Nu naupai i nih chuan i beiseina lian ber chu khawvela naute hrisel, hlawhtling tak rawn hruai luh hi a ni. Vaginal delivery pangngai neih i ngaihtuah mai thei . Chu chu mi tam zawkin an beisei chu a ni. Mahse a chang chuan beisei loh takin cesarean section (C-section) hi nu leh naute tan pawh a tha ber leh him ber a ni. A bik takin emergency-ah chuan nunna chhanhim thei surgery a ni thei.
Engvangin nge emergency C-section neih a ngai?
A awlsam zawngin, doctor-te chuan emergency cesarean section tihsak che an tum a nih chuan, medical team-te chuan i nunna emaw, i naute nunna emaw chu hlauhawm takah a awm tih an hriatthiam vâng a ni . Tihkhawtlai theihna tur hmun a awm lo tak zet a ni. Chuvangin naute chu a rang thei ang bera chhuahtir hi a ni. Ngaihtuah teh, doctor-te chuan pum leh nausen chu an tan a, minute tlemte chhungin naute chu an chhuah tir thei a ni.
Hetiang hunah hian nau neih dan pangngai nghah hian nu leh naute nunna a tichhe dawn a ni. Chuvang chuan doctor te chuan thutlukna rang tak siamin he surgery hi an ti thin.
Emergency cesarean section neih chhan lian ber ber thenkhat chu hetiang hi a ni:
- Fetal or maternal distress: He thutlukna hi naute lungphu chu hlauhawm taka a tlahniam emaw, naute hian oxygen a dawng tlem emaw, a nu thisen sang chu thunun theih loha a inthlak emaw a nih chuan siam a ni.
- Prolapsed umbilical cord: Hei hi naute pian hmaa umbilical cord chu cervix kaltlangin vagina chhungah a kal chuan a thleng thin. Hei hian naute lu a\angin hrui chu a rawn chhuak thei a, naute thisen leh oxygen supply a titawp thei a ni. Hei hi emergency a ni.
- Nu thisen chhuak : Eng emaw chhan vanga nu chu thunun theih loha thisen chhuak a nih chuan.
- Placenta abruption: Naute pian hmaa uterine wall atanga placenta a inthen tan chuan naute chu ei leh in leh oxygen a tlachham ang. Nuin thisen chhuak nasa tak a nei thei bawk.
- Uterine rupture: Hei hi nu, a hmaa cesarean section nei tawhte zingah a lang tam ber. Chu surgery atanga scar chu uterus chuan a tikehsawm thei a ni. Hei pawh hi dinhmun hlauhawm tak a ni.
‘Emergency’ leh ‘Unscheduled’ Caesarean section inthlauhna
Mi tam takin heng thumal pahnih hi thuhmun anga an ngaih laiin, an pahnih inkarah hian danglamna tlem a awm. ‘Emergency’ C-section chu nunna chhanhim tura tih a ni. A lehlamah chuan ‘unscheduled’ C-section chu ruahman lawk lo mahse nau neih laiin harsatna a awm avanga tih a ni. Hetiang a nih chuan nu emaw naute emaw nunna atana hlauhawm nghal a awm lo mai thei a, mahse nau neih pangngai chhunzawm theih lohna dinhmun a awm a ni.
He inthlauhna hi table hmangin i hrethiam ang u.
| Hriattirna | Emergency C-section neih a nih chuan | Schedule nei lo C-section neih a ni |
|---|---|---|
| Thil awmdan awmzia | Nu emaw naute emaw nunna atan hlauhawmna nasa tak a awm nghal a ni. | Emergency ni mah se, nunna atana hlauhawm a ni lo. Amaherawhchu nau neih pangngai chhunzawm zel erawh a him lo. |
| A chhan ber | Umbilical cord prolapse, placental abruption, uterine rupture, thisen chhuak nasa lutuk. | Naupai hi a kal zel lo, contraction chak lo, naute chu breech emaw breech position-ah emaw a awm. |
| Thutlukna siam atanga operation thleng hun | Rangtakin! Thutlukna siam a nih atanga minute tlemte chhungin. Naute chu operation tan atanga minute khat chhungin lakchhuah theih a ni. | A tlangpuiin thutlukna siam atanga minute 30-60 chhungin a ni. Inbuatsaihna hun engemaw chen a pe che. |
| Anesthesia hmanga tihdam a ni | Epidural i la la lo a nih chuan hun i humhim theih nan general anesthesia i neih a ngai mai thei. Hei hian i harh loh nan a veng ang. | Vawi tam tak chu i taksa hnuai lam tihlum turin spinal anesthetic (or epidural) pek thin a ni. I naute chu a pian veleh i harh ang a, i hmu thei nghal ang. |
Surgery neih chhung hian eng nge thleng a, eng nge a hlauhawmna?
Emergency cesarean section-ah chuan hun hi a pawimawh ber a ni. Engkim hi a thleng rang hle mai. Doctor leh nurse-te thil tum awm chhun chu naute chu a rang thei ang bera leh him taka chhuahtir a ni. Sawi tawh ang khan epidural i neih hma chuan anesthesiologist chuan i harh reng theih nan damdawi tam zawk pek hun a nei thei a ni. Chutiang a nih loh chuan surgery atan mut tir (general anesthesia) i ni ang. Chumi hnuah chuan i naute chu operation zawh hnuah i hmu ang a, i harh leh ang. Hemi chungchangah hian lungngai suh. Doctor te chuan chutih lai tak chuan nang leh i naute tana him ber an ti a ni.
Emergency cesarean section hian planned cesarean section aiin risk sang zawk a keng tel a, a chhan chu engkim hi rang taka tih a ngai a ni.
- Thisen chhuahna nasa tak a awm theihna chance a sang .
- Anesthesia pek thuai avanga harsatna awm thei.
- Surgery neih chhunga thil tihsual avanga nu emaw naute emaw a hliam theihna chance a tlem hle .
Mahse hei hi hre reng ang che. Heng hlauhawmnate hi awm mah se, emergency cesarean section tih loh hlauhawmna chu a let sang tam takin a tam zawk a ni. Doctor-te chuan nunna chhanhimna atana kawng hnuhnung ber atan he thutlukna hi an siam a ni.
I naupai chhung zawng hian heng thil chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah sawipui thin ang che. Engkim a hrilhfiah ang che.
Take-Home Thuchah a ni
- Emergency C-section hi hlauh tur a ni lo va, nu leh naute nunna chhanhim nan damdawi lama tih a tul tak a ni.
- Hei hi planned emaw unscheduled cesarean section nen a danglam a, thutlukna siam rang tak a ni.
- Medical team hian he thutlukna hi risk factor lian tak tak (e.g., placental abruption, umbilical cord prolapse) atanga thlirin an siam thin.
- Operation laiin fully anesthetized i ngai a nih chuan i leh i naute himna tur a ni tih hrethiam ang che.
- I medical team te chu ring rawh. An tum ber chu nu hrisel leh naute hrisel neih hi a ni.
- Naupai laiin rinhlelhna emaw hlauhna emaw i neih chuan i doctor nen sawipui hreh ngai suh.
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