Nang pawhin twins i nei ve em? (Multiple Births) Lo kal rawh u, hei hi inbuatsaih dan tur i zir ang u!

Multiple i beisei tih i hriat chuan i phur ve ve a, i hlauthawng deuh bawk a ni lawm ni? Chu chu thil pangngai a ni. Hemi chungchangah hian hriat tur tlemte a awm. Lungngai suh, pakhat hnu pakhatin kan sawi dawn a ni.

Hei hi eng nge ni "Multiple Births"? A awlsam zawngin i zawng chhuak ang u.

A awlsam zawngin, "Multiple Births" tih hi nu pakhatin vawi khatah fa pakhat aia tam a hrin hian a ni a, chu chu twins (pahnih), pathum (pathum), a aia tam emaw tihna a ni. Khualzin tê tê engemaw zât chu vawi khata chhûngkaw zînga an tel ve chu a hlimawm êm êm tih han ngaihtuah teh!

Twins chi hrang hrangte chu engte nge ni? I han chhui chiang teh ang!

Twins chungchang sawi dawn chuan chi hnih a awm a. Tute nge an nih i en ang u.

Twins inang / Monozygotic Twins

Hengte hi kan hriat vek "identical" twins te an ni. Hei hi fertilized egg pakhat a inthen a, a chanve pahnih chu naute hran pahnihah a lo thanglian chuan a thleng thin. Heng naute pahnih hi genetically identical an ni. Chu chu an chromosome emaw, an genetic makeup emaw chu a inang tihna a ni. Chuvang chuan an hmel a inang hle a, an san zawng, sam rawng, leh mit rawng lamah te. Hmeichhia emaw, mipa emaw an ni ngei ang. Thisen chi khat an nei bawk.

Unau pahnih / Dizygotic Twins

Hetiang chi twins hi a lo thanglian dan a danglam deuh hlek a ni. Heta thil thleng chu nu atanga egg pahnih chu sperm hrang hrang pahnih hmangin an insiam a, naute pahnih ah an lo thang lian a ni. Strict takin sawi ila, heng naute pahnih hi chhungkaw khata unau dang ang bawk an ni. Chu chu unau dangte ang bawkin genetic makeup an nei tihna a ni. Chuvangin an inang lo thei a, an inang lo thei bawk. Pakhat chu hmeichhia niin pakhat chu mipa a ni mai thei. A nih loh leh mipa leh hmeichhia inang an ni thei bawk. Hei hi twins chi khat hmuh tam ber a ni.

"Supertwins" te hi tute nge ni?

Supertwins tih hi nau piang tam tak sawina atana hman a ni a, chu chu triplet leh quadruplets te hi a ni. Heng naute hi a inang lo thei, dizygotic emaw, a pahnih inzawmkhawm emaw pawh a ni thei. Triplet i neih chuan pathumte hi an inang vek thei a, pahnih chu an inang thei a, pakhat zawk chu a danglam thei a, pathumte chu dizygotic an ni thei tih han ngaihtuah teh.

Naute tam tak phurh hian eng hlauhawmna nge a neih?

Tunah chuan i pum chhunga naute tam tak i neih hian eng hlauhawmna tenau nge lo awm thei tih hi han en ila. Hengte hi i hlauhthawn nan a ni lo a ni lawm ni? Hengte hi kan hriat chian a pawimawh hle a, chutiang chuan a tul anga hma kan lak lawk thei ang.

• Nau neih hma leh nau piang hma:Naute pakhat tan chuan naupai zat chu kar 40 vel a ni. Mahse, twins i phur lai hian he hun hi kar 35 leh 37 inkarah tih tawi theih a ni. Twins zinga a chanve aia tam chu a hun hma, chu chu kar 37 hmaa piang an ni. He hlauhawmna hi nausen pum chhunga naute an pun zel chuan a pung chho zel a ni. Nausen piang hmasa (or preemies) te hian hriselna lama harsatna hrang hrang an nei thei a. An pian hma poh leh an hlauhawmna a sang zawk. Hemi avang hian nausen piang hmasa te chu damdawi ina Neonatal Intensive Care Unit (NICU)-ah enkawlna bik atan dah an ni tlangpui .

• Naupai laia thil awm thei dang: Multiples a phurh hian nu hian `(Preeclampsia)` (naupai laia thisen sang), `(Gestational Diabetes)` (naupai laia zunthlum), nausen chhunga harsatna, leh nausen thanna lama harsatna te a nei tam zawk. Hemi avang hian multiples beisei nute tan chuan doctor-te enkawlna hnuaia awm a pawimawh hle.

• Hun rei tak chhunga harsatna awm thei: Nausen pum chhunga naute an pun zel chuan hmasawnna tlai leh cerebral palsy ang chi natna a awm theihna a awm. Mahse heng zawng zawng hi doctor ten uluk taka an vil reng avangin lungngai a ngai lo.

Naupai lai hian engtin nge i hriselna i vawn that?

Naute tam tak nei tur nu chuan a hriselna a ngaihsak bik a ngai a ni.

Ei leh in tha tak ei te, chawlh hahdam tawk te, leh medical clinic (`Regular prenatal care`) kal chhunzawm zel te hi nu naupai tan pawh i tan a pawimawh ang bawkin i tan a pawimawh hle.

A bik takin doctor leh hriselna lama mithiam tam tak nau neih chungchanga tawnhriat nei te zawn a pawimawh hle . A rawtna angin doctor hmu rawh. Hei hian harsatna awm apiang hriatchhuah leh enkawl hmasak a pui ang.

Nau neih tam theihna tur hmun bik nei damdawi in chungchang zawt la. A theih chuan i damdawi ina pre-term birth prevention program-ah tel ve rawh. It’s also wise to choose a place that has immediate access to NICU facilities , nau piang hmasa ber emaw, naute hriselna lama harsatna nei emaw i neih pawhin.

Ei leh in lamah a bik takin i fimkhur a ngai em?

Ni e, a dik tak zet! Naute tam tak i neih chuan i ei leh in mamawh a pung a ni. Nu naupai tan ei leh in lama kaihhruaina pangngai zawm rualin, calcium leh folic acid tam zawk ei pawh i ngaihtuah tur a ni .

A pawimawh ber chu protein hi a ni. I naute te than dan tur dik tak atan protein tling hi a pawimawh hle. Chuvangin, protein tamna ei tur sa, sangha, artui, bawnghnute, leh nut te chu i eitur ah te dah tel bawk ang che.

Naupai lai hian thisen sen hrisel tak siam turin iron tam zawk i mamawh a ni. He iron tlakchhamna hi naute tam tak i phur lai hian a awm tam zawk. Chuvangin i doctor chuan iron supplement a rawn rawt mai thei. He mamawhna hi ei leh in hmang ringawt pawh phuhruk a harsa thei hle. Vitamin C tamna ei tur, orange tui ang chi nena iron supplement ei hian i taksain iron a lakluh a awlsam phah a ni.

Doctor chuan i naute lo thang lian zel hian eng vitamin dang nge a mamawh tih leh a neih dan tur a hrilhfiah bawk ang che.

Weight gain chungchanga hriat tur thil

Naute tam tak phur nute hian naupai laiin naute pakhat chauh phur nute aiin an taksa rihna an tipung zawk hi thil pangngai a ni. Mahse engzat chiah nge i taksa rihna tihpun tur tih chu naupai hmaa i rihna leh naute i phur zat ah a innghat a ni. Chuvangin hemi chungchang hi i doctor nen sawi dun a tha ber.

A tlangpuiin i pum chhunga naute pakhat tan ni khatah calorie 300 vel extra i mamawh a ni. Naute tam tak chaw pek tur i neih lai hian vawi khata chaw lian tak ei chu a harsa thei hle. Chuvângin, chaw tê zâwk ei tum la, ni khatah vawi engemaw zât .

Nau neih dan tur engtin nge kan inbuatsaih ang? Heng thilte hi i rilru inbuatsaih nan a pawimawh hle

Nau piang tam tak neih theihna tura inbuatsaihna chu a buaithlak hle thei a, a bik takin nau neih tam i hlauh chuan. Mahse, nangmah chauh i ni lo tih hre reng ang che. Doctor thiam tak takte, damdawi in enkawltu, i kawppui, chhungte leh ṭhiante ṭanpuina i nei a ni.

Nau neih pangngai emaw C-section emaw?

I due date hmain i doctor nen vaginal delivery emaw C-section emaw neih i duh leh duh loh sawiho rawh. Nang leh i doctor-in vaginal delivery tum turin in rel a nih pawhin, nau neih lai emaw, naute pian lai emaw pawhin C-section neih a ngai mai thei. Chuvangin heng zawng zawng atan hian inbuatsaih a tha.

Nau neihnaah hian midang puih a tha zawk em?

I duh chuan nau neih laiin mi engemawzat i pui thei a, chubakah room chhungah pawh i pui thei bawk. Entirnan, tunah chuan midwife hi an lar hle. Mahse, naute tam tak awmnaah chuan midwife chu amah chauhva hnathawh ai chuan doctor nena thawh dun a tha tlangpui.

Thil dang tih theih chu ``Doula`` tanpuina lak hi a ni.``Doula`` chu nau neih lai leh naute pian hnua nu thlawptu, naute enkawl leh inchhung hnathawhnaah puitu a ni.

Nau neih chu eng ang nge ni ang?

Nau neih tan hunah chuan nausen monitor-ah i connect ang a, chu chuan nausen thinlung thawk ang chi thil a enfiah ang. Chumi hnuah chuan doctor chuan naute tinte dinhmun a en thei ang.

Natural birth i beisei a nih chuan naute tam tak i phur lai hian hei hi a theih reng reng lo mai thei tih hre reng ang che. A châng chuan, naute himna tûrin cesarean section tih a ngai thei bawk. Triplet leh a aia tam hi cesarean section hmanga nau neih a ni fo.

Doctor-in cesarean section a tih a ngai a nih chuan i bladder-ah catheter an dah hmasa ang a, natna damdawi an pe ang che, chutah chuan i pum leh nausen pum chhungah incision an siam ang a, naute chu an la chhuak ang. Hetiang hian minute tlemte chhungin naute zawng zawng chu lakchhuah vek theih a ni. Tichuan incision chu an sewn up ta a ni.

Nausen piang hmasa tam tak chu an mamawh specialized care dawng turin NICU-ah hruai nghal an ngai a ni.

Naute i neih hnuah eng nge i hriat tur?

Nau neih hnu ni, kar leh thla hmasa berte hi nu leh pate tan chuan a harsa ber a ni. Chaw ei reng reng te, mut theih lohna te, leh mahni tana hun tlemte pawh hmuh theih lohna te nena insiamrem nan hun rei tak a ngai a ni.

Hetiang hunah hian twins nei nu leh pate tan support group-a tel hi a \angkai hle thei a ni. Midangte’n an harsatna an chinfel dan i hriat hian nangmah ngeiin i harsatna chinfel dan tur i hmu thei a ni.

I tanpuina i hmuh theih zawng zawng – ṭhenawmte, chhungte, ṭhiante hnen aṭangin – hnathawh leh nitin hnathawhnaah zawng rawh. I tanpui tur mi tlemte i neih hian nau hnute pek a awlsam mai bakah nau i neih hnua chawlh hahdam leh dam lehna hun hlu tak a pe bawk a, chubakah i fate te nena inkuah leh inhriat tawnna hun i hmang bawk.

A tawp berah chuan heng thute hi hre reng ang che (Take-Home Message) .

Naute tam tak beisei hi hlimna ropui tak a ni a, mawhphurhna lian tak a ni bawk.

• Inbuatsaih tha rawh: he zinkawng atana hriatna tul tak tak nei la, damdawi lam thurawn zawm rawh.
• I hriselna enkawl rawh: Chaw tha leh hahchawlhna tha neih hi a pawimawh hle.
• A hlauhawmna chu hre reng la, mahse hlau suh: doctor-te chu an awmpui che a ni.
• Ṭanpuina dil rawh: Chhungte, ṭhiante, ṭanpuitu pawl – mi zawng zawng hnen aṭangin ṭanpuina dawng rawh.
• He hun hi hmang tangkai rawh: Harsatna tam tak awm mah se, he hun hi i nunah hun duhawm tak a ni.

Heng mikhual tenau te lo lawmnaah hian nang leh i chhungte kan zawm ve a ni! Hemi chungchanga zawhna dang i neih chuan doctor nen inbiakna neih a tha ngei ang.

` Twins, naupai tam tak, nau piang hma, NICU, naupai hriselna, cesarean section, nau neih tura inbuatsaihna