I fa te hian herpes a vei em? Neonatal herpes chungchang hi i zir dawn nia!

I naute piang thar taksaah hian hliam tenau tlemte i hmu a, chu chuan tlem a ti buai deuh che? A nih loh leh i naute hian chaw pek emaw, thawk harsatna emaw a nei niin i hria em? A châng chuan, hengte hi Neonatal Herpes an tih natna chhinchhiahna a ni thei a, chu chuan nau piang tharte a nghawng thei a ni. Hei hi puitlingah chuan herpes nen a danglam hle a, naute tan pawh a hlauhawm deuh thei bawk. Chuvangin, sawi belh ngai lovin, he thu hi chipchiar takin han sawi ila.

Neonatal Herpes hi eng nge ni?

A awlsam zawngin sawi ila, neonatal herpes hi naute pian atanga kar ruk chhunga herpes infection a ni. Nu atanga naute hnena herpes simplex virus (HSV) a kai hian a awm tlangpui a, a bik takin nau neih laiin a thleng thin.

Hei hi naupang kum upa zawk emaw puitling emaw herpes (entir nan, hmuiah khawsik natna) ang a ni lo. He hri hi nausen piang thar tan chuan a hlauhawm hle a , a chang chuan nunna atana hlauhawm tak a ni thei bawk. Hei hi a chhan chu he virus hian naute taksa peng lian ber ber, a bik takin thluak a nghawng thei a ni . Chuvang chuan a natna lan chhuah dan hriat chian a, a rang thei ang bera enkawl a pawimawh hle. Chumi hnuah chauh chuan naute hian dam leh theihna chance a nei tha zawk ang.

United States ang ramah chuan he natna hian nau piang nung 100,000 zingah naupang 5 atanga 33 inkar a nghawng a ni. Chumi awmzia chu kum tin naute 1,500 vel chu hetiang hian herpes neiin an piang tihna a ni. Research thenkhat chuan tun hnaiah he zat hi a pung deuh niin an sawi a, mahse a chhan dik tak erawh hriat chian a la ni lo.

Hetiang dinhmun hi eng chi hrang hrang nge ni ber?

Doctor-te chuan neonatal herpes hi naute taksa peng eng ber nge virus hian a nghawng tih a zirin an thliar hrang thin. A chi thum a awm a, chungte chu:

1. Vun, mit leh hmui natna (SEM disease): Hei hian naute vunah, ka chhungah leh mit vel ah tuiin a khat blisters a siam thin

2. Central nervous system disease (CNS disease - thluak natna): Hetah hian naute central nervous system, chu chu thluak leh ruhroah virus hi a lo thang lian a, a pung chho zel a ni . A châng chuan, a tir lamah chuan natna lan chhuahna a awm lo thei a, vun hring pawh a lang lo thei bawk.

3. Disseminated disease: Hetiang a nih chuan virus hian naute taksa hmun tam tak a nghawng a, chung zingah chuan taksa peng lian tak tak liver leh lung te pawh a tel a ni . A then phei chuan thluak pawh a nghawng thei bawk.

Hei hi naute tê tê tân chuan a harsatzia hi han ngaihtuah teh. Chuvang chuan hei hi kan hriat chian a ngai a ni.

I naute hian herpes a vei tih hriattirna engte nge ni?

A lan chhuah dan langsar ber chu naute vunah, mit vel, leh hmuiah te tuiin a khat blisters a lang fo thin . Mahse, naute zawng zawng hian heng blisters hi an nei vek lo. Naute hian herpes a neih chi hrang hrangah a innghat.

Heng symptoms te hi naute pian hnu kar ruk chhungin engtik lai pawhin a lang thei a ni .A lo awm thei a, mahse kar hmasa pali chhungin a awm a rinawm ber. Thil thenkhat, blisters, naute hnute pek loh, thawk harsa, leh naute nungchang inthlak danglamna te hi in lamah i hmu mai thei. Hetiang thil hi i hriat chian chuan Doctor i pan nghal tur a ni. Mahse, damdawi lam enfiahnaah chauh hriat theih tur symptom thenkhat a awm.

Naute thaw a harsat a nih chuan, a nih loh leh naute i kaitho thei lo a nih chuan 1990 call nghal la, emergency room hnai ber pan rawh.

Vun, mit leh hmui natna (SEM natna) chhinchhiahna .

Hengte hi naute pian atanga ni 9 leh ni 11 inkarah a lang tlangpui.

• I naute vunah hian blisters chiang tak, fluid-a khat a awm . Heng blisters vel vun hi a rawng a danglam thei. Blisters te hian cluster an siam thei bawk.
• I naute mitmeng chungah emaw, a chhehvelah emaw fluid-a khat blisters . I naute mit chu a sen a, a tui a, a hring thei bawk.
• Naute hmui chhung, lei leh hmuiah hliam .

Central nervous system natna (CNS natna) natna lan chhuah dan .

Hengte hi naute pian hnu ni 16 leh ni 19 inkarah a lang tlangpui.

• Mutthilh lutuk.
• Hahdam lohna leh thinrimna reng reng.
• A ti nghing.
• Duhthusamin bawnghnute in duh lohna emaw, duh lohna emaw.
• Taksa lumna nghet lo (a sang lutuk emaw a hniam lutuk emaw).
• Naute lu ruh a soft spot te chu a bulging a.
• Seizures a awm thin.
• Vunah hian fluid-a khat blisters a awm. Hetiang natna vei naute zinga 60% - 70% vel hian heng blisters hi an nei thin.

Natna darh zel chhinchhiahna

Hengte hi naute pian hnu ni 10 leh ni 12 inkarah a lang tlangpui. I nauteah hian a hnuaia chhinchhiahnate hi i hmu thei ang:

• Taksa lumna nghet lo (a sang lutuk emaw a hniam lutuk emaw).
• Hahdam lohna leh thinrimna reng reng.
• Mutthilh lutuk.
• Duhthusamin bawnghnute in duh lohna emaw, duh lohna emaw.
• Thâwk rang leh thawk dan inthlak danglam (respiratory distress).
• Pumpui a hring chhuak.
• Vunah hian fluid-a khat blisters a awm. Hetiang natna vei naute zinga 60% velin heng blisters te hi an nei a, mahse an kai nasat zawk hnuah chauh an nei thin.

Damdawi lam test hmanga hriat theih symptoms:

• Thisen zam (disseminated intravascular coagulation) a awm thei.
• Liver a tha lo.
• Thluak natna (encephalitis) a awm.
• Lung ruh natna (myocarditis) a awm.

Nau piang tharte zingah eng thilin nge herpes hi a thlen?

Neonatal herpes hi herpes simplex virus (HSV) avanga lo awm a ni.An taksa chakna (immune system) a la thang kim loh avangin he HSV virus atang hian an na hle thei a ni.

Engtin nge nau piang tharte hnenah herpes hi a kai theih?

A tam zawk (85%) chu nau neih laiin nu atanga naute hnenah virus kai a ni . Hei hi nausen birth canal kaltlanga a lo kal laiin nu serh chhungah virus a active a nih chuan a thleng thei a ni.

A tam lo deuh (10% vel) ni mah se, naute chu a pian hnua hri kai a nih hnuah pawh a kai thei bawk. Entîr nân, hmuiah khawsik natna nei chuan naute chu a fawp a nih chuan . A nih loh leh vunah herpes natna (herpetic whitlow) neiin naute a khawih chuan.

Naupai lai hian nausen hnenah virus hi a kal theihna chance a tlem hle (5% vel) . Doctor te chuan hei hi intrauterine infection an ti a . Chumi awmzia chu HSV virus chu nausen (placenta) kaltlangin nausen (fetus)-ah a kal tihna a ni. Chutiang a nih chuan nausen piang tharte zingah herpes natna lan chhuah dan tlangpui chu naute pian atanga darkar 48 chhungin hmuh theih a ni. A châng chuan, he intrauterine infection hian nau pai a thlen thei bawk.

Nau neih laiin kai theihna risk factors

HSV hi nau neih laiin a kai thei a, chutih laia active genital herpes infection i neih chuan. Pawimawh tak chu, symptoms nei lo mah la active infection i nei thei . He virus hi i serh kawng (vagina leh cervix ang chi) ah hian symptoms i neih loh pawhin a awm thei.

Research atanga a lan dan chuan herpes infection i neih hmasak ber hun a zirin i risk hi a danglam thei hle a ni:

• Naupai lai (a hmaa herpes i tawrh loh chuan): Naupai laiin a vawi khatna atan genital herpes i vei a nih chuan, a bik takin second trimester-ah, nau neih hnaihah i naute hnena herpes kai theihna chance sang ber i nei a ni. Doctor te chuan hei hi primary first episode an ti a . Hei hi HSV subtype pahnih (HSV-1 emaw HSV-2) zinga pakhat hmanga genital herpes i vei a, subtype dang nena inzawmna i neih loh hun a ni. Chumi awmzia chu HSV virus hi i taksaah a vawi khatna atan a lut tihna a ni a, chi hnih laka antibody i nei lo tihna a ni. Naupai laiin he primary infection hi i vei a nih chuan naute nau neih lai hian i naute serh chhungah hian virus hi a awm tam zawk a ni.

• Naupai lai (a hmaa HSV subtype dang i lo tawn tawh chuan): Hei hian naupai laiin a vawi khatna atan HSV subtype pakhat hmanga genital herpes infection i nei tihna a ni a, mahse a hmaa subtype dang i tawn tawh avangin a dotu antibodies i nei a ni. Research atanga a lan dan chuan i naute hnena hri kai theihna tur hlauhawmna nasa tak a la awm a, mahse HSV kai ngai lo mi aiin a hlauhawmna a hniam zawk thei. Hei hi a chhan chu i antibody hmasa te kha placenta kaltlangin i naute hnenah an kal a, venhimna engemaw chen an pe a ni.

• Naupai hma: Naupai hmaa genital herpes i neih chuan i naute hnena virus kai theihna a tlem hle. I naute hnena kai theih nan nau neih laiin (recurrent infection) virus hi a reactivate a ngai a ni. HSV hi a thawk leh thei a, mahse zirchianna atanga a lan dan chuan naupai laia hri kai leh chuan nau piang tharte herpes a thlen theihna a tlem zawk hle a, a kai hmasak ber aiin. Hei hi i natna hmasa atanga antibody te chu i naute hnenah a kal a, a humhim avangin a ni.

Engvangin nge nau piang tharte zingah herpes hi natna hlauhawm tak a nih?

Neonatal herpes hi natna hlauhawm tak a ni a, a chhan chu naute taksa peng hrang hrang, a bik takin thluak a tichhe thei a ni . Entirnan, naute thluak a ti na thei (herpetic encephalitis) . Enkawlna hmang pawhin nausen piang thar herpes hi a chang chuan thihna thlen thei a ni.

Vun, mit leh hmui natna (SEM) hian a tir lamah naute thluak emaw, chhungril lam emaw a nghawng lo. Mahse a la hlauhawm reng a ni , a chhan chu mit tichhe reng thei leh mitdelna thlengin a thlen thei a ni . SEM hi enkawl loh chuan thluak natna (CNS disease) emaw, natna darh zau takah emaw a kal thei a ni.

Nau piang tharte herpes hi engtin nge kan hriat theih ang?

Doctor-te chuan naute natna lan chhuah dan enfiahin, test an tih hian neonatal herpes an nei tih an hmuchhuak thin. Chutiang bawka natna lan chhuah theihna tur dinhmun dang pawh paih chhuah an duh a ni. Entirnan, natna tlanglawn (leh hlauhawm lo) erythema toxicum neonatorum tih a awm a, chu chuan vun a ti na a, tuiin a khat bawk.

Doctor ten herpes an rinhlelh chuan naute taksaah herpes simplex virus a awm leh awm loh an enfiah nghal thin.

Ka naute tan hian eng test dang nge tih tur?

Doctor chuan i naute taksa atangin tui sample a la ang. Hei hian swab hmanga i naute taksa hmun hrang hrang atanga sample uluk taka lak a huam ang:

• Kawngkhar hmangin.
• Mitmeng nen.
• Kawngkhar (a chung lam nasopharynx an tih) atang hian.
• Anus kaltlangin.
• Blisters a awm chuan, chu blisters atang chuan.

I naute doctor pawhin heng sample te hi a la thei bawk:

• Thisen.
• Cerebrospinal fluid (CSF) atanga chhuak . Hei hi naute ruhro atanga tui lak chhuah a ni. Hei hian lumbar puncture a ngai a ni .

Lab testing neih a ni

Naute doctor chuan heng sample te hi laboratory-ah test turin a thawn ang. Test tih theih turte chu:

• Viral culture test: Hei hian HSV virus chu fluid sample-a tihpun nan technique bik hmangin a tipung a ni. Ni nga hnua thanna chhinchhiahna a awm loh chuan doctor-te chuan test negative (HSV a awm lo) an ngai tlangpui.
• PCR (Polymerase Chain Reaction) hmanga enfiah a nih chuan:He test hian taksa tuiah herpes simplex virus DNA a zawng thin. He test atan hian doctor-te chuan cerebrospinal fluid sample hmangin naute central nervous system a nghawng em tih hriat nan an hmang fo thin.

Test chi dang

Lab test-a i naute hian herpes a vei tih a finfiah chuan i naute medical team pawhin heng test-te hi an ti ve ngei ang:

• Chest X-ray hmanga enfiah a ni.
• Abdominal X-ray hmanga enfiah a ni.
• Thluak thlalak, MRI scan (magnetic resonance imaging scan) ang chi.
• Mit enfiahna chipchiar tak.

Heng zawng zawng hian doctor-te chu he hripui hian naute taksa peng hrang hrang a nghawng dan hriat belh nan a pui a ni. He thu hi naute enkawlna tur ruahmanna siam nan an hmang thin.

Nau piang tharte herpes vei enkawlna tur engte nge ni?

Doctor-te chuan i naute chu neonatal herpes a vei nia an rinhlelh chuan, naute chu damdawi inah enkawl tûrin an dah mai thei .

Doctor-te chuan nau piang tharte herpes natna enkawlna atan antiviral drug acyclovir an hmang a. I naute chu he damdawi hi vein (IV) kaltlangin pek a ni ang a, chutah chuan liquid (oral) angin ei tur a ni ang . I beisei theih turte chu hetiang hi a ni:

• I naute hian vun, mit leh hmui natna (SEM) a neih chuan ni 14 chhung IV hmanga enkawl a ngai dawn a ni. Chumi hnuah chuan thla ruk chhung atan damdawi ei tur (oral medication) an zir zawh a ngai dawn a ni. Hei hian vun hring (skin blisters) lo kir leh theihna a ti tlem ang.
• I naute hian central nervous system (CNS) disease emaw disseminated disease emaw a neih chuan ni 21 chhung IV treatment an mamawh ang. IV treatment zawh hnuah i naute hian thla ruk chhung damdawi ei a ngai dawn a ni. Hei hian i naute nerve hmasawnna a pui a, thluaka hun rei tak chhunga nghawng a neih theihna a ti tlem bawk.

CNS nena inzawm naute thenkhat chuan ni 21 aia rei IV treatment an mamawh thei tih hriat a pawimawh. CNS nena inzawm natna chu cerebrospinal fluid (CSF) test-a naute cerebrospinal fluid-a HSV virus a awm tih hmuhchhuah a ni. Hei hi CNS natna emaw, natna darh zel emaw vang pawh a ni thei.

Chutiang a nih chuan naute hian thluak atanga virus chu a chhuak vek tawh tih hriat chian nan follow-up spinal tap a neih a ngai dawn a ni. IV treatment tihtawp a nih hmain test hi negative a nih a ngai. Nausen thenkhat chuan thluak atanga virus tihfai nan kar khat dang emaw, a aia rei emaw an hmang thei bawk. Chumi hnuah chauh chuan oral treatment an tan thei ang.

Herpes vei naute tan eng nge a hmalam hun?

I naute thlir dan chu thil tam takah a innghat a ni. Entirnan, i naute hian herpes chi hrang hrang a neih leh enkawlnain virus a control that dan te. I naute medical team chuan hun rei lote leh hun rei tak chhunga i beisei tur dik tak an hrilh thei che a ni. Nausen neonatal herpes vei tam zawk chu an dam leh thin . Mahse, a then phei chuan he natna hian thihna a thlen thei a ni.

Antiviral drugs vangin tun hma zawng aiin tunlai hian nausen tam zawk an dam chhuak ta a ni. Tunah chuan naute disseminated disease nei zinga 71% leh CNS natna vei zinga 96% chu an piancham hmasa ber thlengin an dam thei a ni.

Nau piang tharte zingah herpes hian a chang chuan hun rei tak chhung nghawng a nei thei a, chung zingah chuan:

• Developmental delay ( hmasawnna atana thil pawimawh tak tak thlen hun tur beisei hun chhunga tihkhawtlai).
• Thinlung lama harsatna nei.
• Cerebral palsy (cheve-a chak lohna).
• Epilepsy natna a ni.

Thu lawmawm tak chu, early intervention (naupang tinte mamawh ang zela thiltih leh service) leh tanpuina kalpui zel hian i fate chu a pui thei a ni. Entirnan, i fa chuan physical therapy, speech therapy, leh assistive technology (screen reader ang chi) te chu a hlawkpui thei a ni.

Nausen piang thar zingah herpes hi ven theih a ni em?

Doctor-te chuan nausen piang tharte herpes vei lo turin theihtawp an chhuah mek a ni. I hriat tur chu hetiang hi a ni:

• Antiviral damdawi hian a pui thei: Genital herpes i lo vei tawh a nih chuan i doctor chuan i naupai kar hnuhnung bera ei tur antiviral damdawi a pe thei ang. Hei hian nau neih laiin natna a lo let leh theihna a ti tlem thei a, vaginal birth risk hniam zawk pawh a siam thei bawk.
• Cesarean section (C-section) hi a him zawk mai thei: A châng chuan doctor-te chuan cesarean section hi a ṭhatnain a hlauhawmna aiin a tam zawk a nih chuan an rawt ṭhin. Entirnan, nau neih laiin active infection i neih chuan cesarean section an ti mai thei. Chutiang a nih chuan naute chu vaginal birth i neih aiin a kai theihna a sang zawk a ni. Chuvangin, cesarean section hi a him zawk.
• Doctor-te chuan nau neih laiin inthlak danglamna an siam: Vaginal birth i neih chuan i doctor-in i naute tan eng hmanrua nge an hman tih a thlak danglam thei. Entirnan, fetal scalp monitor an hmang lo mai thei a, a chhan chu i naute vunah hian break te te a thlen thei a ni. I naute hian an vunah break a neih chuan HSV virus lut a awlsam zawk a, natna a thlen thei bawk. Doctor-te chuan i naute hri kai theihna a zirin eng hmanrua nge hman tur leh hman loh tur tih an rel ang.
• Nang leh i doctor hi team khatah in awm a: Sex chungchang i doctor nena inbiakna neih hi thil awlsam a ni lo. A nuam lo thei a, i tih duh loh thil ang pawhin a awm thei bawk. Mahse i doctor nen genital herpes laka inven dan tur sawipui hian nang leh i naute venhimna kawngah a pui thei a ni. Entirnan, herpes natna thar i vei theihna tur i nih chuan i doctor chuan naupai thla thum hnuhnung berah mipat hmeichhiatna hman kha tihtlem emaw, tihtawp emaw turin a fuih thei che a ni. Naupai hnu lama HSV-1 emaw HSV-2 emaw a inhriat hmasak ber hi nau piang thar herpes vei theihna tur risk factor ber a ni.

Engtikah nge Doctor ka hmuh ang?

I naute hian neonatal herpes symptoms eng emaw zat a neih chuan doctor pan nghal rawh . Neonatal herpes hi enkawl vat a ngai a ni. I naute chu enkawlna a hmuh hma chuan dam rei leh dam theihna chance a sang zawk a, hun rei tak chhunga nghawng a neih tlem ber emaw, a awm lo emaw a ni. I naute well-check leh tur chu nghak suh.

Naute hian an hmuiah khawsik natna an nei thei em?

Awle. Naute hian herpes simplex virus (HSV) an kai chuan an hmuiah khawsik natna a nei thei a ni. He virus hian nausen piang tharte chu a ti na hle thei a ni. I naute chu a inhriatchhuah tawh nia i hriat emaw, natna lan chhuah dan emaw a nih chuan doctor pan rawh.

Herpes vei chuan naute a nei thei ang em?

A ni ngei ang. Genital herpes vei tawhte chuan naute hrisel tak tak an hring thin. Dik tak chuan genital herpes i nei tih hmuhchhuah a nih chuan virus hian harsatna a thlen loh nan naute i neih a rinawm zawk. Hei hi a chhan chu herpes infection lo awm leh hian a vawi khatna atana infection aiin neonatal herpes a thlen tlem zawk vang a ni.

Mahse, i doctor nen i medical history chungchang sawipui a pawimawh a, chutiang chuan naupai leh nau neih laiin fimkhur a tul ang.

Thil tam tak atan i inbuatsaih tawh mai thei, mahse hetiang thil hi i beisei lo a ni mai thei. Nausen piang thara herpes vei hmuhchhuah chu thil mak tak a ni thei a, a bik takin a theih nia i ngaih loh chuan. He dinhmun hi nitin hmachhawn la, darkar tin pawh ni mai thei.

Naute tam zawk chuan enkawlna an dawng tha hle. Medical science hian hun kal zelah hma a sawn nasa hle a, chuvangin beiseina neih chhan tam tak a awm.

I hlauhthawn emaw, i rilru a buai emaw a nih chuan i naute medical team hnen atangin tanpuina la rawh. Enkawlna kawng zawh tur leh nitin i beisei turte hriatthiamna an pe thei che a ni.

Thil pawimawh ber ber (Take-Home Message) i hre reng ang u.

• Neonatal herpes hi naute tan chuan natna hlauhawm tak a ni thei .
• Nau neih laiin nu atanga naute hnenah a kai fo thin .
• Naute vun vun hring, mut tam lutuk, hnute pek loh, thawk harsaHetiang symptoms i hmuh chuan doctor advice la nghal rawh .
• Inenkawl vat chuan naute nunna a chhanhim thei a, hun rei tak chhunga harsatna awmte a tiziaawm thei bawk.
• Herpes i vei a nih chuan naupai laiin i doctor nen inbiakna neih a pawimawh hle a, chutiang chuan i naute hnena natna a thlen loh nan hma i la thei ang.
• Don't worry , damdawi lam enkawlna dik leh i hmangaihna leh enkawlna nen chuan naute tam tak an dam leh thin.

Nangmah chauh i ni lo tih hre reng ang che. Doctor te chu nang leh i naute tanpui turin an awm reng a ni. Chuvangin eng thil pawh sawipui rawh.

` neonatal herpes, nausen herpes, HSV, nausen natna, vun hring, thluak natna, naupai laiin herpes