I naupai kar hnuhnung berah i awm mai thei. A nih loh leh nau pai laiin labor room-ah i awm thei bawk. Vawikhatmah doctor chu a rawn lut a, "Naute thinlung thawk chu a tlahniam deuh a, naute chhehvela tui awm zat pawh a tlem tawh niin a lang," a ti a. Hetiang hunah hian doctor-te’n nang leh i naute venhimna atana an hman ṭhin enkawlna bik kan sawi dawn a ni. He thu i hriat hian hlau suh, hei hi a tam zawkah chuan enkawlna hlawhtling tak a ni.
A awlsam zawngin Amnioinfusion hi eng nge ni?
Amnioinfusion hi i naute awmna hmun, i nausen pum chhungah tui bik inject a ni. Tank te tak te, rei vak lo thut tawh chu refilling ang mai a ni. Hei hi i naute nau neih laiin a lungphu a mumal loh emaw, a slow emaw a nih chuan tih a ni. A chhan ber chu i naute chhehvela tui awm zat a tlem chhoh zel vang a ni.
Tunah chuan heng fluid te hi eng nge an nih i ngaihtuah mai thei. Hengte hi nangmah emaw, i naute tan emaw a pawi lo. Doctor-te chuan saline solution emaw lactated Ringer’s solution emaw an tih solution an hmang thin. Hengte hi tui thianghlim, sterile, kan taksaa tui awmte nen a inang hle.
He tui hi nausen pum chhunga inject a nih chuan amniotic fluid tlakchham tawh chu a thlak leh thin. Hei hian umbilical cord a nawr a titawp a, naute oxygen supply a siam tha leh a, naute thinlung thawk pawh a ti nghet bawk.
Chuti a nih chuan, he amniotic fluid hi eng nge ni?
Amniotic fluid hi i naute chu i nausen pum chhunga i hual veltu, liquid cushion lum, venhimna ang mai a ni. I naute tan venhimna nasa tak a pe a ni.
- Pawn lam atanga hrik lo chhuak lakah naute a venghim.
- Umbilical cord compression a veng thei.
- Naute chu nausen pum chhunga a kal kual laiin hliam dang lakah a venghim a ni.
- Naute lung leh chaw ei dan (digestive system) a lo thanglian theih nan a pui thin.
- Naute taksa lumna a awm reng theih nan a pui a ni.
He amniotic fluid pawimawh tak hi a tam tawk lo a nih chuan naute hian nau a neih laiin hriselna lama harsatna leh harsatna a nei thei a ni.
Umbilical cord pawimawhna
Nausen pum chhunga naute nunna kawngkhar chu umbilical cord a ni. Naute chu nausen (placenta) nena inzawm tirtu a ni. Naute hian he umbilical cord hmang hian a mamawh oxygen, thisen leh ei tur pawimawh zawng zawng a hmu vek a ni. Chuvangin he umbilical cord hi a compress chuan heng naute hnena supply zawng zawng hi tihtawp theih a ni. Chu chu naute tan chuan a hlauhawm hle thei a ni.
Eng dinhmunah nge amnioinfusion hmanga enkawl hi a tul?
He enkawlna hi mi zawng zawng tan a ni lo. Doctor-te chuan thil chiang tlemteah chauh an rawt a ni. Naute chhehvela tui awm zat tlahniamna hmunah tih a ni ber a, hei hi Oligohydramnios tih a ni.
A hnuaia table hian hei hi chiang zawkin a hrethiam thei ang.
| Enkawl ngai dinhmun | A awlsam zawngin, thilthleng hi |
|---|---|
| Umbilical cord tihchhiatna (compression) a awm | Naute chhehvela tui a awm loh chuan umbilical cord chu uterine wall leh naute taksa inkarah a tang thei a ni. Hei hian naute thisen leh oxygen supply a tibuai a. Hei hian naute chungah stress nasa tak a thlen (fetal distress). Amnioinfusion hmanga tui dah hian umbilical cord chu zalen takin a float thei a ni. |
| A hun hmaa membrane te a rupture | A châng chuan tui chu a hun hmain a chhe a, amniotic fluid chu vagina aṭangin a chhuak ṭan ṭhin. Chutiang a nih chuan, a bik takin naupai thla thumna hmain, he enkawlna hian nausen pum chhunga boruak hrisel tak a awm theih nan leh nau piang hmaa nau neih loh nan a pui thei a ni. |
| Nautein meconium a inhnim loh nan | Nausen pum chhunga bawlhhlawh a kal hmasak berte chu meconium an ti a. A tlangpuiin thil thick, dark green an ni. A châng chuan naute chu a stress laiin he bawlhhlawh hi amniotic fluid nen a inhmeh lo. Hei hi he tui hi naute lung chhungah a lut a nih chuan a hlauhawm thei hle. Amnioinfusion hmanga tui dah a nih chuan he hlauhawmna hi a tlahniam a, a chhan chu a diluted a ni. |
A pawimawh ber chu i doctor chuan he enkawlna hi i tan a tha em tih a rel ang a, i hriselna chanchin leh naupai dinhmun a zirin a rel ang.
Hetiang enkawlna hi tih loh tur a awm em?
Ni e, a dik tak zet. Amnioinfusion hmanga enkawlna tih loh thenkhat a awm a, chu ai chuan hmalakna dang tih a ngai a ni.
- Naute chu harsatna nasa tak a tawk a nih chuan:Naute heart rate a hniam hle a nih chuan minute tin hi a chhiar tel a ni. Chutiang hunah chuan doctor-te chuan he enkawlna hmang hian hun khawhral ai chuan naute chu a rang thei ang bera (entir nan, emergency cesarean section hmanga) neih an rel mai thei.
- Active infection i neih chuan, genital herpes ang chi: Nausen pum chhunga natna hrik i neih chuan he enkawlna hi a tha lo.
- Placenta-a harsatna a awm chuan: He enkawlna hi placenta previa (nausen pum chhunga nausen hnuai lama mu) emaw, nausen hnute (nausen pum chhunga nausen bang atanga inthen) emaw ang chi dinhmun rinhlelhna a awm chuan tih a ni lo.
- Naute chu a dinhmun dik takah a ding lo a nih chuan: Naute chu a lu hnuai lam a nih loh chuan, a breech a nih chuan, a nih loh leh a dinhmun dik lo dang a awm chuan he enkawlna hi a tha lo.
He Amnioinfusion hmanga enkawlna hi engtin nge an tih?
Hei hi engtin nge tih a nih tih zawt hlau suh. A tlangpuiin a hrehawm lo. I doctor leh nurse te chu i bulah thuin engkim an buaipui ang.
A hmasain doctor chuan naute chu lu hnuai lam dinhmunah a awm tih a enfiah ang. Tin, i serh pawh centimetre 1-2 tal a zau tur a ni.
Tichuan, Intrauterine Pressure Catheter (IUPC) an tih, tube te tak te, flexible tak mai chu uluk takin i nausen pum chhungah an dah lut a. He tube hi a tawp khatah monitor-ah an connect a, chu chuan naute thinlung thawk leh uterine contraction te a teh a ni. A tawp lamah chuan saline solution inject tube-ah a inzawm a ni.
Tichuan, doctor chuan zawi zawiin i nausen pum chhungah room-temperature saline a inject ang. Hei hian minute 10 leh 30 inkar a awh tlangpui ang. Hemi chhung hian doctor leh thawktute chuan nang leh i naute chu uluk takin an enkawl ang. I nausen pum chhunga tui awm zat a tlem em tih an enfiah chhunzawm zel bawk ang.
Enkawlna i neih zawh chuan tlemin i hrehawm lo mai thei a, mahse chu chu thil pangngai a ni.
He enkawlna hian eng hlawkna nge a neih?
He enkawlna hian naute lungphu a siam that bakah hian hlawkna dang engemaw zat a nei bawk.
- Cesarean section (c-section) neih theihna a tlahniam): Naute thinlung a chak loh avangin emergency cesarean section hi tih a ni fo. He enkawlna hian chu natna chu a veng thei a nih chuan nau neih dan pangngai i neih theihna chance tha zawk i nei ang.
- Instrument hman tlem: Forceps emaw vacuum emaw ang chi instrument hman a ngai lo thei.
- Naute hian thisen leh oxygen supply tha tak a dawng: Umbilic cord chu free a nih avangin naute chuan oxygen leh nutrition engmah tikhawlo lovin a dawng a ni.
- Nau piang hmasa tihkhawtlai tura tanpui:Sawi tawh ang khan tui chu a chhe hma chuan hei hian naute chu ni engemaw zat chhung chu nu pum chhungah a awm tir thei a ni.
- Improved Apgar scores : Apgar score hi scoring system a ni a, naute pian hnu lawka hriselna tehna a ni. Hetiang enkawlna avang hian naute hrisel taka a pian chuan he score hi a sang zawk a ni.
- Nu-ah natna kai theihna a tlem: Amniotic fluid a bo chuan nu pawhin natna a vei thei bawk. Entirnan, nau neih hnua endometritis . He enkawlna hian chu hlauhawmna chu a ti tlem a ni.
Risk awm thei a awm em?
Damdawi lam thil dang ang bawkin, hlauhawmna tlemte chauh a awm. Mahse hengte hi a thleng fo lo. I doctor chuan heng zawng zawng hi uluk takin a enkawl ang.
- Infection (Chorioamnionitis): Nausen hnute leh amniotic fluid-ah hian natna kai theihna chance a tlem hle.
- Umbilical cord prolapse: A tlem hle a, naute pian hmain umbilical cord hi vagina chhungah a chhuk thei a ni.
- Polyhydramnios: Nausen pum chhungah a tul aia tam tui a awm khawm theihna a awm.
- Nausen pum chhiatna: A tam lo hle a, nausen pum hi a inzawm lutuk (uterine overdistention) emaw, nausen pum bang a perforated (perforated uterus) emaw a ni thei.
Heng risk te hi a tlem hle. Doctor ten he enkawlna hi hriatna nasa tak nen an ti a, fimkhur a tul zawng zawng an la thin. Chuvangin hlau suh.
He enkawlna hi engtiang chiahin nge a hlawhtlin?
Amnioinfusion hmanga enkawlna hi a hlawhtling fo thin. Ngaihven awm tak chu naute chhehvela tui a tlem poh leh a enkawlna chu a hlawhtling thei zawk a ni.
Doctor-te chuan i naute chhehvela tui awm zat tehna kawng an nei a. A hming chu Amniotic Fluid Index (AFI) tih a ni. Zirna hrang hrangah chuan:
- He enkawlna hi a tir lama AFI value centimetre 4 aia tlem lote zingah 63%-ah a hlawhtling a ni.
- AFI centimetre 4 leh 8 inkar nei te hlawhtlinna rate chu 44% a ni .
Chumi awmzia chu, tui tlakchham tak tak leh tanpui ngai tan chuan he enkawlna rah hi a tha hle tihna a ni.
Take-Home Thuchah a ni
- Amnioinfusion hi a tlangpuiin enkawlna him tak leh hlawhtling tak a ni a, nau neih laiin naute chhehvela amniotic fluid a tlahniam chuan nausen pum chhungah tui him tak an inject thin.
- Hei hian a tum ber chu umbilical cord a compress loh nan te, naute pressure atanga chhanchhuah te, naute hrisel taka piang tura tanpui te a ni.
- He enkawlna hi mi zawng zawng tan a ni lo. I doctor chauhvin hei hi i tan a tul leh dik loh a rel thei a, chu chu i dinhmun bik a zirin a ni.
- I naupai chhung zawng hian clinic tlawhna reng reng chu tlawh loh tur a ni. Nang leh i naute hriselna hi enkawl that a pawimawh.
- Naupai laiin i vagina atanga tui tui chhuak i hriat chuan ngaihthah suh. Amniotic fluid a ni thei bawk. Doctor ko nghal la, damdawi in hnai ber pan rawh.
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