Nausen piang hmaa awm tam ber, intestinal disease na tak, Necrotizing Enterocolitis (NEC) chungchang i zir dawn teh ang.

I naute hi a hun hmain a piang em? Nu emaw pa emaw hian nau piang hmaa an neih hian a hlauhawm leh lungkham theih zia kan hria. A bik takin naute chu NICU ( Neonatal Intensive Care Unit)-ah a awm a nih chuan, chu hriatna chu a nasa zawk. Doctor rawn lut nghal a, i naute hian intestinal problem lian tak, NEC (Necrotizing Enterocolitis) an tih natna a nei tih a hrilh che chuan a rilru put hmang chu thumal hmanga sawi a harsa thin. Vawiin hian he dinhmun NEC an tih hi kan sawi dawn a, chu chu nu leh pa tam takin an hlauh a, mahse fimkhur a pawimawh hle.

A awlsam zawngin, he NEC hi eng nge ni?

Necrotizing Enterocolitis (NEC) hi chaw ei kawngah natna khirh tak a ni a, nausen piang hmasa te a nghawng ber a ni. Chutiang a nih chuan naute intestine tissue te chu a chhe a, a hring a, a thi tan thin. "Necrotizing" tih thumal hi "tissue thihna" tihna a ni. "Enterocolitis" tih hian intestine a inflammation tihna a ni.

Ngaihtuah teh, kan intestine hi tube mai a ni lo. Tissue nung atanga siam organ complex tak an ni a, ei tur digest leh nutrients absorb theitu an ni. NEC-ah chuan he intestine wall hi a chak lo va, a chhe a, a châng chuan a perforated pawh a ni . Chutiang khur a lo awm chuan natna hrik, bacteria ang chi, intestine chhunga awm chu naute pum emaw thisenah emaw a lut thei a ni. Hei hi dinhmun hlauhawm tak a ni.

NEC hi nau piang atanga kar hnih atanga kar ruk inkarah a awm tlangpui. Nausen thenkhatah chuan a na lo hle a, a tha chho zel bawk. A dangah chuan a na hle thei a, nunna atana hlauhawm tak a ni thei bawk.

He natna hi tu nge vei thei ber?

NEC vei naute 10 zinga 9 chu nausen piang hmasa an ni . Naute full term-a piangte tan chuan a vei hi a tlem hle. A hnuaia mite hi risk sang ber an ni:

• Naupai kar 37 hmaa piang: Naute kar 32 hmaa piangte tan chuan a hlauhawmna a sang hle.
• Nau piang rit lo tak tak: Naute pian tirh atanga kilogram 2.5 (pound 5.5) aia rit lote chu a bik takin an hlauhawm hle. Naute kilogram 1 (2.2 pounds) aia rit lote chu a bik takin an hlauhawm hle.
• Tube hmanga chaw pek naute tan (enteral nutrition): Nausen piang hma chuan hnute pek theihna a tlahniam avangin hnute chu hnar hmanga pum chhunga dah tube hmanga pek thin a ni.
• Nausen pian tirh laia harsatna nei te tan: Entirnan, nausen thawk harsatna emaw, thinlung natna emaw ang chi harsatna nei te tan.

Nausen piang hmasa 1,000 zinga pakhat velin NEC an vei thin. Mahse, he natna hi naute puitling 10,000 zinga pakhatah a awm a ni. Chuvangin hei hi nausen piang hmasa natna a ni ber tih hi a dik a ni.

NEC chi hrang hrangte chu engte nge ni?

Doctor-te chuan he natna hi chi hrang hrangah an ṭhen a, chu chu a lan chhuah ṭan hun leh a natna thlen chhan a zirin a ni.

A châng chuan, NICU ( Neonatal Intensive Care Unit)-ah hian naute tam takin a rualin NEC an vei tih report a awm ṭhin. Chutiang hunah chuan a chhan chu E. Coli ang chi bacteria infection vang a ni thei.

Engvangin nge he NEC hi a lo awm? Eng nge a chhan?

Dik tak chuan doctor-te chuan NEC thlen chhan pakhat mah an la hmu lo. Thil engemaw zat inzawmkhawm a nih rin a ni.

A thupui ber chu:

1. Intestines puitling lo: Nausen piang hmaa intestine hi a la thang kim lo. An nalh em em a, an chak lo hle bawk. Chuvangin chaw ei danah harsatna an nei thin.

2. Immune system chak lo: Nausen piang hmaa natna dotu immune system hi a lo thang kim lo. Chuvangin, intestine-a infection tenau tak pawh hi taksa tan chuan do harsa a ni thei.

3. Intestines-a thisen kal tlem: Naute piang hmasa circulatory system hian thluak leh thinlung ang chi organ pawimawh tak takah thisen thawn hi a dah pawimawh ber a ni. Stress lai (e.g., oxygen tlakchhamna) hian taksain thisen kalna chu a ti tlem a. Thisen kal dan a tlem chuan intestine chhunga tissue te hian oxygen an mamawh ang an dawng lo. Chuvângin, chu tissue-te chu a chhe a, an thi ṭan a ni.

Heng thilte hi an inzawm khawm chuan intestinal wall chu a chak lo a, chutah chuan bacteria a lo thang lian thei a, inflammation a siam a, NEC a thlen thin.

NEC symptoms te chu engte nge ni?

Doctor leh nurse-te chuan NICU-ah naute pakhat chu an enfiah reng a ni. Chuvangin, NEC chhinchhiahna tlemte pawh hmu mahse, an che thuai thin. Nu leh pa i nih angin heng chhinchhiahnate hi i hriat chian a pawimawh hle.

Ni engemaw zat chhungin symptoms a lang zauh zauh thei a, naute dam tawhah pawh a lang nghal thei bawk.

• Pum hring leh na: Naute pum chu khawih chuan a khauh hle tih a hria a, a chunga dah chuan naute chu a tap a, pum chu a khat angin a lang.
• Bawnghnute in duh lohna: Naute in tha tak tawh chuan hnute a in duh lo thut a, gastric residuals a awm ta a ni.
• Luak chhuak: Luak chhuak, a bik takin green emaw yellow emaw hi bowel obstruction chhinchhiahna a ni thei.
• Bowel movements inthlak danglamna: Bowel movements inthlak danglamna, diarrhea ang chi stools, leh stool-a thisen awm .
• Hriselna dinhmun tlangpui inthlak danglamna:
• Naute heart rate hi a hniam emaw, a sang emaw a ni.
• Thâwk lak dan a inthlak a, a chang chuan thawk a chawlhsan rei lo (apnea).
• Thisen sang a tlahniam.
• Taksa lumna hi a vawng reng thei lo.
• Naute hi a lethargic hle a, nunna nei lo ang maiin a lang.

Heng symptoms zinga pakhat emaw a aia tam emaw hmuh a nih chuan NICU staff te chuan an chhui nghal ang.

Doctor-te hian engtin nge hei hi an hmuh?

I naute doctor-in a tih hmasak ber tur chu i naute uluk taka enfiah hi a ni. A hring leh a hring em tih an enfiah ang. Diagnosis tih finfiah nan test tlemte an kalpui bawk ang.

• Pum chhunga X-ray lak: 1.1.Hei hi fiahna pawimawh ber a ni. Intestinal wall chhungah gas bubble awm leh awm loh a enfiah thei. Hei hi `pneumatosis intestinalis` an ti a. Tin, intestine a perforated chuan abdominal cavity chhungah free air i hmu thei bawk.
• Thisen test: Hengte hian thisenah natna hrik (bacteria) a awm leh awm loh, thisen var (white blood cell) tlem leh thisen zam (blood clotting problem) a awm leh awm loh a enfiah thin.
• Fecal test: He test hian ek chhunga thisen mit hmuh theih loh a hriat theih nan a pui a ni.

NEC avanga harsatna awm thei te chu engte nge ni?

NEC hi natna khirh tak a nih avangin a hnuah harsatna a awm thei a ni.

• Peritonitis: Intestine-ah khur a awm chuan bacteria chu pum chhungah lutin infection na tak (peritonitis) a thlen thei a ni. Hei hian nunna atana hlauhawm tak sepsis , chu a thlen thei a, chutah chuan bacteria chu taksa pum puiah a darh chhuak thei a ni.
• Intestinal Stricture: NEC a dam hnuah chuan intestine chhia chu a dam chhoh zel chuan a hliam a, a tawi thei bawk. Hei hian ei a harsat phah a ni. Hei hian nakin lawkah operation neih a ngai mai thei.
• Short Bowel Syndrome: NEC avanga intestine hmun tam tak a thi a, surgery hmanga lak chhuah a ngai a nih chuan intestine a la awm chu nutrients tha taka lakluh nan a tawk lo. Hetiang dinhmun hi short bowel (short gut) syndrome an ti a. Hetiang natna vei naute hian an dam chhungin ei leh in lama ngaihven bik an mamawh dawn a ni.
• Growth and Development Delays: Naute NEC nei tawhte, a bik takin operation nei tawhte chuan an naupan laiin an thanlenna leh thluak thanlennaah tihkhawtlai engemaw zat an tawk thei a ni. Chuvangin heng naute hi damdawi lam enkawlna hnuaia awm reng a pawimawh hle.

Engtin nge enkawl a nih?

NEC rinhlelh a nih veleh doctor-te chuan enkawl an tan ta a ni. A tum ber chu intestine chu chawlh hahdamna pek hi a ni .

1. Nau hnute pek kha bansan rawh: Tih hmasak ber chu kai emaw, tube emaw hmanga naute pek chu tihtawp vek a ni. Hei hian intestine te chu chawlh a pe ang a, a dam tan ang.

2. IV Nutrition: Naute mamawh ei leh in leh tui zawng zawng hi saline (IV fluids) hmanga pek vek a ni a, chu chu vein-ah direct-in pek a ni.

3. Nasogastric tube dah: Tube (nasogastric tube) chu hnar kaltlangin pum chhungah dahin, pum chhunga boruak leh tui awmkhawmte chu a paih chhuak thin. Hei hian pum chhunga hring (swelling) a tiziaawm a, intestines-a pressure a tiziaawm bawk.

4. Antibiotics: Infection do tur leh hri kai darh zel tur ven nan antibiotics chak tak chu thisenah pek thin a ni.

5. En reng reng: 1.1 .Naute hi uluk takin an vil reng a ni. Thisen test leh X-ray te hi a tha lehzual em tih enfiah fo thin a ni.

Engtikah nge operation tih a ngai?

Naute pali zinga pakhat vel chu operation a ngai mai thei. Surgery hi hetiang hian tih a ni:

• Intestine-ah perforation a awm tih finfiah a nih chuan.
• Naute dinhmun a ṭhat loh chuan ruihhlo hmanga enkawl a nih chuan.

Operation neih chhung hian surgeon chuan intestine thi tawh chu a la chhuak a, intestine hrisel pahnih chu a thlunzawm leh thin. A chang chuan intestine a lo hring nasa hle a nih chuan inzawm leh nghal a harsa thin. Chutiang hunah chuan ostomy an tih surgery an ti thin.

Naute chu a te lutuk emaw, a damlo lutuk emaw a, operation a neih loh chuan doctor chuan a pum chhungah tube (drain) te tak te a dah thei a, chu chuan natna hrik kai tui leh boruak, a pum chhunga awm chu a chhuah tir thei a ni. Hei hian symptoms a ti reh ang. Nakinah chuan naute chu tlem a lo upa tawh a, a hrisel deuh hunah chuan zai a ni ang.

NEC vei naute hmalam hun chu eng nge ni?

NEC hi natna hlauhawm tak ni mah se, enkawl theih a ni. NEC vei naute 10 zinga 8 chu an damchhuak. Chûng naute ṭhenkhat chuan hun rei tak chhûng hrisêlna lama harsatna nei thei mah se, a tam zâwk chu nun pangngai, famkim takin an nung a ni.

Hei hi ven dan tur a awm em?

A ven kim theih loh nachungin NEC hlauhawmna tihziaawmna tur thil engemaw zat i tih theih a awm.

• Hun hmaa nau neih loh dan: Naute chu a rei thei ang bera nu pum chhunga awm reng a tha ber. Chutiang ti tur chuan naupai laiin damdawi lam thurawn dik tak zawm tur a ni.
• Corticosteroid injection: Doctor-te chuan nau piang hmaa hlauhawm nute chu corticosteroid an tih injection an pe thin. Hei hian naute lung leh intestines te a ti thang lian a.
• Nau hnute pek: Nausen piang hmaa invenna tha ber chu nau hnute pek hi a ni. Nu hnute hian NEC hlauhawmna a tihziaawm theihna mak tak a nei a. Nu hnute tuiah hian immune-boosting components te hian naute chhungril a venghim a ni.
• Probiotics: Zirchianna thenkhatah chuan nu hnute emaw formula emaw-ah probiotics (bacteria tha) dah tel hian NEC vei theihna a ti tlem thei tih an hmuchhuak. Mahse, hei hi i tih hmain i naute doctor i biak hmasak phawt a ngai.

Nu leh pate tan chuan an naute NICU-a a awm laiin NEC ang setback an neih hi thil mak tak a ni thei. Mahse hre reng ang che, NICU-a doctor leh nurse-te hi heng natnate hi hriat chian leh enkawl thuai turin a bik takin an zirtir a ni. Anni chu ring rawh. Zawhna emaw, ngaihtuahna emaw i neih apiang chu sawipui rawh.