Tunah chuan mi tam tak chuan nupui pasal an nei a, an lo upa deuh tawh chuan fa neih an ngaihtuah ta a ni. Hnathawh, zirna, etc.-ah pawh i buai a, tunah chuan chhungkaw din i ngaihtuah a ni mai thei. Kum 35 i nih chuan i rilru kil khatah hlauhna i nei mai thei, "Aw, tunah chuan ka tar tawh a, naute neih hi harsatna a ni ang em ?" A pangngai hle mai. Mahse a tha ber chu tunlai khawtlang nunah nu tam tak, kum 35 an tlin hnua fa hrisel tak nei, kum sawmli vel pawh nise an awm hi a ni. A pawimawh ber chu hemi chungchang hi uluk taka hriattir a, a tul anga hmalak a ni. Hemi chungchang hi vawiin hian han sawi ila.
‘Advanced Maternal Age’ tih hi eng nge ni?
A awlsam zawngin, naute i beisei laiin kum 35 aia upa i nih chuan damdawi lamah chuan he natna hi ' advanced maternal age ' kan ti a ni. Tun hma chuan "geriatric pregnancy" tih ang chi thumal hi hman thin ni mahse, chu thumal chu hman a ni tawh lo.
Hei hian naute hrisel i nei thei lo tihna a ni lo . Kum upat rualin hriselna atana hlauhawm ṭhenkhat chu a pung thei tihna chauh a ni a, nang leh i doctor pawhin a bik takin in ngaihven a ngai a ni.
Kum 35 hnua naupai hian eng hlauhawmna nge a neih?
Naupai lai hian kum eng pawhah harsatna a awm thei. Mahse, kum 35 an tlin hnuah chuan a hnuaia thil awm dan hi a sang deuh hlek a ni. Mahse, i doctor nena thawhhona tha tak hmang hian heng hlauhawm zawng zawng hi i enkawl thei tih hre reng ang che.
| Tum chhin | A sawifiahna awlsam tak |
|---|---|
| Thisen sang a sang | Hei hian a chang chuan preeclampsia (thisen sang leh chhungril taksa peng hrang hrang tihchhiatna) tih natna hlauhawm tak a thlen thei a ni. |
| Naupai laia zunthlum vei | Diabetes hi naupai lai chauh a ni. |
| Nau pai emaw, nau piang thi emaw | He risk hi kum upat deuh deuhin a pung deuh deuh thin. |
| Cesarean section (C-section) neih a ngai a ni. | Nau neih laiin harsatna a awm avangin cesarean section hman a ngai theihna chance a sang hle. |
| Hun hmaa nau neih | Nau neih hun tur hmaa nau piang. |
| Nau piang a rit lo | Naute pian tirh atanga a rih zawng chu a pangngai aia hniam a ni. |
| Naupangah hian chromosomal disorder a awm thin | Kum upat deuh deuh hian Down syndrome ang chi natna vei theihna a sang chho zel a ni. |
Engvangin nge kum upat rualin heng hlauhawmnate hi a pung zel?
Hei hi chhan lian tak pahnih a awm a. Hmeichhia a pian hunah a taksaah hian a dam chhung zawnga a mamawh tur rulhut engemaw zat a nei tih hi han ngaihtuah teh. A upat deuh deuh chuan egg a tlahniam a, egg la awmte quality pawh a tlahniam zauh zauh bawk. Hei hian egg-a chromosomal abnormalities awm theihna a tipung a ni.
Thil dang pakhat chu kum 35 mi hian kum 25 mi aiin thisen sang ang chi natna khirh tak tak a nei tam tawh zawk a ni. Chuvangin, heng dinhmunte hi naupai hian a ti buai zual thei a ni.
Hei hian thatna a nei em?
Ni e, mak ti suh! Zirna hrang hrangah chuan kum upa zawka nu nih hian hlawkna engemaw zat a nei tih a tarlang.
- Nu kum upa zawkte chu zirna sang zawk an nei fo va, sum lakluh pawh a nghet zawk , chuvangin an fate tana mamawh tur resources an pe thei zawk a ni.
- Rilru nghet leh nun tawnhriat tha zawk i neih avangin nu nihna harsatna hmachhawn a awlsam zawk mai thei.
- Zirna ṭhenkhatah chuan nu kum upa lam fa nei tawhte chu an dam rei duh hle .
- I fa tan hriselna tha zawk, zirna tha zawk leh enkawl dan tha zawk .Hmuh theihna chance a awm niin an sawi bawk.
Engtin nge naute hrisel neih theihna chance tihpun theih ang?
Heng thilte hi i enkawl chuan nang pawhin naupai hrisel leh mawi tak i nei thei ang .
Naupai hmain inbuatsaih ila.
Nau neih i ngaihtuah a nih chuan naupai i tum hmain doctor hmu hmasa phawt ang che . Hei hi ‘preconception checkup’ an ti a. Hetah hian i taksa leh rilru chu naupai tura a inpeih tawh em tih i enfiah thei ang.
Nau neih hmaa enkawlna dik tak chu naupan lai atang tawhin la rawh.
Naupai i nih i hriat tirh atang khan medical check-up neih fo a pawimawh hle. Kar hmasa 8 hi naute thanlenna atan a pawimawh zual hle. I doctor chuan i thisen sang, zun protein leh sugar level, leh thisen glucose level te a enfiah fo ang. Hei hian preeclampsia leh gestational diabetes ang chi natna te chu a hmain hriatchhuah leh enkawl theihna a siamsak a ni.
Vitamin pawimawh tak tak (Prenatal Vitamins) ei thin ang che .
Hmeichhia naute beisei apiang tan nitin folic acid awmna vitamin pill ei hi a pawimawh hle . Hei hi kum 35 aia upa i nih chuan a pawimawh hle a, folic acid hian naute thluak leh ruhroah piansualna a veng thei a ni. Nitin ei tur ruahman chu microgram 400 a ni. Mahse, doctor rawn hmasa lovin microgram 1,000 (1 milligram) aia tam ei loh tur a ni.
Genetic Testing chungchang zir rawh
I naute hian kum upa lam a zirin chromosomal abnormalities a neih theihna a san chhoh zel avangin test engemaw zat a awm a, chu chuan a hriat theih nan a pui thei che a ni. Hengte hi tih ngei ngei tur a ni lo va, mahse hemi chungchang hi i doctor nen inbia a , i tana tha ber tur thutlukna siam chu a finthlak hle.
| Test Hming | Hei hian eng nge a tih? |
|---|---|
| Cell nei lo nausen DNA (cffDNA) 1.1. | Down syndrome ang chi dinhmun hi i thisen sample lak a, naute DNA test hmangin hriatthiamna bulpui i nei thei ang. |
| Amniocentesis tih a ni | Nausen pum atanga amniotic fluid tlemte lak chhuahna test. Hei hian genetic condition dik takin a hre thei a ni. Mahse, nau pai theihna a tlem hle. |
| Chorionic Villus Sampling (CVS) atanga lak chhuah a ni. | Nausen atanga cell sample lakna test. Amniocentesis ang bawkin hei pawh hian risk a keng tel tlem hle. |
| Quad Screen a awm a | Second trimester-a thisen test tih a ni. Hei hian i thisena thil pali (AFP, HCG, Estriol, Inhibin-A) awm zat a teh a, chu chuan i risk factors te chu a hriat theih nan a hmang a ni. |
Mahni in enkawl pawh hi chutiang bawk chuan a pawimawh hle.
I naute i ngaihtuah ang bawkin nangmah i ngaihtuah a pawimawh bawk. I hrisel chuan i naute pawh a hrisel bawk ang.
- Ei leh in hrisel: Thei, thlai, legumes, whole grains, leh low-fat dairy products ei tam rawh. Calcium tamna ei tur ei rawh .
- Tak taka taksa rihna tihpun: Doctor-in a rawt ang chauhin taksa rihna tipung rawh. Thau lutuk tihpun hi a tha lo.
- Exercise: I doctor zawt la, i tana tha tur exercise awlsam tak tak ti rawh. Kea kal ang chi thil pawh hi a tha.
- Meizial zu leh zu hi bansan vek rawh: Hengte hi naute tan a pawi hle.
- Natna dang thunun: Zunthlum emaw, thisen sang emaw ang chi natna i neih chuan naupai hmain uluk takin thunun hmasa phawt ang che.
- Damdawi lakah fimkhur rawh: Damdawi, natna tidamtu, vitamin engmah ei loh tur a ni a, doctor rawn hmasa lovin ei loh tur a ni.
Nau neih hnua dam lehna
Nau neih hnu kar 12 hmasa ber hi i hriselna atan a pawimawh hle. A bik takin kum 35 chunglam i nih chuan he hun chhung hian chawlh hahdam leh hriselna enkawl a pawimawh hle. Nau neih hnu kar 2-3 chhungin doctor pan a, check-up neih a tha.
Damdawi lam thurawn zawng nghal rawh!
Nau neih hnua khawsik sang leh khawsik, thawk harsa, luak chhuak, thisen chhuak tam lutuk ang chi symptoms i neih chuan damdawi in Emergency Department (ETU) ah kal nghal la , doctor hnenah hriattir nghal rawh.
Take-Home Thuchah a ni
- Kum 35 chunglam nih hi naute hrisel neihna kawng daltu a ni lo va, mahse nang leh i doctor hian uluk takin i ngaihven tur a ni.
- Naupai hma leh naupai chhung zawng hian doctor nen thawhhona tha tak neih a pawimawh hle.
- Risk factor tam tak chu ei leh in hrisel ei te, exercise neih fo te, meizuk leh zu in loh te hian tihziaawm theih a ni.
- Genetic testing hi hlau suh la, i doctor nen sawiho la, thutlukna dik tak siam rawh.
- I rilruah zawhna, ngaihtuahna, rinhlelhna lo awm apiang i doctor zawt hreh ngai suh. I hlimna leh hriselna hi a pawimawh ber a ni.











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