I naute umbilical cord (True Knot) chungchang hriat i duh em? Ngaihtuah buai suh, kan inbia ang u!

Nu ni tur i nih angin i pum chhunga naupang te tak te kha i ngaihtuah nasa hle mai thei, a dik em? An dam tha em, ei leh in leh oxygen an hmu tlem em, an dam tha em? Chuvangin, vawiin hian nute ti hlauhawm deuh fo thin, mahse a takah chuan chutiang chuan a awm lo tih kan sawi dawn a ni. Chu chu naute umbilical cord-a knot siam a ni a, a bik takin ‘true knot’ an tih dinhmun chu a ni. He hming i hriat hian tlemin i hlauthawng a nih pawhin lungngai suh. Hemi chungchang hi chipchiar tak leh awlsam takin sawi ila.

Umbilical cord-a knot chu eng nge ni? Kekawr hrui ang mai a ni em?

A awlsam zawngin, a ni. I pheikhawk hrui a inzawm thei ang bawkin i naute umbilical cord pawh a inzawm thei bawk. I naute chu nausen pum chhunga a kal kual vel hian heng knot te hi a lo awm thei a ni. Mahse a tam zawkah chuan heng knot te te hian i naute tan harsatna lian tham a thlen lo. Plus, anmahni chauhin untied-in an lo kal tlangpui.

Hei hi a chhan a awm. Umbilical cord chhungah hian gel ang chi thil pakhat ‘Wharton’s jelly’ an tih chu a awm a. Hei hian umbilical cord a venghimtu chu a ni. Chuvangin knot te tak te lo awm mahse he gel hian a tight tir dawn lo. Mak a ni lo maw?

Engvangin nge ‘True Knot’ an tih?

Mahse, a tlem berah chuan he knot hi a tight deuh thei. Doctor-te chuan knot khauh tak chu ‘True Knot’ an ti a . A hmaa kan sawi tawh knot te tak te ang lo takin he knot hi awlsam takin a lo chhuak lo. He knot hi a tight chuan umbilical cord kaltlangin naute hnena oxygen leh nutrients kal tur chu a tikhawlo thei a ni. Tui pipe a block a, tui luang a tihtlem ang mai a ni. Hei hian naupai lai leh nau neih laiin harsatna a thlen thei a ni. A chhan chu naute hian dam khawchhuahna atana a mamawh thil a hmuh loh vang a ni.

Mahse, hre reng ang che, heng ‘True Knots’ an tihte hi an tlem hle. Chumi awmzia chu an thleng fo lo tihna a ni. Mahse, a tam zawkah chuan naute hi hrisel takin a piang a ni. Chuvangin, hlauthawng lawk lo ila a tha zawk, a dik em?

Umbilical cord chu eng nge ni? Naute tan engtin nge a pawimawh?

Naute tan chuan umbilical cord hi eng ang taka hlu nge a nih i hria em? Naute leh nu nausen inzawmna ang mai a ni. Naute chu a pum chhunga a thanlenna atana a mamawh zawng zawng chu he umbilical cord hmang hian a pe vek a ni.

• Hei hi nausen (placenta) atanga nausen thlenga oxygen phurtu a ni.
• Hei hian naute mamawh ei tur tha tak tak a keng tel bawk.
• Tin, he umbilical cord hian naute taksaa bawlhhlawh lo chhuakte chu nausen (placenta)-ah leh nu taksa atanga chhuah tir leh turin a pui bawk.

Chuvangin umbilical cord hi naute nunna kawngkhar ang a ni tih i hrethiam a ni.

Heng knot te hi engtiang chiahin nge an awm tak tak?

Nu tam takin he thu an hriat hian an hlauthawng thin a, chuvangin a hluar zia hriat a tha. A vaiin naupai 100 zinga 1 vel chuan umbilical cord-ah knot chi khat an nei ang. Mahse, chu knot zawng zawng chu kan sawi tawh ‘knot dik tak’ an ni vek lo. Dik tak chuan ‘knot dik tak’ hi naupai zawng zawng zinga 1% aia tlem loah a awm thin. Chu chu a tlem hle.

Engvangin nge heng umbilical cords te hi an inzawm khawm? Tu emaw sualna a ni em?

A tam zawkah chuan doctor te pawhin heng lumps te hi engvangin nge an lo awm tih chiang takin an sawi thei lo. Mahse, a hlauhawmna tipung thei thil engemaw zat a awm tih an hria. Tin, naute chu nausen pum chhunga a kal kual lai, a inher kual vel lai chauhvin heng lumps te hi a lo awm mai thin hun pawh a awm bawk. Thil pianpui tak a ni.

Thil dang chu a chang chuan naute hnaih leh nau neih leh nau neih avanga nawrna avang hian knot chu a nghet zual thei bawk.

A pawimawh ber chu hetiang knot hi i thil tih vang emaw, i tihsual vang emaw a ni lo tih hriatthiam hi a ni. Ngaihtuah buai suh.

Knot te tak te, buaithlak lo tak tak te hi a tlangpuiin ngaihtuah tur a awm lo. Mahse, knot chu a tight a, ‘knot dik tak’ a nih chuan harsatna a awm thei. Hei hian umbilical cord-ah pressure a siam thei a, naute tan oxygen a titawp thei bawk. I doctor chuan hei hi a lo thlir reng ang a, a bik takin risk factor i neih chuan.

Hetiang lump hi tuin nge vei tam zawk? (Risk factor hrang hrang) 1.1.

A châng chuan heng tumor te hi risk factors awm lovin a lo awm thei bawk. Mahse, doctor-te chuan he hlauhawmna hi a hnuaia thil awmte zingah hian a sang deuh thei tih an sawi.

• Naute chu a thang tha lo a nih chuan: Chu chu nausen chu gestational age atan a te a nih chuan.
• Umbilical cord a sei lutuk chuan: Umbilical cord chu a tlangpui aia sei a nih chuan knot siam theihna a sang zawk.
• Monoamniotic twins i keng a nih chuan: Chu chu amniotic sac khatah twin pahnih an awm chuan umbilical cords te chu an kal kual veleh an inzawm khawm leh inzawmkhawm theihna chance a sang zawk tihna a ni.
• Amniotic fluid a tam lutuk chuan: Hei hi ``polyhydramnios'' an ti a.`` Fluid a tam poh leh naute hian hmun a tam zawk a, chu chuan knot a siam thei a ni.
• A hmaa fa pahnih emaw a aia tam emaw i hrin tawh chuan (multiparity).
• Kum 35 aia upa i nih chuan.
• Third trimester chhunga nausen chetna tlahniam i hriat chuan hei hi a chang chuan knot a awm leh awm loh enfiah chhan a ni thei.

Hengte hi risk factors langsar ber berte chu an ni.

Umbilical cord-ah hian knot a awm a nih chuan eng nge thleng?

‘True Knot’ ngaihtuah dan tha ber chu huana hose-a knot i khin hian eng nge thleng tih ngaihtuah hi a ni. Knot hian tui chu a luang tha thei lo a ni lawm ni? Chutiang chu he mi nen hian a ni. Naute chu a dam khawchhuahna atana a mamawh oxygen leh nutrients a hloh a ni. Hei hian naute thanlenna leh hriselna a nghawng thei a ni.

Naute hian ‘True Knot’ atang hian eng harsatna nge a neih theih?

Umbilic cord-a knot dik tak hian naute tan harsatna lian tak a thlen thei a, naute oxygen supply a titawp thei a ni. Hun rei tak chhunga nghawng a neih dan chu knot a tight danah a innghat.

• Knot a tight lutuk chuan: Naute hian hypoxia na tak a vei thei. A châng chuan, nunna atana hlauhawm tak a ni thei bawk.
• Knot chu a lo hring deuh a nih chuan: Oxygen supply a chhiat deuh (`mild hypoxia`) pawh nise, hun rei tak chhunga chhiatna a awm lo thei.

Hun rei tak chhunga nghawng a neih ṭhenkhat chu:

• Cerebral Palsy: Thluaka oxygen tlakchham vanga lo awm thin.
• Hypoxic-ischemic encephalopathy (HIE): Hei hi thluaka oxygen leh thisen supply tlahniam avanga thluak chhiatna a ni bawk.
• Thluak a chhiat phah.
• Hmasawnna emaw hriatna lama tihkhawtlai.

Hengte hi hriat a hlauhawm hle. Mahse, heng thilte hi a thleng tlem hle tih hre reng ang che.

Hetiang knot avang hian naute hloh theih a ni em? (Nau thi tawh) .

Ni e, lungchhiatthlak takin, thil engemaw takah chuan a tlem hle a, ‘knot dik tak’ chuan nau piang thi a thlen thei a ni. Mahse, naupai leh nau piang tam zawk hi naute hrisel takah a tawp thin. Chuvangin lungngai lutuk suh.

Engtin nge umbilical cord-ah hian ‘True Knot’ a awm leh awm loh kan hriat theih ang?

A tam zawkah chuan naute pian hnuah chauh umbilical cord-ah ‘knot dik tak’ i nei tih i hre lo. Mahse, mi thenkhat chuan naupai kum thum chhungin naute chetna a tlem thei hle. Hei hi ‘knot dik tak’ neih theihna tur risk factor a ni. Chuvangin naute chetna tlem zawk i hriat chuan i doctor hnenah i hrilh nghal tur a ni.

A châng chuan doctor-te chuan naupai laia ‘knot dik tak’ chu ultrasound hmangin an hmu thei a, chu chu naute lungphun emaw, a che vel danah emaw a danglam tih an hriat chuan a ni. Mahse, naupai lai hian ultrasound hmanga heng knot te hi hriat a harsa hle. Chuvang chuan naute pian hnuah an hmuchhuak fo thin.

A châng chuan, nau neih leh nau neih laiin naute thinlung chakna a danglam nghal a nih chuan doctor chuan knot a ringhlel thei a ni. Chutiang a nih chuan doctor chuan rang taka hma a lak a ngai ang a, naute chu vaginal hmanga nau neih chu a la him em tih a rel a ngai dawn a ni.

Hemi chungchangah hian doctor-te hian eng nge an tih?

Knot hmuh a nih pawhin doctor-te chuan an phelh thei lo. ‘True knot’ enkawlna atana pawimawh ber chu risk factors hriat chian a, mi pakhatin risk factor a neih chuan complication laka fimkhur hi a ni.

• Naute pian hmaa ultrasound-a lump hmuh a nih chuan: I doctor chuan i naupai lai chu ngun zawkin a enfiah ang a, a bik takin third trimester-ah. Hei hian ultrasound dang tih belh te, Doppler study (umbilical cord-a thisen kal dan enfiahna scan) leh naute thanlen leh che vel enfiahna atana checkup neih fo te a huam thei bawk.
• Nau neih laiin knot i hmuh chuan: Hei hi naute heart rate inthlak danglam vang a nih chuan nausen chu nausen harsatna a awm leh awm loh ngun takin i enfiah tur a ni. ‘True knot’ a awm chuan nau neih laiin a inzawm khawm avangin knot chu a nghet thei hle. Chuvang chuan doctor-te chuan nausen nau a pai chhoh zel angin naute heart rate hi uluk takin an ngaihven thin. Naute chu harsatna tawk anga lang emaw, oxygen tlakchhamna a neih emaw chuan emergency C-section neih a ngai mai thei.

Hei hi hlauhawm tak angin lang mah se, ‘knot dik tak’ hi a tlem hle. Amaherawhchu, doctor-te chuan theihtawp chhuahin, chhiatna nghet tak an thlen loh nan.

Chuti a nih chuan hemi chungchanga kan hriat reng tur pawimawh ber berte chu engte nge ni? (In lama hruai tur thuchah)

Okay, chuvangin kan sawi tawh zinga pawimawh tak tak thenkhat i hriat nawn tir leh ang u.

• True Knots hi a tlem hle: Umbilical cord knot chungchang hriat chu a hlauhawm thei hle a, mahse a takah chuan ‘true knots’ serious tak tak hi a tlem hle.
• Naute hi hrisel takin an piang fo thin: Knot awm mahse, a tam zawkah chuan naute hi harsatna awm lovin hrisel takin an piang thin.
• I sualna a ni lo: Eng thil pawh i tih vangin knot a lo piang lo. Ngaihtuah buai suh.
• I naute che vel hi en reng ang che: Naute che vel tlem zawk i hriat chuan, a bik takin i naupai tawp dawnah i doctor hnenah hrilh rawh.
• I doctor nen inbia: Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inbia ang che. I mamawh hrilhfiahna leh thlawpna an pe ang che.

Naupai lai hi beiseina ropui tak a ni a, mahse hlauhna tlemte pawh a awm bawk. Umbilical cord chungchang ngaihtuah lutuk ai chuan i hriselna leh hlimna lam ngaihtuah zawk rawh. I doctor chuan i naupai a kal tha a, i naute pawh a thang tha hle a tih chuan hetiang harsatna hi a thlen theihna chance a tlem hle.

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