I naute chu a pum chhungah beisei angin a lian lo em ni? Intrauterine Growth Restriction (IUGR) chungchang hi han sawi ila!

A tam zawkah chuan nu i nih angin khawvelah naute hrisel, lo thanglian tha tak rawn hruai luh i beisei a ni. Mahse, a chang chuan, i pum chhunga i fa te chu i duh angin a thang chak lo. Doctor-te chuan he natna hi Intrauterine Growth Restriction (IUGR) , a nih loh leh a châng chuan Fetal Growth Restriction (FGR) tiin an sawi bawk. A awlsam zawngin, naute hi a naupai kum atan chuan a te a ni. Chumi awmzia chu naupai kum inangah naute dang sawm zinga 9 (10th percentile aia tlem) aia rit lo a ni tihna a ni.

Tunah chuan naute zawng zawng hi an than dan inang vek tawh lo. Naute "a te" vang mai mai chuan IUGR an nei tihna a ni lo. Keini ang bawk hian thenkhat chu an sang a, thenkhat chu an tawi bawk. Naute 5'1" hi naute 6'4" aiin a hrisel tlem lo. Chu chu a dik a ni, naute te tak te piang tam zawk hi an hrisel a ni. Mahse, nu thenkhat chuan hriselna lama harsatna engemaw zat an nei a, chu chuan an naute thanlenna a tikhawtlai thei a ni.

IUGR chi hrang hrangte chu engte nge ni?

Doctor-te chuan IUGR hi chi hnih ah an then a:

1. Symmetric IUGR (Primary IUGR): Hei hi naute taksa pumpui – lu, pum, ke leh ke – a lian zawng inang vek a ni. Hei hi IUGR vei naute 30% vel ah hmuh a ni.

2. Asymmetric IUGR (secondary IUGR): Hetah hian naute lu leh thluak lian zawng hi a pangngai a, mahse a pum chauh a te. Hei hi a tlangpui ber a ni a, IUGR vei naute zinga 80% vel an ni.

He nausen thanna tihkhawtlai hi engtiang chiahin nge a awm?

He IUGR condition hi naupai zinga 10% vel ah hmuh theih a ni. Mahse, a pawimawh ber chu naute chu a pangngai aia te zawk pawh ni se, IUGR a nei tihna a ni lo. Chuvangin, tul lova hlauhthawn loh a tha zawk, a dik em?

Engtikah nge IUGR hi hmuhchhuah a nih tlangpui?

IUGR hi naupai kar 20 hnuah rinhlelh a ni fo. I doctor i hmuh apiangin i fundal height – i pubic bone atanga i uterus chunglam inkar hlat zawng an teh ang. He tehna hi beisei aia hniam a nih chuan i doctor chuan IUGR a ringhlel thei a, test dang neih belh turin a refer thei che a ni.

He IUGR natna hian engtin nge ka naupai hi a nghawng ang?

IUGR i vei tih hmuhchhuah a nih chuan i naupai chu tlem a danglam deuha enkawl a ngai dawn a ni. I doctor chuan i naute hmasawnna enfiah turin scan dang (ultrasounds) , test dang, leh clinic tlawh tam zawk turin a ti thei ang. I IUGR thlentu damdawi dang i neih chuan i doctor pawhin chu natna chu a enkawl tan thei bawk. Mahse, hei hi i hriselna leh i naute hriselnaah a innghat vek a ni.

A chang chuan i doctor chuan i naupai hi "high-risk" ah a ngai mai thei. Mahse, IUGR vei nia hriat naute tam tak chu an hrisel a, naupai laiin ngaihvenna tlem tal an mamawh chauh a ni.

Naute thanlenna khap chhante chu engte nge ni?

Hetianga naute thanlenna tihkhawtlai a nih theih chhan hi eng emaw zat a awm thei. A châng chuan, hei hi nausen emaw, umbilical cord emaw-a harsatna awm vang a ni. Hei hi a chhan chu naute hian heng hmang hian a mamawh ei tur tha, oxygen leh thisen a dawng thin. Chuvangin, heng thilte hi a tling tawk lo a nih chuan naute thanna a tlahniam thei a ni.

Nu nena inzawm chhan pawh a awm:

• Twins emaw triplet emaw i beisei a nih chuan .
• IUGR vei naute i lo nei tawh a nih chuan .
• Thisen sang, thinlung natna, emaw thisen zat hniam ang chi natna i neih chuan .
• Meizial i zu a, zu i in a, ruihhlo dang i hman chuan . (Hengte hi i tih tawh loh tur thil a ni ngei ang!)
• Autoimmune condition i neih chuan lupus ang chi hi a ni .
• Kidney natna i neih chuan .
• Epilepsy ang chi natna enkawlna atana damdawi thenkhat (anti-seizure damdawi) i ei a nih chuan .
• Zunthlum (Diabetes Mellitus) i neih chuan .
• Naupai laiin rubella, syphilis, cytomegalovirus (CMV), emaw toxoplasmosis ang chi natna i neih chuan.

A châng chuan IUGR hi naute pianpui emaw, thlahtute aṭanga lo chhuak emaw a ni thei bawk a, entirnan , Down syndrome (Trisomy 21) . Tin, hmun sang taka cheng nute hnen atanga naute piangte hian an pian tirh lamah an rihna a hniam zawk thei tih hmuhchhuah a ni bawk.

Nausen thanlenna tihkhawtlai chhan ber chu eng nge ni?

Nausen thanna tihkhawtlai chhan hi eng nge ni tih chiang taka sawi a harsa hle. A châng chuan chhan tam tak a awm thei a, a chhan chiang tak pawh hmuh theih a ni lo. I doctor chuan a chhan bulpui (a awm chuan) chu zawn chhuah a tum ang.

IUGR natna lan chhuah dan chu engte nge ni?

Nu tam zawk chuan an naute chu kar zat aia tlem zawka hriat theihna tur symptom bik an nei lo. A châng chuan i pum emaw, naute emaw chu beisei angin a lian lo ang tih i hre mai thei. Mahse, IUGR i neih leh neih loh chu i doctor chauhvin a hre chiang thei ang.

Engtin nge he IUGR natna hi hmuhchhuah a nih?

IUGR hriat chian nan i nau neih hun tur i hriat hmasak a ngai a, chu chu i thlasik hun hnuhnung ber ni hmasa ber leh first-trimester ultrasound atanga hriat a ni tlangpui. He ni hriat hian i doctor hnenah IUGR hriat theihna tur a pe a ni.

Tichuan, doctor chuan IUGR chu kawng hrang hrang hmangin a hriat chhuah a tum ang:

• Uterine fundal height: Sawi tawh ang khan i doctor chuan i pubic bone atanga i uterus chunglam (i "baby bump" lian tham) thlenga san zawng chu paper tape measure hmangin a teh ang. Kar 20 hnuah chuan he san zawng hi centimetre (cm)-a i naupai kar zat nen a inang deuh tur a ni. Entirnan, naupai kar 32 i nih chuan i uterine san zawng hi centimetre 32 vel a ni tur a ni. He tehna hi beisei aia centimetre 4 pawh a hniam a nih chuan (i.e., he entîrnaah hian centimetre 28 aia tlem lo) i doctor chuan IUGR a ringhlel mai thei. A châng chuan, i doctor chuan i naute lian zawng chu palpation hmangin a chhut ang.
• I Rihna: Clinic i tlawh apiangin i rihna an enfiah thin. I thau tha lo a nih chuan i naute pawh a thau tha lo tihna a ni thei.
• Ultrasound: IUGR i vei tih hmuhchhuah a nih chuan i naupai chhung zawngin i naute than dan enfiah nan scan mumal i neih a ngai dawn a ni. He scan chhung hian i doctor chuan i pum chungah device (wand emaw probe emaw) a sawn ang. Sound wave hian i naute lem a siam a. Doctor chuan chu image hmangin i naute rih zawng leh a lian zawng a teh ang. Scan hmang hian nausen atanga naute hnena thisen kal dan chu umbilical cord ( Doppler flow test an tih) hmanga en theih a ni bawk. Thisen kal tha lo hi IUGR chhinchhiahna a ni thei. Scan hmang hian naute chhehvela amniotic fluid awm zat pawh a teh thei bawk. He tui (oligohydramnios) level hniam pawh hi IUGR chhinchhiahna a ni thei bawk.
• Fetal monitoring: I doctor chuan i uterus-ah monitoring device a dah ang a, strap hmangin a dah ang. He device hi minute 30 vel i mu a, i bun a ngai dawn a ni. Hei hian naute heart rate a record ang. Doctor chuan heng result te hi hmangin hmasawnna lama harsatna a awm leh awm loh a enfiah ang.
• Amniocentesis: He test hian IUGR awm chhan (congenital causes) hriat theihna a pui thei a ni. Hetah hian doctor chuan i vun kaltlangin i nausen pum chhungah needle te tak te a dah a, naute hual veltu amniotic fluid tlemte chu la in lab-ah test turin a thawn thin. Hei hi routine test a ni lo va, a tul chuan tih chauh a ni.

Doctor-in test dang tih belh tura a tih che chuan hlau suh. Nausen thenkhat chu a tlangpui aiin an te zawk a, mahse an hrisel a, an thawkrim hle.

Nausen thanna tihkhawtlai hi engtin nge enkawl a nih?

IUGR enkawlna chu i naupai chhunga i awm rei dan leh i naute hriselnaah a innghat a ni. Vanduaithlak takin nausen thanna tur khapna tur hian one-size-fits-all solution a awm lo. I doctor chuan nang leh i naute chu uluk takin a enkawl ang a, harsatna a awm loh nan. Tin, he natna thlentu ni thei damdawi lam harsatna awm thei zawng zawng pawh an enkawl bawk ang.

Enkawlna atan a hnuaia mite hi tih theih a ni:

• Monitoring tihpun: Doctor chuan nang leh i naute chu uluk zawkin a enkawl ang. Naute hmasawnna chu scan leh test dang hmangin enfiah reng a ni ang.
• Nau neih hma: Naupai a kal tha lo emaw, naute chu hlauhawma a awm emaw chuan i doctor chuan nau neih hma (kar 37 hma) induce turin a rel thei a ni. A châng chuan cesarean section (C-section) tih a ṭha thei a, naute ṭhan chak lohna tan chuan vaginal delivery hi a buaithlak thei a ni.
• Corticosteroid damdawi: I doctor-in i naute nau neih hmasak a rawt chuan i naute lung a lo thanlen theih nan corticosteroid damdawi pek i ni thei bawk.

A tlem hle emaw, a nasat em avangin i doctor chuan ngun zawka enfiah turin damdawi inah dah che a rel thei a ni.

Nausen than chak lohna nei te hi a tawpah chuan naupang dang angin an lo thang lian ang em?

A tam zawkah chuan, a ni! IUGR vei nausen piang tam zawk hi kum 3 vel an tlin meuh chuan an kum rualpui naupang dangte nen an lian ve ve a ni. Amaherawhchu, naupang tin hi an thanlen dan a inang lo tih hriat reng a pawimawh. Tin, i fa chu nawr luih tir suh. Chutianga tih chuan hriselna lama harsatna dang, thau lutuk emaw, zunthlum emaw a thlen thei a ni. I fa puitlin dan beisei angin a kal lo a nih chuan i fa naupang enkawltu doctor chuan thurawn a pe ang che.

Ka naute thanlenna tipung turin eng nge ka tih ang?

Chaw thenkhat ei hian i naute rihna a ti sang ngei ang tih hi rintlak a ni lo. Mahse, naupai laiin ei leh in hrisel ei hi a tha tak zet a ni. Thlai, thlai, carbohydrates hrisel, leh protein tamna ei tur hian nang leh i naute hian naupai laiin an mamawh tur nutrient zawng zawng a pe vek ang. Naupai laiin i ei leh in lama inthlak danglamna lian tham i siam hmain i doctor nen inbiakna neih hmasak phawt theihnghilh suh.

IUGR ven nan eng nge ka tih theih ang?

IUGR vei theihna tipungtu thil engemaw zat a awm a, mahse kan thlak danglam thei a ni:

• Ruihhlo hman te, zu in te, meizuk te. (Hengte hi tihtawp vek tur a ni!)
• Ei leh in hrisel lo zawm.
• Naupai laiin taksa rihna a tipung tawk lo.

IUGR vei theihna tipungtu hriselna dinhmun eng nge ka neih?

A hnuaia dinhmunte hi i neih chuan FGR/IUGR vei theihna i nei sang thei a ni:

• Thisen sang emaw, thinlung natna emaw.
• Zunthlum.
• Thisen tlakchhamna emaw sickle cell thisen tlakchhamna emaw.
• Immune system natna, lupus ang chi te.

IUGR hi a bo dawn em ni?

Naute hian tlem a "grab" thei a, a lo thang lian thei bawk. Mahse, IUGR diagnosis chu a bo lo. Doctor chuan naupai tawp thlengin uluk takin naute than chhoh dan a enfiah ang.

Nausen thanna tur tihkhawtlai a nih avangin nausen hmasa ber neih theih a ni em?

FGR/IUGR hian nau neih hma a thlen lo tlangpui a, mahse a thleng thei. I naute chu a lo seilian zawi zawi a nih chuan, emaw, i nausen emaw, i umbilical cord emaw-ah harsatna a awm a nih chuan, i doctor chuan nau neih hmasak a rawt thei ang. Sawi tawh ang khan, i naute tan vaginal delivery avanga stress a sang lutuk a nih chuan cesarean section (C-section) tih a tha thei ang.

IUGR vei naute piang tan eng nge hlauhawmna awm?

IUGR nena inzawm hian dinhmun leh harsatna thenkhat a awm a:

• Cesarean section (C-section) leh nau piang hmaa nau neih theihna a sang zawk.
• Nau piang hnu lawkah thawk leh chaw pek harsatna a awm thei.
• Pian tirh atanga oxygen tlakchham (hypoxia) .
• Pian tirh atanga thisen sugar level hniam (hypoglycemia) a awm.
• Taksa lum leh vawt control harsat.
• Meconium aspiration (nausen pum chhunga a bawlhhlawh hmasa ber a ei).
• Polycythemia (thisen sen zat tihpun).
• Infection laka invenna a tlahniam.

Nausen piang hma emaw, naupang emaw thenkhat chu damdawi inah rei zawk an awm a ngai emaw, Neonatal Intensive Care Unit (NICU)-ah enkawlna bik an dawng emaw a ngai thei bawk.

IUGR hian hun rei tak chhung nghawng a nei thei a, a hnuaia thil awmte a zirin:

• A chhan bulpui (underlying medical condition) chu a ni.
• Naute thanlenna hi engtiang chiahin nge a tihkhawtlai.
• Naupai atanga kar engzat nge a liam tawh tih naute piang a nih chuan.

I naute hi cognitive emaw developmental problems hyperactivity, cerebral palsy , school-a test score tha lo ang chi te tan a hlauhawm zawk thei a, naupan lamah pawh thau lutuk leh cardiovascular disease vei theihna a sang zawk thei bawk.

Ka naute hian IUGR a neih chuan engtin nge ka tih ang?

A hmasa berin hlauthawng suh.A tam zawkah chuan hei hi i thil tih a ni lo. Ṭanpui tûra i tih theih ṭhenkhat chu hetiang hi a ni:

• Nau neih hmaa i appointment leh naute checkup (scan ang chi) zawng zawngah tel vek tur a ni.
• Ruihhlo i hman emaw, zu i in emaw, zu i in emaw chuan, chutiang thil chu tunah hian bansan rawh.
• Ei leh in hrisel ei la, ni khatah calorie mamawh zat ei rawh.
• Chawlh hahdam tawk la, zan khatah darkar riat tal mu rawh.
• I naute chetna a tlahniam nia i hriat chuan en reng ang che. (Ni khatah i naute hian kick engzat nge a tih chhiar dan a awm a, doctor zawt rawh.)
• Damdawi i ei apiang chu dik takin i doctor hnenah hrilh rawh.

He diagnosis, harsatna awm thei te, leh i nunphung i tihdanglam theih dan te hi chiang taka hrethiam turin i doctor nen thawk ho rawh.

Ka naute hi a lian lo deuh a nih chuan ka buai tur em ni?

A tam zawkah chuan, ni lo. Naute hi rate hrang hrangin an thang lian thin. Mahse, gestational age atana small tih hmuhchhuah leh fetal growth restriction (FGR/IUGR) neia hmuhchhuah te hi a danglamna a awm. FGR/IUGR hi naute chu kum inang naute dang sawm zinga 9 aia naupang a nih chuan hriat theih a ni. Naute chu naupai kum atan chuan a te a, a hrisel theih nan leh harsatna a thlen theihna tur a sang lo thei vek a ni. I ngaihtuahna i neih apiang chu i doctor nen sawiho rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

Intrauterine growth restriction (IUGR) diagnosis chungchangah zawhna a awm fo thin. Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• IUGR thlentu hi i hria em?
• Engzat nge antenatal clinic-ah ka lo kal a ngai dawn?
• Ka naute thanlenna tura ka tih theih tur a awm em?
• Ka naute hi hriselna lama harsatna nei thei dinhmunah a ding em?
• Ka naute hi a pian hnuah damdawi inah rei tak a awm a ngai dawn em ni?
• Ka naute hian a hnuah hriselna lama harsatna a nei thei ang em?

Naute hi a pian hmaa a te deuh pawh a ni thei. I doctor chuan naute thanlenna tikhawlotu harsatna bulpui a awm leh awm loh a rel ang. A châng chuan, chhan hriat lohvin, naute chu a pianphung pangngai aia naupang têin a piang thei bawk. I naute chu IUGR a vei tih hmuhchhuah a nih chuan i medical team chuan i naupai chhung zawngin i naute hmasawnna chu uluk takin an enfiah ang. An thil ngaih pawimawh ber chu nang leh i naute hian an mamawh enkawlna leh enkawlna an dawng ngei ngei tur a ni. IUGR hmanga piang naute tam zawk hian hriselna lama harsatna an nei lo.

Take-Home Thuchah a ni

I naute chu a pum chhunga beisei angin a thang lo tih i hriat chuan, emaw, IUGR a nei tih i hriat chuan hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse khawngaihin hre reng ang che, naute tam tak hi hrisel takin an piang a, an dam tha a, heng dinhmunah hian an thang tha hle bawk.

A pawimawh ber chu:

• Doctor hmu fo la, a thupek dik tak zawm rawh.
• Test ruahman zawng zawng a hun taka tihfel theih nan.
• Nun hrisel taka nun – ei leh in tha, meizuk leh zu in loh.
• Zawhna emaw, hlauhthawnna emaw i rilruah i neih chuan doctor nen sawiho a, chiang zawka hriattir tur a ni.

Nangmah chauh i ni lo, i tanpui tur doctor leh chhungte an awm. Thil \ha ngaihtuah la, nangmah leh i fate uluk takin enkawl rawh.

` Intrauterine growth restriction, IUGR, FGR, nausen than dan khap, nausen harsatna, naupai hriselna, nausen hmasawnna