Doctor-te’n naute an hrin dawna an buntir thin machine hi eng nge ni? Electronic Fetal Monitoring (EFM) chungchang zawng zawng i zir vek ang u!

Naute i beisei a nih chuan movie-ah emaw TV-ah emaw i hmu tawh ngei ang, chutah chuan labour room-ah nu pum chungah strap pahnih an dah a, a bula screen-ah chuan line pakhat chu ‘beep... beep...’ ri nen a chho leh chho a ni. Mi tam tak chuan hei hi nu thinlung thawk dan enfiah nan niin an ngai. Mahse a nihna takah chuan hei hi thil pahnih a ruala check nana a ni. Pakhat chu pum chhunga nausen te tak te thinlung na tak hi a ni. A dang chu contraction i neih mek te hi a ni. Hei hi damdawi lama Electronic Fetal Monitoring kan tih chu a ni a, a tawi zawngin EFM kan tih chu mi zawng zawng hriat angin a ni. Chuvangin, vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.

A awlsam zawngin, EFM chu eng nge ni?

Ngaihtuah teh, naute neih hi nu leh naute tan pawh zinkawng lian tak a ni. He EFM hi doctor leh nurse te tan chuan he zin chhung hian naute hian harsatna a tawk em tih leh a dam tha em tih hriatna tha ber a ni.

A awlsam zawngin sawi ila, EFM hi i naute thinlung thawk dan leh i contraction awm dan chu real-time-a enfiah chhunzawm zeltu hmanrua a ni.

Tunah chuan, "Engvangin nge heng pahnih hi i en dun?" Hetah hian a chhan chu. Nau i pai lai hian i nausen chu a contract nasa hle. Hetih lai hian i naute hnena oxygen phurtu thisen kalna kawngte pawh a khauh deuh bawk. Tui pipe hrual ang mai a ni. A tam zawkah chuan hei hi naute hrisel tan chuan harsatna a ni lo va, he tightening hi an tuar thiam khawp mai. Mahse a chang chuan, i naute hian oxygen a hmuh zat hi a tlem thei hle. Chutiang a nih chuan naute lungphu (heart rate) a nghawng thei a ni.

Chuvangin EFM hian a tih tur chu naute thinlung thawk dan a inthlak dan hi a lo inthlak danglam zel a, a lo kal leh zel a ni. Hei hian naute chu nausen harsatna a tawh leh awm loh chu a hmain a hre thei a ni.

Mi zawng zawng hian he EFM hi kan mamawh em?

No. Hmeichhe naupai zawng zawng hian EFM monitoring chhunzawm zel an mamawh vek lo. Mi tu emaw chuan harsatna nei lo naupai hrisel tak chuan hei hi a mamawh lo mai thei. Mahse, thil bik thenkhatah chuan naute leh nu himna atan a pawimawh hle. Chu case te chu eng nge ni tih i en ang u.

He EFM machine hian engtin nge hna a thawh?

EFM enkawlna atana hmanraw pawimawh pahnih a awm. A hmasa ber hi a hman tlanglawn ber a ni.

1. Pawn lam EFM

Hei hi movie-a i hmuh tam ber chu a ni. Thil awlsam tak a ni.

• Thil hmanraw hmasa ber: Nurse chuan i pum chhungah gel engemaw zat a hnawih ang a, naute thinlung thawk hriatna tur hmun tha ber a zawng ang a, chutah chuan hmanraw te tak te dahin i pum chhungah elastic band hmangin a khih ang. Hei hian ultrasound technology hmangin hna a thawk a, scan machine ang chiah a ni. Hei hian naute lungphu a tehna a ni.
• Device pahnihna:Device dang chu i pum chunglam ah dahin strap dang ah dah a ni. Hei hian i nausen (uterus) vawi engzat nge a inzawm tih leh a inzawmkhawmna chakna a teh a ni. Hei hi tocodynamometer an ti a .

Heng device pahnih atanga information lo chhuak chu computer screen-ah graph pahnih angin a lang a. Paper sei takah pawh record a ni bawk. Doctor leh nurse te chuan hei hi an en thei a, naute dinhmun hi an hre chiang thei a ni.

2. Chhungril EFM

Hei hi kalphung pangngai tak a ni lo. I ‘tui bawm’ a chhiat hnuah chauh tih theih a ni . Doctor chuan pawn lam EFM-in thlalak chiang tak a pe thei lo a nih chuan, emaw, naute chungchang thu dik tak tak an mamawh thuai chuan hetiang hian a hmang ang.

• Hetah hian doctor chuan vagina kaltlangin wire te tak te, te tak te tak te a thun a, naute lu vunah electrode te tak te a dah a. Hei hi hlauhawm deuhin a lang thei a, mahse naute tan chuan harsatna lian tham a thlen dawn lo. Hei hian naute thinlung thawk dan dik takin a teh theih phah a ni.
• Tin, nausen pum pressure dik taka teh a ngai a nih chuan nausen pum chhungah tube te tak te (catheter) dah theih a ni bawk.

EFM hian thatna leh that lohna a nei em?

Damdawi hmanrua dang ang bawkin EFM hian a thatna leh that lohna a nei a, hengte hi hriat chian a pawimawh hle.

• Alarm dik lo: A châng chuan, machine-a chhut dik loh chuan alarm a ri thei a. Entirnan, khumah i che vel a nih chuan, emaw, naute chu nu pum chhunga a che vel laiin sensor chu a che tlem chuan a chhiar dan a danglam thei a, alarm a ri thei bawk. Harsatna tak tak awm lo mah se, heng thilte hian nu leh pate leh chhungte tan ṭul lova hlauhna leh lungkhamna a thlen thei a ni.
• Zalenna tlemte: EFM nena inzawmna i neih chhunzawm zel chuan khum atanga tho chhuak, kal leh dinhmun thlak theihna zalenna chu a tlem hle. Dik tak chuan nau neih laiin kea kal leh dinhmun thlak danglam hi nau neihna atan a \angkai thei hle.
• Damdawi lam thil tul lo taka hmalakna: Zirna thenkhatah chuan EFM enkawl chhunzawm zel hian, a châng chuan recording dik lo avângin, Caesarean section tih tûra thutlukna siam theihna a tipung deuh a, a nih loh leh naute hrin nân forceps emaw vacuum emaw hman a nih theihna chu a tipung deuh a, chu chu a ṭûl tak tak loh lai pawhin.
• Internal EFM avanga hlauhawmna: 1.1.Hei hi a tlem hle nachungin, naute lu vunah hliam tenau emaw, internal examination neih laiin infection emaw a awm theihna a tlem hle. Tin, nu atanga a naute hnena natna hrik, HIV ang chi inkaichhawn theihna a tipung thei bawk.

EFM-in naute chu harsatna a tawk tih a lan chuan engtin nge i tih ang?

A hmasa berah chuan EFM tihdanglam chuan naute chu hlauhawm takah a awm tihna a ni hauh lo. Medical team tan chuan "OK, tunah chuan hei hi kan ngaihven zawk a ngai" tih signal a ni. Hetiang hunah hian hlauthawng suh. I doctor leh nurse te chuan tih tur an hre tawh ang.

A tlangpuiin hetiang thil awlsam tak hi an ti thin:

• I dinhmun thlak danglam: I veilam sir lama inher leh mut ang chi thil i ti thei. Hei hian nausen pum leh nausen (placenta)-a thisen kal dan a titha thei a, i naute hian oxygen a dawn tam zawk thei a ni.
• Oxygen pek i ni ang: I hmaiah mask hmangin oxygen pek theih i ni. Hei hian i thisena oxygen level a tisang ang a, chu chuan i naute tan oxygen tam zawk a pe bawk ang.
• Saline (IV fluids) pek a ni: I kut ah saline solution dahin tui pek a ni. Hei hian thisen kal dan a titha a ni.
• Damdawi thlak danglam: Nau neih theihna tur damdawi (Pitocin® ang chi) i ei a nih chuan a dose chu tihhniam emaw, hun engemaw chen tihtawp emaw theih a ni.

A tam zawkah chuan heng thil awlsam tak takte hian naute heart rate chu a pangngaia a awm leh theih nan a pui ang. Chutiang a nih loh chuan, Doctor-in nausen pum chhunga awm chu a harsa lutuk tih a rel chuan, naute chu a rang thei ang bera hrin turin hma an la ang. Hei hi vaginal delivery emaw cesarean section emaw a ni thei. Hetah hian a pawimawh ber chu nu leh naute himna hi a ni tih hre reng ang che.

Naute i neih hma pawhin EFM i hmang em?

Ni e, a then phei chuan. Naupai lai pawha naute hriselna hriat chian nan EFM hman a nih chang a awm.

• Entirnan, kar 20 hnuah accident emaw, i pum chhungah i tlu emaw a nih chuan naute chu a hliam loh nan hun engemaw chen chu EFM-ah i connect thei a ni.
• Tin, a chang chuan EFM hian contraction dik tak emaw ‘false contractions’ (Braxton Hicks contractions) emaw i nei tih finfiah nan a pui thei bawk .

I naupai tawp dawn hnaihah chuan he EFM hi doctor nen sawiho a tha. Chutiang chuan nau neih hmain hriatthiamna tha zawk i nei thei a, i duhzawng doctor nen pawh i sawiho thei bawk.