Nu emaw, pa emaw i nih angin, a châng chuan hetiang hian i awm tawh mai thei. Chhungkaw inkhawmah emaw, sikulah emaw, kum inang naupang dangte nena an awm dun lai emaw pawhin i fa chu a tawi deuh tih hi thil pangngai tak a ni. I ngaihtuah chian chuan, "Ka fa hi a thang tha em?" Mahse naupang sei tawi lutuk hi natna khirh tak chhinchhiahna a ni ngai lo. A chang chuan chhungkuaah pawh a tlan thei bawk. Mahse hei hi hriat chian a pawimawh hle. Chuvangin vawiin hian naupangte thanlenna lama harsatna awm chungchang hi han sawi ila.
Naupang chu engtin nge a tlangpuiin a lo thanglian?
Naupangin an lo thanglian tha em tih hriat theihna tur milestone thenkhat a awm a. Hengte chungchangah hian ngaihtuahna tlem tal i neih chuan a \angkai hle ang.
A pawimawh ber chu naupang zawng zawng hi an inang vek lo. Hengte hi average value chauh a ni. I fate hmasawnna chungchangah rinhlelhna i neih chuan i doctor chauhvin thurawn tha ber a pe thei ang che .
A hnuaia table-a heng growth stages te hi ngun zawkin han thlir ila.
| Kum bithliah | Average a san zawng tihpun | Thil bik hriat tur |
|---|---|---|
| Pian atanga thla 12 thleng | Inches 10 vel a ni | Hemi hun chhunga thanlenna tichhetu ber chu ei leh in tha a ni. |
| Kum 1 atanga kum 2 chhung | Inches 5 vel a ni | Hetih hun chhung hian naupang taksa hormone activity hi a lo thanlenna atan a pawimawh hle a ni. |
| Kum 2 atanga kum 3 chhung | Kum khatah inches 3.5 vel a ni | Hetiang kum ah hian naupang thanlenna hi a chak zawngin a thleng thin. |
Naupangin a lo thang chak loh chhante chu engte nge ni?
Naupang thang chakna chu a pangngai aia a hniam chuan a chhan hrang hrang a awm thei. Tlemte han thlir ila.
Endocrine natna a ni
A awlsam zawngin kan taksaa thil tam tak, thanlenna leh hnathawh te hi hormone-in a thunun a ni. Heng hormone siamtu system (endocrine system)-ah hian harsatna a awm chuan naupang hmasawnna chu direct-in a nghawng a ni.
- Thyroid hormone: Naupang thanlenna atana hormone pawimawh tak a ni. He hormone tlakchhamna hian a thang chak lo thei a ni.
- Growth hormone: He hormone hi thluaka pituitary gland atanga siam a ni. He hormone hi a siam chhuah tawk loh chuan naupang san zawng a tlahniam ang.
Constitutional growth tihkhawtlai a ni
Hei hi natna tak tak a ni lo. Heng naupangte hian an than dan pangngai an nei a, mahse an kum rualpui dangte aiin an tawi deuh hlek a ni. Chumi awmzia chu an ruhte chu a puitlin zawi deuh tihna a ni. "Late bloomers" ang maiin. Hun a kal zel a, an san zawng pangngai an thleng ta a ni.
Intrauterine growth tihkhawtlai a ni
Nu pum chhunga a awm lai hian nausen chu nutrition emaw oxygen tlakchhamna emaw avang hian nausen pum chhungah a thang chak lohna a tawk thei a ni. Hei hi nausen than chakna titawp chhan lian tak a ni bawk.
Genetic lama harsatna (genetic disorder) a awm
Genetic condition thenkhat hian naupang hmasawnna a nghawng thei bawk.
- Turner Syndrome: Hmeichhia chauh natna a ni. An X chromosome pakhat a\anga a \hen emaw, a zawng zawng emaw an hloh a, hei hian hmasawnna tihkhawtlai ang chi harsatna a thlen a ni.
- Down Syndrome: Chromosome number 21 extra a awm avanga lo awm thin a ni a, heng naupangte hian an than chhoh dan pawh a tlangpui aia slow zawk an nei bawk.
- Achondroplasia: Hei hi ruh natna (genetic bone disorder) tlanglawn tak a ni. Hetiang dinhmun hian naupang kut leh ke chu an taksa nena inmil takin a tawi a, an lu chu a pangngai aia lian a ni thei bawk.
Precocious puberty (a puitlin hma) a ni
Hetiang dinhmunah hian naupang chu beisei aia hmain a puitlin hun a thleng hma hle. A tirah chuan an thanlenna a spurt a, naupang dang aiin an sang zawk niin a lang a, mahse an thanlenna chu a tawp rang hle. A tâwpah chuan puitling san zawng aiin an tawi zâwk thei a ni.
Thil dang nghawng thei thil dangte
Hei bakah hian thil dang engemaw zatin naupang thanlenna a nghawng thei bawk.
- Rilru lama harsatna nasa tak
- Ei leh in lama tlakchhamna
- Kidney, heart, emaw lung natna rei tak nei
- Damdawi thenkhat hun rei tak hman
A châng chuan ṭhanlenna lama harsatna awm chhan chiang tak hmuh theih lohna a awm ṭhin. Damdawi lamah chuan hei hi `idiopathic` kan ti a.
Engtin nge i thanlenna lama harsatna i neih leh neih loh i hriat theih ang? Eng nge a lan chhuah dan?
Simptom thenkhat chu pian tirh atangin a lang a, thenkhat erawh chu naupang a lo upat deuh deuhin a lang thung. Heng symptoms te hi kum 5 an tlin hnuah a langsar zawk tlangpui.
Hetiang symptom hi growth problems nen hian hmuh tur a awm thei:
- Taksa thiamna tihhmasawn tlai: Kum inang naupangte aiin ṭhut, ding leh kea kal chu a slow zawk.
- Khawtlang leh rilru lama thiamna tihhmasawn tlai: Midang nena inpawh leh inbiakpawhna tihkhawtlai.
- Digestive system lama harsatna: Taksa chhunga ei tur a luh dan dik loh avanga thanlenna a tlahniam chuan ril\am, chaw ei kham, luak chhuak, leh luak chhuak ang chi symptoms a awm thei.
Hei hi eng enkawlna nge ni a, engvangin nge doctor ka hmuh a ngaih?
I fate thanlenna chungchangah ngaihtuahna i neih chuan, a tha ber chu i doctor nen inbiakna neih hi a ni . I fa chu clinic-a i hruai apiangin doctor chuan an san zawng leh a rih zawng a teh ang a, growth chart-ah a mark ang. Hei hian i fate thanlen dan tur a hriat chian tir ang che.
Harsatna a awm nia rinhlelh a nih chuan doctor chuan a chhan zawng turin heng ang test hi a ti thei ang:
- Thisen test: Hormone level, nutritional status leh damdawi lam thil dangte enfiah thin.
- X-rays: Kut emaw, kutphah emaw X-ray hmangin ruh kum enfiah theih a ni a, naupang chu a thanlen theih dan tur hriat theih a ni.
- Test dang: A tul chuan specialized test atan refer i ni thei a, chu chu pituitary gland test ang chi te hi a ni.
Growth problem hi emergency treatment ngai thil a ni lo. Mahse, harsatna a awm chuan, a hmaa hriat chian chuan i fate chu rah ṭha a chhuah theih nân kawng thui tak a zawh thei a ni.
I doctor-in a rawt theih tur enkawlna kawng ṭhenkhat chu hetiang hi a ni:
- Growth hormone injection: He enkawlna hi naupang growth hormone tlakchhamna emaw Turner syndrome ang chi natna nei tan chuan a \angkai hle. Hei hi enkawlna him leh tangkai tak ni mahse, a man a to deuh thei.
- Thyroid hormone enkawlna: Naupangin thyroid hormone tlakchhamna (`Hypothyroidism`) a neih chuan chu hormone chu pill angin pek chuan a thanlenna a siam tha leh thei a ni.
Take-Home Thuchah a ni
- Naupang chu midang aiin an kum a tawi zawk vang mai mai chuan damdawi lam harsatna a ni tihna a ni lo. Thlawhna atanga lo chhuak pawh a ni thei bawk.
- I fate hmasawnna hriatthiamna tha ber neih theih nan hun ruat saah doctor pan a, an san zawng leh an rih zawng enfiah a pawimawh hle
- Naupangin a lo thang chak lo hi thil chi hrang hrang vang a ni thei a, chungte chu genetic cause, hormone lama harsatna, leh ei leh in lama harsatna nei te a ni.
- Harsatna a awm chuan a hmaa hriatchhuah hian naupang tan rah tha zawk a pe thei a ni.
- I fate hmasawnna chungchangah rinhlelhna emaw hlauhna emaw i neih chuan chutiang chauh chu ngaihtuah suh la, i naupang enkawltu doctor nen inbia ngei ang che.











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