Naute chu breech position-ah a awm em? Hlauhna nei lova nau neih pangngai paltlang theihna tur kawng i zir dawn (External Cephalic Version - ECV)

Naupai hi nu tin nunah hun hlimawm leh duhawm tak a ni. Naute chu nitin a pum chhungah a lo seilian zel a, chu beisei chu a pung lehzual a ni. Chuvangin a tawpah he hun hi a lo thlen hunah, chu chu kar 36 vel i nih hunah, i doctor chuan, "Naute chu breech position-ah a la awm reng a ni," a ti mai thei che. A châng chuan he thu hriat hian tlem a ti hlauthawng thei a, a ti buai thei bawk. I ngaihtuah mai thei, "Aw, cesarean section ka neih a ngai dawn em ni?" Mahse, lungngai suh. A tam zawkah chuan naute chu a awmna tur dik takah a hruai kir leh theihna tur kawng bik a awm a, chu chu a lu hnuai lam a ni. Chu chu vawiina kan sawi tur method chu a ni.

External Cephalic Version (ECV) tih hi eng nge ni?

A awlsam zawngin, External Cephalic Version , a tawi zawngin (ECV) kan tih hi doctor-in i pum pawn lamah a kut a dah a, uluk takin naute chu nausen pum chhungah a herh kual a, a lu chu a hnuai lam a nih theih nan a herh kual thin.

A tlangpuiin naute hi naupai thla tir lamah chuan nausen pum chhungah a inher leh chhuak thin. Mahse, kar 36 vel a nih chuan nau neih a hnaih deuh deuh chuan naute tam zawk chu an pianphungah lu hnuai lam (cephalic emaw vertex presentation)-ah an chang ta a ni. Hei hi vaginal birth pangngai tan chuan position tha ber a ni.

Mahse naute thenkhat chu chutiang chuan an inher lo mai thei a, mahse breech position emaw transverse lie emaw ah an awm thei. Chutih hunah chuan i doctor chuan a rawn be ang che a, ECV tih dan tur a rawn rawt ang che. Hei hi operation paltlang ngai lovin nau neih dan pangngai tihpun tumna atana tih a ni.

ECV tih theih loh hun a awm em?

Ni e, hmeichhe naupai zawng zawng hian ECV an nei thei vek lo. I himna leh i naute himna hi a pawimawh ber a ni. Chuvangin, hriselna lama harsatna engemaw tak i neih chuan doctor-te chuan hetiang hi an rawt lo. I doctor chuan i health history kimchang chu a enfiah ang a, hei hi i tan a tha em tih a hriat theih nan.

A hnuaia table hian hei hi a sawifiah belh thei ang.

Naupai lai hian engtik laiin nge hetiang hi tih thin?

Doctor te chuan he ECV procedure hi naupai kar 37 vel ah an ti tlangpui thin . Engvangin nge chu hun chu i thlan?

Kar 36 hmaa i tih chuan naute chu breech a lo let leh thei tih hre reng ang che. Tin, a chang chuan naute hian a mah chauhin a lu chu a sir lamah a hawi thei bawk. Kar 38 hnua i tih chuan naute chu a lian tawh hle a, nausen pum chhungah hmun a tlem tawh bawk. Tichuan naute hawitir chu a harsa ta hle mai. Chuvangin, he procedure atan hian kar 37 hi hun tha ber leh him ber nia ngaih a ni.

ECV i tih hian eng nge thleng? Step khat hnu step khatin i hrechhuak ang u

Hei hi damdawi inah tih a ni a, a tlangpuiin operation room bulah tih a ni a, chutiang chuan emergency cesarean section a awm fo chuan rang taka buatsaih theih a ni.

1. Inbuatsaihna: Pakhatnaah chuan i doctor chuan i uterine muscle te tih hahdam nan damdawi (injection) a pe thei che a, natna tihziaawmna tur leh i uterus contracting tihtawp theihna tur a ni thei bawk. Chumi hnuah chuan a kalphung zawng zawng chu a hrilhfiah ang che a, zawhna i neih apiang a chhang ang che.

2. Naute thinlung thawk dan enfiah: A dawtah chuan naute lungphu ngaithla thei machine (CTG monitor) nen in connect leh ang. Hei hian ECV chhung zawng leh a tih zawh hnuah naute dinhmun a enfiah ang. Engtik lai pawhin naute thinlung thawk dan inthlak danglamna a awm tih hmuhchhuah a nih chuan a tih dan chu tihtawp nghal a ni ang.

3. Ultrasound Scan: A dawtah ultrasound scan hmangin naute awmna hmun dik tak, nausen awmna hmun leh naute chhehvela amniotic fluid awm zat te enfiah a ni.

4. Naute hawitir: Hei hi a pawimawh ber a ni. I obstetrician chuan a kut chu i pum chungah a dah ang a, pressure nem tak mahse nghet tak hmangin naute chu zawi zawiin lu hnuai lam hawiin a siam ang. Hetiang hunah hian i pum chhungah pressure leh discomfort engemaw zat i nei thei. Hei hian minute engemaw zat a daih ang.

5. A kalphung zawhah:Naute chu hlawhtling taka a turn hnuah chuan nang leh i naute chu rei lo te chhung chu enkawl zui zel tur a ni. Engkim a tha tih finfiah a nih hnuah chuan chu ni vek chuan i haw thei tawh ang.

ECV hlawhtlinna chance engzat nge awm?

ECV hlawhtlinna rate hi 50% aia tlem a ni a , chu chu hlawhtling taka titu pahnih zinga pakhat aia tam chuan an naute chu an tidanglam tihna a ni.

He hlawhtlinna thlentu hi thil engemaw zat a awm a:

• Nausen pum chhungah amniotic fluid tha tak a awm chuan.
• Naute chu pelvis chhungah a la inher lo a nih chuan.
• Nu nau pai tawh i nih chuan (a chhan chu nausen pum bang a hrual zawk vang a ni).
• Kar 37-a tih a nih chuan.

A châng chuan, hei hi nausen pum a khauh chuan a hlawhchham thei a, a nih loh leh doctor-in naute lu a chelh ṭhat theih loh chuan a hlawhchham thei bawk. Tin, a tlem hle bawk, ​​naute chu hlawhtling taka a inher hnuah a dinhmun hmasaah a kir leh ang.

Hei hian eng hlawkna leh hlauhawmna nge a neih?

A thatna lian ber chu cesarean section tih ngai lovin nau neih pangngai chance a tipung thei a ni . Breech naute chu a pianphung anga nau neih tumnaah hian hlauhawmna engemaw zat a awm avangin cesarean section neih hi a tha fo thin. Chuvangin ECV a hlawhtlin chuan i beisei ang nau neih theihna chance i nei tha zawk.

Dik tak chuan, damdawi lam kalphung zawng zawng ang bawkin, hlauhawmna tlemte chauh a awm. Mahse hengte hi a thleng tlem hle.

• Membrane a hun hmaa a rupture
• Nausen hnute (placental abruption) a awm
• Hun hmaa nau neih
• Nausen (fetal distress) a awm
• Vaginal atanga thisen chhuak

Heng risk te hi a hniam hle (1% aia tlem) a ni. I doctor chuan heng zawng zawng hi a hrilhfiah ang che a, ECV hi i dinhmun atan a him em tih a rel ang. Emergency a awm chuan damdawi inah hian hemi atana hmanraw mamawh zawng zawng (ETU, Operating room) peih fel vek a ni ang.

ECV hian hna a thawk lo a nih chuan engtin nge kan tih ang?

ECV a hlawhtlin loh chuan hlauthawng suh. A pawimawh ber chu nang leh i naute tan eng nge him ber tih hi a ni. I doctor chuan a bia ang che a, a dawt leh tur tha ber tur chu a rel ang. A tam zawkah chuan planned cesarean section (planned c-section) neih tura ruahman a ni ang. Hei hian nang leh i naute tan pawh hlauhawmna awm lovin naute hrisel tak i hrinsak thei dawn a ni.