Naupai laiin i doctor-in scan a tih a, "Naute chhehvelah tui tlem a tlem zawk" a tih chuan hlauhna leh lungkhamna tlem a awm hi thil pangngai a ni. A nih loh leh nau neih laiin naute thinlung thawk a tlahniam deuh a, tui tlakchham vang a ni tih an hrilh che a nih chuan engtin nge ni ang? Heng hunah hian doctor-te’n nu leh naute tanpui nan an hman thin enkawlna bik leh pawimawh tak kan sawi dawn a ni.
A awlsam zawngin Amnioinfusion hi eng nge ni?
Amnioinfusion hi i naute awmna uterus-ah tui bik inject-in amniotic fluid a tlakchham tawh zat chu a awm leh thei a ni. A awlsam zawngin i nausen pum chu saline ang chi tui pek a ni. Hei hian saline emaw lactated Ringer’s solution emaw chu i nausen pum chhungah catheter an tih tube te tak te hmangin i luhtir a ni. Hetianga tui hloh replenishment hian i naute heart rate a ti nghet a, naute chu oxygen tlem lutuk a hmuh loh nan a pui bawk.
He inenkawlna hi kan hriatthiam hmain heng thilte hi i hriat chian hmasak phawt ang u
He inenkawlna chungchang hi kan sawi belh hmain hemi kawnga thil pawimawh pahnih hi tawi te tein han sawi ila.
Amniotic Fluid hi eng nge ni?
Amniotic fluid hi naute pum chhunga naute hual veltu venna tui a ni. Naute tan venhimna cushion angin a thawk a ni. He tui hian naute chu natna hrik lakah a venghim a, umbilical cord chu compression lakah a veng a, naute chu a pum chhunga harsatna awm lovin a kal kual theih nan a pui bawk. Tin, he amniotic fluid hi naute thawkna leh ei leh in lama hmasawnna atan te, taksa lum leh vawt tihreh nan te a pawimawh hle bawk. Chuvangin he tui hi a tlem chuan naute hriselna bakah nau neih dan pawh a nghawng thei a ni.
Umbilical Cord chu eng nge ni?
Nausen pum chhunga naute nunna kawngkhar chu umbilical cord a ni. Hei hian naute chu nausen (placenta) nen a thlunzawm a ni. Naute hian he umbilical cord hmang hian a mamawh oxygen, nutrition leh thisen a dawng a ni. Chuvangin, amniotic fluid a tlahniam chuan he umbilical cord hi a compress thei a ni. Chutiang a nih chuan nausen oxygen leh nutrition a dawn chu a chhiat phah a, naute chu a nuam lo thei hle (fetal distress).
Eng dinhmunah nge amnioinfusion hmanga enkawl hi a tul?
He enkawlna hi mi zawng zawng tan a ni lo. Doctor-te chuan case thlan bik tlemteah chauh an hmang. Eng nge a nih i en ang u.
| Dinhmun | Hrilhfiahna |
|---|---|
| Amniotic fluid hniam (Oligohydramnios) 1. A rilru a hah lutuk chuan a rilru a buai em em a. | Hei hi a chhan ber a ni. He enkawlna hi naute chhehvela tui awm zat chu a tlangpui aia tlem a nih chuan ngaihtuah a ni . |
| Umbilical Cord tihkhawtlai a ni | Amniotic fluid a hniam chuan umbilical cord chu a compress thei a ni. Hei hian naute heart rate a tidanglam thin. Fluid chu dah luh a nih chuan umbilical cord chu zalen takin a float theih a ni. |
| Nau piang hmaa nau neih loh nan (Preterm Premature Rupture of Membranes) . | A châng chuan tui chu a hun hmain a chhe thei bawk. Chutiang a nih chuan, a bik takin naupai thla tir lamah chuan naute chu nausen pum chhunga rei zawk awm theihna tur hmun remchang siam turin nausen pum chhungah tui an inject thin. |
| Meconium aspiration syndrome laka inven nan | Meconium hi nausen pum chhunga bawlhhlawh a paltlang hmasak ber a ni. Amniotic fluid nen a inhmeh thei. Nausen a ei chuan a hlauhawm zawk a, mahse a thaw thei bawk. Amnioinfusion hian he hlauhawmna hi a tihziaawm a, meconium chu a dilute a ni. |
A pawimawh ber chu i doctor-in he enkawlna hi i mamawh leh mamawh loh, leh a thatna leh that lohna te, i hriselna dinhmun a zirin a rel tur a ni.
Amnioinfusion tih loh tur a awm em?
Ni e, a then phei chuan he enkawlna hi a dik lo a ni, a chhan chu chutih laia naute enkawl ai chuan nau neih hma chu a him zawk a ni.
- Naute chu nausen harsatna nasa tak a tawk a nih chuan he enkawlna hi minute tlemte pawhin a tikhawtlai thei lo.
- Active infection i neih chuan genital herpes emaw uterus infection dang emaw i neih chuan.
- Nausen hnuai lam (placenta previa) i neih chuan emaw, nausen (placental abruption) rinhlelhna a awm chuan.
- Naute chu breech emaw dinhmun danglam takah a awm a nih chuan, a lu hnuai lam pan ai chuan.
Engtin nge he enkawlna hi tih a nih?
Hei hi a hlauhawm deuhin a lang thei a, mahse systematic takin tih a ni.
Pakhatnaah chuan doctor chuan naute chu lu hmasa ber dinhmunah a awm tih a enfiah ang. I serh pawh centimetre 1-2 tal a zau tur a ni.
Tichuan, Tube bik Intrauterine Pressure Catheter (IUPC) an tih chu nausen pum chhungah an dah lut leh a. He tube hi device engemaw zat nen a inzawm a ni. Pakhat chuan naute lungphu a teh a, pakhatin uterine contractions a teh a, pathumna chuan saline solution a inject bawk.
Room-temperature saline solution chu zawi zawiin nausen pum chhungah minute 10 atanga 30 chhung dah a ni. Hemi hun chhung hian doctor leh nurse ten nang leh i naute hi uluk takin an lo vil reng ang. Enkawlna i neih zawhah chuan nuam lo emaw, natna emaw i nei thei a, chu chu thil pangngai a ni.
Amnioinfusion hmanga 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 tlem.
- Forceps emaw vacuum emaw ang chi hmanrua hman a ngai lo.
- Umbilic cord kaltlangin naute hnena thisen leh oxygen kal dan tur siam that.
- Nau neih hmaa harsatna awm lo turin nau neih hun tikhawtlai deuh tura tanpui.
- Meconium-stained amniotic fluid concentration tihtlem.
- Naute hian Apgar score - a pian hnua a hriselna tehna - a sang hle.
- Postpartum endometritis vei theihna a tlahniam a, hei hi amniotic fluid tlakchham vang a ni thei.
Hei hian risk emaw complication emaw a nei em?
A pum puiin amnioinfusion hi a him a, a hlawk bawk. Mahse, damdawi lam tih dan dang ang bawkin hlauhawmna engemaw zat a awm. Hengte hi a tlem hle.
| Risk / Harsatna awm thei | Hrilhfiahna |
|---|---|
| Chorioamnionitis natna a ni | Nausen hnute leh amniotic fluid-a natna hrik awm. |
| Umbilical cord a tlakchhiat | Umbilical cord chu cervix kaltlangin a rawn chhuk thla a. Hei hi emergency a ni. |
| Polyhydramnios tih a ni | Nausen pum chhunga amniotic fluid awm zat tihpun. |
| Uterine a zau lutuk | Tui tam lutuk avangin nausen pum hi a lian chho thin. |
| Uterine perforation a awm | A tlem hle, catheter avanga uterine wall a chhiat. |
I doctor chuan heng hlauhawm zawng zawng hi a hriattir ang che a, enkawl lai leh enkawl zawhah uluk takin a enkawl ang che.
Take-Home Thuchah a ni
- Amnioinfusion hi nau neih lai emaw, nau neih hma emawa naupai laiin saline ang chi tui inject-in amniotic fluid level a tihpun lehna a ni.
- Hei hian a tum ber chu umbilical cord compression ven te, naute thinlung thawk lehna siam that te, naute oxygen supply a nih theih nan te a ni.
- Hei hi a tlangpuiin tih dan him ni mah se, damdawi hman dan zawng zawng ang bawkin, hlauhawmna tenau tak tak a awm.
- Naupai laiin i vagina atanga tui chhuak ang maia i hriat chuan doctor pan nghal la, vaginal discharge a nih leh nih loh hriat theih a ni.
- He enkawlna chungchangah emaw, i serum calcium level chungchangah zawhna i neih chuan doctor nen inbiakna neih hreh suh. Engkim a hrilhfiah ang che.
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