Naupai laiin amniotic fluid infection awm thei chorioamnionitis chungchang hi i zir dawn a ni.

Naupai i nih chuan nang leh i naute himna tur i ngaihtuah nasa hle ngei ang, a dik em? A châng chuan kan hre lo pawh a ni thei a, mahse naupai lai hian dinhmun engemaw zat a awm thei. Chutiang dinhmun pakhat, ngaihven tlem a ngai, mahse ngaihtuah tur awm lo chu Chorioamnionitis hi a ni. Hemi chungchang hi awlsam takin kan sawi dawn em ni?

Chorioamnionitis tih hi eng nge ni? Engtiang chiahin nge a hluar?

A awlsam zawngin, chorioamnionitis hi natna khirh tak a ni a, naupai laiin i kai thei a ni . A hming hi i naute pum chhunga i naute hualtu membrane pahnih atanga lak a ni. Pawn lam chu chorion an ti a, a chhung lam chu amnion an ti bawk. Hengte hi i naute hualtu membrane, amniotic fluid te an ni. I naute chu tui venna bag chhunga awm angin ngaihtuah rawh. He natna hi i naute hual veltu heng membrane, a nih loh leh tissue-a bacteria an luh hian a lo awm thin. Chu chu:

• Chorion (naute chhehvel pawn lam ber) .
• Amnion (naute chhehvel chhungril lam) .
• Placenta (naute ei tur leh oxygen pe theitu part) .
• Amniotic fluid (nausen a inphah chhuahna tui) .

Hetiang dinhmun hi heng hmun zinga pakhatah pawh bacteria a luh chuan a awm thei a ni. A tlangpuiin antibiotics hi enkawlna atan pek thin a ni. Mahse a chang chuan i doctor chuan i naute a hrin hma a ngai mai thei. Hei hi uluk taka enkawl a nih loh chuan nang leh i naute tan pawh nunna atana hlauhawm tak a ni thei. Chuvangin hei hi hriat chian a pawimawh. He natna hi a hluar zia ngaihtuah chuan United States ang ramah chuan nau piang zinga 1% leh 5% inkarah a awm thin. Nau neih hma leh nau neih hmaa awm chhan pakhat a ni. Chumi awmzia chu naute chu full term hmaa piang a nih a rinawm zawk tihna a ni.

Hei hi eng symptoms nge ni?

Chorioamnionitis natna lan chhuah dan hi mi hrang hrangah a inang lo thei. Mi thenkhat chuan symptom lian tham an nei lo mai thei. Mahse, a lan chhuah dan tlangpui tlemte a awm a:

• Khawsik ( taksa lumna 38 degree Celsius aia sang, or 100.4 degree Fahrenheit aia sang) neih.
• I emaw i naute emaw heart rate tihpun (nang tan minute khatah beat 100 aia tam, naute tan 160 aia tam).
• Nausen pum khawih emaw, pum chhunga press emaw hian natna nasa tak emaw, natna emaw hriatna .
• Vaginal discharge rimchhia emaw, rawng danglam tak emaw(Green, yellow ang chi).
• Thaw chhuak (a bik takin khawsik nen).
• A châng chuan khur nghing i nei thei bawk .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan a rang thei ang bera doctor pan a tha ber.

Engtin nge chorioamnionitis hi a lo awm?

Hei hi a chhan ber chu bacteria infection a ni . Heng bacteria te hi a tlangpuiin vagina chhungah an cheng a, mahse uterus thlenga an kal chhoh chuan harsatna an thlen thei a ni. He natna hi i vagina, anus, emaw rectum atanga tan niin i uterus ah a darh thei a ni. A nih loh leh, i naute chhehvela amniotic sac a puak a nih chuan (‘tui bawm chhe tawh’ kan ti a), he natna hi i nausen pum chhungah ngei hian a intan thei a ni. A chhan chu tui bag a chhe chuan bacteria a lut thei a, heng bacteria te hian i placenta leh i naute chu an kai thei a ni. Thil dang chu i tui a chhe hnua vaginal examination (a bik takin manual examination) neih fo emaw, amniocentesis (amniotic fluid sample lakna test) ang chi test hnuah pawh he natna hi a darh thei a ni. Hetianga thlen fotu bacteria chi hnih lian ber chu E. coli (bacteria chi khat, a tlangpuiin intestine-a awm) leh Group B strep te an ni. He bacteria, Group B strep tia koh hi hmeichhe naupai tam zawkte serh (vagina)-ah hian hlauhawm lo mah se , a chang chuan nau neih laiin naute a kai thei a ni.

Hei hian naute a nghawng thei em?

Ni e, a dik tak zet. Chorioamnionitis hi nu chauh ni lovin, nausen pum chhunga naute chungah pawh nghawng lian tak a nei thei a ni. Harsatna awm ṭhenkhat chu:

• Infection na tak (entir nan, thisenah natna kai darh - sepsis ).
• Thluak chhiatna emaw thluak thanlenna avanga nghawng a neih dan.
• Lung lama harsatna (e.g. pneumonia ).
• Nau piang hmaa nau neih theihna a sang .
• Tlem hle mah se, thihna pawh a thleng thei.

Chuvangin he natna hi hriat chian leh enkawl vat a pawimawh em em a ni.

Engtin nge hei hi i diagnose?

I nau neih hmaa enkawltu chuan he natna hi a hmuchhuak ang. Taksa enfiahna a nei ang a, i natna lan chhuah dan (khawsik leh pum na ang chi) a zawt ang a, medical history uluk tak a la ang. Chu bakah, hetiang hian i ti thei bawk:

• Infection emaw white blood cell count emaw enfiah thin ang cheThisen leh zun test tura tih a ni thei (infection laiin white blood cell count a sang tlangpui).
• Vaginal culture lak a, laboratory-ah thawnin bacteria awm leh awm loh enfiah theih a ni.
• A châng chuan, i amniotic fluid sample lak a, bacteria awm leh awm loh enfiah theih a ni. Hei hi amniocentesis tih hmanga tih a ni.
• Ultrasound hmangin naute hriselna leh heartbeat endik theih a ni.

Heng test atanga information an hmuh dan atang hian doctor chuan hei hi chorioamnionitis a nih leh nih loh a rel thin.

Hei hi engtin nge enkawl a nih?

I doctor-in chorioamnionitis a hriat chuan a enkawlna ber chu antibiotics a ni . Hengte hi natna thlentu bacteria te tihhlum nan pek thin a ni. Heng antibiotics te hi a tlangpuiin vein (an IV) chhunga needle dah hmanga pek thin a ni. Chumi hnuah chuan damdawi chuan i taksaah hna a thawk nghal vat thin. Thil ṭhenkhatah chuan, a bîk takin natna kai a nasat emaw, naute hrisêlna atâna hlauhawm a awm emaw chuan, doctor-te chuan nau neih hma tûrin an rawt thei a ni . Hei hian nang leh i naute tan harsatna dang a awm loh nan a pui thei a ni. I naute a pian hnuah i naute piang thar pawhin natna a vei a nih chuan antibiotics pawh pek an ni ang.

Ngaihtuah buai suh: doctor-te chuan nang leh i naute tan a tha ber an ti a ni. An thusawi ngaihthlak a, chutianga tih a pawimawh.

Hei hian eng harsatna nge a thlen theih?

Chorioamnionitis na tak i neih chuan, emaw, enkawl loh a nih chuan, nu hian harsatna a nei thei a, chungte chu:

• I pelvic region leh abdomen ah natna darh zel .
• Endometritis, nausen pum chhunga lining inflammation hi nau neih hnuah a awm thei a ni.
• I pelvis emaw lung emaw ah thisen a chhuak .
• Sepsis hi thisen natna a ni a, nunna atana hlauhawm thei a ni .

Pawimawh: Sepsis hi natna khirh tak a ni a, emergency medical treatment a ngai a ni. Infection laka taksa pumin a chhanna na tak a ni.

I naute piang thar pawh hian he bacteria infection atang hian harsatna a nei thei bawk. Entir nan:

• Sepsis (thisen natna khirh tak a ni).
• Meningitis (thluak leh ruhro vel a membrane a inflammation) a awm.
• Pneumonia (lung natna a ni).
• Thâwk lak harsat.
• Hun rei tak chhunga thluak hmasawnna (e.g. Cerebral Palsy) a nghawng dan.

Hei vang hian he natna hi hriat chian a, enkawl vat a pawimawh hle.

Eng thil nge he hlauhawmna hi tipung?

Thil engemaw tak chuan chorioamnionitis vei theihna a tipung thei a ni. Chung zingah chuan:

• Nau neih hma (kar 37 hma).
• Naute pian hma darkar 18-24 aia reiah tui hi a chhe thin (hei hi prolonged rupture of membranes an ti a).
• Labor pain hian rei tak a daih thin .
• I vaginal infection enkawl loh (e.g., bacterial vaginosis) emaw, sexually transmitted infection (STI) emaw i nei a ni.
• Group B strep infection i nei (a bik takin enkawl loh chuan).
• Tui a chhe hnua vaginal examination (manual) neih fo thin .
• Internal fetal emaw uterine monitoring device hmanga enkawl .
• Naupai hmasa ber.
• Meizial zuk.

Heng risk factors te hi i neih chuan i doctor nen sawiho la, a bik takin fimkhur tur thilte zir rawh.

Engtin nge hei hi ven theih ang?

Kan thunun theih loh thil engemaw zat (e.g., membrane-te a hun hmaa tihchhiat) a awm laiin, chorioamnionitis vei theihna tihtlem nan thil engemaw zat i tih theih a awm a:

• I tui a chhe hma (kar 37 hma) chuan i doctor-in a tih angin antibiotics ei rawh . Hei hian hri kai theihna a ti tlem thei a ni.
• I tui a chhe hnua vaginal examination neih zat kha tihtlem rawh . Heng examination te hi a tul tak tak hunah leh uluk taka tih tur a ni.
• Naupai atanga third trimester (kar 35 leh 37 inkar) chhungin Group B strep test neih thin ang che. He bacteria hi i vei tih hmuhchhuah a nih chuan nau neih tan emaw, i tui a chhe emaw hunah antibiotics pek i ni ang a, chu chuan i nauteah natna hrik a kai loh nan.
• Vaginal infection symptoms (discharge danglam, itching ang chi) i neih chuan enkawlna zawng nghal rawh.
• Meizial zuk loh.

Chorioamnionitis chungchangah i lungkham emaw, i ngaihtuah emaw a nih chuan i prenatal care provider nen inbia ang che. I dinhmun a zirchiang thei a, i risk chungchang a hrilh thei bawk.

Engtikah nge Doctor ka hmuh ang?

Naupai lai hian a bik takin i hriat tur symptom thenkhat a awm. I membrane a chhe (i tui a chhe) chuan i obstetrician emaw hospital emaw ko nghal rawh. Tin, heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni:

• Khawsik (a bik takin khawsik symptom dang nei lo) i neih chuan.
• Pum emaw, pelvic area emaw-ah natna thar emaw, a nghet lo emawI duh chuan.
• I vaginal discharge rimchhia emaw, a rawng a danglam emaw a nih chuan.
• I heart rate chu a chak lutuk ang maia i hriat chuan .

Hetiang hunah hian rang taka thil tih hian nang leh i naute chu a humhim thei a ni.

Naute chu amniotic fluid tel lovin a pum chhungah a dam thei ang em?

Ni lo, naute chu amniotic fluid tel lo chuan pum chhungah rei tak a dam thei lo. Amniotic fluid hi thil pawimawh tak a ni a, naute venghimtu, naute lung leh kal (kidney) tihhmasawn nan a pui a, temperature a tidanglam thei bawk. A tel lo chuan naute chu awlsam takin a kai thei a ni. Nunna atana hlauhawm dang, umbilical cord compression te pawh a thlen thei bawk. I naupai chhunga i hun rei zawng a zirin i doctor chuan i nau neih hun tha ber chu a rel ang.

Ka tui a chhiat hnuah naute hi eng chen nge a dam theih ang?

Hei hi mi tin a inang lo. Tin, thil tam takah a innghat bawk a, chu chu naupai stage (naute puitling dan) leh hri kai chhinchhiahna a awm leh awm loh te hi a ni. Mahse, a tlangpuiin doctor tam zawk chuan i tui a chheh atanga darkar 24 chhungin i naute hi an hrinsak duh a ni. A bik takin i tui chu a hmasa berah (kar 34 hnuah ang chi) a chhe a nih chuan natna kai theihna a sang zawk a, chuvangin i naute hi a hmaa nau neih hi a him ber a ni. Mahse, i naute hi a pian hma lutuk (kar 24-34 inkar ang chi) a nih chuan, a chang chuan doctor-te chuan naute chu ni engemaw zat chu a pum chhungah dah chhunzawm zel an tum thei a, chu chu antibiotics pein, chubakah naute lung a lo thanglian theih nan steroid ang chi damdawi te pawh pek an tum thei bawk.

Take-Home Thuchah hnuhnung ber

Chorioamnionitis hi natna khirh tak a ni a, naupai lai hian a awm thei a ni. Mahse, i thunun theih loh laiin, a natna lan chhuah dan hriatchhuah leh i nau neih hmaa enkawltu hnenah i natna lan chhuah zawng zawng hrilh ang chi thil i ti thei a ni. Enkawlnaah hian antibiotics hman a ni tlangpui. Mahse, a chang chuan i naute hi i hrin hma a ngai mai thei. Hetiang natna hi i vei tih hmuhchhuah a nih chuan i doctor nen inbiakna neihpui la, zawhna i neih chuan zawt ngei ang che. A pawimawh ber chu thlamuang taka awm a, doctor thupek zawm hi a ni. I leh i naute hriselna ngaihtuahtu doctor an awm a, a tul angin hma an la ang. Chuvangin an hnenah hemi chungchang hi sawipui hlau suh.