Zing khat chu ka clinic-ah sikul zirtirtu Priyanka a rawn lut a. Kum 38 mi a ni. Ka hmuh meuh chuan a hlauthawng deuh tih ka hre thei a, mahse a hlim hle bawk a, beiseina a nei bawk. Ka hmaa chair-ah chuan a rawn kal a, a kut pahnihin a pum chu a chelh ang maiin a rawn thu a.
"Doctor Priya," zawi zawiin a ti tan a, "Tun hnaiah ka naupai tih ka hrechhuak. Mahse tunah chuan kum 38 ka ni tawh. Chuvangin ka chhungte, ṭhenawmte leh chhungte pawhin hetiang kum a fa neih hi thil hlauhawm tak a ni an ti vek a. Ka hlauthawng tak zet a, ka lungngai tak zet a ni, Doctor. He thil hi ka hlauthawng tak tak tur em ni?".. tiin a sawi.
Ka nui suk a, ka ti thlamuang a. "A hmasa berah chuan ka lawmpui che a ni, Priyanka! A tul lovah hlau suh. Kum 35 hnua naupai chungchang hi scientific takin leh awlsam takin sawi ila. Chuti a nih chuan he naupai zinkawng hi hlauhna awm lovin i hlim thei ang."
Kum 35-a nu nih chu eng nge a awmzia?
Damdawi lam hawi chuan kum 35 aia upa naupai chu Advanced Maternal Age an ti a. Tun hma chuan hei hi "Geriatric Pregnancy" an ti thin a, mahse chu thumal chu hman a ni tawh lo.
Tunlai hian hmeichhiate hian an zirna, hnathawh leh dinhmun nghet tak an dah pawimawh em avangin kum 35 hnu lama nupui pasal neih leh fa neih tum hi Sri Lanka leh khawvel pumah a awm ta hle a ni.
Kum 35 hnua naupai hi thil mak tak a ni em?
Ni miah lo! Dik tak chuan tunlai hmeichhiate hian tun hma zawng aiin tunlai hian naute hrisel zawk an hring mek a ni. US Centers for Disease Control and Prevention (CDC) chhinchhiah danin, kum 35-39 inkar hmeichhia zingah a vawi khatna atana nau neih zat hi kum 1970 chho aiin a let ruk velin a tam zawk a ni.
Sri Lanka-ah phei chuan hmeichhe hnathawk an pun zel avangin kum 35 hnu lama fa hmasa ber emaw, pahnihna emaw neih hi tunlai hian thil thleng fo a ni.
🚨 Damdawi lam pan vat ngai Red Flags
Kum 35 hnua nau i pai dawnin a hnuaia chhinchhiahna te hi a lo lang a nih chuan tihkhawtlai lohvin doctor emaw damdawi in emaw pan nghal tur a ni:
- Vaginal Bleeding: Hei hian nau pai emaw, naupai thla tir lamah nausen (placenta) lama harsatna a awm tihna a ni thei.
- Lu na na tak leh mit a inthlak danglam: Hengte hi naupai laiin preeclampsia natna lan chhuahna ber a ni.
- Kut, ke emaw, hmai emaw a hring nghal vek.
- Nausen chetna emaw, chetna emaw a tlahniam nasa hle.
- Pum hnuai lam natna nasa tak emaw, vagina atanga tui chhuak nghal emaw.
Kum upat ruala hriselna atana hlauhawm thei
Kum 35 hnua naupai huna nu leh naute hriselna enkawl tur chuan a hnuaia hlauhawmnate hi hriat a pawimawh hle.
1. Genetic problems neih theihna a tipung: Kan taksaa egg awm zat hi kum upat deuh deuhin a tlahniam thin. Hei hian a awmzia chu naupang chromosomal genetic problems, Down Syndrome nei te chu kum 35 a tlin hnuah a pung zauh zauh tihna a ni.
2. Naupai laia thil awm dan: Kum upat deuh deuh hian naupai laiin naupai laia zunthlum (gestational diabetes ) leh thisen sang (preeclampsia) ang chi natna vei theihna a sang chho zel a.
3. Uterine problems: Hmeichhe kum upa zawkte hian uterine conditions fibroids emaw endometriosis , naupai laiin a tibuai thei emaw, harsatna a thlen thei emaw an nei tam zawk.
4. Placental Issues: Placenta previa emaw abruption emaw ang chi risk a awm thei.
Kum 35 hnua nu nih hlawkna
A hlauhawmna bakah hian he kum lama nu nih hian hlawkna hlu tak tak a nei bawk:
- Economic leh social stability: Kum 35 an tlin meuh chuan nu leh pate chu eizawnna emaw, sumdawnna lamah emaw dinhmun nghet takah an awm tawh a, chuvangin naupang damdawi lam enkawlna leh zirna atana mamawh mamawh pe turin economic background tha tak an nei a ni.
- Rilru Puitling: Nu naupang zawkte aiin nun tawnhriat an neih tam zawk avangin he kum lama nute hian dawhtheihna leh fing zawka fa enkawl kawngah harsatna an tawk thei a ni.
- Chhungkaw ruahmanna tha: Hetiang kum a naupai tam zawk hi ruahmanna felfai tak a nih avangin nu leh pate chu naupang tan an inbuatsaih kim vek a ni.
Tih tur & Tih loh tur
| ✔️ Thil tih tur (Tih tur) . | ❌ Tih loh tur |
|---|---|
| Naupai hmain doctor-in a tih angin folic acid supplement i eitur ah dah la. | Nau neih hmaa checkup leh scan doctor-in a rawt chu skip suh. |
| Doctor thurawn angin naupangin genetic problem a neih leh neih loh hriat nan genetic screening test ti thin ang che. | Damdawi phalna la hmasa lovin meizuk, zu in, pawn lam damdawi dang ei kha bansan vek rawh. |
| Nitin ei leh in inthlau tak ei la, ei leh in tha tak tak ei la, doctor phalna la hmasain exercise light (e.g. kea kal) ti rawh. | "Tunlai hian ka upa tawh lutuk" tih ngaihtuahin a tul lovah lungngai emaw, lungkham emaw suh. |
❓ Zawhna dang i neih theih ṭhenkhat (FAQ) .
Kum 35 hnuah nau neih pangngai neih theih a ni em? ▼ tih a ni
Ni chiah e. Hmeichhia kum 35 chunglam tam zawk hi chu an pianphungah nau an pai thei a ni. Mahse, harsatna a awm chuan doctor chuan cesarean section (C-Section) tih a rel thei a ni.
Naupai lai hian genetic screening test neih a ngai em? ▼ tih a ni
Thil tih ngei ngei tur ni lo mah se, doctor-te chuan nasa takin an rawt a ni. Hei hian nu leh pate chu an fain chromosomal abnormalities (e.g. Down syndrome) a neih leh neih loh a hriat hma thei a, a tul anga inbuatsaihna a siam thei bawk.
Kum 35 hnu lama gestational diabetes chi hrang hrang awm tam ber chu eng nge ni? ▼ tih a ni
Hei hi gestational diabetes an ti a. Insulin resistance avanga taksaa hormone level a tlahniam chuan a thleng thin a, ei leh in dik leh damdawi lam thurawn nen pawh control theih a ni.
Engvangin nge naupai hmaa taksa rih zawng control a pawimawh? ▼ tih a ni
Naupai hmaa taksa rihna hrisel (BMI) vawn reng hian naupai laiin thisen sang, zunthlum leh harsatna awm thei te a ti tlem thei a ni.
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