Nau neih laiin episiotomy chungchanga i hriat tur chu!

Nu ni tur i ni em? Tichuan nau neih chungchang sawiin ‘cutting’ tih hi i hre tawh ngei ang. Nu tam takin heng thu an hriat hian tlem a hlauthawng leh hlauhthawn hi thil pangngai tak a ni. He cutting hi eng nge ni tak tak? Damdawi lamah chuan episiotomy kan ti a. Hei hi mi zawng zawng tih thin a ni em? Engvangin nge tih a nih? Vawiin hian hemi chungchanga i zawhna zawng zawng hi he thuziak ah hian kan chhang vek ang.

Episiotomy tih hi eng nge ni?

A awlsam zawngin, episiotomy chu i doctor-in i vagina leh i hnute inkar (perineum an tih) inkar vun leh ruh (perineum an tih) hmuna surgical cut te tak te a siam a, chu chuan naute nau neih laiin awlsam zawka a chhuah theihna tur kawng a siam a ni.

A châng chuan naute a lo chhuah chuan he hmun hi a mah chauhin tlem a hrual thei a, engmah incision pawh a awm lo. Hei hi perineal tear an ti a. Tûn hma chuan nau neih laiin episiotomy tih chu thil pangngai anga ngaih a ni a, mahse tûn laiah chuan doctor-te chuan a ṭûl tak tak loh chuan mittui chu a pianphung anga chhuah mai chu a ṭha zâwk niin an ngai

Chuti a nih chuan, engvangin nge episiotomy neih a la ngai?

Tunlaia tih dan pangngai ni lo mah se, thil bik thenkhatah chuan nu leh naute himna atan doctor chuan he incision hi a siam a ngai a ni. Ngaihtuah teh, kawngpuiah lirthei khalh laiin accident lo turin motor khalh nghal mai ang mai a ni. Hengte hi case pawimawh ber berte chu an ni:

• Naute hian harsatna engemaw zat (fetal distress) a tawk a, naute chu a rang thei ang bera chhuah tir a ngai a nih chuan.
• Hun rei tak nau neihna a paltlang hnua nu chu a chau hle a, nawr belh zel tur chakna a neih loh chuan.
• Naute lakchhuah nan forceps emaw vacuum device emaw i hman a ngai a nih chuan heng devices te hi dah theih nan vagina hi a lian deuh a ngai a ni.
• Naute chu dinhmun dik lo takah a awm a nih chuan, entirnan, breech emaw shoulder dystocia emaw.
• Naute lian zawng chu a tlangpui aia lian a nih chuan.
• Nuin rei tak a nawr a, naute a chhuah loh chuan.

Engtin nge he incision hi siam a nih a, incision chi hrang hrangte chu engte nge ni?

Epidural i neih chuan natna i nei lovang. Epidural i neih tawh chuan i kawr hnuai lam natna damdawi i mamawh tawh lovang. Chutiang a nih loh chuan doctor chuan a incision na tur hmunah chiah local anesthetic a inject ang. Tichuan, naute lu chu vagina atanga a chhuah tan chuan (crowning) chuan incision chu special scissors (episiotomy scissors) hmangin an siam thin. Naute a pian hnuah a hmun chu dissolvable stitches hmangin siamthat a ni.

Cut hi chi hnih a awm a.

Mittui Degree hrang hrang

Natural tear emaw episiotomy emaw pawh nise, a nasat dan azirin degree 4-ah then a ni.

• First-degree: Vagina chunga vun chauh a hrual tlem.
• Second-degree: Vagina vun leh a hnuaia tissue kal tlanga mittui tla. Episiotomy cut tam zawk hi he category-ah hian an tel a ni.
• Third-degree: Vaginal tissue leh anus vel muscle (anal sphincter) te a tikehsawm.
• Fourth-degree: Level na ber leh buaithlak ber, mittui tlakna chu rectum thlengin a inzar pharh thin.

Cut chu a dam thuai theih nan in lamah eng nge i tih theih ang?

Incision hnu kar hmasa lamah chuan a na thei hle. Mahse, uluk taka enkawl chuan i dam thuai thei a ni. A dam kim theih nan thla khat vel a ngai tlangpui. Heng thilte hian nasa takin a pui ang che.

Engtikah nge Doctor i hmuh nghal tur?

I dam chhung hian i taksa kha uluk takin ngaihven rawh. A hnuaia symptoms te hi i neih chuan i doctor call emaw, damdawi in Emergency Department (ETU)-ah emaw kal nghal vat rawh .

• 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.
• Hliam chhehvel chu a sen a, a hring a, khawih pawhin a lum a nih chuan .
• Stitch atanga thisen chhuak a awm chuan .
• Khawsik, khawsik, emaw taksa na i neih chuan .

Hengte hi natna kai chhinchhiahna a nih avangin enkawl vat vat a pawimawh.