I naupai thla thum hmasa ber chungchang i zir dawn teh ang.

Nu i nih tur thu i hriat hian hlimna nasa tak, thil hriat duhna nasa tak, leh hlauhna pawh a ni mai thei, chu chu thil pangngai tak a ni. Naupai hi zinkawng ropui tak a ni. He zinkawng zawh hmasak ber chu thla thum hmasa ber, a nih loh leh kan tih angin ``First Trimester'' tih hi a ni. Chuvangin vawiinah hian he thu hi chipchiar deuhin han sawi ila.

Gestational age chu eng nge ni? Engtin nge a inthen?

A awlsam zawngin naupai hi thla 9 vel a ni a, a dik tak chuan kar 40 vel a ni. He hun chhung zawng zawng hi hmunpui pathum, a nih loh leh ``Trimesters.`` ah then a ni.``Trimester`` chu kar 13, thla thum vel a ni. I doctor chuan i naute than dan tur chu kar engemaw zat hnuah a hrilh ang che.

I thlasik hmasa ber hi i thlasik hun hnuhnung ber ni hmasa ber atanga tan a ni a, naupai kar 13-na vel a tawp thin.

Ngaihtuah teh, hei hi a mak deuh mai thei, a dik em? I naupai hi a takah chuan i period hnuhnung ber ni hmasa ber atang khan a intan thin. Hei hi doctor-te'n ``gestational age'' an tih chu a ni. I doctor chuan i nau neih hun tur chu i period hnuhnung ber ni hmasa berah kar 40 a belhchhah a ni. Chumi awmzia chu ``naupai'' i nih thu i hriat hunah chuan kar li vel i naupai tawh ngei ang! Hei hi a tir lamah chuan a buaithlak deuh thei a, mahse chutiang chu a ni.

Naupai kar chhiar dan hi i hrethiam ang u

Naupai kar hnih hmasa ber hi a takah chuan i thlasik hun pangngaia tel ve a ni.

• Kar khatna: Hei hi i period a lo thlen hun a ni.
• Kar 2: Hei hi ovulation a awm hun a ni. Ovulation hnuah i egg chu Fallopian tube hnuaiah a kal thla a, uterus-ah a kal a. Hemi zinnaah hian sperm a tawk a nih chuan chutah chuan fertilization a awm thin.

Kar thumnaah chuan he fertilized egg hi uterus-ah a kal a. Nausen pum (uterus) panna kawngah chuan cell tam takah a inthen a. Vawikhat chu nausen pum chhungah a awm tawh a, nausen pum chhungah a insiam lut ta a ni. Hei hi ``Implantation`` an ti a. Hei hi i taksain ``naupai`` i nih thu a hriat chuan a ni a, chutah chuan inthlak danglamna hrang hrang a lo awm tan ta a ni. Mi tam tak tan chuan an period a tawp a, ``naupai test`` chu ``positive`` a lo ni ta a ni.

Trimester hmasa berah eng nge i beisei theih ang?

I naupai thla thum khatna hi taksa leh rilru lama inthlak danglamna nasa tak hun a ni. Hun hahthlak tak a ni thei a, i lu-ah zawhna tam tak a tlan lut thei bawk. Hei hi i hormone te hian hna an thawk chak em em vang a ni. Dik tak chuan he naupai chhung hian i naupai hmaa i dam chhung zawnga estrogen i siam chhuah tam zawk a ni! Hetianga hormone pung hian naupai chhinchhiahna nuam lo thenkhat a thlen thei a ni. I thinrim a, i puak a, i chau thei bawk. I pum chu i hmu thei lo mai thei a, mahse i nausen pum chu a lian chho zel a, i thisen volume pawh a sang chho zel bawk.

Hetih hun chhung hian hlim leh hlauthawng leh hlauhna tlem a ruala inhriat hi thil pangngai tak a ni. Hemi chungchang hi i thiante, i kawppui emaw, doctor emaw nena sawi dun hian tlem a nuam zawkin i awm thei a ni.

Trimester hmasa berah eng nge i tih tur?

I first trimester hi a pawimawh hle. Pawn lamah chuan `naupai` angin lang lo mah la, i taksa chhungah hian inthlak danglamna lian tak tak a thleng nasa hle.

• Doctor hmu rawh: Doctor i la neih loh chuan a rang thei ang bera zawng rawh. A bik takin obstetrician emaw midwife emaw a ni. Damdawi lam thurawn lak hmasak hian harsatna a awm loh nan a pui thei a ni. I appointment hmasa ber hmain zawhna i neih leh hriat duh i neih apiang ziak la.
• I health insurance enfiah: Health insurance i neih chuan naupai laiin i coverage chungchang zawng rawh. Hei hian khawiah nge enkawlna i hmuh theih ang tih leh eng nge i beisei ang tih ngaihtuahna a pe ang che. Health insurance i neih loh chuan nau neih hmaa enkawlna i hmuh theih nan programme leh pawl hrang hrang a awm a.
• Nunphung inthlak danglamna: Tunah hian i hriselna zawng zawng leh i nunphung tihdanglam tur eng pawh ngaihtuah hun tha tak a ni. Entîr nân, naupai hian i hnathawhna te, sum leh pai te, i tih dân te, leh ni tin thiltihte a nghawng dân tûr ngaihtuah la.

Naupai lai te, nau neih lai te, nau neih hnua enkawltu chi hrang hrang an awm a. Chung zingah chuan Obstetrician, Midwife, leh a chang chuan Primary Care Physician te pawh an tel. Doctor i thlan rual hian khawiah nge nau i neih dawn tih pawh i ngaihtuah duh mai thei. Mi tam takin damdawi inah nau neih an thlang zawk laiin, thenkhat chuan nau neihna hmunah emaw, in lamah emaw nau neih an duh zawk.

Naute (fetus) hi a tir lamah engtin nge a lo thanglian?

Thla thum chhungin i naute hmasawnna chu mak tak mai a ni. I hmu thei lo nachungin i taksa chhungah thil lian tak tak a thleng mek a, sperm pakhatin egg a tawn hnuah.

Kar 1 atanga kar 4 chhung:

Naupai thla hmasa berah hian thil pawimawh engemaw zat a lo awm tan thin. Heng structure te hi cell clump te tak te angin an intan a, mahse a hnuah chuan amniotic sac, placenta leh umbilical cord te an lo ni ang. Naute thluak leh ruhro (spinal cord) a lo piang a, chubakah circulatory system pawh a lo piang bawk. Hmai, mit zungbun leh hmui bul tanna te chu a lo piang tan a.

Hetih lai hian embryo hi inch kua vel a sei a ni - buhfai chi khat aia te zawk!

Kar 5 atanga 8 chhung:

Naupai kar ruknaah chuan naute taksa peng lian ber ber, lung, thinlung, beng, kut leh ke te chu a lo piang tan ta a ni. Tissue aiah ruh a lo piang tan ta. Naute lu hi a taksa dang nena khaikhin chuan a la lian hle a, mahse tunah chuan mihring lam deuh deuhin a lang tan ta. Naute hian hmui, hnar leh hmai a nei danglam hle. Doctor thenkhat chuan he hun lai hian ultrasound hmasa ber an nei a, heartbeat an enfiah thin.

Kar riatna tawp lamah chuan nausen chu nausen a lo ni ta a ni. Tunah chuan inch khat vel a sei tawh a, raspberry ang vel a ni tawh.

Kar 9 atanga 12 chhung:

I first trimester tawp lamah chuan i naute kut zungtang leh ke ruhte chu a lo thanglian vek tawh a ni. A kut leh hmui chu a che tan a, a inhawng a, a khar bawk. A zun leh chaw ei (digestive system) pawh a thawk kim vek tawh bawk. I naupai atanga kar 12 vel a nih chuan i doctor chuan Doppler ultrasound hmangin i naute thinlung thawk chu a hre thei tawh ang. I naute pawhin vagina leh/ emaw penis a nei tawh ang (mahse i doctor chuan ultrasound hmangin a hre thei lo).

Naupai kar 12-na tawp lamah chuan naute hi inches 3 leh 4 inkar a ni tawh - lemon ang vel a ni. A rit zawng hi ounce khat vel a ni.

Engvangin nge naupai thla thum khatna hi a pawimawh em em?

Hetih hun chhung hian i naute taksa peng lian leh taksa peng hrang hrang tam tak a lo pian chhuah avangin first trimester hi a pawimawh hle. Hemi hun chhung hian toxins, thil tha lo leh infection te hian naute thanlenna nasa takin a tichhe thei a ni. Hei hian i naute chu pianpui natna neia piang theihna a tipung thei a ni.

Hei vang hian thla thum chhungin i hriselna uluk taka i enkawl a ngai a, i doctor thupek dik tak i zawm a ngai a ni.

Trimester hmasa berah hian eng natna lan chhuah tam ber nge ni?

Mi zawng zawng leh naupai zawng zawng hi a inang vek lo. Naupai chhinchhiahna tam tak hi hormone inthlak danglam vang a ni. Heng a lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Hnute na leh lian: I hnute chu hormone vangin a na thei a, a lian thei bawk. First trimester tawp hmain bra lian zawk hak a ngai fo thin. I hnute chhunga thisen tam zawk a luang chhuah avangin i hnute chhunga vein te chu a langsar zawk mai thei. Areola a thim a, i hnute pawh a danglam thei bawk.
• Zing natna: Zing natna hi naupai hmaa a lan chhuah dan tlangpui a ni. A hming hian zing natna sawi mah se, nilengin emaw, zankhuain emaw a awm thei a ni. Chaw te te ei tum la, chaw tui lo leh thau tlem te ei tum bawk ang che. Mi thenkhat chuan ginger awmna ei tur atang hian hahdamna an hmu thin.
• Mood Swing hrang hrang:Hormone a lo pung nghal vat avangin i rilru natna chu a inthlak danglam thei a ni. Minute 30 chhungin hlauhna emaw, lungkhamna emaw i nei nghal mai thei a, chutah chuan hlim emaw, lungngai emaw i nei thei bawk. I ṭhian emaw, i kawppui emaw nêna i rilru put hmang sawipui chuan a ṭanpui thei a ni.
• Chauhna: Naupai thla thum khatnaah i taksa hian hna a thawk nasa hle. Hei hian i chau hle thei a ni. Chawlh hahdam tam rawh. Mi tam zawk chuan second trimester-ah chakna engemaw zat an nei thin.
• Zun tam: Naupai pui turin i nausen pum chu a lo thang lian tan a. I bladder-ah pressure a siam thei a, chuvangin zun tam zawk i mamawh mai thei.
• Acne emaw vun danglamna dang: Hormone hian naupai laiin i vun hian oil a siam tam zawk thin. Hei hian mi thenkhatah pores a tikhawlo thei a, acne a thlen thei bawk. Naupai lai hian vun natna dang a awm thei a, mahse a tam zawk hi chu second trimester emaw third trimester-ah a thleng thin.
• Thâwk hahna tlem: Taksa tihchakna tlem te pawhin thawk hahna i nei thei.

I thinlung hian naupai laiin thisen a pump tam zawk thin. Hei hian i heart rate a sang thei tihna a ni a, chakna i tlakchham thuai ang maiin i inhria thei bawk. Naupai hian i taksaah engzat nge a dah tih hre reng la, i chau emaw, thawk harsa emaw i tih hunah chawlh hahdam rawh.

Trimester hmasa berah eng test nge ka neih ang?

Naupai laiin checkup, exam leh test dangte hian nang leh i naute chu hriselna atan a pui a ni. Naupai lai enkawlna hi ``Prenatal care'' an ti fo thin.``Prenatal care'' appointment hi a pawimawh hle a, a chhan chu i doctor chuan naupai leh nau neih chhunga i beisei tur chungchang a sawipui ang che a, checkup leh test a ti ang a, zawhna i neih apiang a chhang ang che.

Nau neih hmaa i tlawh hmasak ber

I first trimester chhung hian prenatal visit vawi hnih emaw vawi thum emaw i nei ang. Hei hi i doctor a zirin a danglam thei a, naupai hlauhawm tak i neih chuan a danglam thei bawk. I mimal medical history, obstetric leh gynecological history (naupai leh nau neih tawhte), chubakah i naupai lai nghawng thei chhungkaw medical history eng pawh sawiho i beisei thei ang. He tlawhna hi a chipchiar hle a, nang leh i naute lo thang lian zel chu in hrisel theih nan a ni.

Nau neih hmaa i tlawh hmasak ber hunah i doctor chuan i nau neih hun tur a chhut ang. A hnuaia mite hi tih i beisei thei bawk ang:

• Taksa enfiahna - i rihna leh thisen sang enfiah te pawh a tel.
• Pelvic exam a ni.
• A `Pap test` (i tih hun a remchan chuan).
• Mipat hmeichhiatna hmanga kai theih natna (STI) thenkhat enfiah nan test neih thin.
• I zun ah bacteria, protein, leh glucose (sugar) te enfiah thin ang che.
• Hormone level, Rh factor, iron level, leh natna thenkhat enfiah turin thisen test order.
• Naute thinlung thawk dan enfiah.

Doctor thenkhat chuan i appointment hmasa berah transvaginal ultrasound hmangin i naupai tih finfiah nan leh naute thinlung thawk leh lian leh te an teh thin. He ultrasound hian twins i phur em tih pawh a hriat theih bawk. Transvaginal ultrasound neih lai hian doctor chuan i vagina chhungah instrument te tak te a dah lut a. Hmeichhe naupai tam zawk chuan first trimester chhungin ultrasound vawi khat tal an nei thin a, mahse a hun dik tak chu i doctor a zirin a danglam ang. Twins i keng a nih chuan first trimester chhungin ultrasound dang i nei leh thei bawk.

I naupai lai hian screening test dang i doctor pawhin a rawt thei bawk. Heng test te hian nangmah emaw i naute emaw chu hriselna lama harsatna engemaw zat avanga hlauhawma awm leh awm loh hriat theih nan a pui thei a ni. I screening result a zirin diagnostic test neih tir i ni thei bawk. Diagnostic test hian hriselna lama harsatna a awm leh awm loh hriat theih nan a pui thei a ni. Trimester hmasa berah chuan i doctor chuan chromosomal disorder, Down syndrome ang chi i neih theihna a sang em tih enfiah turin screening neih a rawt thei ang. I doctor-in a rawt screening test chungchang sawipui rawh.

Trimester hmasa berah eng nge ka tih loh tur?

I naupai tih i hriat hnuah chuan nunphung tihdanglamna engemaw zat i neih a ngai hi thil pangngai a ni. Heng inthlak danglamna te hian mi zawng zawng hrisel taka awm turin a pui dawn a ni. I naupai thla thum chhung hian a hnuaia thilte hi i pumpelh ngei tur a ni :

• Zu.
• Cigarette leh zuk leh hmuam te.
• Ruihhlo, entirnan, thil `(Opioids)` ang chi te.
• Infiamna inhnaih tak tak, football ang chi emaw, i pum chhunga pressure siamtu thiltih emaw.
• Nga raw fish (sushi ang chi), mercury tamna sangha, sa tui lo, lunchmeat (processed meat), leh unpasteurized milk, cheese emaw thei tui ang chi ei tur te.
• Hot tub leh sauna te pawh a awm bawk.

Naupai thla thum hmasa berah engtin nge ka in enkawl ang?

Naupai thla thum chhung zawnga hrisel taka awm hi a pawimawh hle. Naupai kar 13 hmasa bera hrisel taka awm theihna tur tips thenkhat chu hetiang hi a ni:

• A theih ang anga active takin awm rawh. Exercise i tih laiin harsatna i neih chuan i taksa thu ngaithla la, chawlh hahdam rawh. Naupai laiin exercise i tih dan tur i thlak a ngai mai thei.
• Nau neih hmaa vitamin folic acid awmna ei thin ang che .
• Chaw hrisel chi hrang hrang ei la, chutah chuan thei, thlai, sa, artui, leh buh chi hrang hrang te pawh a tel.
• Chawlh tha rawh.
• Tui tam tak in thin ang che.
• I antenatal clinic appointment zawng zawngah tel vek rawh.

Trimester hmasa berah thisen chhuah hi thil pangngai a ni em?

Naupai kar hmasa berah thisen chhuah emaw, spotting emaw tlem a awm chuan a pawi lo tlangpui. Mi thenkhat chuan ``Implantation bleeding'' (fertilized egg chu uterine wall-ah a insiam a nih chuan) an nei thin. Mahse thisen a chhuak nasa a nih chuan, a nih loh leh ni khat aia rei i thisen chhuak a nih chuan doctor ko nghal rawh.

Nau neih hmaa vitamin eng nge ka ei tur?

I ei tur (or prenatal vitamins)-a vitamin leh mineral awmte hian i naute chu a lo thanglian a, a lo thanglian thei a ni. Doctor tam tak chuan naupai i tum tirh atang khan nau neih hmaa vitamin ei tur a ni. Folic acid, iron leh calcium te awmna vitamin hian naupai hrisel tak a thlawp a ni. Eng prenatal vitamin nge i ei tur tih i hriat chian loh chuan i doctor nen inbia ang che.

Naupai lai hian caffeine i in thei em?

Doctor tam zawk chuan naupai lai hian ni khatah caffeine milligram 200 aia tlem ei turin an rawt a ni. Chu chu coffee cup khat (ounces 12 vel) emaw, sugary drinks thenkhat can thum vel emaw a ni. Hei hi a chhan chu naute hian caffeine a ei theih loh avangin naute taksaah a pungkhawm a, harsatna a thlen thei a ni.

Trimester hmasa berah engtikah nge doctor ka koh ang?

Heng zinga pakhat tal i neih chuan doctor ko nghal rawh:

• Khawsik chu 100.4 degree Fahrenheit aia sang a ni.
• Thisen chhuak nasa emaw, vaginal discharge danglam tak emaw.
• Pum, kut leh kea natna nasa tak emaw, pum na emaw.
• Luak chhuak reng reng leh/ emaw riltam.
• Luak chhuak emaw, vertigo emaw.
• Kut, kut zungtang emaw, hmai emaw a hring chhuak.
• Mit hmuh theih loh emaw, mit hmaa hmun hmuh tur awm emaw.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Naupai hi i nunah hun hlimawm tak, a chang chuan hlauhawm tak a ni. Thu hriatnain a buai hle tih i inhria a, zawhna tam tak i nei thei bawk. Naupai thla thum chhung hian i taksa chu a thang lian a, a inthlak chak hle bawk. I naute pawh a lo thang lian ve bawk. Dik tak chuan, first trimester tawp lamah chuan i naute chu lemon ang vel a ni tawh. Naupai lai hian natna lan chhuah dan i nei tan thei a, chu chu nausea, hnute hrual, leh zun tam ngai te hi a ni.

I naupai tih i hriat veleh doctor pan turin appointment siam rawh. I naupai chhung zawnga nang leh i naute hrisel leh chak taka awm theih nan nau neih hmaa enkawlna mumal hi a pawimawh hle.

He zinkawngah hian duhsakna kan hlan a che u! Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen tlang taka sawipui hlau suh.

` Naupai, first trimester, nau neih hmaa enkawl dan, naute lo thanglian dan, naupai natna lan chhuah dan, naupai hrisel, nau neih hmaa enkawl dan