I due date a hnai tawh em? Midang ang bawkin i naute lo thlen hun chu i nghakhlel hle a ni mai thei, a dik em? A tlangpuiin, nau neih a hnaih deuh deuh chuan kan serh chu a nêm zauh zauh a, a hring a, a inhawng ṭan a, chu chuan naute chhuahna hmun a siamsak a ni. Mahse nu thenkhat tan chuan ni engemaw zat a liam hnuah pawh serh hi a inpeih kim lo. Chuvangin vawiin hian hetiang huna doctor ten an puih theih tur special procedure kan sawi dawn a ni.
A awlsam zawngin, cervical ripening chu eng nge ni?
'Cervical Ripening' tih hi a awmzia takah chuan "Cervical Ripening" tia lehlin a ni. Mahse, awlsam takin i hrethiam ang u. Nau i pai hmain i serh chu a khar nghet a, a thuk hle tih han ngaihtuah teh. Thei raw ang maiin. Naute chu vagina hmanga a chhuah theih nan he cervix hi a nem hle a, a hring a, a inhawng (dilated) a ngai a ni . Thei rah a nem chhoh ang maiin. Chu chu ‘Cervical Ripening’ kan tih chu a ni.
A tam zawkah chuan hei hi a pianphungah a thleng thin. Hormone inthlak danglamna leh naute lu atanga serh chhunga pressure awm vang a ni. Mahse mi thenkhat tan chuan a thleng rang tawk lo. Chutiang hunah chuan i doctor chuan damdawi, hmanraw bik emaw, hmanraw dang emaw hmangin i serh siamna kawngah a pui ang. Dik tak chuan hei hi nau neih tak tak tan hmaa thil pawimawh ber pakhat a ni.
Hei hi tuin nge mamawh?
He cervical preparation process hian nau neih tir i mamawh chuan a pui thei a ni. A hnuaia thilte avang hian nau neih tir hi a ngai tlangpui:
- I nau neih hun a liam tawh chuan: I naupai chu kar 41 emaw a aia rei emaw a nih chuan.
- Hriselna atana hlauhawm a awm chuan: Nang emaw i naute emaw hian hriselna atana hlauhawm i neih chuan. Entirnan, naupai laiin thisen sang (preeclampsia) emaw gestational diabetes ang chi dinhmun.
- Damdawi in atanga hla taka awm i nih chuan: A chang chuan damdawi in a hla lutuk chuan nau neih dan tur ruahman lawk a ngai mai thei.
Engtin nge doctor hian hei hi ka mamawh tih a hriat?
I doctor chuan cervical exam a ti ang a, engtiang chiahin nge a nem, a hring leh a inhawng tih a en ang. Tichuan, i serh (cervix) chu nau neihna atana a inpeih dan tehna atan special scoring system an hmang ang. Hei hi ‘Bishop score’ an ti a ni.
Hei hi exam-a score pek ang mai a ni. 0 atanga 13 thleng pek theih a ni a, i Bishop score 6 aia tlem a nih chuan i serh (cervix) chu nau neih theih nan a la inpeih kim lo tihna a ni. Chuvangin doctor chuan i serh (cervix) chu a buatsaih (puitling) a ngai dawn a ni. Score 8 aia tam a nih chuan i taksa chu nau neihna tur atan a inpeih tawh tihna a ni. Tichuan he procedure hi a ngai lo mai thei.
Cervix puitlin leh nau neih tan (induction) hi eng nge a danglamna?
Heng thumal pahnih hi danglamna pawimawh tak tak engemaw zat a awm a. Dawhkan ang maiin i en ang u.
| Mihring ziarang | Cervical a lo puitlin | Labour Induction neih a ni |
|---|---|---|
| Nihphung | Hei hi kalphung a ni. Cervix tih nem leh hawn theih tura buatsaih turin. | Hei hi damdawi lam inrawlhna a ni. Uterine contractions siam leh nau neih tan tir a ni. |
| Hun | Hei hi ni tam tak emaw, kar tam tak emaw chhungin zawi zawiin a thleng thei a ni. | Naute hrin vat a ngaih hunah tih nghal a ni tlangpui. |
| Performance neihna hmun | Damdawi inah te, doctor office-ah te, a chang chuan in lamah pawh (damdawi lam thurawn hnuaiah) a thleng thei. | Damdawi in emaw nau neihna hmunah emaw tih fo thin. |
He cervical preparation process hi engtin nge an tih thin?
Chutianga tih theih dan tur tam tak a awm a. I doctor chuan i dinhmun a zirin a hman dan tur dik ber a thlang ang.
Damdawi hman dan tur
Kan taksaa pianphung atanga lo chhuak chemical Prostaglandins te hian serh (cervix) a ti nem a, a hawng thei a ni. Doctor-te chuan synthetic prostaglandins an hmang a, hengte nen hian a inang hle. Hengte hian serh (cervix) a ti nem a, a chang chuan uterine contractions a tan thei bawk.
Heng damdawi te hi chi hrang hrang a awm a:
- Gel angin: Doctor chuan he gel hi catheter ang chi tube hmangin serh chhungah a dah lut thin.
- Pill angin: Pill ei tur pek i ni thei bawk.
- Suppository angin: He damdawi hi vagina chhungah direct-in dah a ni a, chumi hnuah taksaah a lut leh thin.
- Insert angin: Tampon ang chi, hmanraw te tak te chu vagina chhungah dah a ni. Zawi zawiin a chhungah a zau chho a, damdawi chu serh chhungah a chhuah tir thin.
Hemi atana damdawi hman tam ber chu `(Dinoprostone)` leh `(Misoprostol)` te an ni. A then phei chuan `(Oxytocin)` an hmang bawk.
Thil hmanraw bik hmanga tih dan
Hemi atan hian ‘Foley balloon’ hi hmanraw hman a ni. Balloon te tak te ang mai a ni. Doctor chuan he balloon hi catheter hmangin serh chhungah a dah a, tui saline hmangin a khat a ni. Chumi hnuah chuan mechanical pressure chuan cervix chu a inhawng zauh zauh a. He pressure hian taksa chu natural takin ‘Prostaglandins’ siam turin a tichak bawk.
Damdawi lam kalphung hmangin
- Membrane stripping: Doctor chuan gloved finger chu serh chhungah a dah a, amniotic sac chu uterine wall atanga zawi zawiin a then a. Hei hian taksain prostaglandins a siam chhuahna a tichak thei a ni.
- Amniotomy (amniotic sac tihchhiat): Doctor chuan hook ang chi hmanraw te tak te hmangin amniotic sac chhunga membrane te chu a tichhia a. Hei hi ``AROM - artificial rupture of membranes'' an ti bawk. Hei hian ''Prostaglandins'' a tichhuak thei bawk.
Thilsiam dan (natural ways) te
Mi thenkhat chuan nau neih hma ni engemaw zat chhung hian natural methods an hmang thin a, chu chu acupuncture, nipple stimulation, leh castor oil ei te hi a ni.
Mahse hei hi hre reng ang che: Hêng hmanrawte hi a hlawhtling tih scientific evidence nghet tak a awm lo. Tin, thenkhat chu hlauhawm tak an ni thei bawk. Heng zinga pakhat mah hi doctor nena inbiakna hmasa lovin nangmah chauhin enchhin suh.
Hetiang procedure hi a hrehawm em? Tin, a hlauhawmnate chu engte nge ni?
Hei hi nau neih na angin a na lo tlangpui a, mahse hrehawmna engemaw zat i nei thei a, chu chu thlasik natna emaw, mipat hmeichhiatna hmuna natna emaw a ni thei.
Thiltih dan tin hian risk a nei vek a, chu chu kan hriat chian a ngai a ni.
| Thiltih dan/A chhan | Risk awm thei te |
|---|---|
| Damdawi ei tur | Diarrhea, khawsik, luak chhuak leh luak chhuak. A tlem hle a, uterine contractions hi a tam lutuk emaw, rei tak emaw a ni thei (hei hi naute tan chuan a hlauhawm thei hle). |
| Thil hmanrua leh kalphung | Vaginal bleeding, natna, nu emaw naute emaw infection, naute heart rate inthlak danglam dan pangngai lo, umbilical cord prolapse emaw compression emaw a awm bawk. |
| Natural methods (damdawi lam thurawn tel lo) . | Nau neih hma, luak chhuak, luak chhuak, leh luak chhuak. |
Hetiang tih dan a thatna ber chu nau neih hun chhung a ti tawi thei a ni . Hei hian damdawi inah hun i hmang tlem zawk tihna a ni a, i naute chu i chelh hma thei tihna a ni.
Engtikah nge Doctor ka hmuh ang?
Cervical dilation emaw induction emaw chungchanga zawhna i neih chuan doctor nen inbiakna neihpui ngei ngei tur a ni. In lamah nangmah chauhin nau neih tir tum ngai suh. I doctor chuan eng method nge i tan a tha ber tih leh a thatna leh that lohna a hrilhfiah ang che.
Tin, naupai laiin uterine contraction, tui a chhe emaw, vaginal bleeding emaw i neih chuan doctor hnenah hriattir nghal tur a ni.
"Puitling" tih thumal kan hriat hian serh (cervix) hi kan ngaihtuah lo mai thei a, mahse doctor-te chuan nau neih hmaa serh (cervix) a nem leh a inhawng dan sawina atan an hmang thin. Hei hi hlauh tur a ni lo. Damdawi lam thil mai a ni a, a hun takah leh hrisel takin naute i hrin theihna tur a ni.
Take-Home Thuchah a ni
- ‘Cervical Ripening’ tih hi nau neih hmaa serh ti nem leh hawn hi a ni. A châng chuan hei hian damdawi lam ṭanpuina a mamawh a ni.
- Hei hi nau neih hun a liam tawh emaw, nu emaw naute emaw hriselna atana hlauhawm a awm chuan a tul thei a ni.
- Hei hian damdawi, hmanraw bik (Foley balloon ang chi), leh damdawi lam thil (membrane stripping ang chi) hman a huam a ni.
- I doctor chuan eng method nge i tan a tha ber tih a rel ang.
- Eng thil vang pawha damdawi lam thurawn tel lo chuan in lamah natural remedies hi enchhin ngai suh. A hlauhawm thei hle.
- Hemi chungchanga zawhna i neih chuan i doctor zawh hreh suh.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Dry Mouth / Xerostomia tih hi eng nge ni? Hei hi dinhmun pangngai a ni em?
Hei hi tuihalna pangngai, tlan leh tui in a tihreh theih a ni lo! ‘Dry Mouth (Xerostomia)’ tih hi i ka chhunga salivary glands atanga ‘saliva’ siam chhuah chu a tawp vek a, a tawp reng a, i ka chhungril chu thlaler thihna thlen thei ang maiin a vawt tir a, chaw ei emaw ei emaw a ti harsa a, chil tlakchhamna nasa tak a thlen thin! Hei hian ha a ti chak zawk.
💬 Kawngkhar tlakchham vanga kâ a vawt chhan berte chu engte nge ni?
Hei hi a chhan ber leh number 1-na chu ‘Damdawi side effects’ tih hi a ni! (A bik takin: thisen sang pill, antidepressant, leh antihistamines te). 2) ‘Diabetes’ - Sugar level a san chuan taksaa tui awm zawng zawng chu zun chhungah a lut vek a, chu chuan hmui a ti vawt thin. 3) ‘Sjogren’s Syndrome’ - Hei hi autoimmune disease a ni a, immune system a â a, mittui leh salivary glands a tichhia a ni. 4) Hlauhawm leh lungkhamna nasa tak.
💬 I hmui a vawt laia tui in lova doctor pan nghal/emergency department pan nghal tur a nih lai hian eng nge 'dinhmun hlauhawm' te?
Tui tam in leh sugar-free gum chewing hian hei hi tlem a control thei a ni. Mahse, a hlauhawm ber chu! 1) Kawng vawt nen hian ‘nitin zun loh/ zun chu a sen dum/coffee-colored (Oliguria) a lo awm a nih chuan damlo chuan tui tlakchhamna nasa tak a tuar a, kal a tha lo! 2) Kawng vawt nen hian ‘mit ro, a vawt leh gritty tih hriat reng’ a awm chuan Sjogren natna a ni thei! Damdawi inah dah nghal a ngai!
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