I naute piang thar vun chu a sen deuh tih i hmu ngai em? An mit var pawh hi a sen deuh pawh a ni mai thei. Hei hi jaundice an ti a. Nausen piang thar tam tak chuan he natna hi an nei thin. Chuvangin a tir lamah chuan hlauthawng suh. A tam zawkah chuan hei hi thil pawi tak a ni lo va, ni engemaw zat hnuah a mah chauhin a tha leh ang. Mahse, a chang chuan he natna hi a nasat phah thei a, naute thluak a tichhe thei bawk. Chu dinhmun hlauhawm tak chu ‘Kernicterus’ an ti a. Vawiin hian nu leh pa tinte hriat tur dik tak kan sawi dawn a ni.
Engvangin nge naute hian jaundice an neih?
A awlsam zawngin, kan taksaa thisen sen (red blood cells) te chu a pianphungah a chhe vek chuan chemical sen (yellow chemical) bilirubin an tih chu a lo piang ta a ni. A tlangpuiin kan thin hian he bilirubin hi taksa atangin a paih chhuak thin. Mahse naute piang thar thin (liver) chu he hna hi tha taka thawk thei tur khawpin a la puitling lo. Chuvang chuan he bilirubin hi naute thisenah a pung khawm a ni. Chutah chuan naute vun leh mit chu a sen a ni. Hei hi jaundice kan tih chu a ni.
Ngaihtuah teh, he natna hi Sri Lanka rama naute piang zinga 60% - 80% vel ah hian eng emaw chen chu a awm thin. Chuvangin hei hi a awm fo thin. Mahse, he bilirubin level hi thunun theih loh a nih chuan, chu chu enkawl a nih loh chuan chu bilirubin chu thluak lamah a kal a, thluak cell te a tichhia a ni. Hei hi thluak chhiatna, Kernicterus an tih, tihdanglam theih loh leh ven theih a ni. Doctor-te chuan he natna hi Bilirubin-Induced Neurologic Dysfunction, a nih loh leh BIND an ti bawk.
Heng symptoms te hi fimkhur hle ang che!
I naute hian jaundice a vei em tih hriat a pawimawh hle. Tin, a pawi chho zel a nih chuan hriat a pawimawh zawk bawk. A hnuaia table hian heng symptoms te hi chiang takin a hrethiam thei a ni.
| Symptom chi hrang hrang | I hmuh tur chu |
|---|---|
| Common jaundice natna lan chhuah dan | |
| Vun rawng a danglam | Naute hmai atanga intan a, a rilru, a pum, a kut leh a ke a luang chhuak, yellow emaw orange emaw a rawn chhuak thin. Hei hi naute vun dum zawkah chuan hmuh a harsa deuh thei. Chutih lai chuan mit var chu en rawh. |
| Harsatna harh | Mutthilh reng reng, harh harsa, emaw mut theih lohna tluantling. |
| Bawnghnute in chungchangah harsatna a awm | Nu hnute tui emaw, formula emaw in harsat emaw, ngaihven loh emaw. |
| Lungkham lutuk | Mihring nunphung pangngai aia rilru hahdam lo zawk, tap fo, thlamuan harsa tak. |
| Nappies hnim awm zat | Ni khata wet nappies ei zat hi a tlangpui aia tlem a ni. |
| A natna a nasat a, Kernicterus-a a chan chuan a lan chhuah dan | |
| Mutthilh lutuk | Chakna nei lo, nunna nei lo tak nihna dinhmun. |
| Tap danglam tak tak | Thunun theih loh, piercing, sang taka tap. |
| Khawsik | Naute taksa chu a khawsik tih hriat a ni. |
| Taksa a inthlak danglam thin | Taksa pum pui chu nunna nei lo (sluggish) emaw, a lehlamah chuan taksa a nghet lo va, taksa ruhte a inzawm khawm emaw a ni. |
| Mit che vel | Mit chetna pangngai lo. |
A pawimawh ber chu, heng symptoms zinga pakhat tal i hriat chuan doctor pan nghal mai tur a ni.
Naupang a lo upat deuh deuh chuan enkawl loh kernicterus hian natna dang a thlen thei a, chung zingah chuan seizure, che leh than that lohna, hriatna lama harsatna, han en thei lo, ha staining te pawh a tel.
Engtin nge hei hi i hmuh theih, Doctor?
Bilirubin level hi nau piang atanga ni 3-5 inkarah a sang ber thin. Chuvangin doctor leh nurse te chuan i naute chu damdawi ina a awm chhungin darkar 8-12 danah jaundice a awm leh awm loh an enfiah thin. Damdawi in atanga i haw hmain an check thin bawk.
Tunah chuan, i vunah light meter te tak te dah hmangin i bilirubin level chu rough idea i nei thei tawh ang. I level a sang nia i rinhlelh chuan thisen test hi chiang taka hriat theihna awmchhun a ni. Chu chu a dik ber a ni.
I naute bilirubin level a san chuan i naute pian hnu darkar engzat nge a nih tih leh i naute hian risk factor dang a neih leh neih loh a zirin i doctor chuan a enkawl dan tur a rel ang. Enkawlna an tan hnuah pawh bilirubin level a normal leh tawh loh enfiah nan thisen test tam zawk neih tir a ni thei bawk.
Hei hi eng enkawlna nge ni?
A tam zawkah chuan mild jaundice hi enkawl a ngai lo. Mahse, bilirubin level a sang a nih chuan, emaw, naute piang hma ang chi risk factor a awm chuan enkawl a ngai a ni.
1. Chaw pe tha rawh.
Naute hian hnute tui emaw, formula emaw a dawng tlem a nih chuan taksaa bilirubin lo awm chu zun leh ek hmangin a chhuak lo. Nausen piang thar chuan ni khatah wet diaper 6 tal a nei tur a ni. Tin, a stool chu dark green atanga yellow ah a inthlak tur a ni. Hengte hi naute hian ei leh in tha tawk a dawng tih chhinchhiahna a ni.
2. Phototherapy - chu chu eng laka inhriat tir tihna a ni
Hei hian naute vunah êng dum bik a eng chhuak a ni. Hei hi damdawi inah emaw, in lamah pawh tih theih a ni. He light hian bilirubin particle te chu a ti chhe vek a, taksa atanga awlsam takin a chhuak thei a ni. Tun hma chuan ni chhuahna hi a tha nia ngaih ni mah se, naute vun a hal theih avangin a tha tawh lo. Phototherapy hi a him em em a ni. A châng chuan, naute hian nghawng ṭha lo tenau te, bawlhhlawh paih ang chi te a nei thei bawk.
3. Tui pek
I naute hian light i tih laiin tui tam tak a dawng a pawimawh hle. Nau hnute pek chhunzawm zel tur a ni a, bottle-feed i pe chhunzawm tur a ni. I naute chu tui a tlakchham hle a nih chuan IV fluid i pek a ngai mai thei.
4. Thisen pek
Hei hi tih a tlem hle. Naute hian enkawlna dang a dawng lo a, thluak chhiatna chhinchhiahna a lantir chuan bilirubin level tihhniam nghal nan chauh hman a ni.
Take-Home Thuchah a ni
- Nausen piang tharah hian jaundice hi a awm fo thin a, mahse ngaihthah suh. I naute vun emaw mit emaw ah rawng sen i hmuh chuan , doctor pan nghal rawh.
- Bilirubin level a san lutuk chuan ‘kernicterus’ an tih natna hlauhawm tak a thlen thei a, chu chuan thluak a tichhe thei a ni.
- Nau hnute pek harsatna, mut tam lutuk, leh tap ri nasa ang chi chhinchhiahnate chu fimkhur reng ang che.
- Doctor-in a enkawl dan, a bik takin phototherapy hi naute damna atan a pawimawh hle. Damdawi lam thurawn tel lo chuan enkawlna titawp ngai suh.
- Ringhlelna emaw, hlauhna emaw i neih chuan i doctor nen inhawng takin sawipui thin ang che. Zawhna bengchheng tak tak a awm lo, a bik takin i naute chungchang a nih chuan.
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