Naupai thla thum hmasa ber hnuah tunah chuan second trimester i lut ta a, mi tam tak tan chuan hun hahdam leh mawi tak a ni. Zing lama i rilru hahna leh hahna i neih thin kha tunlai hian nasa takin a tlahniam tawh a ni. I naute rit lutuk avang hian i pum pawh a che deuh tan tawh bawk. Tin, he hun chhung hian i naute chu a che tih i hre hmasa mai thei bawk. Hriatthiamna mak tak a ni tak zet a ni.
Naupai thla thum hnihna hi kar 13 atanga kar 28 thleng a ni a, chu chu thla 4, 5, leh 6 a ni a, hei hi naute lo thlen hun tur ruahmanna siamna hun tha ber a ni a, he hun chhung hian i rilru a hah lo ang a, chakna i nei tam zawk ang.
Second trimester-a i taksaa inthlak danglamna
Tunah hian ropui takin i inhria mai thei a, mahse i taksa chhungah hian inthlak danglamna lian tak tak a thleng nasa hle. Hemi hun chhung hian eng nge i tawn dawn tih hi han thlir ila. He thu hi hriatthiam awlsam zawk nan hetiang table-ah hian han en ila.
| Hrisel lohna/Taksa inthlak danglamna | Hei hi eng nge a chhan? | Thil i tih theihte |
|---|---|---|
| Pum hnuai lam na/cramping | Nausen pum a lo lian chhoh zel chuan a chhehvela ruh leh ruh (ligament) te chu a inzawm khawm thin. A bik takin ‘round ligament’ stretching hian dull ache emaw, rang taka stabbing pain emaw a thlen thei a, chu chu a pum hnuai lam a ni. | Lukewarm inbual la. Relaxing posture hmang rawh. I taksa dinhmun thlak danglam tum ang che. Tui lum bottle chu towel-ah khuh la. |
| Hnung lam natna | I rihna sang hian i hnungzang a ti pressure nasa zawk. | Chair-a i thut hian i hnungzang chu dinglam hawiin dah la. Mut laiin i sir lamah hawi la, i ke inkar ah pillow dah rawh. Thil rit phurh loh tur. Kekawr hak nuam tak, kekawr hak hniam tak ha rawh. |
| Gums thisen chhuak | Hormone inthlak danglamna hian hmuiah thisen a tipung a, chu chuan a hring a, a sensitive hle. | Ha hring hring (soft-bristled toothbrush) hmang rawh. I ha chu brush leh floss fo thin ang che. I ha hriselna hi uluk takin enkawl rawh. |
| Braxton-Hicks te chu an inzawm khawm a | Hengte hi nau neihna dik tak a ni lo. Anni hi thil pangngai tak an ni a, minute khat emaw minute hnih emaw chhung chu uterine muscle te a tikhauh ang maiin a lang. | Hengte hi nau neihna atana thawk lakna exercise neihna hun tha tak a ni. Lukewarm inbual la, tui tlem in tam la, position thlak rawh. |
| Hnute tihzauh | Trimester hmasa ber atanga natna chu reh tawh mahse, i hnute chu i naute chaw pek tura a inbuatsaih rualin a thang zel ang. | Bra lian deuh leh support tha tak nei ha la. |
| Hnar thisen chhuak leh thisen chhuak | Hormone hian hnar chhunga mucous membrane te chu a ti hring a, chu chuan hnar a tikhawlo thei a, a bengchheng thei bawk. | Hnar khar a nih chuan damdawi i ei hmain doctor zawt hmasa phawt ang che. Saline drop ang chi thil te pawh i hmang thei bawk. |
| Vaginal atanga chhuak | Vaginal discharge (leukorrhea) milky, thin a awm hi thil pangngai a ni. | A awlsam zawk nan panty liner hmang rawh. Mahse tampon hmang suh. Discharge chu rimchhia, green/yellow, thisen chhuak a nih chuan doctor hnenah hrilh rawh. |
| Luak chhuak thei | Nausen pum a lo thang chhoh zel chuan thisen kalna kawngte pressure, thisen sugar level hniam leh hormone inthlak danglamna te hian luak chhuak thei a ni. | Hmun khatah rei tak ding suh. Khum atanga tho emaw, chair atanga tho emaw chuan zawi zawiin tho rawh. Tui tam tak in thin ang che. I rilru a hah emaw, i luak chhuak emaw a nih chuan doctor hnenah hrilh rawh. |
| Vun a inthlak danglam thin | Hormone hian vun chu "glowing" a siam thei. Tin, melanin a pun avangin hmaiah hian brown spot ("mask of pregnancy") leh pum lai takah line dum (linea nigra) a lo lang thei bawk. Pum a lo lian zel chuan vun chu a inzawm khawm a, red-purple line (stretch marks) a siam thin. | Heng zawng zawng hi i naute i neih hnuah a bo vek ang. Pawn lama i chhuah dawnin SPF 30 aia sang sunscreen hmang thin ang che. Vun natna tihziaawmna turin moisturizer hnawih thin ang che. |
| Hemorrhoid leh varicose veins te a awm bawk | Kan taksa chhunga thisen kal tam leh nausen pum atanga pressure a san avangin hnute vel a thisen kalna (hemorrhoids) leh ke ruh (varicose veins) te a hring (swelling) a awm thin. | Tui lum basin-ah rei vak lo awm rawh. Hun rei tak i thut laiin i ke chu chair-ah dah la. Support hose bun tur a ni. |
Nausen pum chhunga a lo thanlen dan mak tak mai
Second trimester hi i naute a lo thang chak em em lai a ni.
Ngaihtuah teh, he hun tawp lamah hian naute chu kilogram 1.4 velin a rih tawh ang a, centimetre 40 vel a sei tawh ang. Thinlung te tak te hian ni khatah thisen pint 100 vel a pump ang.
Kar 18 leh 22 inkarah chuan i doctor chuan ultrasound scan turin a ti ang che. Hei hian i naute a lo thanlen dan leh engkim a kal tha em tih a enfiah ang. I duh chuan he scan hian i naute chu hmeichhia nge mipa a nih tih pawh a hriat theih bawk.
Naute taksa chungchanga thil mak dang:
- Mit leh beng: Lu chungah an awmna tur dik takah an insawn chho mek a ni. Mit pawh a rawn inher tan ta .
- Kut zungtang: Kut zungtang leh ke ruh te chu a inthen a, nail te a lo thang lian a, kut zungtang te tak te tips ah hian fingerprint danglam tak tak a lo awm bawk.
- Ngaithlatute:Tunah chuan i naute chuan i aw a hre thei tawh a, chuvangin i naute nena inbiakna leh hla sak hi a pawimawh hle.
- Movement: Naute chu a pum chhungah a inher a, a kick a, a suck bawk. Heng movement te hi "baby moving" tia i hriat thin kha a ni. Hei hi damdawi lam tawng chuan " quickening " an ti a.
- Vun: Naute lu-ah sam a lo sei a. Taksa pumpui chu lanugo tih hming pu down tha takah a khuh vek a ni. Chu bâkah, naute vun chu vernix caseosa tia koh, a dum, creamy coating hmangin a vênghim bawk.
- Placenta: Naute tana oxygen leh nutrition pe tu placenta hi he hun lai hian a lo thanglian kim tawh a ni.
Emergency-a fimkhur tur symptoms
Naupai lai hian harsatna engemaw zat tawk hi thil pangngai ni mah se, a bik taka kan hriat tur chhinchhiahna thenkhat a awm. Chungte chu dinhmun hlauhawm tak chhinchhiahna a ni thei. A hnuaia symptoms te hi i neih chuan i doctor ko nghal emaw, i clinic appointment lo awm tur nghah ngai lovin i hnai ber hospital emergency room (ETU)-ah kal rawh.
- Pum natna nasa tak emaw, rilru na tak emaw
- Vaginal atanga thisen chhuak
- Luak chhuak nasa tak emaw, muhil emaw
- A taksa rihna a pung nghal (e.g., thla khatah kg 3 aia tam) emaw, a rihna hniam (e.g., kar 20-ah kg 4.5 aia tlem) emaw
- Vun leh mit sen (Jaundice) .
- Luak chhuak chhunzawm zel
Twins i neih chuan...
Hei hi nu nau piang tur tan chuan hun bik a ni. Tin, tlem tal i fimkhur a ngai bawk. I tana thil pawimawh thenkhat chu hetiang hi a ni.
- Specialist hmu rawh: I doctor nen nu nausen damdawi (MFM) specialist, naupai hlauhawmna lama specialist doctor hmuh chungchang sawipui rawh.
- Chawlh tam rawh: I chau tih i hriat chuan mut hahdam hreh suh. I chawlh lai pawhin nu pakhat aiin 10% zetin chakna i hmang tam zawk.
- Omega-3 hmu rawh: Salmon, herring, leh sardines ang chi sangha atang hian Omega-3 i hmu thei. Hemi chungchang hi i doctor nen sawiho rawh.
- Vitamin chungchangah fimkhur rawh: Vitamin i ei hian naupang pahnih tan i mamawh ei tur a pe em tih doctor zawt rawh.
- Thil zawng zawng pahnih pahnih in lei suh: Naute pahnih hian infiamna emaw, rocking chair emaw inang an mamawh lo mai thei. A tir lamah pawh crib khatah an pahnih hian i dah thei bawk.
- I ei leh in chungchangah fimkhur rawh: Ni khatah calorie 500 vel extra i mamawh a ni.
- Exercise chungchang zawt rawh: Kar 20-24 hnuah i doctor hnenah eng exercise nge i tana tha tur tih leh eng exercise nge i tih tawh loh tur tih zawt la.
Take-Home Thuchah a ni
- Naupai thla thum hnihna hi nu tam tak tan chuan hun hahdam leh hlim tak a ni. He hun hi hmang tangkai rawh.
- I taksaa inthlak danglamna awmte chu fimkhur rawh. Harsatna pangngai leh ngaihven vat ngai symptoms inthlauhna hrethiam rawh.
- He hun hi i naute lo thanglian dan mak tak takte zir nan hmang la, a biak theih nan leh music ngaihthlak nan hmang rawh.
- Thil ngaihtuah leh rinhlelhna i neih chuan i doctor hnenah chu chu sawipui hlau ngai suh.
- I ei leh in, exercise leh chawlh hahdamna te uluk takin enkawl rawh. Nu hrisel chuan naute hrisel tak a thlen thin.
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