Naute i beisei em? Tichuan heng test te hi i zir dawn teh ang! (Nau neih hmaa test - Trimester hmasa ber)

Naute i beisei a ni lawm ni? Hemi hun chhung hian i pum chhunga i fate hriselna leh i fate hriselna endikna atana an tih thinte chu `(Prenatal Tests)` kan ti thin. Chûngte chuan i naute hian hlauhawmna a neih leh neih loh, piansualna emaw, chromosomal abnormalities emaw a neih leh neih loh a hriat theih a ni. Test thenkhat (`screening tests`) hian harsatna awm thei a nih thu a tarlang a, thenkhat (`diagnostic tests`) chuan thil awmdan dik tak a hrilh thei bawk. Heng test te hi i hriat a pawimawh hle a, a chhan chu rilru thlamuanna a pe thei che a, naute lo hmuak tura inbuatsaihnaah a pui thei bawk che a ni. Mahse a tawpah chuan heng test te hi neih leh neih loh thutlukna chu nangmahin i siam a ni.

Doctor i hmuh hmasak ber hian eng test nge tih thin?

Doctor i hmuh hmasak ber ṭumin i tum pakhat chu i naupai leh pai loh finfiah hi a ni. Tin, nangmah emaw, i nausen piang lai emaw tan hriselna atana hlauhawm a awm leh awm loh an enfiah bawk ang.

Doctor chuan taksa enfiahna kimchang a nei ang a, chutah chuan i rihna, thisen sang leh i pelvic examination te pawh a tel ang. I Pap smear pangngai , a hun a nih chuan he hun lai hian tih a ni bawk ang. Hei hian serh chhunga cell-a cancer thlen thei tur inthlak danglamna a enfiah thin. Vaginal exam hian mipat hmeichhiatna hmanga kai theih natna (STD) Chlamydia leh Gonorrhea te pawh a enfiah bawk.

A dawtah chuan i naupai tih finfiah nan zun naupai test neih a ni ang. HCG (naupai chhinchhiahna) tih hormone a zawng ang . I zun chu protein, sugar, leh natna kai chhinchhiahna te pawh enfiah a ni bawk ang. Vawikhat i naupai tawh chuan i naupai hun tur chu i thlasik hun hnuhnung ber emaw, i period hnuhnung ber emaw atanga chhut a ni ang. A châng chuan chutianga ṭanpui nân ultrasound scan, emaw scan emaw pawh tih theih a ni.

Tichuan a pawimawh ber chu a lo thleng ta a ni. I hnen atangin thisen engemaw zat an la a, test engemaw zat an nei bawk. Engtin nge an sawi tih i lo en ang u.

• I thisen chi leh `(Rh factor)`: Hei hi a pawimawh hle. I thisen chu `(Rh negative)` a nih a, i pasal thisen chu `(Rh positive)` a nih chuan i taksain naute tana hlauhawm thei antibody a siam thei tih han ngaihtuah teh. Mahse, lungngai suh, hei hi chinfel dan tur a awm. Hetiang dinhmun hi naupai kar 28 velah damdawi bik injection pek hmangin ven theih a ni.
• Anemia, chu chu thisen zam (red blood cell count) tlem tihna a ni: Nu tam tak chuan naupai laiin he natna hi an nei thei a. Chuvangin hei hi hriat lawk a tha.
• `(Hepatitis B)`, `(Syphilis)`, leh `(HIV)` ang chi natna hrik kai theih a awm em:Heng natna chi hrang hrangte hi a awm a nih chuan, a hmaa hriat chian a nih chuan, naute laka venhimna atan a tul angin hmalak theih a ni.
• German measles (Rubella) leh chickenpox (Varicella emaw chickenpox) lakah immunity i nei em tih te: Heng natnate hi immunity i nei em tih enfiah a pawimawh a, naupai laia kai a nih chuan naute tan harsatna a thlen thei a ni.
• Genetic diseases `(Cystic Fibrosis)` leh `(Spinal Muscular Atrophy)` tih te: Heng natna hi eng emaw chen chu a tlem hle. Mahse tunah chuan a tam zawkah chuan chhungkaw zingah hian heng natna hi history nei lo mah se, doctor-te chuan heng natna hi test turin an rawt reng a ni.

First trimester chhung hian eng test dang nge tih thin?

I tlawh hmasak ber hnuah i doctor chuan i zun a enfiah ang a, i rit a teh ang a, i naute a pian hma (a nih loh leh a tlem berah chuan a pian apiangin) i thisen sang a enfiah ang. Hengte hian gestational diabetes (naupai lai chauha zunthlum) leh preeclampsia (thisen sang hlauhawm tak, a hmaa man a pawimawh em em) te ang chi harsatnate hriatchhuahna kawngah a pui thei a ni.

I first trimester chhung hian i kum, hriselna, leh chhungkaw damdawi lam chanchin te ngaihtuah chungin test tlemte pek belh i ni ang. Eng nge an nih i en ang u.

• First trimester screening: Hei hi thisen test leh ultrasound scan a ni. Hei hian naute hian chromosomal abnormality Down syndrome emaw, piansualna, thinlung lam harsatna emaw a neih theihna tur a en ber a ni. Hei hian harsatna a awm leh awm loh a sawi chiang lo va , mahse hlauhawm a awm leh awm loh a tilang thung.
• Ultrasound: Hei hi test a him em em a, a hrehawm lo hle bawk. Sound wave hmangin naute pianzia, a dinhmun leh a than dan thlalak a la thin. Naupai tirh lamah naupai hun tur thlenga tih theih a ni. Kar 11 leh 14 inkarah pawh tih theih a ni a, hei hi first trimester screening- a tel ve a ni . Hmeichhia naupai hlauhawm tak takte chuan first trimester chhung hian vawi tam tak ultrasound an neih a ngai mai thei.
• Chorionic Villus Sampling (CVS): Hei hi test buaithlak deuh a ni. Chu chu nausen atanga cell sample tlemte lak a, chromosomal abnormalities, Down syndrome ang chi zawn a ni. Hei hi naupai kar 10 leh kar 13 inkarah tih a ni tlangpui. This is a diagnostic test , chu chu i naute chu chromosomal disorder bik neia piang a nih leh nih loh chu chiang takin a hrilh thei che tihna a ni. Amaherawhchu, mi zawng zawng tana tih a ni lo va, case-by-case basis-a tih a ni.
• Cell-free DNA testing (Non-invasive prenatal screening or NIPS): Hei hi thisen test thar a ni bawk. Thil ngaihnawm tak a ni a, a chhan chu nu thisenah hian naute DNA tlemte a awm vang a ni. Heng DNA fragment te hi naute hi Down syndrome ang chi chromosomal disorder nei thei tur a nih leh nih loh enfiah thin a ni . Hei hi naupai kar 10 hnuah engtik lai pawhin tih theih a ni. Mahse, hei hi diagnostic test a ni lo va, hei hian harsatna a awm tih hriattirna a pe a nih chuan, chu chu nemnghet emaw, hnawhchhuah emaw turin CVS ang chi test dang a ngai tihna a ni. Hei hi nu hlauhawmna sang zawk tan chuan a tha fo thin a, chu chu an upa tawh vang emaw, tun hmaa naute chromosomal abnormality nei tawh emaw an neih vang pawh a ni thei.

Eng test dang nge i rawt theih ang?

A châng chuan doctor-te chuan test dang tih belh an rawt thei bawk. Hei hi i (leh i pasal) mimal hriselna chanchin, i damdawi lam dinhmun dang, leh chhungkaw chanchin ang chi risk factors te an ngaihtuah vang a ni.

A pawimawh ber chu i naute hian hereditary conditions a neih theihna tur hlauhawm a awm chuan genetic counselor nen inbiakna neih hi a ni. Hei hi chipchiar takin an hrilhfiah ang che. Entîr nân, i chhûngkaw zînga mi tu emaw chuan thlahtu (genetic condition) a neih chuan, chu mi chungchâng chu doctor-te nên i sawipui thei a, a ṭûl chuan counselor i hmu thei a, a ṭul anga test i tihsak thei bawk.

Heng natna hrang hrangte hi screening emaw diagnostic test dang emaw tih belh a rawt thei bawk:

• Thyroid natna a ni
• Toxoplasmosis - Hei hi natna hrik a ni a, a chang chuan ui bawlhhlawh, etc. atanga kai theih a ni a, naupai laiin fimkhur tur thil a ni.
• Hepatitis C natna a ni
• Cytomegalovirus (CMV) natna hrik pai a ni.
• Tay-Sachs disease - Hei hi thlahtute atanga natna hmuh tur awm lo tak a ni.
• Fragile X syndrome - Hei hi genetic condition a ni bawk a, chu chuan intellectual development a tichhe thei a ni.
• Tuberculosis natna a ni
• Canavan natna - Hei pawh hi natna hmuh tur awm lo tak a ni a, nervous system a nghawng a ni.

A tawp berah chuan hei hi hriat reng a tha em?

Tunah chuan naupai laiin test tam tak tih theih a awm tih i hrethiam tawh mai thei. Mahse hei hi hlau suh. Heng test zawng zawng hi i tan *recommended* mai a ni tih hre reng ang che. An neih leh neih loh chungchangah thutlukna siam turin dikna famkim i nei a ni.

Eng test nge i tana tha ber tih chiang taka hriat theih nan, leh i mamawh tur chu i doctor emaw midwife emaw nen inbia ang che. Test hi engvangin nge recommend a nih tih te, a hlauhawmna leh a hlawkna te, leh result-in a sawi tak tak – leh eng nge *a sawi loh* tih te i hriatthiam ngei ngei tur a ni. Tichuan rinhlelhna awm lovin thutlukna dik i siam thei ang.

Heng zawng zawng hi nang leh i nausen piang lai venhimna atana tih a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbiakna neih hreh suh, okay? Khawvela nausen hrisel tak rawn hruai lut thei tura chakna leh huaisenna kan duhsak che u a ni!

` Naupai_Test, First_Trimester, Down_Syndrome, Ultrasound, CVS_Test, NIPS_Test, Naupai_Hriselna