I naupai kar 31-na! (Pregnancy Week 31) - Naute thanlen dan leh amniotic fluid chungchang sawi ila!

Chibai! Chuvangin tunah hian i naupai kar 31-na i ni tawh. Hun hi engtiang chiahin nge a thlawh rang, a dik em? Tun kar hi nang leh i naupang tê tan chuan a danglam hle. I naute a lo seilian chhoh zel hian i taksa a inthlak danglamna te, chubakah vawiin a kan sawi tur amniotic fluid te pawh i hriat a pawimawh hle. Heng thu i hriat hian hlauthawng suh, okay? Heng zawng zawng hi awlsam takin, i hriatthiam theih dan tur angin sawi ila. Thian nena inbiakna ang maiin.

Baby hnathawh mak tak mai! Engtin nge nausen lotion a hman?

He kar 31-naah hian i fa te chu a lo thang chak hle a ni. Tunah chuan a lian ta hle mai. I hria em, tunah chuan nitin a bawm chhungah amniotic fluid cup engemaw zat a zun lut thin. Chumi awmzia chu tunah chuan a kal (kidney) te chu a thawk tha hle tihna a ni. Tin, chu amniotic fluid chu a ei leh ta bawk. Hei hi thil mak a ni lo maw? Amniotic fluid hi ni khatah vawi eng emaw zat a thar vek a ni. Hei hian naute ei theihna, chu chu chaw ei theihna (digestive system) tihna a ni tih a tilang chiang hle. Chuvangin, heng zun leh ei dan pahnih hi naute thanlenna atan a pawimawh hle.

Engvangin nge he naute tui hi a pawimawh em em?

Tunah chuan, "Baby lotion hi eng nge a danglam bik?" A awlsam zawngin sawi ila, baby lotion hi i naute tan hmun him leh nuam tak siamtu a ni. Hetiang hian han ngaihtuah teh...

• Hriselna atana cushion ang chi: I pum a bump emaw, a bump emaw chuan he amniotic fluid hian naute chu harsatna lakah a venghim a ni. Car chhunga airbag awm ang maiin.
• A lumna dik: He tui hian naute mamawh temperature dik tak a neih theih nan a pui bawk.
• Zalen taka khelh: He tui hian naute chu a kut leh ke a ti che thei a, a kal kual thei a, zalen takin a inbual thei bawk. Heng chetnate hi naute ruh leh ruhte thanlenna atan a pawimawh hle .
• Lung thanna kawngah a pui: Naute hian he tui hi a hip lut a (thâwk ang bawkin). Hei hian nasa takin naute lung a tipung a ni.
• Umbilic cord venhimna: Hetiang tui zat hian umbilical cord a compress loh nan a pui bawk a, naute chuan a mamawh oxygen leh nutrition a dawng chhunzawm zel theih nan a pui bawk.

Chuvangin naute nunah amniotic fluid a pawimawh zia i hrethiam a ni. Chuvangin doctor-te chuan amniotic fluid awm zat hi an ngaihtuah fo thin.

Amniotic fluid a tam chuan engtin nge ni ang? - Chu chu `(Polyhydramnios)` tihna a ni

A chang chuan naupai pum chhunga amniotic fluid awm zat chu a pangngai aia tam a ni thei. Damdawi lamah chuan he natna hi ``Polyhydramnios'' kan ti thin. A awlsam zawngin, amniotic fluid tam lutuk a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Vaginal discharge a pun theihna chhan hrang hrang a awm.

• Naute hian tui a ei tha lo a ni:Nausen tui an ei dan chungchang kan sawi tawh a. Eng emaw chhan vanga naute hian hetiang hi a ti tha thei lo a nih chuan tui chu a pung khawm ang. Naute hian an chaw ei kawngah a inkharkhip (Gastrointestinal Obstruction) te pawh a ni thei.
• Nu hian zunthlum a nei: Naupai laia zunthlum emaw, zunthlum awm tawh emaw pawhin amniotic fluid a tipung thei bawk.
• Twins emaw multiple births: Nausen pum chhunga naute pakhat aia tam awm pawhin amniotic fluid a pung thei.
• Naute chhunga genetic conditions thenkhat: Hei hi genetic condition hmuh tur awm lo thenkhat vang pawh a ni thei.
• A chhan hriat loh: A châng chuan, a chhan chiang tak hmuh tur a awm lo thei.

Polyhydramnios natna lan chhuah dan chu engte nge ni? Engtin nge i hriat?

A tam zawkah chuan fluid gain tlemte hian i tan danglamna lian tham a thlen lo mai thei. Mahse, fluid chu nasa takin a sang zawk a nih chuan, hetiang hi i hmu thei ang:

• I pum chu a lian nghal vat ang tih i hriat.
• Thâwk harsa.
• Pum chunga vun hi a tight a, a eng bawk.
• Chest na leh indigestion hriatna a pung.
• Ke ruh a hring chhuak.

He natna hi i doctor-in ultrasound scan a tih hmangin dik takin a hriat theih a, chu chuan amniotic fluid level (e.g., Amniotic Fluid Index - AFI) a teh a ni.

Hei hi risk a awm em?

Amniotic fluid a tam lutuk chuan harsatna engemaw zat a awm thei. Entir nan:

• Hun hmaa nau neih.
• Membranes te chu a hun hmaa a lo inthen.
• Placental abruption awm theihna a awm.
• Nausen (fetal malposition) a awm lo.
• Nau neih hnua thisen chhuak.

Mahse, lungngai suh! I doctor chuan hei hi a lo thlir reng ang. A tul chuan a chhan an enkawl thei (e.g., zunthlum control) emaw, a chang chuan tui tam lutuk (Amnioreduction) pawh an paih thei bawk.

Amniotic fluid a tlem chuan engtin nge ni ang? - Chu chu `(Oligohydramnios)` tihna a ni

Amniotic fluid a pun zel chuan a chang chuan amniotic fluid hi a tlangpui aia tlem a ni thei. Hetiang dinhmun hi `(Oligohydramnios)` an ti a.

Engvangin nge tui awm zat hi a tlahniam?

Hei hi chhan hrang hrang a awm thei:

• Naute chu a zun tha lo: Naute kal emaw, zun kawng emaw-ah harsatna a awm chuan zun chhuah pawh a tlahniam bawk ang.
• Placental dysfunction: Nausen atanga naute hnena thisen pek a tlahniam chuan naute zun chhuah a tlahniam thei a, amniotic fluid a tlahniam thei bawk.
• Leaking Membranes: Amniotic sac-ah khur te tak te a lo awm a, vagina atanga tui a luang chhuak a nih chuan tui a tlahniam ang.
• Nu tui in tam loh: A then phei chuan nuin tui a in tlem hian nghawng tenau tak a nei thei bawk.
• Post-term Pregnancy: A chang chuan kar 42 hnuah amniotic fluid a tlahniam thei.
• Damdawi thenkhat: Thisen sang damdawi thenkhat ei hian a nghawng thei bawk.

Engtin nge `(Oligohydramnios)` i vei tih i hriat theih ang? Eng nge a hlauhawmna?

Hei hi scan laiin hmuhchhuah a ni fo thin. I doctor chuan naupai kar khat chhung atan i pum chu a te hle niin a hria mai thei. Amniotic fluid tlakchhamna hlauhawm thenkhat chu:

• Fetal Growth tihkhawtlai a ni.
• Naute chu umbilical cord compression (Cord Compression) avanga oxygen tlakchhamna a awm thei a ni.
• Pulmonary hypoplasia, a bik takin naupai tirh lamah tui a tlakchham chuan.
• Naute taksa peng (e.g. `clubfoot`) pianzia a inthlak danglam thei a, chu chu naute chu tui tlakchham vangin a che tha thei lo a nih chuan.
• Nau neih laiin harsatna a thlen theihna chance a sang zawk.

Mahse hetah pawh hian hlauthawng suh. I doctor chuan he dinhmun hi uluk takin a enkawl ang. A tul chuan tui in tam turin a hrilh ang che a, damdawi inah pawh admit chein saline a pe thei che a ni. Thil bik thenkhatah chuan ``Amnioinfusion'' tih damdawi, amniotic sac-ah saline inject a ni thei. Naute himna tur atan naute hi tlem a hma deuha nau neih hi thutlukna siam theih a ni bawk.

Engtin nge doctor hian heng thilte hi a enfiah?

Date ruat saah clinic-ah kal a, doctor-in a tih angin scan i tih a pawimawh hle. `(Ultrasound)` scan apiang ang bawkin doctor chuan amniotic fluid awm zat a ngaihven thin. Chumi atan chuan `(Amniotic Fluid Index - AFI)` tih ang chi tehna a hmang thin. Hei hi naute pum chhunga hmun li-a tui awm zat tehna hmanga tih a ni a, heng zawng zawng zawng zawng lak hian tui awm zat chu chhut a ni.

Kar 31-naah engtin nge i awm?

Tunah chuan naupai laia harsatna awm thin thenkhat chu i tawng tawh ngei ang.

• Braxton Hicks Contractions: Hengte hi contractions rang tak, na tak, leh a chang chuan na tak tak, a lo thleng nghal mai ang maia hriat a ni a, chutah zawi zawiin a reh leh mai thin. Hengte hi nau neihna dik tak a ni lo. Nau neih tura inbuatsaih mek uterus chauh an ni.
• Thâwk harsa: Naute chu a lo sei chhoh zêl chuan lung a nawr nasat avangin thawk harsatna tlem a nei thei.
• Chhung na, chaw ei kham loh: Tunlai hian hengte pawh hi a tam hle.
• Back na, ke na.
• Mut theih lohna: Hmun nuam tak zawn harsat hian mut harsatna a thlen thei.

Heng harsatnate hmachhawn tur hian thil tenawm tak tak i tih theih a awm.

• Chawlh hahdam tam rawh. A theih ang anga i veilam sir lama mut tum ang che.
• Ei leh in tha tak ei rawh. Vawi khatah chaw lian tak ei suh la, chaw eng emaw zat ei laiin chaw te te ei thin ang che.
• Tui tam tak in thin ang che.
• Exercise light (doctor i zawh hnuah) ti rawh.
• Heels sang tak ha suh.

Engtikah nge doctor hmuh nghal tur!

Heng thilte hi i fimkhur tur a ni bawk. Hetiang thil hi a lo thleng a nih chuan Doctor pan nghal tur a ni.

• Vagina atanga tui (menstrual fluid) chhuak nghal.
• Thisen chhuak.
• Naute che vel chu a tlahniam zauh zauh emaw, a bo deuh emaw a ni. (Naute chu ni khatah vawi 10 tal a che em tih enfiah thin ang che.)
• Pum natna nasa tak, awm reng emaw, hnungzang na emaw.
• Lu na na tak, mit hmuh fiah lo, kut leh ke a hring (hengte hi thisen sang chhinchhiahna a ni thei).
• Khawsik, khawsik, khawsik.

Khualzin tawp lam i hnaih tawh hle...

Hetah hian kan awm ta, kar 31. Kar tlemte hnuah chuan i naupang tê chu i chelh tawh ang. He hun chhunga hun tinreng hi a hlu a ni. Hlauhna emaw rinhlelhna emaw i neih chuan i doctor nen inbiakna neih hreh suh.

Thil pawimawh tak tak hriat reng tur (Take-Home Message) .

Okay, chuvangin vawiina kan sawi tawh atang khan thil pawimawh tlemte i hriatreng theih ka beisei.

• Nu hnute tui hi naute thanlenna leh himna atan a pawimawh hle.
• Doctor-te chuan polyhydramnios leh oligohydramnios ang chi condition te chu an thlir reng a, chuvangin check-up leh scan-a tel fo a pawimawh hle.
• I taksa leh i naute chet dan inthlak danglamna hi ngaihven rawh. Thil danglam bik i hriat chuan doctor thurawn la nghal rawh.
• Hetih lai hian lungawi lohna tawk hi thil pangngai a ni a, mahse enkawl theih a ni. Ei leh in tha leh chawlh hahdam theihnghilh suh.
• Hlim leh hahdam takin awm rawh. I rilru hriselna pawh naute tan a pawimawh hle.

Nang leh i naute duh tak hi nun hrisel leh hlawhtling tak nei turin duhsakna kan hlan a che u!

` Naupai, kar 31, Amniotic fluid, Polyhydramnios, Oligohydramnios, Ultrasound, Naute than dan