I naute piang thar chu a hmui hnuai lam leh a hmui a te lutuk tih i hmu ngai em? A bik takin a hnungzang chunga a mut lai hian thawk a harsat hmel em? Duhthusamin a rilru a buai deuh niin a lang em? Nuin hetiang thil a hmuh hian hlauhna a neih hi thil pangngai a ni. Vawiin hian heng symptoms te hi a thlen thei thil awm lo mahse pawimawh tak kan sawi dawn a ni. Pierre Robin Syndrome (PRS) kan ti a.
Pierre Robin Syndrome (PRS) hi eng nge ni?
A awlsam zawngin sawi ila, Pierre Robin Syndrome (PRS) hi piansualna hmuh tur awm lo tak a ni a, naute chu nausen pum chhunga a lo thanglian lai a ni. Doctor-te chuan Pierre Robin Sequence an ti \hin. Hetiang dinhmun hian naute hmai a nghawng ber a, a bik takin hmui leh hmui a nghawng nasa hle. Heng harsatnate hian naute tan thawk a harsa thei a, a hnute a hnek a, bottle atanga in a ti harsa thei bawk.
Ngaihtuah teh, kan hmai peng hrang hrangte hi a inrual taka lo thanglian tur a ni. Lower jaw chu a siam that hnuah chuan lei chu a awmna tur dik takah a lo lut ta a ni. Tichuan upper palate chu a lo piang ta a ni. Mahse PRS-ah chuan he thupek hi tihbuai a ni. Chuvangin a chang chuan "Sequence" an ti thin.
Hetiang dinhmun hi a tam vak lo. A vaiin naupang 8,500 zinga pakhat vel chauhvin he natna hi an vei theihna chance an nei a ni. Chuvangin he thu hi i hriat hian hlauthawng suh. Mahse hei hi hriat chian a pawimawh hle.
Engtin nge ka naute hian PRS a nei tih ka hriat theih ang? A lan chhuah dan berte chu engte nge ni?
Vawi tam tak chu nausen pian veleh doctor-te chuan heng chhinchhiahnate hi an hmu nghal thei a ni. Taksa inthlak danglamna leh chhinchhiahna thenkhat chu PRS-ah hian hmuh tur a awm ber. A hranin han en ila.
| A mizia awm dan | Hrilhfiahna awlsam tak |
|---|---|
| Taksa lama danglamna lian tham tak tak | |
| A hnuai lam leh a hmui te te (Micrognathia) . | Naute hmui hnuai lam leh a hmui hi a lian lo hle. Hei hi hmel profile i en chuan chiang takin a lang. |
| Cleft Palate a awm | Kawng chunglam, chu chu kawr (palte) chu a khar kim lo. A laiah chuan gap a awm a. Hei hian i in laiin hnar atangin bawnghnute a chhuak thei a ni. |
| Lei chu rilru lam hawia kal (Glossoptosis) . | A hnuai lam chu a te a nih avangin ka chhunga lei chu a in fit tha tawk lo va, lei chu a tla leh a, chu chu kawr lam hawiin a tla a ni. Hei hi thawk harsatna thlentu ber a ni. |
| A rilru a buai em em a | Naupang thenkhatah chuan cleft palate nei loah chuan palate chu a tlangpui aia sang zawkin, arch ang maiin a sang thei hle. |
| Pian tirh atanga ha neih (Natal teeth) . | A tlem hle a, naupang thenkhat chuan an pian tirh lamah ha pakhat emaw a aia tam emaw an nei thei. |
| A rah chhuah Symptoms te | |
| A rilru a buai em em (Stridor emaw Stertor emaw) . | Lei chu kawr chhunga a tlak chuan thawkna kawng a tikhawlo thei a, bengchheng emaw, bengchheng ri emaw a siam thei bawk. He thawm hi a bik takin naute chu mut turin an hnungzang chunga dah a nih hian a langsar hle. |
| Bawnghnute in harsat | Cleft palate leh lei awmna avang hian naute hian a hnute a latch tha thei lo a, hnute a su thei lo thei bawk. Duhthusamin bawnghnute chu a rilruah a tlakbuak thei bawk. |
| Weight gain lama harsatna a awm | Nausen hnute pek a harsat avangin naute hian chaw mamawh a dawng lo thei a, a thau pawh a tipung tha lo thei bawk. |
Engvangin nge hetiang hi a lo awm? Hei hi eng nge a chhan?
Dik tak chuan doctor-te chuan hei hi a chhan dik tak an la hmu lo a, mahse nausen pum chhunga a lo seilian laia genetic mutation engemaw zat lo awm vang a ni thei tih kan hria.
Hei hi a inzawm dan chu hetiang hi a ni:
1. Pakhatnaah chuan naute hmui hnuai lam chu a lo thanglian tha lo. A lo thang lian lo hle.
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3. Lei chu hetiang hian a lo chhuak a, thawkna kawng chunglam a tikhawlo.
4. Hetih lai hian naute hmui chunglam hmun hnih chu a inkhar tawn tur a ni. Mahse lei lo chhuak chu a inzawm tlat avangin palate hmun hnih chu a inzawm thei lo va, a laiah gap a awm ta a ni.
He thil thleng hrang hrangte hi a inzawm tlat a, domino row pakhat hnu pakhata tla ang maiin a inzawm tlat a ni. Chuvang chuan Pierre Robin Sequence an ti bawk.
A châng chuan rochun aṭanga lo chhuak a ni thei bawk. Entirnan, PRS hi genetic condition dang, Stickler syndrome ang chi feature angin a lo awm thei a ni.
Hetiang dinhmun hi a hlauhawm em? Complication a awm thei em?
He thu i hriat hian hlauthawng tih hi thil pangngai tak a ni. PRS hi a na lo atanga na tak thlengin a awm thei . Mild level-ah chuan a buaithlak vak lo.
Mahse, PRS na tak i neih chuan thawkna kawng a tihkhawtlai chhunzawm zel avangin nunna atana hlauhawm harsatna a awm thei.
- Thluak lama harsatna: Thluak kawng a khar vek.
- Thisen oxygen level hniam (Hypoxemia): Taksa tan oxygen tling lo.
- Pulmonary hypertension: Thinlung atanga lung thlenga thisen phurtu thisen kalna kawng hrang hrangah pressure a sang.
- Congestive heart failure: Lung hian a tuar tur harsatna avanga a hnathawh a chak lohna dinhmun a ni.
Mahse, heng thilte hi hlau suh. I naute hian PRS na tak a neih chuan doctor leh damdawi ina thawktute chuan uluk takin an enfiah ang. Harsatna eng emaw a awm chuan a rang thei ang bera enkawl tan turin an inpeih tawh ang.
Engtin chiah nge doctor hian hei hi a hmuh?
A tam zawkah chuan naupang enkawltu doctor chuan naute pian hnua damdawi inah routine checkup neihnaah heng symptoms te hi a hre thei a ni.
Naute hian natna khirh tak a neih chuan a pian tirh lamah hriat theih loh a ni thei. Amaherawhchu, naute chu a thau chhoh loh emaw, thawk laia thawm mak tak tak a chhuah loh chuan doctor-in a ringhlel mai thei.
Ringhlelna a awm chuan doctor chuan heng test te hi a ti thei ang:
- Taksa enfiahna kimchang: Hetah hian kan sawi tawh symptom pathum (small chin, tongue thrust backward, cleft palate) te chu uluk takin kan enfiah a.
- CT scan (Computed Tomography scan): Hei hian naute hmai ruh awm dan leh a awm dan chiang taka hmuh theih nan a pui a ni.
- Sleep study: He test hi naute hian obstructive sleep apnea (OSA) a nei em tih hriat nan tih a ni a, hei hi a lei a tlak leh avangin mut laiin thawk a tawp thin.
Hei hi eng enkawlna nge ni?
Enkawlna chu i naute natna lan chhuah dan nasat danah a innghat a ni.
Mild PRS
Naupang thenkhat dinhmun hi chutiang chuan a na lo. An lo upat deuh deuh chuan an hmui hnuai lam pawh a lo thang lian zel bawk. A hnuai lam a lo sei chuan lei hian chawlhna hmun a nei a, chuvangin a rilruah a tla tawh lo mai a ni. Tichuan thawk harsatna pawh a bo ta a ni. Chutiang naupangte chuan eng surgery pawh an mamawh lo mai thei.
Doctor chuan hetiang hian thurawn a pe che a ni:
- Naute mut dan: Naute lu chu a sir lamah hawi la, a pum chungah dah la, muthilh turin. Hei hian gravity chuan lei chu hmalam pan turin a ti a, thawk chhuahna tur boruak kawng a hawng thei a ni. Doctor thurawn tel lo chuan hetiang dinhmunah hian i naute hi mut tir ngai suh.
- Nu hnute pek dan bik: Cup leh bottle bik hman a, naute chu dinglam hawia chaw pek a tha.
PRS na tak a ni
Naute hian thawk a harsat em em a, a hnute a pe thei lo a nih chuan zai a ngai mai thei.
- Mandibular distraction osteogenesis: Hei hi surgery neih tam ber a ni. Hetiang tih danah hian surgeon chuan naute hmui hnuai lam ruh chu pahnih-ah a tikehsawm a, an inkarah chuan hmanrua te tak te a dah a ni. Tichuan, ni engemaw zat chhung chu ruh chi hnih chu a inthen theih nan hmanrua chu a inher a ni. Chumi hnuah chuan an inkar gap chu ruh tharin a khat ta a ni. Chutiang chuan a hnuai lam chu zawi zawiin a sei thei a ni. Jaw a sei deuh deuh chuan lei chu hmalam a pan a, thawkna kawng a hawng ta a ni.
- Tracheostomy: Thâwk harsatna a nasat chuan a kawr hma lamah khur te tak te siamin, thlipuiah direct-a tube dahin naute thawk a ṭanpui ṭhin. Hei hi emergency-a naute nunna chhanchhuahna atana tih a ni.
- Tongue-lip adhesion: Hei hi thil tih dan pangngai lo tak a ni. Hetiang tih danah hian lei tip chu hmui hnuai lam ah hun eng emaw chen an suture thin. Hei hian lei chu kawr chhungah a tlak loh nan a veng a ni. A hnuah naute hmui a lo seilian chuan suture te chu an tan a, an la chhuak leh thin.
Nu leh pa angin eng nge ka tih ang?
I naute hian he natna hi a nei tih i hriat chuan ngaihtuah tur tam tak i nei tih i hre mai thei. Chu chu thil pangngai a ni. Nang leh i naute hi in ni lo tih hre reng ang che. Doctor leh damdawi ina thawktute pawhin an puih theih reng che a ni.
Hengte hi an hrilhfiah ang che:
- I naute natna lan chhuah dan enkawl dan: Surgery leh enkawlna dang, a thatna leh that lohna te uluk takin hrilhfiah i ni ang a, chutiang chuan i naute tan thutlukna tha ber i siam thei ang.
- In lama naute enkawl dan: Naute mut tir dan te, nau hnute pek dan tur te, emergency a awm chuan eng nge tih tur tih te, etc. I hriatthiam loh chuan zawhna zawh nawn leh hlau suh.
- Support group leh services: Hetiang natna vei naupang nu leh pa dangte pawhin an zawm theihna tur support group chungchang information i hmu thei ang. Nangmah ang bawka thil tawn tawhte nena inbiakna chu thlamuanna nasa tak a ni thei.
I naute doctor hnenah heng zawhnate hi i zawt tur a ni:
- Ka naute dinhmun hi engtiang chiahin nge a nasat?
- PRS tih loh chu damdawi lam harsatna dang a nei em?
- Surgery neih i rawt ang em? Engati nge?
Hei hi rochun thil a nih avangin damdawi famkim a awm lo tih hre reng ang che. Mahse enkawl dan dik a nih chuan a natna lan chhuah dan chu a thunun vek thei a, i naute chu naupang dang ang bawkin hrisel, nun pangngaiin a nung thei bawk.
Take-Home Thuchah a ni
- Pierre Robin Syndrome (PRS) hi piansualna a ni a, naute hmui hnuai lam a ti tha lo. Hei hian lei chu kawr chhungah a tla thla thei a, thawk lak leh hnute pek a harsat phah thei a ni.
- Hei hi thil awm lo tak a ni a, naute pian hnu lawkah hriatchhuah a ni fo.
- Enkawlna chu a natna lan chhuah dan nasat danah a innghat a ni. Naupang thenkhat chu an lo upat deuh deuh chuan an dam chho zel a, mahse a nasat deuh chuan zai a ngai mai thei.
- Hetiang dinhmun i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse damdawi lam enkawlna dik leh i enkawl chuan naupang tam zawk chu nun pangngai, hrisel takin an nung a ni.
- Thil ngaihtuah leh rinhlelhna i neih chuan zawhna zawt hreh ngai suh. I doctor leh medical team te chuan tanpui turin an inpeih reng a ni.











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