I naupai chhung zawngin hlim tak leh lungkhamna nei lo mah la, a chang chuan i nau neih chhung hian harsatna tenau te a lo awm thei a ni. He thu i hriat hian hlauthawng nghal suh. A chhan chu kan doctor-te hian heng thil tam zawk hi an enkawl thiam em em a ni. A pawimawh ber chu hei hi hriat chian a ni. Chuvangin, vawiin hian nau neih laiin harsatna lian tham tak tak awm thei thenkhat kan sawi dawn a ni.
Hun rei tak chhung nau neih
Nu ṭhenkhat tân, a bîk takin an fa hmasa ber nei tûrte tân , nau neih chu beisei aia rei a daih thei a ni. Hei hi ‘Failure to Progress’ an ti a. Hetianga nau neih hun rei tak a nih chuan nu leh naute pahnih hian natna hrik ang chi natna an nei thei a ni.
Hei hi naute lian lutuk vang emaw, naute dinhmun dik lo vang emaw, nausen pum (uterus) a inzawm tha lo vang emaw a ni tlangpui. Mahse, a chhan dik tak hriat chian a harsa fo.
I nau neih hi hetiang taka tlai a nih chuan i doctor chuan tui tlakchham loh nan IV fluid a pe thei che a ni. I uterine contractions tichak turin damdawi oxytocin an pe thei bawk. I serh a la inhawng lo a nih chuan i doctor chuan cesarean section tih a rel mai thei .
Naute a lan dan pangngai lo
Hei hian nausen pian hnaih deuha nausen pum chhunga a dinhmun a kawk a ni. Hlawhtling taka nau neih theihna tur dinhmun tha ber chu naute chu lu hnuai lam hawia nu hnung lam hawi a ni. Chumi awmzia chu naute lu atanga a te ber a rawn chhuak hmasa tihna a ni. Lu hi naute taksa peng lian ber leh nghet ber a nih avangin a chhuah hmasak phawt chuan a him ber.
Mahse a chang chuan naute dinhmun a danglam thei. Chu chu eng nge a nih i en ang u.
| Dinhmun danglam tak | A awlsam zawngin... |
|---|---|
| Breech Presentation neih a ni | Chumi awmzia chu naute lu chu chung lam hawiin, a hnute emaw, a ke emaw chu hnuai lam hawiin a awm tihna a ni. A tam zawkah chuan hei hi naute nau neih hnaih deuh deuhin a insiam chhuak ang. |
| Occiput Hnung lam (Occiput Posterior) a ni | Naute lu chu hnuai lam ni mah se, a hmai chu nu pum lam hawi a ni. Hei hian hnungzang natna nasa tak a thlen thei a, chu chu "back labor" an ti a ni. |
| Transverse Thu dik lo (Transverse Lie) a ni | Breech presentation hi natna hlauhawm tak leh pawi tak a ni a, naute kekawrte chu a chhuak hmasa ber a ni. |
Naute dinhmun a dik lo a nih chuan engtin nge tih ang?
I doctor chuan naute dinhmun chu i pum palpating hmangin a enfiah ang. A tul chuan ultrasound scan hmangin an nemnghet ang. Naute chu nau neih hma kar tlemteah pawh breech position-ah a awm a nih chuan doctor chuan naute chhungril lam hawia tihdanglam a tum thei a ni.
Hei hi External Cephalic Version (ECV) an ti a. Doctor-in i pum chungah a kut a dah a, uluk takin naute chu a awmna tur dik takah a chantir a ni. Hei hian hlawhtlinna rate 50%-60% vel a nei a ni. Hei hi damdawi inah tih a ni a, a chhan chu emergency-ah chuan cesarean section tih vat a ngai mai thei.
Hetiang method hi a hlawhtling lo a nih chuan cesarean section neih a tha fo thin.
Umbilical Cord chungchanga harsatna awm thei
Umbilic cord hi naute nunna kawngkhar a ni. Chumi hmang chuan naute chuan nu hnen atangin oxygen leh nutrition a dawng thin. Chuvangin he thila harsatna hi a pawi deuh hlek a ni.
Umbilical Cord a tlakchhiat
Hei hi emergency tak a ni . Heta thil thleng chu naute a chhuah hmain umbilical cord chu vagina chhungah a slip lut a ni. Vagina pawnah pawh a lang thei.
Engvangin nge hei hi a hlauhawm? A chhan chu umbilical cord chu naute lu emaw taksa emaw vel ah a tang thei a, naute thisen leh oxygen supply chu a titawp vek thei a ni.
Hetiang thil hi i chungah a lo thleng a nih chuan:
- Ambulance ko nghal la, damdawi in Emergency Treatment Unit (ETU) ah kal nghal rawh.
- Ambulance a lo thlen hma chuan leiah khup la, i elbow pahnih chu leiah dah la, i hnute chu chawi sang rawh . Hetiang dinhmuna i awm hian gravity hian naute umbilical cord-a a rit zawng chu a ti tlem a ni.
- Damdawi in i thlen chuan doctor-te chuan naute lakchhuah nan emergency cesarean section an ti fo ang.
Umbilical Cord tihkhawtlai a ni
Hei hi a hma ang khan a pawi lo hle a, a tam zawk bawk. Nau neih laiin naute sawm zinga pakhat vel ah a thleng thin . Naute kawr (umbilical cord) a inkhuh emaw, naute lu leh nu pelvic bone inkara a innghah emaw hian a thleng thin.
Hei hi nau neih laiin naute enkawltu monitor hian a hre thei a ni. Umbilical cord an clamp a nih chuan naute heart rate chu rei vak lo a tlahniam ang a , chutah chuan a normal leh ang. A tam zawkah chuan hei hi harsatna lian tak a ni lo.
Mahse, heart rate a tlahniam chhunzawm zel emaw, naute hian harsatna chhinchhiahna dang a lantir emaw chuan i doctor chuan oxygen a pe thei che a, forceps emaw vacuum emaw hmangin naute chu rang taka a neih theih nan a pui thei che a ni. A then phei chuan cesarean section neih a ngai thei bawk.
Take-Home Thuchah a ni
- Nau neih laiin harsatna a awm thei a, mahse lungngai suh. I doctor leh damdawi ina thawktute chu anmahni hmachhawn turin training pek an ni.
- I naute dinhmunah rinhlelhna i neih chuan i doctor hnenah zawh hreh ngai suh.
- Umbilical Cord Prolapse hi emergency a ni. Chutiang a nih chuan eng nge i tih tur tih hre reng ang che (khup la, i elbow te chu leiah dah la, i hnute chu sang takin dah rawh).
- Nau neih laia harsatna tam tak lo chhuak chu doctor-te enkawlna hnuaiah uluk taka enkawl theih a ni.
- A tum ber chu nu leh naute himna tur ngaihtuah a ni fo thin.











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