I naute chu a pum chhungah harsatna a tawk em? Vawiin hian Fetal Distress'' chungchang hi han sawi ila!

Nu tam tak chuan an nausen piang laiah hian eng emaw a thleng ang tih an hlau hle. A châng chuan, naute chu naute hnaih emaw, nau neih lai emaw hian harsatna engemaw zat a nei thei bawk. Chutiang hunah chuan naute hian ‘harsatna’ a tawk tih chhinchhiahna a lantir thei a ni. Vawiin hian he dinhmun `(Fetal Distress)` tih hi kan sawi dawn a ni. Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.

`(Fetal Distress)` tih hi eng nge ni? `(Non-Reassuring Fetal Status - NRFS)` tih nen hian a inang em?

A awlsam zawngin, `(Fetal Distress)` hi i naupai hun hnuhnung berah emaw, i naute pian laiin (i.e. `labour`) i naute chu harsatna engemaw chen a tawk tih hriattirna a ni. Mahse i hriat tur chu tunah chuan `(Fetal Distress)` tih ai chuan doctor-te chuan `(Non-Reassuring Fetal Status)`, a tawi zawngin `(NRFS)` tih hi an hmang fo thin. Heng pahnih hian a takah chuan dinhmun inang a kawk a ni. Chuvangin, chu hming pahnih chu i hriat chuan hlauthawng suh, a dik em?

Ngaihtuah teh, i naute hian hetiang rilru hahna hi a tawn theih chhan tam tak a awm thei. Nau neih dan te, i naute damdawi i ei lai a chhân lêtna te, umbilical cord lama harsatna te, a nih loh leh nausen (placenta) lama harsatna te pawh a ni thei.

This condition can be a bit scary , a chhan chu nang leh i naute tan pawh harsatna a thlen thei a ni. Chuvangin i obstetrician chuan i naupai chhung zawng, clinic i tlawh apiangin heng symptoms te hi a enfiah ang che.

Naute chu harsatna a tawk tih hriattirna engte nge ni?

Tunah chuan nausen harsatna a tawk tih tilangtu chhinchhiahna lian ber berte hi han en ila. Hengte hi doctor ten an ngaihven ber chu a ni:

• Naute heart rate inthlak danglamna: Chumi awmzia chu naute heart rate chu a pangngai aia hniam emaw, a sang emaw a ni thei tihna a ni. Doctor-te chuan hei hi ``fetal heart rate'' an ti. Hei hi chhinchhiahna ber leh zawn hmasak ber a ni.
• Naute chetna tlahniam: I naute chu a pum chhungah a che emaw, a ke a che emaw tih i hre tawh em? Chutiang chetna chu hun rei tak chhunga nasa taka a tlahniam a nih chuan, chu chu ni khatah i naute chu a che tlem zawk tih i hriat tihna a nih chuan, chu pawh chu ngaihven tur a ni.
• Amniotic fluid hniam: Naute chu amniotic fluid an tih tuiin a hual vel a. He tui tlem hi naute hian harsatna a tawk tih hriattirna a ni thei bawk. Doctor te pawhin hei hi ``Oligohydramnios'' an ti bawk.

Heng chhinchhiahna pakhat emaw a aia tam emaw a awm chuan doctor chuan a enfiah leh ang che.

Eng thilin nge naute hian hetiang harsatna a neih chhan?

Okay, tunah chuan engvangin nge he naute hian nausen pum chhungah hetiang harsatna a neih hi i ngaihtuah tawh ngei ang.A chhan ber leh tlanglawn ber chu naute hian oxygen a dawng tlem vang a ni.

I hria em, i naute hian i hnen atangin oxygen a dawng thin. I thawk chhuah hian i lung chhunga oxygen lut chu i thisenin nausen (placenta)-ah a phur a ni. Nausen thisenah oxygen a kalna hmun chu placenta a ni. He thil pawimawh tak hi thil engemaw a tihbuai chuan naute hian oxygen a hmu tlem thei a, chu chu he ``Fetal Distress'' condition hi a lo awm hun hi a ni. Tui a tlakchham laia thlai a lo hring chhuak ang maiin ngaihtuah rawh.

Hemi chhan ber bakah hian i naute rilru hahdamna thlen thei thil dang engemaw zat a awm bawk. Eng nge an nih hi han thlir ila:

• Uterine contraction tam lutuk (Tachysystole): Naupai laiin nausen pum hi a inzawm khawm hi thil pangngai a nih laiin, a lo awm rang lutuk a, a chhunzawm zel a, chawlh hahdam loh a nih chuan naute oxygen supply a tibuai thei a ni.
• Fetal anemia: Naute thisen tlakchhamna, thisen zam (red blood cells) tlakchhamna tihna a ni.
• Low amniotic fluid (`Oligohydramnios`): Kan sawi tawh ang khan naute vel tui awm zat a tlahniam a. Hetiang zat tui hian naute a venghim a, naute chu a che thei a ni.
• Pregnancy-induced hypertension: Tun hmaa thisen sang i neih loh chuan naupai laiin i thisen sang a sang chho thin.
• Preeclampsia: Hei hi naupai laiin thisen sang nena inzawm , a buaithlak zawk leh hlauhawm zawk a ni bawk. Tin, taksa peng dang, kal (kidney) te pawh a nghawng thei bawk.
• Thisen sang pangngai lo taka hniam: I thisen sang hi a chang chuan a tlahniam lutuk thei.
• Late-term pregnancies: Hei hian naute a piang tlai lutuk tihna a ni.
• Fetal growth restriction (IUGR): Naute chu a pum chhunga beisei angin a thang lo va, a thau lutuk .
• Placental abruption: Naute pian hmaa uterine wall atanga placenta zawng zawng emaw, a then emaw inthen. Hei hi emergency a nih avangin enkawl vat a ngai a ni.
• Placental previa: Placenta previa chu nausen pum hnuai lam, serh bulah emaw, a khuh emaw a awm tihna a ni.
• Umbilical cord compression: Naute hnena oxygen leh nutrients phurtu umbilical cord hi eng emaw ti takin a compress a (entir nan, naute taksain a tang emaw, amniotic fluid a tlem vang emaw).
• Natna rei tak i neih: Entirnan, zunthlum, kal natna emaw, thinlung natna emaw i neih tawh chuan.
• Twins (a bik takin `identical twins`) i beisei a nih chuan .Risk hi a sang deuh mai thei.

Engtin nge doctor-te hian he natna hi an hriat theih?

Doctor-te chuan naute heart rate an enfiah ber a, a harsatnaah a awm em tih an enfiah thin. Naute heart rate a slow a nih chuan, emaw heart rate pattern-ah danglamna danglam tak a awm a nih chuan ``Fetal Distress'' chhinchhiahna a ni thei a ni.He heart rate hi enfiah hian naupai leh nau neih laiin naute hian engtin nge a tuar ang tih hriatna tha tak a pe thei che a ni.

Naupai laiin test neih thin a ni

I naupai lai hian i doctor chuan i naute thinlung thawk dan enfiah nan hetiang test hi a rawt thei ang:

• Non-stress test (NST): He test-ah hian i mut lai emaw, i thut laiin i pum vel electronic sensor nei belt i bun thin. He sensor hian i naute heart rate a teh a, a record bawk. He test hian i uterine contraction te pawh a check thei bawk. Results chu i naute active dan (`reactive` emaw `non-reactive`) atanga teh a ni.
• Biophysical profile (BPP): Hei hi ultrasound scan a ni. Naute che vel, taksa ruh (muscle tone), thawk dan leh amniotic fluid volume te a teh a ni. A chang chuan NST nen inzawmin tih a ni. Hei hian naute dinhmun tha tak a pe thei a ni.

Nau neih laiin enfiahna

Nau i pai lai hian doctor chuan naute thinlung thawk dan chu a enkawl chhunzawm zel emaw, a hun laiin emaw a enfiah ang .

• Continuous monitoring tih awmzia chu i pum vel a dah device hmanga i naute thinlung thawk chu engtik lai pawha ngaihthlak a ni. Hei hi hmanraw hman tam ber a ni a, a bik takin risk a awm chuan.
• Intermittent monitoring tih awmzia chu doctor emaw nurse emaw chuan naute thinlung thawk dan chu hun bituk (entir nan minute 30 danah) a enfiah thin tihna a ni.

Naute thinlung thawk dan enfiahna atana hmanraw pawimawh pahnih a awm a, chungte chu:

• Electronic fetal heart rate monitor: Hei hi a hmaa ka sawi tawh kha a ni a, i pum vel ah `sensor` i dah a ni. I naute thinlung thawk ri chu `computer`-ah a thawn a, chuvang chuan medical team-in an en thei a ni. `CTG (Cardiotocography)` machine chungchang hi i hre tawh mai thei , chu chu a ni. Naute heart rate leh i `contractions` pattern te chu `graph` khatah a record vek a ni.
• Doppler hmanrua: 1.1.Hei hi hmanraw te tak te, i kut a i vawn thin a ni. Doctor chuan i pum chungah a dah a, sound wave hmangin naute lungphu a ngaithla thin. Clinic-a i kal tlangpui hian doctor chuan he Doppler hmang hian naute thinlung thawk dan a enfiah thin tih i hre reng mai thei.

Naute hian harsatna a tawk a nih chuan engtin nge i tih ang?

Ngaihtuah teh, doctor-te chuan naute chu nau i pai laiin harsatna a tawk tih an hriat chuan, lungngai lovin naute tanpui turin hetiang thil hi an ti thei ang:

• I dinhmun thlak danglam: A chang chuan i mutna lam (a tam zawkah chuan veilam sir) thlak hian i thinlungah thisen a kal tha thei a, i naute hnena oxygen supply a tipung thei bawk.
• Mask hmanga oxygen pek che: Hei hian i naute oxygen a dawn zat a tipung a ni.
• I kut chhunga vein pakhatah saline (fluids through an IV line) pek: Hei hian hydration dik tak a neih theih nan a pui a, thisen kal dan a ti tha bawk.
• Uterine contraction tihziaawm emaw tihtawp emawna damdawi pek: A chang chuan a rang lutuk (tachysystole) chuan damdawi pek theih a ni a, tlem a control theih nan leh naute chu a dam leh theih nan hun pek theih a ni.
• Amnioinfusion: Hei hi tih dan bik a ni. Naute chu umbilical cord compression ang chi thil vangin a dam lo a nih chuan he tih danah hian a bik taka siam tui (warm saline ang chi) chu amniotic sac-ah leh nausen pum chhungah inject a ni. Hei hian umbilical cord-a pressure tihziaawmna kawngah a pui thei a ni.

A pawimawh ber chu naute dinhmun a zirin Doctor ten thutlukna rang leh mumal tak an siam thin hi a ni.

A châng chuan, heng tehnate hmang hian naute dinhmun a ṭhat thuai loh chuan, naute chu a hrin vat a ngai mai thei.

• I serh chu a zau vek a, naute chu birth canal hnuai lamah a kal tawh a nih chuan i doctor chuan forceps emaw vacuum extractor emaw hmangin naute chu a la chhuak thei ang. Doctor ten hengte hi naute tichhe lo zawngin an hmang thin.
• Chutiang a nih loh chuan naute venhim nan emergency C-section tih a ngai mai thei.

Heng zawng zawng hi i tih hmain doctor chuan nang leh i chhungte hnenah thil thleng leh he thutlukna an siam chhan a hrilhfiah ang che. Engkim hi i remtihnain tih vek a ni. Chuvangin hlau suh, zawhna i neih chuan zawt rawh.

He natna hian naute chungah hun rei tak chhung nghawng a nei thei ang em?

Hei hi a hlauhawm deuhin a lang thei a, mahse thudik hriat a pawimawh. Fetal distress hian naute chungah hun rei tak chhung nghawng engemaw zat a nei thei a, a bik takin nau neih laiin oxygen a tlakchham rei hle a nih chuan.

Hetiang thil hi a thleng a nih chuan naute hian thluak hliam a tuar thei a, cerebral palsy ang chi natna a nei thei a, a nih loh leh thil vanduaithlak leh na tak tak thenkhatah chuan naute chu nau piang thi ang pawhin a piang thei bawk.

Mahse, hetah hian i hriatthiam tur pawimawh ber chu, doctor leh damdawi ina thawktute chuan naute chu harsatna a tawk tih an hriat veleh, chutiang harsatna lian tham a lo chhuah hma chuan naute himna turin theihtawp an chhuah a ni. An thil tum ber chu chutiang dinhmun laka inven a, naute hrisel tak i hnena pek hi a ni.

Naupai lai hian ``Fetal Distress`` kan neih loh nan kan tih theih tur a awm em?

A tam zawkah chuan he ``Fetal Distress`` an tih hi a lo thlen loh nan engmah tih theih i nei lo. A chhan chu a thlen thei thil thenkhat (e.g., umbilical cord problems) hi kan thunun theih loh a ni.

Mahse, beidawng suh! Hetiang hlauhawmna tihziaawmna tur leh hriat hmasakna atana pui turin thil i tih theih a awm a:

• I clinic appointment engmah lo thleng tawh suh. Doctor thupek zawm rawh. I scan leh thisen test te chu a hun takah tih tir rawh.
• Naupai hrisel tak nei rawh. Hei hian ei leh in inthlau tak (thei, thlai, legumes, protein) ei te, exercise tul (doctor-in a tih angin) neih te, tui in tam te, mut tam te, meizuk leh zu in loh te a kawk a ni. Heng thilte hian ``Fetal Distress'' thlen thei dinhmun thenkhat (e.g., gestational diabetes, thisen sang) lo awm theihna a ti tlem thei a ni.
• I naupai leh nau neih chhunga i natna lan chhuah dan eng pawh doctor nen zalen takin sawipui rawh. Eng thil pawh, a tenau tak pawhin mak a tih chuan hrilh rawh.
• Entirnan, i naute che vel (fetal kick count) chu ngun takin en reng ang che. I naute chu nitin a che tlem tial tial nia i hriat chuan i doctor hnenah hrilh rawh .
• Tin, i vaginal bleeding, vaginal fluid luang chhuak nghal (i tui a chhe ang mai), emaw, persistent, painful contractions (a bik takin i due date hmaa) i neih chuan i doctor ko la, damdawi inah kal nghal rawh.

Heng thilte hian doctor-te chu ``Fetal Distress'' tih hming pu natna a awm leh awm loh hriat theihna turin a pui a ni.

Ka naute chu harsatna a tawk tih ka hriat chuan engtin nge ka tih ang?

Ngaihtuah teh, doctor-in i naute chu harsatna a tawk tih a hrilh che chuan, chutih lai chuan lungkhamna leh hlauhna i neih chu thil pangngai a ni. Mahse, a pawimawh ber chu i doctor leh medical team-te thusawi ngun taka ngaihthlak a, an thupek dik taka zawm hi a ni.

A chang chuan thil a inthlak rang thei hle a, chuvangin i doctor hnenah eng thil nge thleng tih leh engvangin nge hetiang hian an tih tih zawt hlau suh.I hriatthiam theih tur zawngin thil an hrilhfiah ang. A tam zawkah chuan doctor-te chuan i rilru put hmang an ngaihsak avangin i rilru put hmang an zawt ang che.

Naupai leh nau neih laiin naute harsatna a tawh leh awm loh hriat theihna turin obstetrician leh gynecologist-te chu training sang tak nei an ni tih hre reng ang che. He natna, ``Non-Reassuring Fetal Status'' emaw ``Fetal Distress'' tia hriat hi naute thinlung thawk ngaihthlak a, chetna tlahniam chhinchhiahna an hmuh hian an hre thei a ni.

A châng chuan, harsatna lian tham a thlen loh nan naute hi nau neih hmasak a ngai mai thei. I taksa thusawi ngaihthlak leh i natna lan chhuah dan doctor hnena hrilh hi nausen lungngaihna tihziaawmna atana i tih theih tha ber a ni. I rilru hahdam taka awm a, i medical team nena thawhhona chuan he harsatna hi i hneh thei a ni.

Chuti a nih chuan, he thawnthu atang hian eng thil nge kan hriat reng tur pawimawh ber?

Tunah chuan kan sawi tawh `(Fetal Distress)` emaw `(Non-Reassuring Fetal Status)` emaw tih dinhmun hi i hrethiam zawk ngei ka beisei. Thil ngaihtuah tur a awm lo, awareness hi a pawimawh ber a ni.

• A pawimawh ber chu naute hian a pum chhungah harsatna engemaw zat a tawk thei tih hriat hi a ni. Mahse, a tul lova hlauh reng reng a ngai lo.
• I clinic appointment te chu tlawh lo la, doctor thupek dik takin zawm rawh. Chu chu nang leh i naute tan pawha tha ber a ni.
• Naute heart rate inthlak danglam, naute chetna tlahniam, leh amniotic fluid tlahniam ang chi chhinchhiahna te chu hre reng ang che. Chutiang thil i hriat chuan thil tenawm tak pawh ni se, rinhlelhna i neih chuan doctor hnenah hrilh nghal rawh.
• Doctor-te hi heng natnate hi hriatchhuah leh enkawl turin an zirtir tha hle a, chuvangin ring la, an thurawn zawm rawh.
• A châng chuan naute i hrin vat a ngai a nih pawhin naute leh i himna tur a ni.
• I taksa thu ngaithla la, i doctor hnenah i rilru put hmang, hlauhthawnna leh rinhlelhna te sawipui rawh.

He thu hi in tan a tangkai ngei ka beisei. Nu naupai zawng zawngte chu hrisel, hlim taka piang turin duhsakna ka hlan a che! Nang leh i naute chungah duhsakna ka hlan e!

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