Naupang chu a tawi em? He ‘dwarfism’ (Dwarfism / Skeletal Dysplasia) chungchang hi han sawi ila

A châng chuan i fa chu a kum rualpui naupang dangte aiin a tawi deuh niin i hria em? Hemi chungchangah hian tlem chuan i buai a ni mai thei. A tam zawkah chuan hei hi thil pangngai a ni thei a, mahse a then phei chuan damdawi lam thil a awm thei bawk. Vawiin hian chutiang dinhmun kan sawi a, chu chu ‘dwarfism’ emaw, damdawi lam tawngkam chuan `(Dwarfism)` emaw an ti a ni.

A awlsam zawngin ‘dwarfism’ chu eng nge ni?

Dwarfism hi damdawi lam tawngkam a ni. A dik tak chuan Skeletal Dysplasia tih category zau zawka tel ve condition a ni. Hei hi kan ruh leh cartilage (ruh inkara soft tissue) thanna tichhe thei dinhmun a ni. Hetiang dinhmun hi za tam tak a awm a ni. Chuvang chuan mi pakhat san zawng chu a zatve aia tlem a ni. A vaiin hetiang natna vei hi puitling a nih chuan feet 4 leh inches 10 (meter 1.47) aia sang lo a ni.

Mi thenkhat chuan he natna vei te sawina atan hian "mi te te" tih ang chi thumal hman an duh thin. Mahse "mi tlemte" tih ang chi thumal hman hi a dik lo tak zet a ni. An rilru a ti na thei a ni.

He ‘dwarfism’ hi chi hrang hrangin a lo thleng thei a ni. Mi thenkhat tan chuan kut leh ke thanna a nghawng a, thenkhat tan chuan pum emaw lu emaw thanna a nghawng bawk.

‘Dwarfism’ lo awm dan tlangpui chu engte nge ni?

Ruh thanna tichhe thei ``Skeletal Dysplasia`` chi za tam tak awm mahse, kan hmuh tam ber chi lian tak tak tlemte a awm. He table-ah hian han en ila.

‘Short Stature’ leh ‘Dwarfism’ hi thil inang an ni em?

Hei hi mi tam tak tibuaitu a ni. Short stature tih hi a hman tlanglawn hle. Phên dangin sawi ila, mi pakhat chu an kum azira beisei aia tawi zawk a nih chuan ‘tawi’ kan ti thin. Naupang tan chuan an san zawng chu normal growth curve hnuai lam emaw, an nu leh pate san zawng a zirin an san zawng beisei aia tawi zawk emaw a nih chuan ‘tawi’ an ni thei.

Mahse, dwarfism hi damdawi lam natna bik a ni a, chu chuan a taksa a ti tawi a ni. Mi tawi zawng zawng hian dwarfism an nei vek lo.

He natna hi tuin nge nei thei ang? Tin, a awm fo em?

Dwarfism hian tu pawh a nghawng thei. A chi tam tak chu genetic a ni. Chu chu nu leh pa atanga rochun theih an ni tihna a ni. A chi thenkhat chu DNA a random change avanga lo awm a ni. Vawi tam tak, mahse a ni lo, dwarfism nei naupang hi nu leh pa san zawng pangngai atanga piang an ni. He thu i hriat hian mak i ti mai thei, mahse a dik a ni.

Dwarfism hi a awm lo hle. A chi tlangpui, achondroplasia pawh hian mi 15,000 atanga 40,000 zinga pakhat vel chauh a vei a ni.

‘Dwarfism’ vei te hian eng symptoms nge a neih?

A symptom ber leh langsar ber chu short stature hi a ni. Hetiang natna vei hi puitling a nih chuan feet 4 leh inches 10 aia sang lo a ni. Hetiang dinhmun tawi hi puitling lai aiin naupan lai te, tleirawl lai te, puitling lai te hian a langsar zawk a ni.

‘Dwarfism’ hi chi hnih ah then theih a ni.

1. Proportionate: Hemiah hian taksa pum pui hi a zat inang chiahin a tlahniam a.

2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Disproportionate: Hetah hian torso hi a size pangngai a ni a, kut leh ke erawh a tawi thung.

A lan chhuah dan tlangpui dangte chu:

• Ke a bawkkhup a
• Hnar bridge flat tak a ni
• Lu pangngai aia lian `(Lu lian)` neih
• Hmai langsar tak
• Kut leh ke tawi
• Kut zungtang tawi (kut leh ke) .
• Kut leh ke zau tak

Hriselna lama harsatna dang, heng symptoms awm thei te

Ruh than dan pangngai lo hian a chang chuan hriselna lama harsatna dang a thlen thei bawk.

• Thluak chhehvela tui awmkhawm (Hydrocephalus) .
• Nerve compressed a ni
• Scoliosis natna (Scoliosis) a ni
• Beng natna emaw hriatna lama harsatna nei fo
• Khup leh ke ruh a na
• Mut theih lohna (sleep apnea) a ni

Engvangin nge hetiang hi a lo awm? ‘Bengchheng’ hi engte nge ni?

Hetiang dinhmun hi a chhan awm thei engemaw zat a awm. A tam zawkah chuan DNA inthlak danglamna a ni. A chi thenkhat tan chuan a chhan dik tak chu hriat a la ni lo.

Hei hi genes atanga lo chhuak thil a ni em? (Genetic a ni em?)

Ni e, dwarfism chi thenkhat chu genetic a ni. Chu chu DNA inthlak danglamna avanga lo awm an ni tihna a ni. Mahse a tam zawkah chuan heng genetic mutations te hi random a ni. Chu chu, nu leh pa san zawng zatve (average height) te hian nu leh pa tawi nei te aiin dwarfism nei fa an nei tam zawk tihna a ni.

Mahse, nu leh pa pakhat emaw, pahnih emawin dwarfism an neih chuan naupangin a rochun a rinawm zawk. Entirnan, achondroplasia vei nu emaw pa emaw chuan an fate hnenah he natna hi an kai theihna chance 50% an nei a ni. Nu leh pa pahnihin achondroplasia an neih chuan naupang hian achondroplasia a vei theihna chance 50% a nei a ni. Tin, natna khirh tak, homozygous achondroplasia tih hi 25% in a vei theihna chance a awm bawk. Hetiang dinhmun na tak hian naute chu a pum chhungah emaw, a pian hnu rei vak loah emaw a thi thei a ni.

Fa i beisei a, hetiang chi genetic condition hi i hlauhawm em tih hriat i duh chuan i doctor nen genetic testing chungchang sawipui a pawimawh hle.

Engtin nge doctor hian ‘dwarfism’ natna hi a hriat theih ang?

A then phei chuan he natna hi naute pian hma, chu chu naupai lai a ni. Prenatal screening test-ah hian naute than danah thil danglam bik a awm tih hmuhchhuah theih a ni.

I naute a pian hnuah, thla tin i naute clinic-a i hruai hian doctor leh chhungkaw hriselna lama thawktute chuan naute than dan an enfiah thin. Naute san zawng, a rih zawng leh a lu vel te chu an teh a, growth chart-ah an chhinchhiah a ni. I naute thanna chu beisei aia hniam a nih chuan he dinhmun chhinchhiahna a ni thei. Tichuan, naute than chak lohna chhan dik tak hriat tumin X-ray leh thisen test ang chi thil an ti thin.

Hei hi eng enkawlna nge ni?

Hetiang dinhmun hi damdawi a la awm lo. Mahse, a natna lan chhuah dan thunun thei leh nun ti awlsam thei tur enkawlna tam tak a awm. Enkawlna chu mi tinin dwarfism chi leh symptoms an neih dan a zirin a innghat a ni.

Surgery hmanga enkawl dan tur

• Ruhte chu kawng dik lovah emaw, a pianzia pangngai lo emaw a nih chuan surgery hmanga siamthat theih a ni.
• Thluak chhehvelah tui tam lutuk (hydrocephalus) a awm chuan surgery hmanga lakchhuah theih a ni.
• Brain stem-a pressure tihziaawmna.
• Thâwk awlsam zawk nan tonsils emaw adenoids emaw lakchhuah.
• Beng natna veng turin beng chhungah tube te te dah luh.

Surgery hmanga enkawlna ni lo

• Sleep apnea i neih chuan CPAP machine hmang rawh.
• Hriatna lama harsatna nei tan hearing aid hman.
• Naupang chu ei leh in hrisel leh exercise la tura kaihhruai, thau lutuk emaw, thau lutuk emaw laka invenna.
• Growth hormone tlakchhamna a awm chuan , growth hormone injection (hormone therapy) pe thin ang che.
• Tun hnaiah damdawi vosoritide (Voxzogo®) tih chu naupang kum 5 chunglam achondroplasia vei tan phalsak a ni a, an ruh thanna chu a la tawp lo. Clinical trial-ah naupangte than chakna a tisang thei tih hmuhchhuah a ni.

Heng enkawlnate hi dam chhung zawngin a ngai mai thei a, mahse an nunphung chu nasa takin a tichangtlung thei a ni.

‘Bengchheng’ nei naupang chu eng ang nun nge a nih ang?

Hetiang dinhmun hi damdawi awm lo mah se, a natna lan chhuah dan hi uluk taka enkawl a nih chuan mi tam zawk chuan nun pangngai, hrisel takin an hmang thin. Mahse, i fain ruh thanna lama harsatna a neih a, zai fo a ngai a nih chuan naupang leh chhungte tan pawh harsatna a ni thei. I doctor chuan i fate tan enkawlna tul tak a pe ang a, nun famkim leh hrisel tak nei tura an mamawh kaihhruaina a pe bawk ang.

Naupangin he natna a vei theihna tur hi a tihtlem theih em? Engtin nge naupang chu enkawl theih a nih?

Dwarfism chi thenkhat hi genetic a nih avangin ven theih a ni lo. Mahse, genetic testing hian i risk hriatthiamna a pe thei che a ni. Chumi chungchang chu i doctor nen sawiho rawh.

Naute thanlenna atan ei leh in hi a pawimawh hle. Naupai i nih chuan ei leh in inthlau (balanced diet) ei thin ang che. Naute a pian hnuah ei tur tha tak tak, protein, thei, thlai, leh thlai chi hrang hrang pe thin ang che.

Damdawi lam enkawlna bakah hian i fate chhawmdawl nan thil engemaw zat i tih theih a awm a:

• In chhung boruak siam: Naupangin mahni inrintawkna neia hna a thawh theih nan in boruak siam. Entirnan, step stool neih emaw, light switch tlem tal tihhniam emaw.
• Psychological support pe: Naupang chu school-a tihduhdahna laka invenna leh hmachhawn turin zirna leh rilru lam puihna pe rawh.
• Thil tawn inang nei mite nena inzawmna siam: Naupang leh chhungkaw dinhmun inang lote thlawptu pawlte nena inzawmna siam.