I naute hian heng harsatna hi engemaw zat a nei dun em? VATER Syndrome / VACTERL Association chungchang hi han sawi ila!

I naute thar hian a taksa hmun engemaw zatah inthlak danglamna emaw, chhiatna emaw a nei nghal tih doctor-te’n an hrilh che chuan i lungngai hle mai thei. Naute pian hmaa scan an tih khan hetiang thil hi a hriattir che a ni mai thei. Hei hi vawiin a kan sawi tur dinhmun, VATER Syndrome, emaw VACTERL Association emaw a ni. Lungngai suh, hei hi awlsam takin i hrethiam ang u.

VATER Syndrome / VACTERL Association tih hi eng nge ni?

A awlsam zawngin sawi ila, VATER syndrome hi nausen pian tirh lama piansualna chi khat a ni. A bik takin, heng harsatnate hi naute embryo lo pian tirh kar hmasa berah a thleng thin. Nausen pakhatah hian a dinhmun a inang lo thei. Nausen zawng zawng hian symptoms inang an nei vek dawn lo. Doctor-te chuan taksa peng pathum tal, a tlangpuiin VATER tih ziakin a entîr ṭhinah harsatna a awm chuan an ringhlel a ni.

Heng lehkha VATER / VACTERL te hian eng nge a entîr?

Hei hi a takah chuan acronym a ni. Chu chu, he natnain a nghawng taksa peng hrang hrangte English hminga letter hmasa berte inzawmkhawma siam thumal tihna a ni. A tir chuan VATER tih a ni a:

• V - Vertebrae : Hei hian ruhro ( spine ) chhunga ruh te te (vertebrae) te a kawk a ni .
• A - Anus : Chu chu anus tihna a ni .
• T - Trachea : Chu chu thlipui (windpipe) tihna a ni.
• E - Esophagus : Chu chu ei tur pipe tihna a ni.
• R - Renal : Hei hian kal lama harsatna a awm tihna a ni.

A hnuah chuan he natna hi taksa peng dang pahnih-a harsatna hmuh theih a nih avangin acronym hi VACTERL-ah tlem an tizau ta a ni:

• C - Cardiac : Hei hian thinlung -related problems a kawk a ni.
• L - Ke leh ke ruh : Hei hian ke ruh (a bik takin ke ruh lian sir lama radius ruh) nena inzawm harsatna a kawk a ni.

VACTERL awmzia i hrethiam em? Hetiang dinhmun hi heng hmun engemaw zat hian a ruala chhiatna engemaw zat an neih hian a ni.

He VACTERL natna hian tute nge a nghawng theih?

VACTERL hian tu pawh a nghawng thei. Hrilhfiahna a ni lo. Chumi awmzia chu a tlangpuiin chhungkaw member pakhat chauh a nghawng tihna a ni. A chhan dik tak hriat ni lo mah se, naupai laiin genetic influence leh environmental factors inzawmkhawm vang nia ngaih a ni.

He natna hi a hluar zia ngaihtuah chuan nau piang thar 10,000 atanga 40,000 zinga pakhat velin a nghawng a ni. Mahse, naupang thenkhatin natna lan chhuah dan fiah lo tak tak an neih avangin, a nih loh leh chhinchhiahna tlemte chauh an neih avangin he zat hi a tam zawk mai thei.

VACTERL syndrome natna lan chhuah dante chu engte nge ni?

A symptoms hi a hmaa kan sawi tawh VACTERL tih letter hmanga entir taksa peng hrang hrangah hmuh tur a awm ber. Heng symptom thenkhat hi pian tirh (congenital) , a lang thei a , thenkhat erawh chu a hnuah a lang thei thung. Heng symptoms te hi naupang pakhatah a inang lo thei hle. Tunah chuan heng a then hrang hrangte hi a then tin nena inzawm hian han thlir ila.

Spine (Vertebrae) lama harsatna awm thei

Kan taksa peng pawimawh tak chu ruhro (spine) hi a ni. VACTERL-ah chuan he ruhro (spine) lo awm danah hian inthlak danglamna engemaw zat a awm thei.

• Spine chu a sir khatah a curvature ( scoliosis ).
• Vertebrae (spine) a malformation (e.g., hemivertebrae , fused vertebrae ) a awm lo.
• Tailbone hloh.
• Ribs-a thil danglam (ribs awm lo, rib extra neih, ribs inzawmkhawm emaw, inthen emaw).

Hetiang thil hian naupang ruhroah a thlen hunah a dinhmun leh a chetna a nghawng dan tur hi han ngaihtuah teh.

Anal (Anus) lama harsatna awm thei

Hetiang natna nei naupang thenkhat chuan anus (anus) a siam kim lo thei. Chumi awmzia chu stool chhuahna kawngkhar chu a te hle emaw, hmun dik loah emaw a awm thei tihna a ni. Hei hi anal atresia an ti bawk . Hei hian naupang tan a ril a ti harsa thin.

Lung lam harsatna a awm

Lung lama harsatna hi a na hle thei. VACTERL-ah hian thinlung siam dan leh a hnathawh danah harsatna chi hrang hrang a awm thei.

• Thisen kalna kawng lian ber ber (aorta leh pulmonary artery) te chu a inthlak danglam thin.
• Thinlung atria inkarah khur ( atrial septal defects (ASD) ).
• Thinlung thawk chak ( tachycardia ).
• Lung lam chak lohna.
• Left heart chamber a lo thanglian lo ( hypoplastic left heart syndrome ).
• Thâwk rang tak leh/ emaw, rilru hah lutuk.
• Lung natna khirh tak tak Tetralogy of Fallot ang chi te .
• Thinlung chamber inkarah khur ( ventricular septal defects (VSD) ).

Heng thinlung natna thenkhat hi nunna atana hlauhawm tak a ni thei. Mahse, hole thenkhat, ASD leh VSD te hi hun kal zelah anmahni chauhin an khar thei a ni.

Trachea leh Esophagus lama harsatna awm thei

VACTERL-a kan hmuh tam ber pakhat chu trachea leh esophagus te hi an awmna tur hmunah an inzawm lo (Tracheoesophageal fistula a awm thin. A nih loh leh, chaw kawng chu chaw kawng nen a inzawm tha lo ( esophageal atresia ). Hei hi a chhan chu:

• Bawnghnute in leh ei harsa.
• Thluak lam natna (e.g. pneumonia ).
• Chaw ei harsa.
• Thâwk harsa a awm thei.

Ngaihtuah teh, ei tur pipe leh thawkna pipe inkarah hian a inmil lo a nih chuan ei leh in tur chu lung chhungah a lut thei a ni lawm ni? Chu chu a hlauhawm khawp mai.

Renal lama harsatna nei

Hetiang dinhmunah hian kal leh zun kawng lama harsatna a awm bawk.

• Urethral opening awmna hmun dik lo (a bik takin mipa naupang - Hypospadias ).
• Kidney a lo thang tha lo ( renal dysplasia ).
• Kidney hmun dik lo ( renal ectopia ) a awm.
• Bladder atanga kal ( vesicoureteral reflux ) ah zun a luang leh thin.
• Kidney-a zun awmkhawm ( Hydronephrosis ).
• Urinary tract infection awm fo thin.

Limbs & Radius lama harsatna awm thei

VACTERL-ah chuan ke leh ke ruh (limbs)-ah harsatna hmuh tur a awm a, a bik takin kut kephah lian tak (big toe side)-a radius bone-ah hian harsatna a awm tih hmuh tur a awm.

• Radius ruh hloh vek ( radial aplasia ).
• Radial hypoplasia ( radius ruh lo thanglian lo).
• Ke ruh lian tak hloh.
• Ke ruh lian (Triphalangeal thumb )-ah ruh dang neih belh a ni.

Chu bakah, ke leh ke dang (radius ruh bakah)-ah pawh harsatna dang hmuh tur a awm bawk:

• A ke ruh ( clubfoot ) a deformity a awm.
• Kut zungtang thenkhat hman dik theih lohna, te tak te ( hypoplasia ).
• Kut zungtang dang neih ( polydactyly ).
• Kut hmawr ruh pahnih inzawmkhawm ( radioulnar synostosis ).
• Kut zungtang chu a inzawm khawm (membrane ang mai - syndactyly ).

VACTERL tih hming bakah hian symptom dang hmuh theih te

VACTERL tih hawrawpna hmunte bakah hian heng naupangte zingah hian mizia dang thenkhat pawh hmuh tur a awm bawk.

• Beng pianzia pangngai lo.
• Hmai sir lehlamah asymmetry a awm.
• Hnar hmanga thawk harsa ( choanal atresia ).
• Spinal cord hi hmun khatah a tang (tethered spinal cord ).
• A thang chakna chu a tlangpui aiin a slow zawk.
• Omphalocele (taksa pawn lama intestine rawn chhuak).
• Voice box/ larynx tih tawi .

Pawimawh: Heng mizia zawng zawng hi naupang tinah a awm vek lo. Naupang thenkhat chuan tlemte chauh an nei thei. Tin, mize inang pawh hi naupang pakhatah chuan naupang dang aiin a danglam thei bawk.

VACTERL collection din chhan hi eng nge ni?

Dik tak chuan VACTERL syndrome awm chhan dik tak hi hmuhchhuah a la ni lo. Hei hi zirchian mek a ni. Mahse, tuna ngaihdan awm dan chuan he natna hi naupai tirh lamah nausen hmasawnna tichhe thei , genetic leh environmental factor engemaw zat inzawmkhawm vang a ni thei tih a ni. Chu chu a chhan pakhat chauh a awm lo mai thei a, chhan hrang hrang a awm khawm a ni.

VACTERL collection hi engtin nge kan hriat theih ang?

VACTERL syndrome hi nau neih hma exam emaw, naupan lai emaw a ni tlangpui. Mahse, a châng chuan a lan chhuah dan chu a langsar lo hle a, chuvangin naupan lai emaw, puitling tleirawl lai emaw pawhin hriat theih a ni.

VACTERL syndrome hi "exlusion tih hriat theihna" a ni. Hei hian doctor-te chuan natna leh dinhmun dang, chutiang bawka chhinchhiahna awm thei zawng zawng chu an paih vek tihna a ni. Heng dinhmun zinga pakhat mah hmuh a nih loh chauhvin VACTERL hi a chhan awm theiah an ngai thin.

Doctor chuan taksa enfiahna kimchang a ti hmasa ang. Hei hian kan sawi tawh ang khan VACTERL tih ziakna taksa peng pakhat tal chu piansualna a awm leh awm loh a enfiah ang. Vawi tam tak chu VACTERL vei naupang chuan taksa peng pathum tal-ah heng harsatnate hi a nei ang .

Taksa enfiah hnuah doctor chuan test dang (e.g. X-rays , ultrasounds , thisen test) a ti ang. Hengte hi nunna atana hlauhawm harsatna eng pawh, a bik takin thinlung leh kal lama harsatna awm thei te, a rang taka enkawl theih nan finfiah nan tih a ni.

VACTERL syndrome enkawlna tur engte nge ni?

VACTERL syndrome enkawlnaah hian embryonic stage-a taksaa heng malformations avanga natna lan chhuah dan tihtlem hi ngaih pawimawh ber a ni. Enkawl dan hi naupang hrang hrangah a inang lo. Hei hi a chhan chu naupang zawng zawng hian harsatna inang an nei vek lo. Enkawlna lian ber berte chu:

• Surgery: Heng malformations te siamthat nan hian surgery neih a ngai a ni. A chang chuan, he surgery hi naute pian atanga ni engemaw zat chhungin tih a ni a, chu chu harsatna lian tham a thlen hmain tih a ni. Naute a lo puitlin chuan operation tam zawk neih a ngai mai thei.
• Physical therapy emaw occupational therapy emaw: Heng enkawlnate hian taksa ruh a tichak a, ruhkawr a tichak bawk.
• Damdawi: Damdawi chi hrang hrang pek theih a ni a, natna lan chhuah dan control leh tihziaawmna tur a ni.

VACTERL syndrome nei naupang chu engtin nge i enkawl?

I fain VACTERL syndrome a nei tih hriat chu thil harsa tak a ni thei. Mahse, nangmah chauh i ni lo tih hre reng ang che. I fa chu a dam chhung zawnga a natna lan chhuah dan tur enkawl turin damdawi lam enkawlna leh enkawl chhunzawm zel a ngai dawn a ni.

Naupang enkawltu i nih angin mawhphurhna lian tak i nei a ni.

• I fa hriselna leh thanlen dan hi fimkhur reng ang che. I fate hian an kum nena inmil taka hmasawnna milestone a thleng em tih enfiah rawh (e.g., lu vawn, inher, thut, kal).
• I fa enkawltu doctor te nen inzawmna nei reng ang che. VACTERL vei naupang chuan specialist engemaw zat (e.g., pediatrician, cardiologist, surgeon, nephrologist) puihna a mamawh tlangpui. An vai hian inlaichinna tha tak nei reng rawh.
• Chhungkaw thenkhat chuan genetic counselling hi a \angkai hle niin an hria. An fate dinhmun hriat belh nân a ṭanpui thei a, inenkawl dân tûr sawihoin, he harsatna hmachhawn tûra an mamawh rilru chakna an neih theih nân a ṭanpui thei a ni.

VACTERL syndrome hi ven theih a ni em?

VACTERL syndrome awm chhan dik tak hriat a la nih loh avangin ven dan tur a awm lo. Nu leh pa tharte zingah hian eng thilin nge he natna hi a thlen tih leh eng risk factor nge awm tih hriat tumin zirchianna kalpui mek a ni.

VACTERL syndrome vei hian eng ang beisei nge a neih theih?

Naupai lai hian i naute leh i naute hrisel taka awm theih dan tur doctor nen inbia ang che. Genetic test leh nau neih hmaa enkawlna hian i naute pian hmain VACTERL trait thenkhat a hmuchhuak thei a ni. Chumi hnuah chuan doctor-te chuan i naute a pian veleh enkawl tan turin an inbuatsaih thei ang.

Naute a pian hnuah doctor-te chuan naute chu a hrisel tawk em tih an enfiah hmasa a, nunna atana hlauhawm symptoms eng pawh enkawl thei turin an enfiah hmasa thin. Naupan lai leh tleirawl laia natna lan chhuah dan thar a lo lang thei emaw, chhinchhiahna hlui a danglam thei emaw avangin dam chhung zawngin enkawl a ngai mai thei .

VACTERL syndrome hi damdawi a awm lo. Mahse, enkawl leh enkawl dan dik a nih chuan naupang chu nun tha tawk tak nei turin a pui thei a ni.

Engtikah nge doctor i hmuh ang?

I fain VACTERL symptoms a neih a, an nitin hnathawh emaw, an thanlenna emaw a tibuai a nih chuan doctor pan ngei ngei tur a ni.

Emergency room-a kal hun tur chu:

• Naute lungphu a mumal lo a nih chuan.
• Chaw ei loh leh bawnghnute i in loh chuan.
• Thâwk harsa i neih chuan.
• I ek chhuah theih loh emaw, i zun theih loh chuan.

Hetiang dinhmunah hian tlem tal pawh tikhawtlai suh.

I doctor hnenah eng zawhna nge i zawh tur?

I fa dinhmun i hriat hunah zawhna tam tak neih hi thil pangngai a ni. I doctor hnenah i theih ang tawka zawh hlau suh. Entirna thenkhat chu hetiang hi a ni:

• Ka fa hian operation a mamawh em?
• I recommend treatment te hian eng side effect nge a neih?
• Ka fa hian hmasawnna kawng a zawh loh chuan eng nge ka tih ang?
• Nausen piang thar chu operation hnuah engtin nge kan enkawl ang?

Heng zawhna bakah hian i rilrua i neih apiang zawt la. Doctor te chu tanpui turin an lo kal a ni.

A tawp berah chuan thil hriat reng tur

Nau piang tharte hian piansualna engemaw zat an nei a, chuvangin i naute chu in lamah i hruai thuai thei dawn lo tih i hriat chuan stress i neih hi thil pangngai tak a ni. Mahse, specialist doctor team chuan i naute chu a ṭul anga enkawlna pe tûrin theihtawp an chhuah ang a, nunna atana hlauhawm thei chhinchhiahna zawng zawng chu an tibo ang tih hre reng ang che.

Nu leh pa leh enkawltu tam tak chuan VACTERL syndrome an hmuhchhuah hnuah genetic counseling ang chi service-ah thlamuanna leh hriatna nasa tak an hmu thin. Chuvangin, chutiang rawngbawlna atang chuan tanpuina zawng hreh suh. Damdawi lam enkawlna dik, hmangaihna leh enkawlna dik tak i neih chuan i fa chu nun ṭha ber nei turin i ṭanpui thei ngei ang.

` VATER syndrome, VACTERL association, pianpui natna, piansualna, naute hriselna, naupang hriselna, nausen thanna, vertebrae chhiatna, anal atresia, thinlung natna, tracheoesophageal fistula, renal defects, limb defects, Sri Lanka