I fa kum 5 mi Well-Child Visit: I hriat tur zawng zawng!

Tunah chuan i naupang tê chu kum nga a ni tawh a ni lawm ni? A lo upat deuh deuh chuan a hriselna kan enfiah a ngai a ni. Vawiin hian he kum lama doctor i tlawh hunah, chu chu ‘well-child visit’ emaw well-child clinic emaw i kal hunah eng nge thleng tih leh eng nge i zawn tur tih kan sawi dawn a ni. Hei hi i fa tan pawh a pawimawh hle ang.

He doctor appointment chhung hian eng nge thleng thin?

Doctor hmu tura i kal chuan amah emaw, chuta nurse emaw chuan heng thilte hi a ti tlangpui ang. Thil ngaihtuah tur a awm lo, heng zawng zawng hi i fate tana tha ber tur atana tih a ni.

1. I rih zawng leh i san zawng teh la, i BMI leh i thanna chart en rawh!

An tih hmasak ber chu i fa rih zawng leh san zawng dik taka teh a ni a, chu chu hmangin an Body Mass Index (BMI) chhut a ni. Tichuan, heng tehnate hi an neih special growth chart-ah an ziak lut thin. Naupang thanlen dan chanchin ang maiin han ngaihtuah teh. Hei hi doctor chuan i fa chu a kum ang zela hrisel takin a thang em tih a enfiah thin. Hei hian tlakchhamna eng pawh a hmain hriatchhuah a pui thin.

2. I thisen sang, i mit leh i hriatna chu engtin nge a awm?

A dawtah chuan naute thisen sang an enfiah leh thin. Arm-a strap hmanga tih i hmu tawh mai thei. Tin, mit leh hriatna enfiah nan hmanraw bik hman a ni bawk. Hengte hi test awlsam tak tak a ni a, naute tan harsatna a thlen dawn lo. Chuvangin hlau suh, okay?

3. I rilrua zawhna, i fate tih dan leh thurawn hlu tak takte

Doctor chuan i naute chanchin a zawt ang che. Hetih lai hian zawhna, ngaihtuahna, rinhlelhna i neih apiang i zawt thei ang. Engmah kha chelh tlat suh. Doctor chuan a hnuaia mite hi thurawn hlu tak tak a pe ang che:

• Chaw chungchang: Ni khatah chaw ei tur pawimawh pathum i ei tur a ni tih i hria mai thei a, a inkar ah snack tha tak tak pakhat emaw pahnih emaw i ei tur a ni. I fa chu picky eater, emaw , ‘picky eater’ kan tih \hin a nih chuan, ei tur tha chi hrang hrang thlang turin phalsak chhunzawm rawh. I fa chu ei tur thar enchhin turin fuih rawh. Mahse, nawr luih suh. Chutianga i tih chuan i fa chu a ei duh lo lehzual thei a ni.
• Toilet hman dan: Tunah chuan i fa chu amah chauhvin washroom-ah kal a thiam tawh tur a ni. Mahse, naupang thenkhat chuan sikulah washroom hman an zak a , chu chuan constipation ang chi harsatna a thlen thei a ni. Chu chu nitin ek chhuah harsa tihna a ni. Chuvangin, i fa chu washroom-a kal fo turin hriattir la, zawi zawiin, ‘Insum suh’ tih hi hrilhfiah rawh. I fate toilet hman dan chungchangah harsatna i neih chuan i doctor nen sawiho ngei ngei tur a ni.
• Engtin nge i mut a awm?:Hetiang kum naupangte hi a tlangpuiin zan khatah darkar 10 leh 13 inkar mut tur a ni. Kum nga an tlin meuh chuan naupang tam zawk chuan mut an chawlhsan vek tawh a ni. I fate mut ṭhat theih nân, i mut hma deuh a ngai mai thei. Naupang thluak thanlenna leh taksa hriselna atan mut hi a pawimawh hle.
• Naupang thanlenna leh thanlenna: Kum nga an tlin meuh chuan naupang tam zawk chuan heng thilte hi an ti thei tur a ni. I fa pawhin hengte hi a ti thei em tih en rawh:
• Mi dang nena inbiaknaah vawi thum tal ngaihdan inthlunzawm leh inthlunzawm theihna.
• Thil thleng pahnih tal neia thawnthu tawi sawi thiamna.
• Lehkhabu emaw, thawnthu emaw i chhiar zawh chuan, chu mi chungchânga zawhna awlsam tak takte chu chhâng thiam rawh.
• Dan zawm thiam leh inkhelh laiin inthlak danglam thiam.
• In chhunga hna tenau leh awlsam tak takah tanpui thiam.
• A tlem berah sawm thleng chhiar thiam tur.
• Letter leh number thenkhat hriat thiam.
• An hming letter tlemte tal ziak thiam.
• Camel hopping, chu chu ke pakhata zuang thei tihna a ni.
• Thawmhnaw pakhata button chi hrang hrang mahni chauha dah theihna.

Hei hi a pawimawh hle: I fain heng hmasawnna milestone pakhat emaw a aia tam emaw a paltlang loh chuan, emaw, a hmaa a thiamna thenkhat a hloh tawh nia i hriat chuan, i doctor hnenah he thu hi sawi hmasak phawt ang che. I hriat hma poh leh a tha zawk.

4. Thawmhnaw phelh chungin taksa enfiahna kimchang neih

I chhuah hmain i fa chu a thawmhnaw phelh (an underwear chauh ha) a ni ang a, taksa enfiahna kimchang pek a ni ang. Hei hian stethoscope hmanga thinlung leh lung ngaihthlak te, naupang motor thiamna (i.e. an kal dan, an tlan dan leh an zuang dan) enfiah te, naupang nena an tawng thiamna (i.e. thumal an sawi dan leh an sawi dan) tehna atana inbiakna te a huam ang. Hemi chhung hian doctor chuan naupang taksa pum pui a enfiah ang.

5. Vaccine pawimawh tak takte update

Vaccine pek hi thil pawimawh tak a ni a, naupang natna khirh tak tak, measles, mumps, leh rubella te lakah a venghim a ni. Chuvangin, i fate hi a hun taka vaccine pek hi a pawimawh hle. Medical center hrang hrangah vaccine pek hun tur hi a inang lo deuh thei a, chuvangin i fain eng vaccine nge a mamawh leh tur tih leh engtikah nge pek a nih dawn tih chiang taka hriat tumin i doctor nen inbia ang che.

6. A tul chuan test thenkhat tih belh leh tur

I doctor chuan thisen test emaw, test dang emaw a ti thei a, chu chuan thisen tlakchhamna, lead poisoning, leh TB ang chi dinhmun a enfiah thei a ni. Hengte hi i fa hriselna tihchian lehzual nan tih a ni.

Kum 6 i tlin thlengin hengte hi i rilruah vawng reng ang che.

Awle, i fa kum nga chhung checkup a zo tawh ang ti ila. Heng thilte hi an checkup leh tur thlengin ngaihtuah reng a tha a, chu chu kum 6 an tlin chuan medical exam a ni.

Ei leh in lamah tlem tal i fimkhur deuh deuh ang u.

I fate chu ei leh in inthlau tak pe chhunzawm rawh . Hei hian a huam tur a ni:

• Lean protein - chu chu sangha, vawk, artui, leh lentils ang chi thil tihna a ni.
• Whole grains - thil chi hrang hrang bran rice, atta flour, leh oats te.
• Fresh Fruits - Ni khatah thei chi hrang hrang rawng hrang hrang.
• Thlai thar - Thlai hring bakah thlai rawng chi hrang hrang.
• Thau tlem nei dairy products - yogurt leh skim milk ang chi thil.

Tin, hengte hi hre reng ang che:

• Hetiang kum naupangte hian ni khatah cup hnih leh a chanve (milliliter 600 vel) ei tur a ni.
• Thei tui 100% i pe dawn a nih chuan ni khatah ounces 4-6 (120-180 ml) aia tam pe suh. A rah zawng zawng pek a tha ber.
• I fate chu a theih ang anga sugar, chi leh thau tamna ei tur pek loh tur. Sweetened drinks, toffee, chocolate, leh artificial flavour nei ei tur te hi i fa tan a tha lo.
• A theih phawt chuan chhungkuain chaw ei dun tum ang che. Chaw ei laiin TV off la, i phone leh electronic hmanrua dangte chu dah bo rawh. Hei hian i chaw ei nuam tak leh chhungte nena inbiakna hun remchang a pe ang che.

Nitin nunphung leh naupang enkawl dan

• I fa chu nitin taksa tihchakna tha leh zalen taka inkhelh nan hun tam tak pe rawh. Tlan leh inkhelh hi i fa taksa leh rilru tan a tha. Chhungkaw angin active takin awm rawh u. Zan lama kea kal rei vak lo, inkhelhna hmuna kal, etc. tih ang chi thil ti rawh.
• Screen hun - chu chu TV, smartphone, tablet, leh computer hmaa hun hman tur - ni khatah darkar khat chauh tihtlem rawh. Chu darkar chu naupang programme quality tha tak neihna tur a ni tur a ni. A theih chuan i fa nen programming chu en dun rawh. TV leh a ang chi hmanrua te hi i fa mutna pindan chhungah dah suh.
• I fa chu ni khatah vawi hnih ha sil turin zirtir la, fluoride toothpaste pea ang vel hmang rawh. Ha enkawltuin a rawt angin ha enfiahna atan hruai thin ang che. Ha a ro loh nan, i doctor emaw, ha enkawltu emaw chuan i fate ha chu kum khatah vawi hnih atanga vawi li vel fluoride varnish an tih special coating a hnawih thei a ni.
• Heng thilte hian i fa chu kindergarten/preschool tan a buatsaih theih nan a pui ang :
• Number chhiar leh ABC hla sak dun chu practice rawh.
• I fa chu lemziak, rawng, letter hre thei, leh letter awlsam tak ziak turin fuih rawh.
• Chaw ei, chawhmeh ei, inkhelh hun, lehkha chhiar hun, mut hun, zing thawh leh zan mut ang chi thilte chu tih dan pangngai siam rawh. Hei hian i fa chu an ni ruahmanna siam thiam turin a pui ang.
• I fa chu mahni chauha thil tih theihna tur mawhphurhna engemaw chen pe la, chu chu bathroom-a kal te, kut sil te, ha sil te, incheina te hi a ni. A tul hunah hriat nawn tirna leh tanpuina pe rawh.
• I fa chu i in address leh i emaw i pa emaw phone number hre reng turin zirtir rawh.
• Zan tin mut hma emaw, nitin hun dangah emaw i fate hnenah lehkhabu chhiar thin ang che. Chu chuan i fate ṭawng thiamna leh suangtuahna a tipung ang.

Safety hi a pawimawh ber!

Nu leh pa kan nih angin hlauhawm laka kan fate venhim hi kan mawhphurhna lian ber a ni.

• I fa chu kawng zawh dan dik zirtir rawh (khawi lehlam hawi, lirthei tlan dan ngaithla). Mahse kum 10 vel an tlin hma chuan nangmah nen hian kawng an zawh tur a ni. Anmahni chauhvin kawng zawh tir ngai suh.
• I fa chu bike (training wheel nei pawh nise) emaw scooter emaw a khalh dawnin helmet a vuah ngei ngei tur a ni . Kawngpuiah chuan khalh tir suh, hmun him takah chauh tlan tir suh.
• Inkhelhna hmun hian a tlak hlauhawm loh nan lei nêm (e.g. grass, sand, rubber mat) a nei em tih enfiah thin ang che.
• I fate chu tui (dil, lui, tuifinriat, swimming pool) bula an awm laiin uluk takin en reng ang che. Second khat pawh enkawl lohvin dah suh. A theih chuan i fate chu swimming class-ah inziak lut la, a tha hle.
• I fa chu pawn lama inkhel tura a chhuah hma minute 15 tal sunscreen (Sunscreen SPF 30 aia sang) hmang thin ang che. Ni na tak lakah vun a venghim thei a ni. Darkar hnih danah hnawih leh thin ang che.
• I fa chu secondhand smoke lakah humhim vek rawh. Naupangte thinlung natna leh lung natna vei theihna nasa takin a tipung a ni. Chutiang bawkin e-cigarette atanga meikhu chhuak pawh hi a pawi hle.
• I fa chu car hnung seat-ah, booster seat -ah dah la, feet 4 leh inches 9 (centimetre 150 vel) a san thlengin dah rawh. Naupangte hian kum 8 leh 12 inkar hian hetiang san zawng hi an thleng tlangpui.
• I fa chu emergency-a tih tur zirtir rawh , emergency number (entir nan, Sri Lanka-ah 119 ) biak dan tur pawh telin.
• In chhungah silai dah loh hmangin i fa chu silai kah hliam laka humhim rawh. (Sri Lanka ramah hian hei hi a tam lo hle a, mahse hriat a pawimawh hle.) I neih chuan naupangte hawn theih ngai lohna hmun him takah khar tlat tur a ni. Bullet te chu a hranin lock-in dah tur a ni. Naupangte thlen theihna hmunah chabi dah ngai suh.
• Kawng dik tak a niChumi chungchang chu i fa hnenah sawipui rawh. Chumi awmzia chu i fa chu miin a khawih chuan hrilh che a, khawih loh turin zirtir tihna a ni. Taksa peng thenkhat chu mimal tak tak a nih thu leh nu leh pa tih loh chu tumahin en emaw, khawih emaw tur a ni lo tih hmangaihna nen sawifiah rawh (damdawi lam enfiah lai ang chi thil bik a awm loh chuan). Miin a taksa pengte en emaw, khawih emaw a dil emaw, mi dang taksa peng en emaw, khawih emaw a dil emaw, i hnen atanga thuruk thup tura a ngen emaw chuan, i fa chu hrilh nghal turin hrilh rawh.
• I nunphung chungchangah ngaihtuahna i neih chuan , i fa enkawlna atana i mamawh thilte i hmuh loh (e.g., ei tur tling , awmna tur hmun him ), emaw, health insurance chungchanga zawhna i neih chuan , chu chu i doctor hnenah sawi zak suh. I doctor chuan khawtlang thil neihte a hrilh thei che a, a tul chuan social worker hnenah a refer thei bawk che a ni .

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

Okay, chuti a nih chuan kan sawi tawh atang chuan i fa kum nga mi hriselna enkawl dan tur ngaihtuahna tha tak i nei niin ka hria. Hetiang medical checkup hi eng vang pawhin skip suh . I fate thanlen dan te, ei leh in te, mut dan te, nitin nunphung te, himna te hi ngaihven fo ang che. Zawhna emaw, rinhlelhna tlemte emaw pawh i neih chuan doctor zawh hreh suh, a nih loh leh hun sawn hlau suh. I fa hrisel, hlim leh inkhelh thiam taka a lo seilian hmuh hi i beiseina awmchhun a ni a, keini pawh beiseina a ni!

` Naupang hriselna, naupang kum nga mi, damdawi lam endik, Well-Child Visit, naupang hmasawnna, ei leh in, vaccine pek, naupang himna