I naute hi kum khat a ni tawh em? Thla 12 chhunga Well-Child Visit (Thla 12 chhunga Well-Child Visit) chungchang hi i zir dawn em ni?

Tunah chuan i naupang tê chu kum khat a tling tawh a ni lawm ni? Hun chu hetiang hian a lo thlawk liam tawh ngei ang! Chuvangin vawiin hian i beisei tur te, sawiho tur te, thla 12 chhunga i naute hmasawnna enfiah dan tur te kan sawi dawn a ni. Hei hi nang leh i naute tan pawh checkup pawimawh tak a nih avangin hei hi hriat reng a tha.

He doctor appointment-ah hian eng nge thleng?

Doctor i pan chuan hengte hi a tlangpuiin a thleng thin. Thil ngaihtuah tur a awm lo, engkim hi nang leh naute ṭhatna tur atana tih vek a ni.

1. Naute tehnate la hmasa rawh:

I doctor emaw, clinic-a nurse emaw chuan i naute rih zawng, a san zawng leh a lu vel chu dik takin a teh ang. Heng tehnate hi growth chart-ah an record ang. Hei hian i naute chu an kum nena inmil takin a thang lian em tih leh thla hmasa nena khaikhin chuan a lo thang lian em tih i hriat theih nan a pui ang che.

2. Zawhna a zawt che a, i harsatnate a sawipui thin:

A dawtah chuan doctor chuan i naute chanchin a zawt ang che. I naute chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan hei hi zawh hun tha ber a ni. Doctor chuan thurawn a pe ang che a, a hriattir zel ang che. A bîk takin, a hnuaia mite hi an sawiho thei a ni:

Ei leh in chungchang

Thla 12 an tlin chuan naute chu formula atanga bawnghnutea thlak turin an inpeih tawh tlangpui. I la hnute i la pe a nih chuan kum khat hnuah pawh i duh ang zat hnute pek hian harsatna a awm lo va, chu chu a tha hle . Tunah chuan i naute chu naute chaw bik a\angin a inhnukdawk tawh a, table foods pawh a ngaihven zawk mai thei.

A pawimawh ber chu i naute chu ei tur nêm chi hrang hrang pek a ni a, mahse, a rilru ti na thei thilte chu fimkhur hle ang che.

Pooping chungchang

Chaw thar leh bawnghnute i rawn luh tirh hian i naute ek chu a rawng, a inmilna leh a tam dan a danglam thei a ni. Hei hi thil pangngai a ni. Mahse, i naute hian ril\am a nei a, ni engemaw zat hnuah a chaw ei lo a nih chuan, a nih loh leh pooping harsatna a neih chuan , i doctor hnenah i hrilh ngei ang .

Mut chungchang

Nausen kum khat mi chu ni khatah darkar 11 leh 14 inkar mut a ngai a . Hei hian nitin mut vawi khat emaw vawi hnih emaw a huam a ni. Naute thenkhat chu zankhuaa mut an thiam a, thenkhat erawh chu zan khatah vawi khat emaw vawi hnih emaw an la harh thei bawk. Hei pawh hi nausen hrang hrangah a inang lo.

Naute hmasawnna chungchang (Developmental Milestones) .

Tunah chuan i naute hian thil tam tak a ti tawh ngei ang. Doctor chuan heng hmasawnna milestone te hi a zawt ang che. Thla 12 an tlin chuan naute tam zawk chuan a hnuaia mite hi an ti tawh ang:

• An nu leh pa chu "Mom" leh "Dad" emaw, an duhzawng hming bik emaw hmangin an ko thin.
• "Ni lo" i tih hian an hrethiam (i sawi hian rei vak lo an chawl emaw, an thil tih chu an titawp emaw).
• I kut phar la, "bye" ti rawh.
• Pat-a-cake ang chi social game an ngaina hle.
• Thil pakhat chu container-ah i dah thei a, chu chu cup-a block i dah ang bawkin.
• Miin thil a thup chuan an zawng thin.
• Thil pakhat man a, thawh chhuahna atana hman.
• Furniture (chair emaw table emaw ang chi) chelh chunga kal (hei hi ``cruising'' an ti).
• Thumb leh index finger hmangin thil te te (pincer grasp) la rawh.

I naute hian heng hmasawnna milestone pakhat emaw a aia tam emaw a lantir lo a nih chuan, emaw, a theihna thenkhat a hloh nia i hriat chuan, i doctor nen sawiho ngei ang che. Hlauthawng suh, mahse i doctor hriattir a pawimawh.

3. Taksa Exam zawh tur:

A dawtah chuan doctor chuan i hmaa i naute thawmhnaw a phelh ang a, a lu atanga a ke thlengin a enfiah ang. Hetih lai hian thil tam tak endik a ni a, vun lama harsatna, thawk dan, leh heart rate te pawh a tel.

4. Vaccine siam thar tur:

Hetiang kum a i naute hian a dawn tur vaccine a awm. Naute natna khirh tak laka inven nan vaccine hi a pawimawh hle. Chuvangin a hun taka pek hi a pawimawh hle. Vaccine schedule hi doctor hrang hrangah a inang lo deuh thei. Chuvangin, i doctor nen inbia la, tun ṭumah hian eng vaccine nge pek a nih tih leh eng nge pek leh tur tih chiang takin zawt rawh.

5. A tul chuan test neih: 1.1.

A châng chuan, doctor-in a ṭûl nia a hriat chuan, naute tân test ṭhenkhat chu a order thei bawk. Entirnan, naute lead level enfiah nan te, thisen tlakchhamna enfiah nan te, TB ang chi natna te enfiah nan emaw test neih theih a ni.

Hengte hi hmalam pan zelin (thla 15-na thleng) rilruah vawng reng ang che.

Okay, tunah chuan doctor checkup a zo tawh a, checkup leh tur (a tlangpuiin thla 15-ah) thlenga fimkhur tur thil tlemte a awm.

Ei leh in lamah fimkhur rawh.

• I naute chu kum hnih a tlin thlengin bawnghnute pum pe rawh . Doctor-in a bik taka a tih loh chuan low-fat emaw skim milk emaw pe suh. Ni khatah bawnghnute ounces 16-24 (480-720 millilitres) vel chauh tihtlem tur a ni.
• Bottle feeding chu a rang thei ang bera titawp la , cup atanga chaw pek tan rawh . Naupai lai i nih chuan cup khat atang pawhin expressed breast milk i pe thei bawk.
• Thei tui 100% i pe dawn a nih chuan no khatah pe rawh. Mahse ni khatah ounces 4 (milliliter 120) aia tam pe suh. Soda leh soft drinks ang chi sugary drinks te hi pumpelh vek tur a ni.
• I naute ei turah hian iron-fortified cereals leh iron tamna ei tur (e.g. sa, sangha, tofu, sweet potato, spinach, bean) te telh ngei ngei tur a ni.
• I naute chu mahni chaw pe turin fuih rawh. Spoon leh no khat pe la, an thiam theih nan phalsak rawh. A tirah chuan an lick vek ang a, leiah an paih ang a, mahse chutiang chuan an zir chhuak ta a ni.
• Ei emaw in emaw hian i naute chu dawhkan lam hawiin thut tir fo la, high chair emaw booster seat emaw-ah emaw thut tir thin ang che. I naute tan chaw ei tura a zuang chho leh chhuk chu a hlauhawm hle.
• Ni khatah chaw ei tur pawimawh 3 leh chaw hrisel 2-3 hun remchangah pek thin ang che.
• Pawimawh: I naute hian a hma aia ei tlem zawka a lan chuan lungngai suh. Kum hnihnaah chuan i naute hi kum khatna aiin a thang chak lo deuh ang a, chuvangin an ei duhna a tlahniam thei a ni. I naute hian engzat nge an ei duh tih chu rel rawh se. Hemi chungchangah hian i lungkham tak tak a nih chuan i doctor nen inbia ang che.
• Chaw choke thei (e.g. whole grapes, raisins, popcorn, pretzels, nuts ang chi peanuts, sausage, hot dog, sa lian tak tak, hard cheese, raw vegetables carrot ang chi, leh hard fruits like apple) pek loh tur . I pek chuan mash tha la, soften rawh.
• Junk food, sugar, chi, oil tamna leh nutritional value nei tlem te chu a theih ang anga pek loh tur.

I zir theih nan i pui ang u.

• Naute hian midangte nena an hnathawh leh an inkhelh hian an zir tha ber . Chuvângin, ni tin i naute nêna inbiakna hun, hla sak, lehkhabu chhiar (thlalak lantîr), leh inkhelh dun hun i zawng chhuak ngei ang.
• Damdawi lama mithiamte chuan naute kum 1 1/2 hnuai lam (thla 18) tan chuan TV (or ``Screen Time'' dang computer, tablet, phone ang chi) en hi a dik lo niin an sawi. Mahse, hla taka awm pi leh pute nena ``Video Chatting'' tih hi thil dik lo a awm lo.
• I naute tan in lama khelh theihna tur hmun him siam rawh . A chhehvel thilte chu a inhnukdawk theih nan, a inrawlh theih nan, a khawih theih nan leh a chhui theih nan hun tam tak pe rawh.

Nitin enkawl leh venhimna

• I naute ha chu ni khatah vawi hnih toothbrush nem tak leh toothpaste tlemte (buhfai chi khat vel) hmangin silfai thin ang che . Ha hmasa ber a luh veleh, a nih loh leh kum khat an tlin meuh chuan ha enkawltu hmu turin appointment siam rawh. Ha hring lo tura pui turin i doctor emaw ha enkawltu emaw chuan i naute ha chu kum khatah vawi 2-4 vel ``Fluoride Varnish'' tih hming pu venna coating a hnawih thei a ni.
• I naute chu vuak, vuak, leh sawisel ngai suh . Thil dik lo a tih chuan "Ni lo, fapa/fanu" tih la, a ngaihtuahna chu thil dang lamah dah leh rawh. A tul chuan ``Time-out'' tawi (hmun khatah a thut tir) minute khat emaw minute hnih emaw chhung pawh i hmang thei bawk.
• I naute chu car-a i hruai dawnin, car seat siamtuin a rit ber emaw, a san zawng emaw a thlen hma loh chuan hnunglam seat-a hnunglam hawi car seat-ah dah la. Hei hi an tan kawng him ber a ni.
• I naute chu a theih ang anga ni êng direct-a dah loh tur a ni .. Pawnah i chhuak a nih chuan i taksa khuh thei thawmhnaw ha la, lukhum bun la, thlamuang takah awm rawh. Thawmhnaw leh thlamuanna hmanga ni êng direct i block theih loh chuan ``(SPF 30)`` emaw a aia sang emaw ``Sunscreen`` i hmang thei ang.
• I in chu naupangte tana invenna (childproofing) ngaihtuah chhunzawm zel ang che:
• Naupangte’n hmun hlauhawm, stairs leh kitchen-a an luh loh nan safety gate dah rawh. Naute pawhin an thlen theih loh nan curtain leh blind te chu khin rawh.
• Infiamna tenau, choke thei, damdawi, thil tha lo, faina tui, thil lum (teacup, thir), thil hrual (scissors, knives), leh glassware chhe thei te chu khar a, nausen an thlen theih lohna hmun sang takah emaw, an ka chhungah dah emaw tur a ni.
• Emergency telephone number te chu hmuh theih hmunah dah thin ang che. A bîk takin, Sri Lanka-a National Poisons Information Center atâna number, 1926 .
• Tui pil loh nan bathroom kawngkhar chu engtik lai pawhin khar reng tur a ni a, toilet seat pawh khar reng tur a ni. Sink emaw bucket emaw-ah tui a awm chuan fimkhur hle ang che. I naute chu tui a inhnaih hunah, a inbual lai ang chiah hian enkawl fo ang che.
• I naute chu secondhand smoke lakah humhim rawh . I in chhunga mi pakhatin zu a in chuan i naute bulah chutiang chu ti lo turin hrilh rawh. Naute hian thinlung natna leh lung natna a vei theihna nasa takin a tipung a ni. E-cigarette atanga meikhu chhuak pawh hi a pawi hle.
• In chhungah silai dah suh. I tih ngei ngei tur a nih chuan, thil phurh chhuah loh, khar, leh naupangte hmuh theih lohna hmunah dah rawh . Ammunition chu a hranin lock up-in dah tur a ni. Chabi chu naupangte hmuh theih lohna hmunah a awm ngei ngei tur a ni. (Hei hi Sri Lanka tan chuan a inzawm bik lo a, mahse hriat chian a tha hle.)
• I chhungkaw nunphung chungchangah ngaihtuahna i neih chuan (e.g., ei tur tlakchhamna, in him lo, sum leh pai lama harsatna), chutiang chungchang chu i doctor hnenah sawi zak suh I naute enkawl that nan thil tul i nei em? I doctor chuan khawtlang thila tanpuina i hmuh theihna tur a hrilh thei che a, social worker thiam tak hnenah pawh a refer thei bawk che a ni.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Chuvangin, i naute kum khat mi thla 12 chhung checkup hi a thanlenna, hriselna leh himna chungchang hriat belh theihna hun tha tak a ni a, zawhna i neih apiang zawh theihna hun remchang tha tak a ni. Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor hnenah sawi chhuah hlau leh zak suh. Doctor chu pui turin a awm reng a ni.

I naute chu a hun taka vaccine dik tak pek te, chaw tha tak tak pek te, in lama a zawn leh zir theihna tur hmun him siam te, hmangaihna leh dawhtheihna nena enkawl te hi he hun chhunga i tih theih pawimawh ber a ni. Heng zawng zawng hi i theih ang tawkin i ti vek tih kan ring tlat a ni! I tan vanneihna!

` [Naute hriselna, thla 12 chhung checkup, naupang hmasawnna, naute ei leh in, vaccine pek, naupang himna, hmasawnna milestone].