Tunah hian naute neih i tum em? Nunnaah beiseina duhawm tak a ni. Mahse chu beiseina duhawm tak chu a lo thlen hma chuan i fa te chu hrisel leh him taka he khawvela rawn hruai luh theihna turin inbuatsaihna tlem kan neih a ngai a ni. Hei hi i naute hmasa ber emaw, i naute pahnihna emaw pawh nise, i tih ngei ngei tur thil a ni. Chuvangin vawiinah hian he medical checkup pawimawh tak, naupai hmaa tih thin (Pre-pregnancy Checkup) chungchang kan sawi dawn a ni.
Engvangin nge naupai hmaa checkup hi a pawimawh?
Naute i neih hma kum khat vel chu i doctor i pan dawn tih han ngaihtuah teh. Mi thenkhat chuan, "Ka tha e, chuti a nih chuan engvangin nge doctor ka hmuh ang?"
A awlsam zawngin, hei hian naupai atan i hriselna a tha ber tur a ni. Tichuan naute hrisel tak nen him taka naupai theihna chance i nei tha zawk hle . Hei hi natna tlanglawn tak damdawi ei ang a ni lo. Hei hi i doctor nena inbiakna hlimawm tak leh hriselna endikna kimchang tak a ni.
Doctor hian eng thu nge a sawipui che?
During this discussion , doctor chuan zawhna engemaw zat a zawt ang che. Hei hi i hriselna thlalak kimchang tak neih ang mai a ni.
| Thupui sawi tur | Engvângin nge chu chu a pawimawh? |
|---|---|
| Nang leh i chhungte medical history | I chhungkuaa tu emaw chuan thlahtu natna, zunthlum, thisen sang, thalassemia ang chi natna nei an awm em tih hriat a pawimawh. Chutiang chuan i nautein a hmachhawn theih tur hlauhawmte chu i hre hmasa thei ang. |
| I vaccine tawh dan chanchin | Natna thenkhat (e.g. rubella, chickenpox) hi naupai laiin naute tan a hlauhawm hle thei. Chuvang chuan vaccine pek tur tul zawng zawng i dawng vek tawh tih hriat chian a pawimawh hle. Vaccination card zawng chhuakin vawn reng a tha. |
| I nunphung | Hei hian i ei leh in, exercise i tih emaw, meizuk emaw, zu in emaw, etc. te a huam a, naute hrisel tan chuan nunphung hrisel hi thilpek tha ber a ni. |
| Damdawi i hman thinte | Damdawi dang damdawi i ei a nih chuan i doctor hnenah hrilh ngei ang che. Damdawi thenkhat chuan i naute piansualna a thlen thei. I doctor chuan a dang him zawk a rawn rawt thei ang. |
| Naupai theihna chance tihpun dan tur | Naupai awlsam zawk nan leh a hun tha ber tur i hriat theih nan thurawn tul tak tak pek i ni ang. |
A dawtah chuan eng ang medical test nge tih thin?
Inbiak zawhah doctor chuan uluk takin a enfiah ang che. Hei hian i taksa hriselna dinhmun chiang takin i hre thei ang.
- Physical Exam: I hriselna dinhmun bulpui, i san zawng, i rih zawng, leh thisen sang te chu teh a ni ang.
- Breast Exam : Hnute lama harsatna awm leh awm loh a enfiah thin.
- Pelvic Exam leh Pap Test: Nausen pum leh reproductive system-a natna hrik emaw, harsatna dang emaw a awm leh awm loh enfiah thin. Pap test hian cervical cancer pawh a hmu hmasa thei bawk.
- Thisen Test: Hei hi a pawimawh hle. Hemi hmang hian i:
- Thisen sugar level (Glucose) - Diabetes hlauhawmna en rawh.
- Cholesterol leh Triglycerides - Lung hriselna chungchang zir rawh.
- Liver hnathawh dan
- Thisen chi leh Rh factor - Hei hi naupai lai hian a pawimawh hle.
Heng test-te hian damdawi lam natna i nei tih a hriat chuan hlauthawng suh. I naupai hmain i doctor chuan i dinhmun chu uluk taka enkawl turin a kaihruai ang che.
Naupai lai nghawng thei dinhmun
Damdawi lam thil thenkhat chuan naupai a ti harsa thei a, naupai laiin harsatna a thlen thei bawk. Entir nan:
- Thisen sang a sang
- Diabetes emaw prediabetes emaw a ni thei
- Thau lutuk emaw thau lutuk emaw
- Thyroid lama harsatna nei
- Rilru lam harsatna, depression ang chi te
I duh chuan mipat hmeichhiatna hmanga kai theih natna (STD) test pawh i nei thei bawk. Heng zawng zawng hi nang leh i naute tan himna sang ber neih theihna tura tih a ni.
Naupai atan taksa hi engtin nge kan buatsaih ang?
Test zawhah doctor chuan he zinkawng mawi tak atana i taksa buatsaih turin thurawn engemaw zat a pe ang che.
1. Folic Acid: Hei hi tih ngei ngei tur a ni. Naupai tum hmain thla khat tal nitin folic acid (400mcg) i ei tan tur a ni. Hei hian naute thluak leh ruhro (spinal cord)-a neural tube chhiatna awm lo tur venna kawngah nasa takin a pui a ni.
2. Omega-3s: Omega-3s, a bikin fatty acid DHA hi i naute thluak leh nervous system tihhmasawn nan a pawimawh hle. I prenatal vitamin-ah hian hengte hi a awm em tih enfiah thin ang che.
3. Vaccine: A hmaa kan sawi tawh ang khan i vaccine lak hmasak phawt tur a ni. Hetih lai hian flu shot pawh hi a pawimawh a, naupai laiin i immune system a chak lo deuh thei a ni.
Genetic test chungchang pawh i zir ve ang u.
A châng chuan i doctor chuan genetic test neihpui tûrin a rawt thei che a ni. Hengte hi mandatory test a ni lo , mahse a chang chuan a pawimawh hle.
Heng test-te hian nangmah emaw i kawppui emaw natna engemaw zat nei thei tur gene an zawng a, a bik takin:
- Chhungkaw zingah tu pawhin genetic disease an neih chuan
- Naupai harsatna i neih chuan
- Tun hmaa nau pai vawi engemaw zat i neih tawh chuan
Chutiang a nih chuan i doctor chuan genetic counselor hnenah a refer thei che a, ani chuan test-na ṭhatna leh ṭhat lohna a hrilhfiah ang che.
Heng zawng zawng hi i duhthusam naute chu he khawvela i rawn hruai luh theihna tura tih a ni a, naute hrisel, hlim tak a ni. Chuvangin hlau suh la, he thu hi i doctor nen inhawng takin sawi rawh.
Take-Home Thuchah a ni
- Nau neih i tum a nih chuan thla 3 tal hmaa doctor pan tur a ni a, a tha ber chu kum khat hmain thurawn dil tur a ni.
- Hei hi routine test mai ni lovin, doctor nen i nunphung leh hriselna chanchin chungchanga inbiakna pawimawh tak a ni.
- Naupai hmaa folic acid ei tan hi naupang hriselna atan a pawimawh hle.
- Damdawi lam harsatna, zunthlum emaw, thisen sang emaw i neih chuan naupai hmain uluk taka control a pawimawh hle.
- Hriselna lama harsatna emaw, i ngaihtuahna emaw i neih apiang chu i doctor nen zalen taka sawipui hlau suh. Kawng dik lamah a kaihruai ang che.
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