Naupai Kar 33: I Naute Khawvel Mak tak leh I Hriat Tur (Pregnancy Week 33) .

Hetah hian kan kal leh ta, i naupai kar bik dang, kar 33-na! I fa te chu ni engemaw zat i kuah leh dawn a, chuvang chuan i phur leh dawhtheih lohna pawh i nei ve ve a ni mai thei, a dik em? Tun kar chhung hian i naute chu nausen pum chhunga mihring tlemte, puitling tak ang mai a ni tawh . A khawvel tenau takah hian thil tam tak a zir chhuak mek a ni. Tun kar chhunga i naute dinhmun, thil thar awmte, leh he hun chhung hian nangmah leh nangmah leh i naute i enkawl dan tur i lo en ang u.

Kar 33-a i naute hmasawnna mak tak - khawvel tenau takah inthlak danglamna lian tak!

Hetih hun chhung hian i naute chu nitin a lian chho zel mai ni lovin, a taksa peng zawng zawng deuhthaw chu a chhuak vek a, nung turin a inpeih tawh bawk. Mak a ni lo maw?

Brain work – genius te tak te chu zir a ni!

Tunah chuan i naute thluaka neuron ( thluak cell) maktaduai tam takte chu an buai hle tawh a. Computer te tak te ang maiin heng neurons te hi an inzawm khawm a, naute chu nausen pum chhunga boruak awm dan a hriat theih nan a pui a ni. Ngaihtuah teh, tunah chuan i naute chuan i thusawi leh hla sak chu a hre thei tawh ang . A pum i khawih hian a khawih chu a hre thei . Chu mai ni lovin, eng emaw chen chu a hmu thei ! Ni e, i naute mit chuan êng leh thim a thliar hrang thei tawh a ni. Camera tha tak ang bawkin a mit chhunga mitmeng (pupil) chu êng ang zelin a inzawm khawm a, a zau chho tan ta a ni. Chu chu êng êng takah chuan a te zâwk a, êng thim takah chuan a lian zâwk tihna a ni.

Naute mut dan i hria em?

Naute piang thar ang bawkin i naute hian ni tam zawk chu mutnaah a hmang . He mut hi a thanlenna atan a pawimawh hle. Chu mai ni lovin, REM `(Rapid Eye Movement)` sleep tih hming pu muthilh bik a nei bawk. He REM mut hi kan mut thuk a, kan mumang a ni. Chuti a nih chuan, tuin nge hria ang, i naute hian a pum atang ngeiin mumang mawi tak tak a nei mai thei? Nang leh daddy chungchang pawh a ni mai thei!

Thâwk chhuak turin a inpeih tawh – tunah chuan lungte chu a inpeih tawh!

Kan zavaia nunna atana thawk a pawimawh zia sawi loh theih a ni lo. I hlim theih tur pakhat chu tun kar chhung hian i naute lung pahnih chu a lo insiam vek tawh mai dawn a ni . Lung chhunga air sac te tak te (alveoli) te hi balloon te tak te ang mai an ni. Heng air sacs te hi naute a pian hian a inflated a, an thawk a ni. Heng air sacs te hi inzawm khawm lo leh chim lovin a inhawng reng thei tur thil bik surfactant , an tih pawh hi tam takin an siam chhuak mek bawk. Hei hi a pawimawh hle a, a chhan chu he surfactant vang hian naute chu a pian veleh a mah chauhin, harsatna awm lovin a thawk thei a ni.

Thla khat a liam tawh a, a rihna pawh a pung ta!

Tunah chuan i naute chu a ‘lian’ deuh tan tawh a ni .. Chu chu taksaah thau layer khat a awm tihna a ni. He thau layer hi naute tan a pawimawh hle. Pakhat chu naute pian hnua a lum theih nan a pui a ni. A dang chu naute chu hliam tenau ang chi thil lakah a venghim a ni . Tin, he thau layer hian naute chu chakna a pe bawk. Naute hi an pian hma kar hnuhnung berah hian an thau nasa ber a ni. Kar khatah gram 200 atanga 230 vel a ni mai thei! Tunah chuan i naute hi kilo 2 vel a rit thei a, centimetre 44 vel a sang thei bawk.

Thil tenawm dang

• Ruh: Naute ruh chu a chak chho zauh zauh a, chu chu a chhungah calcium a awm tihna a ni. Mahse, lu chhunga luruh ruhte hi a la fuse kim lo a, a nem deuh hlek a ni. An insiamrem a, an inslide thei ang. Hei hi nature-ah chuan thil mak tak a ni! A chhan chu hei hian nau neih laiin naute lu chu a serh kaltlangin awlsam taka a chhuah theih nan a pui a ni.
• Immunity: I taksa natna laka vengtu antibody thenkhat chu placenta kaltlangin i naute hnenah a kai darh thin. Hei hian i naute chu a pian hnu thla hmasa berah natna tenau lakah venhimna engemaw chen a pe a ni. I hnen atanga thilpek ang mai a ni.
• Vun: Naute vun hnuaiah oil a awm khawm chuan tunah chuan vun chu pink, smooth leh plump a ni tawh. A hmaa naute taksa khuh thin vernix caseosa an tih coating dum, thick tak leh lanugo an tih fine down te chu a tlahniam zauh zauh a. Nausen thenkhat chuan an pian laiin heng zinga thenkhat hi an la nei thei tho.
• Position: A tam zawkah chuan tun kar chhung hian naute chu piang turin a inpeih tawh a, a lu chu hnuai lam hawiin (`cephalic presentation` an ti) a ni. Chutiang a nih loh chuan ni rei lote hnuah chutiang dinhmunah chuan a lo thleng thei a ni. I doctor chuan i naute i enfiah hunah he thu hi a hrilh ang che.

Kar 33-a nu anga i hriat dan leh i inbuatsaihna

Nitin i naute a lo seilian chhoh zel chuan i taksa pawhin a hre ve zel a ni lawm ni? Hetih lai hian harsatna tenau tlemte i nei thei bawk. Mahse, lungngai suh, heng thil tam zawk hi tun dinhmunah chuan thil pangngai a ni.

Tunlai hian engtin nge i awm?

• Thâwk harsa i ti em? Tunah chuan naute chu a lian tawh a, i nausen pum chu i lungah a rawn nawr chho ta a ni. Chuvangin a chang chuan thawk harsa deuhin a awm thei a, boruak i thaw chhuak ang maiin. Naute a lo chhuk deuh deuh chuan (hei hi `lightening` an ti a, a tlangpuiin nau neih hma kar tlemteah a thleng thin) he hrehawmna hi a reh ang.
• Zun fo a ngai em ? Tunah chuan naute lu chu nausen pum chhungah a hniam tawh a, i zunthlum (bladder) a press a, chuvangin zun chhuah fo ngai angin i inhria mai thei. Hei hian zan lamah a tibuai deuh thei a, mahse hei hi thil pangngai a ni bawk.
• I pum a tight em? Chu chu Braxton Hicks a ni!I pum chu a khauh nghal tih i hre mai thei a, chutah chuan rei vak lo hnuah i hahdam leh mai thei. Chungte chu Braxton Hicks contractions an ti a . I taksain nau neih tura a inbuatsaih ang mai an ni. Nau neih tak tak angin an na lo va, a mumal lo bawk. I dinhmun i thlak emaw, tui i in emaw, chawlh hahdam emaw chuan an reh thei.
• Back pain : I pum a lo lian chhoh zel chuan i taksa rihna balance a inthlak a, chuvang chuan i hnungzang ah extra pressure i nei thei. I mut lai hian i ke inkar ah pillow dah la. Thut laiin i hnungzang chu nghet takin dah la. Exercise light tak pawh hian a pui thei bawk.
• Chauhna: Hemi hun chhung hian a hma aia chau zawka inhriat hi thil pangngai a ni. I taksa chhungah nunna dang siam chu thil awlsam a ni lo! A theih ang angin chawlh hahdam rawh.
• Heartburn , indigestion: Heng natna hi naupai hormone leh nausen pum lo thang lian atanga pum a pressure vang a ni thei. Chaw lian ei ai chuan chaw te te ei thin ang che. Chaw rimtui, hriak nei, chocolate, leh coffee te tihtlem. Mut lai hian i lu chu tlem han chawi sang la.
• Kut, ke leh kekawrte a hring: Taksaah tui tam lutuk a khawlkhawm avangin i kut, ke leh kekawrte chu a hring deuh thei. Hei hi mi tam tak chunga thil thleng a ni. A theih phawt chuan i ke chu chawi sang la. Hmun khatah rei tak awm suh. Mahse, i hmai a hring, lu na, a nih loh leh mit hmuh lohna ang chi, a hring tam tak i neih thut chuan doctor i pan nghal tur a ni . Hei hi preeclampsia tih hming pu dinhmun hlauhawm tak chhinchhiahna a ni thei .

Engtin nge i awm?

Hetih lai hian rilru natna hrang hrang (range of emotions) tawn hi thil pangngai tak a ni. I naute hmuh chu i phur hle a, i hlim a, i dawhthei lo thei bawk a, mahse, nau piang tur leh mawhphurhna tharte chungchangah hian tlem chuan i hlauthawng a, i hlauthawng a, i lungkham hle bawk.

"He zinkawngah hian nangmah chauh i ni lo tih hre reng ang che. Nu dang tam tak pawhin nangmah ang bawkin he thil hi an tawng ve ve a ni. I rilru a awm chu i pasal emaw, i chhungte hnai tak emaw, i doctor emaw, i midwife emaw nen sawi dun rawh. Chu chuan thlamuanna nasa tak a pe ang che.

Tun kar chhunga i tih tur pawimawhte chu engte nge ni?

• I naute che vel hi en reng ang che (`Fetal Kick Counts` ): Hei hi a pawimawh hle. Ni khatah i naute chu vawi engzat nge a che tih enfiah rawh. Darkar hnih chhungin chetna 10 tal i hre tur a ni. Naute zawng zawng hi a inang vek lo va, chuvangin i naute awm dan pangngai chu hre chiang rawh. Incheina tlakchhamna a awm nia i hriat chuan hlauthawng suh, tui lum glass khat in la, i veilamah hawi la, rei lo te (darkar khat vel) mu rawh. I naute che vel i la lungawi loh chuan damdawi inah kal la, i doctor ko nghal rawh .
• Nau neih tura inbuatsaih – tun hi a hun tha ber a ni!
• Tunah hian hospital bag kha pack tan rawh. Nang leh i naute tan i mamawh zawng zawng (cotton hi naute tan a tha ber), sanitary pads , nausen diaper, blanket, sahbawn, leh toothbrush te pack rawh. List siam la, thil awmte chu khawl khawm rawh.
• ‘Birth plan’ , chu chu nau neih chhunga i duhzawng tur ruahmanna i neih chuan i doctor nen sawiho rawh.
• Nau neih dan, natna tihziaawmna, leh nau hnute pek chungchanga class i kal tawh a nih chuan, chu hriatna chu tihthar leh rawh. Lehkhabu chhiar rawh.
• Nutrition leh hydration – nang leh i naute tan pawh a pawimawh!
• Tun hma ang bawkin, ei leh in tha tak ei hi a pawimawh hle . A bik takin iron (nausen thisen siam nan), calcium (ruh tichak turin), protein (ruh tipung nan), leh folic acid (thlai hring, thlai, thei, bawnghnute, yogurt, cheese, artui, sa, sangha, thlai chi hrang hrang lentils, leh chickpeas) awmna ei tur te chu i eitur ah te dah la.
• Tui tam tak in thin ang che . Ni khatah tui litre 2-3 (glas 8-12) tal in a pawimawh hle. Hei hian tui tlakchhamna a veng a, chaw ei kham a tiziaawm a, taksaa hliam (swelling) a control bawk.
• Chawlh la, exercise la – i balance ang u!
• A theih ang angin chawlh hahdam rawh . Zanah darkar 8 tal mut chhunzawm loh tum ang che. Nitin mut rei lo te i mut theih chuan a ropui hle.
• Doctor-in a thurawn angin exercise \ha tak, light tak tak ti rawh. Kea kal te, hmeichhe naupai tan bik yoga exercise te, tui chawi te pawh i ti thei bawk. Chûngte chuan taksa ruhte a tichak a, thisen kal a titha a, rilru hahdamna a pe bawk.
• Doctor nena inhmuhna – Hmuh loh suh!
• Hemi chhung hian kar hnih danah vawi khat tal doctor i pan a ngai mai thei. Doctor thupek dik takin zawm rawh. Zawhna leh rinhlelhna i neih chuan zawt hreh suh. Doctor chu pui turin a awm reng a ni.

Heng symptoms te hi i neih chuan doctor pan nghal mai rawh! (Hriattirna chhinchhiahna) .

"Hetiang symptoms i neih chuan tihkhawtlai lovin damdawi inah i kal nghal tur a ni a, doctor nen pawh inbiakna neihpui tur a ni. Hengte hi ngaihtuah tel ngei tur thil a ni."

• Vagina atanga tui chhuak chhunzawm zel (hei hi amniotic fluid a ni thei a, chu chu naute chhehvel tui bawm a puak chhuah hun a ni) .
• Vaginal bleeding sen hring (brownish discharge tlem chu a pangngai mai thei, mahse red bleeding hi a hlauhawm hle) .
• Pum natna nasa tak emaw, awm reng emaw emaw, nau neih fo, zawi zawiin a pung zel, nau neih chhunzawm zel (a tlangpuiin darkar khatah vawi 4-5 aia tam, minute 45-60 vel a daih, a tlahniam lo)
• Naute che vel a tlahniam nghal emaw, a bo emaw
• Lu na nasa tak, tuar theih loh, mit hmuhna fiah lo, mit hmaa êng eng chhuak, hmul hmuh tur
• Hmai, kut leh ke (a bik takin zing lamah) a hring chhuak thut, a hring lutuk .
• Khawsik (38 Celsius / 100.4 Fahrenheit aia sang), khawsik, khur chhuak
• Nausea leh luak chhuak reng reng
• Zun laiin kang leh na.

A tawp berah chuan i hriat reng tur pawimawh ber (Take-Home Message) .

Kar 33 hi i naupai zinkawngah hian hun danglam tak leh eng emaw chen lungkhamna hun a ni. Tunah chuan i naute chu nitin, darkar tin, chhuak turin a inbuatsaih mek a ni. He ni ropui tak atan hian taksa leh rilru lamah pawh in inpeih a pawimawh hle.

Chaw ei tha la, tui in tam la, hahchawlhna tam tak nei rawh. Harsatna tenau te ngaihtuah buai suh, tun dinhmunah chuan a pangngai a ni. Mahse, thil danglam tak i hmuh emaw, rinhlelhna i neih emaw chuan, chu chu i doctor hnenah zawh hreh ngai suh. I rilrua thil tenawm ber ber pawh ngaihthlak a tha ber.

I doctor leh midwife-in thupek zawm hi nangmah leh i nausen piang lai tan chuan i tih theih tha ber a ni. Ni reilote hnuah chuan i fa te chu i kuah thei tawh ang. Chu hun duhawm tak a lo thlen hma chuan hlim takin awm la, enkawl la, positive takin awm rawh! duhsakna sang ber kan hlan e!

` Naupai kar 33-na, naute than chhoh dan, nu hriselna, nau neih tura inbuatsaihna, naupai enkawl dan, kar 33-na naute, naupai nu