Naupai hi nu tin nunah hian hun duhawm tak leh beiseina nei tak a ni a, a ni lawm ni? Naupang tê chu hrisel takin he khawvelah hian a lo kal theih nan thawk hah takin i nghak reng a ni ngei ang. Hemi hun chhung hian keimahni hriselna bakah kan naute hriselna pawh nasa taka kan enkawl a ngai a ni. A châng chuan, hri kai ṭhenkhat kan neihte hian naute pawh a nghawng thei bawk. Vawiin hian hetiang hri kai tlem te kan sawi dawn a ni. Lungngai suh, hei hi hriat chian hi mahni invenna tha ber a ni.
TORCH Syndrome hi eng nge ni?
TORCH syndrome tih thumal i hriat hian natna pakhat chauh a ni tih i ngaihtuah mai thei. Mahse a takah chuan natna a ni lo va, natna chi hrang hrang inzawmkhawm a ni. Hengte hi natna hrik tenau, bacteria, virus emaw parasite emaw atanga lo chhuak a ni. Nuin naupai laiin hengte hi a kai a nih chuan nausen piang thar emaw, nausen piang thar emaw tan hriselna lama harsatna engemaw zat a thlen thei a ni.
TORCH tih thumal chhunga letter awmte hian heng natna chi hrang hrangte hi a entir a ni:
- T - Toxoplasmosis natna (Toxoplasmosis) natna (Toxoplasmosis) a ni
- O - Agent dang - He pawlah hian HIV, Syphilis, Varicella, leh Fifth disease ang chi thil te a tel a ni.
- R - Rubella emaw German natna hrik emaw
- C - Cytomegalovirus (CMV) natna hrik pai a ni.
- H - Herpes natna hrik (Herpes simplex) a awm
Engtin nge heng hri kai te hi nausen atanga kai theih?
Heng TORCH hrik te hian nangmah emaw, i naute lo thang lian mek emaw, i naute piang thar emaw chu a kai thei a ni.
Mahse hei hi hriat reng a pawimawh. Damdawi lam mithiamte pawhin nuin natna a kai apiangin a naute hnenah a kai zel dawn lo niin an sawi. Chuvangin a tul lova lungngai a ngai lo.
Naute hian heng natna hi an kai theih dan tlangpui pathum a awm a, chungte chu:
1. Nausen (placenta) kaltlangin: Nausen hrik thenkhat chu nausen (placenta) kaltlangin i naute hnenah an kal thei a, chu chuan i pum chhunga i naute chu ei leh in leh oxygen a pe a ni.
2. Nau neih lai: Nau neih lai hian nausen taksaah birth canal atanga hrik a lut thei a.
3. Nau hnute pek lai: A tlem hle a, natna hrik thenkhat chu hnute hnute hmangin naute hnenah a kai theih a ni.
A chhan chu nausen pum chhungin a taksa hriselna (immune system) a thang kim lo a, puitling angin natna a tuar thei lo. Infection a lo awm chuan naute taksa peng thenkhat hmasawnna a nghawng thei a ni.
TORCH natna chi hrang hrang chungchang chipchiar takin
Tunah hian heng hri kai chi hrang hrangte hi a hranin han thlir ila.
T - Toxoplasmosis natna (Toxoplasmosis) natna (Toxoplasmosis) a ni
Hei hi parasite pakhat `Toxoplasma gondii` tih atanga lo chhuak a ni. Kâ hmangin taksaah a lut a. Sa leh sangha tui lo, thlai bawlhhlawh, tui thianghlim lo ang chi thil hmanga kai theih a ni. A bik takin, he parasite hi ui bawlhhlawhah hmuh tur a awm . Chuvangin naupai laiin ui bawlhhlawh i paih chuan fimkhur hle a ngai a ni.
O - Agent dangte
He category ah hian infection engemawzat a tel a ni.
- HIV: Naupangte hian an nu hnena HIV an kai darh hi a tlem hle. Nu chu HIV vei a nih chuan, enkawlna \ha (`Antiretroviral therapy - ART`) dawngin naupang hnena natna kai theihna chu 1% aia tlem lovah tihhniam theih a ni .
- Syphilis: Hei hi mipat hmeichhiatna hmanga kai theih natna a ni. Naupai laia hmuhchhuah a nih chuan nu leh naute pawh a dam kim theih nan antibiotics pek theih a ni.
- Chickenpox (Varicella): Hei hi varicella virus atanga lo chhuak a ni. Mi tam zawkin an naupan lai atanga chickenpox an vei a, immunity an neih avangin naute hian naupai laiin a kai hi a tlem hle.
- Natna pangana: Hei hi hrik pakhat `Parvovirus B19` tih atanga lo chhuak a ni.
R - Rubella a ni
German measles an ti bawk. Naupai kar 12 hmasa berah a lo awm a nih chuan naute tan harsatna lian tak a thlen thei a ni. Amaherawhchu, MMR vaccine vangin tunah chuan he natna hi Sri Lanka leh khawvel ram dang tam takah a tlem hle.
C - Cytomegalovirus (CMV) natna hrik pai a ni.
Hei hi TORCH group-a hri kai tam tak a ni. Taksa tui, hmui leh zun hmanga kai a ni. A bik takin in lama naupang tenau dang an awm chuan an diaper thlak dawn leh chaw pek leh inbual hunah fimkhur hle a ngai a ni.
H - Herpes Simplex Virus (HSV) atanga lo chhuak a ni.
Hei hi mipat hmeichhiatna hmanga kai theih natna tlanglawn tak a ni bawk. HSV-1 hian ka chhehvelah blisters a siam ber a, HSV-2 hian genital area-ah blisters emaw sores emaw a thlen thung. Nu naupai hian herpes a nei a nih pawhin a naute hnena a kai theihna chance a tlem hle. A bik takin nu hian naupai hmaa herpes a neih chuan a taksaa antibody te chu placenta kaltlangin naute tan venhimna a pe thin.
Engtin nge heng hri kai te hi screening an tih thin?
I doctor chuan naupai laiin test tul hrang hrang atan a refer ang che. Test tih tlangpui thenkhat chu a hnuaia table-ah hian tarlan a ni.
| Infection chi hrang hrang | Test hman dan pangngai |
|---|---|
| Toxoplasmosis natna (Toxoplasmosis) a ni | Mi zawng zawng tan tih tlangpui ni lo mah se, a hlauhawmna a awm chuan thisen test (IgG, IgM antibodies) tih a ni. |
| HIV leh syphilis natna a ni | Nu tin hi naupai tirh lamah thisen test an pe thin. Hei hi test ngei ngei tur a ni. |
| Rubella chuan a rawn ti a | Mi tam zawk hi MMR vaccine lakah hian immune an nih avangin test hi tih a ni tlangpui lo va, a tul chuan thisen test pawh tih theih a ni. |
| CMV leh herpes te a awm | Special test (thisen, zun, hmui test) hi natna lanchhuahna a awm emaw, doctor-in rinhlelhna a neih emaw chauhvin tih thin a ni. |
Tin, i doctor-in a duh chuan test dang, PCR test leh ultrasound scan-na atan a refer thei bawk.
Harsatna awm thei enkawl leh venna
Thu lawmawm tak chu heng hri kai tam tak enkawlna tur a awm tih hi a ni. Enkawlna chu natna chi hrang hrang, a nasat dan leh naupai stage-ah a innghat a, i doctor chuan antibiotics, antivirals, antiparasitics emaw a pe thei ang.
A pawimawh ber chu invenna a ni . Mithiamte sawi angin, "damdawi tha ber chu invenna a ni." Vaccine pek te, faina te, nau neih hmaa a hun taka checkup te hi heng hri kai laka kan fate venhimna atana hmanraw tha ber kan neih a ni.
Infection thenkhat chuan naupangah harsatna a thlen thei a ni. Entir nan:
- Syphilis enkawl loh hian naupang thanlenna, mit hmuhna leh hriatna a nghawng thei a ni.
- Rubella hian lung natna leh thluak lama harsatna a thlen thei a ni.
- CMV infection hian naupang thenkhatah hriatna a tichhe thei a ni.
Mahse, lungngai suh. Heng thilte hi a thleng tlem hle. Damdawi lam thurawn dik tak zawm leh checkup neih fo hian heng hlauhawm tam zawk hi pumpelh theih a ni.
Engtin nge i tih ang?
- Chaw hmin tha chauh ei rawh: Sa raw, sangha leh artui raw ei loh tur.
- Faina fimkhur rawh: Thlai leh thei te hi i hman hmain uluk takin silfai thin ang che. Ran emaw, lei emaw i khawih hnuah sahbawn hmangin i kut uluk takin sil thin ang che.
- Safe sex hmang rawh: Invenna tel lo sex hman loh tur. Condom hman hi a pawimawh hle.
- Vaccine la rawh: Naupai hmain i doctor nen inbia ang che, vaccine i lak ngai em tih te, MMR ang chi te.
- Damdawi lam thurawn zawng rawh: Natna lan chhuah dan danglam (e.g. khawsik, vun hring) i neih chuan doctor pan nghal rawh.
Take-Home Thuchah a ni
- TORCH hi naupai laiin nu atanga naute hnena kai theih natna chi khat a ni.
- Heng natna hrik laka invenna hi a enkawlna tha ber a ni. Vaccine lak leh faina tha (a bik takin ran leh sa leh sangha raw kan khawih hnua kut sil) hi a pawimawh hle.
- Symptoms i neih emaw, natna hrik i kai nia i rinhlelh emaw chuan i doctor nen inbia nghal rawh.
- Nu tam takin hri kai vei mahse, an naute hnena an kai loh theihna chance a sang hle. Chuvangin, a tul lovah hlauthawng suh la, damdawi lam thurawn dik tak zawm rawh.
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