I naupai tawp lamah scan i nei em, chu chuan i naute chu lu hnuai lam ni lovin breech position-ah a awm tih a hrilh che em? Chu chu 'breech' position-ah a awm tihna a ni. Nu tam tak chuan he thu an hriat hian an hlauthawng deuh a, ‘Aw, tunah hian C-section ka neih a ngai dawn em ni?’ tiin an ngaihtuah thin. Mahse, lungngai suh. Breech baby zawng zawng hian C-section an mamawh vek lo. Thil engemaw takah chuan doctor-te chuan naute chu pawn lam aṭangin an hawitir thei a, operation- ah kal lovin . Vawiin hian chu special procedure chungchang kan sawi dawn a, chu chu External Cephalic Version , emaw kan hriat vek angin ECV an ti a ni.
ECV hi eng nge ni mai?
I naute chu i pum chhunga in te tak te angin ngaihtuah rawh. A tlangpuiin, nau neih a hnaih deuh deuh chuan i naute chu a lu a hnuai lam hawiin, a awlsam thei ang bera chhuak turin a inbuatsaih ang. Hei hi ‘cephalic’ position kan ti a. Hei hi i naute pian theihna tur dinhmun tha ber leh him ber a ni.
Mahse a chang chuan naute hi a danglam deuh deuh thin. Lu an sang a, an hnuai lam emaw, an ke emaw chu hnuai lam hawiin an awm. Damdawi lam hawi chuan hei hi ‘breech position’ kan ti a ni. Hetiang dinhmunah hian an awm lai hian naute chu a pangngaia nau neih chu, chu chu vaginal hmanga nau neih hi a buaithlak deuh thei a, a hlauhawm zawk bawk.
Chutih hunah chuan doctor chuan a kut chu i pum chungah a dah ang a, uluk takin leh technique bik hmangin i naute chu lu hnuai lam hawiin a siam ang a, chu chu External Cephalic Version (ECV) an ti a ni. A awlsam zawngin, hei hi nausen pum chhunga ‘flip’ te tak te a ni a, a awmna tur dik takah a hruai lut a ni.
He ECV method hi engtin nge an tih?
Hei hi a hlauhawm deuhin a lang thei a, mahse uluk tak leh him taka tih a ni.
- Doctor: Hei hi i naupai chhung zawnga enkawltu tur obstetrician-in a ti tlangpui.
- Monitoring: Naute thinlung thawk dan chu ECV tan hmain minute 30 vel machine hmangin enfiah chhunzawm zel a ni. Hei hi naute a dam that theih nan a pawimawh hle.
- Nausen pum tih hahdam: A chang chuan, i kut chhunga vein (IV) kaltlangin damdawi pek theih a ni a, chu chuan i nausen ruh (muscles) a ti hahdam thei a ni. Hei hian naute a tichhe lovang, mahse doctor tan chuan naute chu a hawi awlsam phah thei a ni.
- Naute hawitir: A dawtah chuan doctor chuan i pum chungah a kut a dah ang a, naute chu zawi zawia tihher tum turin nghet takin, mahse zawi zawiin pressure a pe ang.
- Ultrasound hman dan : 1.1.Hetiang zawng zawngah hian doctor chuan ultrasound machine hmangin naute awmna hmun, placenta awmna leh naute chu eng lam hawi nge a nih tih chiang takin a enfiah thin.
ECV hian a ti na hle em?
Hei hi nu tam tak tan chuan harsatna lian tak a ni. Dik tak chuan mi tin a inang lo. Doctor chuan naute chu a hawi let theih nan pressure tlem a pek a ngai a ni. Chuvangin nu thenkhat chuan hei hi nuam an ti lo hle a, thenkhat erawh chuan hrehawm tlem an nei thei thung.
Mahse hmeichhe tam tak chuan natna damdawi engmah hmang lovin ECV an nei thei a ni. Mahse, lungawi lohna tam tak i neih chuan lungngai suh. I doctor chuan natna damdawi, epidural ang chi a pe thei che a ni. A tlem hle a, mut tir i ni mai thei. I harsatna i neih apiang chu i doctor hnenah inhawng takin sawi rawh.
Mi zawng zawngin ECV an ti thei em? Eng nge a hlauhawmna?
ECV hi a tlangpuiin a him hle nachungin, hmeichhe naupai zawng zawng tan a tha lo. A \henah chuan tih hian \hatna aiin a \ha lo zawk thei a ni. ECV neih loh chhan thenkhat han thlir ila.
| ECV tih loh theihna tur condition |
|---|
| Twins emaw a aia tam emaw i beisei a nih chuan. |
| Chhan dang avanga cesarean section (C-section) neih tura ruahman i nih chuan. |
| Ni 7 kalta chhunga vaginal bleeding i neih chuan. |
| Naute lungphu a dik lo emaw, naute hian hriselna lama harsatna dang a neih chuan. |
| I tui bag a chhe tawh a nih chuan. |
| Naute lian zawng chu a tlangpui aia lian a nih chuan. |
| Naute chhehvela amniotic fluid awm zat a tlem lutuk emaw a tam lutuk emaw a nih chuan. |
| Nausen hnuai lam (placenta previa) i neih chuan. |
| I nausen chu thinlung ang (bicornuate uterus) a nih chuan. |
Heng dinhmun bakah hian ECV nena inzawm hlauhawm tak tak a awm bawk. Entirnan, naute lungphu inthlak danglam te, nausen nausen (placental abruption) te, a nih loh leh nau neih hmaa nau neih tan te. Chuvangin ECV hi delivery room-ah tih a ni fo a, a tul chuan emergency cesarean section neih theihna tur facility a awm bawk.
ECV hlawhtlinna chance engzat nge awm?
ECV hlawhtlinna rate hi 50% vel a ni . Chu chu a nei mi pahnih zinga pakhatin a hlawhtling dawn tihna a ni. A chang chuan a vawi khatnaah a thawk tha lo a nih chuan kar khat vel hnuah doctor chuan a lo tum leh mai thei.
Hlawhtlinna chance sang zawk nei hun remchang
- Hei hi naupai kar 36 hnuah , naute a lian lutuk hmain tih a ni.
- Nau i pai tawh a nih chuan (uterus chu a hrual deuh a, chuvang chuan hmun a tam zawk).
- Naute chhehvelah amniotic fluid a awm tawk a nih chuan.
Hlawhtlin theihna a tlem zawk
- Naute chu pelvis chhungah engaged/dropped hniam lutuk a nih chuan.
- I uterus chu a tight leh tense tih i hriat chuan.
- Doctor-in naute lu hriat leh dik taka hmuh a harsat chuan.
A châng chuan ECV hlawhtling tak leh naute chu dinglamah an hawi hnuah pawh breech naute chu an dinhmun hluiah an kir leh ṭhin. Chutiang bawkin naute thenkhat chu ECV tel lo pawhin minute hnuhnung berah anmahni chauhin dinglam an hawi thin.
ECV hi a hlawhtling lo a nih chuan eng option nge awm?
Doctor chuan tum mahse naute chu a hawi let thei lo tih han ngaihtuah teh. Ngaihtuah buai suh, duhthlan tur him tak i la nei tho.
1. Naute chu a pianphung anga breech position-a nau neih: Hei hi tih theih a nih leh nih loh chu thil tam takah a innghat a, chu chu nang leh i naute hriselna dinhmun, breech position awm dan, etc. I doctor chuan hei hi a hlauhawmzia a hrilhfiah ang che.
2. Cesarean section hmanga nau neih (C-section): .Cesarean section hi breech nausen vaginal delivery aiin nu leh naute tan pawh risky lo zawka ngaih a nih avangin doctor-te chuan he option hi an rawt fo thin.
Heng duhthlannate hi i doctor nen sawiho la, eng method nge nang leh i naute tan a tha ber, eng nge him ber tih rel rawh.
Take-Home Thuchah a ni
- ECV hi hmanraw him tak a ni a, breech position-a naute chu cesarean section tih ngai lovin nau neih dan pangngai pek tumna a ni.
- Hei hi mi zawng zawng tan a ni lo. Hei hi i tan a tha em tih i doctor chuan a rel ang.
- ECV lai hian hrehawmna engemaw chen i nei thei a, mahse tuar theih loh natna a ni lo. A tul chuan painkiller i ei thei bawk.
- Hei hian hlawhtlinna chance 50% a nei a ni. A hlawhtling lo a nih chuan cesarean section hi nang leh i naute tan chuan a him zawk hle.
- ECV hnua nau neih na, thisen chhuah, emaw, i naute chetna inthlak danglam emaw i neih chuan i doctor hnenah hriattir nghal rawh.
- I zawhna leh hlauh zawng zawng chu doctor nen sawiho rawh. Anni hian solution tha ber an pe ang che.
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