I naute hi thla 4 a ni tawh em? Doctor check-up-naah eng nge thleng (Well-Child Visit: Thla 4)? Kan sawi dun teh ang!

Tunah chuan i fa te chu thla li a ni tawh a ni lawm ni? I naute a lo seilian a, thil thar a zir chhuah ruala i hlimna chu thuin a sawi thei lo. Hetih lai hian i naute hriselna leh thanlen dan hriat nan doctor emaw nurse emaw pan a pawimawh. He thla 4 chhung check-up-naah hian eng nge thleng tih leh i hriat tur te i lo en ang u.

Tun ṭumah hian Doctor hmu tura i kal chuan eng nge thleng?

Doctor emaw nurse emaw i hmuh hunah i naute chungchang thil tam tak an check ang a, zawhna an zawt ang che. Lungngai suh, naute ṭhatna tur atan hetiang hian an ti vek a ni.

Naute than dan enfiah dan

A hmasain, doctor emaw, nurse emaw chuan naute rih zawng, a san zawng (a sei zawng), leh a lu vêl chu a teh ang . Tichuan, heng tehnate hi "growth chart" an tih chart bik-ah an plot ang. Hetiang hian naute chu a thang tha em tih an hre thei a ni. Chu chu, naute chu a kum ang zat zat a thang lian leh thang lian zel a nih chuan naute lu chu a thang lian ang.

Doctor-in zawhna a zawh leh thurawn i pek theihte

A dawtah chuan doctor chuan i naute chanchin a zawt ang che. Hetih lai hian zawhna emaw, ngaihtuahna emaw i neih chuan i zawt thei ang. Thurawn hlu tak tak an pe bawk ang che.

Ei leh in chungchang

Hetih lai hian i naute hian hnute hnute emaw, formula emaw a la mamawh dawn a ni. Naute hi thla 6 vel atanga solid foods ei tan turin an inpeih tlangpui. Hei hian iron-fortified cereal leh pureed meat ang chi thil a kawk a ni. Mahse, solid foods eng pawh i ei tan hmain i doctor nen in inbia ngei tur a ni . I naute chu solid foods ei turin a inpeih tawh em tih leh eng nge i pek tur tih hrilhtu tur che a ni ang.

Zun leh ek chhuah dan chungchang

Hetiang kum lama naute hian ni khatah vawi tam tak an zun tur a ni a, chu chu nappie engemaw zat an hnim tur a ni tihna a ni. Tin, an poop fo tur a ni bawk. Nausen thenkhat chu nitin an zun an chhuak a, thenkhat erawh chuan ni hnih atanga ni thum danah an zun an chhuak thung. Poop a nêm chhung chuan thil pangngai a ni . Mahse, poop chu a vawt a, lungpui ang maia khauh emaw, kal harsa anga lang emaw a nih chuan doctor hnenah i hrilh tur a ni.

Mut chungchang

Hetiang kum a naute hi ni khatah darkar 12 leh 16 inkar an mu thin. Hei hian nitin mut hah pawh a huam tel. Nausen tam zawk chu zanah darkar 5 atanga darkar 6 vel vel an mu thin. Mahse, naute, a bik takin hnute pekte chu an harh fo thei . Hei hi thil pangngai a ni.

Naute hmasawnna chungchang (developmental milestones) .

Thla 4 a tlin chuan i naute hian thil thar tam tak a ti tan tawh ang. I naute hian heng thilte hi a ti em tih enfiah rawh:

• I thusawi lai hian i lu chu i sir lamah i hawitir em?
• ‘Uu’, ‘Aaah’ ang maiin.Sava (cooing) ang maiin thawm an siam em?
• I biak hian thawm engemaw zat siamin a chhang let em?
• Tlem i nui em, i nuihzat em? (Hei hi nuihzatthlak tak a la ni lo)
• An hmuh che chuan i ngaihven theih nan an che em, an thawm an ti em?
• Nangmah kut ngei pawh ngaihven takin i en em?
• Infiamna i pek hunah i man dawn em ni?
• I lu i vawn lai hian i ding nghet reng em?
• An pum chunga mu chungin an elbow/forearms-ah an nawr chho em?
• I kut hi infiamna nena inkhelh nan i hmang em?

Ngaihtuah teh, heng thil tenawm zawng zawng hian i naute thluak a lo thanlen dan min hmuhtir vek a ni.

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Mahse, i fain heng thil pakhat emaw, a aia tam emaw a la ti lo a nih chuan, a nih loh leh a hmaa thil a tih ṭhin angin a lang a nih chuan, chu chu i doctor hnênah sawipui ngei ang che Thil ngaihtuah tur a awm lo, mahse fimkhur a tha.

Taksa pum enfiah a ni

A dawtah chuan doctor chuan i hmaa naute thawmhnaw zawng zawng chu a la chhuak ang a, taksa enfiahna kimchang a nei ang . Hei hian naute mit enfiah , thinlung ngaihthlak, pulse enfiah, hip ruh enfiah, leh naute chezia ngaihven te a huam ang.

Vaccine chungchang pawh i hriat reng a ngai bawk.

Naute natna khirh tak laka inven nan vaccine 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, tun ṭumah hian eng vaccine nge pek tur tih leh eng nge pek leh tur tih hriat tumin i doctor hnenah zawt la.

Nu rilru hriselna pawh a pawimawh (Postpartum Depression) .

I hria em, naute an neih hnua nute lungngaihna leh lungngaihna an neih hi thil pangngai a ni. Hei hi postpartum depression an ti a . Hei hi nu tam takin an tawn theih thil a ni. Chuvangin i naute doctor chuan i hlimna leh i rilru dinhmun a zawt mai thei che a ni. Zawhna tawi te pawh an fill up tir thei bawk che. Hei hi i tanpui nan a ni a, thil dang atan a ni lo.

Heng thilte hi a hnua check-up (thla 6 hnuah) thlengin kan hre reng tur em ni?

Okay, tunah chuan thla 6 chhunga check-up lo awm tur thlenga i naute enkawl tur thil dang eng nge i mamawh tih kan en ang.

Ei leh in chungchang tam zawk

• A hmaa kan sawi tawh ang khan, .Naute hian nu hnute emaw formula emaw chauh a la mamawh a ni.
• Naute tam zawk chu thla 6 vel atanga solid foods ei tan turin an inpeih tawh. Mahse naute thenkhat chu tlem chuan an inpeih hma deuh mai thei. I doctor chuan solid foods tan tir turin a hrilh che a nih chuan , heng thilte hi hre reng ang che:
• I chhungte zingah ei tur allergy nei an awm chuan i doctor hnenah hrilh rawh .
• Iron -fortified single-grain cereal tlemte, nu hnute emaw formula emaw nena chawhpawlh hmangin tan la rawh. A nih loh leh, iron tamna chaw dang, sa pureed ang chi hmangin i ṭan thei bawk .
• Naute tan bik siam spoon te tak te (nausen spoon) ei tur atan hmang ang che. Bawnghnute bottle khatah cereal pe suh.
• I naute hian a lei hmanga chaw a nawr chhuah lutuk angin a lang a nih chuan solid foods ei turin a la inpeih lo mai thei. Kar khat vel hnuah han tum leh teh.
• I naute chu spoon atanga cereal ei a thiam hma loh chuan solid food dang pe suh.
• Vawi khatah chaw thar pakhat chauh rawn luhtir rawh . Chaw thar lo awm tur i rawn luh hmain ni engemaw zat nghak la, allergic reaction a awm leh awm loh en rawh.
• Naupai lai i nih chuan vitamin D supplement pe chhunzawm zel ang che . Nausen hnute pekte pawhin an ei tur atanga iron an hmuh tlem hma chuan iron supplement an mamawh thei bawk . Hemi chungchang hi i doctor nen sawiho rawh.
• I naute hian a riltam lai leh a chaw ei laiin a chhinchhiahnate chu ngaihven rawh .
• Thla 12 a tlin hma chuan thei tui pek loh tur.
• Bawnghnute bawm chu engmah chungah nghat suh la, i naute chu a hmuiah dahin mut tir suh.

Heng thilte hi i naute enkawl (nitin enkawl) hunah pawh a pawimawh hle .

• Naute tam zawk chuan thla 4 vel an nih veleh ha an chhuah tan thin . Hei hi a hrehawm deuh thei. A natna tihziaawmna turin i naute chu puan thianghlim, hnim emaw, ha chhuahna toy (teether) emaw pe rawh. I doctor hnenah a natna atan acetaminophen (e.g. Panadol) i pe thei em tih zawt rawh.
• I naute hmui chu puan fai leh hnim emaw, toothbrush nêm tak emaw hmangin zawi zawiin silfai rawh .
• Hla sa la, thusawi la, lehkhabu chhiar la, i naute nen inkhel rawh . Naute hian mi nena an inpawh hian an zir tha ber.
• TV, video, phone ang chi screen time hi tunlai naute tan chuan a tha lo . Amaherawhchu video call hmanga hla taka mi biak chu a pawi lo.
• I naute a harh chuan i ngaihvenna hnuaiah a pum chungah khelhpui la (tummy time).Hei hian a kawr leh a hnungzang ruhte a tichak thei dawn a ni. Naute chu a tlan kual theihna tur leh a inher theihna tur hmun him siam rawh.
• I naute’n naute thutna, bouncer, leh swing-a a hman hun chu tihtlem rawh .
• Nu thar i nih lai hian a chang chuan chau leh rilru hah lutuk hi thil pangngai tak a ni. Mahse , heng rilru put hmangte hi a chak hle a nih chuan, a nih loh leh lungngaihna, thinrim, a nih loh leh lungkhamna i neih chuan i doctor chu biak rawh .
• I nunphung chungchanga zawhna i neih chuan (e.g., ei leh in, chenna tur, hriselna insurance), chutiang chungchang pawh i doctor nen sawiho rawh . Khawtlang thil neih chungchang an hrilh thei che a, social worker hnenah pawh an refer thei bawk.

Naute himna a pawimawh ber!

Hemi hun chhung hian himna ngaihtuah a pawimawh hle a, naute chu a inher tan ang a, a ke leh ke a thlak tan ang.

Sudden infant death syndrome (SIDS) hi engtin nge kan ven theih ang?

Sudden Infant Death Syndrome (SIDS) hi kan hlauh ber a ni. A hlauhawmna tihziaawmna tura i tih theih thenkhat chu hetiang hi a ni:

• I naute i mut tir dawnin, an hnungzang chungah dah fo ang che , mattress nghet tak, flat takah dah fo ang che . An pumah emaw, an sir lamah emaw dah ngai suh. Crib emaw bassinet emaw-ah mut tir rawh. Crib bumper, blanket, pillow, emaw soft toys emaw crib chhungah dah suh.
• A theih chuan i naute chu hnute pe rawh .
• I naute piancham hmasa ber thleng emaw, a tlem berah thla 6 a tlin hma emaw (hetih hun chhung hian SIDS vei theihna a sang ber) i room-a crib hran, i khum bulah mu rawh I naute chu i khumah mut tir ngai suh (bed-sharing).
• Room temperature nuam takah dah la , naute chu lum lutuk lakah venhim rawh . Naute chu room temperature nena inmil takin inchei rawh. Inchei lutuk suh . Mut laiin lu khuh suh. Thawmhnaw leh taksa lum leh vawt loh enfiah thin ang che.
• A theih chuan i naute chu pacifier hmangin mu rawh . I naute hian pacifier a duh loh chuan nawr luih suh. Pacifier hi mut laiin i ei a nih chuan dah leh suh, i hnute i pek chuan i naute hian hnute a pek thiam hnuah pe rawh.
• I naute chu mutna atana siam loh hmanrua (e.g., car seat, feeding pillow, infant lounger, etc.)-ah mut tir suh.
• SIDS vei theihna a tihziaawm nia sawi hmanrua (e.g., sleep positioner, heart rate monitor) engmah hmang suh . Hetiang ti thei tak tak product an awm lo.
• I naute mut tir nâna i hman zawng zawng chu U.S. Consumer Product Safety Commission (CPSC) ang chi, agency hmingthang takin a pawmpui himna tehfungte a tlin ngei ngei tur a ni .

Safety tips pawimawh dangte

• Nausen kalna hmanrua hmang ngai suh. An hlauhawm hle a, hliam na tak an thlen thei bawk. Kea kalte pawhin kea kal hi an fuih lo va, a takah chuan an tikhawtlai thei bawk.
• I naute chuan rei lo teah a kut a phar chhuak ang a thil a man ang a , a hmuiah a dah ang . Chuvangin, thil te te emaw, rulhut emaw a hmuh theihna hmunah dah suh. Wire, cord, loop nei infiamna te chu a bulah dah suh.
• I naute chu a harh laiin a mah chauhin dah ngai suh, a bik takin hmun sang (khum, sofa) emaw, inbualnaah emaw .
• I naute chu tihnghing ngai suh – thluaka thisen chhuak leh thihna thlengin a thlen thei. I naute i tihnat theih thu i thinrim emaw, i lungkham emaw a nih chuan i naute chu hmun him (crib-ah) dah la, minute engemaw zat pawnah chhuak rawh. I ṭhian emaw, i chhungte emaw, i doctor emaw hnenah ṭanpuina dil rawh.
• I naute chu car hnung seat-ah, hnunglam hawi car seat-ah zinpui fo rawh . I naute chu car chhungah chauh dah ngai suh.
• Meizial zu suh, e-cigarette hmang suh, vape hmang suh . I naute bulah midang tih phal suh.
• I naute chu ni laka a theih ang angin venghim rawh . I naute chu thawmhnawin khuh la, thlamuang takah dah rawh. Naute thla 6 hnuai lam tan sunscreen hi hman a tha lo . Mahse, thlamuanna leh thawmhnaw laka invenna tling lo a awm chuan naute thla 6 hnuai lam chu sunscreen tlemte chauh hnawih theih a ni (hemi chungchang hi i doctor zawt rawh).

A tawp berah chuan ka sawi tur chu... (Take-Home Message)

Chuvangin, tunah chuan i naute thla 4 mi check-up chungchangah ngaihdan tha tak i neih ka beisei. Heng zawng zawng hi nang leh i naute hriselna atana tih a ni . Zawhna emaw rinhlelhna emaw i neih chuan doctor emaw nurse emaw zawh hreh ngai suh. I tanpui turin an awm reng a ni.

Nang leh i naute tan nun hlim leh hrisel tak nei turin duhsakna ka hlan a che u!

`Naute hriselna, thla 4 chhung check-up, naute thanlenna, naute thanlenna, solid foods, naute himna, SIDS, vaccine pek, postpartum depression