Naute i neih hma khan heng thilte hi i lo ngaihtuah tawh em? Preconception Counselling chungchang hi i zir dawn teh ang!

Nu emaw, pa emaw nih tumte tan he thawnthu hi a pawimawh hle ang. Mi tam tak chuan i naute hi naupai test a positive hnuah chauh enkawl tur niin an ngai. Mahse naute hrisel i duh tak tak a nih chuan i rai hma pawhin i inbuatsaih a ngai a ni . Chu chu pre-pregnancy counseling hi a ni. A dik tak chuan naute neih i tum a nih chuan hei hi doctor i hmuh a, i sawi dun hun a ni.

Preconception Counselling tih hi eng nge ni?

A awlsam zawngin, hei hi naupai hmaa doctor nena in sawihona a ni. Naupai hrisel tak chu naupai test result positive pawh i hmuh hmain a intan thin. Chuvangin, naupai hmaa hetiang thurawn hi lak hian naupai laiin nangmah emaw i naute emaw tan hlauhawmna nasa takin a tihziaawm thei a ni .

He inrawnkhawmna hian a tum berte chu:

• Hrisel taka naupai tura puih che .
• Nang leh i nausen piang lai chu a hrisel thei ang bera awm tir tura tanpui.
• Naupai laiin harsatna awm thei tih tlem .

Thil lungchhiatthlak tak chu, naupai tam zawk hi ruahman lawk loh a nih avangin mi tam takin he naupai hmaa counselling hlawkna hi an hmu lo. Mahse a pawimawh tak zet a ni . He counseling hian naupai hlawhtling leh naute hrisel tak neih theihna tura inbuatsaihna kawngah a pui ang che.

He inrawnkhawmnaah hian eng nge sawiho?

I doctor chuan naupai harsatna i neih theihna tur risk factors te chu a zirchiang ang a, solution chungchang a zirtir ang che a, i mamawh theih resources te nena inzawmna siam turin a pui ang che.

Naupai hmaa counselling neih lai hian heng thilte hi a thleng tlangpui:

• Risk assessment: I medical history, i chhungkaw medical history (i kawppui te pawh tel), leh thil dangte chuan naupai laiin risk awm thei te hriatchhuahna kawngah a pui thei che a ni. I ei leh in leh zu in emaw zu in emaw nunphung te pawhin hei hi a nghawng thei a ni. I doctor chuan heng hlauhawmnate hi a hriat theih nan a pui thei che a, a theih ang anga tihtlem turin a pui thei bawk che a ni.
• Interventions: Naupai atana i rilru leh taksa inbuatsaih nan tuna i damdawi hman mek emaw, i nunphung emaw i tihdanglam a ngai mai thei. I doctor chuan eng step nge i tih tur tih a hrilh ang che.
• Referrals: I doctor chuan nau pai theihna tura pui thei tur resources-ah a refer thei che a ni. Entirnan, i naupai tur ruahmannaah hian hriselna enkawlna hmanrua, sperm bank emaw, surrogate emaw a ngai mai thei. He consultation neih chhung hian heng option hrang hrangte hi i sawi thei ang.

Engtikah nge he consultation hi ka kal ang?

He inkhawm hi naute neih i tum tan hma thla thum tal neih tur a ni .

A tha ber chu he naupai hmaa counseling hi fa nei thei apiangin, tunah emaw, nakin lawkah emaw, an dawn tur enkawlna kalpui mek zinga mi a ni tur a ni.

American College of Obstetricians and Gynecologists (ACOG) ang pawlte chuan primary care physician leh OB/GYN-te chu damlote chu, "Kum khat chhungin naupai i duh em?".. tiin zawt fo turin an rawt a ni. routine visit neih laiin. A tum ber chu naupai result tihchangtlunna kawngah proactive approach lak a ni.

He consultation neih chhung hian eng nge thleng?

Pre-conception counseling appointment-ah hian i hriselna enfiahna tur test te, i medical history enfiahna te, risk factors hriat theihna te, leh naupai theihna tihpun dan tur thurawn te a tel thei a ni.

• Taksa enfiah: I doctor chuan i hriselna tlangpui tehna atan exam a ti thei ang. I taksa peng lian ber ber (i thinlung leh lung ang chi) leh vital signs (i thisen sang ang chi) te an enfiah thei bawk. Pelvic exam pawh an ti thei bawk.
• Test: Hri kai, natna, enkawl ngai dinhmun enfiah nan lab test neih a ngai mai thei. Nang leh i kawppui nen hian inherited diseases, Tay-Sachs Disease emaw Sickle Cell Disease emaw te enfiah nan genetic test i mamawh thei bawk.
• Medical history: Doctor chuan i damdawi lam dinhmun, damdawi i ei dan leh i surgery te chu a enfiah ang. I obstetric leh gynecological history pawh an en ang a, birth control i hman leh hman loh te, i thlasik hun a regular em tih te, nau i pai tawh leh neih loh te pawh an en bawk ang.
• Chhungkaw chanchin: I chhungkaw damdawi lam chanchin hian i fate hnena i pek theih tur genetic condition emaw, natna emaw chungchangah thu pawimawh tak a pe thei a ni. I kawppui medical leh family history pawh a chhan inang chiah hian en a pawimawh. (Sperm bank-te pawhin donors screening an neih hian he information hi an khawlkhawm thin.)

I doctor pawhin i naupai dan tur ruahmannaah a kaihruai thei bawk che a ni. Anni chuan hetiang thilte hi hriatchhuah tumin an pui thei che a ni:

• Nau pai hun tha ber: I doctor chuan thla tin ovulation hun tur a hriat theih nan a pui thei che a ni. Hei hian engtikah nge nau i pai theih ber tih i hriat theih nan a pui ang che.
• Naute dang neih hun him: I kum leh hriselna a zirin naute i neih hnua (a nih loh leh nau pai hnua) nau neih thuai tum hian naupai harsatna i neih theihna a tipung thei a ni. I doctor chuan enchhin leh a him hunah a fuih ang che.
• Naute neih theihna tur schedule leh condition tha ber ber:Fa i duh mai thei, mahse i la inpeih lo mai thei. I doctor chuan hmalam hun i ruahman laiin i rilruah i vawn reng tur thilte chu a hriat theih nan a pui thei che a ni. Entîr nân, i kum hian i nau neih theihna a nghawng dân an hrilhfiah thei a ni. Naute neih tum hmaa sum leh pai leh khawtlang nun i neih tur te pawh an sawi thei bawk. Entirnan, doctor-te chuan intimate partner violence ang chi thil an en thei a. Anni chuan awmna hmun him leh ṭanpui thei tak i hmuh theih nân an ṭanpui thei che a ni.
• I hriselna tha ber neih theih dan: I doctor chuan damdawi lam harsatna i neih apiang a enkawl theih nan a pui thei che a ni. I medical history an enfiah ang a, eng vaccine nge i lak tur tih an hriattir ang che.

Ngaihtuah teh, naute neih i inpeih leh inpeih loh hriat hi naupai hrisel tak neih theihna tur i tihpun dan tur hriat ang bawkin a pawimawh a ni.

Engtin nge doctor chuan i risk chu a teh ang?

Doctor chuan i naupai tawhna leh i result tichhe thei thil hrang hrang a zirchiang ang.

Natna khirh tak tak

Chronic condition thenkhat chuan naupai laia harsatna i neih theihna a tipung thei a ni. I doctor chuan i medical history a enfiah ang a, naupai hian i treatment plan a nghawng dan tur a hriatthiam theih nan a pui ang che. Entirnan, damdawi i thlak emaw, a hman dan tur i siamrem emaw a ngai mai thei. I hriselna enfiah turin doctor tlawh tam zawk hun i ruahman a ngai thei bawk.

Naupai theihna tur natna khirh tak tak thenkhat chu:

• Asthma natna a ni
• Lungngaihna
• Zunthlum natna `(Diabetes Mellitus)`
• Lung Natna
• Thisen sang lutuk
• Kidney Natna a awm
• Thyroid natna a ni

I doctor-in a him a tih hma loh chuan i enkawl dan (damdawi ei khap nghal ang chi) thlak loh a pawimawh hle. Eng nge tihdanglam theih leh awm reng tur tih chu i doctor nen sawiho rawh.

Genetic dinhmun (genetic) a awm

Medical leh chhungkaw chanchin hi i fate hnena i pek theih tur dinhmun hriatchhuahna atan a tangkai hle. I fain genetic condition a rochun theihna tur a hriat theih nan genetic test emaw counseling emaw i mamawh mai thei. I risk a zirin i doctor chuan solutions a rawn rawt thei ang.

Entirnan, preimplantation genetic testing hmangin fertilized egg, emaw embryo emaw hian nangmah emaw, i kawppui emaw atanga genetic condition nei thei tur genes a rochun em tih hriat theih a ni. Nau neih hmaa i enkawl chhung hian heng duhthlan turte hi i doctor nen i sawiho thei ang.

Infection awm thei te

I doctor chuan infection, sexually transmitted infection (STIs) telin, nangmah emaw, i nausen piang lai emaw tana harsatna thlen thei a awm leh awm loh a enfiah thei a ni. Naupai laia harsatna thlen theihna tipungtu natna hrik te chu:

• Hepatitis B a ni
• HIV `(HIV)` tih a ni
• Measles natna a ni
• Rubella chuan a rawn ti a
• Tetanus natna (Tetanus) a ni
• Vawk natna (Varicella/ Vawk natna) .
• Zika Virus a ni

Naupai hmaa i immunization zawng zawng neih vek a pawimawh hle . I doctor chuan naupai hmain eng vaccine nge i lak tur tih leh naupai hmain eng chen nge i nghah tur tih a rawn rawt ang che.

Damdawi, thing leh mau leh supplement te

I doctor chuan i damdawi ei zawng zawng – prescription leh over-the-counter (OTC) damdawi, herbs, leh supplement – ​​te chu naupai laiin ei tur a him em tih a enfiah ang. Tin, hriselna atana i mamawh vitamin leh minerals te i hmuh theih dan tur an zirtir bawk ang che.

Nau neih hmaa vitamin, folic acid microgram 400 leh 800 (mcg) inkar ei tan turin an hrilh mai thei che. Folic acid hian naute ruhro leh thluak tichhe thei nausen piansualna, a bik takin neural tube chhiatna a veng thei a ni. Naupai hma thla thum atanga thla ruk chhungin hengte hi ei tan a tha ber.

Diet leh exercise lak dan

I ei leh in leh i activity level te, naupai hma leh naupai laia i tihdanglam ngai te pawh i sawi bawk ang. Entirnan, i doctor chuan naupai laiin ei tur tha ber ber leh ni khata i mamawh calorie engzat nge i mamawh tih a hrilh ang che. Tin, eng ei tur nge ei loh tur tih a hrilh bawk ang che, chu chu sangha mercury tamna te hi a ni. I doctor chuan naupai lai hian engzat nge i taksa rihna tihpun a rem tih pawh a sawi thei bawk.

Naupai laiin eng exercise nge a him tih an hrilh bawk ang che. A tlangpuiin kar khatah ni nga chhung minute 30 chhung moderate-intensity exercise i ti tur a ni. Mahse, i chau hma loh chuan exercise lak a tha lo va, tlu thei tur khawpa exercise tih hi a tha lo. Hemi chungchangah hian i doctor chuan a kaihruai ang che.

Buk

I thau lutuk emaw, i thau tlem emaw i tih chuan nunphung thlak danglam emaw, dietitian pan emaw a ngai mai thei. Thau lutuk (body mass index (BMI) 18.5 aia tlem) hian nau piang hma emaw, nau piang rit lo nei emaw a tipung a ni. Thau lutuk (BMI 30 aia tam) hian:

• Naupai laia zunthlum vei
• Naupai laia thisen sang (Gestational Hypertension) a awm
• Nau neih laiin harsatna a awm thin

I doctor chuan i naupai chhunga taksa rihna hrisel tak neih theihna tur ruahmanna siam turin a pui ang che.

Meizial zu, zu leh ruihhlo hman

Naupai tura taksa inbuatsaih hunah meizuk, zu leh intihhlimna atana ruihhlo hman hi bansan a pawimawh hle .. Ruihhlo hman hi naupai laia harsatna hrang hrang nen a inzawm a, nausen thihna pawh a tel. Naupai laia zu in hian nausen zu (fetal alcohol syndrome) a thlen thei a ni. Ruihhlo hman ang bawkin meizuk hian nausen thanna kawngah harsatna a thlen thei a, nau pai leh nau piang thi te pawh a thlen thei bawk. Secondhand smoke nena inzawmna hian nausen tana harsatna thlen theihna a tipung bawk.

Chumi nêna inkalh takin, meizuk bânsan chuan naupai lama harsatna ṭhenkhat awm theihna chu 20% tal a tihtlem thei a ni .

I doctor chuan heng inthlâk danglamnate hi i tih theih nân, meizuk bânsan program ang chi thil ṭangkai tak tak a pe thei che a ni.

Toxins te pawh a awm

I in emaw hnathawhna hmuna thil tha lo (toxic substances) hian naupai laiin hlauhawmna a thlen thei a ni. I doctor chuan i exposure theihna tur a teh ang. I naupai lai tichhe thei thil hlauhawm tak takte chu:

• Arsenic a ni
• Asbestos a ni
• Fluoride a ni
• Kaihruai
• Pesticides te pawh a awm
• Hnathawhna hmuna chemical chi hrang hrang
• Rat bawlhhlawh

Consultation neih zawhah eng nge thleng?

I doctor chuan nunphung tihdanglam leh hriselna lama rawtnate inzawmkhawm a rawt thei ang. Chûng zîngah chuan:

• Thau tihtlem emaw tihpun emaw.
• Ei leh in tha tak din.
• Exercise plan hrisel tak siam.
• Meizial zu leh zu in kha bansan rawh.
• I immunizations te update thin.
• Stress pumpelh emaw, enkawl dan tha zawk zir emaw.
• Vitamin rawt (nau neih hmaa vitamin te pawh tel) ei.
• Naupai hmaa hriselna chungchanga specialist tlawh.
• Nangmah emaw, nausen emaw tana hlauhawm damdawi ei loh ( damdawi eng pawh i ei tan emaw i tihtawp hmain i doctor nen inbia fo ang che ).

Hei hi kaihhruaina emaw checklist emaw set a awm em?

Mi zawng zawngin kan hman tur kaihhruaina set khat pawh a awm lo. Chu ai chuan pawl hrang hrang, Centers for Disease Control (CDC) leh American College of Obstetricians and Gynecologists (ACOG) te chuan naupai hmaa counseling neih chhunga thupui hrang hrang zir tur checklist an pe a ni. Chung zingah chuan:

• Chhungkaw ruahmanna (naupai duhna).
• Damdawi lam dinhmun.
• Chhungkaw damdawi lam chanchin.
• Damdawi chi hrang hrang.
• Natna screening neih a ni.
• Immune dinhmun (Immune status) a ni.
• Ei leh in leh exercise lam.
• Nau neih hmaa vitamin awm.
• Toxins laka inhriatthiamna.
• Ruihhlo, zu leh zuk leh hmuam hman.
• Environment him (chhungkaw tharum thawhna tawk).

I doctor chuan thupui hrang hrang a cover ang , i hriselna zawng zawng ngaihtuah chungin . A chhan chu naupai hrisel tak tichhe thei thil tam tak a awm vang a ni.

Hriat reng tur pawimawh ber (Take-Home Message) .

He pre-pregnancy consultation hi i future, pregnant self hian i tan a tihsak thin wellness appointment angin ngaihtuah rawh. Kum tin i reproductive system hrisel taka awm tir turin gynecologist i hmuh ang bawkin, he consultation hian i naupai chu a hrisel theih nan a pui thei a, harsatna awm theihna a ti tlem thei bawk.

Chuvangin, tunah emaw, nakin lawkah emaw nau neih i tum a nih chuan, i chhungkaw doctor emaw, gynecologist emaw hmu la, he pre-pregnancy counseling chungchang hi zawt rawh. Naupai hrisel bul tanna tha ber chu naupai test result positive i hmuh hma pawhin hriattir hmasak hi a ni.

` Naupai hmaa counselling, naupai, naupai hrisel, nau neih dan, hriselna lama thurawn, chhungkaw ruahmanna, naupai inbuatsaihna