Perinatologist, high-risk pregnancies lama tui, tu nge ni? Engkim i zawng chhuak ang u!

Naupai emaw, nau neih thuai tur emaw i nih chuan ‘high-risk pregnancy’ tih thumal hi i hre tawh ngei ang. Chutiang thil i hriat chuan tlemin i hlauthawng tih chu thil pangngai a ni. "Kei leh ka naute chungah eng nge thleng ang?" Mahse, lungngai suh! Chutiang dinhmunah chuan nang leh i nausen piang lo chu enkawlna bik pe thei leh tanpui thei doctor thiam tak tak an awm. Chutiang specialist pakhat chu ‘perinatologist’ a ni. Mi thenkhat chuan ‘maternal-fetal medicine (MFM) specialist ’ an ti bawk. He thuziak ah hian he specialist hi tu nge a nih, eng nge a tih, a hnen atanga tanpuina i hmuh theih dan tur kan sawi dawn a ni.

Perinatologist chu tu nge ni? A awlsam zawngin...

A awlsam zawngin, Perinatologist chu Obstetrician-Gynecologist (OBGYN) a ni. Mahse, obstetrician pangngai aiin specialized training a dawng tam zawk a ni. A chhan i hria em? Anni hian naupai hlauhawm tak takte chu a bik takin an enfiah a, an enkawl bawk . Chumi awmzia chu, nu emaw, nausen pum chhunga naute emaw pawhin hriselna lama harsatna an neih chuan, heng doctor-te hi naupai chhung zawng, nau neih lai leh nau neih hnua an pahnih enkawlna bik pe tura zirtir an ni tihna a ni.

I naupai hmaa i lo neih tawh, damdawi lam natna rei tak i nei niin han ngaihtuah teh. Tichuan naupai i tum hunah, a nih loh leh i naupai tirh lamah pawh hetiang specialist hi i pan a ngai mai thei. A nih loh leh, naupai laiin natna thar a lo awm a, chu chu test leh enkawlna dang a ngai a nih chuan, perinatologist puihna pawh i mamawh thei bawk. A châng chuan, naute pum chhunga naute hian pianpui natna emaw, piansualna emaw a nei tih rinhlelhna a awm chuan, heng specialist-te hian an chhui thei bawk.

Chuti a nih chuan, perinatologist hian eng nge a tih tak tak?

Perinatologist chu naupai lai, nau neih lai emaw, nau neih hnua harsatna nei nu leh naute enkawlna lama tui tak doctor a ni. Naupai laia dinhmun thar lo awm tawhte bakah natna thar lo awm tawhte pawh an enkawl bawk. Hmeichhe naupai enkawlna, an naute hriselna lama harsatna awmte hriatchhuah leh enkawl danah an specialise a ni.

Perinatologist hian a hnuaia mite hi a thawhpui ber a ni:

• Naupai hmaa counselling pek: 1.1.Naupai laiin harsatna thlen thei hriselna lama harsatna i neih tawh chuan hriattir hmasak i ni ang. Entîr nân, zunthlum , thisen sang , a nih loh leh thinlung natna i neih chuan, i naupai hmain hengte hi sawiho a pawimawh hle.
• Naupai hmaa enkawl dan pangngai leh naupai hlauhawm tak testing: I naupai hi hlauhawmna sang tak a nih chuan naupai pangngai aiin test tam zawk leh doctor pan fo a ngai mai thei. He specialist hian heng zawng zawng hi a ruahman vek ang.
• Nu naupai hriselna dinhmun awmsa emaw, thar emaw enkawl dan: Naupai laiin nu dinhmun awmsa chu a chhe zawk a nih chuan, emaw, natna thar a lo awm chuan (e.g., gestational diabetes , preeclampsia ), enkawl a ni.
• Ultrasound emaw test dang hmanga genetic natna emaw, piansualna emaw hriat theihna: Naute hian pianpui natna a neih leh neih loh hriat nan special scan leh genetic test an ti thei a ni. Tin, dinhmun pakhatin naute a nghawng dan tur chiang takin an pe thei bawk.
• A tul chuan nau neihnaah tanpui: Thil buaithlak tak takah chuan, nau neih lai pawhin he specialist tel hi a ngai thei a ni .
• Nau neih hnua harsatna awmte enkawl dan: Nuin nau a pai hnua harsatna (e.g., thisen chhuah tam lutuk) a neih chuan , chu chu enkawl bawk a ni.

‘High-Risk Pregnancy’ tih hi eng nge ni? Hlauh tur thil a ni tak tak em?

I naupai chu ‘high-risk’ a nih thu an hrilh che chuan naupai leh nau neih hlawhtling tur chuan extra care leh attention i mamawh tihna a ni. "Ka naute hi thil dik lo a awm em?" emaw, "Ka naupai hi a hlauhawm tak tak em?"

A pawimawh ber: ‘High risk’ nih hian naute chungah harsatna a awm tihna emaw, i naupai chu a hlauhawm tihna emaw a ni lo. Chumi awmzia chu nang leh i naute hi uluk zawka enkawl an ni tihna chauh a ni a, a chhan chu harsatna engemaw zat a awm theihna chance a sang zawk a ni . Khualzin pawimawh tak i kal dawna fimkhur deuh deuh ang mai a ni.

Naupai hlauhawm tak thlen thei thil thenkhat chu hetiang hi a ni:

• Nu kum tihpun: A bik takin kum 40 aia upa an nih chuan.
• Naupai tam tak:Chu chu, nausen pum chhungah nausen pakhat aia tam a awm chuan, twins emaw triplet emaw ang chi hi a ni.
• Tun hmaa nau pai emaw, nau piang thi emaw nei tawh.
• Chhungkaw zinga mi pakhatah genetic disorder neih.
• Naupai hmasa lama harsatna tawk tawh: Entîr nân, preeclampsia , nau neih hmaa nau neih, a nih loh leh gestational diabetes ang chi dinhmunte.
• Hriselna lama harsatna lian tak i nei a: thinlung natna, zunthlum , thisen sang, inflammatory bowel disease, emaw autoimmune disorder ang chi thilte.

Engvangin nge perinatologist hnenah min refer?

I naupai hi a hlauhawm hle a nih chuan, emaw, i naute piang lai hian damdawi lama harsatna khirh tak emaw, pianpui natna emaw a neih nia rinhlelhna a awm chuan i general obstetrician and gynecologist (OBGYN) chuan perinatologist hnenah a refer thei che a ni.

A tam zawkah chuan general obstetrician te hian naupai laiin harsatna tenau te (e.g., thisen sang control tha tak, gestational diabetes ) te chu an enkawl thei a ni. Mahse, a natna a nasat chuan, emaw, general obstetrician thiamna piah lam a nih chuan, maternal-fetal medicine specialist, perinatologist an tih hnenah an refer ang che. A châng chuan, nau neih thiamte pawhin perinatologist nen ngaihdan pahnihna an neih theih nân an inrawn bawk ang.

I naupai hma hian i naupai chu high-risk a ni dawn tih i hre mai thei. Chutiang a nih chuan naupai hmain perinatologist nen in inhmu thei ang. Thil dang dangah chuan naupai hian hriselna lama harsatna a thlen nghal thei bawk.

I obstetrician-in perinatologist hnena a refer theih chhan ṭhenkhat chu hetiang hi a ni:

• Damdawi lam dinhmun awm tawhte: thinlung natna, lupus , emaw zunthlum emaw ang chi.
• Thisen sang na tak emaw preeclampsia emaw a awm thei.
• Pre-term labor awm theihna a awm chuan.
• Lung natna, seizures, kal (kidney) lama harsatna nei tawh i nih chuan.
• Nau pai tam tak emaw, nau piang thi emaw i neih tawh chuan.
• Prenatal screening test atanga result dik lo i neih chuan.
• Multiple i beisei a nih chuan, twins emaw triplet emaw ang chi.

Naute i neih hnuah, i vaginal bleeding tam lutuk, infection emaw, hriselna lama harsatna dang i neih chuan perinatologist i pan a ngai mai thei.

Perinatologist hian eng condition nge a enkawl?

Perinatologist te hian natna khirh tak tak i neih te, i naupai emaw naute emaw a nghawng thei te enkawlnaah an pui thin. Chung dinhmun thenkhat chu:

• Zunthlum
• Thisen sang a sang
• Thisen chhuah leh thisen zam (clotting disorder) a awm
• Lung natna
• Kal natna
• Autoimmune natna (e.g., lupus) .
• Genetic disorder , entirnan cystic fibrosis emaw sickle cell natna emaw .

Tin, tun hmaa naupai hlauhawm tak emaw, naupai harsa tak emaw i lo neih tawh chuan perinatologist i pan a ngai mai thei bawk. Naupai hmaa harsatna awmte entirnan:

• Nau neih hma emaw, membrane a rupture hma emaw.
• Nau pai emaw, nau piang thi emaw.
• Fetal growth tihkhawtlai a ni.
• Congenital emaw genetic disorder emaw a awm thei.
• Nausen natna, entirnan , nausen natna (placental abruption emaw placenta previa) .

Obtetrician leh gynecologist (OBGYN) leh perinatologist te hi eng nge an danglamna?

Hei hi mi tam takin zawhna an neih a ni. Perinatologist pawh hi obstetrician leh gynecologist (OBGYN) a ni bawk. Mahse, naupai hlauhawm tak takah kum hnih atanga kum thum chhung specialized training (fellowship) dang an dawng tawh a ni. He training hian naupai laiin damdawi leh surgery lama harsatna khirh tak tak lo awm thinte enkawl dan thuk takin a zirtir a, chubakah nausen (nausen)-a genetic diseases ang chi dinhmunte hriatchhuah leh enkawl dan tur a zirtir bawk.

Perinatologist i hmuh vang mai mai chuan i primary care provider an ni dawn tihna a ni lo. A tam zawkah chuan i naupai enkawlnaah hian i general obstetrician (OBGYN) leh perinatologist te pawh an tel dawn a ni. I obstetrician chuan perinatologist i hmuh fo tur chu a rel ang. Perinatologist hian i naupai leh nau neih danah kawng tam takah a inrawlh thei a ni. A nih loh leh, i naupai chhungin vawi khat emaw vawi hnih emaw chauh i hmu thei bawk.

‘Maternal-Fetal Medicine’ leh ‘Perinatologist’ te hi thil inang an ni em?

Awle! Heng hming pahnihte hian specialist pakhat a kawk a ni.Chumi awmzia chu, ‘Maternal-Fetal Medicine specialist’ emaw, ‘Perinatologist’ emaw ti ila, an pahnih hian naupai laia naupai hlauhawm tak emaw, damdawi lam harsatna khirh tak tak emaw enkawltu doctor an ni tihna a ni.

Perinatologist nih nan hian eng chen nge hun a duh?

Hei hi hriat a tha a ni lawm ni? Perinatology hi Obstetrics leh Gynecology sub-specialty a ni a, a zirlai zingah hian a hlawhtling hle. Perinatologist nih tur chuan bachelor’s degree i neih hmasak a ngai a, chumi hnuah medical school i kal leh a ngai a ni. Kum li chhung obstetrics leh gynecology lama residency training i neih hnuah kum hnih atanga kum thum chhung zet perinatology lama fellowship training i neih belh a ngai a ni. He specialized training chhung hian naupai harsatna enkawl dan leh natnain naupai leh nausen a nghawng dan te thuk takin i zir thin.

Perinatologist i hmuh hmasak ber hunah eng nge i beisei tur?

Hei hi perinatologist hnena refer i nih chhan leh i dinhmun a zirin a danglam thei. A tam zâwk chuan, i appointment hmasa ber chu i health history , emaw, i damdawi lam dinhmun leh i naupai lai a nghawng theih dân sawihona a ni ang.

I perinatologist chuan i naute hian genetic emaw congenital condition a neih theih dan tur a hrilh thei che a, i naute pian hnua damdawi lam enkawlna chi hrang hrang a mamawh tur chungchang pawh a sawipui thei bawk. A châng chuan, perinatologist chuan genetic testing, ultrasound scans , fetal monitoring, leh test dangte pawh a ti ang a, chu chuan natna pakhat a nei tih hriat theih a ni.

I naupai chhung zawng leh nau neih chhung zawngin i perinatologist chu i obstetrician (OBGYN) leh i care team-a healthcare provider dangte nen an thawk dun tih i beisei tur a ni. Neonatologist emaw pediatrician emaw nen pawh an thawk dun thei bawk .

Perinatologist hian eng test nge a tih thin?

Perinatologist te hian naupai laiin test hrang hrang an nei thin a, genetic condition leh natna te an hmuchhuak thin. Chung zinga ṭhenkhat chu:

• Ultrasound test: Hengte hi general scan a ni thei a, mahse a chang chuan a chipchiar zawk thei bawk.
• Thisen test: Nu leh naute pawh ni thei dinhmun thenkhat hriatchhuah.
• Prenatal screening: Naute hian genetic condition a nei em tih enfiah a ni.
• Amniocentesis: Hei hi naute chhehvela amniotic fluid sample tlemte lak a, test a ni.
• Chorionic Villus Sampling (CVS): Hei hi nausen atanga tissue sample te tak te lak a, test a ni.

Perinatologist te hian naute an hrin em? Surgery an ti em?

A châng chuan a ni. I damdawi lam dinhmun leh harsatna lo awm thei zawng zawngah a innghat. A tam zawkah chuan i obstetrician (OBGYN) chuan naute chu a hrinsak ang. Mahse, a tul chuan perinatologist chu delivery room-ah a awm thei.

I obstetrician-gynecologist chuan i enkawlna tam zawk chu a enkawl ang. I naupai, nau neih leh a kaihhnawih damdawi lam dinhmun nena inzawm i mamawhte chu i perinatologist nen an sawiho ang.

Perinatologist te hian specialized surgery thenkhat an ti thin . Entir nan:

• Caesarean section buaithlak tak tak (C-sections) te .
• Cervical Cerclage (a chak lo a nih chuan serh chakna tihchak dan) .
• Emergency-a Hysterectomy tih a ni

He thawnthu atang hian kan in lama kan hruai duh ber (Take-Home Message) .

Perinatologist te hi naupai hlauhawm tak emaw, naupai harsa tak tak emawa specialist an ni. Perinatologist hnena refer i nih chuan a hlauhawm deuh thei. Mahse i naupai chungchangah hian harsatna lian tak a awm tihna erawh a ni lo. I medical team chuan nang leh i naute chu enkawlna tha ber leh dik ber pek an tum tihna chauh a ni .

Hriat reng tur: Zawhna, ngaihtuahna leh ngaihtuahna i neih apiang chu i obstetrician (OBGYN) leh perinatologist te nen zalen takin sawipui rawh . Zawhna zawh hlau suh. I dinhmun leh i enkawl dan chiang taka hriatthiam a pawimawh. Engkim an hrilhfiah ang che. Nangmah chauh i ni lo va, i tanpui tur doctor thiam tak tak team an awm bawk.

`Perinatologist, Naupai hlauhawm tak, Nu leh nausen damdawi, Naupai enkawlna, Nau neih dan, Nausen hriselna, Specialist