Naute i beisei a nih chuan "i tui a chhe" emaw, "i tui a chhe" emaw tih thu hi i hre tawh ngei ang. A châng chuan movie-a i hmuh angin i tui chu vawi khatah a chhe vek thei a, a nih loh leh a chhe zauh zauh thei bawk. Mahse hei hi mi zawng zawng tan chuan a pianphungah a thleng lo. A châng chuan nau pai na tak chung pawhin i tui chu a chhe lo. Chutiang hunah chuan i doctor-in i tui a tihchhiat a ngai mai thei. Damdawi lam hawi chuan hei hi amniotomy an ti a. Eng nge a nih, engvanga tih nge a nih, a chungchanga hriat tur i neihte hi han thlir ila.
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A awlsam zawngin, amniotomy tih hi eng nge ni?
Naupai lai hian i naute chu i nausen pum chhunga tui khat bawm chhungah him takin i khuh a. Hei hi "tui bag" tia sawi a ni tlangpui a, damdawi lamah chuan "amniotic sac" tia hriat a ni. He sac chhunga tui awm hi "amniotic fluid" an ti a. He tui hian i naute tan cushion angin hna a thawk a, a kal kual velin harsatna lakah a venghim bawk.
Naute pian hun a lo thlen chuan he tui bag hi a pianphungah a puak darh a, amniotic fluid chu a chhuak ta a ni. Hei hi "tui tlakchhiatna" kan tih chu a ni. Mahse, nu thenkhat tan chuan nau pai lai pawhin he bag hi a chhe lo mai thei. Chutih lai chuan doctor chuan artificial takin, chu chu tumruh takin he tui bawm hi a tikehsawm a, chu chu amniotomy emaw Artificial Rupture of Membranes (AROM) emaw an ti a ni. Chutianga tui bag chu a chhe chuan nausen pum (uterus) a inzawm khawm (contraction) a pung a, chu chuan serh (cervix) chu a inhawng thei a ni.
Engvangin nge doctor chuan hetiang thil hi tih a tum ang?
I nau neih chak zawk nan amniotomy an ti fo thin. Mahse, risk engemaw zat a keng tel avangin mi zawng zawng tan a tha lo. I doctor hian hetiang thutlukna hi a siam theih chhan lian tak tak a awm thei.
| Chhan | Hei hi eng nge thleng? |
|---|---|
| Nau neih thuai emaw, hna thawh tan emaw | I tui a chhe chuan hormone a chhuak thei a, chu chuan i nausen pum chu nasa zawkin a tikhawlo thei a ni. Tin, i tui a chhe chuan naute lu chuan i serh (cervix) chu a nawr nghal vek bawk. Hetiang pressure hian i cervix chu a hawng rang zawk thin. |
| Naute dinhmun enfiah tha zawk turin | A châng chuan i naute thinlung thawk dan dik zawk i hmuh a ngai ṭhin. I pum chunga external monitor dah ai chuan i naute lu chunga monitor te tak te (internal fetal monitor) dah hian data chiang zawk a pe thei a ni. Chutiang ti tur chuan i tui chu a chhe tawh ngei ang. |
| Amniotic fluid enfiah nan | Nautein an pum chhunga an bowel movement hmasa ber an neih chuan meconium an ti a. Hei hi naute lungah a luh chuan a hlauhawm thei hle. Doctor-te chuan tui a chhiat huna tui lo chhuak chu a awm leh awm loh an enfiah thei a, a awm a nih chuan naute pian hnua a hnar leh hmui hrual turin an inbuatsaih thei bawk. |
Mahse, he amniotomy procedure hlawhtlinna chungchangah hian doctor-te zingah ngaihdan hrang hrang a awm a ni. Zirna thenkhatah chuan naupai hrisel takah chuan nau neih a ti chak lo tih an sawi a, natural process chu a kalna tur a zawh tir a tha zawk tih an sawi. Mahse data dang chuan darkar khat velin nau a ti chak thei tih a tarlang.
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Hei hi thil awlsam tak a ni.
A hmasa berin i doctor chuan i serh (cervix) chu nau neih theih a nih leh nih loh a enfiah ang. Chumi awmzia chu i serh chu a nem a, a hring a, i naute lu pawh a hniam vek tihna a ni. Tichuan, i hnuaiah hian absorbent pad emaw towel emaw dah a ni ang a, tui chhuak apiang chu a hip lut ang.
A dawtah chuan doctor chuan plastic hmanrua te tak te, amnihook , a hmang a. Device sei tak, needle ang maia siam a ni a, a tip chu a curve deuh a ni. Vagina kaltlangin a lut a, tui bag awmna hmun a zawng a, a chhungah khur te tak te a siam bawk. Chumi hnuah chuan tui chu a chhuak tan ang.
Chuti a nih chuan hei hian a ti na em?
Ni lo, nu tam zawk chuan hetianga an tih hian hrehawm an nei lo. A bik takin epidural pek tawh i nih chuan engmah i hre lo ang. A pawimawh ber chu naute tan natna leh chhiatna a thlen lo. Painkiller ei lo tan chuan amniohook hi a luh dawnin a hrehawm lo deuh thei a, mahse a na lo.
Amniotomy tih hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi lam thil tih dan dang ang bawkin hlawkna leh hlauhawmna a awm bawk. I tan chuan a pahnih hi i hriat chian a pawimawh hle.
| A thatna te | Risk & Complication awm thei te |
|---|---|
| Labour hi a rang thei hle. | Umbilical cord prolapse: Naute pian hmain umbilical cord chu vagina chhungah a chhuk thla thin. Hei hian naute oxygen supply a titawp thei a, emergency a thlen thei bawk . |
| Naute lungphu chu a chiang zawkin a enfiah thei a ni. | Umbilical cord compression: Naute chu umbilical cord compression vangin oxygen supply a tlahniam. |
| Tuiah hian meconium a awm leh awm loh i check thei bawk. | C-section neih hlauhawmna: Tui a chhe hnua naute chu breech a turn chuan C-section neih a ngai mai thei. |
| Infection: Tui bag hi naute tan venhimna tha tak a ni. A chheh chuan hun kal zelah natna kai theihna a sang chho zel a ni. | |
| Natna tihpun: Tui cushion a awm tawh loh chuan uterine contractions (pain) hi mi thenkhatin an hre nasa zawk thei. |
Tui bawm tihchhiat a rem loh chang a awm em?
Ni e, a dik tak zet. A \henah chuan hetianga tih hi a hlauhawm thei hle. Hei hi Doctor hian a hre chiang hle. Amniotomy hi hetiang ang case-ah hian tih a ni lo tlangpui:
- Naute lu chu hnuai lam hawi lo a nih chuan (entir nan, breech position-a an awm chuan).
- Naute lu chu pelvis chhungah a chhuk kim lo a, a dinhmun a dik lo a nih chuan doctor-te chuan hei hi ‘fetal station’ an ti thin.
- Cervix chu nau neihna tur "ready" a nih loh chuan (A "favorable" cervix). Chu chu a nêm lo va, a hring lo va, a inhawng tawk lo tihna a ni.
- Naute thisen kalna kawngkhar vasa previa tih hming pu, mahse hlauhawm tak i neih chuan, tui bag tihchhiat chu naute tan nunna atana hlauhawm tak a ni thei.
A tawpah chuan amniotomy hi nau neihna kawnga pui thei tur procedure a ni. Naupai apiang hi a danglam vek. I thawhrimna a ti chak thei tih a chiang lo. He thutlukna hi thil tam tak atanga siam a ni a, chung zingah chuan nang leh i naute hriselna leh i nau neih hun tur pawh a tel. A pawimawh ber chu zawhna emaw, ngaihtuahna emaw i neih apiang doctor nen sawiho hi a ni.
Take-Home Thuchah a ni
- Amniotomy chu doctor-in nau neihna tura pui turin tui bag chu artificial-a a tihchhiat a ni. Mahse, mi zawng zawng tih emaw, a tling emaw a ni lo.
- Hei hian nau neih chakna ang chi hlawkna a neih laiin, umbilical cord lama harsatna leh infection ang chi hlauhawmna a keng tel bawk.
- I doctor, nang leh i naute hriselna hre chiang ber chauhvin he tih dan hi a dik leh dik loh a rel thei ang.
- Hemi chungchangah hian zawhna leh ngaihtuahna i neih chuan i doctor hnenah sawipui hlau suh. Hriattîr i nih chuan he dinhmun hi inrintawkna neia hmachhawn tûrin chakna a pe ang che.
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