I due date a hnaih tawh avangin beiseina leh thil hriat duhna tlemte nen a khat hun a ni. Engkim a kal tha hle nia i ngaih pawhin, a chang chuan nau neih tan tirh lamah hian natural delay a awm thei. Chutiang hunah chuan nang leh i naute himna tur atan i doctor chuan nau neih tanna kawngah tanpuina tlemte pek che a rel mai thei. Vawiin hian hetianga nau neih tanna atana hman tur damdawi bik kan sawi dawn a ni. Chu chu Dinoprostone a ni.
A awlsam zawngin, Dinoprostone chu eng nge ni?
Dinoprostone hi damdawi siam chhuah a ni a, kan taksaah hian pianphung atanga siam chhuah, prostaglandin an tih chemical nen a inang a ni. Heng prostaglandins te hian naupai tawp lamah serh hi a ti nem a, a hawng zauh zauh a, nau neihna atan a buatsaih a ni.
Ngaihtuah teh, nau neih hi naute chhuahna kawngkhar a nih chuan chu kawngkhar chu serh (cervix) a ni. He kawngkhar hi a tlangpuiin khar tlat a ni. Dinoprostone damdawi hian a tih chu chu kawngkhar chu a ti nem a, hawn a awlsam phah a ni. Hei hi medical science-ah chuan "cervical ripening" an ti a. Cervix a lo puitlin tha leh a nem chuan nau neih tanna leh nau neih awlsamna kawngah nasa takin a pui thin. He damdawi hi brand name `(Cervidil)` hmanga hriat lar ber a ni.
He enkawlna i tan hmaa i doctor hriattir tur thilte:
He damdawi hi i pek hma hian i doctor-in i medical history kimchang a hriat a pawimawh hle . Hei hi a chhan chu damdawi lam thil thenkhatah he damdawi hman hian fimkhur zawk a ngai a ni. A hnuaia dinhmunte hi i neih chuan doctor hnenah hrilh ngei ang che.
| Situation i report tur a ni | Hrilhfiahna |
|---|---|
| Allergy nei te pawh a awm | Dinoprostone, prostaglandin dang emaw, damdawi, ei tur emaw, thil dang emaw allergy i neih chuan. |
| Tun hmaa surgery neih tawhte | Tun hmaa Caesarean section hmanga naute i lo neih tawh chuan, emaw, i nausen pum surgery dang i neih tawh chuan. |
| Nau neih tawhna chanchin | Hei hi i naupai vawi 6-na emaw a aia tam emaw a nih chuan, emaw, a hmaa nau neih a harsat (nau neih harsa) a nih chuan. |
| Tuna naupai mek avanga harsatna awm thei | Placenta previa emaw, sawifiah loh vaginal bleeding emaw i neih chuan. |
| Natna dang | Lung natna, thisen sang, lung natna, asthma, kal emaw thin natna, glaucoma, thisen tlakchhamna, emaw seizure disorder ang chi dinhmun te. |
| Infection awm thei te | Vagina, uterus, pelvic cavity-a active infection i neih chuan. |
I hriselna dinhmun kimchang tak doctor hnena pek hi nang leh i naute tan pawh himna atan a pawimawh hle tih hre reng ang che.
Engtin nge he enkawlna hi pek a nih?
Hei hi damdawi in lama hruai theih a ni lo. Hetiang thil tih zawng zawng hi damdawi inah a thleng a, damdawi lam enkawlna hnuaiah a thleng vek a ni .
1. Insertion: Doctor emaw trained nurse emaw hian he device (tape ang chi insert te tak te) hi i vagina-ah i cervix bulah a dah a.
2. Chawlh hahdam: Injection i pek hnuah darkar hnih vel khumah mu turin an hrilh ang che . Hei hian damdawi chu a hmunah a awm reng ang a, a thawk tha ang.
3. Monitoring: Hemi hun chhung zawng hian medical staff te chuan nang leh i naute dinhmun (a bik takin naute thinlung thawk leh uterine contraction) te chu an enfiah chhunzawm zel ang.
4. Removal: He damdawi insert hi darkar 12 hnuah lakchhuah a ni tlangpui , a nih loh leh active labor a tan hnuah.
He damdawi hi naupang hnena pek a nih loh avangin sawi chhuah pawh a inzawm lo. Tin, hei hi damdawi inah pek a nih avangin overdose chungchangah pawh lungkham a ngai lo. Medical team hian engkim an enkawl ang.
Side effect a awm em?
Damdawi dang ang bawkin he damdawi hian side effect engemaw zat a nei thei. Mahse, lungngai suh. A tam zawkah chuan hengte hi a serious lo. Mahse, heng side effects te hi eng nge ni tih leh i tawn chuan eng nge tih tur tih hriat a pawimawh.
| Side effect a awm thei | Engtin nge tih ang? |
|---|---|
| Doctor emaw nursing staff emaw hnena report nghal tur thil | |
| Allergic reaction hrang hrang, vun rawng, vun rawng, hmai, hmui, leh lei hring te | Report nghal rawh. Hei hi dinhmun pawi tak a ni thei. |
| Thâwk harsa, rilru na | Hriattir nghal rawh. |
| Luak chhuak, muthilh | Staff te hnenah hrilh nghal rawh. |
| Khawsik 38°C (100.4°F) aia sang | Hriattir nghal rawh. |
| Vaginal discharge danglam tak, rimchhia, vaginal bleeding nasa tak, emaw pelvic pain nasa tak | Report nghal rawh. Hengte hi hri kai chhinchhiahna a ni thei. |
| Thil pawi tak ni lo, mahse a awm reng chuan report tur a ni | |
| Diarrhea (ril a na) . | A awm reng emaw, a nasat emaw chuan doctor hnenah hrilh rawh. |
| Lu na | A awm reng emaw, a nasat emaw chuan doctor hnenah hrilh rawh. |
| Nausea, luak chhuak | Hengte hi rei vak lo hnuah a reh tlangpui. An beidawng a nih chuan min hriattir ang che. |
Damdawi dang nena inzawmna a awm em?
Ni e, hei hi thil pawimawh tak a ni. Dinoprostone hian damdawi oxytocin an tih nen a inzawm thei a ni . Oxytocin hi damdawi dang pakhat a ni a, nau neih tamna tur leh nausen hnute tichhe thei tura pek a ni bawk.
Chuvang chuan Doctor ten he thil hi an fimkhur hle a ni. A tlangpuiin dinoprostone insert an lakchhuah atanga minute 30 tal hnuah oxytocin an pe tan thin. Hei hian damdawi pahnih nghawng chu a inzawm khawm thei a, uterine contraction tam lutuk a veng thei bawk.
Damdawi dang, vitamin leh herb i ei lai pawh doctor hnenah hriattir a pawimawh.
Take-Home Thuchah a ni
- Dinoprostone hi damdawi bik a ni a, nau neihna atana serh (cervix) buatsaih nan damdawi inah chauh pek thin a ni. In lama hman tur a ni lo.
- Hetiang enkawlna i neih hma hian i damdawi lam dinhmun, allergy leh a hmaa i operation tawh zawng zawngte chu i doctor hnenah hrilh hmasa phawt ang che.
- Damdawi pek a nih hnuah damdawi lam thawktute chuan nang leh i naute chu uluk takin an vil reng ang. Chuvangin hlau suh.
- Enkawl lai emaw, enkawl hnu emawa khawsik sang tak, natna nasa tak, thisen chhuak nasa tak, emaw, i vaginal discharge danglam tak i neih chuan i doctor emaw nursing staff emaw hriattir nghal rawh.
- Hetiang kalpui chhung zawng hian medical team chuan nang leh i naute himna tur ngaihtuah turin an inpeih reng a ni. Anmahni ring la, an thupek zawm rawh.
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