Aw, ka naupai hi high-risk a ni em? High-Risk Pregnancy tih hi eng nge ni? Kan sawi dun teh ang!

Vawi tam tak chu ‘high-risk pregnancy’ emaw ‘high-risk pregnancy’ emaw tih thumal kan hriat hian kan hlauthawng deuh thin a ni lawm ni? Kei leh naute chungah thil tha lo a thleng ang tih hlauhna chu ka rilruah a lo lang thin. Mahse, hei hian eng nge a awmzia tak? Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila? Tichuan he thil chungchanga hlauhna tul lo tak i neih chu i ti bo thei ang.

"High-Risk Pregnancy" tih hi eng nge ni tak tak?

A awlsam zawngin, ‘high-risk pregnancy’ tih awmzia chu nu, naute, a nih loh leh an pahnih tan hriselna lama harsatna a awm theihna chance a sang deuh a, naute chu a hun hmaa piang a nih theihna chance a sang deuh tihna a ni Hei hian thil tha lo a thleng ngei dawn tihna a ni lo, a dik em? Tlem kan fimkhur a ngai a, damdawi lam thurawn dik tak kan zawm a ngai tihna chauh a ni. Chutiang hunah chuan doctor leh health care team-te chuan nang leh i naute chu a bik takin an ngaihven ang a, a tul anga test leh thurawn an pe ang.

Tu naupai nge "at risk" thei? A chhan chu eng nge ni tih i lo en ang u.

Tunah chuan naupai chu ‘risk’ category-a a tlak theihna tur dinhmun hi han thlir ila. Heng zawng zawng hi mi zawng zawng tan a ni lo va, mahse heng zinga pakhat emaw a aia tam emaw a awm chuan doctor-te chuan chu naupai chu a bik takin an ngaihven ang.

Kum hian nghawng a nei em? (Age Factor) 1.1.

• " Kum 17 emaw a aia naupang emaw i nih chuan , i la naupang hle tihna a ni a, i taksa hian hei hi a inpeih kim lo mai thei bawk. Tin, nun tawnhriat i neih loh avangin ei leh in leh damdawi lam thurawn i zawm thei lo mai thei. Chuvangin, he kum lama naupai chungchangah hian fimkhur bik a ni. Hetiang kum hian naupai avanga hypertension leh naupai rihna hniam ang chi thil a awm theihna a sang zawk a ni.
• " Kum 35 aia upa i nih pawhin chutiang bawk chu a ni. Hei hi 'advanced maternal age' kan ti a. Kum upat deuh deuh hian hriselna lama harsatna thenkhat (entir nan, thisen sang, zunthlum) vei theihna chance a sang chho zel bawk. Tin, naute hian genetic problem thenkhat , entirnan, Down syndrome, a neih theihna chance hi kum upat deuh deuhin a pung deuh thei bawk. Mahse hei hian kum 35 hnua naute neih hi a tha lo tihna a ni lo." Medical supervision tul leh screening test mumal tak neih a nih chuan a hlawhtling thei bawk."

Naupai hma khan i taksa rih zawng engzat nge ni? (Naupai hmaa a rihna) .

• "I naupai hmaa i thau lo a nih chuan i taksain ei tur tha a dawng tlem hle tihna a ni. Chutiang a nih chuan naute thanlenna a nghawng thei a, naute hi nau piang a rit lo deuh emaw, a hun hmaa piang emaw a ni thei bawk.
• "Chutiang bawk chu a ni, naupai hmaa i thau lutuk emaw, i thau lutuk emaw a nih chuan."A awm a nih chuan harsatna engemaw zat thlentu a ni thei bawk. Entirnan, gestational diabetes, thisen sang (gestational hypertension / preeclampsia), leh thisen zam ang chi natna lo awm theihna chance a sang zawk. Cesarean section neih a ngaihna chance pawh a sang zawk bawk."

Naute pakhat aia tam an awm em? (Naupai tam tak) .

• " Tin, triplets , emaw naute tam zawk i phur a nih chuan naupai 'high-risk' anga ngaih a ni bawk. Hei hi a chhan chu naute pakhat aia tam neih hian nu taksaah harsatna nasa tak a siam a ni. Nu hian thisen tlakchhamna, thisen sang, leh naupai laia zunthlum a vei tam zawk a ni. Naute pawh hi a hun hmaa piang an nih a rinawm zawk, nau piang rit lo, leh." have other complications Hei vang hian naupai tam tak chuan medical checkup leh ultrasound scan neih fo a ngai a ni."

Hriselna lama harsatna i nei tawh em? (Hriselna dinhmun awmsa) .

• " Hriselna lama harsatna i neih tawh chuan thisen sang (High Blood Pressure / Hypertension) , zunthlum (Diabetes Mellitus) , lungngaihna (Depression) , lung lam natna, kal natna, thyroid natna, epilepsy, autoimmune natna te i nei tawh a nih chuan heng natna te hi naupai laiin a zual thei a, naute a nghawng thei a ni. Chuvangin, hetiang natna vei te tan zawn a pawimawh hle a ni." naupai hmaa damdawi lam thurawn pek a ngai mai thei.
• "Entirnan, zunthlum vei nuin a thisen sugar level a control loh chuan naute chu a lian hle thei (macrosomia), naute chu a pian hnuah thisen sugar level a tlahniam thei (neonatal hypoglycemia), a nih loh leh naute hian piansualna a nei thei bawk . Chuvangin, naupai laiin thisen sugar level control hi a pawimawh hle a ni.

Naupai hmasaah khan harsatna a awm em? (Naupai hmasa lama harsatna awm thin)

• "Naupai hmaa harsatna i neih tawh chuan, entirnan, nau neih hma/nau neih , nau pai leh nau pai, ectopic pregnancy, placental problems, emaw naute piang genetic problem emaw birth defect , i naupai leh tur pawh hi a hlauhawm thei a ni. Chuvangin, doctor-te chuan hei hi a bik takin an hriat a ngai a ni. Tin, cesarean section hmasa i neih tawh chuan i doctor hnenah i hriattir tur a ni." he thu hi."

Nunphung Factors te

• " Meizial zuk , ruihhlo hman dan , leh."Naupai laia zu in hi nu leh naute tan pawh a pawi hle. Heng thilte hian naute chu a thang chak lo thei a, nau piang rihna a tlahniam a, nau piang hma a, rilru lama hmasawnna a tichhe thei a, piansualna chi hrang hrang a nei thei a, a chang chuan naute pawh a hloh phah thei bawk. Chuvangin, chutiang thil tih dan i neih chuan naupai hmain bansan vek a tha. Tin, naupai i nih i hriat hnuah heng thilte hi i titawp vek tur a ni bawk.

Ka naupai hi "high risk" category-ah a tlak chuan engtin nge ka tih ang?

Okay, tunah chuan ‘high-risk pregnancy’ tih hi eng nge a nih leh a chhan chu i hrethiam ta. ‘Aw, kei pawhin heng thil pakhat emaw pahnih emaw hi ka nei ve a, tunah engtin nge ka tih ang?’ tiin i ngaihtuah mai thei. Lungngai suh. A pawimawh ber chu i doctor emaw healthcare team emaw nen thawk hovin hriselna lama harsatna i control theih apiang enkawl hi a ni.

Hriat reng tur: ‘risk’ tih hian thil tha lo a thleng ngei ang tihna a ni lo. Tlem a fimkhur leh fimkhur a ngai tihna chauh a ni.

I doctor chuan special test (detailed anomaly scan, fetal echocardiography ang chi) leh hmeichhe naupai pangngai aiin clinic-a lo kal tam zawk turin a ti ang che. Specialist (perinatologist ang chi) te pawh i hmuh a ngai mai thei. Heng zawng zawng hi nang leh i naute venhimna tur a ni. Chuvangin doctor thupek dik taka zawm a pawimawh hle. Thil i hriatthiam loh emaw, i lungkham emaw a nih chuan i doctor nen inbia ang che.

Naupai hrisel (leh a bik takin naupai hlauhawmna) atana pawimawh tips thenkhat

Naupai hlauhawm tak emaw, naupai pangngai emaw pawh nise, nu tin hian naute hrisel tak an beisei. Chuvangin chutiang atana pui thei tur thil pawimawh dang tlemte i inhriat nawn tir leh ang u. Hengte hi ‘high-risk’ dinhmunah chuan a pawimawh zual hle.

• A tir atang khan damdawi lam thurawn la rawh (Early and Regular Prenatal Care) .
• "I naupai tih i hriat veleh a rang thei ang bera doctor hmu la, nau neih hma enkawlna chu tan rawh

• Ei leh in tha, ei leh in hrisel
• "Hetih hun chhung hian i ei tur i fimkhur hle a ngai. Thei, thlai, legumes, whole grains, sa thau lo, sangha, bawnghnute, yogurt, leh egg te ang chi ei leh in tha tak tak ei thiam thin ang che . Sweets, oil foods, processed foods, leh fast foods te hi a theih ang angin tihtlem thin ang che. I doctor hian supplement iron, calcium, leh folic acid te a pe che a nih chuan ei thin ang che." a tih ang chiah chiah Tui tam (ni khatah glass 8-10 tal) in theihnghilh suh."
• "Ngaihtuah teh, i naute hi i nutrition i pek atang hian nausen pum chhungah a lo thang lian a. Chuvangin thil tha i ei chuan naute pawhin ei leh in tha tak a hmu ve bawk ang."

• Exercise, mahse doctor-in a tih angin chauh (Exercise if Approved) .
• "Doctor in 'a tha' a tih chuan i tana tha tur exercise light tak tak tih hi a tha hle. Kea kal te, hmeichhe naupai tana tha tak tak yoga exercise te, leh tui chawi te ang chi te i ti thei a ni. Mahse, i doctor hnenah eng exercise nge i tan a tha a, eng chen nge i tih tur tih zawt rawh. I chau, i chau, i natna a neih hma loh chuan exercise ngai suh.

• Hrisel taka taksa rihna tihpun
• "Naupai laiin taksa rihna tihpun hi thil pangngai a ni. Mahse, taksa rihna sang lutuk emaw, thau lutuk emaw hi a tha lo. I doctor chuan i taksa rihna tihpun tur zat chu i pre-pregnancy body mass index (BMI) atanga thlirin a hrilh ang che. Chutiang zat chu vawng reng tum ang che.

• Infection lakah venhim rawh
• "Hetiang hun chhung hian natna chi hrang hrang laka inven a pawimawh hle. A chhan chu natna thenkhat hian naute a nghawng thei bawk a ni."
• " I kut chu sahbawn hmangin uluk takin silfai fo ang che. A bik takin ei hma leh toilet hman zawhah."
• " Sa raw, sangha raw, egg raw, unpasteurized cheese, leh milk ang chi thil ei suh. Chaw tui tak chauh ei rawh."
• "I doctor-in a rawt immunizations te chu la rawh. Entirnan, tetanus vaccine, influenza vaccine."
• " Zika virus leh dengue ang chi rulhut kaihhnawih natna te hi fimkhur rawh. Mousquito lakah inveng rawh."
• "Toxoplasmosis ang chi natna laka inven nan, ui bawlhhlawh khawih loh tur a ni a, yard work i tih hian kutkawr vuah tur a ni."

• Sex him tak neih a ni
• "I kawppui sexual history i hriat loh chuan, emaw, HIV, herpes, syphilis ang chi sexually transmitted disease (STD) a vei nia i rinhlelh chuan invenna tel lo sex hmang suh la, condom hmang rawh. A chhan chu infection i neih chuan naute hnenah a kai thei a, chu chuan a rah chhuah hlauhawm tak a nei thei a ni. Hemi chungchang hi i doctor nen inhawng takin sawi rawh.

• Stress tihziaawmna tur
• "Naupai laiin hormone inthlak danglamna avanga lungngaihna leh lungngaihna tlem a awm hi thil pangngai a ni. Mahse, a theih ang anga stress pumpelh tum ang che.""Slow down leh relax tum ang che. I duh hla ngaihthlak la, lehkhabu chhiar la, light meditation ti la, deep breathing exercise la la, i rintlak tak nen thil sawiho rawh. A tul chuan mental health professional hnen atangin thurawn la rawh. I rilru hriselna hi i naute hrisel taka a thanlen theih nan a pawimawh hle a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvangin tunah chuan ‘High-Risk Pregnancy’ tih hi eng nge a nih tih i hriatthiam ka beisei. Hriat reng tur pawimawh tak chu, ‘high-risk’ tih thumal hi hlau suh. Nang leh i naute hian enkawlna leh ngaihven bik i mamawh tihna chauh a ni.

• I doctor hi i thian tha ber a ni. A thusawi chu ngaithla la, zawm rawh. Zawhna leh rinhlelhna i neih chuan zawh hreh suh. Clinic tinah kal fo thin ang che.
• Nunphung hrisel tak hmang rawh. Chaw tha, a tul chuan doctor phalna la hmasaa exercise lak te, mut that te, rilru hlimna te hi a pawimawh em em vek a ni.
• Thiltih \ha lo tak takte a\angin inthiarfihlim vek rawh. Meizial zu, zu leh ruihhlo lakah inthiarfihlim rawh.
• Nangmah chauh i ni lo. I chhungte, i pasal, i thiante leh healthcare worker te chu i tanpui leh thlawp turin an awm reng a ni.

Nu tin ang bawkin naute hrisel, hlim tak nei turin thinlung takin duhsakna kan hlan a che u!

` Naupai, Naupai hlauhawm tak, Nau neih hmaa enkawl, Naupai hrisel, Naute hriselna, Nu hriselna