I nausen piang lai tichhe thei thil i hre em? (Teratogens) Hemi chungchang hi han sawi ila!

Nu ni tur i nih chuan i nau piang tur himna tur i ngaihtuah nasa hle mai thei. Dik tak chuan naupai laia thil engemaw i tawn hian i naute a tichhe thei a ni. Vawiin hian chutiang thil kan sawi dawn a, chu chu medical science-ah chuan ‘teratogens’ kan ti a ni.

He teratogen hi eng nge ni?

A awlsam zawngin, teratogens hi naupai laiin i ei emaw, i tawn emaw a nih chuan i embryo emaw, nausen emaw lo piang chhuak turah pianpui natna a thlen thei a ni. Chûng zîngah chuan damdawi, chemical , natna hrik ṭhenkhat, leh thil rimchhia te pawh a tel thei a ni. Teratogens hian nau pai , nau piang hma, a nih loh leh nau thi tawh pawh a tipung thei a ni.

Engtin nge teratogen hlauhawmna chu hriat theih?

Tunah chuan teratogen-a inhriat tawnna hi eng ang taka hlauhawm nge a nih tih hi thil engemaw zatah a innghat a ni:

• Eng ang damdawi nge, eng thil nge, eng ang rulhut nge a nih pawh a pawimawh lo. Engkim hian nghawng inang a nei vek lo.
• Eng chen nge i tawn tawh? Hun rei lo te, ni, thla?
• A exposure zat (dose emaw amount emaw). Tlemte nge tam?
• Gestational age chu naute chu a taksa chhunga a awm lai kar engzat nge a nih tih a ni. Hei hi a chhan chu naute taksa peng hrang hrang lo thanglian hun a awm vang a ni.
• Hereditary factors hian naute risk a tipung thei a ni. A châng chuan genetic influence a awm thei bawk.

Chuvangin naupai chhung zawng hian heng teratogens chi hrang hrangte hi a theih ang anga inthiarfihlim a tha ber. Mahse, naute lo seilian hun engemaw chen chhunga anmahni nena inzawmna chu a hlauhawm hle thei a ni .

Nau piangsual hi teratogens avanga lo awm hi engtiang chiahin nge a awm?

Zirna hrang hrangah chuan nau piangsual zinga 4% leh 5% inkar chu teratogens nena inzawmna avanga lo awm a ni tih hmuhchhuah a ni. Tin, heng teratogens te nena inzawmna hian naupang rilru leh taksa thanlenna a nghawng tih hmuhchhuah a ni bawk . Chuvangin, hei hi thil awlsam taka ngaih tur a ni lo, a dik em?

Teratogens entirnan engte nge ni?

Teratogens hi naupai laia naute tichhe thei thil a ni. Zirna hrang hrangah chuan nau piangsualna a thlen thei a, nau pai theihna a tipung thei a, nau piang thi emaw, naupai harsatna dang a thlen thei bawk . Entirna bulpui thenkhat han thlir ila.

Zu te, cigarette te, leh intihhlimna atana ruihhlo te

Hengte hi mi tam zawkin an hriat chian em em teratogens chi hrang hrang an ni.

• Zu: Zu hian naute central nervous system a nghawng a ni . Naupai laia zu in hian Fetal Alcohol Syndrome an tih natna a tipung a ni. Hei hian naute chu a hmel lan dan danglam tak, lu leh thluak te te, taksa leh nungchang lama harsatna dang a neih tir thei a ni.

Naupai lai hian zu hi a him nia ngaih theih a awm lo.

• Cigarette: Meizial zuk hian nausen thanna a tikhawlo thei a, nausen rihna a ti hniam thei a, nau pai a ti tlem thei bawk. Meizial zuk hian naute lung tissue leh thluak sensitive tak takte a tichhe bawk.
• Ruihhlo: Naupai laia ruihhlo hman thin cocaine, methamphetamines, heroin, leh marijuana te hian nau piang rihna a tlahniam a, thinlung lam harsatna a thlen thei a, Neonatal Abstinence Syndrome an tih natna a thlen thei bawk. Ruihhlo bânsan hi nausen a hrin huna a lungawi lohna a ni. Tin, needle insem hian natna hrik a thlen thei bawk.

Damdawi chi hrang hrang

Over-the-counter leh prescription damdawi thenkhat chu teratogens anga ngaih a ni. Damdawi ei tur zawng zawng hi doctor hnenah hrilh vek a pawimawh. Over-the-counter damdawi emaw supplement emaw i lei dawnin a label chu ngun takin chhiar thin ang che. Thil pakhat himna chungchangah ngaihtuahna i neih chuan i doctor nen inbia nghal rawh. A thurawn i dawn hma loh chuan i hman tawh loh a tha ber.

Teratogenic ni thei damdawi entirnan thenkhat chu:

• Antiepileptic damdawi (AED) te hi a tha hle.
• Antimicrobial a ni
• Anticoagulants (thisen tithianghlimtu) .
• Antithyroid damdawi te
• Vitamin A (vun cream thenkhatah a awm fo) .
• Hormone damdawi ei tur a ni

Ngaihtuah teh, epilepsy i nei a, chu damdawi `(Phenytoin)` ang chi i ei a. Naute chungah nghawng tha lo a nei thei a, mahse chu damdawi chu i nun atan a pawimawh hle mai thei. Hetiang hunah hian doctor-te chuan damdawi ei thatna leh that lohna an teh a, naupai laiin risk tlem ber tur thutlukna an siam thin.

Naupai lai hian damdawi himna hi engtin nge an classified?

United States Food and Drug Administration (FDA) chuan naupai laia damdawi hman hlauhawmna chi hrang hrang thliar hrangna system an siam a. Category panga a nei a, chungte chu A, B, C, D, leh X te an ni.

Kum 2015 khan system thar Pregnancy and Lactation Labeling Rule (PLLR) tih chu hman a ni a. Hei hian a hmaa letter category te chu a paih chhuak ta a ni. PLLR system hian doctor-te chu nu naupai emaw, nau hnute pe lai emaw enkawl huna thutlukna siamna atana an mamawh relative information a pe a ni. Thil tam tak a ngaihtuah a, doctor-te tan pawh data chu context tha zawkah a rawn present a ni.

A tha ber chu i nau neih hmaa enkawltu hnenah an thiamna atanga damdawi him leh him loh tur thutlukna siam tir hi a ni.

Infection leh virus te

Infection, virus, parasites leh bacterial natna dangte hian hmeichhe naupai leh a naute piang lai tan hlauhawmna nasa tak a thlen thei a ni. Acronym `(TORCH)` hian heng hri kai thenkhatte hi classified-na atan a pui a ni:

• T – `(Toxoplasmosis)` (mihring bawlhhlawh atanga natna kai darh) .
• O – Hri kai dang – entirnan Group B Streptococcus, Listeria, Candida leh mipat hmeichhiatna hmanga kai theih natna (STI) te.
• R – `(Rubella)` (Rubella) chuan a rawn ti a.
• C – `(Cytomegalovirus – CMV)` (Cytomegalovirus) tih a ni a, a chhuahna tur hmun hi a lar hle.
• H – `(Herpes Simplex Virus)` (Herpes Simplex Virus) tih hi a awm lo.
• Hei bakah hian natna `(Syphilis)` ang chi te pawh he category-ah hian a tel ve thei bawk.

Naupai laia harsatna thlen thei emaw, naute tana harsatna thlen thei natna leh virus dangte chu:

• Chickenpox leh shingles te a awm bawk
• Hepatitis B, Hepatitis C leh hri kai hepatitis dangte
• HIV `(HIV)` tih a ni
• Natna pangana

Environment toxins, chemicals emaw, taksa lam thil dang emaw

Chemical leh toxin thenkhat hian nau piangsualna a thlen thei a ni. Heng nau piangsualte hi spina bifida, cleft palate, emaw nervous system lama harsatna te a ni thei. Heng toxin emaw chemical emaw entirnan thenkhat chu:

• Radiation (e.g., X-ray atanga) emaw chemotherapy emaw nena inzawmna
• Hot tub, sauna emaw, i taksa lumna tisang thei thil dang emaw
• Mercury (nga chi thenkhatah hmuh tur a awm) .
• Lead (in hlui zawkah paint leh pipe-ah hmuh theih a ni) .
• Hnathawhna hmun emaw thil siamna hmuna chemical tha lo emaw, heavy metal emaw

Damdawi lam natna rei tak a awm

Natna rei tak i neih ṭhenkhat chuan i naute piansualna a neih theihna a tipung thei bawk. Entirnan, zunthlum, thyroid natna, leh autoimmune natna, lupus emaw rheumatoid arthritis emaw te hi a ni. Teratogens laka invenna sang zawk hi heng natna enkawlna atana hman damdawi atanga lo chhuak a ni tlangpui a, a nih loh leh damdawi lam dinhmun control tha lo atanga lo chhuak a ni bawk.

I doctor nen hian pre-existing condition i neih tawh zawng zawng leh chutiang atana i ei tur damdawi te chu sawipui a pawimawh hle. Naupai laiin i natna khirh tak takte i enkawl dan pawh i thlak a ngai mai thei bawk.

Naupai laiin engtikah nge teratogens exposure hi a na ber?

Naupai lai hian engtik lai pawhin teratogens hi a pawi hle. Mahse, naupai kar riat hmasa berah chuan a hlauhawmna chu a sang deuh hlek a ni. Hei hi a chhan chu he hun chhung hian naute taksa peng leh system tam tak a lo thang lian a, chu chuan naute chu teratogens-in a tihchhiat danah a ti fimkhur zawk a ni. Zirna hrang hrangah chuan teratogens hian naute hi naupai atanga kar hnih hnuah a nghawng thei a, chu chu sperm hian egg a tizau thei a ni.

Entirnan, neural tube defects (NTDs) hi naupai kar nga hmain a awm thin. Neural tube hi thluak leh ruhro (spinal cord) siamna hmun a ni. NTDs hi neural tube a khar tha loh chuan a lo awm thin. Hei hian piansualna chi hrang hrang a thlen thei a ni.

Teratogens hian eng piansualna nge a thlen?

Teratogens hian piansualna tam tak a thlen tih hriat a ni. A tlangpuiin thenkhat chu:

• Thluak emaw, ruhro emaw lama harsatna, entirnan, thluak awm lohna (anencephaly) .
• Taksa emaw, pianphung emaw, e.g., ruh te emaw taksa peng awm lo emaw
• Hmuh leh hmui a inthen
• Thil hriatna lama harsatna emaw, nervous system lama harsatna (cognitive impairment) .
• Cardiovascular issues emaw thinlung natna emaw a awm thei

Naupai laiin teratogens hi engtin nge kan pumpelh theih ang?

Teratogens laka invenna tha ber chu a theih chuan ruahmanna siam hmasak hi a ni. Naupai tura ruahmanna i siam hian natna khirh tak tak i enkawl thei a, nunphung pawh i thlak thei a, chu chu meizuk bânsan ang chi hi a ni.

Mahse, hei hi a theih reng reng lo. Vawikhat naupai tawh chuan teratogens i tawn theihna tur tihtlem nan thil engemaw zat i tih theih a awm a:

• Damdawi i ei apiang chu i doctor nen sawiho rawh.
• Meizial zu te, zu in te, leh intihhlimna atana ruihhlo te chu pumpelh vek rawh.
• Doctor rawn hmasa lovin nutritional supplement emaw, over-the-counter damdawi emaw, prescription medication emaw ei suh.
• Cat litter box tihfai loh tur.
• Tub lum, sauna leh i taksa chhungril lumna tisang thei thil eng pawh pumpelh rawh.
• Mercury tamna sangha, tuna leh swordfish te ei loh tur.
• I hnathawhna hmuna chemical tha lo awmte chungchangah i supervisor emaw human resources department emaw nen inbia ang che.

Naupai lai hian i obstetrician hnenah inhawng leh rinawm taka sawi a pawimawh. Hei hian zu emaw ruihhlo emaw i hman tawh zawng zawng chungchang thudik sawina a huam a ni. Naupai him leh hrisel tak neih theihna tura pui turin an awm a ni. Damdawi emaw, supplement emaw i ei hmain i doctor zawh hlau suh. Naupai lai hian extra cautious a tha ber.

A tawp berah chuan thil hriat reng tur

Naupai laiin i naute piang lai chu teratogens laka venhimna hian nau piangsualna a veng thei a ni. A hmasa ber atan chuan thil tha lo thenkhat chu i nausen piang laiah a kal thei a, a hmasawnna a nghawng tha lo thei tih hriat hi a ni. Teratogens ei loh hian naupai hrisel tak a neih theih nan a pui thei a, i naute chu nun bul tanna tha tak a pe thei bawk.

Damdawi i ei dan te, zu i hman dan te, leh i hnathawhna hmun emaw, i chenna hmuna dinhmun te chu i doctor nen zalen takin sawipui rawh. Nau piangsualna thlen thei leh nangmah leh i naute inven dan tur chungchanga i zawhnate chu a chhang thei ang.