I fa te chu i kuah hmasak ber a, hmangaihna nena an lu i fawh lai khan an lu chungah chuan chhum ang maia nêm tak a awm tih i hmu a ni lawm ni? Nu leh pa thar thenkhat chuan hei hi an hmuh hian an hlau deuh thin. "Hei hi eng nge ni? Naute chungah thil dik lo a awm em? Ka kut chu a khauh lutuk dawn em ni?" An ngaihtuah thin. Mahse, lungngai suh. Naute lu chunga he hmun nem tak hi a pangngai hle a, a tul hle bawk. Vawiin hian chipchiar takin sawi ila.
Hei hi eng nge ‘soft spot’ nge fontanelle?
A awlsam zawngin, naute a pian hian an luruh ruhte chu a inzawm khawm vek lo. Chu ruhte inkarah chuan gap te te a awm a. Heng gap te hi ‘soft spots’ emaw, damdawi lam atanga thlir chuan fontanelles kan tih te hi a ni.
Hei hi chhan lian tak pahnih a awm a, chungte chu:
1. Nau neih awlsam zawk rawh: He khawvela naute a lo luh hian heng gap te hian nu pianna kawngkhar kaltlangin awlsam taka a chhuah theih nan a pui thin . Hei hian luruh pianzia chu tlem a tidanglam a, nu leh naute tan harsatna lian tham thlen lovin nau neih a awlsam phah a ni.
2. Thluak thanlenna phalsak: Nausen kum khatnaah hian a thluak hi a thang chak hle. Heng gap te hi he hmasawnna chak tak neih theihna tur hmun mamawh siamsak turin a pawimawh hle.
Naute lu-ah hian hmun nem ber pahnih a awm tlangpui.
- A hmalam chunglam a lian ber: Hei hi mi tam zawkin an hmuh fontanel lian ber leh langsar ber a ni.
- Lu hnung lama naupang te : Hei hi a te deuh a, chuvangin i hre lo pawh a ni thei.
A pawimawh ber chu heng hmun nem tak takte hi khawih emaw, hmet nasat lutuk loh hi a ni. A chhan chu a hnuaiah hian naute thluak sensitive tak a awm a ni. An lu fawh emaw, sil emaw, an sam chu a hma ang bawkin an hrual emaw hlau a ngai lo.
Hei hi eng ang nge a nih tlangpui? Engtikah nge a khar?
He hmun mawi tak hi i hmuh hian thil tenawm tak tak i en thei a ni. An pangngai a ni.
- Naute a tap emaw, a khuh emaw chuan he hmun hi a hring deuhin a lang thei . Naute a rilru a hahdam chuan a pangngaiin a awm leh thin.
- A châng chuan naute thinlung na chu a chho leh hniam deuh niin a lang thei a, pulse ang maiin a lang thei bawk. Hei pawh hi thil pangngai tak a ni.
- Nausen hnute a pek laiin a hnute a hrual dan rhythm angin a che tih i hmu thei bawk.
Engtikah nge hengte hi an inkhar?
Heng gap te hi a awm reng thei lo. Naute a lo seilian chhoh zel chuan luruh ruhte chu a lo thang lian zel a.Heng gap te hi a khar chho zel a ni.
- The little one on the back: Hei hi thla 3 vel hnuah a tla tlangpui .
- Hma lam a lian ber: Hemi hi khar nan hun rei tak a ngai. Thla 18 (kum 1 1/2) vel ah a khar vek tlangpui .
I naute clinic-a i hruai dawn chuan doctor chuan he fontanel hi a enfiah reng ang. Chutiang chuan naute kum nena inmil taka khar a nih leh nih loh i hre thei ang.
Kan fimkhur tur chhinchhiahna hlauhawm tak takte chu engte nge ni?
Hei hi a tam zawkah chuan thil pangngai a nih laiin, a chang chuan hriselna lama harsatna lian tak a awm thei a, chuvangin fimkhur a pawimawh hle.
| Feature ngaihven tur a ni | Eng nge a awmzia leh i tih tur tih te |
|---|---|
| Fontanelle chu a pil ta a ni | Hei hi i naute tui tlakchhamna chhinchhiahna lian tak a ni thei. A bik takin i naute hian ril\am emaw, luak chhuak emaw a neih chuan fimkhur hle ang che. I naute hian bawnghnute a in zat kha ngaihven rawh. Doctor hmu nghal rawh. |
| Bulging fontanelle a ni | Naute a rilru a hahdam a, a tap loh lai pawha fontanel a hring leh a hring chhunzawm zel chuan thluaka pressure sang emaw, a hring emaw a ni thei. Hei hi lu hliam vang emaw, infection vang emaw a ni thei. Hei hi emergency a ni. Doctor hmu nghal la, damdawi in Emergency Department (ETU) ah kal nghal bawk ang che. |
Tin, damdawi lam thil thenkhatah chuan fontanelle chu a tlangpui aia lian zawkin a awm thei bawk. Entir nan:
- Down syndrome tih hi a ni
- Hydrocephalus (thluaka tui awmkhawm) .
- Hun hmaa nau neih
I doctor chuan heng dinhmun chi hrang hrangte hi a hre chiang ang a, a tul angin thurawn a pe ang.
A natna awm lo: Craniosynostosis
Hei hi thumal buaithlak deuh a ni. A awlsam zawngin, craniosynostosis chu naute luruh ruh inkar gap te chu a hun hmaa inkharkhip a, ruh inzawmkhawm tir a ni. Hei hian thluak thanlenna tur hmun a tlakchham phah thei a ni. Naute lu chu a pianphung pangngai lo a siam thei bawk.
Hetiang dinhmun hi chi hrang hrang a awm.
| Lampang | Engtin nge lu pianzia hi a inthlak? |
|---|---|
| Sagittal synostosis a awm thin | Hma lam atanga hnunglam panna central gap chu a khar hma hle. Lu hian a sei leh a tawi zawngin a pianzia a nei a. |
| Coronal synostosis a awm thin | A sir khata gap, beng atanga lu chung lam thlenga tlan chu a khar ta a ni. Chu hmai lam chu a flat shape a ni. |
| Bicoronal synostosis a awm thin | Beng atanga lu chunglam thlenga kal gap pahnih chu a inkhar vek. Luruh hian a pianzia zau leh tawi tak a nei a. |
| Lambdoid synostosis a awm thin | Lu hnunglam atanga tlan chhuak gap chu a khar ta a ni. Lu hnunglam hian flat shape a nei a. |
| Metopic synostosis tih a ni | Hmai lai tak, hnar atanga lu lallukhum thlenga kal chu a khar ta a ni. Hmai chu triangular angin a awm a. |
Hei hi thil awm lo tak ni mah se, i naute lu pianziaah rinhlelhna i neih chuan i doctor nen inbiakna neih a tha ber.
Take-Home Thuchah a ni
- I naute lu-a hmun nem tak, a nih loh leh fontanelle chu a pangngai vek a, a tul bawk . A tul lovah lungngai suh.
- Naute lu i khawih hian , na takin hmet suh la, ngilnei takin awm rawh .
- Fontanel chu a pil (dehydration) emaw, naute a rilru a hahdam lai pawha a hring chhunzawm zel emaw a nih chuan (thluak chungah pressure) , chu chu vaukhânna chhinchhiahna a ni.
- If you have any doubts or concerns , speculate suh la , i pediatrician hmu nghal rawh. Thurawn zawn hma hi thil him ber a ni fo thin.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh