Nu naupai tak i nih chuan i thawmhnaw chungah thisen zam te tak te hmuh chu engtiang chiahin nge a hlauhawm ang? A phurrit lian tak a ni tak zet a ni. A tam zawkah chuan naupai lai hian vaginal bleeding tlem hi thil pangngai a ni a, a bik takin thla tir lamah chuan. Mahse a chang chuan thil pawi tak chhinchhiahna a ni thei. Chuvangin a chhan awm thei te hriat chian a tha ber a, i doctor nen inbiakna neih a tha ber a, nang leh i naute hriselna tur a ni.
Thla 3 hmasa (first trimester) chhunga thisen chhuak .
Hmeichhia pali zinga pakhat (25%) vel chuan naupai kar 12 hmasa berah thisen chhuah engemaw zat an nei thin. A tam zawkah chuan hei hi ngaihtuahawm a ni lo. Hetiang thisen chhuahna tawk nu tam zawk hian harsatna nei lovin naute hrisel tak tak an nei zui zel a ni.
Thisen chhuah tlem, a nih loh leh `spotting` kan tih hi thil lian tak a ni lo tlangpui. Mahse thisen a chhuak nasa lutuk a, i panty liner emaw pad emaw a hnim thei a nih chuan chu chu thil pangngai a ni lo. Trimester hmasa berah thisen chhuak i hmuh chuan doctor ko nghal rawh. A chhan chu a zawng chhuak thei a, nang leh i naute humhim turin thurawn a pe thei che a ni.
Okay, tunah hian he hun chhunga thisen chhuah chhan berte hi han thlir ila.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Implantation atanga thisen chhuak | Fertilized egg (embryo) chu uterine wall-ah a insiam a, chu chu naupai atanga ni 6-12 vel a nih chuan thisen chhuah engemaw zat i nei thei. Mi thenkhat chuan hei hi hun pangngaiah an ngai sual thin. Hei hi a rit hle thei a, darkar tlemte atanga ni engemaw zat thleng a daih thei. |
| Nau pai chhuah | Nau pai tam zawk hi kar 12 hmasa berah a thleng thin a, chuvangin hei hi mi zawng zawngin he hun chhunga thisen an chhuah hian an hlauh ber a ni. Mahse thisen an chhuah apiangin nau pai an ni lo. Ultrasound hmanga naute hian heartbeat a nei tih finfiah a nih chuan nau pai theihna a tlem hle. Pum hnuai lam natna nasa tak leh vagina atanga thisen chhuak, clot ang maia lang te pawh hi nau pai chhinchhiahna a ni. |
| Ectopic naupai a nih chuan | Hei hi embryo chu nausen pum pawnah a implant lai a ni a, a tlangpuiin fallopian tube-ah a dah thin. Chutah chuan embryo chu a lo thang zel a nih chuan tube chu a chhe thei a, nu tan pawh nunna atana hlauhawm tak a ni thei bawk. Hei hi hlauhawm deuh mahse, a thleng tlem hle a, naupai 100 zinga 2 vel a ni. A lan chhuah dan chu pum hnuai lam natna nasa tak leh muthilh theihna te a ni. |
| Molar naupai a ni | Hei pawh hi thil awm lo tak a ni. Heta thil thleng chu naute aiah hian nausen pum chhungah tissue pangngai lo a lo thang lian zawk a ni. A lan chhuah dan chu rilru hahna leh luak chhuak nasa tak te , pumpui thang chak tak te a ni. A tlem hle a, he tissue hi cancer a ni thei bawk. |
| Chhan dang | - Cervical changes: Naupai lai hian cervix ah thisen a chhuak tam zawk. Sex emaw Pap test emaw hnuah thisen chhuah engemaw zat i nei thei. Hei hi ngaihtuahawm tur a ni lo. - Infection: Thisen chhuahna hi serh, serh, emaw, mipat hmeichhiatna hmanga kai theih natna (chlamydia leh gonorrhea ang chi) vang pawh a ni thei. Hei hian damdawi lam enkawl a ngai a ni. |
Thla thum hnihna leh thla thum chhung (thla 4 atanga thla 9 chhung) thisen chhuak .
Naupai hnu lama thisen chhuah hi ngaih pawimawh tur a ni a, nangmah emaw i naute emaw chungah thil dik lo a awm tih hriattirna a nih theih avangin. Chuvangin he hun chhung hian thisen chhuak i hmuh chuan a rang thei ang bera doctor nen inbia ang che.
I theihnghilh suh, naupai hnu lama thisen chhuak reng reng chu doctor hnenah hriattir nghal tur a ni.
Hemi hun chhunga thisen chhuah theihna chhan thenkhat tarlan a ni.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Placenta previa a awm | Hei hi nausen pum chu nausen pum hnuai lamah a awm a, nausen piang kawng chu a then emaw, a pum emaw a tihkhawtlai lai a ni. He natna hi hmeichhe naupai 200 zinga 1 vel ah a awm thin. Natna nei lova thisen chhuak i nih chuan emergency a ni. Damdawi lam pan vat a ngai a ni. |
| Nausen hnute (placental abruption) a awm | Hei hi naute pian hmaa uterine wall atanga placenta a inthen hun a ni. Hei hi naupai 100 zinga 1 vel ah a thleng thin. Nu leh naute tan pawh a hlauhawm hle. A lan chhuah dan chu pum na, serh atanga thisen chhuak, leh hnungzang na te a ni. |
| Uterine rupture a awm | A hmaa cesarean section (C-section) i neih tawh chuan chu surgery atanga hliam chu naupai laiin a chhe thei a ni. Hei hi a tlem hle a, mahse nunna atana hlauhawm tak a ni. Emergency cesarean section neih nghal a ngai mai thei. A lan chhuah dan chu pum na na tak leh cramping te a ni. |
| Nau neih hmaa nau neih | A châng chuan thisen chhuah hi i taksain nau neih a inbuatsaih tih chhinchhiahna a ni thei bawk. Nau neih hma ni engemaw zat hnuah i serh khuh tu mucus plug chu thisen tlemte nen a chhuak ang. Hei hi "thisen chhuahna show" an ti bawk. Mahse kar 37 hmaa hetiang hi a thleng a nih chuan nau neih hmaa nau neihna chhinchhiahna a ni thei. I doctor ko nghal rawh. |
Thisen chhuak a nih chuan eng nge i tih ang?
Naupai laiin engtik lai pawha thisen chhuah hi harsatna chhinchhiahna a nih theih avangin, i tih hmasak ber tur chu i doctor nen inbiakna neih a ni.
Chu bâkah, heng thilte hi ti bawk ang che:
- Pad bun: Hei hian thisen i chhuah zat a enfiah thei ang.
- Thisen rawng hi chhinchhiah rawh: pink, brown, red? Clot a awm em? Heng thilte hi doctor hnena hrilh a pawimawh.
- Sa hring ang chi a lo chhuak a nih chuan: la la, doctor hnenah enfiah turin pe rawh.
- Heng thilte hi ti suh:Thisen chhuah lai hian tampon hmang suh, sex hman loh tur a ni.
I doctor chuan chawlh hahdam tam turin a fuih thei che a, exercise leh zin chhuah loh tur a ni a, thisen chhuahna chhan dik tak hriat nan ultrasound neih a rawt thei bawk.
Engtikah nge damdawi in Emergency Treatment Unit (ETU) ah i kal nghal tur?
A hnuaia symptoms te hi i neih chuan nau pai emaw, natna khirh tak dang emaw a ni thei. Chuvangin damdawi in Emergency Department (ETU) ah kal la, ambulance ko nghal rawh .
| Emergency symptoms - ngaihven nghal rawh! | |
|---|---|
| 🔴 Pum hnuai lam natna nasa tak emaw, na tak tak emaw | |
| 🔴 Natna nei emaw nei lo emaw thisen chhuak nasa (darkar hnih danah pad thlak theih tawk) | |
| 🔴 Vaginal discharge tisa ang chi tissue | |
| 🔴 Fainting emaw, hriatna hloh emaw | |
| 🔴 Khawsik 100.4 F (38 C) aia sang leh/ emaw, khawsik | |
Take-Home Thuchah a ni
- Naupai laia thisen chhuah hi harsatna lian tham a nihzia tilangtu a ni ngai lo. Spot tlem tlem hi thil pangngai a ni a, a bik takin a tir lamah chuan.
- Mahse eng thil vang pawha thisen chhuak i hmuh chuan i doctor hnenah hriattir ngei ang che. Chu chu thil him ber a ni.
- Thisen chhuahna nasa tak, a bik takin naupai hnu lamah chuan natna khirh tak a ni thei.
- I pum hnuai lam natna nasa tak, thisen chhuak nasa tak, emaw muhil emaw ang chi symptom i neih chuan damdawi in Emergency Department (ETU)-ah kal nghal rawh.
- I doctor thupek ang chiah kha zawm rawh. Hei hian nang leh i naute chu a humhim ang.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Cervix tih hian hmeichhe taksa chhunga eng organ nge a kawk?
‘Cervix’ hi hmeichhe nausen hnuai ber a ni. Hei hi narrow tube, uterus leh vagina thlunzawmtu a ni. A tlangpuiin hei hi thlasik thisen kalna hmun a ni a, naupai lai hian nausen chu nausen pum chhunga him taka awm tir turin serh (cervix) hian hmun pawimawh tak a chang a ni. Nau neih lai hian centimetre 10 velin a dilate a, naute chu a chhuak thei ta a ni!
💬 Natna hlauhawm ber berte chu engte nge ni? Engtin nge i hriat?
Hmeichhia tana hlauhawm ber leh hlauhawm ber chu ‘Cervical Cancer’ hi a ni! Hei hi 99% chu ‘HPV’ (sexually transmitted) an tih virus atanga lo chhuak a ni. He cancer chungchanga thil pawi ber chu a tir lamah a lan chhuah loh vang a ni. Chuvangin hmeichhia kum 21 chunglam zawng zawng hian kum 3/5 danah ‘Pap Smear’ test an nei ngei tur a ni a, cervical cancer tan pawh solution hmasa ber an la tur a ni!
💬 Naupai laiin serh atanga thisen a chhuak a nih chuan nau pai chhuahna chhinchhiahna a ni em?
Thla 3 hmasa berah hian Spotting hi thil pangngai a ni. Mahse, a hlauhawm ber chu! Vaginal bleeding nasa tak, thisen zam, emaw, tuar theih loh khawpa pum hnuai lam natna i neih chuan serh a inhawng a, naute chu nau a pai dawn emaw, ectopic pregnancy a puak dawn emaw tihna a ni! Dam lova damdawi inah dah a ngai!
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