I fate pian hnua an thawk dan tur chungchangah hian tlem i lungkham emaw, i buai ngai em? A chang chuan nausen piang tharte hian thawk lamah harsatna lian tak an nei thei bawk. Vawiin hian hetiang dinhmun khirh tak pakhat kan sawi dawn a, mahse hriat a pawimawh tak zet a ni. Hei hi damdawi lam chuan Persistent Pulmonary Hypertension of the Newborn, a tawi zawngin PPHN an ti a.
A awlsam zawngin PPHN chu eng nge ni?
Hei hi hrethiam tur chuan nausen nu pum chhunga a awm lai leh a pian hnua a thaw dan inang lo hi kan hriatthiam hmasak a ngai a ni.
Ngaihtuah teh, i naute chu i pum chhunga a awm lai hian i hnen atangin a mamawh oxygen chu umbilical cord kaltlangin a dawng thin. Chutih lai chuan naute lung a thawk lo. Chuvang chuan lung (pulmonary arteries kan ti)-a kal thisen kalna kawngte chu a khauh a, a inkhar fo thin. Thisen hian a tam zawk chu lung a paltlang a, taksa dang zawng zawngah a kal thin.
Mahse naute piang leh thawk hmasa ber a lak veleh inthlak danglamna lian tak a thleng tur a ni . Naute lung chu boruakin a khat a, chu thisen kalna kawngkhar, a hmaa inkharkhip tawhte chu a inhawng tur a ni. Chumi hnuah chauh chuan thisen chu lungah a kal thei a, oxygen a la thei a, chu thisen oxygen khat chu taksa pum pui, a bîk takin thluak, thinlung leh kal-ah a phur thei a ni.
PPHN an tih condition-ah chuan chutiang chu a ni lo. Naute a pian hnuah pawh a lung chhunga thisen kalna kawngte chu a inhawng tha lo. An tight reng a ni. Tichuan, thisen chu lungah a kal tawk loh avangin naute taksa peng hrang hrangte hian oxygen an mamawh ang an hmu lo.
PPHN hi nausen piang thara awm thei medical emergency pawi tak, nunna atana hlauhawm tak a ni . Pian hnu lawkah a awm tlangpui.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Hei hi thil awm dan tlangpui a ni lo. Nau piang nung 1,000 zinga pahnih (2) vel chu PPHN vei theihna hlauhawm an ni. Naute term-a piang (kar 37 leh 42 inkar) leh kar 42 hnua piang zingah a tam ber. Mahse, nausen piang hmasaah chuan a awm tam lo hle.
PPHN natna lan chhuah dante chu engte nge ni?
Heng symptoms te hi fimkhur a pawimawh hle a, a chhan chu i hmuh chuan doctor lam pan nghal tur a ni.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Thâwk harsa | Thâwk rang tak emaw, thawk slow lutuk emaw, thawk chhuah laiin thawm ri, leh rilru chhunga inhnukdawk ang chi thilte. |
| Heart rate a sang chho zel | Nauteah hian heart rate sang tak a awm lo. |
| Vun rawng blue/gray a inthlak (Cyanosis) . | Thisenah oxygen a awm tawk loh chuan naute vun, a bik takin hmui, lei leh kut zungtang te chu a sen emaw, a sen emaw a lo ni thei. |
| Thisen sang hniam (Hypotension) . | Naute thisen sang chu a pangngai loin a hniam a. |
| Thisenah oxygen level a tlahniam | Naute thisen oxygen level hi damdawi hmanrua hmanga teh chuan a hniam hle. |
| Thinlung ri pangngai lo (Heart Murmur) . | Doctor-in stethoscope hmanga a enfiah laiin thinlung atanga thawm danglam emaw, danglam bik emaw hriat. |
PPHN vei chhan leh hlauhawmna te chu engte nge ni?
Researchers haven’t found a specific cause for this yet , mahse he natna hi naute lung chhunga thisen kalna kawngte a lo thanglian tha lo vang emaw, naute pian hnua pawn lam khawvel nena insiamrem (a inhawng) theih loh vang emaw a ni thei niin an ngai.
A chhan dik tak hriat ni lo mah se, thil ṭhenkhat chuan PPHN vei theihna a tipung thei a ni.
| Risk factor a ni | Hei hi eng nge thleng? |
|---|---|
| Meconium duhthusam a ni | Naute ek hmasa ber ni thin, thick, dark green stool (meconium) hi naute lung chhungah a lut thei a ni. Hei hian lung a tichhe thei a, PPHN a thlen thei bawk. |
| Infection awm thei te | Infection na tak tak, lung infection, pneumonia emaw thisen rimchhia emaw ang chi te. |
| Thluak lama harsatna nei (RDS) . | Nausen piang hmasaah hian thawk harsatna a awm fo thin a, a chhan chu an lung a lo thang kim loh vang a ni. |
| Nau piang Asphyxia a awm | Nau piang hma emaw, pian lai emawa thluak leh taksaa oxygen tlakchham. |
| Diaphragmatic Hernia natna (Diaphragmatic Hernia) a ni | Diaphragm (ril leh pum inthenna ruh)-a khur awm chuan pum chhunga taksa peng hrang hrangte chu rilru chhungah a rawn chhuak thei a ni. Hei hian lung hmasawnna a tibuai a ni. |
| Piansualna dangte | Harsatna dang, congenital lung abnormalities emaw heart valve block emaw te pawh a awm thei. |
| Naupai laia damdawi ei \henkhat | Naupai hun tawp lama natna tidamtu (NSAID) thenkhat leh antidepressant (SSRI) thenkhat ei hian hei hi a nghawng thei a ni. |
PPHN hian hun rei tak chhung nghawng a nei thei em?
Awle. Hei hi natna khirh tak a ni a, thluak leh taksa peng dangte oxygen tlakchham vangin hun rei tak chhung nghawng a nei thei a ni. PPHN damchhuak naute 4 zinga 1 (25%) vel chuan chak lohna chi khat emaw an nei ang.
Anni chu:
- Hmasawnna lama tlai lutuk
- Hriatna lama harsatna emaw, bengchheng emaw
- Zirna kawngah harsatna a awm
- Taksa tih theihna tlahniam
Engtin nge PPHN hi hmuhchhuah a nih?
Doctor-te chuan naute hian he natna hi a nei nia an rinhlelh chuan test eng emaw zat an nei ang a, a natna hi an finfiah ang.
| Fiahna | Hemiah hian eng nge i hmuh? |
|---|---|
| Thisen chhiar kim (CBC) 1.1. | Thisen chhunga thisen var, thisen sen leh platelet awm zat tehna. Hei hian natna hrik a awm leh awm loh hriat theih nan a pui thei a ni. |
| Pulse Oximetry (Pulse Ox) hmanga tih a ni. | Naute kut zungtang emaw, ke emaw-ah hian hmanraw te tak te an bun a, thisen chhunga oxygen level chu a teh chhunzawm zel a ni. |
| Arterial Blood Gas (ABG) hmanga tihchhuah a ni. | Thisen sample la la, a oxygen leh carbon dioxide level dik takin teh rawh. |
| Chest X-ray neih a ni | Thinlung a lian em tih emaw, lung natna dang a awm leh awm loh enfiah nan. |
| Echocardiogram (Echo) hmanga tih a ni. | Hei hi thinlung scan a ni. Thinlung leh lung lama thisen kal dan endik a, PPHN dinhmun finfiah a pawimawh hle. |
| Lu Ultrasound (lu scan) hmanga tih a ni. | Thluaka oxygen tlakchham vangin thluaka thisen a chhuak leh awm loh enfiah. |
PPHN hi engtin nge enkawl a nih?
PPHN enkawlna tum ber chu naute taksa peng hrang hranga oxygen thleng tam hi a ni . Hei hian harsatna lian tham tak tak a thlen loh nan a pui thei a ni. Chumi atan chuan enkawlna kawng engemaw zat hman a ni.
| Enkawl dan tur | Hei hi eng nge thleng? |
|---|---|
| Oxygen pek chhuah | Naute chu hnar-a tube te tak te, mask emaw, oxygen hood emaw hmanga 100% oxygen pek. |
| Mechanical Ventilation hmanga boruak siam theihna | Naute thlipui (windpipe)-ah tube dahin, ventilator hmangin naute thawk tur a awm a. |
| Thisen sang control nana damdawi | Saline (IV) hmanga thisen sang siam thatna tur damdawi pek. |
| Nitric Oxide hmanga siam a ni | Hei hi gas a ni. He gas hi respirator hmanga pek hian lung chhunga thisen kalna kawngkhar (constricted blood vessels) te chu a tizau thei a ni. |
| ECMO (Extracorporeal Membrane-a Oxygenation) hmanga tihchhuah a ni. | Hei hi enkawlna buaithlak tak a ni a, a hnuhnung ber atan hman a ni. Naute thinlung leh lung a chhiat chuan ECMO machine hian taksa atangin thisen a la a, oxygen a dah belh a, taksaah a thawn kir leh thin. Pawn lam thinlung leh lung ang mai a ni. |
Naute a dam leh theih nan eng chen nge a mamawh?
PPHN vei tam zawk hi kar khat emaw kar hnih emaw chhungin a reh a, mahse naute thenkhat chu an dam kim theih nan thla tam tak an ngai thei. Hemi hun chhung hian i naute chu khawsik, flu, leh virus infection dang laka venhim a pawimawh hle .
- I kut chu uluk takin silfai ang che.
- Naute chu mipui tamna hmuna hruai loh tur.
- Naute chu mi damlo lakah hla takah dah la.
- In chhunga mi zawng zawngin kum tin flu vaccine hi lak vek tur a ni.
Tin, naute thanlenna leh thanlen dan pangngai a nih leh nih loh hriat nan ni ruat saah clinic-ah kal a pawimawh bawk.
Engtikah nge Doctor ka hmuh ang?
Damdawi in atanga i naute a lo haw hnuah fimkhur hle a ngai a ni. A hnuaia symptoms te hi i hmuh chuan doctor pan nghal rawh. I naute chu damdawi in hnai ber Emergency Department (ETU)-ah hruai rawh.
- Naute hian khawsik a neih chuan.
- Bawnghnute i in tlem chuan.
- I thawk chhuah laiin i rilru a luhchilh emaw, i hnar kawngkhar zau taka i thawk emaw a nih chuan.
- Thâwk chhuah laiin whistling emaw groaning ri emaw i hriat chuan.
- Naute vun chu a rawn sen leh tan chuan.
I naute hian PPHN a vei tih i hriat chuan rilru natna tam tak i nei thei a, chu chu lungngaihna, hlauhna, thinrimna leh buaina te hi a ni. Hei hi thil pangngai a ni. I tih theih ṭha ber chu i naute enkawltu doctor leh nurse-te hnen aṭanga i theih ang anga i dinhmun hriat hi a ni. Hei hian thil awmdan chu a hrethiam zawk ang. Hun a kal zel a, i naute dinhmun chungchangah nangmah ngeiin i expert i ni tawh ang. I naute tan i tih theih zawng zawng i ti tih i ring tlat ang.
Take-Home Thuchah a ni
- PPHN hi nau piang tharte thawk lama harsatna lian tak, mahse enkawl theih a ni.
- Hei hi medical emergency a ni a, damdawi ina dah nghal a ngai a, enkawl nghal a ngai bawk.
- I naute vun rawng sen leh thawk chak ang chi vaukhânna chhinchhiahna awmte chu fimkhur reng ang che.
- Enkawlna tum ber chu naute thluak leh taksa peng dangte oxygen tling pek hi a ni.
- Naute a dam hnuah pawh hun rei tak chhunga a than dan enfiah turin doctor nena inbiak reng a pawimawh hle.
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