I naute pian hnua test a paltlang thin Apgar Score chungchang hi han sawi ila!

I fate he khawvela lo kal tur hian engtiang chiahin nge i phur? I naute a pian hnuah hian doctor leh nurse ten an tih nghal thin test engemaw zat a awm a. Chung zinga pawimawh ber pakhat chu Apgar Score tih a ni. He term hi i lo hre tawh mai thei. Chuvangin, vawiinah hian awlsam leh hriatthiam awlsam takin i sawi dawn nia. Thil ngaihtuah tur a awm lo, hei hi naute ti hlauhawm tur thil a ni lo, naute hriselna tur ngaihtuahna hmasa ber neih theihna tura test tenau tak mai a ni

Apgar Score hi eng nge ni?

A awlsam zawngin, Apgar Score hi i naute piang thar pian hnu lawka score pek a ni. I naute "report card" hmasa ber ang mai a ni. Mahse i naute finna leh hmalam hun tur a sawi lawk lo. I naute pian hnua a taksa hnathawh bulpui (basic body functions) a thawk tha em tih leh damdawi lam pan vat a ngai em tih hriat nan hman a ni ber.

He test hi doctor leh specialist ten an ti thin. Naute pian hnu minute khatah heng score te hi an pe a, minute nga hnuah an pe leh bawk. A châng chuan naute dinhmun hi tlem tal fimkhur a ngai nia an hriat chuan minute 10, 15, 20 hnuah pawh he test hi an ti leh thei a ni.

Engtikah nge hetiang hian i tih? Engvangin nge chu chu?

Kan sawi tawh ang khan he Apgar test hi vawi hnih tih a ni ber:

1. Pian atanga minute khatna chhungin: Hei hi naute chu a pum atanga a chhuah veleh he boruak thara a insiamrem dan te, a taksa system te hian hna a thawk tan em tih kan en hian a ni. Hei hian naute hian eng ang tanpuina nge a mamawh nghal tih kan hrethiam ang.

2. Pian hnu minute 5: Hetih lai hian naute dinhmun endik leh a ni. Naute tam zawk chu minute khatna aiin tunah chuan an tha zawk. He checkup vawi hnihna hian naute chu a chhehvela a insiamrem dan leh enkawlna bik a mamawh leh mamawh loh a zirchiang a ni.

Ngaihtuah teh, hmun thara kan insawn thut hian kan hman thiam theih nan hun rei tak kan hmang thin. Naute pawh chutiang bawk chu an ni. An nu pum lum leh himna atanga an chhuah chuan he khawvel hi an thiam theih nan hun engemaw chen an hmang thin. Chuvang chuan minute 1 leh 5 ah kan check thin.

Apgar test hian eng nge a teh tak tak?

Hei hi hriat reng a awl hle mai. Letter panga APGAR tih hi heng point pangate hi hriatrengna awmchhun a ni. Heng hawrawp pakhat zel hian English thumal pakhat a entir a ni. Sinhala tawngin pakhat zel i hrethiam ang u :

1. A – A lan dan – Naute vun rawng:

• Hei hi naute vun rawng enfiah nan a ni . Taksa pum pui hi pink rawng mawi tak a ni em, a nih loh leh taksa peng chauh neia pink a ni em, a nih loh leh taksa pum pui hi blue emaw pale emaw a ni em?
• Engvângin nge hei hi a pawimawh? Vun rawng hian naute thisen a kal tha em tih leh thisen hian oxygen a dawng tawk em tih min hriattir thei a ni. Nausen oxygen tam tak dawng mek chu pink a ni tlangpui.

2. P – Pulse – Naute thinlung thawk dan : .

• Hei hian naute heart rate a teh a ni. Chu chu doctor emaw nurse emaw chuan naute rilruah an kut dahin emaw, stethoscope hmangin emaw a enfiah ang .
• Engvângin nge hei hi a pawimawh? Heart rate hi nunna chhinchhiahna bulpui ber a ni. I naute thinlung a chak zia leh a hrisel zia a hrilh che a ni. Minute khata beat 100 aia tam a nih chuan a ropui hle. (Naute hi keini thinlung aiin a rang zawk.)

3. G – Grimace response – Pawn lam thila thil thleng (Reflexes) laka chhanna:

• Hei hian nautein a tihchakna tlemte a dawn dan enfiah a huam a ni. Entirnan, a chang chuan naute kut emaw, kephah emaw zawi zawiin i fawp thei a, an hnar bulah thil tenau tak tak i ti thei bawk (e.g., phihfai rawh).
• Engvângin nge hei hi a pawimawh? I naute chu a tap tha a, a thawk tha a, a khuh a, a taksa peng hrang hrang atanga chhuah a tum a nih chuan a reflexes te chu a thawk tha tihna a ni. Hei hian i naute nervous system a thawh that dan tur ngaihtuahna a pe thei che a ni.

4. A – Hnathawh – Taksa ruh (muscle tone): .

• Hei hian naute ke leh ke a che dan te, taksa ruh (muscle tone) a awm leh awm loh, taksa a jerky em tih te a enfiah thin.
• Engvângin nge hei hi a pawimawh? Naute chuan an kut leh ke a che tha hle a, a kut leh ke a ben deuh a, an taksa ruhte chu a thawk tha hle tih a lantir a ni. An hlim hmel a nih chuan, emaw, i chawi chhuah hunah an tlu ang maia lang emaw a nih chuan chu chu i ngaihven tur a ni.

5. R – Thâwk lak dan – Thâwk chakna leh thawhrimna: 1.1.

• Hei hi naute thaw dan enfiah nan a ni. Naute tap tha leh chak tak chu a thawk tha tlangpui. Thâwk chakna, thawk rhythm leh thawk chakna te pawh enfiah a ni bawk. Hetah hian naute hi a thawk muang em, a thawk mumal lo em ni, a thawk tha lo em ni tih pawh a pawimawh hle.
• Engvângin nge hei hi a pawimawh? Nunna atan oxygen hi a pawimawh hle. Naute tan a mah chauha thawk tha a pawimawh hle.

Engtin nge grade pek thin?

Tunah chuan thil pangate chu eng nge ni tih kan hre ta. Heng thil pakhat zel hi score 0, 1, 2 pek theih a ni.

• 0 points: Chu chu action inzawm a awm lo tihna a ni.
• Score 1: Chu chu eng emaw chen chu a awm tihna a ni a, mahse a tha tawk lo tihna a ni.
• Score 2: Hei hian a kaihhnawih thiltih chu a tha hle a, a hrisel hle tihna a ni.

Chuvangin, Apgar Score zawng zawng chu item panga zawng zawng score te chu add up a ni. Score sang ber chu 10 (item pakhatah point 2, item 5-ah point 10) a ni.

Mahse hei hi hre reng ang che: Naute tlemte chauhvin 10 zinga 10 ṭha famkim an hmu! Naute tam zawk chuan score 7, 8, 9 an hmu a, hei hi a chhan ber chu naute hrisel tak tak pawhin an pian hnu lawkah an kut zungtang leh ke ruh thlengin rawng dum tlem a nei thei a ni. Hei hi `(Acrocyanosis)` an ti a. Hei hi a chhan chu naute taksa a lum deuh hma loh chuan thisen kalnain a ke ruh tawp a thlen theih nan hun rei tak a mamawh vang a ni. Hei hi thil pangngai tak a ni a, ngaihtuahawm tur a awm lo. Hun engemaw chen hnuah a bo mai ang.

Atlangpuiin:

• Score 7 to 10: Naute chu a hriselna a tha a, enkawlna bik a mamawh lo tihna a ni.
• Score 4 atanga 6: Naute hian tanpuina tenau engemaw zat a mamawh thei. Entîr nân, naute hnar leh hmui i hrual a ngai mai thei a, vun tichaktu i pe a, rei lo tê oxygen i pêk a ngai mai thei.
• Score 4 aia tlem a nih chuan: Naute hian damdawi lam pan vat a ngai a ni. Hei hian naute thawk tura puih leh an thinlung thawk dan pangngaia siam leh ang chi thil a kawk a ni.

Apgar score a tlahniam a nih chuan kan buai tur em ni?

Hei hi nu leh pa tam takin zawhna lian ber an neih chu a ni. Apgar Score a tlahniam chuan mi thenkhat chuan, "Ka naute hi thil pawi tak a thleng em?"

Ni lo, ngaihtuah buai suh.

• Minute khatnaah hian score a hniam deuh thei a, mahse minute 5 test-ah naute tam zawk score hi a sang chho zel a ni. Chumi awmzia chu naute chu khawvelah a insiamrem zauh zauh tihna a ni.
• Apgar score hi chutih laia naute dinhmun tilangtu chauh a ni. Nausen hmalam hun hriselna te, finna te, nungchang te, a fing tur zia te engmah a sawi lo. Hei hi hre reng ang che.
• He scoring system hi doctor leh nurse ten thutlukna rang tak an siam theihna tura duan a ni. "He naute hian tunah hian eng ang tanpuina nge a mamawh?"
• A châng chuan naute chu nau neih harsa tak neia piang emaw, a hun hmaa piang emaw a nih chuan Apgar score chu a hniam deuh thei a ni. Mahse, chutiang dinhmunah chuan naute tanpui dan tur chu medical team te hian an hre chiang hle.

Ngaihtuah teh, naute thenkhat chu an pian tirh hian he khawvel hi an insiamrem thei lo deuh thin. Hun engemaw chen oxygen pek ang chi tanpuina tlem i pek chuan an dam thuai ang.

I hriat tur thil (Take-Home Message) .

Okay, chuvangin, kan sawi tawh atanga kan hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Apgar Score hi naute pian hnu lawka test rang tak a ni a, naute hriselna dinhmun tawi te te hriat theihna tur a ni.
• Hei hian thil panga a en ber a, chungte chu naute vun rawng, thinlung chakna, thil tichaktu a chhan dan, taksa peng hrang hrang hnathawh dan leh thawk dan te an ni.
• 10 zinga 10 score ṭha famkim hmuh hi a tlem hle a, score 7, 8, 9 hmuh hi thil awmze nei tak a ni.
• Apgar score hniam chuan naute hmalam hun tur engmah a sawi lo. Chutih lai chuan naute hian tanpuina a mamawh em tih en tur chauh a ni.
• Doctor leh nurse te chu nang leh i naute tanpui turin an awm reng a ni. Chuvangin, zawhna emaw rinhlelhna emaw i neih chuan zawh hreh ngai suh.

I naute chu hrisel tak leh hlim takin he khawvelah hian a lo kal ngei kan beisei! Tunah chuan Apgar Score hi i hrethiam zawk ngei ka beisei.