I fa kum 12 mi Well-Child Visit: Hemi chungchang hi kan sawi dawn em ni?

I fa hian kum 12 a tling tawh a, chu chu an nunah hun pawimawh tak a ni. Hetiang kum hian an taksa leh an ngaihtuahna te hian inthlak danglamna lian tak an tawk mek a ni. Chuvangin, he hun laia medical check-up tih, ``Well-Child Visit'' tia koh hi a pawimawh hle. Hetih lai hian Doctor i hmuh hunah eng nge thleng thin, eng nge i inbuatsaih a ngai tih i lo en ang u.

Engtin nge doctor in i fa chu a enfiah thin?

Pakhatnaah chuan doctor hmu tura i kal chuan naupang hriselna chungchang rough idea nei turin thil tlemte an en ang.

1. A san zawng, a rih zawng leh a than dan enfiah: Doctor emaw nurse emaw chuan i fa san zawng leh a rih zawng a teh ang a, an BMI, emaw body mass index emaw a chhut ang. Chumi hnuah chuan heng tehnate hi an thanlenna chart-ah an plot ang a, naupang chu an kum nena inmil em tih leh kum hmasa aiin danglamna a awm em tih an en ang. Hei hian naupang ei leh in dinhmun pawh a hriat theih phah bawk ang.

2. Thisen sang, mit, leh hriatna endik a ni: Naute thisen sang chu standard equipment hmanga endik a ni. Tin, naute mit hmuh dan enfiah a ni bawk. A châng chuan hetih lai hian naute hriatna pawh enfiah theih a ni. Hengte hi test awlsam tak a nih avangin ngaihtuahawm tur a awm lo.

3. Rilru hriselna lam pawh thlir a ni: Hetiang kum naupangte hian rilru hahna chi hrang hrang an tawk thei a. Chuvangin, doctor chuan naupang chu a lungngai em, a lungngai em, a lungngaihna lanchhuahna a nei em tih hriat nan test tawi te pawh a ti thei bawk. Hei hi zawhna chhanna ang chi a ni thei.

Doctor-in nang leh i fate a sawipui tur thilte

A dawtah chuan doctor chuan nang leh i fate chu an nitin nun leh an tih dan chungchang tam takin a zawt ang. Hei hi zawhna i neih apiang zawh leh thurawn dawn hun tha tak a ni.

Engtin nge i ei leh in tur i enkawl?

Hei hi naupangte hian an tana ei tur tha tur an thlan tan hun a ni . Hemi chungchang hi doctor in a sawipui ang che.

• I fate ei tûrah chuan protein ṭha tak (nga, vawk, artui, leh chickpeas ang chi), buh chi (brown rice, atta flour, oats), thei leh thlai chi hrang hrang a tel tûr a ni
• Tin, i fa hian ni khatah thau tlem nei hnute emaw, bawnghnute atanga siam (e.g. yogurt, skim milk) cup 3 (720 ml) vel a ei tur a ni.
• I fa chu ni khatah thei leh thlai vawi 5 tal ei turin fuih rawh. Thlai leh thlai chi hrang hrang rawng hrang hrang a tam poh leh a tha zawk.
• Tui in pawh a pawimawh hle. I fa chu tui in ai chuan tui in thiam tir rawh.

Engtiang chiahin nge mut a pawimawh?

Hetiang kum naupang hian zan khatah darkar 9 leh 12 inkar mut that a mamawh a ni .

• If you don’t get enough sleep , sikul hnathawhnaah ngaihtuahna sen a harsa a, nilengin i chau hle.
• Chuvangin, i fate tan mut hma dan mumal tak siam a tha. Mut hmaa lehkhabu chhiar ang chi, mut hmaa chawlh hahdamna tur ruahmanna siam hi a tha hle.
• A pawimawh ber chu electronic hmanrua TV, computer, tablet, phone te chu i fa mutna pindan chhungah dah loh hi a ni. An hnen atanga êng lo chhuak hian mut a tibuai thin.

Naupang thiltih leh exercise te

Hetiang kum naupang hi ni khatah minute 60 tal active tur a ni . Chu chu khelh, tlan, leh zuang tihna a ni.

• Screen time (`screen time`) hi a tlem ngei tur a ni . Ni khatah darkar engzat nge i hman theih ang tih dan siam rawh.

Naupang taksa leh rilru lama hmasawnna

Kum sawm leh pahnih hi naupangin taksa leh rilru lamah pawh inthlak danglamna tam tak a paltlang hun a ni. Doctor pawhin hei hi a sawi ve bawk.

• Puberty signs: Naupang tam tak chuan he kum atang hian puberty chhinchhiahna an lantir tan thin.
• Hmeichhe naupang puitlin hun hi kum 8 leh 13 inkar atanga tan a ni tlangpui a , hnute thanna leh pubic hair hi a intan hmasa ber thin. Menstrual period hmasa ber, a nih loh leh menarche hi hnute lo than chhoh tan atanga kum 2 vel hnuah a thleng tlangpui.
• Mipa naupang puitlin hun chhinchhiahna hmasa ber chu testicular enlargement a ni . Hei hi kum 11 vel atanga tan a ni tlangpui a, mahse a chang chuan kum 9 atang emaw, kum 15 hnu lamah emaw a intan thei a, chutih lai tak chuan penis chu a sei tan a, pubic hair chu a lo sei tan thin.
• Vun hriak leh hmai vun: He kum ah hian hormone inthlak danglam vangin vun a thau a, hmai vun a lo lang thin hi thil awmze nei tak a ni.
• An thiltih rah chhuah chu ngaihtuah tlem zawk rawh: A châng chuan hetiang kum naupangte hian thil an tih hnua thil thleng tûr chu puitling angin an ngaihtuah thûk thei lo mai thei.
• Mahni chauha hnathawh leh ṭhiante zawm duhna: Zawi zawiin mahni inrintawkna an nei chho zel a, an ṭhian pawl zawm duhna an nei nasa hle.
• An hmel leh nungchang an ngaihtuah nasa tan a: "Engtin nge midangte hmaah ka inlan?" "Ka nungchang a tha em?"
• Risk nei thila inhmang tura thlemna a awm thei: Hei hi thil thar tih tum hun a ni a, a châng chuan risk tlemte pawh lak hun a ni.

Doctor-in a biak hnuah, i fate nen zawhna dang emaw, ngaihtuahna dang emaw (i hmaa zawh harsa tak tak pawh a ni mai thei) sawipui turin i fa nen hun engemaw chen i dil thei ang. Hei hi i fate tan zalen taka an harsatna sawina hun tha tak a ni.

Engtin nge taksa enfiahna hi an tih thin?

An inbiak zawh chuan Doctor chuan naupang chu a enfiah leh a.

• Hetih lai hian naupang vun, thinlung leh lungte ngaihthlak a ni a, a ruh (spine) curvature (curvature of the spine) enfiah a, puitlin tawhna chhinchhiahna te enfiah a ni.
• He test neih chhung hian nu leh pa, enkawltu emaw, mi dang (`chaperone`) awm reng a pawimawh . Naupang chu privacy pe turin he hun chhung hian unau dangte chu waiting room-ah an awm a nih chuan a tha ber.

Vaccine chungchang pawh hre reng ang che.

Hetiang kum pawha naupang hnena pek ngai vaccine a awm.

• Vaccine hian naupangte chu natna khirh tak lakah a venghim a, chuvangin a hun taka lak a pawimawh hle .
• Vaccine pek hun tur hi doctor hrang hrangah a inang lo deuh thei a, chuvangin he kum ah hian eng vaccine nge pek tur tih chiang taka hriat tumin i doctor nen inbia ang che.

Test dang pawh tih theih a ni

Naupang hriselna dinhmun a zirin Doctor chuan test dang engemaw zat a order thei bawk.

• Entirnan, thisen tlakchhamna, cholesterol sang, leh TB ang chi dinhmun enfiah nan test order theih a ni.

I checkup leh tur (kum 13) thlenga i enkawl tur thilte .

He checkup zawh hnuah hian i fa kum 13 a tlin hmaa fimkhur tur thil tlemte a awm.

Sikul hnathawh chungchang

• I fa chu sikulah thil chi hrang hrangah tel tir rawh. Entîr nân, i fa chu music, art, infiamna, leh sikul ban hnua club-te ang chi thil ngaihven zawng zawng zawm tûrin fuih rawh .
• I fate thil tha an tih chuan fak rawh . Thil engemaw takah an hlawhchham chuan an buai laiin tanpui la, fuih bawk ang che .
• Homework neihna tur hmun reh leh tha tak siam rawh. TV leh phone ang chi thil tibuaitu thilte chu pumpelh rawh.
• Naupang thenkhat chuan sikula thil a harsat deuh chuan harsatna an nei thei. Chutiang a nih chuan sikula zirtirtu te nen inbia la, a chhan hriat tum ang che. Zirna emaw, ngaihvenna emaw lama harsatna a ni thei a, a nih loh leh rilru hahna dang, tihduhdahna ang chi a ni thei bawk .
• Hetiang kum ah hian peer pressure a nasa hle. Chuvangin, a chang chuan meizuk leh zu in ang chi thil dik lo lam an pan mai thei. I fain tute nge a kawp tih hre reng ang che. Tin, an inkhawmna hmunah puitling enkawlna a awm ngei ngei tur a ni.

Naupang mizia leh rilru hahdamna

• Nitin i fate nen inbiakna leh hun hmang turin hun engemaw chen hmang rawh. Chaw ei dun te, infiam dun te, leh i fa tana thil pawimawh tak tak sawihona te hian in inzawmna a tichak ang.
• In dan siam la , chuta tang chuan i beisei tur chu chiang takin sawi rawh . Dan bawhchhiatna avanga a rah chhuah chu a dik tur a ni. I fain duhthlanna ṭha a siam avangin fak rawh.
• I fain puitlin hun chungchânga zawhnate leh chu hun chhûnga taksa, rilru leh rilru lama inthlâk danglamnate chhân tûrin inpeih rawh .I fain gender identity leh sexuality chungchanga zawhna a neih chuan tlang takin chhang rawh. I fain zawhna emaw, ngaihtuahna emaw a neih apiang sawipui turin fuih rawh.
• Hmeichhia tan chuan thlasik hun hmasa ber hi kum 13 vel a ni tlangpui a, mahse a chang chuan kum 15 vel a tlai thei a, i fanu chu a period tan hmain a period chungchang sawipui la, zawhna a neih apiang zawt turin fuih bawk ang che.
• I fa chu a puitlin hma loh chuan midang nena sex hman hun sawn hlat turin fuih rawh . Mipat hmeichhiatna hmanga kai theih natna (STD) leh duh loh zawnga naupai hlauhawmna sawifiah rawh.
• I fa chu nitin inbual leh silfai turin fuih rawh . Taksa rimchhia, thawmhnaw ang chi harsatna a awm chuan deodorant hmang turin hrilh rawh.
• Ni khatah vawi hnih ha sil la, ni khatah vawi khat tal floss la, thla 6 danah i fa chu ha enkawltu hnenah hruai rawh .
• Depression chhinchhiahna te hi fimkhur rawh. Thinrim reng reng, lungngaihna, thil nuam i tih thinte ngaihven loh, sikul-a grade tlahniam, emaw, mahni intihhlum chungchang sawi te ang chi symptom i neih chuan doctor nen inbia ang che.

Naupang himna chungchang hi theihnghilh suh.

Hetiang kum lama naupangte himna tur hi kan ngaihtuah nasa a ngai bawk.

• I fa chu meizuk, vaping, zu, leh ruihhlo hlauhawmzia sawipui rawh .
• Hetiang kum naupangte hi car-a an chuan laiin hnunglam seat-ah an awm reng tur a ni a, seatbelt an vuah ngei tur a ni .
• Bicycle, skateboard, a nih loh leh scooter i khalh hunah helmet vuah turin hrilh rawh . Infiamna an khelh hunah chuan infiamna atana hmanraw tha, hmui venna leh khup leh elbow pad te hmang turin hrilh rawh.
• Ni chhuahna hmuna chhuah hma minute 15 tal SPF 30 aia sang sunscreen hmang thin ang che . Darkar 2 danah apply leh thin tur a ni tih hre reng ang che.
• I fa chu secondhand smoke lakah humhim rawh.
• I fain Internet a hman danah fimkhur rawh. Computer chu i hmuh theihna hmunah in lamah dah la. Safety filter siam la, i fate browser history en la, eng website nge an tlawh tih en rawh.
• I fate chu online safety, cyberbullying, leh social media mawhphurhna nei taka hman dan tur chungchang sawipui rawh .
• Silai hi in lamah dah suh. I tih chuan bungrua chhuah lohvin, khar-ah dah la, 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 dah rawh.
• I nunphung chungchanga zawhna i neih chuan, i fa enkawlna atana i mamawh (e.g., ei leh in, chenna tur, hriselna insurance) i neih leh neih loh te chu i doctor nen sawiho rawh. I doctor chuan khawtlang resources-ah tanpuina dil emaw, social worker emaw hnenah a refer thei che a ni.

Hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvang chuan kum 12 mi naupang medical examination chungchang hi kan sawi nasa hle. A tawp berah chuan, hriat reng tur pawimawh thenkhat chu hetiang hi a ni:

• He hun hi naupangte tan taksa leh rilru lama inthlak danglamna leh harsatna tam tak awmna hun a ni. Chuvangin, i hmangaihna, i hriatthiamna leh i thlawpna chu a hma aia nasain an mamawh a ni.
• I doctor nen engkim chungchang chu tlang takin sawi rawh. Zawhna leh ngaihtuahna i neih apiang zawt hreh suh.
• I fa nen inbiakpawhna tha tak nei rawh. Eng thil pawh an sawipui thei che tih rinna pe rawh.
• I fate himna tur ngaihtuah fo ang che, a bik takin internet leh peer pressure chungchangah.
• He zinkawngah hian nangmah chauh i ni lo. Doctor te, zirtirtu te, leh a tul chuan counselor te hnen atangin tanpuina i dawng thei bawk.

Heng tips te hian i fa chu hmalam hun hrisel leh hlim tak a neih theih nan a puih ngei ka beisei!

` Naupang hriselna endik, kum 12, puitlin hun, naupang thanlenna, nu leh pa thurawn, hrisel tih dan, rilru hriselna