I naupai hi high-risk a ni em? (High-Risk Pregnancy) Hemi chungchang hi han sawi ila

Naute beisei hi thil mawi tak a ni. A tam zawkah chuan thil awmdan pangngai tak a ni. Nu chuan a due date a zo a , naute hrisel tak a nei . Ni khat emaw ni hnih emaw chhungin damdawi in atangin a haw a, chhungkaw member thar nen nun an tan ta a ni. Mahse, naupai zawng zawng hi hetiang hian a smooth a, harsatna a awm lo. Nu thenkhat chuan doctor-te'n "high-risk pregnancy" an tih chu an hmachhawn a ngai a ni.

A awlsam zawngin, naupai hlauhawmna chu naupai, nu, naute emaw, an pahnih emaw nghawng thei tur harsatna awm thei naupai a ni. Chutiang hunah chuan nu leh naute hriselna tha ber neih theih nan specialist medical supervision a pawimawh hle.

Naupai ‘at risk’ tirtu thilte chu engte nge ni?

Naupai hi risky anga ngaih theih chhan hrang hrang a awm. A pakhat zel han thlir ila.

Nu kum a ni

Hei hi risk factor awm tam ber leh awm tam ber a ni. Nau pai lai hian nu chu kum 17 hnuai lam emaw, kum 35 chunglam emaw a nih chuan kum pangngaia nute aiin harsatna a thlen theihna a sang zawk. Nausen nau pai leh genetic defects a neih theihna a sang hle a, a bik takin kum 40 a tlin hnuah a ni.

Naupai hmaa damdawi lam dinhmun awm tawh

Damdawi lama harsatna awm tawh i neih chuan i naupai lai pawh a nghawng thei bawk. Chutiang hunah chuan naute neih chungchang pawh i ngaihtuah hmain doctor nen inbiakna neih hmasak a pawimawh. Chumi hnuah chuan i doctor chuan a tul anga test a kalpui thei a, i damdawi ei turte a siamrem thei a, nang leh i naute hriselna humhimna tura i tih tur chungchangah thurawn a pe thei che a ni.

Chu bâkah, nau pai hmaa nau pai tawhte, naupai hmaa harsatna awm tawhte, emaw, chhûngkuaa thlahtute natna nei tawhte pawh hi risk factor anga ngaih a ni .

Naupai laia natna lo awm

A châng chuan nau i pai laiin i hrisel famkim a nih pawhin naupai laiin damdawi lam dinhmun thar i nei thei a ni. Hetah hian a tlangpuiin pathum kan rawn tarlang e.

• Preeclampsia: Hei hi thisen sang, zun chhunga protein awm, leh hring dup te a ni. A enkawl that loh chuan nu leh naute tan pawh nunna atana hlauhawm tak a ni thei. Mahse , damdawi lam enkawlna dik tak an neih chuan nu tam zawk chuan naute hrisel tak tak an nei thin . Hetiang dinhmun hi i kum upa tawh, i thau lutuk emaw, naupai hmaa thisen sang emaw, zunthlum emaw i neih chuan a lo awm duh zawk.
• Gestational Diabetes : Hei hi zunthlum chi khat a ni a, naupai lai chauha awm thin a ni. I doctor-in a pek ang chiaha enkawl dan tur i zawm chuan harsatna awm lovin naute hrisel tak i nei thei ang. Hetiang zunthlum hi naute pian hnuah a bo tlangpui. Amaherawhchu, he natna vei nute hi an naupan hnuah Type 2 Diabetes vei an hlauhawm hle.
• Depression: Naupai laia hormone inthlak danglam te, hahna te, leh inchhung lama harsatna te hian lungngaihna leh lungngaihna a thlen thei a ni. He natna hian naupai zinga 14% leh 23% inkar a nghawng a ni. Hei hian nau neih laiin harsatna a thlen thei a, nau piang rihna a tlahniam thei bawk. Chuvangin hetiang hian i awm a nih chuan i doctor hnenah hemi chungchang hi sawipui zak suh.

Naupai nena inzawm harsatna dangte

A châng chuan, naupai lai ngeia harsatna lo chhuak avângin a hlauhawm thei a, nu hrisêlna lama harsatna awm lo pawhin a hlauhawm thei hle.

• Nau neih hma : Naupai kar 37 hmain nau neih tan a ni. Preemies te hian hriselna lama harsatna an nei tam zawk.
• Nau piang tam tak: Naute pakhat aia tam (twins, triplets) phur. Hei hian nau piang hma, naupai laia zunthlum, leh thisen sang te a tipung a ni.
• Placenta Previa: Hei hi nausen (placenta) in serh (cervix) a khuh hun a ni. Hei hian thisen a chhuah tir thei a ni. He natna hi nau neih hun hnaihah pawh a awm reng chuan i doctor chuan cesarean section neih a rawt thei ang.
• Nausen lama harsatna: Ultrasound scan-ah hian a chang chuan naute than danah harsatna a awm tih a lang thei. Nausen zawng zawng zinga 2% - 3% vel hian an thanlenna lama harsatna tenau emaw lian emaw an nei a.

Naupai hlauhawmna sang takah engtin nge naute hriselna endik ang?

Nu naupai hlauhawm tak tak tan chuan i doctor chuan i nausen piang lai hriselna enfiah nan test bik neih a rawt thei ang. Biophysical Profile (BPP) tih a ni. Hei hi naupai kar 28 hnuah tih a ni tlangpui.

NST test-ah hian nu pum chhungah monitor dah a ni a, naute chetna avanga naute heart rate a inthlak dan en a ni. BPP test hian thu thuk zawk a pe a ni.

Harsatna awm thei tur ven leh enkawl dan tur eng nge tih theih ang?

Tunah hian hriselna lama harsatna i nei lo a nih pawhin naute neih i ngaihtuah hmain doctor nen preconception appointment neih hmasak phawt a pawimawh. Chutiang chuan risk awm thei zawng zawng chu i ti tlem thei ang.

Heng thilte hian i naupai chhung zawngin hrisel taka awm turin a pui ang che:

• Naupai hma leh naupai chhung zawngin nitin folic acid microgram 400 tal ei thin tur a ni.
• Vaccine pek tur rawt zawng zawng la vek rawh.
• Ei leh in hrisel ei la, taksa rihna mumal tak vawng reng rawh.
• I doctor-in a tih loh hma chuan i tana ṭha tur exercise light tak ti rawh.
• Meizial zu te, zu leh ruihhlo te chu pumpelh vek tur a ni.
• I doctor-in a pawmpui damdawi chauh hmang ang che.
• Ni ruat saah clinic-ah kal thin ang che. Ni eng pawh hi lo thlir ve suh.
• Diabetes leh thisen sang ang chi condition control turin i doctor nen thawk ho rawh.

I naupai chu hlauhawmna sang tak anga ngaih a nih chuan, i doctor chuan perinatologist , nau neihna leh naupai thiamna (obstetrician and gynecologist) hnenah a refer thei che a, chu chuan naupai hlauhawm tak takah training bik a nei a ni. He specialist hian i doctor dangte, nurse te, leh healthcare professional dangte nen thawk hovin nang leh i naute tan a tha ber tur a siam ang.