I nau piang thar hian heng harsatnate hi a nei em? Neonatal Opioid Withdrawal Syndrome (NOWS) chungchang hi han sawi ila.

Nuin nausen piang thar a rawn hruai haw huna a hlimna chu sawi chian rual a ni lo. Mahse, a châng chuan naute chu a tap reng a, bawnghnute a chil a chhuah fo emaw, thil mak tak a tih ang maia a lan chuan nu tan chuan a hlauhawm hle thei a ni. Vawiin hian chutiang dinhmun hlauhawm tak, mahse pawimawh tak pakhat, kan hriat reng tur chungchang kan sawi dawn a ni. Chu chu nau piang tharte Neonatal Opioid Withdrawal Syndrome (NOWS) a ni. Tun hma chuan Neonatal Abstinence Syndrome (NAS) tiin an sawi bawk.

Neonatal opioid withdrawal syndrome (NOWS) tih hi eng nge ni?

A awlsam zawngin, hei hi nuin naupai laiin ruihhlo thenkhat (a bik takin opioid) emaw, ruihhlo ngawlvei thil dang emaw a hman a, naute chu nausen pum chhunga a awm laiin chutiang thilte chu a tawk a, chu chu a pian hnua a taksa atanga lak chhuah a nih hnua a lungawi lohna a ni. Naute chu a pum chhunga a awm hian nu hnen atangin nutrient leh oxygen a dawng thin tih i hria em, chu chu organ pakhat placenta an tih hmangin a dawng thin a ni. Chutiang bawkin damdawi leh damdawi thenkhat nuin a ei thin te pawh hi he nausen (placenta) kaltlangin naute hnenah hian a kal thin. Chuvangin, naute chu a pum chhunga a awm lai hian kawng khatah chuan heng thilte hi a lo thiam ta a, chu chu anmahniah a innghat tan tihna a ni. Nausen pian hnua nu hnen atanga supply a tawp chuan naute taksa chuan a tuar harsa hle. Chutah chuan heng withdrawal symptoms te hi a lo lang ta a ni.

Eng damdawi nge TUN HI a thlen theih?

Hetiang dinhmun hi opioid class-a ruihhlo avanga lo awm a ni ber. Entirna tlemte chu hetiang hi a ni:

• `( Amphetamines )` tih a ni
• `( Buprenorphine )` tih a ni
• `(Codeine)` tih a ni
• `(Heroin)` tih a ni
• `( Oxycodone )` a ni
• `( Hydrocodone )` a ni
• `(Morphine)`
• `(Methadone) a ni

Hei bakah hian thil dang thenkhat pawhin he natna hi a thlen thei bawk. Anni chu:

• Zu
• Barbiturates (mutna damdawi chi hrang hrang) .
• Benzodiazepines (mi tihrehawmna damdawi thenkhat) .
• Nicotine ( zuk leh hmuam chhunga awm ) .
• Antidepressant chi thenkhat, a bik takin Selective Serotonin Reuptake Inhibitors (SSRIs) tih group-a awmte.

A pawimawh ber chu naupai emaw, naupai tum emaw i nih chuan damdawi, supplement, thil dang i ei tur chu i doctor hnenah i hriattir ngei tur a ni.

Hetiang dinhmun hi a awm fo em? Tu nge a tuar ber?

He NOWS dinhmun hi vanduaithlak takin khawvel pumah a pung zel niin an sawi. Dik tak chuan statistics atanga a lan dan chuan zirchianna thenkhatah chuan minute 25 danah NOWS neiin naute pakhat a piang thin. Chu chu naute sang hnih zinga pasarih velin he hlauhawmna hi an nei thei tihna a ni. Hei hian nau piang tharte a nghawng tam ber a, an nuin naupai laiin opioid emaw, ruihhlo ngawlvei thil dang emaw a hmang a ni. Ruihhlo ngawlvei hi a lan dan angin a awlsam lo va, thil buaithlak tak a ni.

NOWS vangin naute taksaah eng nge thleng? Eng nge a lan chhuah dan?

Heng symptoms, withdrawal symptoms tia hriat te hi naute chuan damdawi a ei loh vek hma loh chuan a awm reng thei a ni. Hei hian naute chu a tap nasa thei a, a rilru a hahdam lo hle thei a, damlo takin a che thei bawk. Nu thar emaw, pa thar emaw tan chuan an naupang tê tê hetianga hrehawm tuar hi hmuh chu engtiang chiahin nge a harsat? Hetih hun chhung hian naute thlamuan a harsa hle thei bawk. Naute natna lan chhuah dan nasat dan azirin naute chu Neonatal Intensive Care Unit (NICU) -ah enkawl a ngai mai thei. Hei hi naute chu ruihhlo a off vek hma leh a dam that hma loh chuan a ni. A lan chhuah dan tlangpui:

• Luak chhuak leh/ emaw, luak chhuak fo
• Khawsik leh thawk hah
• Thâwk rang tak
• A tap chhunzawm zel, ring tak
• Suck fo thin
• Tremors a awm
• Diaper rash (diaper rash avanga hnute area chhunga vun sen) .

Symptom dang hmuh theihte chu:

• Muscle stiffness (Hypertonia) leh overactive reflexes te a awm bawk
• Thau tihpun harsatna
• Mut mut harsat leh muthilh reng
• Bawnghnute in chungchangah harsatna a awm
• Vun chungah marble ang maia mottled lo lang (mottling) .

Heng symptoms te hi nausen pakhatah a inang lo thei a, a nasat dan pawh a inang lo thei bawk. A innghat a ni:

• Naute taksaa damdawi chi hrang hrang awm danah a innghat a ni.
• Damdawi taksaah engzat nge a awm tih a innghat a ni.
• Naute chu a pum chhunga a awm laiin eng chen nge ruihhlo a tawrh tawh tih a innghat a ni.

Symptoms a na zual a nih chuan engtin nge ni ang?

Naute hian a pian tirh laia an taksaah damdawi a neih tam lutuk chuan natna khirh tak tak, nunna atana hlauhawm tak tak pawh a nei thei a ni. Chung zingah chuan:

• Hun hmaa nau neih
• Hmasawnna lama harsatna leh piansualna
• Seizures a awm thin
• Nausen thihpui nghal (SIDS) .

Engtikah nge symptoms a lo lang thin?

Heng symptoms te hi naute pian atanga ni khat emaw ni thum emaw chhungin a lo lang tan thei a ni. A châng chuan, kar khat thleng chu natna lan chhuahna a lang lo thei bawk. Hetih lai hian naute chu damdawi in ``NICU''-ah dah a ni fo a, chu chu taksa atanga thil awm chu a chhuak vek a, naute chu a dam tha tawk a, a haw thei ta a ni.

NOWS hian hun rei tak chhung nghawng a nei thei em?

Hei hi thil sensitive tak a ni. NOWS hian hun rei tak chhunga nghawng a neih dan chu a natna nasat dan azirin a danglam thei a ni. Naupang a lo puitlin chuan hetiang hian an tawng thei a ni:

• Developmental delays : Cognitive, social, leh motor skills lama hmasawnna tihkhawtlai.
• Sikul-a nungchang lama harsatna awm.
• Hun rei lote chhunga hriatrengna lama harsatna awm.
• Hmasawnna lama harsatna (San sang, taksa rihna tlahniam).
• Hriatna leh mit lama harsatna nei.

Chuvangin, i naute hi a kum nena inmil tura hmasawnna milestone a tlin em tih hriat chian nan wellness checkup neihpui fo a pawimawh hle . Zirna hrang hrangah chuan NOWS vei naupang piangte hian an lo puitlin chuan a hnuaia dinhmunte hi an nei tam zawk tih hmuhchhuah a ni:

• Attention-Deficit/Hyperactivity Disorder (ADHD) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Hlauhthawnna
• Lungngaihna

NOWS status hi engtin nge kan hriat theih ang?

NOWS natna lan chhuah dan hi nau piang tharte natna dang nen a inang thei a, chuvangin doctor-te chuan nuin naupai laia damdawi a ei dan an hriat hnuah leh drug screen an tih hnuah chauh natna hi an hre thei a ni He drug screen hian naute taksaah eng ang damdawi nge awm tih leh engzat nge awm tih hriat theih a ni. Hei hi naute umbilical cord, zun, thisen, emaw naute ek hmasa ber (meconium) sample test hmanga tih theih a ni. A châng chuan nu chu a natna hriat chian nân damdawi a awm leh awm loh enfiah a ni thei bawk. Chu bakah, doctor-te chuan NAS scoring system an hmang bawk . Hei hi naute natna lan chhuah dan nasat dan a zirin score pek nan leh chu mi ang chuan enkawl dan tur ruahman nan hman a ni.

NOWS enkawlna tur engte nge ni?

Naute enkawl dan tur chu a taksaa damdawi chi hrang hrang, a awm zat, naute hriselna zawng zawng leh a natna lanchhuahna nasat danah a innghat a ni. Enkawlna atan hian:

• Zawi zawiin symptoms tihziaawmna tur damdawi pek.
• Naute tui a tlakchham chuan saline intravenous (IV fluids) pek tur a ni.
• Nappy rash leh vun natna tan cream emaw ointment emaw hnawih.
• Nau hnute pek tam dan leh pek zat thlak danglam: I naute chu a rihna a tihpun theih nan calorie tamna formula chu a tlem a, a tam zawk pe thin ang che.

Enkawlna hi ni nga atanga thla ruk vel thleng a ni thei a, chu chu naute a dam leh a, an taksaah damdawi a awm tawh loh thlengin a ni. Naupang dam chhung zawngin natna lan chhuahna tihtlem nan hun rei tak enkawlna, cognitive behavioral therapy (CBT) , te hi a ngai thei a ni.

NOWS tan hian eng damdawi chi hrang hrang nge pek thin?

I naute hian natna lanchhuahna na tak a neih chuan doctor-te chuan damdawi thenkhat hmangin heng withdrawal symptoms te hi control nan leh i naute chu ei leh in leh mut that nan a pui thei ang. Hei hian i naute chu an pum chhunga an dawn ang damdawi dose tlemte tak pek a, zawi zawiin tihhniam a, naute chu chuta tang chuan hnute hnek atanga chhuah tir a ni. Hei hi a chhan chu damdawi hi tihtawp nghal (cold turkey) hian a natna lan chhuahna a ti na zual thei a ni. Hemi atana hman tur damdawi thenkhat chu:

• `(Methadone) a ni
• `(Morphine)`
• `(Buprenorphine)`
• `(Phenobarbital)` tih a ni
• `(Clonidine)`

Hetianga i naute hi damdawi pek a ngai a nih chuan kar engemaw zat emaw, thla engemaw zat emaw damdawi inah i awm a ngai mai thei. Hei hi doctor-te hrisel taka damdawi ei khap tlat a, naute in lama thawn haw theihna tur a ni.

Engtin nge nu hian a naute natna lan chhuah dan tur a enkawl theih ang?

I naute hian withdrawal symptoms a neih hian a lungkham hle thei a, thlamuan a harsa thei bawk. Mahse nu i nih angin hetiang hian i pui thei ang:

• Naute hnaih thei ang berin awm rawh.
• Naute awmna hmuna êng êng leh thawm ri nasa lutuk tihtlem.
• Naute chu zawi zawiin rock rawh.
• I naute chu i rilru hnaih takin vawn ( skin-to-skin contact ). Hei hi i naute tan chuan a thlamuanthlak hle.
• Naute chu puan nêm (swaddling) hmangin uluk takin khuh rawh.

Ruihhlo ka ei laiin ka naute hi ka hnute ka pe thei ang em?

Hei hi thil pawimawh tak a ni. Ni e, opioid ang chi ruihhlo hi i naute hnute tuiah a lut thei a ni. Hei hian i naute tan side effect hlauhawm tak a nei thei a ni. Chuvângin, i doctor-in a phal loh damdawi i hman chuan, eng thil vang pawhin i naute chu hnute pe suh . Chu ai chuan i naute chu formula emaw, donated breast milk emaw pe rawh. Mahse, ruihhlo enkawlna program-a i awm a nih chuan, chu chu naupai lai emaw, nau i neih hnu emawa withdrawal symptoms venna atana opioid pek (methadone ang chi) i ei a nih chuan, hnute i pe thei mai thei. Mahse i doctor remtihna leh i naute tan a him tih an rel chuan chauh. Ruihhlo lama harsatna i neih emaw, ruihhlo ngawlvei emaw i neih chuan, chu chu enkawl dan tur i doctor nen inbia ang che. Hrisel taka awm hian i fate mamawh ber hunah i tan awm theihna chakna a pe ang che.

Engtin nge NOWS hi kan ven theih ang?

I naute hian NOWS natna lan chhuahna na tak a neih loh nan hengte hi i ti thei ang:

• Nau i pai a nih chuan i damdawi emaw, i hman tur thil emaw i doctor hnenah hrilh ngei ang che. Hun rei tak i hman tawh damdawi i hman tawh loh thut chuan withdrawal symptoms na tak i nei thei a, chu chuan i nausen piang lai tan a tichhe thei a ni. I doctor chuan nang leh i naute tan pawha him tur enkawlna kawng hrang hrang a rawn rawt ang che.
• I doctor hnenah damdawi leh supplement i ei tur eng pawh hrilh rawh. Nang leh i naute tan pawh a him em tih enfiah rawh. I doctor-in a tih hma loh chuan damdawi engmah ei kha bansan suh.
• Naute i neih theih hma loh chuan naupai venna hmang ang che. Mipat hmeichhiatna lama inhmang a, ruihhlo hman chungchanga harsatna i neih emaw, enkawl mek emaw i nih chuan naupai theih khawpa hrisel i nih hma loh chuan him taka sex hmang thin ang che.

Ka naute hian TUN AH a nei a nih chuan eng nge ka beisei ang?

NAute NOWS vei nia hriat chu an dam ṭhat leh theih loh nan ni 20 vel damdawi inah a awm tlangpui. A châng chuan NOWS enkawlna hi thla ruk thleng a daih thei bawk. Doctor-te chuan i naute symptoms chu uluk takin an enfiah ang a, an system atanga damdawi an clear vek hnuah chauh an in lamah an thawn ang. I doctor chuan i naute hnute pek dan tur leh i naute enkawl dan tur thurawn a pe ang che. Ruihhlo i hman chuan nau hnute pe suh, damdawi chu i hnute hnute hmangin i naute hnenah a kal thei a, a hriselna tichhe thei symptom a siam thei a ni tih hre reng ang che. Damdawi in atanga i naute i rawn hruai haw hnuah, i naute hian kar engemaw zat emaw, thla engemaw zat emaw, naupan lai zawng zawng emaw, i hmangaihna leh puihna dang a mamawh ang. I naute thanlen dan leh a than dan hi ngun takin ngaihven rawh. I naute hian a kum a zirin a thanlenna tur milestone a tlin loh chuan i doctor hnenah hrilh nghal rawh.

Engtikah nge emergency treatment i zawn ang?

I naute hian heng natna khirh tak takte hi a neih chuan Emergency Department (ETU) ah kal nghal la, 1990 ah call rawh:

• Darkar 24 aia rei khawsik sang tak a awm.
• Bawnghnute i in loh chuan, a nih loh leh bawnghnute in hnua i luak a nih chuan.
• Seizure a awm chuan.
• Heartbeat a dik lo a nih chuan.
• Thâwk harsa i neih chuan.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

• Naupai lai hian eng damdawi nge ei a him?
• Engtin nge ruihhlo ngawlvei hman i bansan theih?
• Ka naute symptoms hian hun rei tak chhung a nghawng dawn em ni?
• Engtin nge ka naute enkawl lai hian ka thlamuan theih ang?

A tawp berah chuan hriat reng tur (Take-Home Message) .

Ruihhlo ngawlvei hi thil harsa tak leh buaithlak tak a ni tak zet a ni. Naupai lai hian heng rilru natna te hi a nasa lehzual thei a, tih tur hre lo ang maiin i inhria thei bawk. Mahse, nangmah chauh i ni lo tih hre reng ang che.

Nang leh i naute chu hlim leh hrisel taka nunpui thei tur enkawlna a awm a. A pawimawh ber chu i naupai laia i damdawi leh damdawi i ei zawng zawngah i doctor hnenah rinawm taka sawi hi a ni. Hei hian i doctor chuan nang leh i naute tan enkawlna tha ber a hriat theih nan a pui ang. Ṭanpuina dil hi thil dik lo a ni lo, empowering a ni.

Neonatal Opioid Withdrawal Syndrome, Neonatal Abstinence Syndrome, NOWS, NAS, nausen piang thar inhnuhdawh, naute ruihhlo hman, opioid addiction naupai, ruihhlo naupai, nausen piang thar, naute chunga ruihhlo a nghawng dan