Preconception Care: Naute hrisel 🤰👶 nei turin inbuatsaih rawh

Kavya (kum 28), bank officer kum khat zet nupui nei tawh chu nikum Inrinni khan a pasal nen ka clinic-ah an rawn kal a.

"Dr. Priya, nakkumah nau neih kan tum a ni. Thla hmasa khan birth control pill ka ei tawh lo. Naupai hmaa kan taksa inbuatsaih dan tur te, eng test nge tih tur te, eng vitamin nge ei tur tih te ka hre ta a ni," tiin Kavya chuan a inbuatsaihna chungchang a zawt a.

Hlim takin ka lo hmuak a, heti hian ka hrilhfiah a: "Kavya, naupai hmaa hetiang damdawi lam thurawn dawng tura i lo kal hi a lawmawm tak zet a ni. Damdawi lam hawi chuan hei hi Preconception Care / Prepregnancy Planning an ti a. Hmeichhe thenkhat chuan naupai venna damdawi i chawlhsan hnuah a pangngaia ovulate leh turin thla 3 atanga thla 6 vel an hmang thei bawk. Tin, thla khat tal chu nitin folic acid tablet i ei tan tur a ni." getting pregnant. Hei hian naute thluak leh ruhro (e.g. spina bifida)-a neural tube defects na tak (NTDs) a veng thei a ni .

🚨 Damdawi lam pan vat ngai Red Flags

Naupai tum lai emaw, naupai tirh lamah emaw a hnuaia symptoms te hi i neih chuan obstetrician leh gynecologist i pan nghal tur a ni:

• I period a tlai lai hian i pum hnuai lam sir khatah natna nasa tak i nei thei a, vaginal bleeding i nei thei bawk (hei hi ectopic pregnancy, uterus pawn lama naupai chhinchhiahna a ni thei).
• Naupai kar hmasa berah hian blister emaw, ruh natna emaw, khawsik sang tak nei (rubella emaw, virus infection na tak dang emaw chhinchhiahna a ni thei).
• Nau pai vawi 3 emaw a aia tam emaw a zawna nau pai tawhna history nei.
• Natna rei tak, thunun theih loh, zunthlum, epilepsy, thinlung natna, emaw kal natna emaw nei chungin naupai tum.

Naupai hmaa ei leh in tur pawimawh tak tak ruahmanna

Nausen hrisel tak a lo thanglian theih nan nu taksa ei leh in (nutritional level) chu a tha ber tur a ni:

• Folic Acid hman dan: Nausen hmasa lama zunthlum, epilepsy, emaw, thluak lam harsatna nei tawh nu te pawhin naupai hma thla khat atanga nitin 5mg tablets ei tur a ni a, hei hi doctor thurawn angin a ni. Nu pangngai dangte chuan naupai hma kar 4 atanga nitin 0.5mg (or 400mcg) an ei tur a ni a, naupai kar 12 hmasa ber thlengin an ei chhunzawm tur a ni.
• Omega-3 Fatty Acids: Kar khatah vawi hnih tal sangha ei la, he hriak hrisel tak hi i hmu ang a, hei hi i naute thluak leh mit thanna atana pawimawh tak a ni.
• Iodine awm zat: 1.1.Iodized salt ei fo la, i naute thluak thanlenna leh thyroid hnathawhna atan iodine hi a pawimawh hle.
• Vitamin D leh Calcium: I naute ruh thanna atana a mamawh vitamin D i hmuh theih nan nitin ni chhuahna hmun (moderate sun exposure) la.

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Naupai tura inbuatsaihna atana ei leh in mamawh tehkhin

Infection na tak tak leh vaccine pek

Naupai hmaa vaccine lak tur a ni a, chu chu naupai laiin nausen a kai chuan nausen tan thihna thlen thei natna engemaw zat laka invenna atan:

1. Rubella / German Measles): Naupai laiin rubella i vei a nih chuan i naute chu mitdel, bengchheng, thinlung lam harsatna neia piang theihna chance 30-50% a awm. Naupai hmain rubella vaccine i la tur a ni a, vaccine i lak atanga thla 3 thleng naupai chu tihkhawtlai tur a ni.
2. Chickenpox / Varicella): Naupai hmaa he natna laka i him loh chuan vaccine lak ngei ngei tur a ni.
3. Listeria leh Toxoplasmosis laka invenna:

• Sa hmin loh, sangha raw, unpasteurized milk, leh sa paste ei loh tur.
• Nu naupai leh naupai tumte chuan in lama ui bawlhhlawh tihfai loh tur a ni (Toxoplasmosis hlauhawmna).
• Ei hmain thlai leh thlai chi hrang hrang uluk takin silfai la, silfai hmasa phawt ang che.

Tih tur & Tih loh tur

Scientific lam atanga lak chhuah (References) .

• 📚 Naupai tur ruahmanna siam - NHS
• 📚 Naupai hmaa enkawlna: Nausen piang thar leh nau piangsual laka invenna atana ruahmanna siam - PMC