Naute beisei hi eng chhungkaw tan pawh chanchin lawmawm tak a ni. A tlangpuiin nu tam zawk tan chuan he hun hi a pianphung leh hlim takin a kal thin. Due date a zawh chuan he khawvelah hian naute hrisel, duhawm tak a lo piang ta a ni. Ni khat emaw ni hnih emaw hnuah chuan damdawi in a\angin i lo haw a, chhungkaw member thar nen nun i tan ta a ni. Mahse naupai zawng zawng hi hetiang hian a kal tluang vek lo. Nu ṭhenkhat chuan doctor-te’n “high-risk pregnancy ” an tih dinhmun an hmachhawn a ngai a ni.
A awlsam zawngin, naupai hlauhawm tak chu eng nge ni?
He hming i hriat hian hlau suh. "High-risk" tih hian thil tha lo a thleng dawn tihna a ni lo . A awmzia awlsam tak chu naupai lai hian nu, naute emaw, an pahnih emaw nghawng thei tur harsatna a awm theihna chance a sang hle tih hi a ni. Zirlai ngaihsak bik mamawh angin ngaihtuah rawh. Hetiang naupai nu hi specialist doctor enkawlna hnuaiah dah a ni. Hei hi nu leh naute hriselna himna sang ber neih theihna tur leh a rah chhuah tha ber neih theihna tura tih a ni.
A pawimawh ber chu, damdawi lam enkawlna leh enkawl dan mumal tak a awm chuan, naupai hlauhawm tak nei nu tam zawkte chuan naute hrisel tak tak an nei thei a ni.
Naupai hlauhawmna thlen thei thilte chu engte nge ni?
Naupai hi risky anga ngaih theih chhan hrang hrang a awm . Pakhat hnu pakhatin han thlir ila.
| Chhan chi hrang hrang | Sawifiahna leh entirnan |
|---|---|
| Nu kum a ni | Nu chu nau a pai laiin kum 17 hnuai lam emaw, kum 35 chunglam emaw a nih chuan harsatna a thlen theihna chance a sang zawk. Nau pai leh genetic defects hlauhawmna a sang hle a, a bik takin kum 40 an tlin hnuah. |
| Naupai hmaa damdawi lam dinhmun awm tawh | Naupai hmaa heng natna te hi i lo nei tawh a nih chuan chu pawh chu risk factor a ni. Entir nan:
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| Naupai laia natna lo awm | Naupai laiin hrisel takin i awm a nih pawhin naupai laiin hriselna lama harsatna thar i nei thei a ni. A bulpui ber pathum chu: 1. Preeclampsia: Hei hi naupai laia natna lan chhuah dan hrang hrang, thisen sang, zun chhunga protein , leh taksa hring chhuak te inzawmkhawm a ni. Enkawl that loh chuan nu leh naute tan pawh a hlauhawm thei hle. 2. Gestational Diabetes: Naupai lai chauha zunthlum natna a ni. Doctor-in enkawlna ruahmanna a pek chu uluk taka i zawm chuan naute hrisel neih theihna tur daltu a awm lo. 3. Depression: Naupai laiin depression hi hormone inthlak danglam vang te, hah vang te, leh stress vang te a awm thei. Hei hian naute thanlenna a nghawng thei bawk avangin damdawi lam thurawn lak a pawimawh hle. |
| Naupai nena inzawm harsatna dangte | A châng chuan nu hrisêlna ṭha viau mah se, naupai lai ngeia harsatna lo chhuak a awm ṭhin.
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Heng natnate hi i neih chuan naupai i tum hmain i doctor nen inbiakna neih hmasak a pawimawh . Test a kalpui thei a, i damdawi a siamrem thei a, i hriselna leh i naute hriselna humhim turin thurawn a pe thei bawk.
Naupai hlauhawm tak lai hian engtin nge naute hriselna endik ang?
I naupai chu risk sang tak anga ngaih a nih chuan i doctor chuan naute hriselna a enfiah fo ang. Hei atan hian test hman ber chu Biophysical Profile (BPP) a ni.
A awlsam zawngin BPP hi naute hriselna chungchanga score pe thei report card a ni. A hmang berin Nostress Test (NST) an tih test leh ultrasound scan a hmang thin. Naupai atanga kar 28 hnuah tih thin a ni tlangpui.
- Nonstress Test (NST): Hemiah hian nu pum chhungah monitor an bun a, naute a che vel ang zelin naute heart rate an enfiah thin. Hei hian naute hian oxygen a dawng tlem em tih ngaihtuahna a pe thei a ni.
- Ultrasound Scan: BPP test neih chhunga scan an tih hian point pawimawh 4 a ngaihtuah a.
| BPP test hian eng nge a zawn | Goal siam dan tur |
|---|---|
| Fetal Tone a ni | Heng section tin leh NST test-ah hian 0, 1, emaw 2 emaw anga score a ni a, score zawng zawng chu 10 a ni. A tlangpuiin, score 8 emaw 10 emaw a nih chuan naute chu hriselna tha takah ngaih a ni. Score 8 aia tlem a nih chuan doctor chuan test tam zawk tih emaw, naute hrin emaw a rel thei a ni. |
| Fetal Thâwk chhuah | |
| Fetal Movement hrang hrangte | |
| Amniotic Fluid Volume a ni | |
| Nonstress Test (NST) hmanga tihchhuah a ni |
I doctor chuan i dinhmun a zirin eng test nge i tan a tha ber tih a rel ang.
Harsatna awm thei tur ven leh enkawl dan tur eng nge tih theih ang?
Hriselna lama harsatna i nei lo a nih pawhin naupai hma (preconception appointment) doctor pan hmasak phawt a tha a, chutiang chuan harsatna thenkhat i neih theihna tur tihziaawmna tura i tih theih dan tur i zir thei ang.
I tih theih thilte chu:
- Folic Acid: Naupai hma pawhin nitin folic acid microgram 400 tal ei thin tur a ni.
- Vaccine pek tur rawt: I doctor-in a rawt zawng zawng la rawh.
- Ei leh in hrisel leh taksa rihna tihtlem: Chaw tha tak tak ei. Taksa rihna hrisel tak vawng reng rawh.
- Exercise neih fo: I doctor-in a tih loh chuan i tana ṭha tur exercise light tak ti rawh.
- Meizial zu te, zu leh ruihhlo te pumpelh: Hengte hi naute tan a pawi hle.
- Damdawi lam thurawn zawm rawh: I doctor-in a pawmpui damdawi chauh ei rawh. A hun takah clinic-ah kal rawh.
- Specialist hmu rawh: I naupai hi a hlauhawm hle a nih chuan i doctor chuan perinatologist emaw, maternal-fetal medicine specialist emaw hnenah a refer thei che a ni . I doctor dangte nen thawk hovin nang leh i naute tan a tha ber tur a pe ang.
Take-Home Thuchah a ni
- "High-Risk Pregnancy" tih hian thil tha lo a thleng ngei ang tihna a ni lo. Nang leh i naute hian enkawlna leh ngaihven bik i mamawh tihna chauh a ni .
- Hriselna lama harsatna i neih chuan naupai tura ruahmanna i siam hmain doctor nen inbia ang che.
- I doctor thupek, damdawi leh ei tur ruahmanna te dik takin zawm rawh. Clinic date engmah lo thlir ve suh.
- Hlau suh. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawt rawh. Inbiakpawhna tha neih reng hi a pawimawh hle.
- Damdawi lam enkawlna dik tak nen chuan nang pawhin he khawvelah hian naute hrisel leh mawi tak i rawn hruai thei a ni.
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