Naupai laia amniocentesis test chungchang hi i zir chiang ang u. Hlau suh!

Nu ni tur i nih chuan i doctor chuan ‘Amniocentesis’ tih test chungchang a hrilh che a ni mai thei. He hming i hriat hian hlauhna tlem te, hriat duhna te, leh zawhna lian tak tak tam tak a hnutchhiah che a ni mai thei. ‘Hei hi eng ang fiahna nge ni? Hetiang hi ka tih a ngai tak tak em? Ka naute chungah hian thil a thleng dawn em ni?’ a ti a. Chuvangin hlau suh. Vawiin hian he thu hi awlsam takin, i hriatthiam theih tur khawpin, i thianpa nen in inbia ang maiin kan sawi dawn a ni.

Amniocentesis hi eng nge ni tak tak?

A awlsam zawngin, amniocentesis hi test bik a ni a, i naute chu a pian hmaa piansualna emaw, genetic condition emaw a neih leh neih loh enfiah thin a ni.

Tunah chuan engtin nge a tih tih i ngaihtuah tawh ngei ang. I naute chu a pum chhungah amniotic fluid khata khat bawm chhungah a seilian a. He test-ah hian doctor chuan needle te tak te hmangin i pum kaltlangin i nausen pum chhungah a dah a, amniotic fluid sample tlemte tak tak a la thin. Chumi hnuah sample chu lab-ah test turin thawn a ni.

He test hi naupai atanga kar 15 leh kar 20 inkarah tih thin a ni tlangpui a, chu chu second trimester a ni. Mahse, special case thenkhatah chuan third trimester-ah pawh tih theih a ni.

Eng dinhmunah nge doctor chuan he test hi a rawt?

Hmeichhe naupai zawng zawng hi he test hi neih tir vek an ni lo. I doctor-in a rawt chhan chiang tak tak a awm thei.

• Ultrasound scan-ah harsatna a awm a nih chuan: I scan-ah i naute than danah thil danglam a awm a nih chuan, emaw, pianpui natna chhinchhiahna a awm chuan, chu chu finfiah nan he test hi a tha thei ang.
• Nau neih hmaa test dangin hlauhawmna a lantir chuan: Naupai tirh lama thisen test (prenatal screening test)-ah naute chu chromosome disorder a neih theihna a sang zawk tih a hriat chuan, chu chu finfiah nan he test hi a tha hle.
• Genetic disease kengtu i nih chuan: I chhungkuaah genetic diseases a awm a nih chuan, emaw, test-na atanga genetic disease carrier i ni tih finfiah a nih chuan, naute pawhin chu natna chu a rochun tawh em tih hriat nan he test hi tih theih a ni.

Ngaihtuah teh, i screening test hmasa ber khan doctor chuan naute hian Down syndrome a neih theihna chance tlemte a awm tih a sawi a, chiang taka hriat theih nan he test hi kan ti tur a ni. Chutih lai chuan hei hi recommend a ni.

He test hmang hian eng natna nge hriat theih?

Amniocentesis hian genetic leh birth defects bik engemaw zat a pe thei a, thil pawimawh dang engemaw zat a pe thei bawk.

Chu mai ni lovin, a chang chuan nausen pum chhunga amniotic fluid awm zat hi a pung lutuk thin. Hei hi polyhydramnios an ti a. Chutiang hunah chuan he hmanrua tho hi a tui tam lutuk paih chhuah nan leh nu tan hahdamna pe turin enkawlna atan pawh hman a ni.

Test hmain engtin nge ka inbuatsaih ang?

A tlangpuiin he test atan hian inbuatsaihna bik a ngai lo. Amaherawhchu, i damdawi ei tur eng pawh doctor hnenah hrilh lawk a pawimawh hle. Test hma ni engemaw zat chhung chu i ei tawh loh a ngai a nih chuan a hrilh ang che.

Hetiang test chungchanga zawhna neih hi thil pangngai tak a ni. Heng zawhnate hi i neih chuan i doctor hnenah zawh hreh suh:

• Engvangin nge he test hi min tih?
• Hei hian eng hlauhawmna nge a thlen theih?
• Test neih chhung hian eng nge ka beisei ang?
• Eng chen nge result a lo thlen dawn?
• Heng result te hi hriatthiam theih nan tanpuina (genetic counseling) ka dawng thei ang em?

Test neih chhung hian eng nge thleng?

Okay, tunah chuan he process hi engtin nge a kal tih i en ang. Hei hi i hriat chuan i hlauhthawnna a ti tlem ang.

1. Inbuatsaihna: A hmasa berin exam dawhkanah hahdam taka mu turin siam i ni ang. Tichuan, i pum chhunga needle dahna tur hmun tlemte chu antiseptic hmangin a tifai ang.

2. The scan: A dawtah chuan i pum chhungah gel bik hnawih a, ultrasound scan tih a ni. Tichuan, naute awmna hmun, placenta leh amniotic fluid ang chi zawng zawng chu monitor-ah chiang takin a lang thei a ni.

3. Needle dah luh: Tunah hi a pawimawh ber a ni. Doctor chuan scan a en lai hian i pum kaltlangin i nausen pum chhungah, naute atanga hla takah, amniotic fluid tamna hmunah, naute a tihnat loh nan, needle te tak te, hollow tak tak a dah lut a. Hei hi scan hnuaia tih vek a nih avangin naute tan hlauhawm a awm lo.

4. Sample lak: Tichuan, needle hmangin, a tui tlem lutuk chu syringe-ah an la lut a.

5. Needle lakchhuah dan: Sample lak zawh hnuah uluk takin needle lakchhuah a ni.

6. Recheck: A tawp berah chuan engkim a tha em tih chian nan naute lungphu leh che vel te chu scan leh thin a ni.

A tih zawng zawng hi minute 30 vel ni mah se, needle chu i taksaah hun rei lote chhung chauh a awm a, minute khat emaw minute hnih emaw vel a ni .

Hei hian a ti na em?

Hei hi nu tam tak tan chuan harsatna lian ber a ni. Needle chu vunah i dah chuan pricking sensation tlem i nei thei. Mi thenkhat chuan test neih chhung leh a hnu darkar engemaw zat chhung chu cramps na lo tak tak an nei thei bawk. Hei hi thil pangngai a ni.

Hei hi risk a awm em?

Amniocentesis hi test a him em em a ni. Mahse damdawi lam tih dan dang ang bawkin risk tlemte chauh a awm. Mahse hengte hi a tlem hle.

Harsatna awm thei thenkhat chu:

• Pum natna nasa tak
• Vagina atanga thisen chhuah emaw, thisen chhuak emaw
• Hliam emaw, hri kai emaw
• Hun hmaa nau neih
• Nau pai chhuah

Tunah chuan he list hi i hmuh hnuah hlau suh.

Chuvangin, i doctor nen hian heng hlauhawmna te leh hetianga tih a hlawkna te hi zalen takin sawipui rawh.

Test result leh a dikna chu engtin nge a awm?

Amniocentesis hi 99% velin a dik a ni . Chumi awmzia chu result tam zawk chu a dik tihna a ni. Mahse, condition pakhat a awm leh awm loh a hriat theih laiin, a nasat zia erawh a hre thei lo.

Results hmuh hun chhung hi test mek condition a zirin a inang lo. Results thenkhat chu ni thum atanga ni li chhungin a awm thei bawk. Mi dangte chuan kar hnih emaw a aia rei emaw an hmang thei bawk.

Results hian eng nge a sawi?

• Results a normal a nih chuan: Hei hian naute hian i test tawh ang kha a nei lo tihna a ni. Chu chu thlamuanna tur thu lawmawm tak a ni.
• Results a dik lo a nih chuan: Hei hian test hian naute hian damdawi lam dinhmun engemaw tak a nei tih a tilang tihna a ni. Chutiang a nih chuan i doctor chuan result awmzia leh i duhthlan tur chu eng nge ni tih a hrilhfiah ang che. A tul chuan genetic counselor hnenah he thu hi chipchiar zawka sawiho turin refer i ni ang. Tin, naute pian hnua enkawlna bik, surgery emaw, enkawlna bik emaw sawiho turin neonatologist nen inhmuh theihna hun i nei bawk ang.

Test zawhah eng nge ka tih ang?

Test zawhah hian tih theih tam tak a awm lo. A pawimawh ber chu in lama haw a nitin chawlh hahdam hi a ni .

• Taksa lama hahthlâk tak tak, exercise lak te, rit phurh te, sex hman te hi ni khat emaw ni hnih emaw chhung chu inthiarfihlim rawh.
• Hrisel lohna emaw, natna emaw i neih chuan doctor hnenah natna tidamtu (e.g. acetaminophen) i dil thei ang.
• Ni khat emaw ni hnih emaw chhungin i thiltih pangngai chu i thawk leh thei tlangpui ang.

Eng symptoms nge ka neih chuan doctor ka ko nghal tur?

Test zawhah natna tlem tal i hriat chu thil pangngai ni mah se, a hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .

Naupai laiin i pum chhungah needle an dah dawn tih an hrilh hian hlauhna i neih hi thil pangngai a ni. Doctor-te chuan he test hi an rawtna chu test hlawkna chuan nang leh i naute tana hlauhawmna tenau aiin a tam zawk nia an hriat hunah chauh an rawt a ni. Mahse thutlukna hnuhnung ber chu nangma thu a ni. I tana tha tur chu thutlukna siam turin dikna i nei vek a ni. Chuvangin i hlauhthawn emaw, zawhna emaw i neih apiang chu i doctor nen sawiho rawh. Chhanna dik leh dik lo a awm lo tih hre reng ang che.