Nau i pai dawn a nih chuan "tui a chhe" tih thumal hi i hre tawh ngei ang. A châng chuan movie-a thil thleng ang bawkin a thleng thut thei a, a nih loh leh zawi zawiin a thleng thei bawk. Mi tam tak tan chuan hei hi nau neihna nen hian a pianphungah a thleng thin. Mahse, a chang chuan a ni lo. Natna awm mahse tui chu a chhe lo. Chutiang hunah chuan i doctor chuan "tui chu i tikehsawm ang" tiin a rawt mai thei. Damdawi lamah chuan hei hi amniotomy, a nih loh leh Artificial Rupture of Membranes (AROM) an ti a. Vawiin hian engkim hi awlsam takin kan sawi dawn a ni.
A awlsam zawngin, amniotomy tih hi eng nge ni?
I naute chu nausen pum chhungah, invenna balloon ang chi bawm tuiin a khat chhungah a awm ang tih han ngaihtuah teh. He sac hi amniotic sac an ti a , tawng hman danah chuan amniotic fluid an ti bawk . A chhunga tui awm chu amniotic fluid an ti a. He sac hian naute chu paih kual a nih loh nan a veng a, naute chu a hahdam theih nan a pui bawk.
Nau neih lai hian he tui bawm hi a chhe a, a chhunga tui chu a lo chhuak thin. Hei hi a pianphungah a thleng tlangpui. Mahse chutiang a nih lohnaah chuan doctor emaw, nau chhartu emaw chuan he tui bawm hi tumruh takin a tikehsawm a, chu chu amniotomy an ti a ni.
A awlsam zawngin, amniotomy chu doctor-in i tui bag a tihchhiat a, nau neih awlsam emaw, rang zawk emaw a nih theih nan a ni.
Engvangin nge doctor ten hetiang hian an tih?
Doctor pakhat hian chhan hrang hrang avangin he thutlukna hi a siam thin. Mi zawng zawng tan tih a ni lo va, a tul tak tak hunah chauh tih a ni. A chhan berte han thlir ila.
- Nau neih chak emaw ti chak emaw: A châng chuan nau neih na a inṭan a, serh chu a zau zawi zawi hle. Tui bag a chhe chuan naute lu chuan serh (cervix) chu a nawr nghal vek a ni. He pressure hian uterus a ti contract nasa zawk a, chu chu a na a tizual a, cervix chu a inhawng rang zawk tihna a ni. Tin, he process hian nau neih ti chak thei hormone thenkhat a tichhuak thei bawk.
- I naute hi ngun zawkin enfiah rawh: A chang chuan, i naute thinlung thawk dan dik zawk i hriat a ngai thin. I naute lu-a dah, internal fetal monitor te tak te chu i pum chunga dah external monitor aiin a dik zawk. He internal monitor hi dah tur chuan tui bag chu a chhe tawh ngei ang.
- Amniotic fluid enfiah rawh:Nautein ek a kal hmasak ber chu meconium an ti a. A châng chuan, nausen pum chhunga a la awm laiin he bawlhhlawh hi an pass ṭhin. Chutiang a nih chuan stool chu amniotic fluid nen an inhmeh tir thin. Tui bawm a chhe laia tui chhuak rawng (a sen hring a nih chuan) en hian doctor-te chuan naute chu ek a kal tawh em tih an hre thei a ni. Chutiang a nih chuan nausen a pian veleh naute hnar leh hmui suk turin an inbuatsaih thei a ni. Hei hi a chhan chu naute tan he tui bawlhhlawh nena chawhpawlh hi a ei a tha lo.
Engtin nge hei hi i tih? A na em?
Hei hi kalphung awlsam tak a ni. A hmasa berin i doctor chuan i serh chu nau neih theih a nih leh nih loh a enfiah ang a, chu chu a nêm a, a hring deuh tihna a ni. Naute lu chu pelvis chhungah a lo chhuk tha em tih an enfiah bawk ang. Engkim a OK chuan amniotomy tih a ni ang.
Tichuan, i nausen pum hnuaiah absorbent pad emaw towel emaw hmangin dah i ni ang. Tichuan, i doctor chuan plastic hmanrua te tak te, inches 12 vel sei, crochet hook ang chi hook nei a hmang ang. Hei hi amnihook an ti a . He instrument hi i vagina kaltlangin dahin tui bag chu zawi zawiin a poke a, khur te tak te a siam a ni. Chumi hnuah chuan tui chu a chhuak tan ang.
Hetianga tih a nih hian mi tam zawk chuan hrehawm an nei lo. Hei hi tui bag chhungah hian natna hriat theihna nerve a awm loh vang a ni. Nau pai tawh i nih chuan, emaw, natna atan epidural ang chi i neih chuan hei hi i hre lo tak tak ang. Naute a ti na lo ang a, a tichhe lo bawk ang.
Chutianga i tih zawh chuan rang takin emaw, zawi zawiin emaw i hnute atanga tui lum tlem a chhuak tih i hre mai ang. Chumi hnuah chuan i nau neihna chu a na zual deuh thei a, a hnaih tan thei bawk. Chumi awmzia chu a kalphung a hlawhtling a, hnathawk pawh a kal zel tihna a ni.
Amniotomy hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi lam thil tih dan dang ang bawkin hlawkna leh hlauhawmna a awm bawk. I doctor chuan hengte hi a hrilhfiah ang che.
| A thatna te | Risk & Complication awm thei te |
|---|---|
| Accelerated labor: Naute lu in serh a press chuan uterine contraction a chak zual a, nau neih a rang thei bawk. | Umbilical Cord Prolapse: Naute pian hmaa umbilical cord chu vagina chhunga a tlak theihna chance a tlem hle. Hei hi emergency a ni a, naute oxygen supply a titawp thei a ni. |
| Naute uluk taka enkawl thiam: Internal monitor hmang hian naute thinlung thawk dan dik takin enfiah theih a ni. | Umbilical Cord Compression: Tui a chhiat chuan umbilical cord chu naute lu leh uterine wall inkarah a tang thei a, chu chuan naute oxygen supply a ti tlem thei a ni. |
| Meconium detection: Naute hian ek a paltlang tawh em tih hriat lawk hian a pian hnu lawka damdawi mamawh pek nghal turin i inpeih thei a ni. | Cesarean Delivery hlauhawmna: Tui bag a chhe hnua naute dinhmun a inthlak (e.g., turns breech) a nih chuan C-section neih a ngai mai thei. |
| Infection: Tui bag hi naute venna khuh a ni. Vawikhat a chhe tawh chuan natna hrik chu vagina chung lamah a kal theihna chance a sang zawk. Tui a chhe rei poh leh hnathawh a tlai poh leh a hlauhawmna a sang zawk. | |
| Natna nasa zawk: Mi thenkhat chuan naute lu chu tui cushion a bo chuan serh (cervix)-ah direct-in a nawr avangin nau neih nana nasa zawk an nei thei. |
Hei hi ngaihdan tha lo a nih chang a awm em?
Ni e, a dik ngei ang. Amniotomy hi mi zawng zawng tan a tha lo. Doctor-te chuan a hnuaia dinhmunte hi a awm chuan an ti lo vang:
- Naute chu a lu hnuai lam a nih loh chuan: Naute chu transverse emaw breech position-a a awm chuan hetiang hian ti suh.
- Naute lu chu pelvis-ah a tla thla lo a nih chuan: Naute lu chu a hnuai kim lo va, serh chhungah a innghat lo a nih chuan tui bag a chhe chuan umbilical cord a chhuah theihna a sang hle.
- Cervix a inpeih loh chuan: Cervix chu a la thim a, a la inkhar (unfavorable cervix) a nih chuan hetianga tih hian nau neih tir a harsa hle.
- Vasa Previa dinhmun: 1.1.Hei hi thil awm lo mahse hlauhawm tak a ni. Hetiang a nih chuan naute thisen kalna kawngte chu serh chhungah a kal tlang a. Tui bawm chu a chhiat chuan heng thisen kalna kawngte hi a chhe thei a, naute nunna thlengin a hlauhawm thei a ni.
Doctor-te zingah hian amniotomy hian nau neih a ti chak tak tak em tih chungchangah ngaihdan hrang hrang a awm. Zirna thenkhatah chuan nau neih chu darkar khat velin a ti tawi thei tih an hmuchhuak. Mi dangte chuan naupai hrisel takah hmeichhia chu a pianphung anga nau neih phalsak hi a tha ber an ti.
A tawpah chuan he thutlukna hi i doctor-in a siam a, thil tam tak ngaihtuah hnuah, nang leh i naute hriselna, i nau neih dan, etc. Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen sawiho rawh.
Take-Home Thuchah a ni
- Amniotomy chu doctor-in nau neihna kawnga pui turin i tui bag a tihchhiat hian a ni.
- Hei hi nau neih chakna, naute enkawl, emaw, amniotic fluid enfiah emaw avanga tih a ni.
- Hetiang kalphung hi a hrehawm lo tlangpui a, mahse nau neih hnuah chuan nau neihna a pung thei a ni.
- Hei hian hlawkna a neih laiin, hlauhawmna engemaw zat a awm thei a, chu chu umbilical cord lama harsatna leh infection te hi a ni.
- Hei hi mi zawng zawng tana hmanraw tha tak a ni lo. I doctor chuan nang leh i naute dinhmun a zirin hei hi a rel ang.
- A pawimawh ber chu i doctor nen hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih apiang chu zalen taka sawipui la, chutiang chuan nang leh i naute tan thutlukna him ber leh tha ber i siam thei ang.
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