Thla 18 Chhunga I Well-Child Tlawh: Hei Hi Kan Hriat Tur Em?

I fa thla 18 mi te chu doctor office-a hruai chu a hlauhawm deuh thei a ni lawm ni? Mahse hei hi i naute hriselna leh hmasawnna chungchang hriat belh theihna hun tha tak a ni. Chuvangin he doctor tlawh chhung hian eng thil nge thleng tih hi han thlir ila, eng nge i beisei tur tih hi han thlir ila.

Doctor tlawh chhungin eng thil nge thleng thin?

A hmasain, doctor emaw, nurse emaw chuan i naute rih zawng, a san zawng, leh a lu vêl chu a teh ang . Heng tehnate hi ‘growth chart’ an tih chart bik-ah an record ang. Hetiang hian i naute chu a thang tha em tih an enfiah ang.

A dawtah chuan test tenau (`(Screening Test)`) tih theih a ni a, chu chuan hmasawnna tlai thei emaw , `(Autism)` ang chi dinhmun emaw hriat hmasak nan a pui thei a ni. Hei hi hriat hmasak a nih chuan naute chu an mamawh tanpuina pek thuai theih a ni.

Tichuan doctor chuan zawhna engemaw zat a zawt ang che a, i harsatnate a sawi ang che a, tunlai i fa naupangte dinhmun chungchangah thurawn a pe ang che. Chu chu eng nge a nih i en ang u, kan ti ang em?

Ei leh in chungchang

I fa te hian ni khatah chaw ei ber 3 leh chaw hrisel 2-3 a ei dawn a ni. Hetiang kum, chu chu kum khat hnuah chuan naupang tête ṭhan chakna chu a tlahniam deuh a, chuvangin an ei duhna pawh a tlahniam thei a ni. Mak ti suh. Tunah chuan no khat atanga in tur leh spoon atanga ei theih an ni tawh mai thei a, mahse kut hmanga ei (finger-feed) erawh an la duh zawk mai thei .

Zun leh ek chhuah dan chungchang

I naute diaper chu a tlangpui aia rei a vawt em tih enfiah rawh. Mahse, naupang tê tam zawk hi an upa deuh hma chuan toilet training kimchang an nei lo a, a tlangpuiin kum 2 leh 3 inkar an ni a, i naute hian ril\am a nei a, a ril\am a, a bawlhhlawh a chhuah harsat chuan doctor hnenah hrilh ngei ang che.

Mut chungchang

Hetiang kum naupang naupangte hian ni khatah darkar 12-14 vel mut an mamawh tlangpui a, mut hah pawh a ngai bawk. Thla 18 an tlin chuan naupang tê tê tam zâwk chuan zing mut an chawlhsan tawh ang .

Naupang hmasawnna chungchang (developmental milestones) .

Thla 18 an tlin chuan naupang tê tam zawk chuan heng thilte hi an ti tan tawh tur a ni:

• "Mom" leh "dad" an tih hnuah chuan thumal 3 emaw a aia tam emaw sawi an tum thin .
• Thupek awlsam tak (1-step direction) chu engmah kut zungtang (e.g., "Fetch the ball") hmang lovin a hrethiam a, a zawm bawk.
• Thil mak tak tak an hmuh chuan an kut zungtang an rawn kawhhmuh che a.
• Incheina kawngah a pui a; entirnan, kut phar emaw, ke chawi emaw.
• Homework i tih lai hian.Nangmah entawn .
• Spoon hmanga ei tum.
• Crayon hmangin scribble mai rawh.
• Infiamna thilte chu awlsam takin a khel a; entirnan, motor nawr.
• Tumah puihna tel lova mahni chauha kal.
• Ṭanpuina tel lovin chair emaw sofa emaw-ah a chuang a, a chhuk bawk.

Pawimawh: I fain heng hmasawnna tur thil pakhat emaw, a aia tam emaw a tlin loh chuan , emaw, a tih theih thin thiamna a hloh tawh a nih chuan, i doctor hnenah hrilh ngei ang che.

Doctor chuan i hmaah i naute chu a thawmhnaw a phelh ang a , uluk takin a enfiah ang . Hei hian mit enfiah te, ha enfiah te, thinlung leh lung ngaihthlak te, i naute motor thiamna leh nungchang ngaihven te a huam ang.

Hetih lai hian a hun taka vaccine lak a pawimawh. Vaccine hian naupang te chu natna khirh tak lakah a venghim a, chuvangin a hun taka lak a pawimawh. Mahse, vaccine schedule hi doctor office hrang hrangah a inang lo deuh thei a ni. Chuvangin i doctor nen i beisei tur chungchang sawipui rawh.

A tul chuan doctor chuan lead level emaw, thisen tlakchham emaw enfiah turin test a ti thei bawk .

I fain kum 2 a tlin hma loh chuan hengte hi i rilruah vawng reng ang che.

Okay, tunah chuan i fate checkup leh tur, chu chu kum 2 chhunga checkup neih tur thlenga fimkhur tur dang i en ang.

Ei leh in lamah fimkhur rawh.

• I naute chu kum 2 a tlin thlengin bawnghnute pum pe rawh. (Doctor-in a hrilh loh che chuan low -fat emaw skim milk emaw pe suh.)
• Bawnghnute leh thei tui 100% pek dawnin no khat atanga pe tur a ni. Ni khatah thei tui ounces 4 (120 ml vel) aia tam pe suh. Sugary drinks (soda ang chi) pek loh tur.
• Chaw ei tur sugar , chi, oil tamna, leh nutritional value hniam tak tak ei loh tur .
• Chaw hrisel chi hrang hrang pe chhunzawm zel rawh . Iron tamna ei tur, bean, sa, sangha, thlai leh thei chi hrang hrang pe rawh.
• Naute chuan eng nge a ei ang, engzat nge a ei ang, engtikah nge a ei ang tih chu rel rawh se.
• Choking hlauhawm, hot dog, grape pum, thlai raw, nut, thei harsa , emaw candy emaw ang chiAnmahni pek loh tur. A te tea i tan a, i chhum tha thei a nih chuan a tha ber.

Naupang tê chu zir turin i pui ang u.

• Naupang tête chuan mi dangte nêna thawhhona leh an chhehvêl an chhui hian an zir ṭha ber . Nitin hun ruat la, i fate nen inbiakna te, lehkhabu chhiar te, hla sak te, leh inkhelh te.
• I fate screen time - chu chu TV, computer, phone, tablet hmanga hun hman hun - ni khata darkar khat aia tlem lovah tihtlem rawh. I fate nêna en dun tûr program ṭha leh ṭha tak tak thlang rawh. Video chatting hi a pawi lo, a chhan chu an chhungte hla tak tak an hmu thei a ni.
• Play area him tak siam rawh. Tin, i fa chu boruak chhui chhuak tur leh active taka khelh theihna hun tam tak pe bawk ang che.

Nitin enkawlna leh himna lam pawh ngaihtuah ila.

• I fate chu potty training tan turin a inpeih tawh tih chhinchhiahna te chu en reng ang che . Entirnan, toilet-a ngaihvenna lantir te, a nappy vawt nan hun rei zawk hman te, a pants a han hrual chho leh chhuk te, etc. Potty chair te tak te keng la, bathroom i kal dawnin i naute chu hruai rawh.
• I naute ha chu toothbrush nem tak leh toothpaste grain ang vel hmangin silfai rawh . I la nei lo a nih chuan i dentist nen appointment siam rawh. Ha hring lo tura pui turin i doctor emaw ha enkawltu emaw chuan kum khatah vawi 2-4 vel i naute ha-ah fluoride varnish i hnawih thei a ni.
• Hetiang kum naupang naupangte hian zalenna an zawng a, i ramri i siamte chu an test mek a ni. Chuvangin dan dik leh mumal tak tak siam a pawimawh.
• Hetiang kum hian thinrim hi a tam hle. A bik takin riltam emaw, hah emaw hian an na thei hle. Heng thilte hi a thlen hmain tihtawp tum ang che – i naute ngaihtuahna chu redirect emaw, distraction atanga paih emaw rawh.
• I fa chu vuak suh. Naupang tê tête chuan spanking leh i nungchang ṭha lo siam ṭhat tumna inzawmna chu an hrethiam lo. I fate thunun nan ``Time-out'' tawi tak i hmang thei bawk.
• Mut hmaa rilru hahdam tak siam rawh . Zanah a harh a, a muhil leh thei tawh lo a nih chuan i awm tih hriattir la, mahse inbiakna chu tawi te tein sawi rawh.
• I naute chu car seat siamtuin a rit ber emaw, a san zawng emaw a thlen hma loh chuan lirthei hnunglam seat-a hnunglam hawi car seat-ah dah rawh.
• SPF 30 hi i naute vunah hnawih la, pawn lama inkhel tura i chhuah hmain minute 15 tal i hnawih ang .SPF 30 aia sang sunscreen hmang thin ang che. Darkar 2 danah hnawih leh thin ang che.
• I naute chu secondhand smoke lakah humhim rawh. Lung natna leh lung natna vei theihna a tipung a ni. E-cigarette atanga secondhand vapour pawh a pawi hle.
• I in chu i fa hriat duh tak, engkim khawih duh tan chuan hmun him takah siam rawh:
• Choking hlauhawmna chu vawng reng ang che; hrui (cord) te; thil lum, hrual, leh chhe thei lo; leh naute thlen theih lohna tur thil rimchhia (damdawi, in chhunga chemical, etc.) te .
• Emergency phone number te chu i kutah dah la. National Poison Control Center number (0112686143) chu ziak rawh .
• Safety gate hmang rawh . I naute chu stairs-ah supervise rawh.
• Tuiah a pil loh nan bathroom kawngkhar kha khar la, toilet seat khuhna kha khar la, tui awmna hmun apiangah (tui chawi lai pawhin) i naute chu enkawl reng ang che.
• I naute silai hliam laka ven nan in chhungah silai dah suh. I tih chuan lock up-in dah la, ralthuam engmah lovin dah rawh. Ammunition chu a hranin lock up-in dah tur a ni. Chabi chu naupang tê tête hmuh theih lohna hmunah dah rawh.

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

Okay, chuti a nih chuan he naute thla 18 mi hian doctor a pan hi a pawimawh tak zet a ni. Chu chuan nang leh i doctor-te chu i naute hrisêlna, ṭhanlenna, leh ṭhanlenna chungchâng chiang takin a pe a ni . He hun hi hre reng ang che, naupang tê tête chuan thil thar an zir thuai a, an chhehvêl thilte chhui duhna hun a ni. Chuvangin, an tan boruak him, hmangaihna nei siam a, ei tur tha tak tak pek a, khelhpui a, inbiakna neih a pawimawh hle

Ringhlelna emaw zawhna emaw i neih chuan doctor zawh hreh ngai suh. I ngaihdan sawi chhuah a tha ber.

I fate checkup leh tur, kum 2 chhunga checkup a nih hma chuan a chunga kan sawi tawhte hi chhinchhiah ang che. Nang leh i fa te tan pawh a tha ber!

` Naupang hmasawnna, thla 18 chhung checkup, naupang hriselna, hmasawnna milestone, vaccine pek dan, ei leh in, naupang himna, (18-Month Well-Child Visit)