Nu naupai i nih angin zawhna leh hlauhna engemaw zat i nei thei. Tlemte hlauhthawn hi thil pangngai a ni a, a bik takin nau neih laiin "cutting" leh "stitching" tih ang chi thawnthu i hriat hian. Mi tam tak chuan hei hi an hlau a, mahse eng nge a nih, engtikah nge tih a nih tih leh a hnua enkawl dan tur i hriat chian hnuah chuan i hlauhthawnna chu a tam zawkah chuan a bo vek ang. Chuvangin vawiin hian he thil episiotomy an tih hi han sawi ila.
Episiotomy hi eng nge ni tak tak?
A awlsam zawngin sawi ila, episiotomy chu i naute chhuah awlsam zawk nan i doctor-in i vagina hawnna leh i hnute (he hmun hi damdawi lam chuan perineum an ti a) inkar hmunah surgical cut te tak te a siam a ni. Hetianga cut hian i vagina hawnna chu a ti lian deuh a, i naute chu a chhuah awlsam phah a ni.
Mahse hei hi mi zawng zawng chunga thil thleng a ni lo. A chang chuan, incision engmah awm lovin, naute a chhuah chuan perineum area chu a tikehsawm deuh thei a ni. Hei hi natural tear `(Perineal tear)` emaw `(laceration)` emaw kan ti a.
Tun hma chuan episiotomy tih hi thil pangngai anga ngaih a ni a, mahse tunah chuan doctor-te chuan a tul tak tak a nih loh chuan he incision hi pumpelh a, a tear hi a pianphung anga awm phalsak a tha zawk niin an ngai.
Chuti a nih chuan, engtikah nge episiotomy hi tih a ngai?
Tunah chuan he incision hi tih fo ni lo mahse, a chang chuan nang leh i naute himna atan a tul thin. Doctor chuan chutiang thutlukna chu nang leh i naute tan chuan a him ber nia a hriat chauhvin a siam ang.
Chutiang case thenkhat chu hetiang hi a ni:
- Naute chu harsatna a tawk a nih chuan: Emergency-ah, naute lungphu a tlahniam ang chiah hian, naute chu a rang thei ang bera chhuah tir a ngai a ni. He incision hi a tih awlsam zawk nan siam theih a ni.
- I chau hle a nih chuan: Darkar tam tak i nawr hnua i chau em em a, nawr leh tur chakna i neih loh chuan naute a chhuah theih nan hetiang hian i ti thei ang.
- Forceps emaw vacuum hmanrua emaw hman a ngai a nih chuan: A chang chuan heng hmanrua te hi naute lakchhuah nan hman a ngai thin. Vagina chhungah devices dahna tur hmun a awm loh chuan he incision hi hmun siam nan a ngai a ni.
- Naute chu dinhmun danglam takah a awm a nih chuan: naute chu breech a nih chuan emaw, naute kekawrte a inzawm tlat (shoulder dystocia) a nih chuan, naute chhuah theihna tur kawngkhar lian zawk siam nan he incision hi a ngai mai thei.
- Naute a thau lutuk chuan (nausen lian): Naute chu a tlangpui aia lian a nih chuan chhuah theihna tur hmun a awm lo mai thei.
- I pushing i control theih loh chuan:A châng chuan, nawr rang lutuk leh thunun loh chuan perineum chu nasa takin a chhe thei a ni. Chutiang hunah chuan doctor chuan a chhiatna control nan incision tlemte siam a rel thei a ni.
Engvangin nge cut neih ai chuan a mah chauhva phelh mai chu a tha zawk?
Tun hma chuan doctor-te chuan incision siam a nih chuan a dam tha ang a, na takin a tikehsawm lo ang tih an ngaihtuah thin. Tin, a hnu lama harsatna awm thei, zun insum theih lohna te pawh a tihziaawm dawn nia rinna a awm bawk.
Mahse zirchianna thar chuan episiotomy tih a nih chuan a incision chu beisei aia nasain a hrual tam zawk tih hmuhchhuah a ni . Tin, natural tear hian chhiatna tlem zawkin a dam tlangpui bawk. Chuvangin tunah chuan doctor-te chuan a kalphung chu a pianphung anga thleng turin an bei ta a ni.
Engtin nge he incision process hi a lo awm?
Hei hi nau neih hun hnihnaah tih a ni a, chu chu naute lu chu vagina atanga a chhuah tan (crowning) a ni.
1. Painkillers: Pakhatnaah chuan natna titawp turin painkillers pek i ni ang. Epidural i neih tawh chuan i hnungzang hnuai lam a lo na tawh avangin natna tidamtu dang i mamawh tawh lovang. Chutiang a nih loh chuan doctor chuan perineum chhungah local anesthetic tlem a inject ang a, a numb ang.
2. Incision siam dan: Naute lu in perineum a press veleh doctor chuan special episiotomy scissors hmangin incision chu a siam nghal thin.
3. Nausen leh nausen (placenta) lakchhuah: Incision zawhah naute chu a lo chhuak a, chutah chuan placenta chu lakchhuah a ni.
4. Stitches: A tawp berah chuan doctor chuan suture chi khat a hmang ang a, chu chu a insiamna chu a khar ang. Chutih rual chuan a incision lian leh te leh harsatna dang a awm leh awm loh a enfiah bawk ang.
Cut chi hrang hrangte chu engte nge ni?
Cut hi chi hnih a awm a.
| Cut type a ni | Hrilhfiahna |
|---|---|
| Median/Midline atanga tan a ni | Hei hi straight, top-down incision a ni. Vagina hawnna atanga anus thlenga siam nghal a ni. Hei hi dah a awlsam a, mahse hnute chhiat theihna a sang deuh hlek a ni. |
| Mediolateral incision a awm bawk | Hei hi hnute chhunga incision siam a ni. Vagina hawnna atanga 45 degree angle-a siam a ni. Hei hian hnute chhiat theihna a ti tlem a ni. Mahse, suture a harsa deuh a, thisen a chhuak tam a, a dam chhungin a na deuh thei bawk. |
Cut emaw tear emaw ‘degree’ te chu engte nge ni?
Natural tear emaw episiotomy cut emaw pawh nise, a nasat dan azirin 1 atanga 4 thlenga grade a ni.
- First-degree: Mittui te te, vagina chunglama vun te tak te chauh nghawng thei.
- Second-degree: Vun hnuaia tissue chhunga mittui tla. Episiotomy cut tam zawk hi he category-ah hian an tel a ni.
- Third-degree: Vaginal tissue kaltlangin anal sphincter chhunga mittui tla.
- Fourth-degree: Hei hi level serious ber a ni. Chutiang a nih chuan mittui chu rectal muscle kaltlangin rectal wall chhungah a inzar pharh a ni.
Episiotomy hi engtiang chiahin nge a hrehawm?
Lungngai suh, incision chhung hian natna i hre lo ang a, a chhan chu chutih lai chuan a hmun chu a hring vek tawh a ni.
Mahse, a rilru hahna a reh hnuah chuan ni engemaw zat chhung chu a hrualna hmunah natna hriat a ni a, kea kal emaw, ṭhut emaw pawhin nuam lo tihna a ni.
Episiotomy tih hian eng hlauhawmna leh harsatna nge a neih?
Surgery dang ang bawkin, a hlauhawmna engemaw zat a awm. Mahse, heng hlauhawmna thenkhat hi natural tear nen pawh a thleng thei tih hre reng ang che.
- Thisen chhuak
- Suture hliam atanga natna hrik awm
- Dam hnua mipat hmeichhiatna hman laiin natna (dyspareunia) .
- Rectum ruh (muscles) a chhiat
- Scar a hnutchhiah
- Zun control harsat
- Dam nan hun rei zawk a la
In lama i tih theih thilte, stitch dam chak zawka pui turin
I stitches lakchhuah hnuah kar engemaw zat chhung chu natna leh hrehawmna engemaw zat i neih hi thil pangngai a ni. He harsatna hi tihziaawmna tur leh i dam chakna tur hian in lamah thil awlsam tak tak i tih theih a awm.
- Ice pack hnawih: A hring leh a natna tihziaawm nan puan thianghlima khuh ice cube tlemte chu a hrualna hmunah minute 10-15 vel hnawih thin ang che. Ni khatah vawi eng emaw zat hetiang hian ti thin ang che.
- Sitz bath la: Hei hian a pui hle. Basin lian takah tui lum dah la, minute 15-20 vel thut rawh. Hei hian natna a tiziaawm ang a, thisen kal a ti \ha ang a, hliam chu a dam thuai ang. Hei hi ni khatah vawi hnih emaw vawi thum emaw tih a tha ber.
- Peri bottle hmang rawh: Damdawi in chuan heng zinga pakhat hi a pe ang che. A nih loh leh tui thianghlim bottle i hmang thei bawk. Toilet i hman zawh chuan bottle chhungah tui lum dah la, a hrualna hmun chu zawi zawiin silfai ang che. Hei hian a hmun chu a tifai ang a, i zun laiin kang natna a ti tlem ang.
- Painkillers: Natna tidamtu, paracetamol ang chi, doctor-in a tih angin ei tur a ni.
- Donut pillow-ah thu rawh: Donut pillow-a thut hian a stitches-in a rawn hnawih avangin natna a thlen thei. A laiah khur nei cushion-a thut chuan stitches awmna hmuna pressure a tihziaawm ang.
- Fai takin awm rawh: I sanitary pads te hi thlak fo la, a hmun chu a vawt leh fai takin dah thin ang che.
Engtikah nge sex ka hman leh theih ang?
Hliam hi kar 6 vel chhungin a dam tlangpui. Mahse, nau neih hnu kar 6 chhung i tlawh hnuah doctor rawn la, phalna a pek hnuah chauh sex i hmang leh tur a ni. Thla hmasa berah hian natna emaw, lungawi lohna emaw engemaw chen hriat hi thil pangngai a ni. Tui hmanga siam lubricant hman hian he harsatna hi a tihziaawm thei a ni.
Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.
Episiotomy i tih tawh a, a hnuaia symptoms te hi i neih chuan doctor i pan nghal tur a ni .
| Symptoms fimkhur tur |
|---|
| - Nitin a tlahniam ai chuan a natna a zual zel a nih chuan. |
| - Suture site atanga discharge rimchhia emaw, pus lo chhuak emaw a awm chuan. |
| - Incision chhehvel vun a sen a , a hring a nih chuan . |
| - Stitch atanga thisen chhuakHmingte. |
| - Khawsik, khawsik, taksa na i neih chuan . |
Take-Home Thuchah a ni
- Tunlai hian Episiotomy hi mi zawng zawng tih a ni lo. Nang leh i naute himna atana a tul tak tak hunah chauh tih thin a ni.
- Incision lai hian natna i nei lovang a, a chhan chu a hmun chu a hring vek a ni.
- Stitch te hi a dam theih nan kar engemaw zat a la ngai dawn a ni. Hemi hun chhung hian fai taka awm a, Doctor thupek zawm a pawimawh hle.
- Stitch dah hnua natna nasa lutuk, hring, emaw, pus emaw ang chi symptoms i neih chuan doctor pan nghal rawh.
- Hemi chungchangah hian hlauhna emaw rinhlelhna emaw i la neih chuan i naute i neih hmain i clinic-ah i doctor nen zalen takin sawipui rawh. I zawhna zawng zawng chhanna chu a hnen atangin dawng rawh.
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