I naute hriselna hriat hmasak nan First Trimester Screening test chungchang hi han sawi ila.

Tunlai hian beiseina thar nei mikhual thar i nghak a ni mai thei, a dik em? He hun hi a bik tak a ni a, nausen pum chhunga nausen hriselna tur pawh kan ngaihtuah hle bawk. Chuvangin, vawiinah hian test pawimawh tak, naute hriselna chungchang hriat lawk thei tur chungchang kan sawi dawn a ni. Hei hi "First Trimester Screening" an ti a.

He First Trimester Screening an tih hi eng nge ni?

A awlsam zawngin, hei hi i naupai thla thum hmasa ber (first trimester) chhunga i naute piang lai hriselna hriat theihna tura test hrang hrang tih thin a ni. A bul berah chuan ṭhen hnih a awm a:

1. I thisen sample lak test.

2. Ultrasound scan tih a ni.

Heng pahnih atanga thu lakkhawm a\ang hian doctor-te chuan naute hriselna chungchangah thutlukna an siam ta a ni. Ngaihtuah teh, hei hi naute hriselna report hmasa ber ang a ni.

Engvangin nge he test hi kan tih? Chuta tang chuan eng nge kan beisei?

Tunah chuan, "Engvangin nge he fiahna hi a pawimawh em em?" He test hian i naute chu chromosomal abnormalities thenkhat a neih leh hlauhawm loh a enfiah ber a ni . Down syndrome tih hi i hre tawh mai thei. Edward syndrome ang chi natna a awm theih dan tur pawh a tilang bawk.

Chu mai ni lovin, he test hian nau piangsual thenkhat (entir nan, naute hian thinlung lam harsatna a nei em tih) chungchangah pawh ngaihdan engemaw zat a pe thei bawk.

Mahse, hetah hian thil pawimawh tak pakhat i hriat reng tur a awm : Hei hi screening test chauh a ni , diagnostic test a ni lo.

Chumi awmzia chu, he test hian naute hian autism a nei tih 100% chiang takin a hre thei lo tihna a ni. Risk a awm leh awm loh hriattirna chauh a pe a ni . Meikhu hmu a, "Aw, khawi emaw laiah mei a awm mai thei" tih ngaihtuah ang mai a ni. Chu meikhu hmuh mai mai chuan mei chu khawiah nge a awm tih chiang takin a hre lo. Chu chu i zawn belh a ngai a ni. Hei pawh hi chutiang bawk chu a ni.

He test hi ka tih a ngai em?

Hei hi i thutlukna a ni tak zet a ni. Doctor-te chuan he test hi neih a him an ti. Mahse, he test hi neih leh neih loh chu nang leh i chhungte nen thutlukna siam theih a ni a, i doctor nen in inbiak hnuah pawh thutlukna siam theih a ni.

He test neih hian hlawkna lian ber pakhat chu i naute hian hriselna lama harsatna a neih theihna tur hlauhawm a nih leh nih loh hriat hmasak theihna a ni. Hei hian nu leh pate chu anmahni hmachhawn tûrin hun tam zâwk a pe a , a ṭûl chuan test dang zawng tûrin hun tam zâwk a pe a, naute pian hnua enkawlna bik an mamawh theih tûr ruahmanna siam tûrin hun a pe bawk.

Mahse, test dang ang bawkin, he test pawh hiResults dik lo hmuh theihna chance tlem a awm. Chu pawh chu hriat chian a tha.

• `False-positive`: Chumi awmzia chu test-ah "risk" a awm tih hmuhchhuah ni mahse, naute hrisel tak i la nei thei tho tihna a ni. Ngaihtuah teh, a chang chuan van a thim a, ruah a sur ang maiin a lang a, mahse a sur lo em ni? Hei hi chutiang chu a ni.
• `False-negative`: Hei hi test-naah "no risk" tih a lan lai a ni a, mahse a tlem berah chuan naute chu hriselna lama harsatna neiin a piang thei a ni. Ni thianghlim takah ruahtui tla nghal mai ang mai a ni.

Heng thil chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hreh suh . Engkim a hrilhfiah vek ang che.

Engtin nge he first trimester screening hi tih a nih?

Kan sawi tawh ang khan he test hi ṭhen hnihah neih a ni a:

1. Thisen sample test: 1.1.

Hei hian i thisen tlemte lak a, lab-a thawn a huam a ni. A chang chuan i kut zungtang atanga thisen tlem te te lakchhuah theih a ni a, a tam zawkah chuan thisen tlemte chu thisen zam atanga lak chhuah theih a ni.

• He thisen test hian eng nge a zawn? I thisena protein bik pahnih awm zat a teh thin.
• A result hian eng nge a awmzia? Heng protein level te hi a tlangpui aia hniam emaw a sang emaw a nih chuan naute hian chromosomal abnormality a neih theihna chance a sang deuh tihna a ni thei.

2. Ultrasound Scan hmanga enfiah tur:

Hei hi i ti tawh ngei ang.

• Engtin nge tih a nih? Khumah i mu a, doctor emaw technician trained emaw chuan i pum hnuai lam ah gel a hnawih a, device te tak te (ultrasound probe) hmangin a sawn kual vel a. He device atanga sound wave lo chhuak hian naute a rawn deng a, a rawn bounce leh chuan computer screen-ah naute thlalak a siam a ni.
• He test hian eng nge a zawn? Hetah hian thil pakhat chiang taka kan en chu naute kawr hnung lama vun hnuaia tui layer khat thukzia hi a ni . Doctor-te chuan hei hi ``Nuchal Translucency - NT'' an ti a. He NT value hi a pangngai aia sang a nih chuan, chu hmunah chuan fluid tam zawk a awm tihna a ni a, chu chu chromosomal abnormality emaw complication dang emaw chhinchhiahna a ni thei bawk. He scan hi naute hnar chhungah ``Nasal Bone'' a awm leh awm loh enfiah nan pawh hman thin a ni.

Test result atanga risk a awm tih a lan chuan engtin nge i tih ang?

He first trimester test hian i naute chu hlauhawmah a awm tih a tilang niin han ngaihtuah teh. Lungngai suh. Kan sawi tawh ang khan hei hi risk tilangtu test mai a ni.

• A dawt leh tur: Chutiang a nih chuan i doctor chuan a pe tam zawk ang cheDiagnostic test bik engemawzat neih a rawt a ni. Heng test te hian naute hian harsatna a nei tak tak em tih a finfiah thei a ni.
• Chu test-te chu engte nge ni?
• Chorionic Villus Sampling (CVS): Hei hi naupai atanga kar 10 leh kar 13 inkar test a ni tlangpui. Placenta sample tlemte lak a ni a, enfiah a ni.
• Amniocentesis: Hei hi naupai kar 15 hnuah tih a ni tlangpui. Hei hian naute chhehvel amniotic fluid sample tlemte lak a, test a huam a ni.

Heng test pahnih hi doctor tawnhriat ngah tak takte tih a ni tlangpui a, a result pawh a tam zawk chu a dik a ni.

Risk a tlem chuan engtin nge ni ang?

First trimester screening-ah hian hlauhawmna lian tham a awm lo a nih pawhin, doctor-te chuan second trimester-ah test series dang neih leh an rawt tlangpui a, chu chu ``Second Trimester Screening'' tia hriat a ni.Hei hian thisen test pawh a huam ber bawk.

• Second trimester screening neih chhung hian eng nge check thin? Hei hian screening hmasa ber result chu a nemnghet lehzual thei a, Down syndrome vei theihna a zirchiang leh thei a, neural tube defects (e.g., spina bifida) ang chi condition dang a screen thei bawk.

He first trimester screening neih hun tha ber chu eng nge ni?

Hei pawh hi hriat a pawimawh.

• Thisen test: Naupai atanga kar 9 leh kar 14 inkar ah tih thin a ni.
• Ultrasound scan (NT scan): Hei hi naupai kar 11 leh kar 14 inkarah tih thin a ni.

I doctor chuan heng test te hi a schedule ang che.

A result hriat nan eng chen nge hun a duh?

• Thisen test result: Hengte hi a lo let leh theih nan kar khat emaw kar hnih emaw vel a ngai tlangpui.
• Ultrasound scan result: NT scan hmang hian doctor chuan ngaihtuahna a nei nghal mai thei. A chang chuan chutah tak chuan an hrilh mai ang che.

Results chhut dan hrang hrang

Doctor-te hian he hlauhawmna hi an chhut dan kawng hrang hrang a awm a:

• `(Combined First Trimester Screening)` (Combined First Trimester Screening): Hei hi tih a ni fo thin. Hetah hian first trimester thisen test result, NT scan result leh i kum ang chi thil dang te chu inzawmkhawmin risk chu chhut a ni.
• Integrated Screening: Doctor thenkhat chuan first trimester-ah test an nei a, chutah chuan second trimester-a thisen test zawh hma chu an nghak a, chutah chuan heng test zawng zawng result hi an inzawm khawm a , final risk report an pe thin.
• `(Serum Integrated Screening)` (Rapid Integrated Test hmanga enfiah a ni): 1.1.Mi thenkhat chuan NT scan hi first trimester-ah an ti lo va, first leh second trimester-ah chauh thisen test an ti a , chu result chu an inzawm khawm a, a hlauhawmna an en thin.

I doctor-in i result a chhut dan tur chu eng method nge a hman tih chu i kum, i hriselna, risk factor dangte, leh i test na hmuna facility awm danah a innghat thei a ni. Chuvangin heng zawng zawng hi doctor nen zalen taka sawipui a tha ber.

Chuti a nih chuan, heng zawng zawng atang hian eng thil nge kan hriat reng tur?

Okay, he ``First Trimester Screening'' chungchang hi kan sawi nasa hle. A tâwp berah chuan, heng thu pawimawh tak takte hi hre reng ang che.

• Hei hi screening test a ni: Hei hian i hlauhawm leh hlauhawm loh chauh a hriattir che a ni. Natna a nemnghet lo.
• Hriat hmasak hi a thatna: Risk a awm chuan, a hmaa hriat lawk hian chu chu hmachhawn tur leh a tul anga hma la turin hun a pe che a ni.
• I thutlukna chu a pawimawh: He test hi neih i duh leh duh loh chu i duhthlanna a ni. Thutlukna tha ber siam turin i doctor nen inbia ang che.
• Results dik lo hriat reng tur: `False-positive` leh `false-negative` result hmuh theihna chance tlemte a awm. Mahse, lungngai suh la, i doctor thupek zawm rawh.
• I doctor nen inbiakna neihpui rawh: Zawhna, ngaihtuahna, hlauhna i neih apiang chu i doctor nen sawiho rawh. I tanpui turin an awm reng a ni.

Heng fiahna zawng zawng hi nang leh i pum chhunga i naute duhawm tak thatna tur atana tih a ni tih hre reng ang che. Chuvangin, i rilru hahdam takin awm la, he zinkawng hi nuam ti takin hmang rawh. Nang leh i naute tan duhsakna ka hlan e!

` Naupai lai, First Trimester Screening, Down syndrome, Nuchal Translucency, Naute hriselna, Nau neih hmaa test te