Nu ni tur i nih angin i doctor chuan scan a ti a, "Naute chu kar engzat nge a nih chhungin a aia lian deuh a ni" a ti che em? Chutiang thil i hriat chuan hlauhna leh lungkhamna tlem a awm chu thil pangngai a ni. "Aw, ka naute hi thil dik lo a awm em? Naute ka neih hunah a harsa dawn em?" i rilruah a lo thleng mai thei. Mahse, lungngai suh. A tam zawkah chuan hei hi ngaihtuahawm tur a ni lo. Vawiin hian he dinhmun hi ‘Large for Gestational Age’, a tawi zawngin LGA tih hi thu awlsam takin han sawi ila.
‘Naupai kum aiin a lian zawk’ (LGA) chu eng nge ni?
A awlsam zawngin LGA tih awmzia chu i naute rih zawng emaw, a lian lutuk emaw chu i naupai rei zawng, chu chu naute pum chhunga kar engzat nge a awm tih a ni.
Doctor te chuan i period hnuhnung ber ni hmasa ber atang khan gestational age an chhut thin. Chuvangin i doctor-in naupai a tih ni chu i naupai nia i ngaih ni nen a danglam thei. I thlasik hun a mumal lo a nih chuan i doctor chuan ultrasound scan hmangin naute kum dik zawkin a hre thei ang. Kar 8 leh kar 18 inkar scan hi a dik hle tlangpui.
Chuvangin, doctor chuan heng chhut dante hi a tih a, naupai kum inangah naute hrisel 100 a la a, i naute chu rit ber 10 zingah a tel a nih chuan, chu naute chu LGA-ah dah a ni.
Naute a lo lian chhoh chhante chu engte nge ni?
Hetiang hian naute lian leh te a lo pung thei hi chhan hrang hrang a awm a. Chhan thenkhat chu ngaihtuah lutuk tur a ni lova, a then erawh chu kan ngaihtuah tur a ni.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Naupai kum chhiar dik loh | Hei hi a chhan awlsam ber leh lungkhamna awm lo ber a ni. I thlasik hun a mumal lo a, i period hnuhnung ber ni dik tak i hre thei lo a, hormone therapy i ei a nih chuan naute kum chhiar danah hian danglamna tlem a awm thei. Tichuan naute chu kar zat tak tak aiin a upa tawh ang. |
| Nu hian zunthlum a nei a | Hei hi LGA naute pian chhan ber a ni. Gestational diabetes emaw naupai hmaa awm zunthlum emaw hian hei hi a nghawng a ni. Nu thisen sugar level a san chuan naute pawhin chu extra sugar chu a dawng ve bawk. Chumi chhanna atan chuan naute taksa chuan insulin a siam tam zawk a ni. He extra insulin hian naute chu a ti thang chak a, taksa thau tam zawk a khawlkhawm bawk. |
| Nu leh pa taksa lian leh te | Hetah hian genetic influence pawh a pawimawh hle. Nu leh pa sang, thau leh taksa lian tak tak nei te hian a tlangpuiin naute lian tak tak an nei tam zawk. Hei hi thil pangngai tak a ni. |
| Naupai laiin taksa rihna sang lutuk | Naupai lai hian taksa rihna engemaw chen tihpun a pawimawh. Amaherawhchu, i taksa mamawh aia tam i rihna i tihpun chuan i rihna tam lutuk chuan i naute chu a lian lutuk thei a ni. I taksa rihna tihpun hi engzat nge hrisel a nih tih i doctor nen sawiho rawh. |
Naute a lo puitlin vang hian eng harsatna nge thleng thei?
LGA naute zawng zawng hian harsatna an nei vek lo. Mahse a then phei chuan, a bik takin naute chu zunthlum ang chi natna avanga lian a nih chuan hlauhawmna engemaw zat a awm thei. Lungngai suh, hengte hi i hriat lawk chuan hmachhawn a awlsam zawk.
Nau neih laiin harsatna a awm thin
Naute a lian em avangin awlsam taka pian kawng atanga chhuah a harsa thei hle.
- Hun rei tak Nau neih : Nau neih rei hian naute oxygen a dawn zat a ti tlem thei a ni. Tin, natna hrik kai theihna a tipung thei bawk a, naute ek hmasa ber (meconium) chu thawkna kawngah a lut thei bawk.
- Nau neih harsa: Naute hrin nan hian forceps emaw vacuum emaw ang chi hmanrua i hman a ngai mai thei. Vagina bulah hian cut te tak te (episiotomy) i siam a ngai thei bawk.
- Nau piang hliam: A tlem berah chuan naute a nawr chhuah vangin collarbone a tliak emaw, arm nerve a chhia emaw a awm thei.
- Cesarean section neih nan `(Cesarean hmanga nau neih theihna a sang : Naute chu a pangngaia nau neih theih loh chuan emergency cesarean section neih a ngai thei. Hei hian thisen chhuak nasa leh dam rei zawk ang chi hlauhawmna a keng tel a ni.
Nausen pian hnua harsatna lo awm thei te
Hetiang hlauhawmna hi nuin zunthlum a vei a, LGA naute a pian chuan a sang hle.
Naute thisen sugar level hniam (Hypoglycemia): Hei hi chiang takin hrethiam rawh. Nausen pum chhungah chuan naute taksa chuan nu atanga sugar tam tak lo chhuak chu tuar turin insulin a siam tam zawk a ni. Mahse a pian hnuah pawh nu atanga sugar lo chhuak chu reh mahse, naute taksaah hian insulin siam belh chu a la nei reng a ni. Chumi avang chuan naute thisen sugar level chu hlauhawm takin a tlahniam nghal thei a ni. Hei hi hypoglycemia kan ti a ni . Chuvangin doctor leh nurse te chuan LGA naute a pian veleh a sugar level an enfiah nghal thin.
Tin, LGA naute, zunthlum vei nu atanga piangte hian an naupan laiin thawk lama harsatna, thau lutuk leh type II diabetes vei theihna a sang deuh thei bawk.
Hemi chungchangah hian hlauhna i neih chuan engtin nge i tih?
I tih theih tha ber leh pawimawh ber chu i doctor nen he thu hi zalen taka sawipui hi a ni . I hlauhthawnna leh zawhna zawng zawng ngaithla rawh.
Nang leh i doctor chuan in nau neih dan tur ruahmanna siamin, emergency a awm chuan eng nge tih tur tih te in sawiho thei ang. Gestational diabetes i neih chuan i doctor thurawn, ei leh in leh enkawlna zawm chungin i naute than dan tur i thunun thei a ni.
LGA i nih vang mai maia engkim hi a buai vek niin ngai suh tih hre reng ang che. Thu hriattir hmasak a, a tul anga hmalak a nih chuan, naute hrisel , mawi tak i hrin ngei ang.
Take-Home Thuchah a ni
- ‘Large for Gestational Age’ (LGA) tih hian nausen pum chhunga kar awm zat aiin a lian zawk tihna a ni. Hei hi ngaihtuahawm a ni ngai lo.
- Hei hi tibuaitu ber chu nu zunthlum (naupai lai emaw, naupai hma emaw) a ni. Nu leh pa taksa lian tham leh nu rihna tihpun hian chanvo a nei thei bawk.
- LGA hian nau neih laiin harsatna a thlen thei a, nausen pian hnua thisen sugar level hniam (hypoglycemia) a thlen thei bawk.
- I tih theih ṭha ber chu i doctor nen he thu hi zalen taka sawipui la, a thurawn zawm la, zunthlum ang chi dinhmunte chu uluk taka enkawl hi a ni.
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