I nau piang thar hian thawk harsatna a nei em? PPHN (Persistent Pulmonary Hypertension of the Newborn) chungchang hi i zir dawn teh ang!

Nausen piang thar hi nun hlimna ber pakhat a ni a ni lawm ni? Mahse, tlema hlauhna leh lungkhamna nei hi thil pangngai tak a ni bawk a, a bik takin naute hriselna chungchangah. A chang chuan nausen piang tharte hian thawk harsatna engemaw zat an nei thei bawk. Chu chu dinhmun pawi tak a ni a, mahse kan hriat vek chuan kan enkawl tha thei vek a ni . Vawiin hian awlsam takin sawi ila.

PPHN chu eng nge ni? Eng nge ni tak tak?

A awlsam zawngin sawi ila, PPHN hi naute piang tharte thawk lama harsatna lian tak a ni. I naute chu i pum atanga lo chhuakin pawn lam boruak a thawk tan a, an circulatory system pawh a insiamrem tha lo a nih chuan a thleng thin.

Hetiang hian han ngaihtuah teh. I naute chu i pum chhunga a awm chuan a oxygen chu umbilical cord kaltlangin, placenta kaltlangin a dawng a ni. Chutih lai chuan a lungah thisen a kal tam lo. Hei hi a chhan chu lung (pulmonary arteries)-a thisen kalna kawngte hi a inkharkhip a, a zim fo thin vang a ni. Thisen thenkhat chuan lung a paltlang a, taksa dang zawng zawngah a kal nghal vek a ni. Kawngpui a inkhar laia kawng dang zawh ang mai a ni.

Mahse, naute a pian leh thawk hmasa ber a lak veleh inthlak danglamna lian tak a thleng tur a ni . Tichuan, lung chhunga thisen kalna kawng khar tawhte chu a inhawng (`(dilate)`) a ngai a ni. Chu chu boruak nen oxygen chu lung chhungah a lut a ni. Tichuan, thisen chu heng thisen kalna kawng inhawng hmang hian lungah a kal a, oxygen a la a, chu thisen oxygen khat chu taksa pum puiah a sem darh a, a bik takin thluak, thinlung leh kal (kidney)-ah te a sem darh ta a ni.

PPHN an tih dinhmunah chuan naute lung chhunga thisen kalna kawngte chu a inhawng tha lo emaw, a inhawng tawk lo emaw a ni. Chuti a nih chuan eng nge thleng? Lung chhunga thisen sang (pulmonary hypertension) a lo awm a. Hei hian naute thluak leh taksa peng pawimawh dangte hnena oxygen a thlen zat a tihtlem phah a ni. Hei hi nunna atana hlauhawm medical emergency a nih avangin enkawl tan nghal a ngai a ni.

Hetiang dinhmun hi engtiang chiahin nge PPHN tia koh a nih?

PPHN hi nau piang nung 1,000 zinga 2 vel ah a awm thin. Naute term-a piang (kar 37 leh 42 inkar) leh nau piang hun hnuhnung (kar 42 hnu lama piang)-ah a tam ber. Mahse, full-term naute-ah chuan a awm tlem hle.

PPHN natna lan chhuah dante chu engte nge ni? Engtin nge kan hriat chian?

I naute hian PPHN a neih chuan a symptoms a lantir thei a:

• Thâwk harsa: thawk rang lutuk emaw, thawk slow lutuk emaw, thawk laiin thawk hah ri chhuak, leh i rilru a pil ang maia inhriatna (`(retractions)`).
• Lung chakna sang (`(Rapid heart rate)`).
• Naute vun chu a sen (cyanosis) angin a lang thei a , a bik takin hmui, lei leh kut zungtang ang chi hmunah te a lang thei.
• Thisen sang hniam (hypotension).
• Thisenah chuanThisenah oxygen level a tlahniam .
• Thinlung ngaihthlak laiin aw extra emaw, danglam bik emaw (`(heart murmur)`) hriat.

Naute pian hnu lawkah, a nih loh leh darkar tlemte chhunga heng symptoms pakhat emaw a aia tam emaw i hriat chuan doctor-te hriattir nghal a pawimawh hle.

PPHN lo awm chhan hi engte nge ni?

Researcher-te chuan PPHN thlentu dik tak hi an la hre chiang lo a , mahse naute lung a lo thanglian loh vang emaw, nausen pum atanga an chhuah hnua pawn lam boruak a insiamrem (inhawng) theih loh vang nia ngaih a ni.

Eng thil nge PPHN vei theihna tipung?

A chhan dik tak hriat ni lo mah se, thil ṭhenkhat chuan naute chu PPHN vei theihna a tipung thei a ni. Eng nge an nih hi han thlir ila:

• `Meconium aspiration` : Hei hi naute chu a pum chhunga a awm laiin a ek hmasa ber (`(Meconium)` kan ti a, a thuk deuh a, a hnim deuh bawk) chu a thawkna kawngah a lut a ni.
• Infection: Lung infection, pneumonia emaw, thisen kai emaw.
• Respiratory distress syndrome (RDS): Hei hi nausen piang hma, an lung a lo thang kim loteah hmuh tur a awm fo.
• Birth asphyxia: Nausen pian hma emaw, nau pian lai emawa oxygen dawng tlem.
• Diaphragmatic hernia: Hei hi naute rilru leh pum (diaphragm an tih) inthenna muscle-a khur a lo awm hian a awm thin. Hei hian pum chhunga peng thenkhat chu chu khur atang chuan rilru chhungah a nawr lut thei a ni.
• Thinlung emaw, lung emaw pianpui thil dang: Entirnan, lung te tak te emaw, thinlung valve block emaw.
• Naupai laiin damdawi thenkhat hman: A bik takin naupai lai hian damdawi ``NSAIDs`` (nonsteroidal anti-inflammatory drugs) leh ``SSRIs`` (selective serotonin reuptake inhibitors) tih te hman pawh a nghawng thei niin an sawi. Chuvang chuan naupai laia damdawi eng pawh i ei a nih chuan doctor nena inbiak a pawimawh hle.

PPHN hian hun rei tak chhunga nghawng a neihte chu engte nge ni?

PPHN damchhuak naute pali zinga pakhat (4 zinga 1) vel chuan thluaka oxygen a tlakchham avangin eng emaw chen chu chak lohna an nei a ni. Heng harsatna hrang hrangte hi:

• Hmasawnna lama tlai lutuk .
• Hearing issues , a châng chuan bengchheng pawh a awm thei.
• Zirna lama harsatna nei te .
• Taksa tih theihna tlahniam .

Chuvangin, naute PPHN atanga dam chhuak tawhte chu damdawi lam enkawlna hnuaia dah chhunzawm zel tur leh an thanlen dan enfiah zel a pawimawh hle.

Engtin nge PPHN hi hmuhchhuah a nih?

I naute doctor chuan i naute hian PPHN a vei em tih hriat nan test hrang hrang a ti thei a ni. Chung zinga ṭhenkhat chu:

• Complete blood count (CBC): Hei hian naute thisena thisen var, thisen sen leh platelet awm zat a teh a ni.
• Pulse oximetry (pulse ox): Hei hi naute thisena oxygen level tehna atana hmanraw awlsam, non-invasive a ni.
• Arterial blood gas (ABG): Hei hian naute taksain oxygen a dawn that dan leh carbon dioxide a paih chhuah that dan tehna a ni.
• Chest X-ray: Hei hian naute thinlung a lian em tih emaw, lung natna a awm em tih hriat nan a pui a ni.
• Echocardiogram (echo): Hei hi naute thinlung ultrasound chipchiar taka tih a ni. Thinlung leh lungah thisen a kal dan a teh thin.
• Head ultrasound: Hei hian naute thluaka thisen chhuak eng emaw zat a awm leh awm loh enfiah nan a pui a ni.
• Serum electrolyte test: Heng test te hi naute thisena mineral awm zat balance leh awm loh enfiah nan hman a ni.
• Lumbar puncture (spinal tap): He test hi a chang chuan naute hian natna hrik a neih leh neih loh enfiah nan tih theih a ni.

Heng test zawng zawng hi tih vek a ngai lo; Doctor-te chuan naute dinhmun a zirin eng test nge tih tur tih an rel ang.

PPHN hi engtin nge enkawl a nih?

PPHN enkawlna tum ber chu naute taksa peng hrang hranga oxygen kal tam leh harsatna lian tham lo thleng tur ven hi a ni. Hei hi enkawl dan hrang hrang a awm a:

• Oxygen: Naute chu hnar cannula, hnar prongs, mask hmangin 100% oxygen pek theih a ni .
• Mechanical ventilation: Doctor chuan naute thlipui (trachea) chhungah tube a thun a, ventilator hmangin naute thaw a pui thin.
• Thisen sang control dan: Naute chu vein (`(IV)`) hmanga thisen sang control nan damdawi pek theih a ni.
• Nitric oxide: Nitric oxide hi i naute lung chhunga thisen kalna kawng hawn (dilate) theitu gas a ni a, chu chuan lung chhunga thisen kalna a titha a ni.
• High-frequency oscillatory ventilation: Hei hi ventilation chi khat bik a ni bawk. Naute thisena oxygen level tihsan nan a pui thei a ni.
• Extracorporeal membrane oxygenation (ECMO): He machine hi naute thinlung emaw lung emaw a chak lo lutuk a, enkawlna dangin a thunun theih loh hunah hman a ni. Hun eng emaw chen atan naute taksa atangin thisen a la a, oxygen a dah belh a, taksaah a rawn let leh a, thluak leh taksa peng dangah oxygen a pe leh thin. Artificial lung ang maiin hna a thawk a ni.

PPHN hi kan veng thei ang em?

Kan sawi tawh ang khan PPHN hi eng nge a thlen tih chiang taka kan la hriat loh avangin pumpelh theihna tur kawng a awm lo . Mahse, naupai laiin damdawi thenkhat ei loh chuan i hlauhawmna a tihziaawm thei a ni. Chuvangin, naupai i nih chuan damdawi eng pawh i ei hmain i doctor nen inbiakna neih hmasak phawt la, naupai chhunga ei tur a him em tih enfiah hmasa phawt ang che.

PPHN atanga dam leh theih nan eng chen nge a ngaih?

Nausen tam zawk chu kar khat emaw kar hnih emaw chhungin PPHN atang hian an dam leh thin . Mahse, naute thenkhat chu an dam kim theih nan hun rei zawk, a chang chuan thla tam tak pawh a ngai thei. I naute a dam hnuah pawh khawsik, flu leh virus infection dang laka venhim a pawimawh hle. Hei hi i kut silfai fo te, mipui tam tak hmaa i naute inhmuhna tihtlem te, leh damlote laka i naute inhlat taka dah te hmangin tih theih a ni. Tin, in chhung mi zawng zawng tan kum tin flu vaccine lak thin hi a tha hle bawk.

A bik takin, i naute chu a hmasawnna a kal tha em tih enfiah nan medical checkup leh specialist tlawh fo turin hruai a pawimawh hle.

PPHN damchhuahna rate leh outlook chu engzat nge ni?

PPHN hi natna khirh tak a ni a, vanduaithlak takin he natna vei naute zinga 7% leh 10% inkar chu harsatna avangin an thi thin. Nausen dam chhuak zinga 25% vel, a nih loh leh pali zinga pakhat vel chuan thluaka oxygen tlakchham vangin hun rei tak chhung nghawng (thil tihkhawtlai, zir lama harsatna, leh hriatna lama harsatna) a nei thei a ni.

Engtikah nge i naute chu doctor hnenah i hruai ang?

I naute chu PPHN atanga a dam leh hnuah, i naute chu follow-up appointment zawng zawngah hruai vek tur a ni . Hei hian i doctor-in i naute a enkawl chhunzawm zel theih nan a pui ang. Chutih lai chuan i naute hian a hnuaia symptoms te hi a lan chhuah chuan doctor rawn la nghal rawh:

• Khawsik i neih chuan.
• Bawnghnute i ei tlem chuan, a nih loh leh bawnghnute i in loh chuan.
• I thawk laiin i rilru a pil lut a nih chuan, emaw, i hnar kawngkhar zau taka i thawk a nih chuan.
• Thâwk chhuah laiin whistling emaw grunting sound emaw i siam chuan.
• Vun chu a sen emaw, a sen emaw a nih tan chuan.

I nau piang thar hian PPHN ang natna a nei tih i hriat chuan lungngaihna, hlauhna, thinrimna leh buaina inzawmkhawm hi thil pangngai a ni. Chu chu thil awmdan pangngai a ni. I naute enkawltu doctor leh nurse te hnen atangin PPHN chungchang hi i theih ang angin zir rawh. I naute dinhmun chungchang, i thlamuan theih dan leh i tanpui theih dan tur zawng zawng an hrilh ang che. Hun a lo kal zêl chuan i naute dinhmun chungchânga mi thiam tak i lo ni tawh ang a, i naute tâna i tih theih zawng zawng ti tûra inrintawkna i nei ang.

Thil pawimawh hriat reng tur (Take-Home Message) .

• PPHN hi nausen piang tharte thawk lama harsatna lian tak a ni. Hetiang dinhmunah hian lung chhunga thisen kalna kawngte chu a inhawng tha lo a, chu chuan taksain oxygen a neih tlem phah a ni.
• Hei hi a chhan dik tak hriat a la ni lo nain , risk factors a awm a, chu chu meconium aspiration, infection, RDS, leh nau neih laiin oxygenation tlahniam te hi a ni.
• Thâwk harsa, vun rawng, thinlung na chak tak ang chi symptoms i neih chuan doctor thurawn la nghal rawh.
• Enkawlna hrang hrangah hian oxygen, ventilator support, nitric oxide, leh ECMO te a tel.
• Although it is impossible to completely prevent it , doctor thupek angin naupai laiin damdawi him chauh ei a pawimawh.
• Damchhuah hnuah hun rei tak chhung medical monitoring leh growth check neih a pawimawh hle.
• Hetih lai hian nangmah chauh i ni lo . Doctor leh chhungte hnen atangin tanpuina dawng rawh. Naute tan hian thil tam tak tih theih a awm a.

` PPHN, nausen piang thar, thawk lama harsatna, pulmonary hypertension, oxygen, nausen piang thar enkawlna, cyanosis