I naupai kar hnuhnung berah nu hmangaihna nei tak i ni thei. I naute hmuh tumin scan i neih apiangin beiseina sang tak i nei thin. Mahse, rang takin doctor chuan, "Naute chu breech position-ah a awm a ni," a ti ta a. Chumi awmzia chu naute lu chu a chung lam a ni a, a hnuai lam chu a hnuai lam a ni tihna a ni. Hei hi ``breech position'' kan tih chu a ni.Hetiang hun lai hian hlauthawng leh lungkham deuh deuh hi thil pangngai a ni. I ngaihtuah mai thei, "Aw, tunah hian cesarean section ka neih a ngai dawn em ni?" Mahse, lungngai suh. A châng chuan, naute chu operation neih hmaa hawi let tumna kawng a awm ṭhin. Chu chu vawiina kan sawi tum chu a ni.
A awlsam zawngin External Cephalic Version (ECV) tih hi eng nge ni?
External Cephalic Version, a tawi zawnga kan sawi angin ECV tih hi doctor chuan i pum chungah a kut a dah a, uluk tak leh chiang takin pressure a pe a, chu chuan nausen pum chhunga naute chu ``breech`` position atanga ``head-down`` position-ah a chantir thin. A dik tak chuan hetah hian naute chu a lu hnuai lam hawia an inherna hmun a ni.
Ngaihtuah teh, i naupai atanga kar 36 vel ah naute tam zawk chuan an pianphungah an lu an ti hniam thin. Hei hi vaginal delivery atana position tha ber leh him ber a ni. Mahse naute zawng zawng chu chutiang lam hawi vek an ni lo. A tlangpuiin sawi ila, naute 100 zinga 3 vel chu tun dinhmunah chuan breech position-ah an la awm thei tho. Chutih hunah chuan i doctor chuan ECV a rawn rawt ang. Hei hi i naupai atanga kar 37 vel ah tih thin a ni tlangpui.
Engtin nge hei hi i tih? A na em?
Hei hi i tan chuan hlauhawm deuhin a ri mai thei. I rilruah zawhna tam tak lo thleng thin chu thil pangngai tak a ni a, "Aw, ka pum ka hmet a, naute ka hawitir chuan a na ang em? Naute a ti na ang em?" Hei hi engtin nge a lo awm tak tak tih i lo en ang u.
He procedure hi i obstetrician-in a ti thin.
1. Inbuatsaihna: A hmasain nang leh i naute hriselna uluk taka enfiah a ni ang. Naute lungphu ang chi thilte chu enfiah a ni ang.
2. Uterine relaxation: Vawi tam tak chu, i uterus chhunga taksa ruhte tih hahdamna tur damdawi pek i ni ang. Hei hian naute chu a hawi awlsam phah ang a, i rilru hahna pawh a tiziaawm bawk ang.
3. Naute hawitir: A dawtah chuan doctor chuan i pum chungah a kut a dah ang a, naute chu zawi zawiin a hawi let theih nan pressure nghet tak, even takin a pe ang. He pressure hi minute engemaw zat a awm ang.
4. Enkawlna: Naute hawitir hnuah pawh naute lungphun ang chi thilte chu naute a tha em tih enfiah leh thin a ni.
A pawimawh ber chu hetiang karah hian i vagina chhungah engmah dah loh tur a ni. Engkim hi pum chungah a thleng vek.
Natna chungchang sawi ila, a ni, i pum chungah pressure i pek hian i rilru hahna engemaw zat, i tightness, menstrual cramps ang chi i nei thei. Mahse, tuar theih loh hrehawmna a ni lo. Doctor thenkhat chuan painkiller an pe bawk a, mahse chu chu a pawimawh lo.
Test te pawh tiamin, a tih dan zawng zawng hi darkar hnih vel a ni thei. Hriselna atan hetiang hi operation room bula hmunah tih a ni tlangpui. Hei hi a chhan chu complication rang tak a awm chuan emergency C-section pawh rang taka tih theih a nih vang a ni. Hei hi fimkhurna a ni a, chutiang thil a thlen ngei ngei tur a ni lo.
ECV hian eng hlawkna leh hlauhawmna nge a neih?
Damdawi lam thil dang ang bawkin ECV hian hlawkna a nei a, hlauhawmna tenau tak tak a nei bawk. I doctor chuan hengte hi chipchiar takin a hrilhfiah ang che. Hei hi chiang takin i hrethiam ang u.
| Hlawkpuina | Risk a awm thei |
|---|---|
| A thatna ber chu vaginal delivery chance a san vang a ni. Nu tam tak chuan cesarean section ai chuan vaginal delivery neih an duh zawk. ECV a hlawhtlin chuan chu hun remchang chu i nei ngei ang. | Heng hlauhawmnate hi a thleng tlem hle tih hre reng ang che . |
| Cesarean section (C-section) tih loh tur. Cesarean section hi surgery lian tak a ni. Risk inzawm a nei a, dam lehna hun rei tak a nei bawk. ECV hian hei hi a veng thei a ni. | - Membrane te hi a hun hmaa a rupture: `(Premature rupture of the membranes)` - Nausen hnute (Placental abruption): `(Placental abruption)` - Nau neih tan hma: `(Preterm labor)` - Naute rilru hahna: Naute thinlung thawk dan pangngai lo (Fetal distress) . - Vaginal bleeding: `(Vaginal bleeding)` |
Nang leh i naute himna hi a pawimawh ber fo a, chuvangin i doctor chuan heng hlauhawmnate hi a sawipui ang che a, hei hi i tan a tha em tih thutlukna siam turin a pui ang che.
He ECV hi mi zawng zawngin an ti thei ang em?
No. Hmeichhe naupai zawng zawng hian hetiang hi an ti thei lo. ECV tih theih lohna hmun thenkhat a awm a, chu chu a tha lo tihna a ni. I doctor chuan i medical history a zirin hei hi i tan a him em tih a rel ang.
| ECV hman a tha lo a nih chuan |
|---|
| - Naute tam tak i neih chuan, twins ang chi . |
| - Tun hnaia vaginal bleeding i neih chuan . |
| - Naute chhehvela amniotic fluid awm zat a tlem chuan . |
| - Naute heart rate a dik lo a nih chuan . |
| - `Placenta Previa` (nausen hnute hnuai lama awm a, serh khuh tuar thei dinhmun) i neih chuan. |
| - I uterus chu a pianzia dik lo a nih chuan . |
| - Hriselna lama harsatna thunun theih loh, thisen sang emaw, zunthlum emaw i neih chuan. |
| - Damdawi lam thil dang avanga engtin pawhin cesarean section neih tura ruahman i nih chuan. |
ECV hlawhtlinna chance engzat nge awm?
Hei hi mi tam takin an zawh thin a ni. ECV hlawhtlinna rate chu 58% vel a ni . Chumi awmzia chu ECV pahnih an tih apiangah pakhat aia tlem an hlawhtling tihna a ni. Hei hi 100% guarantee a nih loh laiin, normal delivery atan enchhinna hun tha tak a ni.
ECV a hlawhtlin loh chuan eng nge thleng ang?
I doctor chuan i naute chu a tikehsawm a, mahse a ti let thei lo ang tih han ngaihtuah teh. Chutiang a nih chuan hlauhthawn a ngai tawh lo. A dawt leh atan chuan i doctor chuan a bia ang che a, a hnua C-section ruahman chu a ruahman ang . A tlem hle a, doctor tawnhriat ngah thenkhat chuan breech position-ah vaginally-in naute an hrin thei. Mahse thil tam takah a innghat a, chutah chuan nang leh i naute hriselna leh doctor thil tawn te pawh a tel. Thutlukna hnuhnung ber chu i himnaah a tla thla fo thin.
I nau neih dan tur ruahmanna chu a danglam thei tih hre reng ang che, mahse a pawimawh ber chu doctor thil tum hmasa ber leh awmchhun chu nu hrisel tak hnena nausen hrisel tak neih hi a ni.
Chuvangin i ngaihtuahna leh hlauh zawng zawng chu doctor nen sawiho rawh. A kalphung, a thatna leh that lohna te hrethiam la, thutlukna tha ber siam dun rawh.
Take-Home Thuchah a ni
- External Cephalic Version (ECV) hi damdawi atana hmanraw him tak a ni a, breech naute chu a pum chungah kut herh a, a lu hnuai lam hawia tihhniam a ni.
- Hei hian a thatna ber chu cesarean section a pumpelh a, vaginal delivery pangngai a neih theihna a tipung bawk.
- ECV hlawhtlinna rate hi 50% aia tam a ni a, chu chu enchhin tlak a ni tihna a ni.
- Hei hi nu tin tan a inhmeh lo. Hei hi i tan a tha em tih i doctor chuan a rel ang.
- Hemi chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah inhawng reng ang che. I himna leh i naute himna hi a pawimawh ber a ni.











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