Naute kan neih hmain hengte hi kan hriat hmasak tur em ni? (Preconception Counseling chungchang zawng zawng)

I kawppui nen hian naute neih i ngaihtuah em? Mi tam tak chuan naupai test positive hnuah chauh doctor thurawn la tur niin an ngai. Mahse a nihna takah chuan naute hrisel leh nu hrisel tak neihna kawng chu a hmain a intan nasa hle. Dik tak chuan naupai chungchang pawh i ngaihtuah hmain hei hi i inbuatsaih tan tur a ni. Vawiin hian chu step pawimawh ber chu kan sawi dawn a ni.

Preconception Counselling tih hi eng nge ni?

A awlsam zawngin, hei hian naupai tum i tan hmain doctor nen in inhmuhkhawmin, nangmah leh i kawppui hriselna chungchang sawipuiin, a tul anga thurawn i lak hmasak phawt a ngai tihna a ni. Ngaihtuah teh, in mawi tak kan sak hmain ruahmanna tha tak kan siam a, lungphum tha tak kan phum thin a ni lawm ni? Hei hi chutiang chu a ni. He thurawn hi naupai hrisel tak neih theihna tur lungphum tha ber a ni.

Hei hian thil tum lian tak tak engemaw zat a nei a:

• Hrisel taka naupai tura puih che .
• I naupai chhung zawnga nang leh i naute piang lai chu a hrisel thei ang bera awmtir .
• Naupai laiin harsatna awm thei tihziaawmna .

Kan ramah chauh ni lo, khawvelah pawh naupai tam tak hi ruahman lawk loh a ni. Chuvangin he thurawn hlu tak hi mi tam takin an hlawkpui lo. Mahse, a pawimawh em avangin naupai hrisel, hlawhtling leh nausen hrisel tak pian theihna kawngah nasa takin a pui thei a ni.

He inrawnkhawmnaah hian eng nge tel?

He consultation neih chhung hian i doctor chuan i naupai lai tibuaitu tur risk factors te chu a en ang a, chutah chuan i tih theih dan tur a zirtir ang che.

Hengte hi thil thleng berte chu a ni:

• Risk assessment: I naupai lai nghawng thei tur risk a awm leh awm loh hriat theih nan nang leh i kawppui te damdawi lam chanchin, chhungkaw damdawi lam dinhmun chipchiar tak tak, leh i nunphung (ei leh in, zu in leh zu in te ang chi) te kan sawiho ang.
• Interventions: Risk factors hriatchhuah a nih hnuah hetah hian intervention te hi kalpui a ni. Tuna i damdawi ei mek chu i thlak a ngai mai thei a, a nih loh leh nunphung i thlak danglam a ngai mai thei bawk. I doctor chuan heng zawng zawng hi a hrilhfiah ang che.
• Referrals: A then phei chuan specialist dang atanga tanpuina i mamawh mai thei. Entîr nân, nau pai harsat i nih chuan chutiang lama mi thiamte hnênah i kal thei a ni.

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Engtikah nge he consultation hi ka kal ang?

Naute neih i tum hmain thla thum tal nghah a tha ber.He consultation atan hian doctor hmuh.

Dik tak chuan, tu pawhin fa neih tumte chuan an doctor inkhawm pangngaiah he thu hi an sawiho thei a ni. Tunah chuan ram changkang zawka doctor-te chuan \halaite hnenah, "Kum khat chhungin naute neih i tum em?" routine checkup neih laiin. A tum ber chu hei hi sawi hmasak a, naupai hrisel tak neih theihna tur kawng siam tura puih a ni.

Counselling appointment neih chhung hian eng nge thleng tak tak?

He tlawh chhung hian i hriselna enfiah nan test hrang hrang pek i ni ang a, nang leh i kawppui nen hian risk factors hriat theihna turin zawhna tam tak an zawt ang che. Naupai hrisel tak neih theihna chance tihpun dan tur pawh hriattirna pek i ni bawk ang.

Heng thil thleng tlangpui te hi hetiang hi a ni:

Engtin nge doctor chuan i hlauhawmna chu a teh ang?

Hetah hian doctor chuan i naupai lai tichhe thei thil hrang hrangte chu ngun takin a thlir a.

Natna khirh tak tak

Hun rei tak chhunga natna i neih chuan zunthlum, thisen sang, asthma, thinlung natna, emaw thyroid natna emaw i neih chuan naupai hmain i thunun hmasak phawt a pawimawh. Tuna i damdawi ei mek hi i naute tan a tha lo mai thei. Chuvangin i doctor nen inbia la, a tul chuan damdawi him zawkah i inthlak tur a ni.

A pawimawh ber: Damdawi ei kha titawp ngai suh la, doctor rawn hmasa lovin mahni chauhin a dose thlak ngai suh.

Genetic dinhmun (genetic) a awm

Chhûngkaw damdawi lam chanchin i enfiah chuan, naupangin a rochun theih tûr genetic diseases chungchâng ngaihtuahna engemaw zât i nei thei a ni. A tul chuan naupangin natna engemaw a vei theih dan tur hriat tumin genetic testing emaw, genetic counselling emaw atan refer theih i ni.

Infection awm thei te

Naupai lai hian nu emaw naute emaw tichhe thei natna (e.g. sexually transmitted infections (STIs), Hepatitis B, HIV, Rubella) te enfiah i ni ang. A bik takin naupai hmain immunization tul zawng zawng i dawng tawh tih chian a pawimawh hle .

Damdawi, thing leh mau leh supplement te

I ei zawng zawng - prescription damdawi, over-the-counter drugs (OTC drugs), herbal products, vitamins - te chu i doctor hnenah i hrilh tur a ni a, a chhan chu naupai laiin a then chu a him lo thei a ni.

Heng zingah hian folic acid hi vitamin pawimawh tak a ni. I doctor chuan nau pai i tum hmain thla 3-6 chhung nitin folic acid pill ei turin a hrilh fo ang che. Hei hian i naute thluak leh ruhroa piansualna lian tham (neural tube defects) a awm loh nan a pui thei a ni.

Diet leh exercise lak dan

Naupai hrisel tur chuan ei leh in inthlau tak a pawimawh hle. I doctor chuan i mamawh ei leh in tur, nitin i calorie i ei dan tur, leh naupai laiin eng ei tur nge i ei loh tur (e.g., mercury tamna sangha) te a hrilh ang che. Naupai laia inhmeh taka exercise him tak siam dan tur pawh a fuih ang che.

Buk

I thau lo emaw, i thau lutuk emaw a nih chuan naupai laiin harsatna chi hrang hrang a thlen thei a ni. Thau lutuk hian nau piang rit lo tak neih emaw, nau piang hma emaw a tipung a ni. Thau lutuk hian naupai laiin gestational diabetes leh thisen sang ang chi natna a thlen theihna a tipung thei a ni. Chuvangin, i doctor chuan i naupai hmaa taksa rihna hrisel tak neih theihna tur ruahmanna siam turin a pui ang che.

Meizial zu, zu leh ruihhlo hman

Hengte hi naupai tum apiangin an tihtawp vek tur thil a ni. An hmanna hi nau pai, nau piang thi, leh Fetal Alcohol Syndrome ang chi natna nen a inzawm tlat a, hei hian naute hmasawnna nasa takin a tichhe thei a ni. Meizial i zuk loh pawhin secondhand smoke hian i naute tan a pawi hle. Meizial zuk bân mai mai pawh hian naupai lama harsatna ṭhenkhat i neih theihna chu 20% vêlin a tihniam thei a ni.

Environment chhunga toxins awm te

I in emaw hnathawhna hmuna chemical thenkhat, pesticide leh lead te hi naupai lai hian a pawi thei hle. Chutiang thila inhnamhnawih theihna a awm leh awm loh pawh doctor chuan a enfiah ang.

Consultation zawhah eng nge i tih ang?

Consultation zawhah doctor chuan nunphung tihdanglamna leh hriselna atana tips hrang hrang, i duh angin a rawn pe ang che. Chung zinga ṭhenkhat chu:

• Rihna hrisel tak thlen (rihna tihtlem emaw tihpun emaw).
• Ei leh in tha tak tak ei tan.
• Exercise hrisel tak ruahmanna zawm.
• Meizial zu leh zu in loh tawp vek.
• Immunization mamawh tak tak neih.
• Stress control dan zir.
• Vitamin recommended, a bik takin folic acid hi nitin ei thin ang che.
• Nau i pai hmain hriselna lama harsatna dang i neih chuan specialist pan hmasa phawt ang che.
• Naute tana pawi thei damdawi ei loh tur. (Damdawi ei tan emaw chawlhsan hmain doctor rawn hmasa phawt ang che).