I fate a pian hnuah damdawi inah eng nge thleng? (Nau piang thar enkawlna) .

I nunah ni duhawm leh hlu ber a lo thleng ta. Hmeichhe naupang emaw, mipa naupang emaw i kuah a rawn lut ta. Hetih laia i hlimna hi tawngkam hmanga sawi chhuah theih a ni lo, a dik em? Chutih rual chuan i thinlung kil khatah hlauhna leh lungkhamna tlem a awm bawk. Zawhna hrang hrang "Tunah hian eng nge thleng dawn?", "Naute chu a tha em?", "Damdawi inah eng nge an tih ang?" i lu chhungah an tlan lut mai thei. Hei hi thil pangngai tak a ni. Chuvangin vawiinah hian i fate he khawvela a lo luh hnua damdawi ina thil thlengte hi, awlsam takin, i hriatthiam theih dan tur angin i sawi dawn nia.

Naute pian hnu lawka thil thleng

Nau i neih hnuah medical staff te chuan i naute chu an enkawl tan thuai dawn a ni. Hei hi hun pawimawh tak a ni.

A hmasa berah chuan hengte hi an ti thin:

• Naute chu vawt tha rawh: Naute chu nu pum lum takah hian rei tak a awm tawh a. Vawikhat a chhuah chuan boruak lum leh vawt a inthlak danglam thin. Chuvang chuan naute hi vawt vat a, vawt taka vawt reng a pawimawh hle.
• Thlawhna kawng tihfai: Naute hnar leh hmuiah hian tube te tak te emaw, puan emaw hmangin uluk takin mucus a awm lo tihfai thin a ni. Hei hi naute chu engmah tihbuai loha thawk tha zawk tura tih a ni.
• Puan lum taka tuam: Naute i vawt a, i tihfai hnuah puan lum leh thianghlim takah chuan nghet takin tuam tur a ni.

Tichuan, naupang enkawltu doctor emaw, nurse trained emaw a lo kal ang a, rang takin naute hriselna a enfiah ang. Naute hian heng symptoms te hi a neih chuan emergency medical care a ngai lo tlangpui:

• Naupai a zawh tawh a, naute a lo piang tawh a nih chuan (kar 37 a zo tawh).
• Muscle function tha a awm chuan (kut leh ke a che tha a nih chuan).
• Thâwk harsa a awm loh chuan.
• Apgar score chu a satisfactory level a nih chuan.

Heng zawng zawng hi a felfai chuan rang takin i naute chu i chelh thei ang. Hei hi vun leh vun inzawmna, a nih loh leh Kangaroo Care . Hei hian hlawkna a tam hle.

• Naute chu a pum atanga a chhuah hnuah boruak thar a hman thiam theih nan a pui thin.
• Nu leh naute inzawmna chu a nghet hle a.
• Hei hian nu bawnghnute siam chhuah tipung turin a pui bawk.

I naute chu normal delivery hmanga i neih emaw, Caesarean section hmanga i neih emaw pawh nise, he vun leh vun inzawmna hi a rang thei ang bera dil theih a ni.

Apgar Score hi eng nge ni?

Nau piang atanga minute khat leh minute nga hnuah doctor emaw nurse emaw chuan Apgar test a ti ang. Hei hi test awlsam tak a ni a, naute hriselna hriat theihna tur a ni. A en thin thil 5 te hi hriatreng a awlsam hle. APGAR tih thumal atanga lo chhuak a ni.

Heng area tinte hi score 0, 1, 2 pek a ni a, chutah chuan score 5 zawng zawng chu an belhkhawm vek a ni. Total score (maximum 10) atang hian doctor te chuan chutih lai chuan naute chu eng ang ngaihven nge a mamawh tih an rel thin. Score 7 aia tam a nih chuan naute chu a dinhmun a tha hle tihna a ni. Mahse score a hniam chuan lungngai suh. Doctor-te hian thil an tih a ngai tihna mai a ni a, naute chu thawk turin tanpuina tlem pek ang chi hi a ni.

Damdawi ina naute enkawlna pawimawh tak takte

Nausen natna laka venhim nan a pian hnu lawkah enkawlna pawimawh engemawzat pek nghal a ni.

Mit a tlakbuak

Nausen a lo pian hian nausen pian kawng a paltlang rualin mit chhungah bacteria chi hrang hrang a lut thei a. Hengte hian mit natna khirh tak a thlen thei a, a chang chuan mit a tichhe thei bawk. Chumi ven nan chuan naute mitah antibiotic drop emaw ointment emaw hnawih thin a ni.

Vitamin K shot a ni

Nausen piang tharte hian an taksaah vitamin K a tlem hle. Thisen zam nan Vitamin K hi a pawimawh hle. Chuvangin, vitamin K tlakchhamna avanga thisen chhuak nasa tak (hemorrhage) lo awm thei tur ven nan naute zawng zawng chu an pian hnu lawkah vitamin K injection pek vek an ni. Hetiang thisen chhuahna hi thluaka a lo awm chuan thluak a tichhe reng thei a ni. Chuvang chuan he injection hi a pawimawh em em a ni.

Nausen piang tharte vaccine pek dan

Naute nunna humhim tura vaccination program hi a pian hnu lawkah tan a ni.

• Hepatitis B vaccine: Hei hian naute chu hepatitis B virus lakah a venghim a ni. He virus hian thin natna khirh tak a thlen thei a ni. Nu emaw, pa emaw hian natna hi a nei emaw nei lo emaw, naute hian kawng dang hmangin a kai thei a, chuvangin World Health Organization chuan nausen zawng zawngte chu an pian tirh atangin he vaccine hi pek vek turin a rawt a ni. Hei hi vaccine dose thum a ni. A hmasa ber chu nau piang laiin pek a ni a, a dang pahnih chu naute kum khat a tlin hmain pek a ni.
• RSV vaccine: A châng chuan, i doctor chuan i naute chu respiratory syncytial virus (RSV) laka venhimna atan Nirsevimab tih hming pu monoclonal antibody a rawt thei a ni. Hei hi a tul a ni:
• Naute hi RSV virus a hluar lai (a tlangpuiin Sri Lanka rama ruahtui tlak hun lai) a piang a nih chuan.
• Nuin naupai laiin RSV vaccine dik tak a dawng lo a nih chuan.

Nau piang thar Screening tih dan pangngai

Pian tirh atanga hmuh theih loh, mahse a hmaa hriat chhuah a nih chuan awlsam taka enkawl leh tihdam theih chi hrang hrang a awm. Chungte hriatchhuah nan naute tinte chu test hrang hrang an nei thin. Hei hi naute ke ruh atanga thisen tlemte lak chhuah hmanga tih a ni .

He thisen sample hmanga enfiah damdawi lam dinhmun pawimawh thenkhat chu:

• Phenylketonuria (PKU) a awm thei hi a ni.
• Pianpui atanga lo chhuak hypothyroidism a awm
• Sickle cell natna a ni
• Cystic fibrosis natna (cystic fibrosis) a awm thin
• Metabolic natna dang (Inborn errors of metabolism) 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Hei bakah hian test dang engemaw zat tih a ni bawk:

• Hearing test: Nakin lawka tawng leh tawng lama harsatna a awm loh nan naute hriatna enfiah a ni.
• Pulse Oximeter test: Naute kut zungtang-ah hian clip ang chi hmanrua te tak te dahin thisenah oxygen level a teh thin. Hei hian critical congenital heart disease (CCHD) a awm leh awm loh hriatchhuahna kawngah a pui thei a, hei hi natna awm lo tak a ni a, hriat harsa tak a ni thei bawk.
• Jaundice a awm leh awm loh test:Naute thisen bilirubin level a sang em tih enfiah thin a ni. Nausen tam tak chuan vun a sen deuh a, mahse he test hi a hlauhawm level-ah a awm leh awm loh hriat nan a pawimawh hle.

Damdawi ina i awm chhunga thil dang thleng

I hospital bag-a i thawmhnaw te te uluk taka i dah kha a hmeltha tih loh chu i naute hian thil dang tlemte a hmachhawn dawn a ni.

Chaw pek

Dehydration ven nan i nau piang thar chu chaw pek fo a ngai a ni. Nau hnute i pek chuan thawktute chuan i hnute pek hun chhung leh i pek tam dan an chhinchhiah ang. Formula feeding i nih chuan bawnghnute i pek zat an hre chiang ang. Hospital-a nau hnute pek dan tur thurawn petu tur lactation consultant hnen atanga tanpuina dil zak suh. Nu vawi khatna emaw, nu vawi hnihna emaw, a vawi thumna emaw i nih pawhin thil thar i zir ngei ang.

Bath hmasa ber

World Health Organization (WHO) chuan naute inbual hmain darkar 24 tal nghah a rawt a ni. Tun hma chuan naute hi an pian hnu lawkah an inbual thin a. Mahse, inbual hun sawn chuan:

• Naute taksa lum leh vawt tihreh nan a pui thin.
• Vun a vawt loh nan a veng.
• Hei hian nau hnute pek hlawhtlinna pawh a nghawng tih hmuhchhuah a ni.

Naute umbilical cord stump a vawt theih nan kar khat emaw kar hnih emaw a ngai a, chuvangin a hnim loh nan sponge bath pek a tha ber.

Meconium a ni

Doctor-te chuan naute pian hnu darkar 24-48 chhungin bowel movement a nei em tih hi uluk takin an ngaihven thin. He bawlhhlawh hmasa ber hi meconium an ti a . A dum a, a thuk a, a sticky bawk . Ni hnih atanga ni thum hnuah a rawng sen pangngaiah a rawn let leh thin.

Serhtan

Nausen mipa a pian chuan nu leh pa remtihnain a pian atanga ni khat emaw ni hnih emaw chhungin serh tan theih a ni. Hei hian penis foreskin chu surgery hmanga lakchhuah a ngai a ni. Chutiang ti tur chuan naute chu vitamin K injection pek a ngai a ni.

Damdawi in atanga engtikah nge i haw dawn?

A tlangpuiin nausen hrisel tak chu ni hnih atanga ni thum chhungin a haw thei. Mahse, nu emaw naute emaw tan harsatna a awm chuan damdawi ina awm rei pawh a rei thei.

In lama haw a, i nun thar bul tan chu i hmanhmawh hle mai thei a, mahse doctor-te chuan nang leh i naute chu an haw hmain engkim a kal tha em tih enfiah hmasak an duh a ni. Nang leh i naute tana tha ber tur an ngaihtuah fo thin. Zawhna i neih apiang, eng ang pawhin tenau pawh ni se, zawh hlau suh.