Fetoscopy chungchang hi han sawi ila: i naute piang lai enfiahna bik!

Vawiin hian naupai laiin i naute chungchang hriat belh theihna tur, emaw, i nautein nausen pum chhunga a la awm laia harsatna khirh tak a neih enkawl theihna tur damdawi lam kalphung bik kan sawi dawn a ni. Hei hi fetoscopy an ti a . A hming hi a buaithlak deuhin a lang thei a, mahse a awlsam zawngin han sawi ila. A chhan chu hei hi nang leh i naute tan a pawimawh hle thei a ni.

Chuti a nih chuan, fetoscopy chu eng nge ni? A awlsam zawngin sawi ila...

A awlsam zawngin, fetoscopy hi naupai laiin i doctor-in i nausen i nausen chhunga a lo seilian lai direct-a a en theihna tur a ni. I naute dinhmun leh a taksa peng hrang hrangte lo thanglian dan en turin i pum chhungah camera te tak te dah ang maiin han ngaihtuah teh. Hei hian i naute pianpui natna thenkhat hriatchhuahna leh a chang chuan enkawlna kawngah a pui thei bawk.

Hei hi tube te tak te, flexible tak hmanga tih a ni a, chu chu fetoscope emaw endoscope emaw an ti a ni. He tube hian a tawp khatah camera te tak te a nei a. Hei hian doctor chuan i nausen chhungril leh i naute awmna amniotic sac chu chiang takin a hmu thei a ni. Fetoscope hi a hollow avangin surgical instrument tha tak tak a kal tlang thei a, naute chu a pum chhunga a la awm laiin enkawl theih a ni a, tissue sample lak theih a ni bawk ( a biopsy)

A tam zawkah chuan fetoscope hi i pum chhunga incision tenau tak tak hmanga dah a ni. Mahse, thil bik thenkhatah chuan chu instrument chu serh chhungah pawh dah theih a ni.

He fetoscopy test hi engtikah nge tih a nih?

Fetoscopy hi naupai kum hnihna emaw, thla thumna emaw-ah tih a ni tlangpui a, naute chu a lo seilian tlem hnuah tih a ni. Naute dinhmun khirh tak tak thenkhat enkawlna atan hman a ni a, a chang chuan biopsy lakna atan pawh a natna hriat chian nan hman a ni bawk.

Tunah chuan he method hmanga enkawl tur condition lian ber berte chu engte nge ni tih i lo en ang u:

1. Twin-to-twin thisen pekna natna (TTTS) .

Hei hi thil awm lo tak, mahse hlauhawm tak a ni a, twins inang lo tak takte chuan placenta kaltlangin thisen inang an insem loh hian a thleng thin. Nausen pakhatin thisen a hmu tam lutuk a, naute dang erawh chuan a tlem lutuk thung.

Chutiang a nih chuan surgeon chuan fetoscope hmangin he thisen kal dan inang lo tak thlentu nausen leh thisen kalna kawngte chu ngun takin a en thin. Tichuan, fetoscope kaltlangin laser thawnin thisen kalna kawng harsatna nei chu khar a ni. Hetiang tih dan hi fetoscopic laser photocoagulation an ti a . Hei hian twins pahnih nunna chhanhim theihna chance ropui tak a nei a ni.

2. Amniotic band natna (amniotic band syndrome) a awm thei

Hei hi naute chu amniotic sac chhunga membrane band te tak tea a tlakbuak hian a ni. Heng band-te hi hrui ang maia lo awmin naute kut leh kut zungtangte a khuh thei a ni. Hei hian chutiang hmuna thisen kal chu a titawp thei a, a châng chuan chu taksa pengte chu a tichhe thei a, a tichhe thei bawk. Surgeon chuan laser hmangin naute chu zalen taka vawngtu membrane te chu fetoscope hmangin a tikeh thei a ni.

3. Pianpui Diaphragmatic Hernia (CDH) .

Hei hi naute diaphragm (ril leh pum inthenna ruh)-ah khur a lo awm hian a thleng thin. Tichuan, pum chhunga taksa peng hrang hrang, thin leh intestines te chu khur atang chuan an nawr lut a, rilru chhungah an nawr lut a. Hei hian lungte a lo thang tha thei lo. Hei hian naute nun pawh a nghawng thei a ni.

Hei hi enkawl nan hian surgeon-te chuan fetoscopy hmangin naute trachea-ah balloon te tak te an dah lut thin. He balloon hian lung chhungah pressure a siam a, chu chuan an lo thanglian thei a ni. Kar engemaw zat hnuah balloon chu chutiang bawk chuan an la chhuak leh a. He enkawlna hi Fetoscopic Endoluminal Tracheal Occlusion (FETO) tih a ni.

Naute chu a pum chhunga a la awm laiin hetiang surgery khirh tak tak tih theih chu thil mak tak a ni ang tih han ngaihtuah teh! He technology hian naute tam tak nunna a chhanhim a, hmalam hun hrisel tak a pe bawk.

Heng natna lian tak tak bakah hian fetoscopy hi nausen chhunga tumor chi hrang hrang lo awm leh pianpui natna dang, spina bifida te enkawlna atan pawh hman a ni.

Chuti a nih chuan, fetoscopy tih chhan hi eng nge ni?

A awlsam zawngin, fetoscopy hman chhan ber chu naupai laiin naute pianpui natna (congenital conditions) hriatchhuah a, a tul chuan enkawl a ni. Thil tam takah chuan he enkawlna hi pek loh chuan naupai chu a tawp thei emaw, naute hian hriselna lamah harsatna lian tak a nei thei a ni. Chuvangin, naute chu nausen pum chhunga a la lo thanglian zel laiin doctor ten hetiang dinhmun hi an enkawl a ngaih hunah he method hi hman thin a ni.

Hemi atan hian engtin nge i inbuatsaih ang?

Fetoscopy neih tura ruahman i nih chuan i doctor chuan a inbuatsaihna tur dik tak a hrilhfiah ang che. Hei hi thil tam takah a innghat a, chung zingah chuan test emaw procedure tih tur chi hrang hrang, fetoscope hi pum emaw, vagina emaw kaltlanga dah a nih leh nih loh, anesthesia chi hrang hrang (i.e., sedation emaw total sleep emaw) pek tur che (i.e., sedation emaw total sleep emaw), leh procedure neih chhunga naute chetna tihtlem nan damdawi chi hrang hrang pek tur che te pawh a tel. Chuvang chuan i dinhmun atana inbuatsaih dan tur doctor nen inbiakna neih a pawimawh.

Engtin nge fetoscopy hi tih a nih?

Hei hi operation room-ah tih a ni tlangpui. Natna i hriat loh nan leh i naute nen i inchei loh nan anesthesia (local anesthesia emaw general anesthesia) pek i ni ang.

Surgeon chuan hengte hi a zawm a ni:

1. Pum atanga tih a nih chuan:

• Pakhatnaah chuan i pum chhungah incision te tak te tak te siam a ni.
• Tichuan, chu incision hmang chuan fetoscope chu nausen pum chhungah leh naute awmna amniotic sac-ah an lut a.
• Fetoscope-a camera atanga thlalak te chu screen-ah a lang a, surgeon chuan naute leh nausen chu chiang takin a hmu thei a ni.
• Surgery tih tur awm dan azirin surgeon chuan fetoscope hmangin surgery instrument tha tak tak a pass ang a, a tul angin enkawlna a ti ang a, tissue sample (biopsy) a la ang.

2. Cervix hmanga tih a nih chuan:

• A hmasa berin vagina chhungah hian speculum an tih hmanrua an dah a, chu chuan vagina bangte chu a tizau a, serh chu chiang takin a lang thei a ni.
• Tichuan, fetoscope chu cervix kaltlangin nausen pum chhungah an lut a.

He fetoscopy hi incision surgery lian tak a ni em?

No. Fetoscopy hi a tlem berah invasive procedure a ni. Chu chu, incision te tak te emaw, natural opening emaw hmanga tih a ni a, taksaah chhiatna lian tham a thlen lo tihna a ni. Naute chu nausen pum chhunga a la awm laiin operation tih dan dang (entir nan, open abdominal procedure) nena khaikhin chuan he tih hian taksaah nghawng a nei tlem zawk a, harsatna a thlen theihna a tlem zawk bawk.

Fetoscopy hmang hian hlauhawmna a awm em?

Surgery dang ang bawkin fetoscopy hian hlauhawm engemaw zat a keng tel a ni. Mahse, heng risk te hi a tlem hle. Risk lian ber berte chu:

• Hun hmaa nau neih .
• Nau neih hmaa nau neih .
• A hun hmaa membrane rupture (PPROM) .
• Naupai hloh (hei hi a tlem hle).
• Kaichhawng .
• Thisen chhuah tam lutuk .

I doctor chuan heng hlauhawm zawng zawng hi a hrilhfiah ang che a, heng hlauhawmna tihtlem nan a tul zawng zawng a la ang.

Fetoscopy atang hian eng nge kan zir theih ang?

Fetoscopy hi natna hriatchhuah leh enkawl nan hmanraw leh kalphung hman a ni. Chuvangin, chuta tang chuan information i hmuh chu i tih chhanah a innghat ang.

Hei hian i naute doctor-te hnenah naute dinhmun chungchangah thu pawimawh tak tak a pe a ni. I naupai chhung zawng emaw, i naute pian lai emawa harsatna thlen thei dinhmun enkawlnaah pawh a pui bawk.

Fetoscopy hnuah doctor-te chuan a hnuaia mite hi an ngaihtuah thin:

• Nau neih dan: Naute dinhmun a zirin doctor-te chuan cesarean section (C-section) hi a him ber a ni tih an rel thei a ni.
• Nau neihna hmun: Naute dinhmun a zirin doctor-te chuan nau neih laiin hmanraw bik emaw, enkawlna bik emaw a ngai dawn em tih an rel ang. Chumi ang chuan damdawi in \ha tak thlan theih a ni.
• Nau neih hun tur: Nau neih chhunzawm theih a nih leh nih loh emaw, nau neih hma deuh a ngai em tih emaw chu Doctor ten an rel ang.

Fetoscopy result hriat nan eng chen nge a ngaih?

Hei hi fetoscopy an tih chhanah pawh a innghat bawk. Hei hi test tak tak a ni lo va, nausen pum chhunga a la awm laia natna hriatchhuah leh enkawl dan tur doctor-te hman dan a ni.

Entirnan, fetoscopy hmanga tissue thenkhat enfiah tura lak (biopsy) a nih chuan result a lo chhuah leh theih nan ni engemaw zat a ngai thei. Mahse, i naute surgeon chuan thisen kalna kawng dik lo seal off nan laser ang chi thil a hmang a nih chuan, operation a nih leh nih loh chu operation hnuah chauh i hre chiang lo ang.

Fetoscopy hnuah eng chen nge a dam leh theih?

Hei hi minimally invasive procedure ni mahse, i pum chhungah incision i neih chuan a dam theih nan hun engemaw chen a la ngai dawn a ni. Mi tam zawk chu chu ni vek chuan an hnathawh dan pangngaiah an kir leh thei a, mahse, an incisionna hmun, emaw, vaginal-a tih a nih chuan i enkawl belh a ngai dawn a ni. I medical team chuan dam thuai dan tur, tih tur leh tih loh tur chungchang chipchiar takin an pe ang che. Chuvangin chu thupekte chu dik taka zawm a pawimawh.

Fetoscopy hi damdawi lama hmanraw hlu tak a ni a, doctor-te chuan naute chu nausen pum chhunga a la seilian laiin pianpui natna (congenital conditions) te chu an hre thei a, an zirchiang thei a, an enkawl thei bawk. Naupai kar 18 hnuah tih a ni ber a, chutih lai chuan nau piangsual tam tak hmuhchhuah theih a ni. Thil awm dan thenkhat chu enkawl theih a ni a, siamthat theih a ni a, naute nunna pawh chhanchhuah theih a ni bawk.

Hetiang test chi hrang hrang chungchangah hian hlauhna leh lungkhamna neih hi thil pangngai a ni. Mahse, i doctor leh medical team te chuan i naupai chhungin i hrisel theih nan leh i naute chu a tha thei ang bera enkawl turin theihtawp an chhuah tih hre reng ang che. Zawhna emaw, ngaihtuahna emaw i neih apiang chu sawipui rawh. I mamawh tanpuina leh information an pe ang che.

I hriat reng tur pawimawh ber berte (Take-Home Message) .

• Fetoscopy hi hmanraw bik a ni a, naute chu a pum chhunga a la awm laiin i hmu thei a, damdawi lam harsatna thenkhat pawh a enkawl thei bawk.
• Hetah hian camera te tak te (fetoscope) nei tube te tak te chu pum chhunga incision te tak te hmangin emaw, cervix kaltlangin emaw dah a ni.
• Twin-to-twin transfusion syndrome (TTTS), amniotic band syndrome, leh congenital diaphragmatic hernia (CDH) ang chi natna te a enkawl a ni.
• Hei hi minimally invasive procedure a nih avangin incision lian tham siam a ni lo.
• Surgery zawng zawng ang bawkin risk tenau tak tak awm mahse, he method hian naute tam tak nunna a chhanhim a, an hriselna pawh a ti tha hle.
• Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbia ngei ang che.

Nang leh i naute tan nun hrisel leh hlim taka awm turin duhsakna kan hlan a che u!

` fetoscopy, naupai, nausen, intrauterine surgery, pianpui natna, twin-to-twin transfusion syndrome, amniotic band syndrome, congenital diaphragmatic hernia, nausen surgery, naupai, nau neih hmaa diagnosis, nau neih hmaa enkawl