Nu nih hi nunah hian thil duhawm tak leh mawhphurhna nei tak a ni a, a ni lawm ni? Chuvangin, he hun hlu tak chhung hian a pawimawh ber chu nang leh i pum chhunga naute te tak te lo seilian te pahnih hi hrisel leh hlim taka in awm theih nan a ni. Naupai laia damdawi lam enkawlna i dawn, a nih loh leh ‘Prenatal Care’ tih mai mai hian nasa takin a pui a ni. Chuvangin, vawiinah hian thil pawimawh thenkhat i hriat chian a ngai kan sawi dawn a ni.
Engvangin nge nau neih hmaa enkawl hi a pawimawh em em?
Ngaihtuah teh, i nunah member thar a lo kal lai hian engkim dik taka tih i duh a ni.
Prenatal care chu i naupai atanga naute pian thlenga i hriselna enkawlna a ni. Thlai phun a, a lo thang lian thlenga tui pek leh fertilizer pek ang mai a ni. By going to these medical appointments
as soon as possible and regularly , nang leh i naute hrisel taka awmtirna kawngah hmasawnna nasa tak i hmu ang. A chhan chu, harsatna a awm chuan doctor-te chuan an
hre hmasa thei ang a, a tul anga enkawlna an tan thei dawn a ni . A châng chuan, naupai hma pawhin damdawi lam thurawn lak a ṭha ber. Tichuan i zinkawng thar chu hrisel takin i tan thei tawh ang.
Hriat reng tur: Damdawi lam thurawn hmasa leh chhunzawm zel hi nau hrisel tak neih theihna tura hmalakna hmasa ber a ni!
Engtin nge heng prenatal care services te hi ka hmuh theih ang?
Tunah chuan, "Hetih lai hian tuin nge min pui thei ang?" A tlangpuiin, naupai hrisel, harsatna nei lo nei nu chuan hetiang hian service a dawng thei a:
- Obstetricians : Heng doctor te hi naupai leh nau neih chungchanga specialist te an ni .
- Obstetricians/Gynecologists (OB/GYNs): Hengte hi naupai, nau neih leh hmeichhia hriselna lama tui doctor an ni . Vawi tam tak chu heng pahnih hi a inang vek.
- Chhungkaw Doctor: Chhungkaw doctor thenkhat chuan nau neih hmaa enkawlna leh nau neih dan tur an pe bawk. Hemi chungchang hi i chhungkaw doctor hnenah i zawt thei ang.
- Midwife: He rawngbawlna hi kan ramah a pawimawh hle. Naupai lai te, nau neih lai te leh nausen pian hnuah naupai lai te hian naupai lai te hian nasa takin an pui che a, a bik takin naupai zingah harsatna tlem nei te hian an pui nasa hle che a ni. Ram thenkhatah chuan training level hrang hrang nei an awm a, chungte chu `(Certified Nurse-Midwives)` te hi an ni.
Mahse, chutih lai chuan, a chang chuan nang
Ngaihtuah bik a ngai mai thei. Chutiang a nih chuan i doctor chuan Maternal-Fetal Medicine (MFM) specialist emaw, Perinatologist emaw hnenah a refer ang che. Hengte hi a ni:- Diabetes emaw heart disease emaw ang chi natna khirh tak i neih chuan .
- Nau neih hun tur (preterm labor) hmaa nau neih theihna a sang a nih chuan.
- Kum 35 aia upa i nih chuan.
- I pum chhungah naute pakhat aia tam i neih chuan (twins ang).
- High-risk category-a dah thei tur complication dang i neih chuan.
Naupai lai hian medical appointment leh test neih thin dan pangngai te chu engte nge ni?
Naupai i nih i hriat veleh nau neih hmaa i tlawh hmasak ber tur chu i ruahman tur a ni. Hei hi i naupai atanga kar 6 leh kar 8 inkar a ni tlangpui , a nih loh leh i period chu kar 2 atanga kar 4 a tlai hunah a ni. A chang chuan, chumi hmaa harsatna a awm loh chuan kar 8 hnuah appointment hmasa ber siam theih a ni. I hrisel a, risk factor bik i neih loh chuan i doctor pan tur zat chu hetiang hi a ni:- Naupai kar 28-na thlengin kar 4 danah .
- Tichuan, kar 2 danah kar 36 thlengin .
- Chumi hnuah chuan kar khatah vawi khat naute a pian thlengin .
Tlawh apiang deuhthaw i rih zawng leh i thisen sang chu record a ni ang. Tin, kar 22 vel atang hian i nausen chu a lian leh a pianzia tehna tur a ni ang a, chu chuan i naute chu a lo seilian tha em tih leh a lo thanglian tha em tih enfiah a ni ang. Tlawh thenkhatah chuan i zun sample lak a ni ang a, glucose leh protein test a ni ang. Hengte hi fiahna pawimawh tak a ni. Naupai lai hian eng test bik nge tih thin (Prenatal Tests)?
Prenatal test hian doctor te chu naute hian piansualna emaw chromosomal problem emaw a neih leh neih loh a hriat theih nan a pui thei a ni . Nuin naute a nghawng thei dinhmun, naupai laia zunthlum, thisen tlakchhamna, a nih loh leh natna hrik kai te pawh an hmu thei bawk. Heng test te hi naupai thla thum khatna, vawi hnihna leh thla thum chhungin an ti thin. Test thenkhatah chuan harsatna awm thei chauh a lang (Screening Tests) . Test dang pawhin chiang takin a hrilh thei che (Diagnostic Tests) .Harsatna a awm emaw awm lo emaw. A chang chuan Screening Test zawhah Diagnostic Test pawh an ti thin. Hei hian thisen test te, `(Amniocentesis)`, `(CVS - Chorionic Villus Sampling)` leh `(Ultrasound)` scan te a huam a ni. Heng zawng zawng hi nang leh i naute himna tur atana tih a ni. Naupai lai hian hriselna lama harsatna awm fo thinte chu engte nge ni?
Nu thenkhat chuan zunthlum ang chi natna awm tawhte chu an ngaihtuah deuh mai thei a, "Hei hian ka naute hi a nghawng dawn em?" I neih chuan i doctor nen inbia ngei ang che. I damdawi chu a thlak danglam thei emaw, i ngaihtuahna tihziaawmna turin thurawn a pe thei che emaw a ni thei. Naupai lai hian natna thar engemaw zat a awm thei bawk. Eng nge an nih hi han thlir ila:- Preeclampsia: `(Toxemia of Pregnancy) an ti bawk. Hei hi i thisen sang a san lai a ni , naupai hun chanve hnihnaah emaw, naute pian hnu lawkah emaw. Hetiang dinhmun hian kal (zun-a protein), thin, mit, leh lungah harsatna a thlen thei a ni. Mi thenkhat chuan symptoms chi hrang hrang an nei thei a, thenkhat erawh chuan symptoms an nei lo tak tak thei bawk. Thluak a nghawng chuan seizure emaw, hriatna hloh emaw a awm thei. Hei hi eclampsia an ti a. A chang chuan `(Eclampsia )` hi `(Preeclampsia)` symptoms awm lo pawhin a lo awm thei. Hei hi uluk taka enkawl a nih loh chuan nu leh naute tan pawh nunna atana hlauhawm tak a ni thei a, mahse hei hi a tlem hle.
- Rh-negative nu leh Rh-positive fetus (Rh Incompatibility): Mi tam zawk chuan an thisen sen (Rh positive an ni) ah Rh factor an nei a. A nei lote chu Rh negative an ni. Thisen test awlsam tak hmangin i Rh factor chu eng nge a nih a hriat theih. Rh negative i ni a, mahse i naute chu Rh positive a ni tih han ngaihtuah teh. Tichuan, naute thisen cell te chu i thisenah a luh chuan harsatna a lo awm thei a ni. I taksa chuan naute thisen cell dotu antibody a siam tan a. Heng antibody te hian naute thisenah lutin a thisen sen (red blood cells) te chu a tichhe thei a ni.
Heng dinhmunte hi na tak ni mah se, enkawl theih a ni . Chuvangin anmahni fimkhur a pawimawh a, doctor nen pawh inbiakna neih a pawimawh. Naupai laiin ei leh in leh taksa rihna tihpun dan hi engtin nge kan thunun theih ang?
Naupai laiin taksa rihna tihpun hi thil pangngai a ni a, mahse hrisel takin a ni tur a ni.- A vaiin nu rih zawng pangngai, naute pakhat nei tur chuan naupai laiin pound 25-35 (kilogram 11-16 vel) inkar a tipung tur a ni.
- Naupai laiin nu thau lutuk i nih chuan pound 15-25 (kilogram 7-11 vel) inkar chauh i tipung tur a ni .
- I thau loh chuan pound 28-40 vel (kilogram 13-18 vel) i tihpun a ngai ang .
- Naute pakhat aia tam (twins ang chi) i neih chuan i thau tam zawk a ngai dawn a ni.
Naupai hnuhnung berah hian i rihna control a harsa thei hle. Chuvangin, thla hmasa berah chuan vawi khatah taksa rihna nasa lutuk tipung suh . Mahse, i taksa rihna i tihpun loh chuan harsatna a awm thei ; growth stunted emaw, nau neih hma emaw ang chi te. Naupai hi ei leh in tur tha tak a ni lo a, mahse ei leh in hrisel tak tak hman hun tha tak a ni!
Doctor te chuan naute pakhat nei nu chuan second trimester chhung hian ni khatah calorie 300-400 vel ei belh tur a ni an ti . Third trimester ah tlem tal i mamawh belh . Heng extra calorie tam zawk hi protein atanga lo chhuak tur a ni . Tin, thei thar, thlai thar, leh thlai thar tam tak i ei tur a ni bawk . Snack tha tak chu nonfat milk glass khat, sandwich chanve emaw, yogurt cup khat, walnut tlemte leh thei chi khat emaw a ni thei. Mi thenkhat, nu naupang emaw, fapa mal nei emaw te hian calorie tam zawk an mamawh mai thei. I doctor chuan nau neih hmaa vitamin a pe thei ang . Hei hian iron, calcium, leh folic acid i hmuh tlem theih nan a pui ang . Tin, he hun chhung hian exercise mumal tak, low-impact tih hi a tha hle bawk. Eng thil dang nge ka hriat ngai?
Nang leh i naute tan pawh thatna tur chuan naupai lai hian i in enkawl tha hle a ngai a ni. Heng thil bulpui berte hi zawm ngei ang che:- Meizial zu in, zu in leh ruihhlo hmang ngai suh.
- Chawlh hahdam tawk rawh.
- Ei leh in hrisel ei rawh.
Tin, hengte hi hriat chian leh hriat chian a pawimawh hle bawk:- Damdawi Hriselna
- Ei leh in himna
- Vaccine pek dan tur
- Exercise Hriselna
Heng zawng zawng hi i doctor nen sawiho la, an thurawn zawm rawh. Doctor nena inbiakna neih a pawimawhzia
Hetih lai hian i taksaa inthlak danglamna hun chhung hian thil thenkhat chu i tan thil thar a ni thei. Chuvangin, i doctor nen engkim sawi dun chu a harsa deuhin a lang thei. "Hetiang hun chhung hian sex ka hmang thei ang em?", "Hemorrhoids emaw constipation emaw chungchangah eng nge ka tih theih ang?", emaw, naute neih hlauhna i nei emaw pawh a ni thei. Chûng zawhnate zawh chu i zak mai thei. Mahse, chutiang chuan ngai suh. I doctor hian heng zawhna zawng zawng hi a lo zawt tawh ngei ang.Chuvangin, i zawhnate chu lehkhaah ziak la, doctor appointment apiangah zawt rawh. A pui nasa hle ang che. Tin, hetiang thil hi a lo thleng a nih chuan doctor ko nghal rawh:- Thisen chhuak nasa tak a awm chuan .
- Fluid hloh nghal mai .
- I naute chetna chu hriat theiha a tlahniam nia i hriat chuan.
- Darkar khat chhunga uterine contraction vawi thum aia tam i neih chuan.
Hengte hi emergency a nih avangin hei pawh hi i fimkhur a ngai a ni. A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .
Nu i nih dawn a nih chuan he zinkawng hi ropui tak a nih theih nan nau neih hmaa enkawlna hi a pawimawh hle. I doctor hmu zel la, an thupekte chu zawm chiang la, zawhna emaw, ngaihtuahna emaw i neih apiang chu sawipui rawh. Tichuan i fate chu he khawvelah hian nu hrisel, hlim tak angin i lo hmuak thei ang. I duhsakna ka hlan a che u! Naupai enkawl dan, Nau neih hmaa enkawl dan, Naupai laia Damdawi lam thurawn, Naupai hmaa enkawl dan, Naupai test, Naupai hrisel, Nau neih
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