Naute thla hnih chhung checkup (Well-Child Visit): Heng thilte hi doctor nen kan sawiho tur em ni?

Chibai! Tunah hian i fate chu thla hnih a tling tawh a ni lawm ni? Hun a thlawh dan hi a mak khawp mai! Heng thla hnih chhung hian i naute chu doctor emaw midwife emaw hnena checkup neih a pawimawh hle. Vawiin hian he checkup-ah hian eng nge thleng tih te, i beisei tur te, i naute chu checkup leh tur thlenga enkawl dan tur te kan sawi dawn a ni.

He checkup neih chhung hian doctor hian eng nge a zawn?

I naute clinic-a i hruai hunah doctor emaw nurse emaw chuan thil tlemte a buaipui ang. Lungngai suh, heng zawng zawng hi nang leh i naute thatna tur atana tih a ni.

Naute than dan tehna

A hmasain, naute rih zawng, a san zawng, leh a lu vêl chu an teh a, a ṭhan chhoh dân chart-ah an ziak chhuak a ni . Hei hi Doctor-in naute than dan chu a kum nena inmil leh hrisel a nih leh nih loh a hriat theih dan a ni. Hei hi naute tan chuan "progress report" ang mai a ni.

Zawhna a zawt che a, i harsatnate a ngaithla thin

Doctor chuan i naute nitin nunphung chungchangah zawhna tlem a zawt ang che. Zawhna, ngaihtuahna, ngaihtuahna i neih chuan hei hi zawh hun tha ber a ni.

• Nausen hnute pek dan: Doctor chuan naute hnute pek dan tur a zawt ngei ang. Tunah chuan i naute chu a hma aiin hnute nei lovin a awm rei deuh mai thei. Mahse a chang chuan "cluster feedings" an nei thei a, chutah chuan bawnghnute chu a zawnin an duh a ni. Hei hi thil pangngai a ni.
• Naupai a nih chuan : Hetiang kum hian naute hian ni khatah vawi 8 vel a hnute a pe tlangpui.
• Formula i pek chuan: I naute hian ni khatah formula ounces 26-28 (780-840 millilitres) vel a mamawh ang.

Nausen zawng zawng hi a inang vek lo tih hre reng ang che. I naute riltam dan angin chaw pe rawh .

• Zun leh ek chhuah: I naute hian ni khatah vawi tam tak wet diaper a nei tur a ni. Tunah chuan an bawlhhlawh paih zat hi a tlahniam deuh tawh mai thei.
• Nausen hnute pekte ek chu a tlangpuiin a rawng sen, tui tlem, ruh nei lo, leh nêm a ni tur a ni.
• Formula-a chawm naute chuan ek chu a nghet deuh tur a ni a, mahse lungpui angin a khauh lo tur a ni. Constipation symptom an neih chuan doctor hnenah hrilh rawh.

• Mut: Tunah chuan i naute chu nitin rei deuhin a muhil tan tawh mai thei a, zan lamah pawh a mu tam zawk tawh mai thei.
• Nausen hnute hnute pek chu zanah darkar 4-5 vel zet a muhil thei a ni.
• Formula -fed naute chu darkar 5-6 chhung zet a muhil thei.
• But even at this age , zanah vawi khat emaw vawi hnih emaw harh a, hnute tui in hi thil pangngai a ni.

• Developmental Milestones: Thla hnih an tlin chuan naute hian thil engemaw tak an ti tan tlangpui. Hengte hi hmasawnna milestone kan tih te hi a ni .
• Tap tih loh chu thawm te te (cooing, gurgling) dang an siam thin em?
• Thawm ri nasa tak a awm chuan a tithinur em, a chhang let em?
• I thusawi emaw, i ei tam emaw hian i rilru a hahdam zawk em?
• I hmai i en nghal em?
• Infiamna pakhat chu second tlemte pawh vawi khatah i en reng em?
• I nuih lai te, i thusawi te, i inkhelh emaw hian nangmah leh nangmah i nuih let ve em? (Hei hi social smile an ti a, thil mawi tak a ni!)
• I naute hian a pum chunga a awm laiin a lu a chawi sang deuh em (tummy time)?
• I kut leh ke i che tha thei em?
• I kut i vawn tlat hian rei vak lo i hawn tir em?

I naute hian heng zawng zawng hi a ti lo a nih chuan, a nih loh leh a hmaa thil tih loh ang maia i inhriat chuan, i doctor nen pawh hemi chungchang hi sawipui ngei ang che. Naute zawng zawng hi a rate inang vekin an seilian vek lo a, mahse i doctor chuan engkim a tha tih a tichiang thei a ni.

Taksa enfiahna kimchang

A dawtah chuan doctor chuan naute chu a thawmhnaw a phelh vek ang (an hmaah hetiang hian i ti ang, hlau suh) a enfiah ang. Hemi chhung hian:

• Mit an enfiah thin.
• Stethoscope hmangin thinlung an ngaithla a, pulse an check bawk.
• Hips te chu a awm tha em tih a enfiah thin.
• Naute che vel leh taksa ruh (muscle tone) te pawh ngaihven a ni.

A tul chuan test bik (Screening test) neih a ni ang

Doctor hian naute pianna damdawi ina screening test ṭhenkhat result a enfiah ang. A châng chuan, a ṭûl chuan, chutiang test chu tih leh theih a ni.

Vaccine pek chhuah

Naute natna khirh tak laka ven nan vaccine pek hi a pawimawh hle . Chuvangin a hun taka vaccine dik tak pek hi a pawimawh hle. Vaccine tlemte hi thla hnih danah pek thin a awm tlangpui. Vaccine pek hun tur hi doctor hrang hrangah a inang lo deuh thei a, chuvangin i doctor nen inbia ang che.

Nu rilru hriselna ngaihsak

Postpartum depression , nute’n naute an neih hnua an tawn ṭhin chu i ngaihtuah aiin a tam zawk a ni. Chuvangin i doctor chuan i rilru dinhmun hriat tumin zawhna tawi te te fill up turin a ti mai thei che a ni. I lungkham a, i lungngai a, i lungkham a nih chuan thup suh la, i doctor hnenah hrilh rawh. Zahpui tur a ni lo, tanpuina i dawng thei bawk.

Heng thilte hi i checkup leh tur (thla 4 hnuah) thlengin hre reng ang che.

Okay, tunah chuan thla hnih chhung checkup chu a tawp ta. Checkup lian tak lo awm tur chu naute thla li a nih hunah a ni. Chumi hma chuan i ngaihtuah tur thil tlemte a awm.

Ei leh in tur i enkawl ang u.

• Solids hi start suh.Chu chu porridge, mashed rice, leh thei tui awm lo tihna a ni. Naute hian nu hnute emaw, approved formula emaw chauh a la mamawh a ni.
• I naute riltam leh fullness cues te kha ngaihven rawh. Feed kha force suh.
• Naupai lai i nih chuan:
• A theih chuan thla 6 chhung nu hnute chauh pek tur a ni (hetih hun chhung hian formula dang, tui, solid foods ei loh tur a ni).
• A tul chuan expressed breast milk chu bottle-ah i pe thei bawk. Hnathawh tur i nih chuan hei hi i naute chu bottle-a inhmelhriattirna hun tha tak a ni.
• I naute vitamin D drop pek dan tur chungchangah i doctor nen sawiho rawh. Naute thenkhat chu hei bakah hian pek a ngai mai thei.
• Nitin nau neih hmaa vitamin emaw, multivitamin pangngai emaw ei chhunzawm zel tur a ni.
• Formula pek a nih chuan: Iron -fortified formula thlang rawh .
• I naute chu bottle-a chaw a pek chuan hengte hi ti suh:
• Bottle chu pillow emaw puan emaw chungah nghatin i naute chu amah chauhin in phal suh. Hei hian choking a thlen thei.
• I naute chu a hmuiah bottle dahin mut tir suh. Hei hian a ha a tichhe thei a, earwax a thlen thei bawk.

Naute enkawl dan tlangpui leh hmasawnna

• I naute i khawih hmain sahbawn leh tuiin uluk takin kut sil hmasa phawt ang che. I in chhunga lo lut midangte pawh chutiang bawka ti turin hrilh rawh. I naute chu damlote lakah a theih ang anga hlat tir rawh.
• I naute chu hnai takin chelh la, a mamawh chu enkawl rawh. "Naute chu i chelh chuan a chhe thin" tih hi thu dik lo a ni. I hmangaihna leh i lumna hi i naute tan a pawimawh hle.
• I naute nen inbia la, hla sa la, lehkhabu chhiar rawh. Naute hian i biak a, i khelhpui hian an zir tha ber.
• I naute a harh lai hian "tummy time" tih tum la, i en laiin minute engemaw zat a pum chungah dah la. Hei hian a kawr leh a hnungzang ruhte a tichak thei dawn a ni. Mahse, a chau emaw, a bo emaw a nih chuan a lehlamah hawi let leh rawh.
• I naute hian naute thutnaah, bouncer-ah emaw, swing-ah emaw hun a hman zat kha tihtlem rawh. Hei hi a tam lutuk hi i naute thanlenna atan a tha lo.
• Naute chhan awm lova tap (fussy periods) hi thil pangngai a ni. Mahse naute thenkhat chu ni khatah darkar tam tak, thunun theih lohvin an tap thin. Hei hi colic kan ti a ni . Hei hi naute hrisel takah chuan kar 3 vel atanga tan a ni tlangpui a, kar 6 vel ah a sang ber a, thla 3 vel ah a reh thin. Nausen chu a hnute a pe tha a, a thau chho zel a nih chuan hei hi harsatna lian tak a ni lo a, mahse nu tan chuan a buaithlak hle thei a ni.
• Nu thar i nih lai hian chau, rilru hah, a chang chuan lungngai tih hi thil pangngai tak a ni. But if these feelings are very strong , i lungngai reng a nih chuan, engkim i thinrim reng a nih chuan, i lungngai reng a nih chuan, i lungkham reng a nih chuan , i doctor emaw chhungkaw hriselna lama thawktu emaw nen inbiakna nei ngei ang che. Hei hi postpartum depression a ni thei a, chu chu enkawlna a awm bawk.
• I nunphung chungchangah ngaihtuahna i neih chuan (e.g., ei leh in, chenna tur, health insurance) chu chu i doctor nen pawh sawipui rawh. Khawtlang thil neihte an hrilh thei che a, a tul chuan social worker hnenah an refer thei bawk.

Safety hi a pawimawh ber!

In lama naute te tak te i neih hian himna tur ngaihtuah nawn leh a ngai thin.

• I naute chu Sudden Infant Death Syndrome (SIDS) tia hriat dinhmun hlauhawm tak atanga chhanchhuak tur chuan hengte hi tih ngei ngei tur a ni:
• I naute chu an hnungzang chungah mut tir fo la, crib emaw bassinet emaw-ah mattress nghet leh flat takah dah fo ang che. I naute chu an pum emaw, a sir emaw-ah mut tir suh. I naute chu crib chhungah hian crib bumper, blanket lian tak tak, pillow emaw, soft toys emaw dah suh. Heng thilte hian thawk hahna a thlen thei a ni.
• A theih chuan naute chu hnute pe rawh. Nu hnute pek hian SIDS vei theihna a ti tlem tih hmuhchhuah a ni .
• I naute piancham hmasa ber thleng, thla 6 tal chu i room chhunga crib hran, i khum bulah mu rawh. Bed-sharing hi pumpelh rawh.
• Room temperature nuam takin vawng la, i naute chu a lum lutuk loh nan veng rawh. I naute chu room temperature nena inmil takin inchei la, inchei tam lutuk suh. A mut lai hian a lu khuh suh. A thawmhnaw a chhuak em tih emaw, khawih pawhin a lum em tih emaw enfiah fo ang che.
• I naute chu a mut laiin pacifier pek i ngaihtuah mai thei. Zirna thenkhatah chuan pacifier hi in hian SIDS vei theihna a ti tlem thei niin an sawi . Mahse i naute hian a duh loh chuan nawr luih suh. Pacifier hi mut laiin i ei a nih chuan i dah leh a ngai tawh lo va, nau i hnute i pek chuan hnute pek dan a lo insiam that hma loh chuan (kar 3-4 vel) pacifier pe suh.
• Naute mutna tur atana siam ni lo thil (e.g. car seat, sofa, nursing pillow, infant loungers)-ah i naute chu mut tir suh.
• SIDS vei theihna tihtlem thei thil bik (e.g., sleep positioner, naute thinlung thawk dan leh thawk dan tehna home monitor) hmang suh . Tunah hian hetiang ti thei tur product finfiah a la awm lo.
• I naute mutna atana hman tur thil zawng zawng, crib leh mattress te chu himna dan pawm tawh (e.g., US Consumer Product Safety Commission (CPSC) ang agency-in a pawmpui) a tlin ngei ngei tur a ni.

• Nausen kalna hmanrua hmang suh. An hlauhawm hle a, hliam na tak an thlen thei bawk. Kea kalte hian i naute chu a kal theih nan a pui lo va, a takah chuan an kal theihna a tikhawtlai thei bawk.
• Ni rei lo te hnuah i naute chuan a khawih tan ang a, a khawih tan ang a, a hmuiah engkim a dah tan ang. So , thil tenau (pawisa, button ang chi), damdawi, leh thil rimchhia, tihfai tui ang chi te chu i naute hmuh theih lohna hmunah dah rawh.
• I naute chu cord, wire leh loop hmanga inkhelhna thilte lakah hla takah dah rawh. Chungte chu kawr chhungah an inzawm khawm thei a ni.
• I naute chu a harh lai hian amah chauhin dah ngai suh, a bik takin hmun sang (khum, sofa-ah) emaw, bathtub-ah emaw kalsan ngai suh .
• Engvangin nge i naute chu ti nghing ngai suh! Nausen thluaka thisen chhuah a thlen thei a, mit a tichhe thei a, thluak a tichhe nasa hle a, thihna thlengin a thlen thei a ni. I naute chungchangah hian i thinrim lutuk emaw, i stress lutuk emaw, i tuar thei lo a, i naute i tihnat i hlau a nih chuan, i naute chu hmun him (crib ang)-ah dah la, tlem tal hnungtawlh la, thawk la, rilru hahdam rawh. I ṭhian rintlak, i chhungte, emaw, i doctor emaw hnenah ṭanpuina dil rawh.
• I naute chu car-a i kal laiin hnung seat-ah, hnunglam hawi car seat-ah dah fo ang che. I naute chu car chhungah amah chauhin dah ngai suh, minute khat pawh nise.
• Nangmah emaw, i in chhûnga mi tu emaw in zuk chuan bânsan vek rawh. I naute bulah electronic cigarette (e-cigarette) hmang suh. I naute bula meizuk hian SIDS leh thawkna lam natna a tipung a ni.
• I naute chu a theih ang angin ni laka venghim rawh. I naute chu thawmhnaw nen uluk takin khuh la, thlamuang takah dah rawh. Naute thla 6 hnuai lam tan chuan sunscreen hi hman a tha lo tlangpui. Mahse, thlamuanna leh thawmhnaw a tawk lo a nih chuan naute thla 6 hnuai lam (kut leh hmai ang chi hmun tenau tak takah) chu doctor thurawn angin sunscreen tlemte chauh hnawih theih a ni.

Thuhmahruai: Hriat reng tur pawimawh ber

Chuvangin, tunah chuan i naute thla hnih chhunga checkup tur chungchang leh i naute chu hmangaihna leh him taka checkup neih leh tur thlenga enkawl dan tur chungchangah ngaihtuahna tha tak i neih ka beisei.

A pawimawh ber chu zawhna leh ngaihtuahna i neih chuan i doctor emaw chhungkaw hriselna lama thawktu emaw nen inbiakna neih hi a ni. "Hei hi zawh hi ka â nge ka hre lo" tih hi ngaihtuah suh. Nu leh pa thar apiang hian hetiang zawhna leh hlauhna hi kan nei vek a.

I naute thanlen dan leh hriselna hi ngaihven rawh. Heng zawng zawng hi i naute tan i ti vek a ni. I tan vanneihna!

` Naute hriselna, Thla hnih chhung checkup, Naute thanlenna, Naute vaccine pek, Nau hnute pek, SIDS, Naute himna, Well-Child Visit, Naute Milestones, Postpartum Depression