Labour Pain Relief a ni em? Hemi chungchang hi han sawi ila!

Naute i beisei a nih chuan tunlai zawhna lian ber pakhat chu i naute pian hnua natna lo awm thin, nau neih nana i hmachhawn dan tur hi a ni. Mi zawng zawng tawnhriat hi a inang vek lo tih chu a chiang. Engzat nge i natna tih chu thil engemaw zatah a innghat a ni. Entirnan, naute lian leh te, naute dinhmun, i nausen pum (uterine contractions) a chak zia, leh natna i tuar theihna tlangpui te.

Engvangin nge heng nau neih nana te hi a lo awm? Engtin nge an ngaih?

A awlsam zawngin sawi ila, nau neih na hi i nausen (uterus) a inzawmkhawm leh a relax (contracting) vang a ni. Hei hi naute chu birth canal hnuai lama nawr luh pui turin a ni. Hetih lai hian i serh chu a inhawng (dilate) tan a, a thim (effacing) tan a, naute chhuah theihna tura inbuatsaihna atan a ni. Naute lu in i bladder leh bowels a pressure avang hian natna i nei thei bawk. A hnuah chuan naute chuan i vagina a rawn nawr chhuah chuan natna i nei thei ang.

A tam zawkah chuan nau neih laiin natna nasa ber chu a natna (contraction) a ni. He natna hi a hriat dan hi mi hrang hrangah a inang lo. Naupai pakhatah chuan naupai dang angin a inang lo mai thei. Mi tam tak tan chuan hnungzang leh pum hnuai lam natna na tak ang maiin a lang a, chubakah vagina-ah pawh pressure a awm bawk. Ṭhenkhat chuan period ang maiin a lang . Midang tan chuan nausen pum chu a puak dawn ang maiin a inzawm khawmna thlipui na tak ang maiin a lang.

Sometimes , miten natna tihziaawmna lam an ngaihtuah zawk a, a natna hi engtiang chiahin nge a nasat tih, engtiang chiahin nge a awm reng tih leh eng chen nge a awm tih ai chuan. Nau neih nana tihziaawmna kawng lian pahnih a awm a, chungte chu damdawi leh damdawi hman loh a ni.

A pawimawh ber chu i naupai enkawltu hnenah heng natna tihdam dante hi sawipui a ni. Method tin hian a thatna leh that lohna a nei vek a. Naute i neih hmaa hengte chungchang sawi hian a hun a lo thlen hunah thutlukna siam a awlsam phah ang.

Naute neih hian a ti na tak zet em?

Mi tam tak chuan nau neih laiin natna engemaw zat an nei a, natna tidamtu damdawi hmang pawhin. He natna hi eng ang nge a nih, eng chen nge a awm tih leh khawiah nge a na tih te hi mi tin leh naupai pakhatah leh naupai dangah a inang lo thei.

Nau neih laiin natna tihziaawmna tur kawng hrang hrang engte nge awm?

Nau neih lai hian eng pain relief option nge awm tih hriat a pawimawh. Khawngaihin i naute pian hmain i doctor nen sawiho rawh. Beisei tur leh natna tidamtu tinte thatna leh that lohna hriatna chuan a hun a thlen hunah thutlukna dik siam turin a pui ang che.

I nau neihna hmun bik a zirin natna tihdamna i thlan theihte chu a inang lo thei tih hre reng ang che. I nau neih chhung zawng hian i doctor chuan i dinhmun leh i rilru hahdam dan azirin i tana tha tur pain relief option thlang turin a pui ang che.

I doctor chuan anesthesiologist (natna enkawlna lama tui tak doctor) hnenah natna tihziaawmna tur kawng hrang hrang, epidural emaw spinal anesthesia emaw sawifiah turin a refer thei che a ni. Anesthesiologist chuan zawhna i neih apiang chu lawm takin a chhang ang che.

Hengte hi nau neih laia natna tidamtu hman tlanglawn tak tak thenkhat chu an ni:

1. Natna tihdamna damdawi

Doctor-te chuan heng natna tidamtu, ``Analgesics,'' an tih hi IV (intravenous) line hmangin emaw, taksa ruh chhungah emaw an pe a, hei hian nau neih natna tihziaawmna atan a pui a ni. Heng damdawi te hian natna hi a ti bo vek lo a, mahse nasa takin a tiziaawm thei a ni. Heng ``Analgesics'' te hian i taksa pum a nghawng a, nang leh i naute pawh mutthilh tir thei a nih avangin, nau neih tirh lamah chuan chawlh hahdamna leh chakna humhalh nan an hmang ber a ni.

Nau neih laiin heng (Analgesics) te hi engtin nge an hman?

Chungte chu damdawi thisen chhunga pek emaw, taksa ruh chhunga injection angin emaw pek a ni. Natna i chhanna chu an block a, an ti bo lo. Analgesics hi damdawi chi khat opioid an tih a ni.

Nau neih laiin opioid hman hian eng hlauhawmna nge a neih?

Nau neihna atana opioid hman hian naute chu a pian hnu lawkah thawk harsatna a thlen thei a, naute chu a chau emaw, "a hriat loh" emaw a ti thei bawk. Chuvangin, i doctor emaw anesthesiologist emaw hnenah analgesics hman that leh that loh zawt ngei ang che.

2. Local Anesthesia hmanga tihdam theih a ni

Local anesthesia hian i taksa hmun tlemte, i vagina leh a chhehvel te chu a ti na lo hle. Doctor-te chuan nau i neih dawn laiin (a nih loh leh naute pian hnua stitches a ngai a nih chuan) hei hi an pe thin.

Nau neihna atana local anesthesia chu eng nge ni?

Hei hi nau neih laiin i taksa hmun tlemte tihthim nan hman a ni. Anesthetist chuan chu hmuna sensation phurtu nerve-ah numbing agent a inject ang. Entirnan, vagina, vulva leh vagina leh anus inkar hmun (perineum) a ti numb thei a ni. Episiotomy tih a ngai a nih chuan emaw, nau neih hnua serh chhunga mittui tla siamthat ngai a nih chuan a tangkai hle. Local anesthetic atanga side effects awm hi a tlem hle.

Pudendal Block hi eng nge ni?

Pudendal block hi local anesthesia chi khat a ni bawk. Hei hian i pudendal nerve-ah injection pek a huam a ni. Doctor-te chuan i naute pian hun a thlen veleh hei hi an pe nghal mai thin. Hei hian i naute chu birth canal hnuai lama a kal a, i vagina atanga a chhuah chuan i vagina leh anus vel a natna chu a tiziaawm a ni. Doctor-te chuan pudendal block atan hian damdawi lidocaine an tih hi an hmang duh tlangpui a, a chhan chu damdawi dang aiin a thawk rei zawk a ni.

3. Regional Anesthesia hmanga tihdam theih a ni

Regional anesthesia hi nau neih laiin natna tihdamna hmanraw hman tlanglawn leh tangkai ber a ni. I hnungzang hnuai lam natna chu nasa takin a tihziaawm thei a, a ti bo vek thei bawk. C-section, emaw cesarean section emaw i neih chuan hman theih a ni bawk. Regional anesthesia hi chi thum a awm a, chungte chu spinal, epidural, leh a pahnih inzawmkhawm (combined spinal/epidural) te an ni. Heng hmanraw hrang hrangah hian anesthesiologist chuan i hnungzang hnuai lam nerve-ah damdawi a inject a, chu chuan i harh laiin i taksa hmun zau takah natna a "block" thin.

Nau neih laiin regional anesthesia chi thum hmante chu engte nge ni?

• Epidural Block: I anesthesiologist chuan i hnungzang chhungah plastic tube te tak te, catheter an tih chu a dah lut a. He tube hi nau neih zawh thlengin a hmunah dahin pump nen an inzawm a ni. Hei hian nau neih laiin a tul angin damdawi tlemte i ei thei a ni. C-section i neih a ngai a nih chuan i doctor chuan he tube hmang hian damdawi dose chak zawk a pe thei che a ni. United States ang ramah chuan natna tihdamna hmanraw hman lar ber chu epidural hi a ni. I hnungzang hnuai lam leh i ke a ti numb thin. Epidural hian hna a thawk tan theih nan minute 15 vel a ngai a ni. Khumah i la inher kual thei a, epidural hmangin i dinhmun pawh i thlak thei bawk.
• Spinal Block: Spinal block hi C-section ruahman fel hnuah hman a ni fo thin. Anesthesiologist chuan i spinal cord (spinal canal) vel chu a ti na thei lo. Hetiang method hian hna a thawk rang a, darkar hnih vel chu natna nei lovin a awm thei bawk. Epidural ang lo takin spinal block hian hahdamna a pe chhunzawm zel lo.
• Combined Spinal-Epidural (CSE): Hei hi epidural leh spinal inzawmkhawm a ni. Spinal hian numbing a pe rang zawk a, a tul chuan damdawi dang nen pawh hman theih a ni.

Engtikah nge regional anesthesia hi pek thin?

Regional anesthesia lak hun tha ber chu nang leh i naute hian nau neih an dawn danah a innghat a ni. Nau neih laiin regional anesthesia i dil chuan i doctor chuan anesthesiologist a ko ang. Chumi hnuah chuan anesthesiologist chu i room-ah a lo kal ang a, anesthesia chu a pe ang. Regional anesthesia chakna hi hun kal zelah a chhe vek a, chuvangin timing hi a pawimawh hle. Doctor chuan i nau neih chu anesthesia level dik takah a awm tih a enfiah ang. Mahse, epidural lak i tihkhawtlai chuan i la thei lo mai thei. Chuvangin i naute pian hmain anesthesia option hrang hrang zir a tha. Dan khauh leh rang tak a awm lo va, i ngaihdan i thlak nghal a nih chuan epidural hi duhthlan tur a ni fo.

Regional anesthesia i dil chuan epidural emaw spinal anesthesia emaw, a pahnih inzawm emaw i dawng thei bawk. Doctor-te chuan i hriselna tlangpui leh i nau neih dan a zirin anesthesia chi chu an thlang ang.

Engtin nge epidural hian hna a thawh?

Anesthesiologist chuan i thut emaw, i sir lama i mu emaw laiin epidural a pe che a. A hmasa berin i hnungzang hnuai lam hmun pakhat chu local anesthetic hmangin a ti na a. Tichuan, a numbed area-ah hian special needle dahin anesthetic injectna tur hmun dik tak an zawng a ni. Anesthetic an inject hnuah anesthesiologist chuan needle chu a la chhuak thin. Plastic tube te tak te, epidural catheter an tih chu needle lakchhuah hnuah a hmunah dah a ni a, nau neih zawh hma loh chuan a tul angin natna damdawi pe turin.

Regional anesthesia hian ka naute a nghawng dawn em?

Research tam takah chuan regional anesthesia hi nang leh i naute tan pawh a him tih hmuhchhuah a ni.

Regional anesthesia hi engtiang chiahin nge hman a nih a, eng chen nge a awm?

Epidural anesthesia hian injection hnu minute 10 atanga minute 20 chhungin hna a thawk tan thin. Epidural atanga natna tihziaawmna hi i nau neih tawp thlengin a awm a, a chhan chu engtik lai pawhin catheter kaltlangin damdawi tam zawk pek theih a ni.

Spinal anesthesia hian injection hnuah hna a thawk tan nghal a. Natna tihziaawmna hi darkar hnih vel a ni. I nau neih hi a rei zawk tura ngaih a nih chuan i doctor chuan epidural catheter a dah ang a, a tul hun chhung chu natna tihziaawmna tur damdawi a pe ang che.

Regional anesthesia atang hian engzat nge natna ka neih ang?

Natna atanga hahdamna nasa tak nei mah la, i uterine contraction avang hian pressure engemaw zat i la nei thei tho. Doctor-in a enfiah che pawhin pressure i nei thei bawk. Hun tam tak chu i kal thei lo mai thei. I harh tur a ni a, i fimkhur tur a ni a, i nawr hun a nih chuan i hre thei tur a ni.

Local anesthesia ka dawn hnuah khumah ka awm a ngai dawn em ni?

A ni hauh lo. I anesthesiologist chuan anesthesia chu chair-a i thut theih nan emaw, i kal theih nan emaw a siamrem thei a ni. Kea kal emaw, ṭhut emaw hian nau neih chakna a pui thei bawk. I duh chuan i anesthesiologist hnenah "walking epidural" chungchang zawt la.

Epidural hian ka nau a tikhawtlai dawn em ni?

Mi thenkhat tan chuan regional anesthesia hnuah hun rei vak lo chhung chu uterine contraction a slow thei. Mahse mi tam tak tan chuan regional anesthesia hian an chawlh hahdam theih nan a pui a, an chawlh hahdam theih nan an contraction pattern chu a ti tha tak zet a ni.

Epidural ka neih chuan ka nawr thei ang em?

Awle. Regional anesthesia hmang hian i serh a inhawng thlengin nuam takin i chawl thei a ni. I cervix chu a dilated kim tawh a, i nawr hun a nih chuan chakna i nei tam zawk ang. Regional anesthesia hian i nawr theihna a nghawng tur a ni lo. I tan nawr awlsam zawk tur a ni.

Regional anesthesia hian side effect a nei em?

I anesthesiologist chuan harsatna a thlen loh nan fimkhur bik a la ang. Harsatna hi a awm tlem hle nachungin, a side effect thenkhat chu:

• Thisen sang hniam: Intravenous fluids (IV fluids) pek i ni ang a, i doctor chuan i thisen sang a tlahniam lutuk loh nan a enfiah ang.
• Nau neih laiin a hring (mild itching): Naupai lai hian a tibuai a nih chuan anesthesiologist-in a enkawl thei a ni.
• Lu na: Regional anesthesia hnua tui in leh painkiller ei hian lu na a tidam thei. Lu na a awm reng chuan doctor hnenah hrilh rawh.
• Allergic reaction: Local anesthetics allergic reaction hi a awm tlem hle nachungin, a na thei hle.

Tun hmaa i hnungzang hnuai lam surgery lian tak i neih tawh chuan, emaw, hriselna lama harsatna engemaw i neih chuan epidural emaw spinal block emaw i nei thei lo mai thei. I hriselna chanchin a zirin epidural emaw spinal block emaw a awm theih dan tur chu i doctor nen sawiho rawh.

4. General Anesthesia hmanga tihdam theih a ni

General anesthesia hian a muthilh tir vek che a ni. A him viau nachungin, general anesthesia tih hian i naute chu a pian hnuah i hmu nghal thei dawn lo tihna a ni. Emergency-ah pawh hman a ni fo.

Nau neih laiin engtikah nge general anesthesia hi hman a nih?

General anesthesia tih awmzia chu i naute pian lai hian i muhil vek tihna a ni. A thawk rang hle a, mahse a tlangpuiin emergency C-section emaw emergency dang, nau neih laiin thisen chhuah tam lutuk ang chi tan chauh a ni.

Nau neih laiin naute mut tir hian eng hlauhawmna nge a neih?

General anesthesia hlauhawmna pakhat chu i lung chhunga ei tur a lut (`(aspirating)`) hi a ni. Chumi awmzia chu i mut lai hian i pum atanga ei tur a chhuak a, i thaw lut a, hei hi general anesthesia hlauhawmna ber a ni a, nau neihna atan chauh ni lovin, eng surgery pawh neih theihna tur a ni.

5. Nitrous Oxide hmanga siam a ni

Nitrous oxide, a nih loh leh "laughing gas" tih hi gas rim leh thlum nei lo a ni. Mask hmangin i thawk lut a. Nau neih laiin lungkhamna a tihziaawm a, mahse natna a ti bo vek lo.

Laughing gas hian eng nge a thatna leh a that lohna?

Nitrous oxide hi United States-ah chuan ram dang angin an hmang nasa lo hle. Contraction i neih dawn laia hmui hmanga i thawk chhuah gas a ni. A thawk rang hle a, mahse a chhe nghal vat bawk. Nitrous oxide hian hun rei tak chhunga nghawng a neih dan hi hriselna lama mithiamte chuan an la zirchiang mek a ni. Nitrous oxide hian i thawk a tichhe thei a, chubakah rilru hahna, luak chhuak leh luak chhuak a thlen thei bawk.

Nau neih nana tihziaawmna tur natural ways te chu engte nge ni?

Nau neih laia i natna hi damdawi tel lova enkawl dan tam tak a awm. Natural Childbirth hian damdawi engmah a hmang lo tlangpui. Chu ai chuan miten nau neih leh nau neih huna an tuar theih nan thawk chhuahna exercise leh chawlh hahdamna hmanrua an hmang zawk a ni.

Damdawi tel lova natna tihziaawm dan entirnan thenkhat:

• Massage neih a ni.
• Hot bath emaw shower emaw pawh a pawi lo.
• Music rilru hahdam tak, light tak tak ngaihthlak.
• Exercise ball (`(birthing ball)`) chunga swing.
• Thâwk thûk tak exercise tih.
• Ngaihtuah emaw, hypnosis / hypnobirthing hman emaw.
• Relaxation technique dang practice.
• Acupuncture (`(Acupressure)`) hmanga tih a ni.

Vawi tam tak chu, nau neih laiin i pasal emaw, i kawppui emaw, nau neihna doula emaw, i ṭhian emaw i bula awm hian ṭanpuina nasa tak leh fuihna ṭha tak a pe thei a ni. Hei hi continuous labour support an ti a . Mi thenkhat phei chuan heng natural methods te hi damdawi nen hman an thlang thin.

Eng ang nau neih nge a hrehawm ber?

Hei hi zawhna chhan harsa tak a ni a, a chhan chu ngaihtuah tur tam tak a awm avangin. Chung thil thenkhat chu i naute lian zia te, i pelvis zau zia te, naute i lo nei tawh em tih te, eng ang nau neih dan nge i duh tih te a ni.

Naute i neih hmain i natna tihziaawmna tur kawng hrang hrang hriat a tha a, mahse nau neih erawh chu sawi lawk theih a ni lo. I doctor nen i ngaihtuahnate sawipui la, i tana tha ber tur chu an ngaihtuahsak ang che.

Nau neihna atana natna tidam thei damdawi a awm em?

Narcotics chi thenkhat (narcotics / opioids) hian nau neih laiin i natna tihziaawmna kawngah a pui thei a ni. Natna chu ti bo vek lo mah se, natna i chhanletna chu a thunun thei a ni. I doctor chuan hengte hi thisen kal tlanga (IV) emaw, injection emaw hmangin a pe ang che, a tlangpuiin nau neih tirh lamah (hei hi a him ber). Opioids hian a nghawng tha lo tak tak, mutthilh leh thawk dan inthlak danglamna te a thlen tih hmuhchhuah a nih avangin i doctor nen sawiho rawh.

Naute nei lovin naute ka nei thei ang em?

Nau nei lo tak tak nau piang chu a rinawm loh. Mahse, nau neih laiin i natna tihziaawmna emaw, enkawl emaw theihna tur kawng tam tak a awm. Mi tinin nau neih natna hi kan tawng dan a inang lo. I tih theih tha ber chu i obstetrician emaw anesthesiologist emaw nen i duhthlan tur chungchang sawipui hi a ni. Nau neih leh nau neih hi hriat lawk theih loh a ni fo a, i inthlak danglam a ngai mai thei a, mahse i naute lo thlen hmaa i mamawh theih tur hriat chu a \angkai hle.

Epidural tih ai chuan eng nge tih theih dang?

Epidural hi nau neihna atana natna tihdamna hmanraw sawi hlawh ber leh lar ber a ni. Epidural mamawh i tih loh chuan i natna tihziaawmna tur kawng dang a awm bawk. Epidural ngaihtuahna i duh loh chuan pudendal nerve block emaw acetaminophen (paracetamol) emaw hi a \angkai thei ang. A nih loh leh, ruihhlo hman loh tur option, birthing class ang chi te pawh i en thei bawk.

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

Nau neih hi thil hrehawm tak a ni thei. Chuvângin, natna tihziaawmna tûr kawng awm zawng zawng hriat chuan i tâna ṭha tûr chungchânga thu tlûkna dik siam tûrin a ṭanpui ang che. I doctor hnenah chuan method tinte hnathawh dan leh i hriselna chanchin a zirin eng nge an rawt tih sawifiah turin hrilh rawh . Eng nge i beisei tur tih leh nau neih avanga natna leh nuam lo tak takte i enkawl duh dan tur ruahmanna i neih hi chutiang atana inbuatsaihna tha tak a ni. Lungngai suh, nangmah chauh i ni lo, tanpui thei doctor leh nurse an awm. Hlim taka piang turin duhsakna kan hlan e!

` Nau neih na, nau neih, natna tihziaawmna, epidural, spinal block, natural nau neih, naupai