Tunah chuan i naupai laiin hun zalen zawk, hahdam zawk i thleng ta. Chu chu second trimester a ni . Hei hi thla thum hmasa lama lungawi lohna a reh hun lai a ni a, ei leh in tlem a tha zawk a, chak zawka i inhriat lai a ni. Hemi chhung hian i doctor chuan nang leh i pum chhunga i fa te te hriselna enfiah turin test eng emaw zat a ti ang. Heng test te hi hlau suh. Hengte hi in pahnih in hrisel theih nan tih a ni. Eng nge an nih i en ang u?
Clinic tinah test tih dan pangngaia tih thin
I period atana clinic i kal apiang deuhthaw i tih tur tlemte a awm. Heng zinga a tam zawk hi chu tunah chuan i lo thiam tawh hle mai thei.
- Urinalysis: I zun sample lak a, protein, sugar emaw, natna kai chhinchhiahna emaw te enfiah thin a ni.
- I taksa rihna leh thisen sang: I doctor chuan i taksa rihna tehna leh i thisen sang enfiahna hmangin i hriselna chungchang ngaihtuahna tha tak a nei thei ang .
Mahse heng zawng zawng aiin thil pahnih i nghahhlelh ber a awm.
1. I pum san zawng tehna: Doctor chuan tape measure hmangin i pum san zawng a teh ang. Hei hi ‘fundal height’ tehna an ti a. Hei hi i nausen pum, leh naute chu a lo thang tha em tih hriat theihna awlsam tak a ni.
2. Fetal heart tones: Kut hmanga ultrasound hmanraw te tak te hmangin i naute heartbeat (fetal heart tones) hriat theih a ni. Chu thinlung thawm tê tê tê hriata hlimna chu sawifiah theih loh a ni lo maw?
Ultrasound scan nghahhlelh tak chu
He scan hi second trimester-a tih tur pawimawh ber a ni. Naupai atanga kar 20 vel ah tih thin a ni . Mi thenkhat chuan ‘anomaly scan’ an ti bawk. Hei hi naute en mai mai a ni lo. Thu pawimawh tak tak a pe thei a ni.
He scan hian naute taksa peng lian zawng zawng, thluak, thinlung, kal leh ke leh ke te chu a lo thang tha em tih leh chhiatna a awm em tih chiang takin a enfiah a ni.
| Kar 20 chhunga scan-na atana thil pawimawh ber berte | |
|---|---|
| Naute hmasawnna | Kar bituk chhung chu naute chu a lo seilian tha tih an enfiah thin. |
| Organ awmna hmun leh hmasawnna | Thluak, thinlung, ruhro, kal, leh hmai peng (e.g., cleft palate ang chi conditions) ang chi thilte chu an enfiah thin. |
| Placenta awmna hmun | Anni hian risk condition an enfiah a, chu chu placenta previa a ni a, chutah chuan nausen chu nausen pum chhunga hniam takah a awm a ni. |
| Amniotic Fluid awm zat | Naute chhehvela tui (amniotic fluid) awm zat chu a tawk em tih enfiah. |
| Twins te an ni | Nausen pum chhungah naupang pakhat aia tam an awm leh awm loh finfiah nan hman a ni. |
A châng chuan he scan-ah hian rinhlelh awm thil hmuh a nih chuan i doctor chuan specialist hnenah test dang neih belh turin a refer thei che a ni. A chang chuan Doppler scan pawh tih theih a ni. Hei hi placenta leh naute inkarah thisen a kal tha em tih enfiah nan tih a ni.
Gestational Diabetes Screening Test neih a ni
Hei hi second trimester-a tih thin test pawimawh tak a ni bawk. Kar 24 leh 28 inkar ah tih thin a ni .
A awlsam zawngin glucose (sugar) liquid bik i in a, darkar khat hnuah i thisen sample lak a ni a, i sugar level enfiah a ni. Hei hi naupai lai chauha awm thin gestational diabetes mellitus i neih leh neih loh enfiahna atan a ni.
Hetiang dinhmun hi thunun a nih loh chuan naute chu a lian lutuk thei a, nau neih a harsa thei a, nakin lawkah nang leh naute hian hriselna lama harsatna in nei thei bawk. Chuvang chuan he test hi tih ngei ngei tur a ni. Thisen sugar level a sang tih hmuhchhuah a nih chuan test sensitive zawk (Glucose Tolerance Test)-ah refer i ni ang a, chu chu finfiah turin i ni ang. Ngaihtuah buai suh, i doctor in a tul angin thurawn a pe ang che.
Naute genetic conditions enfiahna atana special test neih thin
Heng test te hi hmeichhe naupai zawng zawng tan chuan tih ngei ngei tur a ni lo . Risk factor engemaw zat nei tan chuan an rawt tlangpui. Entir nan:
- Nu chu kum 35 aia upa a nih chuan.
- Chhungkaw zinga mi pakhatin Down syndrome ang chi genetic disease a neih chuan .
- First trimester-a test tihnaah risk a awm tih hmuhchhuah a nih chuan.
Heng test te hi i tih hmain i doctor nen a thatna leh that lohna te sawiho a, thutlukna siam hmasak a pawimawh.
| Test neihna tur hming | Hrilhfiahna |
|---|---|
| Multiple Marker Screening (Triple/Quad Test) hmanga tih a ni. | Hei hi i thisen test a ni. Naute hian protein (MSAFP) leh hormone thenkhat a siam chhuah level a en a, naute hian Down syndrome emaw neural tube defect emaw a neih theihna tur risk a chhut bawk. Hei hian risk a awm tih a tilang a, mahse 100% guarantee a ni lo. |
| Amniocentesis tih a ni | Hei hi a chunga test hian risk a lantir em tih finfiah nan tih a ni. Scan an ti a, a pum chhungah needle te tak te tak tak an pass a, naute chhehvel amniotic fluid tlemte chu test turin an la a ni. Hei hian 99% aia tam dik takin genetic condition a hriat theih a ni. Mahse, nau pai theihna a tlem hle (0.2% - 0.5% vel). |
| Nau neih hmaa Non-Invasive Testing (NIPT) tih a ni. | Hei pawh hi nu thisen hmanga test thar, dik tak a ni bawk. Nu thisena naute DNA (cell-free fetal DNA) enfiahin Down syndrome ang chi dinhmun chu 99% dik takin a hmu thei a ni. |
A pawimawh ber chu hetiang ang genetic test result chungchangah hian rinhlelhna, hlauhna emaw zawhna emaw i neih chuan i doctor nen sawiho hreh suh. Engkim a hrilhfiah ang che a, i mamawh psychological support a pe ang che.
Take-Home Thuchah a ni
- Naupai thla thum hnihna hi nang leh i naute hriselna uluk taka enfiah hun pawimawh tak a ni.
- Clinic tina test pangngai, taksa rihna, thisen sang, leh zun test te hi in pahnih himna tur a ni.
- Kar 20 chhung awh anomaly scan hi naute thanlen dan leh taksa peng hriselna enfiah nan test pawimawh tak a ni.
- Gestational diabetes test neih hi skip suh. Nakin lawka harsatna tam tak a veng thei a ni.
- Genetic diseases (Amniocentesis, NIPT) test bik hi mi zawng zawng tan tih ngei ngei tur a ni lo. Risk a awm chuan tih a ni a, damdawi lam thurawn angin an ti bawk.
- Test eng pawh chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inhawng takin sawi rawh.
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