I naupai kar tawp lamah khan i doctor-in ‘Biophysical Profile’ tih test ti turin a ti che em? Chutiang thu a hrilh che khan i hlau deuh mai thei, a dik em? 'Ka naute hi thil dik lo a awm em?' Mahse, hlau suh. Hei hi a tlangpuiin naute chu a pum chhungah a dam tha em tih hriat nan routine test a ni. Sikul-a ‘report card’ min pek ang mai a ni a, doctor hnenah naute hriselna chungchang ‘report’ a pe a ni. Hemi chungchang hi awlsam takin han sawi ila.
Biophysical Profile (BPP) tih hi eng nge ni?
A awlsam zawngin sawi ila, Biophysical Profile (BPP) hi i naute piang lai hriselna enfiahna atana test a ni. Naupai kar 32 hnuah tih a ni tlangpui. Doctor-te chuan he test hi an rawt a, a bik takin i naupai hi a hlauhawm hle a nih chuan emaw, test hmasaah thil danglam a awm a nih chuan.
Hei hi test na tak leh him tak a ni vek. A hmang ber chu `ultrasound scan` a ni. He scan hian naute thiltih dan kawng pali a en a, score a pe a ni. A chang chuan hei bakah hian test tenau dang pawh tih a ni bawk. Chumi chungchang chu nakinah kan sawi leh ang.
He test hian eng chiah nge a zawn?
BPP test hian component lian 5 a ngaihtuah a. A hmasa pali chu ultrasound scan hmanga enfiah an ni. A hnuhnung ber chu a tul chuan tih chauh a ni.
| Element test mek chu | A awlsam zawngin... |
|---|---|
| Naute taksa chet dan | Naute hian a ke leh a ke a sawn nge a taksa a kal leh hma leh a sawn tih kan enfiah thin. Naute hrisel chu a che tha tur a ni. |
| Naute taksa ruh (muscle tone) te | Naute hian a kut a flex emaw, a hrual emaw, a ke a ben emaw, a hrual emaw tih ang chi thilte an en thin. |
| Naute thawk chhuah dan | Naute chu a pum chhunga a la awm lai pawhin a rilru chu thaw chhuak ang maiin a che thin. Chutiang movement te chu a dik em tih kan check thin. |
| Amniotic fluid volume a ni | Naute chhehvela amniotic fluid (amniotic fluid) awm zat chu a tawk em tih an teh thin. Hei hi naute himna leh thanlenna atan a pawimawh hle. |
| Nausen thinlung natna (fetal heart rate) a ni | Hei hi Nostress Test (NST) an tih test hmanga enfiah a ni. Hei hi a tul chuan tih chauh a ni. Naute chu a che velin a heart rate a sang em tih a enfiah thin. |
A châng chuan, doctor chuan BPP kimchang ai chuan `modified biophysical profile` a ti thei bawk. Hei hian a chunga kan sawi tak `Nonstress Test (NST)` leh naute vel tui (`amniotic fluid`) tehna chauh a huam a ni.
Engvangin nge BPP ti tura an tih che?
He test hi mi zawng zawng tan tih a ni tlangpui lo. I naupai hlauhawm a nih chuan, emaw, kar 40-a naute i neih loh chuan i doctor chuan he test hi a rawt thei ang. A hnuaia condition pakhat emaw a aia tam emaw i neih chuan BPP i neih theihna a sang zawk:
- Thisen sang (Hypertension) emaw lupus (Lupus) ang chi natna i neih chuan.
- I naute chetna (fetal movements) a tlahniam nia i hriat chuan.
- Naute chu a hmaa naupai (previous deathbirth)-ah a thi tawh a nih chuan.
- Twins emaw triplets (multiples) emaw i beisei a nih chuan.
- Naupai laiin thisen sang (preeclampsia) i nei tawh a nih chuan.
- Naute than dan pangngai aia hniam nia rinhlelhna a awm chuan ``Intrauterine growth restriction'' an ti a.
- Naupai hmaa zunthlum i vei a nih chuan, emaw, naupai laiin zunthlum i vei a nih chuan (gestational diabetes).
- Naute chhehvela amniotic fluid awm zat a tlem lutuk emaw a tam lutuk emaw a nih chuan.
- I thisen hi Rh negative a nih chuan.
- Naute i neih laiin kum 35 aia upa i nih chuan.
- I body mass index (BMI) 30 aia sang (obese) a nih chuan.
BPP test hi engtin nge kan tih ang?
He test hi minute 30 atanga 40 vel a ni tlangpui. A ṭhen lian pahnih a nei a.
1. Ultrasound hmanga enfiah
Hei hi i scan pangngai ang chiah a ni. Khumah i mu a, i pum chhungah gel an hnawih a, transducer an tih device chu i pum chungah an sawn a. Chumi hnuah doctor chuan naute lem chu monitor-ah a hmu thei ang. Hemi hun chhung hian naute chet dan te, a thawk dan te, a taksa peng hrang hrang thawh dan te, tui level te an teh thin a ni.
2. Nonstress Test (NST) neih a ni ang.
Hei hi a tul chuan tih chauh a ni. Hemiah hian khumah mu turin siam i ni ang a, i pum chhungah belt an khih ang. Belt-a sensor pakhat chuan naute thinlung thawk dan a teh ang. Hei hian minute 20 vel a la ngai dawn a ni.
Stairs kan chhoh hian kan heart rate a sang ang bawkin naute a beih hian an heart rate pawh tlem a sang tur a ni. Chu chu he thu hi a ni. Naute hrisel chuan minute 20 chhungin chutiang acceleration vawi hnih tal a lantir tur a ni.
A châng chuan naute mut avângin hetiang hi a thleng lo thei bawk. Chutiang hunah chuan doctor chuan buzzer ang chi thil hmangin naute chu a kaitho thei a ni.
Test neihna tur Scoring System a ni
Ultrasound scan-a element pali hmuhte chu 0 emaw 2 emaw anga score a ni a, score 1 a awm lo a, chu chu a kaihhnawih activity a tha a nih chuan score 2, emaw 0 emaw a ni tihna a ni.
| Element test mek chu | Point 2 hmu tur chuan qualification a ngai |
|---|---|
| Taksa che vel | Naute taksa emaw, a ke leh ke emaw chu minute 30 chhungin vawi thum emaw a aia tam emaw a che a. |
| Muscle hnathawh dan | Minute 30 chhunga kut/ke pakhat ben leh unbending emaw, kut/ke vawi khat flex leh unbending emaw. |
| Thâwk chhuah dan | Minute 30 chhunga second 30 tal thawk chhunzawm zel vawi khat tal lantir. |
| Lung chhunga tui awm zat | Fluid awmna hmunah hian centimetre 2 tal a thuk leh centimetre 1 tal a zau tur a awm tur a ni. |
He scan hian maximum score 8 a pe thei a, NST pawh tih a nih a, a tha a nih chuan point 2 dang a belh leh a ni. Tichuan total score chu 10 a ni ang.
Chhinchhiahnate hian eng nge a sawi?
Test result hi ni khatah a awm tlangpui. Chu score atang chuan doctor chuan naute dinhmun chu a ruat ang.
- Score 8 emaw 10 emaw: Hei hian naute hriselna a tha hle tihna a ni . Thil ngaihtuah tur a awm lo.
- Point 6: Hei hian rinhlelhna engemaw zat a awm tihna a ni. Thil ngaihtuah tur a awm lova, mahse doctor chuan naute chu enfiah lehzual turin a rel ang. Darkar 12-24 chhungin test ang chiah kha tih leh turin a ti thei che a ni. A nih loh leh, naute hrin thuai chu a ngaihtuah mai thei bawk.
- Score 4 emaw a aia tlem emaw: Hei hi ngaihtuahna engemaw chen mamawhna dinhmun a ni . Naute hian a pum chhungah harsatna engemaw zat a tawk mai thei. Hetih lai hian doctor chuan naute chu a hrin hma turin a rel fo ang.
A pawimawh ber: Naute chhehvela amniotic fluid awm zat a tlem a nih chuan thil dang zawng zawng a tha vek a nih pawhin ngaihtuahawm tak a ni. Doctor chuan a bik takin a ngaihven ang.
He test hi eng nge a thatna leh a that lohna?
A thatna te
Hei hi a thatna lian ber chu nangmah emaw naute tan emaw harsatna leh hlauhawmna a awm lo . Hei hi test him tak a ni.
A that lohna te
- He test hi naupai kar 32 hmaa tih a nih chuan result a dik vak lo mai thei.
- Damdawi thenkhat, corticosteroids ang chi i ei a nih chuan a result a nghawng thei a ni. (Entirnan, naute thaw chakna chu artificial-in a tipung thei a, taksa chetna pawh a ti tlem thei bawk.)
- A châng chuan thutlukna i siam nghâl thei lo a nih chuan test chu i tih nawn leh a ngai mai thei.
Naupai lai hian test chungchangah tlem a hlauthawng emaw, lungkham deuh emaw a awm hi thil pangngai a ni. Mahse, BPP hi nang leh i naute himna tur test tih a ni tih hre reng ang che. A tam zawkah chuan fimkhurna mai a ni. Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbia ang che.
Take-Home Thuchah a ni
- Biophysical Profile (BPP) hi scan him, natna nei lo, naute pum chhunga hrisel leh hrisel loh enfiahna a ni.
- He test hming i hriat hian hlauthawng suh. A tam zawkah chuan hei hi fimkhur nan tih a ni.
- Score hniam chuan harsatna lian tak a awm tihna a ni lo. Doctor chuan nang leh i naute chu uluk takin a enkawl chhunzawm zel tihna chauh a ni.
- I rinhlelhna emaw, hlauhna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
- Heng zawng zawng hi naupang hrisel tak him taka he khawvela hruai luh theihna tura tih a ni.
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