Naute i beisei tih i hriat veleh hlimna i neih chu sawifiah theih loh a ni lawm ni? Mahse chutih rual chuan hlauhna tlemte leh zawhna tam tak i nei bawk. "Naute a tha em?", "Ka chungah eng emaw a thleng dawn em ni?", "Engkim a pangngai vek dawn em ni?" Hetiang thil ngaihtuah hi thil pangngai tak a ni. Chuvang chuan doctor ten naupai laiin nang leh i naute enkawl tha turin test hrang hrang an ti thin. Hengte hi nang leh i naute hriselna ngun taka enfiah nan hman a ni. Chuvang chuan doctor-in lo kal tura a tih nitin clinic-a kal hi a pawimawh hle.
Vawiin hian heng test te hi naupai thla thum hmasa ber, chu chu first trimester chhunga tih thin te hi kan sawi dawn a ni.
Engvangin nge heng fiahnate hi a pawimawh em em?
A awlsam zawngin, heng test-te hian nangmah emaw, i naute emaw tana harsatna awm thei eng pawh chu a hmain a hriat theih a ni. Tichuan, a tul angin hma i la nghal vat thei ang. Hei hi kawngpuiah lirthei khalh laiin hmaa khur awm chungchang hriat lawk ang a ni. Tichuan, kan pumpelh thei a, fimkhur takin kan khalh thei a ni lawm ni? Chu chu heng test te hi a ni.
I tlawh hmasak ber emaw, vawi hnihnaah emaw i doctor chuan zawhna tam tak a zawt ang che. I hriselna chanchin leh chhungkaw history-a natna (genetic diseases ang chi) i neih tawh zawng zawngte an zawt ang. He information hian i doctor chu risk bik i neih leh neih loh a hriat theih nan a pui ang. Tin, taksa enfiahna an nei dawn bawk a ni. I due date hi i thlasik hun hnuhnung ber ni atanga chhut a ni.
Thla 3 hmasa bera test tih ber berte chu engte nge ni?
Naupai lai hian test eng emaw zat a awm a. Chiang takin i hrethiam vek ang u. A awlsam zawk nan table-ah ka rawn present ang.
| Test neihna tur hming | Hemiah hian eng nge i hmuh? |
|---|---|
| Pelvic exam leh Pap smear neih a ni | I cervical cells hriselna a enfiah thin. Cervical cancer leh mipat hmeichhiatna hmanga kai theih natna (STD) thenkhat a enfiah bawk. |
| Thisen test a ni | I thisen chi leh Rh factor, thisen tlakchhamna i neih leh neih loh, rubella (German measles) laka invenna i neih leh neih loh, natna Hepatitis B, Syphilis, leh HIV te i neih leh neih loh enfiah thin a ni. |
| Zun test a ni | Kidney infection an neih leh neih loh an check thin. Tin, zun hi glucose (zunthlum chhinchhiahna) leh protein (preeclampsia chhinchhiahna) te an enfiah fo bawk. |
| Thisen test bik dang | I chhungkaw chanchin a zirin i doctor hian genetic diseases Tay-Sachs, Cystic Fibrosis, leh Sickle Cell Anemia te pawh a test thei bawk. Tin, naupai chhunzawm zel tura puitu hormone hCG leh progesterone level i check thei bawk. |
Naute genetic condition enfiahna special test
First trimester tawp lamah, kar 11 leh 14 inkarah hian i naute genetic condition hriat theihna tur test engemaw zat pek i ni ang. Heng test neih tura thutlukna siam hi nangmah ah a innghat vek a ni.
Nu \henkhat chuan heng fiahnate hi an rilruah phurrit \ul lo tak niin an ngai a. Mahse mi dangte chuan thil theih zawng zawng hriat lawk an duh a ni. Heng test te hi 100% a dik lo mai thei tih hriat reng a pawimawh.
Chuvangin, heng test-te thatna leh that lohna chungchang hi i doctor nen uluk takin sawiho la , thutlukna dik tak siam rawh.
Naute tan hlauhawmna awm lo non-invasive test
Heng zawng zawng hi i thisen sample lak leh scan a ni. Naute chu engti kawng mahin a tichhe lovang.
- Combined Test: Hei hian i thisena proteins `hCG` leh `PAPP-A` an tih zat a teh thin. Chutih rual chuan scan hmangin naute kawr hnunglam vun thik zawng a teh bawk. Hei hi ` nuchal translucency (NT) scan` an ti a. Test pahnih result hi an inzawm khawm a, Down syndrome leh Trisomy 18 ang chi genetic condition awm theihna tur an chhut a ni.
- Noninvasive Prenatal Testing (NIPT) hmanga tih a nih chuan:Hei pawh hi i thisen sample lak hmanga test a ni bawk. Naupai lai hian nu thisenah nausen DNA tlemte a telh telh a. He test hian chu DNA (`cell-free fetal DNA`) chu enfiahin naute hian genetic disorder a nei em tih chu dik takin (99% vel) a hre thei a ni.
Invasive test, naute tan hlauhawmna tlemte chauh a awm
A chunga non-risk test-te hian harsatna a neih chuan, emaw, kum 35 aia upa emaw, chhungkaw history-a genetic diseases nei emaw i nih chuan i doctor chuan he test hi a rawt thei ang.
- Chorionic villus sampling (CVS): Hei hi naupai atanga kar 10 leh kar 12 inkarah tih thin a ni. Tube te tak te tak mai chu vagina kaltlangin serh chhungah dah a ni a, a nih loh leh needle te tak te chu pum chhungah dah a ni a, nausen atanga tissue te tak te tak te chu lakchhuah a ni bawk. He tissue hi enfiah hian genetic condition tam tak, Down syndrome, sickle cell anemia, leh cystic fibrosis te chu dik takin a hriat theih a ni.
- Pawimawh: He test hmang hian nau pai theihna a tlem hle (1% vel). Tin, neural tube defect ang chi condition pawh a hmu thei lo. Hengte hi a hnuah thisen test hran hmanga screen leh thin a ni.
Twins i neih chuan engtin nge ni ang?
Twin pregnancy hi high-risk pregnancy anga ngaih a ni. Chuvangin i doctor chuan nang leh i naute chu uluk takin a lo en reng ang che. Nu dangte tih thin test pangngai zawng zawng chu i nei vek ang a, mahse a then chu tlem a hma deuh leh tih fo a ngai mai thei.
I doctor chuan perinatologist emaw Maternal Fetal Medicine specialist emaw hnenah a refer thei bawk che.
Take-Home Thuchah a ni
- I "clinic book"-a ni tarlan apiangin clinic-ah kal ngei ang che. Nang leh i naute hriselna atan a pawimawh hle.
- Screening hmasa ber hian i naute leh i naute hmalam hun tur hriselna lama harsatna awm thei te hriatchhuahna kawngah a pui thei a ni.
- Genetic test hi duhthlanna pe thei thil a ni. An thatna leh that lohna i hriat chian hma loh chuan i doctor hnenah zawt rawh.
- Eng test chungchangah pawh zawhna leh lungkhamna i neih chuan i doctor biak pawh hlau suh.
- Naupai zawng zawng hi a danglam vek a, chuvangin i thianpa test ang kha i nei lo mai thei a, an test loh pawh i nei thei bawk. Chu chu lungngai suh.
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