I naupai laia clinic-a i kal lai khan doctor-in uluk takin tape measure a lak a, i pum a teh tih i hmu ngei ang, a dik em? Tin, "Engvangin nge ka pum hi nitin teh a nih? Hei hian eng nge a hrilh theih che?" Hei hi a nihna takah chuan thil pawimawh tak a ni. Hetiang tehna awlsam tak hmang hian doctor chuan thil tam tak a hre thei a, chu chu i pum chhunga naute lo seilian dan te, a awm dan te hi a ni. Vawiin hian he tehna hi kan sawi dawn a, chu chu ‘Fundal Height’ an ti a ni.
A awlsam zawngin, Fundal Height hi eng nge ni?
Fundal Height hi thil awlsam tak a ni. I naupai lai hian i pubic bone chunglam atanga i uterus (fundus) chunglam inkar chu centimetre-a chhut a ni.
He tehna hian doctor chuan thil pawimawh engemaw zat a zir thei a:
- Naute lian leh te: Hei hian naute chu kar khat chhung atan a thang tha em tih hriat nan a pui a ni.
- Naute dinhmun: Nausen pum chhunga naute dinhmun hi rough idea i nei thei.
- Gestational age nemngheh: He measurement hi i naupai kar zat (gestational age) nen a inmil em tih enfiah thin a ni.
A tlangpuiin, doctor chuan he tehna hi clinic tlawh apiangin naupai kar 20 vel i nih laiin a la tan thin. Hei hi a chhan chu chuta tang chuan i naupai kum leh fundal height tehna chu a tam zawkah chuan a inmil tan ta a ni.
Engtin nge he tehna hi i lak?
Hei hi thil awlsam tak, hrehawm lo tak a ni. I inbuatsaih tur bik a awm lo. Hei hi i routine checkup-a tel ve mai a ni.
Doctor chuan hetiang hian a ti thin:
1. A hmasa berin exam dawhkanah mut tir i ni ang.
2. Tichuan, doctor chuan i pum hnuai lam chu zawi zawiin a hre ang a, i pubic bone chunglam (symphysis pubis) chu a zawng ang.
3. A dawtah chuan uluk takin pum chu an palpate bawk a, nausen pum (fundus) chunglam awmna hmun an zawng chhuak thin.
4. A tawp berah chuan tehna tape hmangin a tir lama i hmuh hmun pahnih inkar hlat zawng chu centimetre-in teh rawh.
Chu distance i teh chu i Fundal Height a ni ang. A awlsam hle mai, a dik em?
Naupai lai hian nausen pum dinhmun a inthlak danglam thin. Entirnan, kar 12 vel a nih chuan nausen pum chu a sang ber, i pubic bone bulah a awm a. Kar 20 a tlin chuan i pum chhungah a awm tawh mai. Kar 36 vel a nih chuan nausen pum chu a kal theih ang tawkin a sang tawh a, i hnute ruh (sternum) thlengin a sang tawh a ni.
Mahse kar 36 hnuah naute chu nau neih tura a inbuatsaih rualin pelvis-ah a tla thla tan ta a ni. Chuvangin, fundal height hi kar hnuhnung berah hian a tlahniam deuh mai thei. Chutiang a nih chuan i doctor chuan a chhan dang a awm loh nan test dang a ti thei bawk.
Kar khat atanga kar tin Fundal Height hi eng ang nge ni tur?
Hei hi dan awlsam tak a awm. A tlangpuiin kar 20 leh 36 inkar hian Fundal Height, centimetre-a teh chu i naupai kar zat nen a inang tlangpui tur a ni. Mahse a inang chiah a ngai lo. Centimeter 2 off (a tam emaw a tlem emaw) chu a pawi lo.
Entirnan, naupai kar 32 i nih chuan i fundal height hi centimetre 30 leh 34 inkar a nih chu thil pangngai a ni.
Mahse, hei hi kar 20 hnuah a dik ber tih hre reng ang che. Chumi hma chuan nausen pum hi a sang tawk lo a, chuvangin he tehna hi a dik lo hle.
A tehna chu beisei aia ‘a lian’ a nih chuan engtin nge ni ang?
A chang chuan i fundal height hi i gestational age aiin a sang zawk thei bawk. Hei hi chhan hrang hrang a awm thei. He thu i hriat hian hlauthawng suh.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Due date a dik lo a ni. | I ngaihtuah aiin kar tlemte a la ngai mai thei. |
| Uterine Fibroids a awm thin | Nausen pum chhunga tumor hlauhawm lo tak takte hian nausen pum hi a ti lian thei a ni. |
| Nu taksa rih zawng | Nu chu a thau lutuk a nih chuan a tehna chu a sang deuhin a lang thei. |
| Twins te an ni | Nausen pakhat aia tam an awm chuan nausen pum hi a lian chho zel a. |
| Amniotic fluid (Polyhydramnios) tihpun a ni. | Naute vel tui (amniotic fluid) hi a pangngai aia tam a ni. |
| Naute dinhmun (Breech) . | Naute chu breech position-a a awm chuan tehna a pung thei. |
| Nausen nausen (Fetal Macrosomia) a awm | Naute chu a pangngai aia lian deuh pawh a ni thei. |
A châng chuan, chhan awm lovin tehna chu a pung tlem thei bawk.
A tehna chu beisei aia ‘tlem’ a nih chuan engtin nge ni ang?
Tin, a chang chuan Fundal Height pawh beisei aia hniam a ni thei bawk. Chu pawh chu ngaihtuah buai suh. Hetiang chhan hi a awm mai thei.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Nu taksa dinhmun | I cher, i tawi emaw, i pum ruh chak tak i neih chuan a tehna chu a hniam zawk thei. |
| Amniotic fluid hniam (Oligohydramnios) 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Naute vel tui (amniotic fluid) awm zat chu a pangngai aia tlem a ni. |
| Naute chu pelvis chhungah a chhuk thla | Naute chu pian hnaih tawh a, pelvis-ah a tla thla a nih chuan a tehna a tlahniam ang. |
| Naute a lo seilian zawi zawi (Fetal Growth Restriction) . | Nausen than chhoh dan a hniam deuh deuh pawh a awm thei. |
Hei hi ka hlau tur em ni?
Ni miah lo. Fundal Height measurement hi naute than dan tur rough idea neih nan test a ni.Step hmasa ber chauh a ni . Hei hi 100% a dik lo. Centimeter 1 emaw 2 emaw vel a kal kual hi thil pangngai tak a ni.
A pawimawh ber chu i doctor hian he tehna chungchangah hian rinhlelhna a neih chuan a thu mai mai lovang. Naute dinhmun dik tak finfiah nan test dang, ultrasound scan ang chi a ti ngei ang.
Chuvangin tehna a off deuh a nih chuan lungngai suh. Harsatna a awm tihna a ni lo va, i enfiah lehzual a ngai tihna chauh a ni. Ringhlelna emaw, hlauhna emaw i neih chuan i doctor nen inhawng takin sawipui thin ang che.
Take-Home Thuchah a ni
- Fundal Height hi naupai laia naute than dan enfiahna atana hmanraw awlsam, natna nei lo a ni.
- He tehna hi i kar tak tak aiin centimetre 1-2 a tam emaw a tlem emaw a nih chuan thil pangngai tak a ni. Ngaihtuah buai suh.
- A tehna chu beisei aia sang emaw a hniam emaw pawh nise, harsatna a awm tihna a ni hauh lo. A chhan awlsam tak tak a awm thei.
- I doctor hian tehna chungchangah rinhlelhna a neih chuan test dang, ultrasound scan ang chi te tan a refer ngei ang che.
- Naupai laiin zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen inbiakna neih hreh ngai suh.
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