Naupai i nih chuan i beiseina lian ber chu khawvela naute hrisel tak hrisel hi a ni. Mahse, a châng chuan, a hmaa nau pai tawh vang emaw, i doctor-in i serh a chak lo deuh tih a hrilh che vang emaw pawh ni se, naute pian hmain i nausen pum chu a inhawng ang tih i hlau mai thei. Vawiin hian nu hlauhawm tak takte tana nau neih hmaa nau neih lohna tura enkawlna bik kan sawi dawn a ni. Chu chu cervical cerclage an ti a.
Cervical Cerclage tih hi eng nge ni?
A awlsam zawngin, hei hi i naupai chhung zawngin i nausen pum, a nih loh leh i serh kawngkhar hawnna chu him taka khar tlat thei suture bik a ni . I nausen pum chu purse tlemte angin ngaihtuah rawh. I naute chu a chhungah a awm. I cervix chu chu purse hawnna a ni. A châng chuan, he purse hawnna hi a lo chhuak thei bawk. Tichuan a chhunga thil hlu tak, i naute chu a hun hmaa rawn chhuah a tum a.
Chuvangin, `(Cervical Cerclage)` ah chuan doctor chuan thread chak tak hmangin purse hmui chu a khar a, chu chu cervix a khar a, chu chu a lo chhuak thei a ni. Hei hian naute chu kar 37 vel, chu chu nausen a lo thanglian that hma thlengin him takin nausen pum chhungah a awm thei a ni.
Engvangin nge cervical suture hi hman a tha?
Hmeichhe naupai zawng zawng hian hei hi an mamawh vek dawn lo. I doctor chuan he damdawi hi a chhan bik a awm chauhvin a rawt ang. Hei vang hian i naupai tawh leh i surgery tawhte chungchang hi doctor nen inhawng taka sawi a pawimawh hle.
| Chhan | Hrilhfiahna awlsam tak |
|---|---|
| Cervix thiam lo tak | A hmaa operation ( LEEP ang chi) emaw, thil dang emaw avanga serh chu a chak lo a nih chuan naupai laiin serh hi a inhawng thei a, a chhan chu naute rit phurh a phur thei lo a ni. |
| Second trimester chhunga nau pai te | Naupai lai (thla 4-6 inkar) natna nei lo nau pai i neih chuan a chhan chu serh chak lo vang a ni thei. |
| Nausen pum emaw, serh emaw chhunga thil dik lo awm | Nausen pum pianzia a danglam emaw, pian tirh atanga serh (cervix) a chhiat emaw chuan hei hian a hmaa nau pai a lo awm tawh pawh a ni thei. |
He stitch hi naupai atanga kar 12 leh 14 inkarah dah thin a ni a, chu chu serh chu a hring tan a, a inhawng tan thin.
He surgery hma leh surgery neih chhung hian eng nge thleng?
Hetiang thil i hmachhawn hian tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. Chuvangin, zawhna i neih apiang chu i doctor hnenah zawt rawh.
Surgery neih hma hian...
Operation hmain i doctor chuan medical history kimchang tak a la ang . I serh chu speculum hmangin a enfiah ang a, Pap smear ang chiah a ni. Transvaginal ultrasound pawh i nei thei bawk. Hei hian i cervix sei zawng leh a dinhmun enfiah nan a pui ang. A tlangpuiin operation hma kar khat chhung chu sex hman loh turin an hrilh ang che.
Surgery neih chhung hian...
Hei hi surgery tenau tak a ni a, damdawi inah tih a ni tlangpui a, rei a daih lo.
- Exam table-ah mu turin an ti ang che a, i ke chu special support-ah dah turin an ti ang che.
- Tichuan, i serh chhehvel chu natna i hriat loh nan local anesthetic an inject a ni . Needle i dah hian hliam tlem i nei thei a, mahse a hnuah chuan natna i nei lovang.
- Doctor chuan uluk taka a numb hnuah chuan thread chak tak hmangin serh vel chu suture a dah a, nghet takin a khar a, nghet takin a khar a ni.
Hei hi a hrehawm em? Surgery hnuah eng nge thleng?
Operation hnu ni engemaw zat chhung chu i pum hnuai lam ah hian cramping leh spotting tlem te te i nei thei a, chu chu i period nen a inang a ni. Hei hi thil pangngai a ni. A natna hi a na lo tlangpui. Eng natna pawh i neih chuan paracetamol ang chi thil i ei thei bawk. Mahse, i pum natna nasa tak i neih chuan tuar theih loh , i doctor i ko nghal tur a ni.
Operation hnu darkar tlemte chhung chu damdawi inah enfiah turin dah i ni ang a, harsatna a awm loh chuan chu ni vek chuan in lamah thawn haw leh ang che. Infection laka inven nan antibiotics pek i ni thei bawk.
A pawimawh ber chu operation ni-a chawlh hahdam hi a ni. Hnathawh tur leh thil dang hahthlak tak tak ti suh. Stitch te hi a dam theih nan ni 7-10 vel a ngai a, chutih chhung chuan doctor thupek zawm a pawimawh hle.
Cervical stitch hian eng hlawkna leh hlauhawmna nge a neih?
Hei hi serh chak lo nei nu tan chuan nau neih hmaa venna tha ber leh tangkai ber a ni. He enkawlna hian hlawhtlinna sang tak 90% vel a nei a ni. Mahse, damdawi lam enkawlna dang ang bawkin, hlauhawmna tlemte chauh a awm. Doctor chuan he enkawlna hi a rawt a, a chhan chu a hlawkna hian heng hlauhawmnate hi a hneh zawk daih a ni.
| Risk/Complication pawimawh tak tak | |
|---|---|
| Kaichhawng | Cervical infection awm theihna chance tlemte a awm. |
| Thisen chhuak | Operation lai emaw, operation hnu emawa thisen chhuah tlem. |
| Membrane a hun hmaa a rupture | Naute chhehvela membrane te chu a hun hmaa a rupture. |
| Cervix a chhiatna | Suture dah emaw, nau neih emaw laiin serh (cervix) a chhiat emaw, a hliam emaw a awm. |
| Hun hmaa nau neih | Surgery avang ngeia nau neih theihna chance a tlem hle. |
Engtikah nge he stitch hi lakchhuah a nih ang?
Naupai kar 37 i tlin hunah, chu chu naute chu him taka chhuak turin a inpeih tawh tihna a ni a, i doctor chuan heng stitches te hi a la chhuak ang. Hei pawh hi a awlsam hle. Exam table-ah i dah ang a, stitches an dah lai ang khan i dah ang a, stitches te chu minute tlemte chhungin an cut ang a, an la chhuak ang. Hei atan hianAnesthesia hman a ngai lo .
Chumi hma chuan i tui chu a chhe nghal a nih pawhin, emaw, nau neih tan pawh ni se, doctor chuan a hliamte chu a la chhuak nghal mai ang.
Doctor ko nghal tur dinhmunte chu engte nge ni?
Surgery hnua a hnuaia symptoms te hi i neih chuan tihkhawtlai lohvin i doctor pan nghal tur a ni. A tul chuan damdawi in hnai ber Emergency Department (ETU) ah kal thin ang che.
| Vaukhânna chhinchhiahna fimkhur tûr | |
|---|---|
| 🌡️ Khawsik sang tak | Taksa lumna 37.7 degree Celsius (100 Fahrenheit) aia sang a nih chuan. |
| 😖 Natna chu hun bi neia lo thleng thin | Nau neih ang bawkin pum hnuai lam natna chu a hun laia a lo thleng chhunzawm zel chuan. |
| 👃 Discharge rimtui lo tak | Vagina atanga tui rimchhia a awm chuan. |
| 💧 Tui bag a chhe emaw, a leak emaw | Vagina atanga tui ang chi a lo chhuah chuan. |
| 🩸 Thisen chhuak nasa | Thisen chhuak chu a tlangpui aia na zawk a nih chuan. |
Take-Home Thuchah a ni
- Nu nau neih hmaa nau neih loh nan cervical cerclage hi hmanraw tangkai tak leh him tak a ni a, a serh chak lo hle.
- Hei hi mi zawng zawng tih tur a ni lo. Doctor te chuan nu risk factor bik nei tan chauh an rawt thin .
- Surgery an neih hnuahDoctor thupek dik taka zawm (chawlhna, hna rit tak tak pumpelh, leh mipat hmeichhiatna hman loh) hi a pawimawh hle.
- I hlauhthawnna emaw, i ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh . Thu tlûkna dik siam tûr leh i rilru hahdam taka dah tûrin a ṭanpui ang che.
- Warning symptoms (high fever, pain, heavy bleeding ) i neih chuan doctor rawn la nghal rawh.
Cervical Cerclage, nau pai venna, nau piang hma, naupai hriselna, serh, serh thiam lo
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