Naupai hi nu nunah chuan hun duhawm leh beiseina awm tak a ni. Amaherawhchu, hlauhna leh rinhlelhna tlem tal neih hi thil pangngai a ni bawk. Clinic-a i kal a, doctor-in, "Naute seilian hi a zawi deuh," tih ang chi a tih hian i thinlungah phurrit lian tak i neih chu a dik a ni. Mahse, lungngai suh. Vawiin hian hetiang hun lai hian i hriat chian ngai thil kan sawi dawn a ni. Chu chu fetal growth restriction , a tawi zawngin FGR a ni.
A awlsam zawngin FGR chu eng nge ni?
A awlsam zawngin sawi ila, Fetal Growth Restriction (FGR) chu nausen pum chhunga naute chu a awmna kar chhunga beisei angin a seilian loh vang a ni a, hei hian naute chu beisei aia te zawk tihna a ni. Hei hi tun hma chuan Intrauterine Growth Restriction (IUGR) tia koh a ni bawk. Tunah chuan i hrethiam tawh a ni lawm ni? Thlai te tak te, ei leh in leh tui dik tak hmu lo ang mai a ni a, a thanna pawh a tlahniam dawn a ni.
Mahse hetah hian hriat reng tur pawimawh tak chu FGR na lo tak hian hun rei tak chhung harsatna a thlen lo tlangpui. Nausen tam zawk chuan kum hnih an tlin chuan naupang dang ang bawkin an san zawng leh an rih zawng inang an thleng thei a ni. Mahse FGR na tak hian naute chu a pum chhungah leh a pian hnuah pawh a nghawng thei a ni. A nghawng dan chu FGR awm chhan, a nasat dan leh naupai lai atanga a lo intan tirh atang hian a innghat a ni.
FGR avanga naute tan eng hlauhawm nge awm?
FGR vei naute hian a hmachhawn theih tur condition thenkhat a awm . Hengte hi fimkhur a pawimawh hle.
| Tum chhin | A sawifiahna awlsam tak |
|---|---|
| Nau piang hma leh nau piang rit lo | Naute hi kar 37 hmain a piang thei a, a rihna pawh a tlahniam nasa thei hle. |
| Nau neih natna tuar harsa | Naute hian nau neih dan pangngaia pressure a tawh chu a tuar harsa thei hle. |
| Oxygen level a tlahniam | Nausen taksaa oxygen thlen zat hi a tlahniam thei a ni. |
| Thisen thlum hniam (Hypoglycemia) . | Pian hnu lawkah naute thisen sugar level chu hlauhawm takin a tlahniam thei a ni. |
| Infection laka invenna a tlahniam | Immunity hniam vangin awlsam takin i damlo thei a ni. |
| Apgar score a hniam hle | Naute pian hnua a hriselna dinhmun tehna Apgar score hi a hniam thei hle. |
| Meconium duhthusam a ni | Nausen chuan a pum chhunga ek an chhuah a, an thaw chhuah chuan thawk harsatna a nei thei a ni. |
| Taksa lum leh vawt control harsat | Naute hian taksa lumna mumal tak a vawng thei lo mai thei. |
A nasat ber lai chuan FGR hian nau piang thi pawh a thlen thei a ni. Hun rei tak chhung hmasawnna lama harsatna a thlen thei bawk.
Engvangin nge hetiang hi a lo awm? FGR awm chhan te
FGR awm chhan awm thei engemaw zat a awm. Chungte chu chi thum ah then theih a ni.
1. Placenta lama harsatna awm
Hei hi a chhan tam ber a ni. Placenta hi eng nge a nih i hria em? Nu leh naute thlunzawmtu tissue a ni. Naute mamawh oxygen leh nutrients te a phur a, naute bawlhhlawh a paih chhuak bawk. Chuvangin nausen chu a thawk tha lo a nih chuan naute hian a mamawh chu a hmu lo ang a , a thanlenna pawh a tlahniam ang.
2. Nu hriselna dinhmun
A châng chuan nu hrisêlna lama harsatna a awm chuan naute thanlenna a nghawng thei a ni.
- Zunthlum thunun theih loh (Advanced Diabetes) .
- Thisen sang emaw, thinlung natna emaw
- Rubella, Cytomegalovirus (CMV), Toxoplasmosis ang chi natna hrik kai te
- Kidney emaw lung natna emaw
- Ei leh in tha lo emaw thisen tlakchhamna (thisen tlakchhamna) .
- Thisen natna, sickle cell anemia ang chi te
- Meizial zu te, zu in te, ruihhlo hman te
3. Naute kaihhnawih chhan
- Naute hian chromosomal defect engemaw zat a nei a.
- Naupai tam tak, twins, triplets te.
- Tuipui atanga feet 5,000 aia sang a awm.
Twins tan pawh risk bik a awm
Twins hi naute dang aiin a te deuh tlangpui a, mahse FGR hi twin naupai zinga 25% vel ah a awm thei. Twins , placenta insem te hi an hlauhawm zawk.
- Nutrients insem darh dan inang lo: Thlai pahnih chu bêl khata phun a nih a, pakhatin ei tur tam zawk a dawng a, pakhat chu a vuai ang bawkin, naute pakhat chuan thisen leh ei tur tam zawk a dawng thei a, pakhat chu a te zawk hle thei bawk.
- Twin-Twin Transfusion Syndrome (TTTS): Hei hi nausen pakhat atanga naute dang hnena thisen kal dan inang lova thisen kalna kawng kaltlanga a kal chuan a thleng thin. Hei hi naute pahnih tan chuan a hlauhawm hle.
- Umbilical cord entanglement: Naute pahnih hian amniotic sac inang an hman chuan umbilical cords te chu a inzawm khawm thei a, thisen kal pawh a titawp thei a ni.
Doctor-te hian engtin nge FGR hi an hriat theih?
FGR hian i beisei angin symptom a nei lo. A lan chhuah dan ber chu naute chu a nih tur aia te a ni . Hei hi doctor chuan i clinical examination neih chhungin a hrechhuak ang.
- Fundal Height: Clinic i kal dawnin Doctor chuan tape measure hmangin i pum a teh ang, a dik em? Kar 20 hnuah chuan chu tehna (centimetre-a chhut) chu i naupai kar zat nen a inang tlangpui tur a ni. Chu tehna chu beisei aia hniam a nih chuan FGR hi rinhlelh a ni.
- Ultrasound Scan: Hei hi test pawimawh ber a ni. Scan hian naute lu leh a pum lian leh te a teh a, chu kum lama naute lian zawng zat nen khaikhin a, a rih zawng a chhut a ni. Naute chhehvela amniotic fluid awm zat a enfiah bawk. Fluid hniam hi FGR chhinchhiahna a ni thei bawk.
- Doppler Flow Scan: Hei hi scan chi khat bik a ni. Umbilic cord-a thisen kalna kawng leh naute thluaka thisen kal chak dan leh a kal zat a teh a ni. Hei hian naute hian thisen a dawng tlem em tih hriat nan a pui thei a ni.
- Test dang: A then phei chuan , Fetal Monitoring (CTG), naute thinlung thawk dan enfiah thinTin, infection emaw chromosomal abnormalities emaw enfiah nan test emaw amniocentesis (nausen pum atanga tui tlemte lak chhuahna test) neih a ngai thei bawk. Heng zawng zawng hi i doctor thupek angin tih vek a ni.
Risk tihtlem nan thil i tih theihte
A châng chuan nu chu eng ang pawhin hrisel mah se FGR hi a awm thei a ni. Mahse, he hlauhawmna tihziaawmna tur leh naute hrisel tak neih theihna tur tihpunna tur thil i tih theih a awm.
- A hun takah clinic-ah kal rawh: Clinic appointment engmah lo nei suh. Hei hi harsatna eng pawh rang taka hriat theih hun a ni.
- I naute che vel hi ngaihven rawh: I naute chu a che mumal lo a nih chuan, a nih loh leh a che vel a chawlhsan thut a nih chuan harsatna a awm tih chhinchhiahna a ni thei. I naute chezia a danglam tih i hriat chuan , i doctor ko nghal rawh.
- Damdawi i ei danah fimkhur rawh: Damdawi dang i ei a nih chuan i doctor nen sawiho rawh. Damdawi thenkhat chuan i naute thanlenna a nghawng thei a.
- Ei leh in tha leh tha tak ei rawh: Ei tha rawh. Chaw tha tak tak hian i naute chu a thang lian tha hle.
- Chawlh hahdam tawk rawh: Chawlh hahdam hi nang leh i naute tan a pawimawh hle. Zanah darkar 8 tal mut tum ang che. Nitin darkar khat emaw darkar hnih emaw chawlh i lak theih chuan a tha zawk.
- Thil \ha lo tihbo vek rawh: Meizial zu, zu emaw ruihhlo emaw i hman chuan i naute nun hrisel nan chutiang thil chu titawp vek rawh.
Take-Home Thuchah a ni
- Fetal Growth Restriction (FGR) hi nausen pum chhunga beisei aia tlem zawka seilian a ni. Hei hi a chhan ber chu nausen (placenta) hnathawh dan lama harsatna a awm vang a ni.
- He natna hi hriat hmasak nan i antenatal clinic-ah a hun taka kal a pawimawh hle.
- I lam atanga i tih theih tha ber chu ei tur tha tak tak ei te, chawlh hahdam tawk te, leh zu leh zu in ang chi thil hrisel lo te pumpelh vek hi a ni.
- I naute than chhoh dan emaw, thil dang emaw chungchangah rinhlelhna emaw hlauhna emaw i neih chuan hlauthawng suh la, i doctor nen inhawng takin sawi rawh.
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