic fluid chu a pian tirh atangin meconium a awm leh awm loh a enfiah ang. I naute hian harsatna a lantir chuan an hnar leh hmui atanga meconium lakchhuah tumin hma an la nghal ang.

A pawimawh ber chu he natna hi hriat hmasak a, enkawl vat hi a ni. Chutiang chuan harsatna awm theihna chance a tlem hle. Nausen tam zawk chu ni rei lo te chhungin an dam vek a, hun rei tak chhunga nghawng tha lo a neih hi a tlem hle.

Tin, naute amniotic fluid-a meconium awm zawng zawng hian meconium aspiration syndrome an nei vek dawn lo tih hre reng ang che. Chuvangin tul lovah hlau suh. I medical team te chu ring rawh. Nang leh i naute tan enkawlna tha ber an pe ang.

` Meconium, Meconium Aspiration Syndrome, Nau piang thar, Nausen thawk, Naute khuh hmasak ber, Lung Infection, Meconium Aspiration Syndrome, Nau piang thar thawk harsatna, Amniotic Fluid, Fetal Distress