Naupai hi nu nunah chuan hun bik tak a ni. Mahse, he hun chhung hian hriselna lama harsatna tam tak a awm thei a ni. Nu thenkhat tan chuan nau neih beisei hma kar engemaw zat hmain serh hi a inhawng tan thin. Hei hian nau piang hmasa a thlen thei a ni. Vawiin hian hetiang hun hlauhawma doctor-te’n an rawt enkawlna bik kan sawi dawn a ni. Chu chu, serh chungah suture dah tihna a ni a, damdawi lam hawi chuan (Cervical Cerclage) .
Cervical Cerclage tih hi eng nge ni?
Hei hi hriatthiam a awlsam hle. I nausen pum chu bawm te tak te angin ngaihtuah rawh. He sac chhungah hian naute chu him takin a thang lian thin. Chu bawm hmui chu serh (cervix) a ni. A tlangpuiin he bawm, serh (cervix) hmui hi naute a pian hma loh chuan nghet takin a khar tur a ni.
Mahse a chang chuan he serh hi a chak lo thei hle. Tichuan, naute a thau chhoh zel chuan serh (cervix) chu a hun hmain a inhawng tan ta a ni. (Cervical Cerclage) chu serh inhawng tur chu thread nghet tak hmanga hrual a, tihkhauh a ni. A dik tak chuan, bag chu hrui hmanga khih ang mai a ni . Hei hi naute chu a pian hun thlenga nausen pum chhunga him taka awm theih nan tih a ni.
Engvangin nge hetiang thil hi i tih a ngaih?
I doctor hian chhan awm lovin he damdawi hi a rawn rawt lo. Chutianga chhan chiang tak tak engemaw zat a awm thei.
- Incompetent Cervix: Hei hi a chhan ber a ni. Tun hmaa cervical surgery, LEEP procedure ang chi te hian serh hi a tichak lo thei hle.
- Tun hmaa nau pai tawh: Nau pai tawh, a bik takin naupai thla thum hnihna, chu chu thla 3 leh thla 6 inkar vela nau pai tawh a nih chuan a chhan chu serh chak lo vang a ni thei.
- Nausen pianphung dik lo: A chang chuan he natna hi nausen pum chhunga pianpui inthlak danglamna thenkhat vang pawh a ni thei bawk.
Chuvangin, naupai hmasa lama harsatna i neih emaw, nau pai tawh emaw a nih chuan heng zawng zawng hi i doctor hnena hrilh hi a pawimawh hle .
He stitch hi naupai kar 12 leh kar 14 inkar, chu chu serh (cervix) a hring tan hmain dah thin a ni.
Enkawl hma leh enkawl lai hian eng nge thleng?
Hemi hma hian doctor chuan i health history kimchang a enfiah ang. Tichuan a enfiah ang che.
Enkawl hmain
I serh chu speculum hmanga enfiah a ni ang a, Pap test ang chiah a ni. Transvaginal ultrasound scan pawh i nei thei bawk. Tin, test hma kar khat vel chu mipat hmeichhiatna hman loh turin hriattir i ni bawk ang. He test hma hian tlem a hlauthawng emaw, lungkham deuh emaw a awm hi thil pangngai a ni. Hei hi i doctor hnenah zawhna i neih apiang zawh hun tha tak a ni.
Enkawl lai hian
Hei hi minute tlemte chhungin a tawp tlangpui.
1. Exam table-ah mu turin an ti ang che a, i ke chu a bik taka siam support-ah dah turin an ti ang che.
2. Tichuan local anesthetic pek i ni ang a, chu chu a hmun chu a numb ang . Injection i pek hunah chuan prick te tak te i nei ang a, mahse a hnuah chuan natna i nei lovang.
3. Numbing hnuah doctor chuan thread chak tak hmangin serh vel chu suture a dah a, a tikhauh a, a khih a.
Enkawl hnuah natna a awm em?
Enkawlna hnu ni engemaw zat chhung chu thlasik ang chi cramping leh spotting na lo tak tak engemaw zat neih hi thil pangngai a ni. Lungngai suh. A natna hi paracetamol hmangin a control theih tlangpui.
Mahse, hre reng ang che, i rilru natna tuar theih loh i neih chuan , i doctor i ko nghal tur a ni.
Inenkawl zawhah darkar engemaw zat chu damdawi inah enfiahna hnuaiah dah i ni ang a, harsatna a awm loh chuan hemi ni vek hian in lamah hawntir i ni ang. Infection laka inven nan antibiotics thenkhat pek i ni thei bawk. Chumi ni chuan chawlh hahdam a tha ber. Stitch te hi a dam theih nan ni 10 vel a ngai a, chuvang chuan doctor chuan chutih chhung chuan hna hahthlak tak tak leh mipat hmeichhiatna hman loh turin a fuih che a ni.
He enkawlna hian eng hlawkna leh hlauhawmna nge a neih?
Cervix Cerclage hi cervix chak lo nei tan nau piang hmaa venna tha ber leh tangkai ber a ni. A hlawkna a chiang hle. Mahse damdawi dang ang bawkin hlauhawmna engemaw zat a nei bawk. Doctor chuan a hlawknain a hlauhawmna a hneh phawt chuan a rawt reng ang.
| Risk / Harsatna awm thei | A awlsam zawngin sawifiah a ni |
|---|---|
| Kaichhawng | Suture awmna hmunah emaw, nausen pum chhungah emaw natna kai theihna chance tlemte a awm. |
| Cervix a chhiatna | Enkawl lai hian serh (cervix)-ah chhiatna tenau a awm thei. |
| Membrane a hun hmaa a rupture | Naute hi tui bag pakhat amniotic fluid an tih chhungah a awm a. Hei hi a hun hmaa a puak darh theihna tur risk tlemte a awm. |
| Hun hmaa nau neih | A chang chuan he enkawlna ang chiah hian nau piang hmasa a thlen thei bawk. |
| Cervical rupture a awm | Stitch awm laiin nau neih tan a nih chuan cervix emaw uterus emaw a tikehsawm thei a ni. |
Engtikah nge stitches te hi lakchhuah thin?
Heng stitch te hi i naupai zawh thlengin a hmunah dah thin a ni tlangpui a, chu chu kar 37 vel a ni . Stitch te lakchhuah hi a awlsam hle. Doctor office-ah ngei pawh tih theih a ni.
Stitch dah a nih ang bawkin exam table-a mu turin siam i ni ang a, minute tlemte hnuah stitches chu lakchhuah a ni ang. Hei hian anesthesia pawh a mamawh lo. Stitch te lakchhuah hnuah engtik lai pawhin delivery a awm thei. Chumi hmaa eng emaw chhan vanga i tui a chhe a nih chuan, emaw, nau neih tan a nih chuan, chumi hma chuan stitches te chu lakchhuah a ni ang.
Engtikah nge doctor i biak nghal tur?
Enkawlna i neih hnua a hnuaia symptoms te hi i neih chuan i doctor chu i biak nghal tur a ni .
| Symptom a ni | Eng nge ngaihven tur |
|---|---|
| Khawsik sang tak a nei | Taksa lumna chu 100°F (37.7°C) aia sang a ni. |
| Natna chu hunbi neia lo thleng thin | Naupai na ang bawkin pum hnuai lam natna chu a hun takah a lo kal leh chhuak a nih chuan (contractions). |
| Vaginal discharge rimchhia tak | Vaginal discharge rimchhia chu infection chhinchhiahna a ni thei. |
| Tui bag a chhe emaw, tui a leak emaw | Vagina atanga tui ang chi tui chhuak chhunzawm zel. |
| Thisen chhuah tam lutuk | Thisen tlemte chauh ni lovin, thisen chhuak nasa tak a chhuak. |
He enkawlna chungchang i hriat hian hlauhna tlem a awm hi thil pangngai a ni. Mahse, enkawlna 90% vel hlawhtling tak a ni . Hetiang dinhmun hi naupai pakhatah a awm a nih chuan a hnua naupaiah pawh a awm ngei a rinawm. Chuvangin i doctor nen zalen taka inbiakna neih a pawimawh a, naupai hrisel tak neih dan tur ruahmanna siam a pawimawh.
Take-Home Thuchah a ni
- Cervical Cerclage hi serh chak lo zawk tichaktu leh nau piang hmaa venna atana hmanraw tangkai tak a ni.
- Hei hi naupai kar 12-14 inkarah tih thin a ni tlangpui.
- Enkawlna hnu ni engemaw zat chhung chu natna leh thisen chhuak tlem engemaw zat neih hi thil pangngai a ni. Amaherawhchu, natna nasa tak, khawsik, thisen chhuak nasa tak i neih chuan damdawi lam pan vat tur a ni.
- Doctor thurawn zawm a pawimawh hle a, a bik takin chawlh hahdam leh thiltih khap chungchangah.
- I ngaihtuahna emaw, hlauhthawnna emaw i neih apiang chu i doctor nen tlang taka sawipui hreh ngai suh.











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