I nunah mikhual te tak te thar a lo kal dawn tih hriat hi engtiang chiahin nge a hlimawm? Hei hi hun duhawm tak a ni. Mahse, chutih rual chuan zawhna tenau leh hriat duhna tlemte chu rilruah a lo lang thin. Nu tam tak rilrua zawhna lian ber chu, "Tunge ka naute hi him taka he khawvelah hian min hruai lut ang? Tu tanpui nge ka dawn ang?" Mi thenkhat chuan he thil chungchangah hian ngaihdan chiang tak an neih laiin, mi tam tak tan chuan hei hi lu na deuh a ni. Chuvangin vawiinah hian he zinkawng mawi takah hian pui thei tur che main character pathum kan sawi dawn a ni. Anni chu doctor , midwife, leh doula te an ni.
Obstetrician leh Gynecologist (OB/GYN) chungchang hi i zir hmasa ang u
Kan hriat vek angin Sri Lanka rama nu naupai tam tak chuan an naupai chhung zawng leh nau neih chhung zawngin Obstetrician leh Gynecologist hmuh an thlang thin. "VOG Doctor" kan ti tlangpui. Hei hi specialist doctor a ni a, medical degree a nei a, kum tam tak chhung hmeichhe hriselna, naupai leh nau neih chungchangah specialized training a nei tawh a ni.
VOG doctor-in a enkawl che a nih chuan i naupai tirh atanga a tawp thlengin medical supervision kimchang petu tur che a ni ang. A awlsam zawngin, nang leh i naute himna tur damdawi lama mawhphurtu an ni.
VOG doctor hna pawimawh thenkhat chu hetiang hi a ni :
- Regular checkups: Hun mumal taka hmuh theih i ni ang a, i thisen sang, naute heart rate, leh naute than dan te en reng a ni ang.
- Naupai laia harsatna awmte enkawl dan: Zing natna ang chi natna tlanglawn tak takte tan thurawn leh enkawlna a pe thin.
- Damdawi pek dan: Damdawi lam harsatna atana damdawi i mamawh chuan an pe ang. Damdawi i ei tawhte pawh an enfiah ang a , naupai atan a tha em tih an hre bawk ang .
- Testing: Thisen test te, zun test te, ultrasound scan te hi i naute nen in hrisel em tih enfiah thin a ni. Heng test thenkhat hian i naute hi genetic disease emaw, piansualna emaw eng pawh a hriat theih bawk.
- Nau neih dan: A tawpah chuan i naute chu damdawi inah him takin a piang ang. Harsatna a awm emaw, emergency C-section neih a ngai emaw a nih chuan VOG doctor chauhvin chu thutlukna chu a siam thei a, a tihlawhtling thei bawk.
A pawimawh ber chu, engtin emaw tak chuan thisen sang i nei a.Damdawi dang i neih chuan, zunthlum ang chi, emaw, naupai laiin harsatna i neih chuan VOG doctor enkawl a ngai ngei ang.
Chuti a nih chuan he midwife hi tu nge ni?
"Midwife" tih thumal kan hriat hian kan rama mi tam tak chuan kan in tlawh a, MOH-a clinic tlawh a, kan dinhmun enfiah thin "midwife lady" emaw chhungkaw hriselna service officer emaw hi an ngaihtuah thin. Dik tak chuan chu rawngbawlna chu kan ramah nu leh naupang hriselna atana chakna ropui tak a ni.
Mahse hetia kan sawi ‘midwife’ hi chu a danglam deuh a, nau neih chungchanga training bik nei tawh a ni. Ram thenkhatah chuan naupai leh nau neih lai hian midwife te hi enkawltu ber an ni. Nu naupai leh chhungte tan taksa, rilru leh khawtlang tana \anpuina an pe \hin. An approach hi a natural zawk fo thin .
Midwife hna chu hetiang hi a ni:
- Nang leh i chhungte chu i naupai chhung zawng leh a hnu lamah taksa leh rilru lam enkawlna pek i ni ang.
- I mamawh thurawn leh zirtirna chu mimal takin kan pe ang che.
- Nau neih laiin i kiangah an awm ang a, an thlawp ang che a, chakna an pe ang che.
- Naute chu a pianphung anga piang turin kan pui a, technical intervention leh damdawi hman a tlem thei ang bera hman a ni.
- A pawimawh ber: Nangmah emaw, i naute emaw tan damdawi lama harsatna awm thei chhinchhiahna a awm chuan specialist (OB/GYN) hnenah an refer nghal ang che.
Sri Lanka-ah chuan midwife-te hian damdawi-inah doctor-te nen team angin hna an thawk a ni. Mahse, ram dang thenkhat ang lo takin, in lama emaw, nau neihna hmun hrang hranga nau neihna tura puitu midwifery service hi kan ramah hian a la awm vak lo.
‘Doula’ chu tu nge ni? He hming hi a thar deuh mai thei.
‘doula’ tih thumal i hriat chuan mak i ti mai thei. Hei hi kan culture-ah chuan concept thar deuh a ni. 'Doula' tih hi Greek tawng atanga lo chhuak a ni a, a awmzia chu "hmeichhia rawngbawltu" tihna a ni. A awlsam zawngin, doula chu damdawi lam ni lo, trained companion a ni.
Doctor leh midwife pawh a ni lo. Naute a hrinsak lo. A hna awm chhun chu nau neih laiin taksa leh rilru lama puihna chhunzawm zel che hi a ni. I thian tha ber ang bawkin, nu ang maiin i mamawh chakna, huaisenna leh thlamuanna pe turin a awm reng a ni.
Doula hian eng nge a tih?
- I medical team nen in inbiakpawhna tha tak neih theih nan a pui thin.
- Nau neih laiin hmun nuam tak i hmuh theih nan leh thawk dan tur dik tak i practice theih nan a pui thin.
- I rilru hahdam theihna tur hmanrua (e.g. massage, calming) kan hmang thin.
- I pasal emaw chhungte emaw pawh he thila tel ve turin tanpui ang che.
Research pawhin doula hmanga puih nu te hian natna damdawi an mamawh tlem zawk a, nu leh naute tan pawh nau neih dan tha zawk an nei tih hmuhchhuah a ni. I doctor emaw midwife emaw bakah i tan ṭhian inpe tak angin a che a ni.
| Chanvo | Nau neih dan thiam leh Hmeichhia lam thiam (OB/GYN) . | Midwife a ni | Doula chuan a rawn ti a |
|---|---|---|---|
| Damdawi lam thiamna nei tur a ni | Doctor pakhat, specialist training nei tawh a ni. | Health professional pakhat, midwifery lama training nei a ni. | Damdawi lam thiamna nei lo. Support lama training neih a ni. |
| A ngaih pawimawh ber | Naupai leh nau neih chhunga damdawi lam thil leh himna. | Natural nau neih leh nu tan holistic care. | Nu hnena taksa leh rilru lama puihna pek. |
| Nau neih | Ni e, damdawi inah tih a ni. Surgery pawh tih theih a ni. | Ni e, nau neih buaithlak lo chu damdawi inah emaw, in lamah emaw, nau neihna hmunah emaw tih a ni. | Ni lo, naute hi ka deliver lo. Ṭanpuina chauh ka pe ṭhin. |
| Complication enkawl dan tur | Fully managed a ni. | Doctor lam a kawk. | A inrawlh lo tak zet. |
Chuti a nih chuan, i tan tu nge dik? Engtin nge i thlan?
He thu i chhiar zawh hian, "Awle, tunah chuan tu nge ka thlan ang?" He thutlukna hi i thutlukna siam vek a ni. I hrisêlna te, nau neih i thlîr dân te, leh i mamawh ṭanpuina te ang chi thil tam takin a nghawng ang.
- Damdawi lam harsatna (high-risk pregnancy) i neih emaw, i damdawi lam himna chungchangah inrintawkna nei zawk i duh chuan obstetrician and gynecologist (OB/GYN) hi duhthlan tur tha ber leh him ber a ni. Sri Lanka-a system hman mek ngaihtuah chuan hei hi a hmantlak ber a ni.
- Naupai pianphung tak, ruihhlo tel lova nau neih i duh a, i naupai chu a hrisel vek a nih chuan , midwife puihna i ngaihtuah mai thei . Mahse, emergency a awm chuan damdawi lam tanpuina dawn theihna tur ruahmanna siam a pawimawh hle.
- Tu pawh i hrin pawh ni se, rilru leh taksa lama ṭanpuina dang i mamawh chuan doula -te ṭanpuina dil chu i ngaihtuah mai thei a ni. I medical team bakah hian chakna petu a ni ang.
He thutlukna hi nangmah chauhin siam suh. I pasal emaw chhungte emaw hnenah hemi chungchang hi sawipui rawh. I ngaihtuahna leh beiseina te chu an hnenah hrilh rawh. Tin, he thu hi i doctor, i hmuh tawh nen pawh zalen takin sawipui rawh. I hriselna dinhmun a zirin i tana tha ber tur kawng thlang turin a pui thei ang che.
Take-Home Thuchah a ni
- Obstetrician and gynecologist (OB/GYN) hi naupai leh nau neih dan lama tui tak doctor a ni. Complication enkawl leh damdawi lam enkawlna kawngah thiamna sang tak a nei a ni.
- Midwife hian natural zawk, nu lam hawia enkawlna a pe a, mahse harsatna i neih chuan damdawi lam pan turin i inpeih tur a ni.
- Doula chu damdawi lam ni lo, trained companion a ni a, nau neih laiin nu chu emotional leh physical support pe thin a ni. Doctor emaw midwife emaw aiah a ni lo.
- I tâna ṭha ber thlan chu i hrisêlna dinhmun, mi mal duhzâwng leh i thil neihte a zirin a ni.
- He thutlukna hi eng pawh ni se, .I naupai chhung zawng hian doctor thiam tak enkawlna hnuaia awm a pawimawh hle. I ruahmanna zawng zawng chu i doctor nen sawiho rawh.
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