Nu naupai tan chuan ngaihtuahna lian ber pakhat, a hlauhawm ber pawh a ni mai thei, nau neih natna, a nih loh leh naupai natna hi a ni. Engtiang chiahin nge a pawi? Ka tuar thei dawn em ni? Engtin nge natna chu a intan tak tak em tih leh natna dik lo mai mai a ni tih ka hriat theih ang? Hetiang zawhna hi i rilruah i nei nual ngei ang. Chuvangin vawiin hian he thu hi awlsam takin han sawi ila.
A awlsam zawngin, heng contraction te hi engte nge ni?
Contractions chu i nausen pum chhunga taksa peng hrang hrangte rhythmic contraction a ni a, chu chu rhythmic takin a tikhauh a, a ti hahdam bawk. I kut i beng a, chutah i thlah ang mai a ni. Hetianga uterus tihkhauh leh tih hahdamna hian naute khawvela lo kal theihna tur kawng a buatsaih a ni.
Heng contraction te hian thil pawimawh pathum an ti a:
1. Cervix buatsaih dan: I cervix chu a inhawng (dilate) tan a, a thim (efface) bawk. Hei hian naute chu a chhuk theihna tur kawng a siamsak a ni.
2. Naute hnuai lam nawr: Nausen pum (uterus) a inzawm khawm chuan birth canal kaltlangin naute chu a hnuai lamah a nawr thla thin.
3. Thisen chhuah a tiziaawm: Naute pian hnuah pawh heng contraction te hi rei lo te chhung a awm chhunzawm zel a. Nausen pum chhunga thisen kalna kawngte an tikhauh a, a tul lova thisen chhuah pawh an titawp bawk.
Mahse, hre reng ang che, i natna emaw, i tihbuai emaw zawng zawng hi nau neih natna a ni vek lo. A châng chuan, ‘false pains’ i nei thei bawk.
Natna tak tak leh natna lem hi eng nge an danglamna?
Hei hi nu tam tak tan chuan harsatna lian ber a ni. A bik takin nausen hmasa ber beisei mekte tan chuan an pahnih inthlunzawm theihna chance a sang hle. Damdawi lam hawi chuan nau neih nana dik lo chu `(Braxton Hicks contractions)` kan ti a. Hengte hi labour atana rehearsal ang mai a ni.
Hetiang hian heng pahnih inthlauhna hi chiang takin i thliar hrang ang u.
| Mihring ziarang | Labour Contraction dik tak te | Nau neih natna dik lo (Braxton Hicks Contractions) . |
|---|---|---|
| Natna awm dan pattern | Rhythm engemaw takah a rawn lut thin. Zawi zawiin natna inkar chu a tawi deuh deuh thin (e.g., a tir lamah minute 20 danah, chutah minute 10 danah, chutah minute 5 danah). | Rhythm a awm lo. Vawi khatah a lo thleng vek lo. Vawikhat a lo kal a, a bo a, darkar engemaw zat hnuah a rawn let leh thei bawk. |
| Nature of pain | Hun kal zelah a natna a zual zel. A nasa zual sauh sauh niin a lang. | A tlangpuiin intensity a sang lo. Level inangah a awm reng thei a, a tlahniam thei bawk. |
| Natna hun chhung | Hun kal zelah natna rei zawng hi a pung zel a (e.g., a tir lamah second 30, chutah second 40-60). | Natna hun chhung hi a danglam lo. |
| Natna hriatna hmun | A tlangpuiin hnunglam atanga intan a, pum lam panin a kal thin. A pum pum chu a tikhauh ang maiin a lang. | Pum hmalam chauh a hriat fo thin. |
| Position thlak danglam hunah | I kal emaw, i dinhmun i thlak emaw pawh nise, a natna chu a reh lo , a zual thei bawk. | Tlemte kal hnuah, dinhmun thlak danglam hnuah emaw, tui engemaw zat in hnuah emaw a natna chu a reh thei . |
Engtin nge contraction awm hun tur dik taka i teh thin?
Natna i neih tan chuan damdawi in i biak chuan doctor emaw nurse emaw in a zawh ngei tur pakhat chu, "Engzat nge natna hi a lo thlen thin?" leh "A tan tirh atang khan eng chen nge a lo awm tawh?" Chuvangin hei hi dik taka teh a pawimawh hle .
I phone-ah stopwatch i on thei a, lehkha leh pen i buatsaih thei bawk.
1. Frequency: Natna pakhat intan leh a dang intan inkar hun chu teh thin ang che. Hei hi a frequency chu a ni.
2. Natna hun chhung: Natna intan atanga a awm chhung thlengin, Natna a bo vek theih nan hun a mamawh zat teh rawh . Hei hi second tlemtea teh a ni tlangpui.
Chutianga hrehawmna engemaw zat i tawn hunte ziak chhuakin, a pattern chu i hrethiam zawk thei ang. Tin, doctor hnenah a chipchiar zawka sawifiah pawh a awlsam zawk hle bawk.
He hrehawmna hi engtin nge a awm?
Hei hi mi tin a inang lo. Mi thenkhat chuan mi dangte aiin an ngai danglam hle. Mi tam tak chuan he natna hi hetiang hian an sawi a:
- Thlasik natna nasa tak ang mai a ni .
- Uterus chunglam atanga hnuai lam atanga lo chhuak wave ang chi tightening .
- Mi pakhatin ka pum pum a rawn hnim vek ang maiin ka hria.
- A chang chuan a na hi hnungzang leh keah a darh thei bawk.
- Nau neih tak tak natna chu a nasa zual zel a, a nasat lai hian i tawng thei lo va, i kal thei lo bawk .
Mahse a tha ber chu, contraction pahnih inkarah hian natna i nei lo. Chutih lai chuan i rilru a hahdam vek tawh.
Natna a lo thlen hunah hahdamna i hmuh theih nan in lamah eng nge i tih theih?
Natna i neih tan veleh damdawi in pan vat a ngai lo (doctor-in thurawn dang a pek che loh chuan). I nau neih hun tur atanga kar thum vel a la awm a, hriselna lama harsatna dang i neih loh chuan i natna a reh hma chu in lamah i awm thei ang. Chutih lai chuan, natna tihziaawmna turin heng thilte hi han ti ve teh:
- Hot shower la rawh: Hot shower hian i taksa ruhte a ti hahdam thei a, hahdamna a pe thei bawk.
- Massage la rawh: I kawppui emaw, i ṭhian emaw hnenah i hnungzang leh kekawrte massage pe turin hrilh rawh.
- Thâwk thûk rawh: Natna a lo thlen chuan thawk zawi zawia thûk tak la la, thawk chhuak rawh. Hei hian natna enkawlna kawngah nasa takin a pui thei a ni.
- Dinhmun thlak: Hmun khata awm reng ai chuan kal la, thu la, ding la, i tana nuam tur dinhmun zawng rawh.
- Ice pack hnawih: Mi thenkhat chuan hnungzang hnuai lam ice pack hnawih hian hahdamna an hmu thin.
- I ngaihtuahna tibuaitu: i duhzawng movie en la, hla ngaithla la, lehkhabu chhiar rawh.
A pawimawh ber: Heng thil i tih hian natna a reh chuan nau neih nana dik lo (`Braxton Hicks`) a ni mai thei. Nau neihna tak tak chu heng thilte nen hian a bo dawn lo.
Engtikah nge damdawi inah ka kal ang?
Hei hi a pawimawh ber a ni. Doctor ten thurawn an pek tlangpui chu "5-1-1" rule a ni. Chu chu:
- Minute 5 danah natna a lo thlen chuan , .
- Natna pakhat chu minute 1 (second 60) vel a awm chuan , .
- Hetiang pattern hi darkar 1 chhung a awm chuan , .
Tunah hian damdawi in kal hun tha ber a ni. Mahse hei hi thurawn tlangpui mai a ni.I doctor-in i dinhmun a zirin thurawn dang a pe che a nih chuan zawm ngei ngei tur a ni.
Heng symptoms te hi i neih chuan, i natna chi hrang hrang thliar lovin, i doctor ko nghal la, damdawi in Emergency Department (ETU) ah kal nghal rawh:
- I tui a chhe: Vagina atanga tui tui tak a lo chhuah thut emaw, zawi zawiin emaw a chhuah chuan.
- Vaginal bleeding: Thisen chhuak chu a sen dum a nih chuan, thlasik lai ang bawkin.
- Cearean section (C-section) neih tum i neih chuan .
- Damdawi dang i neih chuan zunthlum emaw thisen sang emaw i neih chuan .
- I naute che vel chu i hre tha vak lo nia i hriat chuan .
Chutiang dinhmunah chuan in lamah awm reng suh. A him ber chu damdawi lam thurawn lak nghal hi a ni.
Take-Home Thuchah a ni
- Contractions hi nausen lo thleng tur atana uterus inbuatsaihna a ni. Natna zawng zawng hi nau neihna dik tak a ni lo.
- Hnathawh dik leh hnathawh dik lo inthlauhna hrethiam rawh (Braxton Hicks). Labour dik tak chu hun kal zelah a chakna a pung a, a inkar a tlahniam a, a regular zawk bawk.
- Natna a lo intan chuan a tan hun leh a rei zawng teh thin ang che. Hei hi i doctor tan chuan a pawimawh hle.
- Natna thunun nan in lama i tih theih tur (hot baths, breathing exercise) te chu hre lawk rawh.
- I doctor nen inbia la, damdawi ina i kal hun tur ruahmanna chiang tak siam rawh. Tui chhe leh thisen chhuah ang chi warning sign te chu fimkhur rawh.
- Hei hi hlau suh. Hei hi thil awmdan pangngai a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawipui rawh.
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