I naute thinlung thawk dan tur ngaihtuah em? Electronic Fetal Monitoring (EFM) chungchang hi han sawi ila!

Nau i pai dawn emaw, i chhungkuaa mi tu emaw nu nih an tum a nih chuan he thawnthu hi i tan a pawimawh hle ang. Vawiin hian nausen hriselna, a bikin thinlung na, nu pum chhunga a awm lai leh nau pai lai enfiah dan tur kan sawi dawn a ni. Hei hi `Electronic Fetal Monitoring` emaw `(EFM)` emaw kan tih chu a ni. A awlsam zawngin naute thinlung thawk dan a enfiah chhunzawm zel a ni.

Engvangin nge he `EFM` hi tih a nih? A pawimawhna chu eng nge ni?

Ngaihtuah teh, nu nau pai lai, chu chu naute chhuah a tum lai hian a nausen pum chu a inzawm khawm tihna a ni. Heng contraction te hian naute hnena oxygen pe thin thisen kalna kawng thenkhat chu a tikhawlo thei a ni. A tlangpuiin, hei hi naute tan chuan harsatna lian tak a ni lo , an mamawh oxygen an hmuh avangin. Mahse, a chang chuan oxygen level a tlahniam thei. Chutiang a nih chuan naute lungphu a inthlak danglam tih i hmu mai thei.

Chuvangin, he `EFM` hian a tih chu naute thinlung thawk dan enfiah chhunzawm zel a, harsatna awm apiang hriat hmasak a, naute venhimna atana a tul anga hmalak hi a ni. A tlem berah chuan naute hian oxygen tlakchham vangin harsatna engemaw zat (fetal distress) a tawk thei. Tichuan he `EFM` hian a man nghal vat thei a ni.

He `EFM` hi mi zawng zawng mamawh tak tak a ni em?

Tunah chuan, ‘Chuvangin mi zawng zawng tan hetiang hi tih hi a tha’ tih i ngaihtuah mai thei. Mahse, han ngaihtuah teh. Zirna thenkhatah chuan naupai hlauhawm lote tan regular EFM hian a tul lo taka cesarean section leh vacuum device emaw forceps hmanga nau neih a tipung tih hmuhchhuah a ni.

Tin, EFM leh naute piang tharte hian Apgar score (nausen pian hnua hriselna tehna score) tha zawk an neih leh neih loh, emaw, cerebral palsy, hmasawnna tlai, neurologic injuries, emaw naute neonatal intensive care unit (NICU)-a admit an nih leh nih loh ang chi conditions te hi a tlahniam em tih te inkarah hian inzawmna lian tham hmuh tur a awm lo.

Obtetrician leh gynecologist tam tak chuan EFM hi naupai, harsatna tawk thei lo tan chuan a ngai lo niin an ngai Doctor chuan a hun hunah naute thinlung thawk dan chu stethoscope emaw ultrasound emaw hmangin a enfiah thei a ni. Hei hi intermittent auscultation an ti a.

Chuti a nih chuan engtikah nge EFM hi recommend a nih?

Okay, chuvangin EFM hi a bik taka rawtna hmun thenkhat a awm. American College of Obstetricians and Gynecologists sawi danin, nau neih theihna tur damdawi emaw, natna tihziaawmna tur epidural emaw pek i nih chuan EFM i hmang tur a ni.

Tin, naupai chu hlauhawmna sang tak neia hriat a nih chuan EFM hman a ni bawk. Entir nan:

• Nu hriselna dinhmun: `(preeclampsia)` (hei hi naupai laia thisen sang natna a ni), `(zunthlum)`, a hmaa cesarean section a neih tawh chuan, naupai laiin thisen a chhuak a nih chuan.
• I naute hian nau neih laiin meconium stool a paltlang a nih chuan hei hian nausen lungngaihna a lantir thei bawk. Hei hi meconium an ti a, naute ek hmasa ber a ni.
• Naute chu a te (small fetal size) emaw, pianpui thil danglam emaw a neih chuan.

Heng rawtnate hi awm mah se, naupai leh hmeichhe lam doctor tam tak chuan EFM hi an la hmang fo thin. Chuvangin hemi chungchang hi i doctor nen sawi dun a tha.

`EFM` hi intihhlimna atan i hmang tawh em?

Ni e, a châng chuan naute hriselna chu nau neih ṭan hmain EFM hmangin an enfiah ṭhin. A bik takin nu pum chhungah trauma a awm a nih chuan , naupai kar 20 hnuah pawh, doctor chuan naute chu darkar 4 atanga darkar 24 chhung EFM hmanga enkawl turin a rawt thei a ni.

Tin, EFM hian labour hi a dik leh dik loh hriat theihna turin a pui thei bawk . A châng chuan nute chuan hrehawmna an nei a, mahse nau neih tak tak a ni lo. Nau neih dik loh chhinchhiahnate chu:

• Natna hi a inthlak danglam a, a kal zel lo va, natna inkar gap pawh a tlahniam lo.
• I kal emaw, i chawlh emaw, i dinhmun i thlak emaw hian a natna chu a tawp thin.

Eng ang `EFM` nge awm?

`EFM` hi chi hnih a awm a. Eng nge an nih i en ang u.

1. Pawn lam EFM

Hei hi hmanraw hman tlanglawn ber a ni. I lo hmu tawh mai thei. I doctor chuan elastic band pahnih hmangin i pum chhungah device pahnih a dah a.

• Pakhat chu ultrasound ang chi hmanrua a ni. Naute awmna nia ngaihna hmun chungah dah a ni a, naute thinlung thawk dan a teh a ni.
• A dang chu pressure gauge a ni. Pum chunglam ah dah a ni a, nausen pum (uterine contractions) a awm fo leh rei zawng a teh thin. Mahse, he method hian contractions nasat dan, chu chu eng chen nge a lo awm tih hi dik takin a teh thei lo.

2. Chhungril EFM

Hei hi pawn lam aiin a buaithlak zawk a, a chhungah hian hmanrua dah a ngai a, mi zawng zawng tan tih a ni lo. Mahse, hei hi nu a che vel laiin pawn lam `EFM` hmanga heart rate dik taka teh a harsat hunah hman a ni.

• Hetah hian heartbeat chu vagina kaltlangin wire te tak te (electrode) dahin naute lu vunah (hmun dangah a tlem hle) a inzawm tir a.
• Tin, nausen pum (uterine contractions) nasat dan teh nan chuan nausen pum chhungah hian tube te tak te, catheter an tih chu dah theih a ni bawk.

A pawimawh ber chu tui a chhe tawh a, serh a zau deuh a nih chauhvin internal EFM tih theih a ni.Hetiang method hi pawn lam `EFM` atanga data a chiang lo a, emaw, chiang zawka enfiah a ngaih hunah emaw hman a ni fo thin.

He `EFM` hian engtin nge hna a thawh? Eng ang nge a nih?

Heng device pahnih (external emaw internal emaw) hi external monitor nen an inzawm a ni. Hei hi heng thiltih zawng zawngte hi electronic emaw paper-a record (readout) na hmun a ni. Movie-ah pawh i hmu tawh mai thei, chutah chuan line pahnih chu a chho leh chhuk lai record a ni.

I doctor chuan i naute baseline heart rate a la hmasa ang a, he chart hi a hun hunah a check ang. Contraction laiin i naute heart rate inthlak danglamna thenkhat chu thil pangngai a ni. Mahse, harsatna a awm tih târ lang thei inthlâk danglamnate chu:

• Hun rei tak chhung heart rate pangngai aia sang (tachycardia) emaw, a pangngai aia hniam (bradycardia) emaw neih.
• Contraction laiin heart rate slow dan pangngai lo tak tak lantir.

EFM device thenkhatah pawh naute heart rate-a inthlak danglamna hlauhawm tak a awm chuan medical team-te hriattirna tur alarm set a awm thei bawk.

Hei hi ha chungin che vel a harsa em?

Ni e, lungawi lohna engemaw zat a awm thei. External EFM i neih hian khumah emaw, chair-ah emaw i awm a ngai fo thin. Mahse, damdawi in thenkhatah chuan pawn lam EFM atan wireless telemetry monitoring facility an nei a ni. Tichuan zalen deuhin i kal kual thei tawh ang. Internal EFM nen chuan khumah i awm a ngai ngei ang.

`EFM` hian eng hlauhawmna nge a neih?

`EFM` hi thil \angkai tak ni mah se, thil dang ang bawkin risk tenau engemaw zat a nei thei bawk.

`EFM` hman tlanglawn (a bik takin pawn lam) hian:

• Alarm dik lo hian a tul lo taka lungkhamna a thlen thei a, a tul lo taka test pawh a thlen thei bawk.
• A kal kual theihna hi a tlem hle. Dik tak chuan nau neih laiin insawn leh dinhmun thlak danglam hian natna a tihziaawm thei a, nau neih a awlsam phah thei bawk.
• Naute chu nausen harsatnaah a awm tih ring sual a nih chuan, cesarean section, vacuum device, forceps hmanga nau neih tura thutlukna siam theih a ni a, chu chu a ngai lo mai thei.

Internal `EFM`-ah hian risk bik dang a awm a:

• Internal EFM atana hman electrode (wire) hian naute lu vunah hliam te tak te emaw, hliam emaw a siam thei a ni .
• Nu hian nu infection a nei thei (a tlem hle).
• Nu atanga naute hnena HIV emaw genital herpes ang chi natna kai theihna chance a tlem hle (hetiang nei nu tan chuan).

Nausen pum chhunga catheter (contraction tehna atana) dah hmanga thil thleng thei (hengte hi a tlem hle):

• Umbilical cord chu a inzawm khawm thei a ni.
• Nausen pum hi a perforated thei bawk.
• Placenta hian a tikehsawm thei.

Heng hlauhawmnate hi hriat a pawimawh rualin, heng thilte hi a thleng fo lo tih hriat reng a pawimawh bawk. Doctor-te chuan a tul tak tak hunah chauh an hmang thin.

Results hmuh theih nan eng chen nge hun a duh? Naute chu nausen (fetal distress)-ah a awm a nih chuan engtin nge ni ang?

I doctor leh nursing staff te chuan nitin he EFM chart hi an en chhunzawm zel ang a, i naute dinhmun pawh an hrilh bawk ang che. Hei hi real-time information a ni.

EFM chhiar dan pangngai lo chuan naute chu hlauhawmah a awm tihna a ni hauh lo. Doctor chuan i dinhmun thlak turin a hrilh thei che (e.g., i vei lamah hawi la). Chutianga tih chuan naute thisen kal dan a titha thei a, buaina chu a chinfel sak thei bawk. Nu chu oxygen emaw saline emaw pek belh theih a ni bawk.

Mahse, heart rate thenkhat chu a danglam zel a, chu chu naute chu harsatna tak tak a tawk tihna a ni a nih chuan, doctor chuan cesarean section tih nghal emaw, vacuum device emaw forceps emaw hmanga naute chu vaginally-a nau neih emaw chu a rel ang.

A tawp berah chuan eng nge hriat reng tur

Chuvangin, EFM chu eng nge a nih leh eng nge a tih tih chu i hrethiam mai thei. A châng chuan EFM hian naute chu a ṭhat leh ṭhat loh hriat chian nân leh nau neih vat ngai harsatna eng pawh hriat theih nân min ṭanpui thei a ni. Mahse, hmeichhe tam tak, naupai hrisel, hlauhawm lo tak nei, nau neihna atana damdawi ei lo (unmedicated labor) tan chuan Electronic Fetal Monitoring hi a ngai lo.

I naute neih i tum hunah i doctor nen EFM chungchanga an general practices chungchang sawipui rawh. "Doctor, EFM hi ka mamawh dawn em? Ka dinhmun thlirin a thatna leh that lohna eng nge ni?" I duhzawngte sawiho lawk hian nang leh i naute tan thutlukna tha ber siam turin i inpeih thei a ni.

Naupai apiang leh nau neih apiang hi a danglam vek tih hre reng ang che. I ngaihtuahna leh i rilruah eng nge awm tih i doctor nen zalen taka inbiakna neih a pawimawh. Tichuan he hun pawimawh tak hi rilru thlamuang takin i hmachhawn thei ang.

` Naute lungphun, electronic fetal monitoring, EFM, nau neih, naupai, nau neih, naute hriselna