I naute pawhin nu hnute tui avanga jaundice a nei em? (Breast Milk Jaundice) Lungngai suh, he thu hi han sawi ila!

Nu emaw, pa emawin naute thar an neih huna an hlimna chu tawngkam hmanga sawi chhuah theih a ni lo, a dik em? Chutih rual chuan thil tenawm ber pawhin hlauhna nasa tak a thlen thei a ni. Tu pawhin an fate taksa leh an mit var te chu a sen deuh tih an hmuh chuan an hlau ang. Hei hi ‘Jaundice’ kan ti a. Hetiang dinhmun hi naute hnute chauh pek zingah a tam hle. Chuvangin vawiin hian he jaundice hi naupai laiin lo awm thin , chu chu ‘Breast Milk Jaundice’ tih hi han sawi ila.

Jaundice hi eng nge ni tak tak?

A awlsam zawngin sawi ila, jaundice hi natna a ni lo, natna chhinchhiahna a ni. Hetiang dinhmun hi kan thisenah bilirubin an tih yellow pigment a pun chuan a lo awm thin.

Ngaihtuah teh, kan taksaa thisen sen (red blood cells) te hian dam chhung hun engemaw chen an nei bawk. Heng cell te hi an thih chuan, an chhiat chuan bilirubin an tih thil pakhat a lo piang chhuak thin. Hei hi thil kalphung pangngai a ni. Tichuan kan thin hian he bilirubin hi a la a, taksa atanga chhuah theih turin a process a ni. Tichuan taksa chu bawlhhlawh nen a chhuahsan ta a ni.

Mahse naute piang thar thin (liver) hi a la thang kim lo. Chuvangin a chang chuan he bilirubin hi process rang tawk lo leh taksa atanga lakchhuah theih a ni lo. Tichuan chu bilirubin sen chu thisenah a lo awm khawm a, naute vun leh mit var ang chi hmunah a awm ta a ni. Chu chu jaundice kan tih chu a ni.

Nausen piang thar 10 zinga 6 atanga 8 velin jaundice engemaw chen an vei hi thil pangngai a ni. Hei hi ‘Physiologic Jaundice’ an ti a. Ni rei lote chhungin a reh mai ang.

Breast Milk Jaundice hi engte nge ni?

Hei hi a chhan dik tak hriat a la ni lo a, mahse doctor-te chuan nu bawnghnutea thil awm hian naute thin (liver)-in bilirubin a tihchhiat theihna a tikhawtlai niin an ngai. Genetic a ni thei bawk a, chu chu thlah kal zelah a kal zel tihna a ni.

Nausen hnute pek zingah jaundice chi hnih awm thin hi kan hriat a ngai a ni.

Jaundice vei theihna tipungtu thil dang

• Nau piang hma: Nausen piang hmaa piangte hian an thin (liver) a lo thang tha tawk loh avangin bilirubin paih theihna a tlahniam a.
• Nu leh naute inkara thisen chi hrang hrang inrem lohna: Nu thisen chi chu O a ni a, naute thisen chi chu A emaw B emaw a nih chuan, emaw, nu chu Rh negative (-) a nih a, naute chu Rh positive (+) a nih chuan, nu taksaa antibodies siam chhuah hian naute thisen sen (red blood cells) a tichhe thei a ni. Hei hian bilirubin level a tisang thei a ni.
• Nau piang laia thisen sen (red blood cells) a pung: Thisen sen (red blood cells) a tam poh leh a chhiat chuan bilirubin a siam tam zawk thin.
• Genetic problems: Genetic condition thenkhatah chuan thisen sen (red blood cells) te chu awlsam takin a chhe thei (fragile).

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

A lan chhuah dan ber leh langsar ber chu vun sen leh mit var a ni. He yellowing hi hmaiah a intan a, chutah chuan rilru , pum, leh a tawpah chuan ke thlengin a darh thei a ni.

Bilirubin level a san chhoh zel chuan symptom dang a lo lang thei a:

• A tlangpui aia mutthilh tam zawk lantir.
• Bawnghnute in harsat emaw, in duh lohna emaw.
• Tap fo emaw, agitated taka che emaw.
• Sloppy tih hriatna.

Hei hi naute hian jaundice a vei em tih enfiah dan tur a ni.

A chang chuan vun dum nei naute rawng sen hi hriat a harsa deuh thei. Chutiang hunah chuan hetiang hian han ti ve teh: Hmun eng tha takah chuan i naute vun chu i kut zungtang hmangin khawih la.I hmai emaw hnar emaw ah i kut kha hmet tum ang che. Chu hmun chu a var a, i khawih chuan a rawng pangngaia a lo let leh ai chuan a sen a nih chuan jaundice a ni thei .

Doctor hmuh a ngai em?

Breast Milk Jaundice hi a tlangpuiin a mah chauhin a tha chho thin. Amaherawhchu, \henkhatah chuan damdawi lam thurawn lak a ngai \hin. I rilruah rinhlelhna tlemte pawh i neih chuan Doctor pan hreh suh.

A hnuaia thil thlengah hian doctor hriattir ngei ngei tur a ni:

• Nausen hnute a pe tha lo a nih chuan.
• Naute chu damlo anga a lan emaw, a che emaw chuan.
• A tlangpui aia mut a hah zawk tih i hriat chuan.
• Yellowness a na zual ang tih a hriat chuan (entir nan, ke thlenga a darh chuan).
• Naute ek chu a sen emaw, a zun chu a dum/brown emaw a nih chuan.

Doctor chuan naute chu a enfiah ang a, a tul chuan thisenah bilirubin level enfiah turin thisen test turin a ti thei bawk. A châng chuan, light machine hmangin vunah êng bik a eng a, bilirubin level tehna hman theih a ni bawk.

Engtin nge enkawl a nih?

Ka sawi tawh ang khan Breast Milk Jaundice hi enkawl lohvin a reh fo thin. Naute bilirubin level chu doctor-te’n safe level an rawt aia nasa taka a san chuan enkawl a ngai chauh a ni.

Enkawlna tur chu thil hrang hrang atanga thutlukna siam a ni a, chungte chu:

• Naute kum zat.
• Naute chu a hun hmaa piang a ni em?
• Bilirubin level a sanna rate.
• Naute hnute pek dan leh hriselna dinhmun.

Bilirubin level a sang hle a nih chuan a hnuaia enkawlna te hi hman tur a ni.

• Phototherapy: Hei hi hmanraw hman tlanglawn ber a ni. Hetah hian naute chu êng dum bik a awm a, mit chauh a khuh a ni. He êng hian bilirubin molecule awm dan a tidanglam thei a, chu chuan taksa atangin zun leh ek chhungah awlsam zawkin a chhuak thei a ni.
• Hydrated tha taka awm (Fluids): I naute chu i hnute pek tha emaw, i doctor-in a tih angin tui dang pek emaw, a tul chuan taksa atanga bilirubin lakchhuahna a ti chak hle ang.
• Intravenous Immunoglobulin (IVIG): Hei hi naute nu leh naute thisen chi hrang hrang inrem lohna avanga jaundice nei te tan pek thin a ni. Hei hi vein hmanga shot pek a ni.
• Exchange Blood Transfusion: Hei hi thil tih dan tur awm lo tak a ni. Bilirubin level a sang lutuk a, thunun theih loh khawpin naute thisen chu zawi zawiin lakchhuah a ni a, a inmil thisen hmanga thlak a ni. Hei hi emergency-a thluak a chhiat loh nan tih a ni.