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.
Naupai tura inbuatsaihna atana ei leh in mamawh tehkhin
| Nutrients a awm bawk | Nitin dose (planning laiin) . | A pawimawh chhan | Natural foods a awm |
|---|---|---|---|
| Folic acid hmanga siam a ni | 0.5 mg - 5 mg (damdawi lam thurawn angin) | Neural tube chhiatna awm lo turin. | Spinach, thlai hnah hring, lentils, bean te. |
| Thir | Nitin supplement emaw ei tur hrisel emaw ei tur | Naupai laiin thisen tlakchhamna (thisen tlakchhamna) ven nan. | Sa sen, peas, spinach, spinach te pawh a awm bawk. |
| Calcium a ni | 1000 mg a ni | Nu ruh leh naute ruh thanna venhim nan. | Duhthusam, yogurt, cheese, sprats te pawh a awm. |
| Omega-3 a ni | Chaw ei emaw, supplement emaw hmangin | Naute thluak leh mit membrane te lo thanglian zel tura pui turin. | Nga hriak nei sardine, mackerel, leh walnut te ang chi te. |
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 (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 (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
| ✔️ Thil tih tur (Tih tur) . | ❌ Tih loh tur |
|---|---|
| Kawppui pahnihte hian naupai hma thla 3 tal chu zuk leh hmuam an chawlhsan vek tur a ni. | Damdawi lei theih reng reng doctor-in a pek loh chuan hmang suh. |
| Nang leh i kawppui thisen chi leh Rhesus (Rh) factor (a bik takin nu chu Rh Negative a nih chuan) enfiah rawh. | Zu in leh ruihhlo dan lo (fetal malformations a thlen thei) hman loh vek tur a ni. |
| Nitin exercise nem tak tak, kea kal leh tui chawi te tih hmangin taksa rihna hrisel tak vawng reng rawh. | Ni khatah coffee no 2 aia tam in loh tur (caffeine ei tam lutuk hian nau neih a ti tlem). |
❓ Zawhna dang i neih theih ṭhenkhat (FAQ) .
Naupai venna damdawi ei khap hnuah naupai nghal theih a ni em? ▼ tih a ni
Hei hi hmeichhia tinah a inang lo. Hmeichhe thenkhat chuan pill an chawlhsan hnu thla hmasa berah nau an pai a, thenkhat erawh chuan an hormone level a normal leh tur leh an ovulate fo theih nan thla 3 atanga thla 6 vel an hmang thei thung.
Rh Rhesus Factor (Rh factor in thisena) hian naupai hi engtin nge a nghawng? ▼ tih a ni
Nu thisen hi Rh Negative (-) a ni a, a pa thisen chu Rh Positive (+) a nih chuan, nausen thisen hi Rh Positive a nih chuan nu taksain nausen laka antibody a siam thei a ni. Hei hi naupai hmasa berah chuan harsatna a ni lo va, naupai pahnihnaah erawh chuan thisen chi hriat chian a, naupai hmaa vaccine lak a pawimawh a, chu chuan naute thisen cell a tichhe thei a ni.
Engtikah nge genetic disorders i neih leh neih loh test tur? ▼ tih a ni
Chhungkaw chhungah hian Thalassemia, Haemophilia, Down syndrome ang chi genetic disorder nei chhungte hnai tak tak an awm a nih chuan, naupai hmaa genetic counseling leh genetic test neih hian naupangin chutiang natna a rochun theihna tur a hriat theih a ni.
Naupai tum hian eng chen nge damdawi lam tanpuina i zawn thuai ang? ▼ tih a ni
A tlangpuiin nupa hrisel, kum 35 hnuai lam chuan kum khat chhung kar khatah vawi 3-4 vel invenna tel lova sex an hman tawh a, nau an pai lo a nih chuan damdawi lam tanpuina an dil tur a ni. Amaherawhchu, nu kum 35 chunglam emaw, thlasik hun mumal lo emaw a neih chuan thla 6 hnuah damdawi lam tanpuina an zawng tur a ni.
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