Mi pakhatin twins a nei tih i hre tawh ngei ang. Chu chu thu lawmawm tak a ni. Mahse, triplets chungchang kan hriat hian mak kan ti deuh a ni lawm ni? Hei hi a tlem deuh nachungin thil theih loh a ni lo. Chuti a nih chuan, nau pathum nei tur nu chuan he naupai chhung hian engtin nge a awm ang? A bik taka fimkhur tur thil thenkhat chu engte nge ni? Heng zawng zawng hi vawiinah hian awlsam takin sawi ila.
Dik tak chuan engtin nge triplets hi i conceive?
Hei hi a thlen theih dan kawng hrang hrang a awm. A awlsam zawngin hetiang hi a ni.
- Thiltih dan 1: Nu ovary atang hian egg pathum chu a rualin an chhuak a, egg pathumte chu sperm hran hmangin an fertilize vek a ni.
- Thiltih dan 2: Egg pakhat leh sperm pakhat inzawmkhawm atanga siam zygote hi embryo pathum ah then a ni.
- Thiltih dan 3: Egg pahnih chu a hranin fertilized an ni a, pakhat chu embryo pahnih-ah a inthen leh a (pakhat chu a awm mai mai a, a dang pahnih chu a inang vek tawh).
Heng hmanrua te hian naupangte hmel, an mizia leh an inang em tih te a hril a ni.
Triplet chi hrang hrangte chu engte nge ni?
A chunga kan sawi tawh ang khan nausen pian dan a zirin chi thum lian tak a awm a. Hei hi i hriatthiam chuan thil tam tak a chiang ang.
| Triplet te an ni | Hrilhfiahna awlsam tak |
|---|---|
| Unaupa pathumte | Hengte hi naupang artui hran 3 leh sperm hran 3 hmanga fertilized an ni. Ni khata unau piang ang mai a ni. Chuvangin an hmel a inang thei a , a inang lo thei bawk . Mipa pahnih leh hmeichhia pakhat emaw, hmeichhia pathum emaw, eng pawh ni se. |
| Triplet inang lo tak tak | Heta thil thleng chu fertilized egg pakhat chu embryo inang pathum ah a inthen a ni. Hei hi thil thleng tlem tak a ni . Heng naupangte hian DNA inang an neih avangin an hmel a inang hle.Tin, an pathum hian mipa leh hmeichhia (hmeichhia emaw mipa emaw) an ni vek bawk. |
| Mixed Triplets a ni | Hei hi rulhut pahnih a insiam a, embryo pakhat chu pahnih a inthen leh a ni. Chumi awmzia chu fa pahnih chu piang inang an ni tihna a ni a, pakhat chu unaupa a ni tihna a ni . |
Placenta insem dan pawh a pawimawh hle!
Naute hian nausen pum chhunga an awm chhunga placenta leh gestational sac an insem dan pawh a pawimawh hle. Doctor ten hei hi a bik takin an ngaihven hle.
- Trichorionic: Naute pathumte hian placenta leh gestational sac hrang hrang an nei vek a. Hei hi dinhmun him ber a ni .
- Dichorionic: Nausen pahnih hian placenta pakhat an hmang a, pathumna hian placenta hran a nei thung.
- Monochorionic: Naute pathumte hian placenta inang an nei vek a. This is a slightly risky situation , nutrient insem chungchangah harsatna a awm thei avangin.
Tute nge triplet nei tam zawk?
Hei hi tu chungah pawh thleng thei mahse, thil engemaw tak chuan he probability hi a ti sang deuh thei a ni.
- Kum 35 chunglam: Kum upat ruala hormone hnathawh a inthlak danglam avangin vawi khatah egg pakhat aia tam chhuah theihna chance a sang hle.
- Chhungkaw chanchin: I chhungkuaah (a bik takin i nu lam atanga) fapa mal emaw, fapa pathum emaw i neih tawh chuan tlem chuan i nei tam zawk mai thei.
- Fertility treatment: Naupai enkawlna thenkhat, in vitro fertilization (IVF) te hian naupai tam tak a thlen thei a, chu chu embryo pakhat aia tam chu a rualin nausen pum chhungah transfer emaw, ovary tihchak emaw hmangin a ni.
Engtin nge triplet i nei tih i hriat theih ang?
Hemi chungchang hi naupai kar tir lama a lan chhuah dan thenkhat atang hian tlem tal i hmu thei ang. Mahse hei hi chiang taka hriat tur chuan doctor pan a ngai a ni.
A lan chhuah dan chu hmeichhe naupai pangngai aiin hnute natna nasa zawk, taksa rihna sang rang , leh zing natna nasa tak te a ni thei.
Doctor hmu tura i kal hian ani pawhin hemi chungchangah hian rinhlelhna engemaw zat a nei thei bawk.
- I thisenah naupai hormone ``HCG - human chorionic gonadotropin'' a tam hle.
- Naute thin (liver) atanga lo chhuak protein pakhat ``alpha-fetoprotein'' tih level a sang.
- Enfiah laiin thinlung na vawi khat aia tam hriat.
Mahse, heng zawng zawng hi ultrasound scan hmangin chiang takin a nemnghet a ni . Scan atang hian chiang takin naupang pathum an awm tih a lang.
Naupai pathum naupaiah hian nau neih hmaa enkawlna hi a danglam em?
Ni e, a danglam ngei ang. Triplets naupai hi ‘high-risk’ naupai a ni . Hei hian naupai pangngai aiin harsatna a thlen theihna a sang zawk tihna a ni. Chuvangin i doctor chuan nang leh naute chu uluk takin a lo enkawl ang che . Chuvangin clinic-ah hian a tlangpui aia tam i kal a ngai mai thei.
Clinic ni turte chu hetiang hian ruahman a ni tlangpui:
- First trimester (kar 12 thleng): Kar hnih atanga kar thum danah.
- Second trimester (kar 13 atanga 26): Kar hnih danah.
- Third trimester (kar 27 atanga nau neih thleng): Kar tin.
Nu leh naute tan eng hlauhawmna nge awm?
Hetiang naupai hlauhawm takah hian nu leh naute tan pawh harsatna engemaw zat a awm thei. Hengte hi hlauhthawn a ngai lo va, mahse fimkhur a pawimawh hle . Eng thil pawh i inpeih theih nan.
| Tute nge risk hian a nghawng? | Harsatna awm thei te |
|---|---|
| Nu naupai tan chuan |
|
| Nausen pum chhunga awmte tan |
A pawimawh ber chu i doctor hian heng zawng zawng hi a check reng a ni. Chuvangin hlauthawng lo tur leh a thupek zawm dik a pawimawh.
Engtin nge nau neih hi a lo awm?
Nau pathum piang tur hian cesarean section (C-section) neih a tha fo thin. Hei hi chhan hrang hrang a awm a.
- Naupangte dinhmun (entir nan, ke hrual emaw, ke hnuai emawa lu hnuai lama mu emaw).
- Nau neih laiin emergency lo awm thei chu medical team tan awlsam zawka hmalak.
- Nu leh naupang pathumte himna tur ngaihtuah.
Tin, naupai pathum (trilet pregnancy) hi naupai pangngai angin kar 40 chhung zawng a daih thei lo bawk.
- Singleton naupai hi kar 37-40 inkar a ni tlangpui.
- Mahse triplet pregnancy hi kar 32-35 inkar a ni tlangpui .
Chumi awmzia chu naute hi a hun hmaa piang an tam zawk tihna a ni. Chuvangin, naute chu an pian hnuah Neonatal Intensive Care Unit (NICU)-ah hun engemaw chen an awm a ngai mai thei . Hei hi an taksa a chak lehzual hmaa damdawi lam enkawlna bik pekna tur a ni.
Take-Home Thuchah a ni
- Triplets naupai hi thil danglam tak leh hlauhawmna sang tak a nih avangin damdawi lam thurawn zawm hi number one a ni .
- Nu naupai pangngai aiin medical check-up leh clinic-ah i kal tam a ngai dawn a ni. Hei hi nangmah leh i fate himna tur a ni.
- Ei leh in inthlau tak ei a pawimawh a, doctor-in vitamin (a bik takin iron leh folic acid) a pek te ei hi a pawimawh hle.
- Harsatna awmte chu hre reng la, a tul lovah hlau suh. I medical team te chu an enkawl vek turin an inpeih reng a ni.
- Nau neih hi cesarean section hmangin leh nau neih hun tur hmain a thleng thei tih hre reng la, chuvangin rilru lamah inbuatsaih rawh.
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