I naute himna atan: Naupai laia zu (Alcohol Use in Pregnancy and Fetal Alcohol Spectrum Disorders) chungchang i zir ang u.

Chibai! Vawiin hian thupui pakhat, nu tam tak tana pawimawh tak, a chang chuan hlauhna tlem leh zawhna tam tak thlentu kan sawi dawn a ni. Chu chu naupai laia zu in tihna a ni. Zawhna i nei tawh mai thei, ‘A chang chuan tlem tal in hi a pawi em?’, ‘Hriat lohvin ka in a, tunah engtin nge ka tih ang?’ tih te hi i nei tawh mai thei. Heng zawng zawng hi chiang tak leh awlsam takin sawi ila.

Engvangin nge naupai laia zu in hi a hlauhawm?

A awlsam zawngin, naupai laiin zu i in chuan chu zu chu i thisenah a lut ang a, nausen (placenta) kaltlangin i naute hnenah a kal nghal ang. I naute hian i in apiang a in ang maiin ngaihtuah rawh. Mahse buaina chu, i taksain zu a tuar theih laiin, i naute taksa la thang zel, a bik takin a thin (liver) chuan a tuar thei lo tak zet a ni. Chuvangin hei hian naute tan a pawi hle a ni.

Hei hian naute chu Fetal Alcohol Spectrum Disorders (FASD) tih natna a thlen thei a ni. Hei hi condition pakhat ni lovin, level hrang hranga inzawmkhawm condition pawl a ni. Chung zinga na ber chu Fetal Alcohol Syndrome (FAS) a ni. Mi tam tak chuan ‘in tlem tal in pawh a pawi lo’ an ti. Mahse thudik tak chu naupai lai hian zu hi ‘safe’ a awm lo . Tlemte in pawhin naute chu hlauhawmah a dah thei a ni.

Naute tana hlauhawm awm thei te chu engte nge ni?

Tunah chuan he zu hian naute chungah eng nghawng nge a neih theih tih i lo en ang u. Hei hi a takah chuan i ngaihtuah aiin a pawi zawk.

• Taksa lama harsatna: Naute hmai pianzia inthlak danglam (entir nan, hmui chunglam tla, mit inkar hmun a zim), thinlung lama harsatna, kal lama harsatna, mit leh hriatna lama harsatna, ruh leh ruhkawr lama harsatna te a awm thei. A châng chuan naute hian a ṭhan chakna a tlahniam thei bawk a, chu chu naute pian tirh laia rihna hniam tak neia piang a ni thei tihna a ni.
• Thluak leh nervous system-a nghawng a neih dan: Hei hi a hlauhawm ber a ni. Zu hian naute thluak lo thang zel chu a tichhe thei a ni. Hei hian rilru lama harsatna, zirlai lama harsatna, hriatrengna lama harsatna, leh ngaihven lohna a thlen thei a ni.
• Nungchang leh khawtlang lama harsatna: Naupang thenkhat chuan thil tih tam lutuk, rilru put hmang control tha lo, leh khawtlang nun thiam lohna an lantir thei. Chûng harsatnate chu puitlin thlengin a awm reng thei a ni.
• Hlauhawm dang: Hei bakah hian naupai laia zu in hian nausen pian hnua nau pai, nau piang thi, leh Sudden Infant Death Syndrome (SIDS) te a tipung a ni.

Ngaihtuah teh, kan nghah mek naupang tê chungah hian hetiang thil hi thleng se kan duh lo ang, a dik em? Chuvang chuan he thil hi kan ngaih pawimawh em em a ngai a ni.

A chang chuan in tlem tal in hi a pawi em?

Hei hi mi tam takin an zawh thin a ni. ‘Ka in vak lo, a chang chuan wine glass te te emaw, beer emaw in hi a pawi em?’ a ti a. Dik tak chuan hei hi thil risky tak a ni.

Ngaihtuah teh, zu i in tlem pawh nise, awlsam takin placenta kaltlangin i naute hnenah a kal thei a ni. Buaina chu, i taksain he zu hi a ti chhe thei a, a tihbo theih laiin, i naute taksa te tak te, a bik takin a thin (liver) chuan a ti bo thei lo. Chuvangin zu chu i naute taksaah a awm aiin i naute taksaah a awm rei zawk a ni. Hemi hun chhung hian zu hian i naute thluak lo thang zel leh taksa peng dangte a tichhe thei a ni.

Binge drinking chu vawi khata in tur pali aia tam i in hi a ni. Hei hi naupai lai hian a hlauhawm hle. Mahse, chu chuan a tlem emaw, a tlem emaw chu a him tihna erawh a ni lo. Ni lo, a awm lo. Naupai lai hian zu hi ‘safe limit’ a awm lo. Chuvangin a tha ber chu zu in loh vek hi a ni.

"Naupai lai hian zu 'safe amount' a awm lo. A tlem pawhin i naute tan a tichhe thei a ni."

Nau ka pai tih ka hriat hmain ka in a nih chuan engtin nge ni ang?

Hei hi nu tam takin an hmachhawn thin a ni. Nau i pai tih i hriat atanga kar tlemte a liam tawh mai thei. Chumi hun chhung chuan i hriat lohvin zu i in tawh mai thei. Ngaihtuah buai lutuk suh. Dik tak chuan nau i pai tih i hriat hmaa vawi khat emaw vawi hnih emaw in tlem i in a nih chuan lungngai lutuk suh. A tam zawkah chuan nghawng lian tak a nei lo mai thei.

Mahse, a pawimawh ber chu i naupai tih i hriat atanga i naupai tawp thlenga zu drop khat dang in loh hi a ni. Chu chu nangmah leh i naute tan i tih theih tha ber a ni.

Hemi chungchangah hian rinhlelhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neihpui ngei ngei tur a ni. I mamawh thurawn a pe thei che a ni.

Zu chungchangah harsatna ka neih chuan engtin nge ni ang?

Awle, tunah chuan thil sensitive deuh deuh kan sawi dawn nia. I zu in chungchangah harsatna i nei mai thei. Chu chu i zu in thunun kawngah harsatna i nei a, a nih loh leh i rin aia tam i in tihna a ni. A nih loh leh, ‘Zu in chungchangah harsatna ka nei mai thei’ tiin i ngaihtuah a ni.

Chutiang dinhmunah chuan khawngaihin he thu hi i doctor hnenah sawi zak leh hlau suh. Hei hi a pawimawh hle. Doctor chuan naupai laia zu i in zat leh i in lai chipchiar taka a hriat chuan naute chunga nghawng a neih theih dan tur chu a rough idea a nei thei a, a tul angin test a ti thei bawk.

Tin, i doctor chuan zu in loh nan a pui thei bawk. Hei hi nangmah tan bakah i pum chhunga naute sual nei lo tan pawh i ti tih hre reng ang che. Ṭanpuina dîl hi chak lohna chhinchhiahna a ni lo va, chakna a ni.

Ṭanpuina kan hmuh theihna hmun

Zu bânsan hi mi ṭhenkhat tân a harsa thei hle. Mahse, nangmah chauh i ni lo. Ṭanpuina dawn theih dan leh hmun a awm.

• I doctor: I biak hmasak ber tur chu i chhungkaw doctor emaw obstetrician/gynecologist emaw a ni. I mamawh kaihhruaina an pe thei che a, counseling service \ha takah pawh an refer thei che a ni.
• Counselling leh support group: Zu in tawh lohna tur leh a kaihhnawih rilru lama harsatna awmte hmachhawn thei tur specialist counselor an awm. Harsatna inang tawk mekte inkhawmna support group hmangin thlamuanna leh fuihna nasa tak i hmu thei bawk.
• National level institution: Ram thenkhatah chuan zu leh ruihhlo laka invenna tur national level institution an nei a. (Entirnan, United States-ah hian National Institute on Alcohol Abuse and Alcoholism (NIAAA) ang institution te pawh a awm a.) Sri Lanka rama he thila thu leh hla pe thei hmunte pawh i doctor hnenah i zawt thei bawk.

A pawimawh ber chu, tanpuina dil turin nghah rei lutuk suh. Nang leh i naute tan hmalam hun hrisel tak neih theih nan chutiang step chu la rawh.

He thawnthu atang hian eng thil nge kan in lama kan hruai haw tur pawimawh ber?

Okay, chuvangin, kan sawi tawh zawng zawng atang hian, kan ngaihtuah tur thenkhat chu hetiang hi a ni:

• Naupai lai hian zu hi ‘safe’ a awm lo. Tlemte pawhin naute tan a tichhe thei a ni.
• I naupai tih i hriat tirh atang khan a tha ber leh him ber chu zu in loh vek hi a ni.
• Zu hian naute tan hriselna lama harsatna lian tak, dam chhung zawng a thlen thei a, chu chu Fetal Alcohol Spectrum Disorders (FASD) .
• Nau i pai tih i hriat hma khan zu i in tawh a nih pawhin lungngai lutuk suh la, tunah hian chawlhsan vek rawh.
• Zu in dan thunun harsa i tih chuan zak suh la, doctor emaw, counselor thiam tak emaw hnenah tanpuina zawng rawh. Nang leh i naute tan pawh tanpuina ropui tak a ni ang.

I naute hmalam hun hrisel chu i kutah a awm. He zinkawng hi mahni chauha kal harsa i tih chuan tanpuina dil hreh suh. Nu hrisel tak atanga naute hrisel tak!

` Naupai, zu, nausen, FASD, Fetal Alcohol Syndrome, naupai laia zu, nausen hriselna