I naute ni 3-5 chhung checkup (Well-Child Visit): Hei hi i fimkhur ang u!

Nang leh i fate chungah lawmthu kan sawi e! Tunlai hian i buai hle ngei ang a, thil thar tam tak i hmachhawn ngei ang. Naute pian hnu ni engemaw zat, chu chu ni 3 leh ni 5 inkarah chuan naute chu doctor hnenah i entir emaw, clinic-ah emaw i hruai a ngai dawn a ni. Hei hi `( Well-Child Visit )` kan tih chu a ni. Hei hi check-up pawimawh tak a ni. Chuvangin, he check-up chhung hian eng nge thleng tih kan en ang a, eng nge i beisei tur tih pawh i en ang.

He checkup chhung hian eng nge thleng?

He checkup hmasa ber chhung hian doctor emaw nurse emaw chuan i naute chungchang thil tam tak a check ang. Hei hi zawhna i neih apiang zawh hun tha tak a ni a, i rilru a thil awmte sawi dun hun tha tak a ni.

1. Naute than dan tehna : .

• A hmasa ber atan naute rih zawng, a sei zawng leh a lu vel teh a, ``Growth Chart``-ah record a ni.`` Hei hian doctor chuan naute chu a thang tha em tih a hmu thei a ni.

2. Zawhna a zawt che a, thurawn a pe bawk:

Doctor emaw nurse emaw chuan i naute ei leh in, mut dan, zun chhuah dan , pooping , etc. Zawhna i neih apiang zawt hreh suh, eng ang pawhin tlem pawh nise.

• Nau hnute pek dan: Nausen piang tharte chu an riltam apiangin hnute pek tur a ni.
• Nau hnute i pek chuan : Darkar 1-3 danah riltam i nei thei. I doctor emaw nurse emaw chuan i hnute pek lai enin harsatna eng pawh i neih chuan a pui thei che a ni. Naute chu chaw pek zawh leh pek laiin burp theihnghilh suh.
• Formula i pek chuan: Darkar 2-4 danah riltam i nei thei.
• Zun leh zun dan: Nausen piang thar chuan ni khatah wet diaper 6 vel a nei tur a ni. Nausen poops zat hi nausen hrang hrangah a inang lo thei a, mahse a tlangpuiin naute hian ni khatah vawi 3-4 vel ek a chhuah ang a, zawi zawiin awlsam takin a chhuak ang. Hemi chungchanga zawhna i neih chuan doctor nen inbia ang che.
• Mut dan: Nausen piang thar chu ni khatah darkar 14-17 vel a muhil thei. Amaherawhchu, he mut hi a kal zel lo va, chaw ei turin nilengin zankhuain an tho fo thin.
• Nausen hnute pekte chu darkar 1-3 danah an harh tlangpui.
• Formula- feed naute chu rei vak lo an mu thei a, a chhan chu formula hian a ei rei zawk a, chu chuan an chaw ei tam zawkin an hria. Darkar 2-4 danah vel an harh ang.
• A pawimawh ber chu i naute chu chaw pek inkar darkar 4 aia rei mut tir loh tur a ni a, chu chu a thau a tihpun hma loh chuan (a tlangpuiin kar hmasa lamah). Chumi hnuah chuan i naute chu tlem a mut rei pawh a pawi lo.
• Hmasawnna leh theihna: 1.1.Thla khatna chhungin naute hian a hnuaia mite hi an entir tur a ni:
• Hmêl leh thil eng tak tak, inches 8-12 (20-30 cm) vel a hlate an en ṭhin.
• Aw a chhang let - thawm an hriat chuan a ngawi reng thei a, a mit a chhing thei a , a lu a tikehsawm thei a, a tikehsawm thei a, a tap thei bawk.
• I kut leh ke chu inzawm tlat ang che.
• Ke leh ke pahnih hi an che dun a.
• Pum chunga dah a nih chuan (hei hi naute a harh lai leh i en lai chauh tih tur a ni) a lu chu rei vak lo chawi sang rawh.
• Nausen piang tharte hian innate reaction (Newborn Reflexes) an nei a. Hengte hi automatic-a thil thleng a ni. Entirna tlemte chu hetiang hi a ni:
• `Rooting and Sucking Reflex`: Ka bulah thil dah a nih chuan naute chuan a lu chu chu lam hawiin a herh a, a hnute a hnek tan ta a ni (nu hnute emaw, bottle hnute emaw zawn ang maiin).
• Grasp Reflex: Kut zungtang chu kutphah chungah dah a nih chuan a nghet a, a man thei bawk.
• `Fencer's Pose`: I lu chu a sir khatah hawi la, chu sir lamah chuan i kut chu phar la, a sir lehlamah i kut chu ben rawh. Bow i draw ang maiin.
• `Moro Reflex` (Startle Response): A mangang nghal mai chuan taksa chuan a kut leh ke pahnih chu a paih chhuak a, chutah chuan a hruai lut leh thin.

3. Taksa pum enfiah: 1.1.

Doctor chuan naute thawmhnaw zawng zawng chu a phelh vek ang a, i hmaa naute chu a enfiah ang. Hei hian naute mit enfiah , naute thinlung thawk ngaihthlak, pulse enfiah, umbilical cord enfiah, leh hip ruh enfiah te a huam ang.

4. Test bik `(Screening Tests)` tih tur: 1.1.

Damdawi in-a screening test neih tawh result chu doctor hian a enfiah ang. A tul chuan test thenkhat chu tih nawn leh theih a ni. Naute hriatna test chu damdawi inah tih a nih loh chuan he hun lai hian tih a ni ang.

5. Vaccine pek dan : 1.1.

Naute natna khirh tak laka inven nan vaccine pek hi a pawimawh hle. Chuvangin i naute hi a hun taka vaccine pek a pawimawh hle. Vaccine pek hun tur hi clinic hrang hrangah a inang lo deuh thei. Chuvangin i doctor nen inbia la, i beisei tur chu i hre thei ang.

I checkup leh tur (thla khat hnuah) thlengin heng thilte hi hre reng ang che.

I naute checkup tura i hruai leh hunah chuan thla khat vel hnuah a ni. Chumi hma chu khawngaihin heng thilte hi lo buaipui teh u.

Ei leh in chungchang

• I naute chu a riltam apiangin chaw pe thin ang che. Tin, i naute hian a riltam lai a chhinchhiahna a lantir te pawh ngaihven bawk ang che. Entirnan, hnute emaw bottle emaw atanga a lu hawisan te, a hmui khuh te, etc.
• Chaw solid emaw thei tui emaw pe suh .
• Doctor-in thurawn a pek loh chuan, .I naute bawnghnute bottle-ah cereal dah suh.
• Naupai lai i nih chuan:
• Naute chu a latch on dik theih nan tanpui rawh: A hmui chu zau takin a inhawng tur a ni a, lei chu hnute hnuaiah a awm tur a ni a, a hnute a tam thei ang ber chu ka chhungah luh tur a ni.
• Nitin ``Prenatal Vitamin'' emaw ``Multivitamin'' emaw i ei chhunzawm zel tur a ni.
• I naute tana Vitamin D drop chungchang hi doctor zawt rawh.
• Naupai lai (a tlangpuiin thla khat vel) chu bottle emaw pacifier emaw hmang suh.
• Nu hnute pe lai i nih chuan:
• I naute chu iron-fortified formula pe rawh.
• Bottle siam leh dahkhawm hunah powdered milk package-a thupek awm ang chiah hian zawm tur a ni.
• Bottle chu engmah chungah dah suh la, i naute chu bottle nen mut tir suh.
• Formula chi khat i thlak dawn a nih chuan i doctor nen inbia ang che.

Nitin enkawlna

• I naute i khawih hmain i kut chu uluk takin silfai hmasa phawt ang che. I naute chu mi damlo lakah hla takah dah la.
• Umbilical cord a vawt loh nan diaper chu navel hnuaiah wrap la. Umbilical cord hi ni 10-14 chhungin a tla tlangpui.
• Naute chu mipa serh tan tawh a nih chuan a serh laiah emaw, a navel hmaah emaw petroleum jelly tlem tal hnawih tur a ni.
• Umbilical cord a tlak a, serhtan hliam a dam hma loh chuan , i naute chu sponge bath method hmangin silfai rawh. I kutphahah tui chu test la, a lum lutuk lo tih enfiah rawh.
• Sahbawn rimtui lo leh lotion hmang thin ang che.
• I naute chu chelh fo la, an mamawh chu ngaihtuahsak rawh. Nausen piang thar i tichhe thei lo. Chu chu i chelh vang mai maiin an chhe lo vang tihna a ni.
• I naute hnenah hla sa la, thusawi la, lehkhabu chhiar rawh. Naute hian mi nena an inpawh hian an zir tha ber.
• Naute hian hun engemaw chen an buai leh tap fo hi thil pangngai a ni. Mahse, naute thenkhat tan chuan he tap hi a na thei hle a, ni khatah darkar tam tak a daih thei a ni. Hei hi `(Colic)` an ti a. Nausen hrisel pangngaiin `(Colic)` a neih chuan kar 3 vel atanga tan a ni tlangpui.
• I naute hnungzang i en hian a lumna 100.4°F (38°C) aia sang a nih chuan doctor ko nghal rawh. Tin, i naute chu a damlo niin a lang a, zu a in lo a, a zun lo , a vun a sen a, a nih loh leh a umbilical cord emaw serh tanna hmun vel a sen emaw, a hring emaw a neih chuan i doctor ko rawh. Nausen thla 2 hnuai lam chu doctor nen inbia hmasa lovin damdawi engmah pe suh.
• Nu tharte hian a chang chuan an rilru a buai a, an lungkham hi thil pangngai tak a ni. Mahse heng rilru put hmangte hian a hneh hle a nih chuan, a nih loh leh lungngaihna, lungkhamna, lungkhamna i neih chuan i doctor nen inbia ang che.
• I nunphung i ngaihtuah a nih chuan i doctor nen inbia ang che. Naute enkawl nana i mamawh i nei em? Chaw ei tur tling, chenna hmun him leh health insurance i nei em? Doctor chuan khawtlang thil neih chungchang a hrilh thei che a, social worker hnenah pawh a refer thei bawk.

Security chungchang

• Sudden Infant Death Syndrome (SIDS) vei theihna tihtlem nan hengte hi ti rawh:
• I naute chu a hnungzang (a pum emaw, a sir emaw-ah ni lovin), mattress nghet tak, flat takah mut tir fo ang che. Crib bumper, blanket, pillow, emaw soft toys emaw chu crib emaw bassinet emaw chhungah dah suh.
• A theih chuan naute hnute pe rawh.
• I naute kum khat a tlin hma emaw, a tlem berah thla 6 hmasa berah emaw, SIDS vei theihna a san ber thlengin, i room-a crib-ah, i khum bulah mu 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 thawk emaw, a lum emaw tih enfiah rawh.
• I naute chu i mutpui laiin a hnute tur pacifier pek hi ngaihtuah rawh. A duh loh chuan pacifier chu suck turin nawr luih suh. Mut laiin pacifier a ei chuan i dah leh a ngai tawh lo va, i hnute i pek chuan hnute pek a thiam tawh hma loh chuan pacifier pe suh.
• Naute mutna tur atana siam ni lo thil (e.g. car seat, feeding pillow, baby lounger)-ah i naute chu mut tir suh.
• SIDS vei theihna a tihziaawm nia sawi hmanrua (e.g., sleep positioner, baby heart rate leh breathing monitor) engmah hmang suh. Hetiang ti thei tak tak product hi a awm lo.
• I naute mut tir nana i hman zawng zawng chu himna dan kaihhnawih a tlin ngei ngei tur a ni.
• Meizial zu suh, e-cigarette leh vape hmang suh. Naute bulah tumah meizuk phal suh.
• I naute chu hnunglam seat-ah dah fo la, hnunglam hawi car seat-ah dah fo ang che. I naute chu car-ah chauh dah ngai suh.
• I naute chu a harh lai chuan amah chauhin kalsan suh, a bik takin hmun sangah emaw, inbual laiin emaw.
• Naute chu ti nghing ngai suh! Chutianga tih chuan thluak chhungah thisen a chhuak thei a, thihna hial a thlen thei bawk. I naute i tihnat theih nia i hriat chuan naute chu minute engemaw zat chhung chu khum chhungah dah la, i ṭhian, i chhungte emaw, i doctor emaw chu ṭanpuina dil rawh.
• I naute chu ni chhuah loh nan a theih phawt chuan khuh la, thlamuang takin dah la. Nausen thla 6 hnuai lam tan sunscreen hi a tha lo. Amaherawhchu, thlamuanna leh thawmhnaw in venhimna a pe tawk lo a nih chuan nausen thla 6 hnuai lam chuan sunscreen tlem a hmang thei a ni.

Heng zawng zawng hi nang leh i naute thatna tur a ni tih hre reng ang che. Nangmah chauh i ni lo va, zawhna i neih chuan doctor zawt la.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawi tawh thenkhat kha han hriat nawn tir leh ila:

• A hun takah checkup turin kal rawh: Hei hi naute than dan leh hriselna chungchang hriat a pawimawh hle.
• I ei leh in tur ngaihtuah rawh: Nau hnute i pe a nih chuan ti chhunzawm zel ang che. Formula feeding i nih chuan doctor-in a tih angin ti rawh.
• Hriselna hi a pawimawh ber: Fimkhur dante zawm ngei ang che, a bik takin SIDS laka invenna tur. I naute chu ti nghing ngai suh.
• I zawhnate zawt rawh: Doctor zawt hreh suh, thil tenawm tak pawh ni se.
• Mahni inngaihtuah teh: Nu thar i nih angin hah leh rilru hah taka inhriat hi thil pangngai a ni. Mahse, tuar theih loh khawpa tam a nih chuan tanpuina dil rawh.

Nang leh i fate tan hun hrisel, hlim tak hmang turin duhsakna ka hlan e!

` Nausen hrisel, naute hriselna, naute endik hmasak, hnute pek, naute thanlenna, SIDS, naute himna