Nausen piang thar nei nu emaw, pa emaw tan chuan hlimna ber chu chu naupang tê chu an kuah a ni. An lu i chelh a, i fawh hian an lu chungah khur ang maia hmun te tak te a awm tih i hmu tawh mai thei. Hei hi ‘crawl’ kan ti fo thin. Nu leh pa thenkhatin hei hi an hmuh chuan an hlauthawng deuh a, "Hei hi eng nge ni? Naute chungah thil dik lo a awm em?" Mahse hei hi naute lu insiam dan mak tak zinga mi a ni. He hmun hrual vel hi tunlaia kan sawi tur cranial sutures te hi a awm a.
Heng cranial sutures te hi eng nge ni tak tak?
A awlsam zawngin, cranial sutures chu i luruh siamtu ruh inkara inzawmna (joint) a ni. Puan chi hrang hrang siam khawm ang maiin ngaihtuah la, kan luruh ruhte hi heng suture hmang hian a inzawm khawm a ni. Mahse hengte hi eng suture pawh a ni lo. Tissue chak tak, flexible tak tak hmanga siam an ni.
Tunah chuan, "Engvangin nge lu hi ruh pakhat atanga siam a nih loh a, hetiang hian a chi hrang hrang dahkhawm a nih zawk?" Chumi atan chuan chhan pawimawh tak tak pahnih a awm.
1. Nau neih awlsam zawk rawh: Nausen khawvela a lo kal hian nu pianna kawngkhar kaltlangin a lo kal a ngai a ni. Hei hi hmun zau tak a ni. Chuvangin naute lu chu he hmun zim tak atanga a chhuah hian luruh chhunga ruh thenkhat chu a chungah an rawn chho a, a lu pianzia chu tlem a thlak danglam thin. Hei hi ``molding'' an ti a. Chutiang suture avang chuan ruh te chu a inzawm tlat loh vang a ni thei. Hei hian naute emaw, nu emaw tichhe lova nau neih chu tluang taka kalpui turin a pui a ni.
2. Thluak thang zel turin phalsak rawh: Kan pian tirh hian kan thluak hi a thang kim lo. Thluak hi kan dam chhung kum engemaw zat chhung hian a thang chak hle. Chuvangin han ngaihtuah teh, lu ruh hi ruh pakhat atanga siam ni ta se, a chhunga thluak hian thanlenna tur hmun a nei lo ang, a dik em? Chu chu heng sutures te hi a ni. Thluak a lo thanglian zel chuan heng suture te hian luruh chu a tizau a, a lo thanglian ve bawk a ni. Thlai te tak te a lo thang lian chuan a chhehvel leilung chu a inher chhuak ang mai a ni.
Thluak chu a mamawh ang zat a lo lian tawh chuan heng suture te hi a khar zauh zauh a, ruhte chu an inzawm khawm a, luruh chu khuhna pakhat, chak tak a lo ni ta a ni.
Luruh chhunga suture lian ber berte chu engte nge ni?
Kan luruh ah hian suture lian tak tak engemaw zat a awm a. Chung zawng zawng hian hming leh hnathawh tur bik an nei vek a. Eng nge an nih i han thlir teh ang.
| Suture Hming Hming | Hmun leh sawifiahna awlsam tak |
|---|---|
| Metopic Suture hmanga siam a ni | Hei hi hmai lai takah, a chungah chiah a awm a ni. Hmai siamtu ruh pahnih (frontal bones) a thlunzawm a ni. Hei hi suture khar hmasak ber a ni. |
| Coronal Suture hmanga siam a ni | Lu chunga lallukhum nghahna hmun ang bawkin, beng atanga beng thlenga kal horizontal seam hian hmalam ruh leh parietal ruh te chu a thlunzawm a ni. |
| Sagittal Suture hmanga siam a ni | Suture dinglam, hmalam atanga hnunglam thlenga kal, lu chunglam lai tak atanga chhuk. Luruh sir lehlamah ruh lian pahnih (parietal bones) a thlunzawm a ni. |
| Lambdoid Suture hmanga siam a ni | Lu hnung lamah horizontal suture a awm. Luruh sir lehlamah parietal bones leh occipital bone te chu a thlunzawm a ni. |
| Squamous Suture hmanga siam a ni | Luruh sir lehlamah, beng chunglam, horizontal sutures te hian temporal bone leh a chunga parietal bone te chu a thlunzawm a ni. |
Heng suture lian tak tak bakah hian luruh chhungah hian suture te zawk dang a awm bawk. An hming pakhat zel chu a ruh pahnih inzawmkhawm hming chawia sak a ni.
Engtikah nge heng kawngpui te hi an khar ang?
Hei hi nu leh pa tam takin zawhna an neih a ni. "Engtikah nge ka naute umbilical cord hi a khar ang?", tih zawhna ang bawkin, heng sutures te khar hi zawi zawiin a thleng thin. A rualin an inkhar vek lo.
- Metopic Suture: Hei hi khar hmasa ber a ni. Thla 3 leh 9 inkar ah a khar tlangpui.
- Sagittal Suture: Hei hi kum 22 vel ah a khar thin .
- Coronal Suture: Kum 24 vel ah a khar thin .
- Lambdoid Suture hmanga siam chhuah:Kum 26 vel a nih chuan a khar thin.
- Squamous Suture: Hei hi khar nan hun rei tak a ngai. Kum 60 vel a nih thlengin a khar kim lo mai thei .
Hetiang kalphung hi ``ossification`` kan ti a. Chu chu, tissue flexible tak chu ruh ah a chang zauh zauh tihna a ni. Hei hi thil thleng fo tak a ni.
A pawimawh ber chu heng seam te hi a hun hmaa khar hi thil tha a ni lo. Tin, hun ruat hnua an khar loh chuan harsatna a awm tih hriattirna a ni thei bawk.
Seam line-ah hian eng harsatna nge awm thei?
Hemi kawngah hian a natna ber leh awm tam ber chu craniosynostosis a ni .
A awlsam zawngin, hei hian luruh chhunga suture pakhat emaw, a aia tam emaw chu a khar hma lutuk tihna a ni . Ngaihtuah teh, naute thluak chu a la thang chak em em laiin luruh chu a inkhar nghal a nih chuan eng nge thleng ang? Thluak hian thanlenna tur hmun a nei lovang. Hei hian harsatna lian tak pahnih a thlen thei a ni:
1. Luru pianzia pangngai lo: Suture pakhat chauh a khar chuan chu lam hawi chuan luruh chu a thang thei lo. Chumi hnuah chuan luruh chu a dang lam hawiin a lo thang lian zawk a, suture inhawng reng a ni. Hei hian naute lu chu a pianzia pangngai lo takin a siam a ni. Entirnan, ``sagittal suture'' chu a khar rang lutuk chuan lu chu hmalam leh hnung lamah a sei a, a sir lamah a tawi zawk bawk.
2. Increased Intracranial Pressure: Thluak hian thang chhoh a tum angin luruh hian a luah thei lo a nih chuan luruh chhunga pressure a sang chho zel a. Hei hian thluak thanna leh hnathawhna nasa takin a nghawng thei a ni.
Craniosynostosis tih loh harsatna dang
Damdawi dang thenkhat chuan luruh suture te pawh a nghawng thei bawk.
- Ruh thanna tichhe thei genetic condition - `(Achondroplasia)` ang chi te.
- Hormone lama harsatna - `(Congenital hypothyroidism)`
- Genetic dinhmun - `(Down syndrome)`
- Luruh chhunga tui awmkhawm avanga pressure sang (hydrocephalus) emaw thisen chhuak (hematoma) .
- Lu hliam emaw, ruh tliak emaw
- Rickets, vitamin D tlakchhamna avanga natna awm
- Luruh ah tumor a awm
Nu leh pa kan nih anga kan ngaihven tur chhinchhiahnate chu engte nge ni?
I naute lu ruh ah harsatna a awm chuan hriat hmasak a pawimawh. Hengte hi fimkhur tur chhinchhiahna thenkhat tarlan a ni.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Lu pianzia danglam tak | Naute lu chu a sir khatah a hrual ang maia lang, emaw, a sei lutuk emaw, triangular ang maia a lan chuan. |
| Sewing kawngpui dunga knot/string pakhat | I naute lu i khawih hian suture awmna tur hmunah chuan ridge khauh tak, sang tak i hriat chuan (hei hian suture chu a khar nghal vat tihna a ni thei). |
| Fontanelle nena inzawm harsatna te | Nipple chu a hun hmaa tla ang maia a hriat chuan, emaw, nipple chu a bulging leh a hring reng a nih chuan. (Naute a tap emaw, a khuh emaw hian hnute a bulh tlem hi thil pangngai a ni. Mahse chutianga awm reng chu a tha lo). |
| Hmasawnna lama tlai lutuk | Naute thanlenna leh thanlenna kawngah hmasawnna tihkhawtlai a awm chuan (e.g., a kawr hawi lo emaw, a hun takah a inher loh emaw). |
| Thil dang pawh a awm | Lu na fo (naute hian a sawi chhuak thei lo nain, a au chhuak reng a, a rilru a hahdam lo), leh seizures te ang chi symptom na tak tak te. |
I naute hian heng symptoms te hi a nei nia rinhlelhna i neih chuan i chhungkaw doctor pan nghal tur a ni. Heng thilte hi speculate mai mai a tha lo.
Engtin nge doctor hian hei hi a check ang?
Doctor hnena i naute i hruai hian a tih hmasak ber chu naute lu uluk taka enfiah hi a ni. Lu pianzia te, suture awmna hmun te, leh lallukhum awm dan te uluk takin an enfiah thin.
Harsatna a awm nia i rinhlelh chuan test eng emaw zat i nei thei a, chu chu finfiah theih a ni.
- X-ray: Luruh thlalak chu lak theih a ni a, suture te chu khar a nih leh nih loh hriat theih a ni.
- CT scan: Hei hian luruh leh thluak thlalak chiang zawk, three-dimensional (3D) a siam thei a ni. Hei hian suture awmna hmun dik tak leh thluak a nghawng em tih hriat theihna a siam a ni.
- MRI: Hei hian thluak leh a chhehvel tissue te chipchiar taka thlalak a siam thei bawk.
Heng test te hnuah chauh hian doctor chuan harsatna chu eng nge ni tih leh eng nge tih tur tih chiang takin a hre thei a ni.
Treatment atan eng nge i tih?
Enkawlna chu a natna chhan leh a nasat danah a innghat a ni.
Craniosynostosis hi enkawlna kawng hrang hrang pahnih a awm a.
1. Shaping Helmet bun: Thil engemaw takah chuan, a bik takin natna a na lutuk loh chuan doctor-te chuan naute lu pianzia siamthat nan a bik taka siam helmet bun a rawt a ni. Hei hian luruh thanna chu kawng dik takah a kaihruai a, lu pianzia chu a pangngai angin a siam leh bawk.
2. Surgery: A tam zawkah chuan suture line khar vat tawh chu hawn leh turin surgery a ngai thin. Hei hi nu leh pate tan chuan hlauhawm takin a lang thei a, mahse thluak chu zalen takin a lo thang lian thei a ni. Tunah chuan he surgery hi a hmasawn hle a, a him hle bawk. Surgery hnuah naute lu chu a pianphung pangngaiah a kir leh ang.
Lu hliam avanga luruh chhunga pressure a san chuan emergency surgery neih a ngai mai thei. Chutiang hunah chuan damdawi in Emergency Treatment Unit (ETU)-a refer nghal a pawimawh hle.
Take-Home Thuchah a ni
- Naute lu ruh chhunga cranial sutures hi thil mak a ni lo. Naute thluak thanlenna leh him taka nau neihna atana pawimawh tak natural formation an ni .
- Naute lu chunga fontanelles leh sutures te chu hun kal zelah a khar zauh zauh thin. Hei hi thil kalphung pangngai a ni.
- A pawimawh ber chu heng sutures te hi a hun hmaa khar (craniosynostosis) , chu chuan naute thluak thanlenna a tikhawlo thei a ni.
- I naute lu chu a pianzia danglam tak nia i ngaih chuan , i khawih chuan lump khauh tak ang maia i hriat chuan, emaw, lallukhum chu a chhuak reng a nih chuan , ngaihthah suh.
- Ringhlelna tlemte pawh i neih chuan, internet-a thu hriat zawng zawng aiin, i chhungkaw doctor emaw, naupang enkawltu doctor emaw hnenah thurawn dil hi a tha ber.A hmaa hriat chhuah a nih chuan heng dinhmun tam tak hi hlawhtling taka enkawl theih a ni.
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