Nu emaw, pa emaw i nih angin i naute khawvela lo thlen hun chu nghakhlel takin i nghak reng a ni. Mahse, a chang chuan, ruahmanna angin thil a kal lo. I naute hi a pian hma emaw, a pian tirh atanga hriselna lama harsatna buaithlak tak a neih emaw chuan hlauhna leh lungkhamna nasa tak a neih hi thil pangngai a ni. Mahse, lungngai suh. He hun harsa karah hian i fate enkawl tura a bik taka zirtir doctor a awm a. Chu doctor chu Neonatologist kan ti a . Vawiin hian he Doctor hi tu nge a nih leh eng nge a tih tih hi han sawi ila.
Neonatologist chu tu nge ni tak tak?
A awlsam zawngin sawi ila, Neonatologist chu nausen piang tharte enkawltu doctor a ni. Mahse nau piang thar zawng zawng erawh a ni lo. Hei hi nausen piang hmaa piang , emaw, damdawi lam harsatna khirh tak, pianpui chak lohna, emaw, hlauhawm dang neia piangte enkawltu doctor a ni.
I naute chu kar 37 hmaa piang niin han ngaihtuah teh. A taksa peng hrang hrang, a bik takin a lung leh a thinlung hi a lo thang kim lo mai thei. A nih loh leh naute hian a pian tirh aṭanga hriat chhuah thinlung natna a nei thei bawk. Chutiang hunah chuan Neonatologist-in naute a enkawl ang.
Heng doctor te hian damdawi in ' Neonatal Intensive Care Units (NICU) ah te hna an thawk fo thin. Hei hi ward a ni a, nausen damlo emaw, nausen piang hma emaw tan darkar 24 chhung special care pek thin a ni . A châng chuan i naute pian hmaa scan-naah harsatna a awm tih hriat chhuah a nih chuan chuta ṭang chuan Neonatologist chu i naupainaah a inrawlh thei a ni. I naute pian hnu lawka enkawlna pe turin nau neihna hmunah pawh an awm thei bawk.
Neonatologist hna ber chu eng nge ni?
Neonatologist mawhphurhna hi a zau hle a. Nausen damdawi pek mai a ni lo. An hna ber chu natna khirh tak nei nausen te tak te nunna chhanhimna atana thil tul zawng zawng inzawmkhawm hi a ni.
A hnuaia table atang hian chiang zawkin i hrethiam ang u.
| Tihtur | Hrilhfiahna awlsam tak |
|---|---|
| Diagnosis leh enkawl dan | Nausen piang tharin eng natna, hri kai leh harsatna dangte nge a neih tih chiang takin an zawng chhuak a, chutah chuan a tul anga enkawlna an tan ta a ni. |
| Care enkawl dan leh inremna siam | Naute chu zai a ngai a nih chuan, emaw, doctor dang, cardiologist emaw, neurologist emaw puihna a ngai a nih chuan, naute hian enkawlna tha ber a dawn theih nan engkim a inrualrem a ni. |
| Test neihpui | Naute dinhmun enfiah nan thisen test, X-ray, echocardiogram, ultrasound tih ang chi test neih tir a ni. |
| Nutrition assurance a ni | Nausen damlo chuan hnute a pe tha thei lo mai thei. Chuvang chuan naute hian ei leh in tur dik tak a dawng em tih kan enfiah thin. A tul chuan feeding tube pawh kan hmang thei. |
| Nu leh pa te thlawp | Nu leh pate hi an naute NICU-a a awm lai hian an stress nasa hle. Chuvang chuan heng doctor te hian naute dinhmun leh a enkawl dan te nu leh pate hriattir a, an mamawh rilru lam tanpuina pek hi heng doctor te hna pawimawh tak a ni. |
Engtikah nge Neonatologist tanpuina i mamawh?
Vawi tam tak chu neonatologist chu beisei loh takin a mamawh nghal a ni. Mahse, a \henah chuan naupai laiin chutiang specialist \anpuina chu a ngai mai thei.
Chutiang case thenkhat chu hetiang hi a ni:
- I naupai hi a hlauhawm hle a nih chuan: Zunthlum emaw thisen sang emaw ang chi damdawi lam harsatna i neih chuan naute chu a nghawng thei a ni.
- Naute chu a hun hmaa pian theihna chance sang tak a awm chuan: Doctor-te’n hei hi an lo hriat lawk tawh chuan neonatologist tanpuina i la thei ang.
- Nausen pum chhunga naute chu pianpui natna a vei tih hmuhchhuah a nih chuan:Scan hmanga naute thinlung, thluak emaw, taksa peng dang emawa harsatna a awm tih a hriat chuan neonatologist chuan naute a pian hmain ruahmanna a siam ang.
- Naute chu a pian hun hmaa a pian chuan.
- Naute hian nau a neih laiin harsatna (birth injury) a tawk a nih chuan.
- Naute chu natna hrik emaw natna emaw neia piang a nih chuan.
- Nau neih lai emaw, nau neih hnu emawa beisei loh harsatna a awm chuan.
A pawimawh ber chu hetiang dinhmunah hian nangmah chauh i ni lo tih hriat hi a ni. I naute enkawlna tha ber pe thei tur medical team thiam tak i nei tih hre reng ang che.
Neonatologist-in a enkawl dan tlangpui
Neonatologist chuan damdawi lam dinhmun khirh tak tak chi hrang hrang a enkawl a, chung zingah chuan:
- Prematurity: Hei hian taksa peng hrang hrang (a bik takin lung) thang kim loteah harsatna a thlen thin.
- Nau piang rit lo: Nausen gram 2500 aia rit emaw, nausen than chak lohna emaw.
- Congenital malformations: Pian tirh atanga awm thin, thinlunga khur (septal defects), nervous system lama harsatna te.
- Thâwk lama harsatna: Naute hian a mah chauhin thawk a harsat a.
- Lung natna: Thinlung thawk mumal lo (bradycardia) emaw, thinlung chak lo emaw ang chi dinhmun.
- Thluak lama harsatna: Thil pawi tak tak, seizure emaw thluaka thisen chhuah emaw.
- Thisen sugar level hniam (Hypoglycemia).
- Jaundice: Nausen piang tharte zingah natna tlanglawn tak, mahse a chang chuan na tak a ni.
- Nau piang hliam.
Neonatologist leh pediatrician te hi eng nge an danglamna?
Hei hi mi tam tak tibuaitu a ni. A awlsam zawngin sawi ila, Neonatologist zawng zawng hi a tir chuan Pediatrician an ni.
Hetiang hian han ngaihtuah teh. Naupang enkawltu doctor chu naupang natna zawng zawng enkawl a, vaccine pe a, an pian ni atanga kum 18 vel an nih thlenga an hmasawnna enfiah thin doctor a ni. Amah emaw chu i "kid's doctor" a ni.
Mahse Neonatologist chu naupang enkawltu a ni a, kum engemaw zat chu nau piang thar, a bik takin damdawi lam harsatna lian tak nei te tan a specialist a ni. An ngaih pawimawh ber chu naute dam chhung ni hmasa ber emaw, kar khat emaw chhunga lo awm nunna atana hlauhawm tak takte enkawl hi a ni. I naute a dam leh a, NICU atanga a haw hnuah chuan i regular pediatrician chuan i naute enkawlna chu a la ang.
Neonatologist hian eng enkawlna nge a pek?
NICU chu hmanraw changkang tak tak hmanga thuam hmun a ni. Neonatologist chuan he hmanrua leh enkawlna chi hrang hrang hmangin i naute nunna chhanhim nan a pui thin.
| Enkawl dan tur | Hrilhfiahna awlsam tak |
|---|---|
| Thâwk lakna ṭanpui | Naute thawk tur hian CPAP leh ventilator ang chi hmanrua te hman a ni. |
| Taksa lum leh vawt control | Nausen piang hma chuan an taksa lum leh vawt tihreh a harsat avangin incubator ang chi hmanraw lum takah dah an ni. |
| Light therapy hmanga enkawlna | Naute jaundice vei te chu blue light bik hmanga enkawl an ni. |
| IV hmanga enkawlna te | Naute chu saline hmangin tui, antibiotics leh damdawi dangte pek a ni. A tul chuan thisen pek a ni bawk. |
I naute hian neonatologist hnen atanga enkawl a mamawh a nih chuan doctor chuan i naute dinhmun, enkawlna pek tur leh a hlauhawm dan zawng zawng a hrilhfiah vek ang che. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor hnenah zawt mai rawh. I dikna a ni.
Take-Home Thuchah a ni
- Neonatologist chu nau piang thar, a bik takin nau piang hma emaw, damdawi lam harsatna khirh tak nei emaw chungchanga specialised training nei doctor a ni.
- I naute hian NICU-ah enkawl a mamawh a nih chuan Neonatologist kaihhruai medical team-in naute chu a enkawl ang.
- Heng doctor-te hian naute natna hriat dan, enkawl dan, ei leh in leh enkawlna zawng zawng an enkawl a ni.
- I naute dinhmun emaw, a enkawl dan emaw chungchanga zawhna i neih apiang chu i doctor hnenah zawt mai rawh. Thu chiang tak dawn hi i dikna a ni.
- Neonatologist chu i naute nun hrisel pe tura inpe mi a ni. Chuvangin medical team hi ring rawh.
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