Nu i nih dawn tih thuthang nena lo awm hlimna chu sawi fiah theih loh a ni. Mahse, a ruala hlauhna leh hriat duhna ang chi rilru put hmang tam tak neih hi thil pangngai a ni. A bik takin i doctor i pan a, test list chungchang an hrilh che chuan, "He test hi ka tih a ngai a, chu test chu ka tih a ngai," tiin i ngaihtuah mai thei, "Nu, heng zawng zawng hi eng nge ni?" Heng test te hi hlauh tur a awm tak tak lo. He thuziak ah hian i naupai chhung zawnga heng test te hi nangmah leh i pum chhunga naupang te hriselna enfiah nan an tih thin te hi kan sawi dawn a ni.
Engvangin nge heng fiahnate hi a pawimawh em em?
Heng test te hi nang leh i naute tan kawngpuiah ‘signpost’ angin ngaihtuah rawh. Heng fiahnate hian inrintawkna min pe a, engkim a kal tha tih rilru thlamuanna min pe bawk. Vawi tam tak chu, heng test result hi engkim ruahmanna angin a kal tih thu lawmawm a ni .
Tin, heng test te hian nuin a neih theih tur, iron tlakchhamna emaw, naupai laia zunthlum emaw te chu a hmain a hriat theih nan a pui thei bawk. Chumi hnuah chuan natna khirh tak a lo awm hmain enkawl leh tihdam theih a ni.
Mahse, test thenkhat chu genetic problems hriat theihna tura tih thin a awm a, chungte chu `Down syndrome`, `Cystic Fibrosis` emaw `Spina Bifida` (spina complication) te hi a ni. Chutiang test result chu nu leh pate tan chuan a buaithlak deuh thei a, thutlukna harsa tak tak pawh an siam a ngai thei bawk. Mahse hetah hian i hriat reng tur thil pakhat a awm . Heng initial test ( screening test ) te hian natna hi 100% a finfiah lo. Risk a awm leh awm loh an tarlang chauh a ni. Chutiang hlauhawmna chu a lan chhuah chauhvin test dang neih belh a ni ang a, chu chu finfiah a ni ang.
Dik tak chuan a pumpuiah chuan nausen piang zat hi genetic defect neia piang zat hi a tlem hle a, 2% - 3% vel a ni. Chuvangin fa hrisel neih theihna chance hi a sang hle fo thin.
Eng test nge i tana tha tur tih i rel hmain i doctor nen engkim chungchang hi zalen taka sawiho hmasak phawt a tha ber. Test hian eng nge a teh tih te, a dik dan te, hlauhawmna a keng tel em tih te, result a tha lo a nih chuan i duhthlan tur te chu chiang takin sawi rawh.
Trimester hmasa berah Test neih a ni
Naupai thla thum khat chhunga test pawimawh tak tak i neih tur thenkhat han thlir ila. Chûng zînga ṭhenkhat, thisen sang tehna , chu i naupai chhûng zawngin tih nawn leh a ni ang.
| Test chi hrang hrang | Eng nge zawn tur leh a pawimawhna |
|---|---|
| Thisen Test neih a ni | I thisen chi leh Rh factor, iron level, rubella/German measles laka invenna, leh natna Hepatitis B, Syphilis, leh HIV te chu test a ni. I chhungkaw chanchin hi Thalassemia emaw Sickle-cell anemia emaw ang chi natna i neih theihna tur tehna atan pawh hman theih a ni. |
| Zun Test neih a ni | A hmasain zun sample lak a ni a, kal infection a awm leh awm loh enfiah a ni a, naupai tih finfiah nan hCG hormone teh a ni bawk. Tichuan, naupai chhung zawng hian zunthlum chu zunthlum hriat theihna tur glucose leh thisen sang natna pre-eclampsia tih hriat theihna tur protein albumin an tih te enfiah thin a ni. |
| Cervical Swabs tih a ni | Pap smear hmangin serh cancer hmuhchhuah a ni. Vaginal swab pawh lak theih a ni a, chlamydia, gonorrhea, bacterial vaginosis te pawh a awm leh awm loh enfiah theih a ni a, chu chuan nau piang hmasa a thlen thei a ni. Heng natnate enkawl hian naute tan harsatna a awm loh nan a pui thei a ni. |
Genetic Test bik neih a ni
A chunga kan sawi tak test bakah hian i doctor chuan a châng chuan test dang engemaw zat chu genetic condition bik hriat theihna turin a rawt thei bawk.
Chorionic Villi Sampling (CVS) hi eng nge ni?
Hei hi mi zawng zawng tan fiahna a ni lo. Nu kum 35 chunglam emaw, chhungkaw history-a genetic disease nei tawhte tan a tha tlangpui. He test hi naupai kar 10 leh kar 12 inkarah tih thin a ni.
`Down syndrome`, `Sickle-cell thisen tlakchhamna`, `Hei hian genetic disorder tam tak a hmuchhuak thei a, chu chu Cystic Fibrosis . Hei hian serh chhunga catheter te tak te tak tak pass emaw, pum chhungah needle te tak te dah emaw a, nausen atanga tissue sample te tak te tak tak lakchhuah a ngai a ni.
- Risk: He test atang hian nau pai theihna risk 1% a tlem hle.
- Accuracy: Genetic defects hriatchhuahnaah hian 99% velin accuracy sang tak a awm a.
- Limitations: `Amniocentesis` test ang lo takin he CVS test hian `Spina Bifida` ang chi spinal defects a hmu thei lo.
Screening hmanraw thar ber: thisen test leh scan
Tunah chuan Down syndrome ang chi natna hlauhawmna hriat theihna kawng thar, beisei awm tak a awm ta. Thil pahnih a inzawm khawm a:
1. Thisen test: Nu thisena hormone hCG leh PAP-A awm zat a teh thin.
2. Special scan: Naute kawr hnunglam vun thik zawng (nuchal-translucency) chu ultrasound scan hmangin an teh thin .
An pahnih result hi Down syndrome leh genetic disease dang vei theihna chance sang tak i neih leh neih loh chhut nan an hmang dun a ni.
Mahse hei hi hre reng ang che: Hei hi screening test chauh a ni. Risk a sang leh hniam chauh a lantir. He natna hi a awm tih 100% a sawi lo. Risk a sang tih a lan chuan CVS ang test hmangin a finfiah thin.
Chuvangin eng test pawh nei ila, zawhna, hlauhna, rinhlelhna i neih apiang doctor nen sawipui hreh suh. I dikna a ni.
Take-Home Thuchah a ni
- Naupai laia test tam tak hi tih dan pangngai a ni a, nang leh i naute hriselna atana tih a ni a, chuvangin a tul lovah hlau suh.
- Test zawng zawng chungchangah i doctor nen zalen takin sawi rawh. I zawhna leh hlauhthawn te chu hrilh rawh.
- Genetic diseases screening test hian risk chauh a tarlang a, final diagnosis a ni lo.
- CVS ang test neih tura thutlukna siam hi mimal thutlukna a ni a, nang leh i kawppui nen i doctor nen in sawiho tur a ni.
- He zinkawng zawng zawng hi hlim tak leh hrisel taka kalpui dan hriat hi i tan chakna ropui tak a ni ang.
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