I naute hriselna hriat tur test bik: PUBS (Percutaneous Umbilical Blood Sampling) chungchang hi han sawi ila?

Chibai! Vawiin hian nu tam takin an hlau deuh mai thei, an hriat duh deuh pawh ni thei, mahse a chang chuan naute hriselna chungchanga thu pawimawh tak tak hriat a pawimawh em em thin test chungchang kan sawi dawn a ni. Chu chu `(Percutaneous Umbilical Blood Sampling)` tih test chu a ni. Thumal chu a sei deuh niin a lang a ni lawm ni? Chuvangin a tawi zawngin `(PUBS)` kan ti ang. He hming hi i hre tawh mai thei a, i doctor pawhin a hrilh che pawh a ni thei. Chuti a nih chuan `(PUBS)` chu eng nge ni? Engvangin nge tih a nih? Engtin nge tih a nih? Vawiin hian heng zawng zawng hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.

He PUBS test hi eng nge ni, doctor?

A awlsam zawngin, `(PUBS)` chu nausen pum chhunga nausen umbilical cord atanga thisen sample lakna test a ni . Damlo thisen kan pek ang maiin han ngaihtuah teh, he thu-ah pawh hian naute thisen tlemte chu test a ni. Hei hi `(Cordocentesis)`, `(nausen thisen lak)` emaw `(umbilical vein sampling)` emaw an ti bawk. Hming tam tak awm mah se, chutiang bawk chu tih a ni.

Tunah chuan he `(PUBS)` test hi test dang angin routine test a ni tawh lo. `(Amniocentesis)` (naute atanga tui tlemte lak chhuahna test) emaw `(Chorionic Villus Sampling - CVS)` (nu pum atanga nausen (placenta) tlemte lakna test) emaw tih i hre tawh mai thei. A tam zawkah chuan doctor ten heng test te hi an ti hmasa thin. Mahse, chu test atanga result a chiang tawk lo a nih chuan, emaw, thuk zawka en ngai thil a awm a nih chuan, emaw, thil hriat nghal vat a ngai a nih chuan, he `(PUBS)` test hi hman a ni. Chu chu, hei hi thil bik tlemte, naute hriselna chungchanga thil hriat thuai leh dik taka hriat a ngaih hunah test a ni.

Chuti a nih chuan, engvangin nge he PUBS test hi tih a nih? Eng nge a zawn?

I ngaihtuah mai thei, test dang a awm laiin engvangin nge hetiang thil hi tih? `(PUBS)` test tih chhan lian tak tak engemaw zat a awm a:

• Naute chromosome-ah harsatna a awm leh awm loh enfiah vat rawh: Chromosome, chu chu ``Chromosome'' tih hi kan taksaa thil te ber ber a ni. Kan genetic information zawng zawng awmna lehkhabu ang mai a ni. Naute thanlenna, hmel lan dan leh thil dang zawng zawng an nghawng a ni. Chuvangin he test hian nauteah hian thil danglam a awm em tih a enfiah thei a, entirnan, ``Down Syndrome'' ang chi natna a awm leh awm loh a enfiah thei a ni. Test dang result chungchangah rinhlelhna a awm chuan , hei hi hman theih a ni.
• I naute hian hriselna lama harsatna dang a nei nia i rinhlelh chuan: A châng chuan doctor-te chuan i naute chu thisen tlakchhamna, platelet natna, emaw, thyroid natna emaw a nei tih an ringhlel thei. Hriat chian tur chuan i naute thisen sample lak a ngai a ni. Hei hi PUBS test a pawimawh em em lai a ni.

A pawimawh ber chu, he test atanga thu kan hmuhte a\ang hian naute chu a pum chhunga a la awm laiin enkawlna a \an \hin \hin.

PUBS test hian eng hlawkna bik nge a neih?

He test a thatna lian ber pakhat chu a speed hi a ni . Ni thum chhung lek chhungin result hmuh theih a ni tlangpui. Hei hi naute dinhmun hriat vat a ngaih hunah a hlu hle.

Tin, kan sawi tawh ang khan naute hian thisen tlakchhamna emaw, platelet natna emaw a nei nia rinhlelhna a awm chuan, a finfiah theihna awmchhun chu PUBS test a ni. Hei hi naute thisen sample lak a nih vang a ni a, test dang angin tui sample lak a ni lo.

Thil pawimawh dang chu, a tul chuan naute chu test an tih lai hian thisen pek emaw, tui tul dang emaw pek theih a ni . Ngaihtuah teh, he test hian naute chu thisen tlakchhamna nasa tak a nei tih a hriat chuan, naute chu a zung (needle) a la awm laiin thisen engemaw zat pek theih a ni. Hei hian naute nunna pawh a chhanhim thei a ni.

He PUBS test pawh hi ka tan a tha em? Tuin nge recommend?

Hmeichhe naupai zawng zawng hi he ``(PUBS)`` test hi neih tir vek an ni lo. I doctor chuan he test hi a chhan bik a awm chauhvin a rawt thei che a ni. Entir nan:

• Ultrasound scan laiin i nauteah thil danglam emaw, danglamna emaw i hmuh chuan.
• Test hmasa dang (e.g., Amniocentesis) result a chiang lo a nih chuan, emaw, chu result chu nemngheh belh a ngai a nih chuan.
• Nu leh naute thisen chi hrang hrang (`Rh incompatibility`) inrem lohna a awm nia rinhlelhna a awm chuan. Hei hian a chang chuan naute tan harsatna a thlen thei a ni. Chuvangin chutiang rinhlelhna a awm chuan he `(PUBS)` test hian a nemnghet thei a ni.
• Naute hian a pum chhungah natna a vei nia rinhlelhna a awm chuan, entirnan, Toxoplasmosis ang chi natna.

Hetiang dinhmunah hian doctor chuan a bia ang che a, `(PUBS)` test neih a tulzia a rel ang.

Mahse, he thilah hian risk a awm em? Chu pawh chu i fimkhur ang u.

Ni e, medical test dang ang bawkin PUBS test-ah hian hlauhawmna tenau engemaw zat a awm. Hetiang test hi tlem a hlauhthawn hi a hriatthiam theih. Hriat tur pawimawh tak chu heng risk te hi a tlem hle tih hi a ni.

• Nau pai theihna chance a awm tlem hle .
• Chutiang a nih loh chuan infection a awm thei .
• Nausen umbilical cord atanga thisen chhuak leh naute heart rate tlahniam tlem pawh hi a tlem hle thei bawk.

Mahse hei hi a tul lovah hlau suh. I doctor chuan heng hlauhawm zawng zawng hi chiang takin a sawipui ang che. He test i tih hma hian thutlukna i siam hmain a hlawkna leh a hlauhawmna te uluk takin i ngaihtuah hmasa tur a ni. Doctor ten he test hi uluk takin an ti a, ultrasound scan hmangin an ti thin.A pawimawh ber chu doctor zawt la, zawhna, hlauhthawnna, rinhlelhna i neih apiang chu chiang taka sawifiah hi a ni.

Engtin nge he PUBS test hi tih tak tak a nih? Tlem han hrilhfiah teh u.

He test hi engtin nge an tih tih i hriat veleh i hlauhthawnna chu a reh deuh ang. Doctor thiam leh tawnhriat ngah tak tak ten an ti thin.

1. A hmasa berin ultrasound scan machine-ah i connect ang. Hei hian doctor chuan i pum chhunga naute leh umbilical cord chu chiang takin a hmu thei a ni.

2. Tichuan, i pum vun chu a fai ang a, local anesthetic tlem te te inject in a numb ang. Chuvang chuan hrehawmna i nei vak lovang.

3. A dawtah chuan doctor chuan ultrasound scan kaihhruaina hnuaiah uluk takin i pum kaltlangin, i nausen pum kaltlangin, naute umbilical cord-a thisen kalna kawng khatah uluk takin needle nalh tak, sei tak a thun ang.

4. Vawikhat chu needle chu a hmun dik takah a awm tawh chuan thisen sample te tak te chu syringe-ah an la lut thin.

5. Thisen sample lak zawhah a zung chu uluk takin lakchhuah a ni.

A kalphung zawng zawng hi ultrasound scan hmanga live-a en a nih avangin doctor chuan needle chu a kalna tur hmun dik takah a kal em tih leh naute hian harsatna a nei lo em tih a enfiah thei a ni. Test zawhah in lama thawn haw hmain rei vak lo enkawl i ni ang.

Naupai lai hian engtikah nge he test hi tih a nih tlangpui?

PUBS test hi naupai kar 18 hnuah tih thin a ni tlangpui . Hetih lai hian naute chu a lo thanglian tawk tawh a, umbilical cord thisen sample pawh chiang takin a lang thei tawh a, lak theih a ni tawh bawk. Mahse, thil bik thenkhatah chuan hei hi a hnuah tih theih a ni. Hei hi i doctor-in a rel ang.

A result hriat nan eng chen nge hun a duh?

Hei hi `(PUBS)` test chungchanga thil tha dang a ni. A tlangpuiin hun rei lote chhungin result hmuh theih a ni a, ni 3 vel a ni. A châng chuan a hma pawhin an awm thei bawk. Hetiang speed avang hian naute chungah harsatna a awm a nih chuan a tul anga hmalak nghal vat theih a ni.

Kan thusawi pawimawh ber berte kha kan inhriat nawn tir dawn em ni? (In lama hruai tur thuchah)

Okay, chuvangin vawiin hian `(PUBS)` test chungchanga kan sawihona thupui ber berte kha han sawi nawn leh ila:

• ``(PUBS)`` hi test bik a ni a, naute umbilical cord atanga thisen direct a lak thin a ni .
• Hei hi naute chromosome-a harsatna, thisen tlakchhamna, leh natna hrik awmte rang tak leh dik taka hriat theih nân tih a ni .
• Hei hi test dangin result chiang tak a pek loh hunah emaw, thu hriat tur hmanhmawhthlak a ngaih hunah emaw tih a ni fo.
• A thatna chu result rang tak, diagnosis dik tak, leh a tul chuan test laiin naute enkawl theihna a ni .
• Naupai kar 18 hnuah tih thin a ni tlangpui .
• He test-ah hian hlauhawmna awm lo tak tak a awm a, chuvangin i doctor nen test thatna leh that lohna chungchang sawipui a, zawhna i neih apiang zawh a pawimawh.

Heng test te hi nang leh i naute tanpui nan a awm tih hre reng ang che. Chuvangin hlau suh, i doctor nen engkim sawipui la, rilru muang takin hei hi hmachhawn rawh. Nang leh i nausen piang lo chu duhsakna kan hlan a che u!

` PUBS, Percutaneous Umbilical Blood Sampling, Cordocentesis, Umbilical cord atanga thisen lak, Naupai test, Naute hriselna, Chromosomal abnormalities, Prenatal Test