I naupai laia clinic-a i kal khan scan i nei a, doctor-in, "Naute hi a lian deuhin a lang" a ti em? Nu tu pawhin chu chu a hriat chuan hlauhna tlem a neih hi thil pangngai a ni. "Naute lian tak" a tih hian eng nge a awmzia? A hlauhawm em? Delivery a nghawng em? Hetiang zawhna hi i rilruah a tam hle mai thei. Hlau suh. Vawiin hian he thu hi kan sawi dawn a ni. Damdawi lamah chuan he natna hi Fetal Macrosomia an ti a. Engkim hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.
A awlsam zawngin, Fetal Macrosomia hi eng nge ni?
Fetal Macrosomia hi naute pian tirh atanga a rihna pangngai aia nasa zawka a rit tihna mai a ni. Mahse, doctor-te zingah chuan "nausen lian" tih awmzia hi sawifiahna pakhat mah a awm lo.
- Doctor thenkhat chuan nausen kilogram 4 (8 pound leh 13 ounces) aia rit a nih chuan Fetal Macrosomia an ti a.
- Mi dangte chuan a rit zawng hi kilogram 4.5 (9 pounds 14 ounces) aia tam a ni tur a ni an ti.
Mahse, heng statistics aiin a pawimawh zawk chu doctor-in nang leh i naute dinhmun chungchang a sawi hi a ni.
"Large for Gestational Age" (LGA) tih thumal pawh i hre mai thei. Chumi awmzia chu i naute chu i nau neih kar khatah kum inang naute dang 10 zinga 9 aiin a rit zawk tihna a ni.
A pawimawh ber chu Fetal Macrosomia hi a hmain dik taka sawi lawk theih a ni ngai lo. A châng chuan, risk factor nei lo nute pawhin naute lian tak an nei thei bawk.
Engvangin nge naute hi hetiang hian a lo seilian? Risk factors te chu engte nge ni?
Naute a thau lutuk chhan pakhat chauh hriat chian a harsa hle. A thlentu thil tam tak a awm thei. Mahse, naute thau lutuk theihna tipungtu risk factor engemaw zat a awm.
Risk factor ber leh pawimawh ber chu nu naupai laiin zunthlum a vei a ni. Gestational diabetes a ni thei a, naupai lai chauh a awm thei a, pre-existing diabetes, Type 1 emaw Type 2 emaw pawh a ni thei bawk.
Hetiang hian han ngaihtuah teh. Naute hian a nutrition chu a nu thisen atang hian placenta kaltlangin a hmu thin. Chuvangin nu thisen sugar level a san chuan naute pawhin chutiang sugar sang chu a dawng ve bawk. Chumi chhanna atan chuan naute taksa hian insulin leh growth hormone a siam tam zawk a ni. Heng hormone te hian naute chu thau tam zawk a khawlkhawm tir a, naute pumpui lian zawng a tipung bawk. Nausen lian, a bik takin zunthlum vei nu atanga piangte hian kekawr lian zawk an nei thei. Hei hian nau neih laiin harsatna a thlen thei a ni.
Diabetes bakah hian a hnuaia table-ah hian nausen macrosomia vei theihna tur risk factor dang engemaw zat a awm bawk.
| Risk Factor a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Naupai hmaa thau lutuk | Naupai hmaa nasa taka i thau lutuk chuan naute lian tak neih theihna chance chu a let 4 atanga a let 12 in a pung thei a ni. |
| Naupai laiin taksa rihna sang lutuk | Naupai laiin a tul aia tam i thau chuan naute hian ei leh in tam zawk a dawng thei a, a lianin a lian thei bawk. |
| Nau piang hmasa lama naute lian tak tak nei tawh | Naute lian tak i lo nei tawh a nih chuan i naute lo piang tur chu a let 5 atanga a let 10 velin a sang zawk a ni. |
| Fa tam tak a hrin tawh avangin | Fa pathum emaw a aia tam emaw i neih tawh chuan a hnuaia awmte chu an lian zawk a rinawm. |
| I pian hunah naute lian tak nih | I pian tirh khan pound 8 aia rit i nih chuan naute lian tak i neih theihna chance chu a let hnih in a sang zawk a ni. |
| Due date atanga kar hnih a liam tawh | Naupai hun bituk atanga kar 42 aia tam a nih chuan naute hian chaw tha a dawn chhunzawm zel avangin a thau chho thei a ni. |
Naute lian tak neih hian eng harsatna nge lo awm thei?
Naute lian tak neih hian nau neih laiin nu leh naute tan pawh harsatna a thlen theihna a tipung deuh thei a ni. Amaherawhchu, hengte hi mi zawng zawngah a thleng lo tih hriat reng a pawimawh. Chutiang thil thleng tur atan chuan medical team te chu an inpeih reng a ni.
Nu chunga nghawng a neih theih dan
- Nau neih rei zawk: Pushing phase, a bik takin naute a chhuah hian a rei zawk thei.
- Shoulder dystocia: Hei hi harsatna awm tam ber a ni. Hei hi naute lu a chhuah hnua a ke ruh lian tak takte chu nu pelvic bones inkara a innghah hian a thleng thin. Hei hi emergency ni mah se, a enkawl dan tur doctor leh nurse te training pek an ni.
- Vaginal tears: Naute lian tak a chhuah chuan vagina leh a chhehvel tissue te a chhiat theihna chance a sang zawk.
- Postpartum hemorrhage: Nau neih hnua thisen chhuah tam lutuk hi nausen pum (uterus) a inzawm tha loh vang a ni thei a, chu chuan a tlangpui aia thisen a chhuah tam zawk thin.
- Uterine rupture: Hei hi a awm lo hle a, a bik takin nu, cesarean section (C-section) nei tawhte tan chuan a awm lo hle.
Naute pian hnua nghawng a neih theih dan
- Thisen thlum hniam: Naute chu nu pum chhungah insulin tam zawk siam chhuah a thiam tawh avangin naute pian hnuah thisen sugar level a tlahniam thei a ni.
- Thâwk lama harsatna: Nausen ṭhenkhat chuan an pian hnu lawkah thawk harsatna an nei nghal mai thei.
- Jaundice: Bilirubin level sang vangin vun leh mit a sen thin.
- Thisen sen (red blood cells) a pung.
Heng zinga pakhat tal a lo awm chuan damdawi ina naupang enkawlna ward-a medical team-te chuan a tul angin enkawlna an pe nghal ang. Naute chu neonatal intensive care unit (NICU)-ah ni engemaw zat dah a ngai mai thei.
Engtin nge naute hi engzat nge a lian tih chiang takin i hriat theih ang?
Hei hi zawhna pawimawh tak a ni. Nausen macrosomia 100% dik taka finfiah theihna awmchhun chu naute pian hnua rit zawng teh hi a ni.
Naupai lai hian doctor-te chuan guess chauh an siam thin. Chutiang ti tur chuan kawng hrang hrang an hmang thin.
1. Fundal Height Measurement: Clinic-a doctor-in tape measure hmanga i pum a teh lai i hmu tawh mai thei. Hei hian nausen pum san zawng a teh a, naute than dan tur ngaihtuahna a pe bawk. Nausen pum hi beisei aia lian a nih chuan naute pawh a lian hle nia rinhlelh theih a ni.
2. Ultrasound Scan: I naute chu a lian nia i rinhlelh chuan i doctor chuan scan turin a refer ang che. Scan hian naute lu, a pum leh a ke ruh lian leh te a teh a, chu data hmangin naute rih zawng a chhut a ni.
Mahse, scan hian naute rih zawng a hril lo tih hre reng ang che.Hei hi a rit dik tak a ni lo va, estimate mai a ni. He chhut dan hi 10% velin a danglam thei. Entirnan, scan-ah naute hi kilo 4 a rit tih a hriat chuan a rit tak tak chu kilo 3.6 leh 4.4 inkar a ni mai thei.
Chuvangin, doctor chuan scan report leh i risk factor dangte a ngaihtuah hnuah nau neih dan tur tha ber a sawipui ang che.
Hetiang dinhmun hi engtin nge kan enkawl ang a, delivery hi engtin nge kan ruahman ang?
I naute chu a lian nia i rinhlelh chuan i doctor chuan i nau neih dan tur ruahmanna siam dan tur a sawipui ang che. Hetah hian duhthlan tur lian pahnih a awm.
- Vaginal Delivery: Naute hi a lian lutuk lo a, harsatna dang a awm loh chuan vaginal hmanga nau neih tum theih a ni. Mahse, medical team hian Shoulder Dystocia ang chi risk an ngaihtuah zawk a ni.
- Cesarean section (C-section): I naute hi kilogram 4.5 aia rit a nih chuan, emaw, zunthlum i vei a nih chuan, i doctor chuan harsatna a thlen theihna tur tihziaawmna turin ruahmanna siama cesarean section neih a rawt thei ang.
Mi thenkhat chuan naute hi a lian chho zel a, nausen hi a lo lian chho zel a, nausen hi a lo piang hmasa zawk a tha zawkin an ngai a. Amaherawhchu, damdawi lam zirchianna atanga a lan danin, damdawi lam chhan dang awm lova kar 39 hmaa naute hrin chuan harsatna a tihziaawm lo. Chuvangin doctor thurawn zawm a pawimawh ber.
Nausen macrosomia ven nan eng nge kan tih theih ang?
Naute thanlenna tichhe thei thil tam tak a awm avangin he natna hi 100% in ven theih a ni lo. Mahse, a hlauhawmna tihtlem nan thil tlemte i tih theih a awm.
- Prenatal clinic pangngaiah kal: Clinic tinah kal fo rawh. Hei hian doctor chuan i hriselna leh naute than dan a enfiah thei dawn a ni. Tin, gestational diabetes a awm leh awm loh enfiah nan glucose tolerance test neih ngei ngei tur a ni.
- Naupai laiin exercise: I doctor nen eng exercise nge i tana him leh remchang tih sawi la, chutah chuan inhmang rawh. Kea kal ang chi thil awlsam tak pawh hi a hlawkpui thei hle.
- Diabetes enkawl dan: Naupai laia zunthlum vei i nih chuan i doctor leh nutritionist thurawn zawm tur a ni. Diabetes i neih tawh chuan i thisen sugar level chu i theih ang tawkin control la.
- Weight Management: Naupai hmain taksa rihna hrisel tak neih tum ang che. Hei hi ei leh in inthlau tak leh exercise hmanga tih theih a ni. Mi thenkhat thau lutuk tan chuan bariatric surgery ang chi duhthlan tur ngaihtuah turin damdawi lam thurawn pawh a ngai thei bawk.
A tawp berah chuan i naute chu a lian tih i hriat chuan hlauthawng suh. Harsatna a awm dawn tihna a ni lo. I tih theih tha ber chu i risk factors te enkawl a, i doctor thupek uluk taka zawm hi a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Fetal macrosomia hi naute pian tirh atanga a rit zawng aia a rihna a ni. Hei hi a tam zawkah chuan hlawhtling taka enkawl theih dinhmun a ni.
- Hei hi a hlauhawm ber chu nuin naupai laiin zunthlum a vei a ni.
- Naupai laia scan an tih hian naute rih zawng hi 100% dik takin a chhut thei lo va, chhut dan chauh a ni.
- I tih theih ṭha ber chu clinic-a kal fo a, nunphung hrisel zawm a, i rihna leh thisen sugar level control hi a ni.
- I nau neih chungchangah thutlukna tha ber siam turin i doctor nen zalen takin inbiakna nei rawh. I ngaihtuahna leh hlauh zawng zawngte chu hrilh rawh.
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