I naute chu a dam tha em? Prenatal Test – Second Trimester chungchang i zir dawn teh ang!

Nu ni tur ka nih angin hun duhawm leh hlimawm tak a ni. I naute chu a dam tha em tih leh a thanlen dan hriat i duh hle mai thei. Chuvang chuan nau neih hmaa test hian min pui a ni. He thuziak ah hian i naupai lai, thla lina leh thla ruk inkar chhunga test pawimawh tak tak tih thinte kan sawi dawn a ni.

Naupai lai hian engvangin nge test hi a pawimawh? Duhthlan tur dikna i nei em?

A awlsam zawngin, heng test-te hian i hriselna leh i naute hriselna chungchangah thu hlu tak tak min pe thei a ni. A châng chuan doctor-in test neih a rawt hian a ṭhatna leh ṭhat lohna te, a hlauhawmna te zawh a pawimawh ṭhin. Nu leh pa tam tak chuan heng test-te hi hahdamna nasa tak niin an ngai a, an naute lo thlen hun atana inbuatsaihnaah pawh an pui thei bawk. Mahse, test neih leh neih loh chungchangah thutlukna siam turin dikna i nei tih hre reng ang che.

Naupai hnua test thenkhat tih thin chu finfiah a ni a, chhunzawm zel a ni

Heng test thenkhat hi i nei tawh ngei ang. Naupai hnua doctor i hmuh hmasak ber hunah chuan i naupai tih finfiah nan pregnancy test an ti ang. Full physical exam pawh an ti dawn a, a tul chuan pelvic exam pawh an ti dawn a ni. Tin, i zun chu protein, sugar, leh infection ang chi thil a awm leh awm loh an enfiah bawk ang.

Pap smear i tih hun a nih chuan tunah hian i doctor chuan a ti ang. I serh chhunga cell-a cancer awm thei zawng zawng a hmuchhuak thei. I doctor chuan mipat hmeichhiatna hmanga kai theih natna (STD) Chlamydia leh Gonorrhea te a enfiah bawk ang.

Hei bakah hian thisen test eng emaw zat neih a ni bawk a, chungte chu hetiang hi a ni:

• I thisen chi leh Rh factor: I thisen chu Rh negative a nih a, i pasal thisen chu Rh positive a nih chuan i siam chhuah antibody thenkhat chu i naute tan a hlauhawm thei tih han ngaihtuah teh. Mahse lungngai suh, naupai kar 28 velah special injection pek hmangin hei hi ven theih a ni.
• Anemia: Hei hian thisen sen (red blood cells) a tlakchham tihna a ni.
• Hepatitis B, Syphilis, leh HIV ang chi natna hrik te.
• German measles (Rubella) leh chickenpox (Varicella / Chickenpox) lakah i him em?
• Natna hrang hrang `Cystic Fibrosis` leh `Spinal Muscular Atrophy` te testing: Chhungkaw zingah hian heng natna hi tu mahin an nei lo a nih pawhin tunah chuan heng test hi a tha fo tawh.

Heng test zawng zawng hi nangmah leh i naute himna tur atana tih vek a ni tih hre reng ang che.

Doctor appointment apiangah test neih thin te chu:

Naute a pian hma chuan doctor pan apiangin i rihna, thisen sang leh zun test te chu enfiah thin a ni ang. Hengte hian gestational diabetes leh preeclampsia (naupai laiin thisen sang sang) ang chi condition te hriatchhuahna kawngah a pui thei a ni.

Tunah chuan second trimester (thla 4-6) chhunga test bikte chu engte nge ni tih kan en ang.

I naupai lai hian second trimester chhung hian i doctor chuan i kum, hriselna dinhmun, leh chhungkaw damdawi lam chanchin te a zirin test eng emaw zat tih belh leh turin a rawt thei ang.

Naute than chhoh danah harsatna a awm leh awm loh enfiah nan thisen test: Multiple Marker Test

Hei hi i thisen sample lak atanga test a ni bawk. `Quad Screen` emaw `AFP4` emaw tih pawh i hre tawh mai thei.

• Engtikah nge tih tur: Hei hi kar 15 leh kar 20 inkarah tih a ni tlangpui.
• Eng nge en mek?: Hei hian a bik takin neural tube defects, spina bifida te, leh chromosomal disorders, Down Syndrome leh Trisomy 18 te awm theihna tur ngaihtuahna a pe a ni.
• Hei hi a result leh first trimester-a test tih result (`Integrated Screening Test`) te nen inzawmkhawmin ngaihdan dik zawk i hmu thei bawk.

Naute chhungah hian engkim a tha em? – Ultrasound Scan chipchiar tak (Level 2 Ultrasound) hmanga tihchhuah a ni.

Ultrasound scan tih i hre tawh mai thei. Test hrehawm lo leh him tak a ni. Sound wave hmangin naute lem a siam a ni. Naute pianzia leh dinhmun a enfiah thei a ni.

• Ultrasound scan hi second trimester-a tih thin, a tlangpuiin kar 18 leh 20 inkar chhunga tih thin hi "Level 2 Ultrasound" an ti bawk. Mi thenkhat chuan "Anomaly Scan" an ti bawk.
• Eng nge en mek?: Hei hi naute chhungril peng (thinlung, thluak leh kal ang chi) te hi a thang tha em tih leh naute chu a lo thanglian tha em tih chipchiar taka en a ni.
• Nu naupai hlauhawm tak takte pawhin second trimester chhung hian ultrasound scan eng emaw zat an nei thei bawk.

Gestational Diabetes a awm leh awm loh test

Hei hi ``Glucose Screening'' test an ti a.

• ‘Gestational diabetes’ chu eng nge ni?: Hei hi hun eng emaw chen atana zunthlum chi khat, hmeichhe thenkhatin naupai lai chauha an neih thin a ni. Hriat chian loh leh enkawl that loh chuan naute tan hriselna lama harsatna a thlen thei a ni.
• Engtin nge test an tih thin?: Sugary drink an pe che a, darkar khat hnuah thisen sample la in i glucose level an enfiah thin.
• Tih hun tur chu:Hei hi kar 24 leh 28 inkarah tih thin a ni tlangpui a, mahse, gestational diabetes vei theihna chance sang tak i neih chuan a hmain tih theih a ni.

Special risk situation-a test tih thin te

Heng test te hi mi zawng zawng tan tih a ni lo. Doctor-te chuan nu risk factor engemaw zat nei tan chauh an rawt a ni.

• Amniocentesis tih hi a ni.
• Engtikah nge tih tur: A tlangpuiin kar 15 leh 20 inkar velah hian a hmaa kan sawi tawh chromosomal emaw genetic defects nei thei tur nute tan tih a ni.
• Eng nge tih thin?: Naute chhehvel amniotic fluid sample tlemte lak a ni a, test a ni.
• Eng nge zawn mek?: Hei hian chromosomal abnormalities, genetic problems, leh neural tube defects ang chi thilte chu a bik takin a hmuchhuak thei a ni. Hei hi diagnostic test a ni.
• Percutaneous Umbilical Blood Sampling (PUBS) hmanga thisen lakna (PUBS): 1.1.
• Hei hi ``cordocentesis'' an ti bawk.A awlsam zawngin naute umbilical cord atanga thisen sample lak a, test a ni.
• Engtikah nge tih tur: Naupai kar 18 hnuah tih thin a ni.
• Engvangin nge tih a nih?: He test hi test dang, amniocentesis ang chi result a chiang lo a nih chuan tih theih a ni. Mahse, test dang aiin tih a tlem zawk.

Eng test dang nge tih belh theih ang?

A châng chuan i doctor chuan test dang tih belh a rawt thei bawk. Hei hi i (leh i kawppui) mimal medical history leh risk factors-ah a innghat ang. A bik takin, thlahtute natna (hereditary conditions) avanga hlauhawm i nih chuan genetic counselor nena inbiakna neih a pawimawh hle.

Test dang rawtna thenkhat chu hetiang hi a ni:

• Thyroid natna test te
• Toxoplasmosis (ransa atanga kai theih natna hrik) .
• `Hepatitis C` a ni
• `Cytomegalovirus (CMV) hmanga natna hrik awm chu`
• Tay-Sachs natna (genetic natna hmuh tur awm lo) .
• Fragile X syndrome (genetic condition) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• `Tuberculosis natna` tih a ni
• Canavan natna (nervous system natna hmuh tur awm lo tak) .

Heng test zawng zawng hi ka tih vek a ngai em?

Hei hi zawhna pawimawh tak a ni. Heng test zawng zawng hi i tan "recommended" a ni a, "must-do" test a ni lo tih hre reng ang che. Thutlukna chu nangma thu a ni.

A tha ber chu i doctor-in test tura a rawt hunah chu chu i sawipui hi a ni:

• "Doctor, engvangin nge he test hi min tih?"
• "Hei hian eng hlawkna nge a neih? Eng nge a hlauhawmna?"
• "He thil result atang hian eng chiah nge ka hriat theih ang? Eng nge ka hriat theih loh?"

Heng zawhnate hi zawh a, thu i dawnte atanga thutlukna dik siam a pawimawh. Doctor-te chuan nang leh i naute ṭhatna tur ngaihtuah chungin heng test hi an rawt a ni.

I doctor nen zalen takin inbiakna nei la, i duh ber thlang rawh.

A tawp berah chuan take-home message thenkhat chu hetiang hi a ni:

Naupai hi zinkawng mawi tak a ni. He zin chhunga test i neihte hi nang leh i naute tanpui nan chauh a ni.

• Heng nau neih hmaa test te hian nang leh i naute tan pawh thu hlu tak tak leh rilru thlamuanna tam tak a pe a ni.
• Chûng aṭanga thu i hmuhte chuan i naute lo thlen hun tûra inbuatsaihnaah a ṭanpui ang che.
• A pawimawh ber chu i doctor hnenah engkim chungchangah inhawng leh rinawm taka sawi hi a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan zawt hreh suh.
• Thutlukna hnuhnung ber chu nangma thu a ni fo thin.
• Heng zawng zawng nen hian naupai chhung zawng hian nunphung hrisel tak zawm a pawimawh hle bawk.

Nang leh i naute tan hun hrisel leh hlim tak hmang turin duhsakna kan hlan e!

` Naupai test, second trimester, ultrasound, gestational diabetes, Down syndrome, nau neih hma test, naute hriselna