Nau neih hi engtiang chiahin nge i hnaih? Bishop Score hmangin zawng chhuak rawh!

Nau piang tur hi tlemin i hlauthawng a, i hre duh hle a ni mai thei, a dik em? Doctor-te chuan nau neih hnaih dan leh chutiang atana i taksa chu engtiang chiahin nge a inpeih tih hriat nan hmanraw bik an hmang thin. Bishop Score tih a ni. Hemi chungchang hi vawiinah hian thumal awlsam takin han sawi ila.

Bishop Score chu eng nge ni?

A awlsam zawngin sawi ila, Bishop Score hi doctor-te’n nau neih i hnaih tawh zia an chhut theihna tura chhut a ni. I doctor emaw midwife emaw chuan i serh chu a enfiah ang a, a chhunga inthlak danglamna leh i naute lu awmna a zirin score chu a ruat ang. Total score i hmuh hian labour induction hmanga vaginal birth i neih theih leh theih loh hriat nan a pui thei a ni. Score hi zero atanga 13 thleng a ni thei a, zero a nih chuan labour induction atan i la inpeih lo tihna a ni. Score 13 a nih chuan labor hlawhtling tak i neih theihna a sang zawk tihna a ni.

I serh hi i nausen pum chu nau neihna kawngkhar nena inzawm gate te tak te angin ngaihtuah rawh. A laiah chuan hawnna tlem a awm a, donut ang mai a ni. I taksain nau neih tura a inbuatsaih rual hian he serh hi a nem a, a hring a, a inhawng tan thin. Hei hi i naute pian hma kar tlemte emaw, ni engemaw zat emaw pawh nise a thleng thei. Chuvangin, Bishop Score hian i serh (cervix) chu nau neih theihna tura a inpeih dan a teh a ni.

A chang chuan hei hi pelvic score emaw cervix score emaw an ti bawk .

Hemi hmang hian eng chiah nge i thlir?

Bishop Score hi a bul berah chuan i taksa chu nau neihna atana a inpeih dan tehna a ni. Hei hi doctor-te hman dan tur bik (specific criteria) a ni. I serh chhunga inthlak danglamna leh i naute lu awmna hmun en hian i doctor chuan induction a hlawhtling dawn em tih a sawi thei a ni. Vaginal delivery beiseitute tan chuan he score hian i tih theih dan tur a hriat theih nan a pui thei che a ni.

Engtikah nge Bishop Score hi chhut a nih?

Doctor-te chuan i Bishop Score hi kar 40 i tlin hma loh chuan an chhut lo tlangpui. Chu chu a chhan chu a tam zawkah chuan induction hi post-term anga ngaih a ni a, chu chu kar 41 emaw kar 42 emaw i naupai hnuah tihna a ni. Mahse, i doctor chuan a tul nia a hriat chuan kar 40 hmain i Bishop Score chu an en mai thei.

Pawimawh: Damdawi lam dinhmun thenkhat leh nang leh i naute hriselna zawng zawng a zirin Bishop Score hman hi a tlem thei hle.

Hei hi mi zawng zawngin an en em?

No. Entirnan, nausen hnuai lam (placenta previa) i neih chuan cesarean section (C-section) tih hi a him ber mai thei. A nih loh leh, i tui chu a hun hmaa a chhe (membranes a rupture hma) a nih chuan pelvic exam hi a hlauhawm thei hle. Chuvangin mi zawng zawng tih tur a ni lo.

He Bishop Score hi engtin nge chhut a nih?

I doctor chuan heng thil panga hmang hian Bishop Score a chhut thin:

• 1. Dilation of the cervix: Hei hi i serh zau zawng hi a ni. Cervix fully dilated chu centimetre 10 vel a ni. Hei hi Doctor-te chuan an kut zungtang hmangin an teh a, chumi hnuah centimetre-ah an chantir leh thin.
• 2. Effacement of the cervix: Effacement chu i cervix a hring emaw a tawi emaw a nih dan a ni. A bo vek (100% effaced) chuan serh chu "paper thin" a ni tihna a ni.
• 3. Cervix consistency: Hei hian i cervix a nghet emaw a nem emaw a teh a ni. Cervix nem leh pliable tak chu awlsam takin a inhawng thin. I hnar tip nghet leh i hmui nêm inthlauhna angin ngaihtuah rawh.
• 4. Servix awmna: Nau neih a hnaih chuan i serh awmna chu birth canal hnaih zawkah a kal ang. Hei hi anterior an ti a, chu chu hmalam a awm tihna a ni. If the cervix is ​​in the back , nau neihnaah chuan i kal zel tihna a ni.
• 5. Fetal position emaw fetal station: Hei hian naute lu awmna hmun chu i pelvis-a ischial spine nena inzawm a teh a ni. Doctor-te chuan naute lu chu ischial spine chunglam emaw hnuai lam emaw enin hei hi score an pe a ni. Positive (+) value chuan naute lu chu birth canal chhungah a hniam zawk tihna a ni a, negative (-) value chuan naute lu a la sang zawk tihna a ni.

Goal siam dan tur

Heng factor tinte hi score pek an ni. Tichuan, heng thil pangate score te hi an dah khawm a, i Bishop Score pum pui chu i pe thei a ni. Score sang zawk chuan induction chu a hlawhtling zawk tihna a ni.

Entîr nân, hetiang hian ngaihtuah teh:

I serh chu centimetre 4 a dilated (score 2), i serh chu hmalam dinhmun (score 2), 50% effaced (score 1), i serh a nghet (score 0), leh i naute lu chu nausen dinhmun (score 2)-a awm a nih chuan, i Bishop Score chu 7 a ni.

Doctor thenkhat chuan preeclampsia ang chi natna i neih chuan, emaw, naupai pangngai i lo neih tawh chuan i Bishop Score-ah point extra an dah belh thin. Hei hi induction hlawhtling tak an neih tam zawk vang a ni. Tin, i overdue (kar 40 aia tam), emaw, a hmaa vaginal delivery i neih loh chuan point an deduct thei bawk. Mahse, doctor zawng zawng hian hetiang hian point an add leh subtract vek lo.

Engtin nge i doctor hian hei hi a teh?

I doctor chuan i serh (cervix) taksa enfiahna hmangin he score hi a chhut ang. Hei hi digital exam an ti bawk a, a chhan chu gloved fingers hman a nih vang a ni. Naute lu awmna hmun hi ultrasound scan hmangin i hmu thei bawk a, i doctor pawhin i pum a hre thei bawk. I doctor chuan heng zawng zawng hi a en ang a, exam a zirin score a pe ang che.

I nausen (placenta previa) hniam tak (placenta previa) emaw, i membrane a rupture hma emaw chuan i doctor chuan hetiang taksa enfiahna hi a pumpelh mai thei a, a chhan chu i serh (cervix) a nghawng thei a, harsatna a thlen thei a ni.

Vaginal examination neih chhung hian eng nge beisei tur?

I serh enfiah lai hian harsatna engemaw zat i nei thei. I doctor chuan examination table-ah i ke chu stirrup-a dahin mu turin a ti ang che. Tichuan, i vagina-ah gloved finger a dah ang a, i cervix chu a enfiah ang. Hemi hun chhung hian thlamuang tak leh thuk taka thawk tum ang che. Natna emaw, lungawi lohna emaw i neih chuan doctor hnenah hrilh rawh.

Ka Bishop Score hian eng nge a awmzia?

I total score chu a chunga kan sawi tak factor panga atanga score te kha add up atanga chhut a ni. Chu score range atanga result chu hetiang hi a ni:

• 8 emaw a aia tam emaw i score chuan: I nau neih a tan thuai a rinawm. Induced a nih chuan vaginal delivery hlawhtling tak a awm theihna a sang hle.
• Score 6 leh 7 inkar a nih chuan: Induction hi a hlawhtling thei a, a hlawhtling lo thei bawk. Hei hi doctor tan thutlukna siamna hun remchang dang a ni.
• 5 emaw a aia tlem emaw i score chuan: I taksa chu nau neih a la inpeih lo. Nau neih hi a pianphung atanga intan theihna chance a tlem hle.

Bishop Score chauh hi induction i mamawh dawn leh dawn loh tichiangtu a ni lo tih hre reng ang che. I naupai stage leh medical history atanga thutlukna tha ber siam turin nang leh i doctor tanpui theihna hmanrua mai a ni. Mi thenkhat chuan Bishop Score hniam tak an nei a, induction hnuah pawh vaginal birth hlawhtling tak an la nei tho. Chutiang bawkin mi thenkhat chuan Bishop Score sang tak neiin induction failed an la nei tho.

Bishop Score tha tak chu eng nge ni?

Score sang chuan labour a hnai tawh tih a tilang a, induction hlawhtlinna chance tha tak a awm tih a tilang bawk. Bishop Score tha tak chu score 8 aia sang zawkah ngaih a ni.

Bishop Score angin engtikah nge induction hi a tul?

Labour induce tura thutlukna siam hi thil engemaw zatah a innghat a ni. Damdawi lam thil a awm lai emaw, doctor-in a pianphung anga nau neih tan hun nghah chu a him lo nia a hriat hunah emaw siam a ni tlangpui. Bishop Score hi doctor-te thutlukna siamna atana hmanraw pakhat chauh a ni a, nau neih tir leh tur loh tichiangtu chu a ni lo.

Bishop Score 10 tih hian eng nge a awmzia?

Bishop Score 10 a nih chuan nau neih thuai a rinawm tihna a ni. Tin, induced i nih chuan vaginal delivery hlawhtling tak neih theihna chance a sang hle bawk.

Engvangin nge hei hi "Bishop Score" an tih?

He scoring system hi Dr. Edward Bishop chawimawina atan "Bishop Score" tia koh a ni a, ani hian kum 1964 khan heng tehfung panga hmang hian nau neih tir hlawhtlinna tur sawi lawk nan he method hi a rawn hmang ta a ni.

Simplified Bishop Score chu eng nge ni?

Simplified Bishop Score tih awmzia chu i doctor chuan a hmaa kan sawi tawh panga ai chuan thil pathum chauh a ngaihtuah tihna a ni. He Simplified Bishop Score-a thil pathum hmante chu:

1. Cervical tihzauh (cervical dilation) a ni

2. Cervical tihthianghlim (cervical effacement) a ni

3. Nausen awmna hmun (fetal station).

Chung zinga pakhat zel chu zero atanga pathum thleng score pek an ni. He simplified system-ah hian score panga aia sang chu sang takah ngaih a ni (induction chu a hlawhtling mai thei tihna a ni).

Eng dinhmunah nge natna hi artificial-a tihchhuah a nih?

Labour hi chhan hrang hrang avangin induced a ni. Naupai kar 41 emaw kar 42 emaw i pelh tawh chuan a tha thei ang. Hei hi a chhan chu naupai kar 42 hnuah harsatna a thlen theihna a sang a, i nausen chu a thawk tha lo thei a ni. Nu emaw naute emaw-ah hian damdawi lam thil a awm a nih chuan emaw, doctor-in a tul nia a hriat apiangin nau neih tir theih a ni bawk.

I Bishop Score hian nang leh i doctor chu inducing labor hi thil tha tak a ni em tih thutlukna siam turin a pui thei che a ni. I doctor nen inducing labor thatna leh that lohna te leh i tan a tha em tih te sawipui rawh. A tawpah chuan nang leh i doctor tan chuan thil tum awmchhun chu nang leh i naute hrisel taka awmtir hi a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Tunah chuan Bishop Score hi i hrethiam tawh ngei ka beisei. Tlem a tawi zawngin sawi ila:

• Bishop Score hi i taksa chu nau neihna atana a inpeih dan tehna a ni.
• Hei hian artificial pain induction hi a hlawhtling dawn em tih hriattirna engemaw zat a pe thei a ni.
• Score 8 emaw a aia tam emaw hi a tlangpuiin a tha anga ngaih a ni .
• Hei chauh hi thutlukna siamtu a ni lo. I doctor chuan thutlukna a siam dawnin thil dang tam tak a ngaihtuah ang.
• Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawi dun chu hlau ngai suh .

Hrisel tak leh hrisel taka pek chhuah theih nan duhsakna kan hlan a che u! Nang leh i naute hi hrisel takin awm rawh se!

` Bishop score, nau neih, serh, artificial labor, naupai, nau neih na, hriselna atana tips