I tap hian i naute chu a thinrim a, a ti nghing che em? He thihna thlen thei hlauhawm (Shaken Baby Syndrome) chungchang hi zir rawh

I naupang tê chu chhan awm lovin a tap em? Nang pawhin hei hi ka tuar thei tawh lo ang tih i hria em? Nu emaw pa emaw angin chutianga inhriat chu thil pangngai a ni. Mahse i naute chu la chhuak ngai suh la, thinrimna emaw, lungawi lohna emaw avanga nasa takin vawrh chhuak ngai suh. Second tlemte chhung fimkhur lohna hian naute nun pum a tichhe thei a ni. Vawiin hian chu hlauhawm thihna thlen thei, chu chu ‘Shaken Baby Syndrome’ tih hi kan sawi a ni.

A awlsam zawngin, Shaken Baby Syndrome hi eng nge ni?

Shaken Baby Syndrome hi naute emaw naupang tê emaw chu nasa taka leh nasa taka tihnghing a nih chuan a awm a ni. Hei hi a hming dang chu ‘abusive head trauma’ tih a ni. Chu chu abusive head injury tihna a ni.

Ngaihtuah teh, naute lu hi an taksa dang nena khaikhin chuan a lianin a rit hle. Tin, an kawr ruhte pawh a la chak tawk lo hle bawk. Chuvângin, mi pakhatin naute a vawrh nasat chuan, a lu ruh chhûnga thluak nalh tak, jelly ang maia awm chu rang takin a rawn inher chhuak lehzual a ni. Hetianga a nghing hian thluak chhung leh a chhehvela thisen kalna kawng nalh tak takte chu a tikehsawm a, thisen a chhuah tir thin. Thluak pawh a hring thei bawk. Hei hi second 5 vel zeta rei lo te a inher pawhin a awm thei a . He chhiatna hian naute mit, kawr leh ruhro pawh hlauhawmah a dah thei a ni. Chumi rah chhuah chu thluak chhiatna, chak lohna emaw, thihna emaw a ni.

Engvangin nge hetiang hian naute te tak te hi mi pakhatin a tihnghing ang?

Hei hi naute a tap chhunzawm zel laiin nu leh pa emaw, enkawltu emaw chuan an thinrimna emaw, an lungawi lohna emaw a thunun theih loh hunah a thleng fo thin. Naute tihnghing chuan tap chu a titawp ang tih an ngaihtuah mai thei.

Nu thar emaw, pa thar emaw nih nâna mawhphurhna lo awmte chu a châng chuan a buaithlâk thei hle. Chhungkaw thil dang leh sum leh pai lama harsatnate chuan lungkhamna a tizual thei a ni. Hetiang hunah hian naute chu chawlhsan lova a tap hian a ti buai thei hle. Mi thenkhat chuan naute te tak te tihnghing hi chutiang khawpa hlauhawm a ni thei tih pawh an hre lo.

Hetiang dinhmun hian tute nge a nghawng nasa ber?

Shaken Baby Syndrome hi chhungkaw eng pawha naupang, economic level eng pawha awm, chi hrang hranga awm thei natna hlauhawm tak a ni. A enkawltu ber, nu emaw pa emaw avanga lo awm a ni ber. Enkawltu dang (nau enkawltu) emaw, chhungte chungah pawh a thleng thei bawk.

Naute kum khat hnuai lam chu an hlauhawm ber a, a bik takin thla 2 leh thla 8 inkar .He hlauhawmah hian naute hi an hlauhawm ber a ni. Hetiang dinhmun hi naupang kum 2 chunglam zingah a awm lo tlangpui a, mahse a chang chuan naupang kum 6 mi lek te pawh hetiang hian tihduhdahna an tawk fo thin.

Naute thluak leh taksaah nghing hian eng chhiatna nge a thlen?

Hei hi kan hrethiam vek tur pawimawh ber a ni. Nausen vak vak vak vanga harsatna awm thei tam tak a awm.

Hetiang natna lan chhuah dan hi engte nge ni?

Naute pian hnuah symptom thenkhat a lang nghal thei bawk. Ṭhenkhat chu darkar 4 leh 6 inkarah an peak thei bawk. Tin, chhiatna avanga symptom thenkhat (nungchang lama harsatna, zirlai lama harsatna) te chu nakin lawkah a lang thei bawk.

Natna nasa tak, a lan chhuah nghal mai

• Thil hriatna hloh
• Seizures a awm thin
• Shock a ni

Symptoms langsar dangte

• Nui chungin, tawng lovin.
• Thinrim tak, tap fo thin
• Luak chhuak
• Ei duh lohna, bawnghnute in duh lohna
• Thâwk harsa
• Lethargy, mutthilh reng reng leh harh theih loh dinhmun
• Vun dum emaw, sen hring emaw
• Kut emaw, rilru emaw a hliam
• Lu emaw hmai emaw lian lo taka lang
• Lu chunglam (forehead crease) a hmun nalh tak chu a bulging a ni.
• Kawr mumal taka vawn theih lohna
• Mitmeng (dilated pupils) a awm
• Hmun khata mit dah theih lohna, thil che vel en theih lohna
• Tremors a awm
• Coma-ah a lut ta

Engtin nge doctor hian hei hi a hriat chian?

Hetiang dinhmun hi a chang chuan hriat harsa tak a ni. Avang,

• Naute rawn hruaitu chuan naute tihnghing chungchangah thudik chu doctor hnenah a sawi lo mai thei.
• Naute hian khawiah nge a na tih leh eng thil nge thleng tih a hre thei lo.
• Natna dang atanga lo chhuak leh thinrimna ang chi symptoms te hi natna dang symptoms awm fo a ni.

Chuvangin doctor chuan naupang chu uluk takin a enfiah a, a tul chuan test bik eng emaw zat a ti thin.

• Mit enfiah: Retinal bleeding a awm leh awm loh enfiah thin.
• X-ray: Luruh, ruhroah emaw, ke ruh emaw a tliak leh tliak loh enfiah thin ang che.
• CT scan (Computed Tomography scans): He test hi thluak a hring, thisen chhuak leh thil dang tihchhiatna hriat nan a pawimawh hle.
• MRI scans (Magnetic Resonance Imaging scans): Thluak chhiatna fiah lo tak tak pawh hi chiang takin a lang thei.

Enkawlna leh hun rei tak chhunga nghawng a neih dan

I naute hian heng symptoms te hi a neih chuan damdawi in Emergency Treatment Unit (ETU) ah i hruai nghal tur a ni . Hei hi in lama enkawl theih natna a ni lo.

Enkawlna chu naute chhiatna nasat danah a innghat a ni. Damdawi pek i ni thei a, damdawi inah enfiah turin dah i ni thei bawk. A nasat chuan nunna chhanhimna zai a ngai mai thei. Thluaka thisen chhuah tihtawp nan leh hliam tihziaawm nan operation neih a ngai mai thei.

Hetiang dinhmun hian hun rei tak chhunga nghawng a neih tur chu a tha vak lo.

• Hetiang natna vei naute zinga 25% vel chu an thi thin .
• Dam chhuak zinga 80% vel chuan thluak lama harsatna lian tak tak an nei ang a, dam chhung zawnga rualbanlo an ni ang.

Chumi avanga rualbanlo nghet lo awm thei thenkhat chu:

• Thusawi leh zirlai lama harsatna nei
• Mit hmuh hloh emaw mitdel emaw
• Hriatna hloh vek
• Cerebral Palsy natna a ni
• Epilepsy natna a ni
• Seizures awm fo thin
• Paralysis a awm

Engtin nge he chhiatna rapthlak tak hi kan ven theih ang?

Hei hi a pawimawh ber a ni. Shaken Baby Syndrome hi 100% in a ven theih a ni . Naute a tap hian lungawi lohna leh stress a awm hi thil pangngai tak a ni. A pawimawh ber chu kan enkawl dan hi a ni.

Pressure nasa lutuk anga i inhriat chuan hengte hi han ti ve teh:

1. A hmasa berin naute mamawh bulpui enfiah rawh: Naute diaper hi a hnim em? A ril a tam em? A vawt em ni? Natna chhinchhiahna a nei em, khawsik emaw, a hring emaw? A taksa khawi hmunah pawh natna a nei em.

2. Naute tihlum tum ang che:

• Hla sa la, naute nen inbia ang che.
• Music soft deuh deuh play rawh. Naute thenkhat chuan vacuum cleaner emaw hair dryer emaw ri an duh bawk.
• Pacifier pakhat pe rawh.
• Naute chu puan (swaddle)-ah nghet takin khuh rawh.
• Car seat-ah nghet takin dah la, rei vak lo kal rawh.
• Stroller-ah dah la, kal kual rawh.

3. Ṭanpuina dil rawh: Hei hi i tih theih ṭha ber a ni. I chau emaw, i thinrim emaw a nih chuan, i ṭhian rintlak, i chhungte emaw, i ṭhenawmte emaw chu minute engemaw zat chhung chu naute enkawl turin hrilh rawh. Ṭanpuina dil hi zahthlak a awm lo.

4. Thil tih hnuhnung ber: Ṭanpui tur tumah an awm loh chuan naute chu hmun him, a mutna hmunah dah la, pindan chu chhuahsan rawh . Room dangah minute 5-10 vel kal la, i rilru a hahdam ang. Thâwk la la. Tichuan naute lam pan leh rawh.

Tin, i fa chu midang (babysitter, nanny) hnenah i pe dawn a nih chuan uluk takin thlang rawh. Shaken Baby Syndrome hlauhawmzia chiang taka hriattir an nih ngei ngei tur a ni. I naute hi i rintlak loh mi hnenah kalsan ngai suh.