I naupai thla hnuhnung ber (Prenatal Tests: Third Trimester) chhunga test pawimawh tak takte chu eng nge ni tih chiang taka hriat i duh em?

I nunah hun bik tak tawp lamah i awm tawh a ni lawm ni? I naute a piang dawn tih i hriat chuan phurna leh lungkhamna tlem a awm thin. Hetih lai hian nang leh i nausen pum chhunga i fate hriselna hi kan ngaihtuah hle a ni. Chuvangin, vawiin hian he third trimester chhunga test tih thin thenkhat, chu chu thla thum kalta chhunga test neih thin thenkhat chungchang sawi turin ka rawn kal a ni. Chûngte chuan nang leh i naute chu thu hlu tak tak a pe thei a ni.

Engvangin nge heng fiahnate hi a pawimawh em em?

I doctor emaw, nurse emaw thil tih tura a tih che hian test ṭhatna leh ṭhat lohna hriat a pawimawhzia ngaihtuah rawh. Nu tam tak chuan heng test te hian rilru thlamuanna nasa tak a pe a, an naute lo thleng tur atana inbuatsaih nan a pui niin an sawi. Mahse, heng test te hi neih leh neih loh tur chungchangah hian thutlukna siam theihna i nei tih hre reng ang che.

Nau i pai tih i hriat khan doctor i pan hmasak ber ni khan taksa enfiahna kimchang, zun test leh thisen test te an nei tih i hre reng mai thei. Chutih lai chuan i:

• Thisen chi leh `Rh factor` (i thisen chu `Rh negative` a nih a, i pasal thisen `Rh positive` a nih chuan naute nghawng thei tur `antibodies` a lo piang thei a, hei hi ven nan kar 28 vel ah damdawi pek thin a ni.)
• Thisen tlakchhamna, chu chu , thisen tlakchhamna a awm em?
• `Hepatitis B` , `Syphilis` , leh `HIV` ang chi natna a awm em ?
• German measles (Rubella) leh chickenpox (Varicella) lakah i him em ?
• Tunah hian Genetic diseases Cystic Fibrosis leh Spinal Muscular Atrophy te pawh test mek a ni a, chhungkaw zingah hian hetiang hi an la nei lo a nih pawhin.

Chumi hnuah chuan i doctor i hmuh apiangin i zun an check ang a, an rit an teh ang a, i thisen sang an check ang. Hengte hian gestational diabetes leh preeclampsia ang chi thil chhinchhiahna hmasa berte hriatchhuahna kawngah a pui thei a, hei hi thisen sang thlentu natna hlauhawm tak a ni.

Tunah chuan heng thla hnuhnung berah, chu chu third trimester-a special test tih thinte hi han sawi ila. I doctor chuan heng test te hi i mamawh leh mamawh loh chu i kum, hriselna dinhmun, leh chhungkaw medical history te a zirin a rel ang.

Third trimester chhunga test tih ber berte chu engte nge ni?

Okay, chuvangin he hun chhung hian eng test lian tham nge i tih tur tih hi han en ila.

1. Ultrasound Scan hmanga tih a ni

Hemi hi i hre tawh ngei ang. Ultrasound hi test natna nei lo, him tak a ni. Sound wave hmangin i naute thlalak a siam a, a pianzia, a awmna hmun leh nausen pum chhunga an awmna hmun ang chi thilte a en a ni. Third trimester a ultrasound tih hian nausen chu a enfiah thin . A chang chuan Biophysical Profile (BPP) hmangin naute hian oxygen a dawng tlem em tih enfiah thin a ni.Hei hi test-naah pawh tih a ni bawk. Nu naupai hlauhawmna sang zawk nei tan chuan hetih lai hian ultrasound scan eng emaw zat tih theih a ni.

I fa tê tê chu nu pum chhûnga a chetna hmuh chu a hlimawm dâwn êm tih han ngaihtuah teh! Hei hian doctor-te hnenah naute than dan tur hriatna pawimawh tak tak a pe a ni.

2. Glucose Screening neih a ni

He test hian ``Gestational Diabetes`` (naupai laiin zunthlum) i nei em tih a enfiah thin. Hei hi hun eng emaw chen atana zunthlum vei, nu thenkhatin naupai lai chauha an neih thin a ni. Amaherawhchu, a hriat chian loh leh a enkawl that loh chuan naute tan hriselna lama harsatna a thlen thei a ni.

He test chhung hian sugary drink an pe ang che. Tichuan darkar khat vel hnuah i thisen chu lak chhuah a ni ang a, chu chuan i glucose level a enfiah ang. He sugary drink hi mi thenkhat tan chuan a nuam lo mai thei a, mahse i naute tan chuan a pawimawh hle.

3. Group B Strep Test neih a ni ang

He test hi i naupai atanga kar 35 leh kar 37 inkarah tih thin a ni. Bacteria infection `Group B Streptococcus (GBS) .` tih hi i nei em tih a enfiah thin.GBS bacteria hi hmeichhe tam tak serh chhungah hian a pianphungah a awm a, mahse nausen piang tharah natna khirh tak a thlen thei a ni.

He test hi vagina emaw, anus emaw atanga swab sample lak a ni. He test hi ``positive``, infection a awm tihna a nih chuan nau i pai tan veleh damdawi inah i kal nghal tur a ni. Tichuan doctor te chuan i naute chu natna hrik laka ven nan intravenous (IV) antibiotics an pe tan ang che. Lungngai suh, hei hian i naute tan venhimna ropui tak a pe ang.

4. Nonstress Test (Nonstress Test - NST) tih a ni thei ang.

Doctor-in naute hriselna a hriat chian duh hunah `Nonstress Test (NST)` tih a ni tlangpui. Hei hi naupai hlauhawm tak takah emaw, naute pian hun a liam hunah emaw a ni ber.

He test hian naute hian stimulation a dawng tha em tih leh naute hian oxygen a dawng tlem em tih a enfiah thin. Naute chu a chhungah a dam tha em tih enfiah ang maiin ngaihtuah rawh. Naute hian a chhang lo a nih pawhin naute chu a hlauhawm tihna a ni lo, mahse test tam zawk neih a ngai mai thei.

5. Contraction Stress Test neih thin a ni

He test-ah hian nausen pum chhungah damdawi Pitocin (hormone oxytocin , nau neih laiin a chhuak) tih chu inject a ni. He test hian naute heart rate-in contractions a chhan dan a teh a ni. I doctor chuan test hmasa lama harsatna a awm tih a hriat chuan he test hi a rawt thei ang. A tum ber chu nausen uterine contraction laiin naute heart rate a stable em tih enfiah a ni.

Thutlukna chu nangma thu a ni tih hre reng ang che!

Heng test zawng zawng hi hre reng chung pawhin,A pawimawh ber chu heng test te hi i tih tur "suggested" chauh a ni. An tih leh tih loh tur thutlukna siam turin dikna famkim i nei a ni.

Eng test nge i tana tha ber tih hriat tumin i doctor nen inbia ang che. He test hi i neih chhan te, a hlawkna te, a hlauhawmna te, leh a result-in a hrilh theih leh theih loh te chu zawng chhuak rawh.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Nang leh i naute piang lai hian he i naupai hun hnuhnung ber, hlu ber chhung hian enkawlna tha ber i mamawh a ni. Heng test te hi chutiang ti thei tura tanpui theihna tur kawng khat chauh a ni.

• Test apiangah chhan a awm: Doctor chuan test neih a rawt mai mai lo. Nang leh i naute tana hlawkna a thlen tur chu a ngaihtuah thin.
• Zawhna zawh hlau suh: I hriatthiam loh emaw, rinhlelhna emaw a awm a nih chuan i doctor hnenah zawh ngei ngei tur a ni.
• Thu tlûkna dik siam rawh: Test tin ṭhatna leh ṭhat lohnate hre la, i rilru put hmang nêna inmil thutlukna siam rawh.
• Thil \ha ngaihtuah rawh: Heng zawng zawng hi naute hrisel leh hlim tak khawvela lo hmuak tura tih a ni.

Nang leh i chhungte hian he hun bik hi hlim tak leh hrisel takin in hman ngei ka beisei tak zet a ni!

` Naupai, test, third trimester, ultrasound, glucose test, naute hriselna, nu hriselna