Kum 35 chunglam i ni em? Nu nih i ngaihtuah a nih chuan hengte hi hre rawh! (Nu kum upa lam) 1.1.

Tunlai hian mi tam tak chuan chhungkaw din a, naute neih chu an lo upa deuh deuh chauhvin an ngaihtuah thin a ni lawm ni? Chumi zinga mi i ni mai thei. A bik takin kum 35 chunglam leh nu nih i beisei a nih chuan he thawnthu hi i tan a pawimawh hle ang. A chhan chu he kum lama naupai ruala thil lo thleng ṭhenkhatah hian tlem kan fimkhur a ngai a ni. Mahse, lungngai suh, awlsam takin kan sawi vek ang.

Advanced Maternal Age (kum 35 hnua nu nih) chu eng nge ni?

A awlsam zawngin, "advanced maternal age" tih hi kum 35 aia upa leh naupai lai sawina atana hman thin damdawi lam thumal a ni. Hmanlai chuan "geriatric pregnancy" an ti thin a, mahse chu thumal chu kum upa lam sawina anga ngaih a nih avangin hman a ni tawh lo. Tunah chuan "advanced maternal age" tih thumal hi hman a ni tawh zawk.

Doctor-te'n "tlem tal i fimkhur a ngai" tia an hman thin label ang maiin han ngaihtuah teh. A chhan chu kum 35 hnua naupai i nih chuan harsatna i neih theihna a sang deuh a, mahse chu chuan harsatna i nei ngei ang tihna erawh a ni lo. Nu tam tak chuan kum 35 an tlin hnuah naute hrisel tak tak an nei thin a, a pawimawh ber chu i nau neih hmaa i check-up-naah tel fo a, test dik taka tihsak hi a ni. Tichuan, harsatna a awm chuan hriatchhuah theih a ni a, rang taka enkawl theih a ni.

Kum 35 hnua naute neih hian eng hlauhawmna nge a neih?

A hmaa ka sawi tawh ang khan hmeichhe tam zawk hian kum 35 an tlin hnuah harsatna nei lovin naute hrisel tak tak an hring thin a, mahse, harsatna leh hriselna lama harsatna engemaw zat a awm a, chu chu tlem a sang zawk a ni. Eng nge an nih hi han thlir ila:

• Thisen sang: Naupai laiin i thisen sang a sang thei.
• Preeclampsia: Hei hi natna khirh tak a ni a, naupai laiin thisen sang a sang nghal a, taksa peng dang, kal (kidney) te pawh a nghawng thei a ni.
• Gestational diabetes: Zunthlum hi naupai lai chauha lo awm, a hmaa zunthlum i neih loh pawhin.
• Multiple pregnancy: Naute pakhat chauh neih ai chuan twins emaw triplet emaw neih theihna chance a sang zawk.
• Nau piang hma emaw, nau piang rit lo emaw: Naute hi a pian hun hma kar engemaw zat a piang emaw, nau piang rit lo emaw pawh a ni thei.
• Nausen lian: A chang chuan naute rih zawng hi a zatve aia tam a ni thei.
• Down syndrome emaw, genetic disorder dang emaw nei naupang neih: Naute hian genetic condition engemaw zat a nei tlem zawk.
• Nau pai emaw, nau piang thi emaw: Nau pai emaw, nau piang thi emaw hi a tlem emaw, a sang emaw a ni.
• C-section hmanga nau neih: Nau neih dan pangngai aiin C-section hmanga nau neih theihna a sang zawk.

Chûngte chu hlauhawmna mai a ni tih hre reng ang che . I hriselna zawng zawng, nau neih hmaa enkawlna i dawn dan leh i nunphung te hi i naupai dan tur tidanglamtu tak tak a ni.

Kum 35 i tlin hnua nau i pai hian engvangin nge complication a pung?

Hei hi chhan lian tak pahnih a awm a.

1. I artui quality: Ngaihtuah teh, kan naupan lai hian kan egg hi a ‘fresh’ em em a, a hrisel bawk. Mahse kum upat chhoh zel chuan kan hman apiang ang bawkin heng egg quality pawh hi a tlahniam deuh tan thin. Hei hi ‘declining egg quality’ kan tih chu a ni. Tichuan, chutiang egg ‘tar’ atanga naute lo piangte chu a chang chuan chromosomal abnormalities , entirnan, Down syndrome an nei tlem zawk thin. Heng chromosomal abnormalities tam tak hi nau neih hmaa screening test hmangin first trimester-ah hmuhchhuah a ni.

2. Chronic medical conditions: Tin, kan upat deuh deuh hian zunthlum leh thisen sang ang chi damdawi lam natna khirh tak tak kan nei tam zawk bawk. Heng dinhmunte hian naupai lai a nghawng thei a ni. Entirnan, hmeichhe kum 38 mi chuan naupai lo pawh ni se, kum 28 mi aiin thisen sang a nei tam zawk. Heng natna khirh tak takte hian naupai leh nau neih lai a nghawng thei a ni.

Heng harsatnate hi kum 40 an tlin hnuah a lang tam ber.

Nu kum upa lam tan eng test nge tih tur?

Doctor-te chuan kum 35 hnua naupai hmeichhiate tan nau neih hmaa genetic test neih an rawt tlangpui a, heng screening-te hian naute chu a pian tirh laia awm, genetic emaw chromosomal condition thenkhat a neih theihna chance a sang zawk em tih hriat nan a pui thei a ni.

Test tam zawkah chuan thisen sample emaw, ultrasound scan emaw, a pahnih emaw hman a ni. Thisen test hian i thisen chhunga thil thenkhat chu i genetic condition i neih leh neih loh an enfiah thin. Ultrasound scan hian nuchal translucency ang chi tehna a en thin . Hei hi Down syndrome emaw chromosomal condition dang emaw enfiah nan tih a ni.

A pawimawh ber chu hengte hi screening test chauh a ni . Chu chu, genetic condition neih theihna *possibility* chauh an zawng tihna a ni.

He screening test hian thil danglam a lantir chuan i doctor chuan diagnostic test bik a order ang . Chung zingah chuan:

• Chorionic villus sampling (CVS): He test-ah hian doctor chuan nausen atanga cell sample tlemte a la a . Heng cell-ah hian naute genetic information a awm tlangpui.
• Amniocentesis: He test-ah hian doctor chuan i pum chhungah needle a thun a, i pum chhunga tui awm sample (amniotic fluid) a la chhuak a ni. He fluid hi genetic condition thenkhat hriat theihna atan pawh hman theih a ni.

Chu bâkah, doctor-te chuan nu naupai kum 35 chunglamte chu ultrasound scan neih fo tûr te, gestational diabetes an neih leh neih loh enfiah hmasa tûr te, a nih loh leh preeclampsia an neih leh neih loh enfiah reng tûr te an rawt thei bawk.

Kum 35 hnua naupai hi engtin nge kan enkawl ang?

A tlangpuiin doctor-te hian i kum avang chauhin an enkawl dan a danglam lo. Mahse, genetic test-na atanga i naute hian pianpui natna a nei thei tih a hriat chuan, emaw, gestational diabetes ang chi natna i neih chuan i doctor chuan venhimna atan hma a la ang. Nu leh nausen damdawi lam thiam (maternal-fetal medicine specialist) hnenah hruai i ni thei bawk . A nih loh leh, i naute thanlen dan leh a that dan enfiah turin i obstetrician i hmuh fo a ngai mai thei bawk.

Damdawi leh technology lama hmasawnna avang hian kum 35 hnu lama naupai tam tak chu a hrisel a, naute hrisel tak tak a awm thin.

Kum 35 aia upa ka nih chuan naupai lama harsatna ka neih theihna tur ka tihtlem thei ang em?

Ni e, a dik tak zet! Kum 35 chunglam i nih a, naupai i nih chuan (a nih loh leh naupai tum i nih chuan), naupai chungchanga harsatna i neih theihna tur tihtlem nan tunah hian thil engemaw zat i tih theih a awm a:

• I preventive care zawng zawng , vaccine pek ang chi te chu a hun taka tih vek tur a ni.
• If you have other existing medical conditions , uluk takin control rawh.
• Nau neih hmaa vitamin ei fo thin ang che.
• Kar khat chhunga ni tam zawkah minute 30 tal taksa tihchakna ti thin ang che.
• Zuk leh hmuam i in leh/ emaw, zuk leh hmuam i hman chuan bansan rawh.
• Zu in hi bansan vek rawh.
• Thei, thlai, sa thau lo, leh buh chi hrang hrang tamna eitur hrisel ei rawh.
• Naupai lai hian taksa rihna hrisel takah awm tum ang che.

Kum 35 hnuah nau pai theihna chance engzat nge awm?

Hei hi a hlauhawm deuhin a lang thei a, mahse naute hrisel tak neih theihna chance hi a takah chuan nau pai theihna chance aiin a sang zawk hle. Mahse, nau pai theihna hi kum upat deuhin a pung deuh a ni:

• Kum 20 leh 30 inkar: 9% atanga 17% chance (chu chu mi 100 zinga 9 atanga 17 vel a ni)
• Kum 35-ah: 20% chance (chu chu mi 5 zinga 1 a ni)
• Kum 40-ah: 40% chance (chu chu mi 10 zinga 4 a ni)
• Kum 45-ah: 80% chance (chu chu mi 10 zinga 8 a ni)

Hemi chungchanga thurawn tha ber chu i obstetrician leh gynecologist hnen atangin a ni. Heng hlauhawmnate hi a hnenah sawipui rawh.

Kum 35 hnua naute neih hian thatna a nei em?

Aw ni e! Chhungkaw din hi mimal thutlukna a ni. Mi tam tak chuan nakin lawkah fa neih an tum thin. Chutianga an tih thatna pakhat chu nun tawnhriat an nei tam zawk a, sum leh pai lama an dinhmun a nghet zawk bawk. Mi tam tak pawhin tun hma aiin an innei tlai tawh bawk. Chuvângin, chhûngkaw din chu an sawn hla a, a nih loh leh chhûngkaw tihzauh pawh an tikhawtlai a ni. United States ang ramah chuan tunah hian hmeichhia 20% velin kum 35 an tlin hnuah fa hmasa ber an nei tawh a ni.

Hmeichhiain a pianphungah nau a pai theih kum sang ber chu engzat nge ni ang?

Hemi atan hian kum bik a awm lo. Naupai hrisel tak chu i kum chauh ni lovin, i hriselna zawng zawngah pawh a innghat a ni .

Mahse, mithiamte chuan i naupai theihna chance chu kum upat deuhin a tlahniam tih an hria. Entirnan, kum 40 i tlin hunah chuan i naturally naupai theihna chance chu menstrual cycle khatah 10% vel a ni. Mahse kum 30 hnuai lam i nih chuan chu chance chu 25% vel a ni.

Hriat reng tur pawimawh ber chu! (In lama hruai tur thuchah)

Kum 35 hnu lama naupai tam zawk hi hrisel leh hlawhtling tak an ni. Mahse, late-term motherhood avanga harsatna awm thei te hriat a tha. I doctor nen eng genetic test nge a rawt tih leh hrisel taka awm theihna tura i tih theihte chungchang sawipui rawh.

A tam zawkah chuan naupai chungchangah hian kum hi number mai a ni. I hrisel a, i damdawi lam dinhmun i enkawl a, i doctor thusawi i ngaihthlak chuan naute hrisel tak i neih theihna a sang hle. Chuvangin, lungngai suh, he zinkawng hi nuam ti takin hmang rawh.

` Naupai kum upa zawk, naupai hlauhawmna, genetic test, naupai hrisel, nau neih hmaa enkawl, nau neih, nau pai, nau pai