Nau i pai tan atanga darkar tam tak a liam tawh a, naute i beisei tawh bawk. Mahse, naute lo kal tur chhinchhiahna a la awm lo em ni? A châng chuan nau neih hi a kal zawi zawi a, a nih loh leh a chanve vel a tawp bawk. Hetiang hunah hian doctor-te chuan nang leh i naute tanpui turin nau neih chak zawk turin hma an la thin. Vawiin hian mi tam takin an hriat loh thil kan sawi a, mahse chu chu ‘assisted childbirth’ an ti a ni.
Augmentation of Labor tih hi eng nge ni?
A awlsam zawngin, hei hian a pianphung atanga lo intan tawh, mahse a slow emaw, a chanve vel a tawp tawh emaw, nau neihna chu ti chak tihna a ni. Ngaihtuah teh, i contraction te chu a lo thleng dawn a, mahse contraction te chu a chak vak lo, a nih loh leh contraction inkar hun a rei lutuk. A nih loh leh, rei vak lo hnuah chuan contraction te chu a tawp ta a ni. Chutiang hunah chuan nau neih rei hi nang leh naute tan pawh a tha lo. Chu chu doctor-te’n damdawi emaw, kawng dang emaw hmanga nausen pian theihna tura puih nan, nausen pum chhunga inzawmna (contraction) te chu tlem an tihchak a, an tih tamna a tipung a ni.
‘Augmentation’ leh ‘Induction’ hi thil chi hrang hrang pahnih a ni em?
Ni e, hetah hian mi tam tak an buai thin. Hengte hi thil danglam tak pahnih a ni. An pahnih inthlauhna chu eng nge ni tih i lo en ang u.
| Thudik | Nau neih tir (induction) a ni | Nau neih chakna (Augmentation) 1.1. |
|---|---|---|
| Chhan | Khawsik a la tan loh laiin pawn lam damdawi pek hmanga khawsik thlen . | A tlakbuak hunah natural process of growth tanpui leh ti chak. |
| Hman dan tur scenario | Ni khat a liam hnu pawha naute a pian loh lai te, tui a chhiat a, naute a pian loh lai te, a nih loh leh hriselna lama harsatna a neih avanga nu emaw nausen emaw nausen a hrin vat a ngaih hunah te. | Darkar 18-24 chhung nau neih hnuah pawh nau neih a kal zel loh chuan. (Hmasawnna hlawhchhamna). |
Tute nge Augmentation of Labour mamawh?
Hetiang method hi natural taka nau neih tan tawh, mahse nau neihnaah i tang tlat a nih chuan a tul mai thei. Labour-in hma a sawn loh chhan lian tak tak a awm thei:
- Contraction chak lo emaw, mumal lo emaw: Contraction a lo thleng a, mahse a chak tawk lo a, serh a hawng thei lo. A nih loh leh, a zawnin ni lovin, thlipui (wave)-in an lo kal a ni.
- Contractions tihtawp vek: Contraction te chu rei vak lo a lo kal a, a lo kal a, chutah chuan a tawp nghal a nih chuan.
- Amniotic sac chu a chhe lo: Hei hi "tui bawm" kan tih hi a chhe a nih chuan naute lu hian serh (cervix) chu a nawr nghal vek a ni. Hei hian serh (cervix) a inhawng nghal vat thin. A châng chuan hei hi a chhe lo a nih pawhin nau neih hi a slow thei hle.
Hetiang hmanrua hi hman theih lohna dinhmun a awm em?
Ni e, he method hi mi zawng zawng tan a tha lo. I doctor chuan a hnuaia thil awm danah hian he hman dan hi a rawt lo mai thei:
- Naute dinhmun: Naute chu lu hnuai lam ni lo dinhmun dangah a awm chuan. Entirnan, naute chu breech emaw transverse lie emaw-ah a awm a nih chuan .
- Uterine scarring: A hmaa cesarean section (C-section) emaw, uterine surgery dang emaw i neih tawh a, hliam i neih chuan. Hei hi a chhan chu contraction tichaktu damdawi pek a nih hian heng hliam hlui hmang hian uterine rupture hlauhawmna a tlem hle a ni.
- Asherman syndrome: Nausen pum chhunga scar tissue lo awm thin.
Engtin nge nau neih chak zawk ang?
Doctor-te’n nau neih chakna atana an hman dan chi hrang hrang a awm. I tih dan tur i thlan chu i dinhmun a zirin a innghat ang.
| Thiltih dan (Methodology) a ni | Eng thil nge thleng? |
|---|---|
| Tui bawm tihchhiat (Amniotomy) . | Doctor chuan naute chhehvel amniotic sac (tui bag) chu a tikehsawm a. Amniotic fluid a chhuah rual hian naute lu chuan serh (cervix) chu a nawr nghal vek a ni. He pressure hian cervix chu a hawng rang zawk a, contractions pawh a tichak zawk bawk. |
| Damdawi pek | Taksaa hormone oxytocin pianphung anga siam ang chi damdawi siam ( Pitocin® ang chi) chu saline solution hmangin pek che a ni. Hei hian uterine contraction a siam a, a tichak bawk. |
| Balloon catheter hmanga siam a ni | Cervix kaltlangin catheter (tube te tak te) dahin a tawp berah balloon a inflated a. He balloon atanga pressure lo chhuak hian zawi zawiin cervix a hawng a. Cervix chu a dilated tawk chuan balloon leh catheter chu anmahniin an tla chhuak ta a ni. |
A pawimawh ber chu heng hmanrua te hi i hman lai hian nang leh i naute thinlung thawk dan electronic (electronic fetal monitoring) hmanga enkawl chhunzawm zel tur a ni . Chumi awmzia chu harsatna a awm chuan medical team ten an hre vat thei tihna a ni.
Hei hian eng hlawkna nge a neih?
A thatna ber chu natural vaginal birth chance a tipung a, cesarean section (C-section) tih loh a ni. C-section hnua dam leh hun chhung hi a rei zawk tlangpui a, a na zawk bawk. Chuvangin, a tul tak tak a nih loh chuan, assisted birth neih a tha ber.
Eng risk nge lo awm thei?
Damdawi lam thil tih dan dang ang bawkin, hlauhawmna tenau tak tak a awm a. Mahse hengte hi a tlem hle a, doctor-te pawhin enkawl turin an inpeih reng tih hre reng ang che.
- Hyperstimulation of the uterus: A chang chuan, oxytocin damdawi hian nausen pum chu a tlangpui aia nasain a tikhawlo thei a ni. Hetiang pressure tam lutuk hian nausen harsatna a thlen thei a ni . Chumi awmzia chu naute hian thisen leh oxygen a dawng tlem thei tihna a ni. Doctor-te chuan damdawi hman dan tur siamrem leh uluk taka enfiahin he natna hi an enkawl thei a ni.
- Infection: Tui bag chu artificial-a tihchhiat a nih chuan bacteria infection (chorioamnionitis) a awm tlem hle. Hei hian nausen piang tharah natna hrik a thlen thei bawk.Neonatal sepsis vei theihna a awm. Chuvangin nang leh i naute hi a tul chuan antibiotics pek i ni ang.
- Umbilical cord prolapse: Tui bag a chhe chuan naute lu hmaa umbilical cord chu vagina chhungah a luhchilh theihna tur a tlem hle. Chutiang a nih chuan umbilical cord chu a compress thei a, naute chuan oxygen a hmu tawh lovang. Hei hi emergency a nih avangin C-section nghal a ngai a ni.
Doctor ko nghal ngai symptoms te chu engte nge ni?
Nau i pai hnua in lama i haw hnua a hnuaia symptoms te hi i neih chuan i doctor hnenah hriattir nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| A rilru a na | Vawikhatmah, rilru na tak. |
| Luak chhuak emaw, muthilh emaw (syncope) . | Mit blue, luak chhuak emaw, muhil emaw tih hriatna. |
| Vaginal bleeding nasa tak a awm | Darkar khat chhunga sanitary napkin a hnim vek theih khawpa thisen i chhuah chuan. |
| Vaginal discharge rimchhia tak | Thil danglam tak, rimchhia tak tak a awm chuan. |
| Hri kai theihna chhinchhiahna | A lan chhuah dan chu khawsik, khawsik, leh khur te a ni. |
| Thâwk harsa (dyspnea) . | Thâwk harsa i tih chuan. |
| A hring (edema) . | Ke, kut leh hmai a hring danglam. |
Take-Home Thuchah a ni
- Augmentation chu nau neih tan zawi zawia hmasawn tan tawh emaw, tawp tawh emaw tanpui nan forceps hmanga damdawi lama hman a ni.
- Hei hian a tum ber chu nang leh i naute pahnih hi hrisel leh him taka awm tir a, nau neih chu hlawhtling taka tihfel a ni.
- Medical team te hian nang leh i naute hi uluk takin an enkawl reng dawn avangin lungngai a ngai lo.
- Nau neih chungchanga zawhna i neih chuan, natna damdawi emaw, he kalphung emaw chungchangah zawhna i neih chuan i doctor zawt hreh suh.











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