Tunlai hian mi tam tak chu an zirna leh hnathawhna lamah an buai em em a, chuvang chuan nupui pasal neih leh fate chu tlemin an ngaihtuah tlai deuh thin. Kum 40 hnaih tawh mi i ni thei bawk a, kum 40 hnua nu nih beisei mi i ni mai thei bawk a, "Hetiang kum hian naute neih theih a ni em?", "Risk a awm em?", "Eng nge ka tih ang?", etc. I rilruah zawhna tam tak i nei ngei ang. Lungngai suh, engkim hi chiang tak leh awlsam takin sawi ila.
Kum 40 bawr vela naupai tih awmzia tak chu eng nge ni?
Damdawi lamah chuan kum 35 hnua naupai hi "advanced maternal age" an ti a. Mahse chu chuan naute hrisel i nei thei lo tihna erawh a ni lo. Dik tak chuan kum 1990 chho atang khan khawvel pumah hmeichhia kum 40-44 inkar nau piang zat hi a pung chho zel a ni.
Mahse a tak tak pawh hi kan hriatthiam a ngai a ni. Ngaihtuah teh, hmeichhe hrisel kum 20 leh 30 inkar pali zinga pakhat (25%) chuan thla tin thlasik hun pangngaiah naupai theihna chance an nei a. Mahse kum 40 an tlin chuan chu chance chu sawm zinga pakhat chauh (10%) ah a tlahniam ta a ni. Chu chu a harsa deuh tihna a ni a, mahse thil theih loh a ni lo .
Chutiang bawkin nau pai theihna pawh kum upat deuh deuhin a pung deuh deuh bawk. Hmeichhiain kum 40 a tlin chuan nau a pai a nih chuan nau pai theihna chance hi 40% vel a ni. Mahse kum 20 hnuai lam tan chuan he risk hi 15% aia tlem a ni. Heng statistics te hian hlauthawng suh. Hengte hi hlauhna atan ni lovin awareness atan a ni.
Engvangin nge kum upat deuh deuh hian nau neih theihna a tlahniam?
Hei hi chhan lian tak tak engemaw zat a awm. Eng nge an nih i en ang u.
1. Egg quantity leh quality tlahniam
A awlsam zawngin, i tar chhoh zel chuan i egg pawh a upa tawh bawk. Hmeichhe naupang a lo pian hian he khawvelah hian rulhut maktaduai khat vel kengin a lo kal ang tih han ngaihtuah teh, chu chu a dam chhung zawnga a mamawh zat tur a ni. A puitlin meuh chuan chu chu mi 300,000 vêlah a tlahniam ta a ni. Kum 37 an tlin meuh chuan 25,000 vel chauh an la awm. Egg siam chhuah tlem chuan naupai theihna a tlahniam tihna a ni.
Chu mai ni lovin, egg hlui la awmte pawhin chromosome pangngai lo an nei tam zawk. Hei hi naupai kum upa zawkah nau pai theihna leh naute tana harsatna thenkhat a pun chhan ber a ni.
2. Hriselna lama harsatna dang
Kum 25 leh 40 inkar ah hian hmeichhe thenkhat chuan endometriosis leh uterine fibroids ang chi natna an nei thei a, hei hian nau pai theihna a tibuai thei bawk.
3. Kawppui sperm dinhmun
Hei hi sawiho ni lo mah se, kawppui kum hi a pawimawh hle. Mipa an upa chhoh zel chuan an sperm tlan chakna leh a pianzia hi eng emaw chen a danglam thei a ni. Amaherawhchu, he inthlak danglamna hi hmeichhe artui ang hian a thleng thuai lo. Hetiang dinhmun hi kum 60 an tlin hnuah a langsar tlangpui.
Kum 40 hnua naupai hian eng hlauhawmna nge a neih?
Awareness hi invenna tha ber a ni. Chuvangin he hun chhunga hriselna atana hlauhawm lo awm thei te hi i hrechiang ang u. Hei hian hengte hi mi zawng zawngah a thleng dawn tihna a ni lo va, mahse a hlauhawmna chu a sang hle.
| Risk/Complication awm thei | A awlsam zawngin sawifiah a ni |
|---|---|
| Preeclampsia a awm thin | Naupai laiin thisen sang a sang nghal a, chhungril taksa peng hrang hrang a chhiat theihna chhinchhiahna a lang. Hei hi nu leh naute tan pawh a hlauhawm thei hle. |
| Naupai laia zunthlum vei | Naupai lai chauha awm zunthlum natna. Hei hian thisen sugar level a tisang a ni. |
| Placenta Previa tih hi a ni | Placenta hian nausen pum (cervix) hawnna chu a then emaw, a pum emaw a khuh vek a ni. Hei hian naupai leh nau neih laiin thisen a chhuah nasa lutuk thei a ni. |
| Cesarean section (C-Section) hmanga tihdam theih a ni. | Kum 40 an tlin hnua nu naupai te chu nau neih pangngai aiin cesarean section an tih tam zawk. |
| Naupang tana hlauhawm thei tur | Nausen pian tirh atanga rit sang (macrosomia) leh chromosomal abnormalities Down Syndrome ang chi te neih theihna hi kum upat dan azirin a sang chho zel a ni. (Entirnan, kum 20-a naute 1,480 zinga pakhat a\angin kum 40-ah naute 85 zinga pakhatah a pung a ni.) |
Mahse, a thatna tel lo a ni lo!
Engkim thim lam chauh en hi a tha lo. Nu nih tlai hian thatna a nei bawk.
- Career leh sum leh pai lama dinhmun nghet: Hetiang kum hian i hnathawhnaah i nghet a, sum leh pai lamah pawh i chak hle a rinawm. Chuvangin naupang tan hun leh sum ruahman turin dinhmun tha takah i ding a ni.
- Rilru puitling: Kum upat deuh deuh hian nun tawn hriat i neihte avang hian naupang mawhphurhna chelh turin rilru lamah i inpeih tawh zawk mai thei.
- Zirna lama hlawhtlinna tha zawk: Zirna thenkhatah chuan nu nau nei tawhte fate chuan a hnua zirna lama hlawhtlinna sang zawk an nei thei tih hmuhchhuah a ni.
Chuti a nih chuan engtin nge he zinkawng atan hian i inbuatsaih?
Kum 40 hnua fa neih i ngaihtuah a nih chuan ruahmanna siam lawk a pawimawh hle.
I tih hmasak ber leh pawimawh ber chu , fa neih chungchang pawh i ngaihtuah hmain, i chhungkaw doctor hmu a, sawipui hmasak phawt hi a ni. I hriselna a enfiah thei a, a tul angin thurawn a pe thei che a ni.
Chu bâkah, hengte hi hre reng ang che:
1. Nunphung hrisel: Zu, cigarette leh ruihhlo dang hman hi bansan vek rawh. Ei leh in inthlau tak ei rawh.
2. Nau neih hmaa Vitamins: Doctor thurawn angin `(Folic Acid)` awmna vitamin ei tan la. Chûngte chuan naute nervous system-a harsatna ṭhenkhat a veng thei a ni.
3. Damdawi lam thurawn zawng rawh: I taksa rihna, ei leh in leh hriselna lama harsatna dang eng pawh i doctor nen zalen takin sawipui rawh.
4. Tunlai hmanraw hman dan fimkhur rawh: Naupai pianphung anga naupai harsa i tih chuan i doctor chuan tunlai enkawl dan tur a rawn rawt thei ang.
- In Vitro Fertilization (IVF): "In vitro fertilization" tia hriat bawk a ni a, hei hi laboratory-ah egg leh sperm te fertilized a, embryo chu uterus-a dah a ni.
- Oocyte Cryopreservation: Hei hi egg freeze a ni. I naupan laiin i egg te chu i la chhuak thei a, freezer-ah i dah thei a, a hnuah a tul hunah IVF atan i hmang thei bawk.
Heng hmanrua te hi i doctor nen sawiho la, hriatthiamna tha zawk nei rawh.
Take-Home Thuchah a ni
- Kum 40 hnu lama nu nih hi tunlai hian a awm fo tawh. Thil theih loh a ni lo, mahse kum naupang zawk aiin a harsa deuh thei.
- Nau pai theihna leh naute leh nu tana hriselna atana hlauhawmna chu kum upat deuhin a pung deuh deuh a ni. Hei hi hriat chian a pawimawh a, hlauthawng tur a ni lo.
- I tih tur pawimawh ber chu fa neih i ngaihtuah hmain doctor pan a, pre-conception counseling lak hmasak hi a ni.
- Nunphung hrisel zawm a, doctor-in thurawn a pekte zawm a pawimawh hle.
- Natural taka nau pai harsa i tih chuan tunlai damdawi hman dan, IVF ang chi te chu i doctor nen sawiho rawh.
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