I due date a hnaih deuh deuh chuan i taksa hian inthlak danglamna tam tak a paltlang thin a ni lawm ni? I taksain i naute lo thlen huna a inbuatsaih laia thil pawimawh dang chu i serh (cervix) a hring (thinning) hi a ni. He thu hi i doctor hnen atangin i hre tawh mai thei. Hei hi English-ah chuan ``effacement'' kan ti a. Hei hi naute i neih dawn tih hriatna pakhat a ni bawk. Chuvangin, vawiin hian he thu hi awlsam tak leh friendly takin i sawi dawn nia.
Cervical effacement tih mai hi eng nge ni?
A awlsam zawngin, effacement chu nau neih tura inbuatsaihna atana i serh chu zawi zawiin a nem a, a hring a, a tawi zauh zauh thin. Hei hi i naupai tawp lam a thleng thin. A tawpah chuan i serh chu a sei tawk tur a ni a, a inhawng (dilate) theih nan i naute chu i vagina kaltlangin a kal thei ang.
Hei hi hrethiam zawk tur chuan serh (cervix) chungchang hi han ngaihtuah ila. I naupai chhung zawng hian i serh chu bottle neck tight, sei tak ang mai a ni. I nausen pum hnuai lamah a awm. Naute chu i nausen pum chhungah a awm a. Chuvangin he i serh "bottle neck" hian naute chu a chhuk loh nan a veng a, natna hrik laka a veng bawk. Naupai lai hian serh hi centimetre 4 vel a sei a ni tlangpui.
Tunah chuan nau neih hnaih deuh deuh chuan i nausen pum chhunga thau te chu a inzawm khawm tan a, chu chu a nghet tihna a ni. Hetianga nawr hian naute lu chu i pelvis chhungah a tla thla tir a ni. He pressure hian i cervix chu a ti nem a, a ti tawi bawk. A tawpah chuan i cervix chu 100% a dilated chuan paper ang maiin a thim tawh ang. Chu bottle ang maia hawnna chu a awm tawh lo. Chu ai chuan i serh chu a tawi a, a hrual a, chu chu i nausen pum chu a sir lamah a hrual tihna a ni.
I doctor chuan i naupai atanga kar 37 vel a liam hnuah gloved fingers hmangin i cervix chu a hre thei a, he effacement hi eng chen nge a kal zel tih a teh thei bawk. Hei hian i doctor hnenah eng stage of labor nge i nih tih hriat theihna a pe thei a, mahse, i naute hi engtikah nge a pian dawn tih chiang takin a sawi thei lo.
Effacement leh dilation hi eng nge a danglamna?
An pahnih hian nau neihna nen inzawm mah se, hengte hi thil kalphung hrang hrang pahnih a ni. Mi tam tak chuan an pahnih hi an ti buai hle. An pahnih inthlauhna chu eng nge ni tih i lo en ang u.
| Mihring ziarang | Cervical tihthianghlim (cervical effacement) a ni | Cervix tihzauh (dilation) a ni |
|---|---|---|
| Eng thil nge thleng? | Cervix tihthianghlim leh tawi. | Cervix chu a dilate emaw, a inhawng emaw a ni. |
| Engtin nge teh ang | Za zela (%)-ah. (Entirnan: 0% atanga 100%) | Centimeter (cm) ah a ni. (Entirnan: 0 cm atanga 10 cm thleng) |
| A zawh tawh | 100% in tihfel vek tur a ni. (Paper ang maia thim) | 10 cm-ah a kim vek. (Papaya te tak te ang vela lian a inhawng) |
Heng thil pahnih hi uterine contraction avanga lo awm a ni. Nau neih pangngai pushing stage a tan hmain i serh chu 100% effaced leh centimetre 10 dilated tur a ni.
A pawimawh ber chu heng thil pahnih hi a thlen chak dan hi mi hrang hrangah a inang lo. Mi thenkhat tan chuan serh hi a hring hmasa a, a inhawng leh thin. Mi dangte tan chuan a rualin a thleng ve ve.
Engtin nge cervix a hring tan tih i hriat theih ang?
A tam zawkah chuan hetiang hi a thleng tih i hre lo ang a, mahse nau neih hnaih tawhna chhinchhiahna dangte nen chuan i lo thlir lawk thei a ni.
- Braxton Hicks contractions: Hengte hi nau neih tak tak ang a ni lo a, mahse i taksa a inbuatsaih tih chhinchhiahna a ni bawk.
- Mucus plug: Naupai chhung zawnga serh khuh tu mucus plug chu serh a thim deuh deuh chuan a lo chhuak thei a, a chhuak thei bawk.
- Bloody Show: Thisen tlemte tlemte chu mucus plug nen a chhuak thei bawk . Hei hi thil pangngai a ni.
- Baby Dropping: Naute lu chu pelvis-a a luh chuan rib cage-a pressure chu a reh a, chu ai chuan pum hnuai lam pressure i hre mai thei.
- Vaginal discharge tihpun: Vaginal discharge chu a tlangpui aia tam i nei thei.
Heng chhinchhiahna zawng zawng hian nau neih a hnai tawh tihna a ni. Mahse mi thenkhat chuan an tawng a, thenkhat chuan an tawng lo. I doctor chauh hian effacement a tan tawh em tih chiang takin a hrilh thei che a ni. Mahni infiah tum hi thil hlauhawm tak a ni thei.
Engtik hunah nge doctor ka biak ang?
Cervical thinning hi doctor koh chhan tur a ni lo. Nau neih hmaa thleng tur natural process a ni. Mahse, nau pai ang maia i inhriat chuan doctor i ko ngei tur a ni.
Tin, a hnuaia symptoms te hi complication chhinchhiahna a ni thei bawk a, chuvangin doctor hriattir emaw damdawi in pan nghal emaw rawh.
| Emergency ngaihsak ngai thilte | |
|---|---|
| 🔴 tih a ni | I vagina atanga thisen chhuak nasa tak i nih chuan damdawi in emergency department (ETU) pan vat a pawimawh. |
| 🔴 tih a ni | Tuar theih loh, natna chhunzawm zel (contractions) i neih chuan. |
| 🔴 tih a ni | I tui bag a chhe tawh nia i hriat chuan (tui a chhe). |
| 🔴 tih a ni | I naute che vel i hriat loh chuan. |
Hetiang kawngah hian eng harsatna nge lo awm thei?
Ni e, a châng chuan complication ṭhenkhat a awm thei a, chu chuan cervical effacement rate a ti hniam emaw, a ti rang emaw a ni.
Cervical thinning a lo awm zauh zauh chhan:
A châng chuan he thil hi a slow thei bawk. Kea kal ang chi thiltih hian a ti chak deuh thei a ni.
- Contractions chak lohna.
- Naute a lian chho zel a.
- I pelvis a te a.
- Naute lu chu hnuai lam hawiin a awm lo.
Cervix a hun hmaa a hring (nau piang hma): .
Hmeichhe thenkhat chu an serh (cervix) chu a hun hmain a hring tan a, chu chuan nau piang hmasa a thlen thei a ni.
- Cervix thiam lo tak.
- Cervix a tawi.
- Ṭhenkhat chu cervix-ah accident a awm.
- Tun hmain cervical surgery a lo nei tawh bawk.
I doctor chuan heng dinhmunte hi a enfiah ang a, a tul angin thurawn a pe ang.
Naupai apiang hi a danglam bik tih hre reng ang che. I thianpa chunga thil thleng ang kha i paltlang a ngai lo. Chuvangin midang nen in tehkhin suh la, ngaihtuah buai ngai suh.
Take-Home Thuchah a ni
- Cervical effacement hi thil awmdan pangngai leh a tul tak a ni a, chu chuan taksain nau a neih theih nan a inbuatsaih thin.
- Hei hi percentage-a teh a ni (0% atanga 100%). 100% tih hian cervix chu a dilated vek tihna a ni.
- Effacement leh dilation hi nau neih pangngai tur chuan thil pahnih a awm tur a ni.
- Hei hi nau neih a hnai tawh tih chhinchhiahna ni mah se, naute pian hun tur dik tak hriat theih a ni lo. Chuvangin i due date hnaih tawh mahse 0% effaced i la nih chuan lungngai suh.
- Vaginal bleeding nasa tak, tuar theih loh khawpa natna, tui hrual, naute che vel hriat loh ang chi symptoms i neih chuan doctor ko la, damdawi in pan nghal rawh.
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