Naupai i nih chuan, ‘Ka naute hi a hun hmain a piang dawn em ni?’ tiin i ngaihtuah fo mai thei. He hlauhna hi a bik takin natna leh natna tenau te ang chi thil i hriat hian a nasa zual hle. Hei hi nu tam takin an tawn thin a ni. Chuvangin, vawiin hian test bik kan sawi dawn a, chu chuan naute piang hmaa i neih theihna tur hlauhawm i nih leh nih loh chiang taka i hriat theih nan a pui ang che. Hei hi fFN test kan ti a.
A awlsam zawngin, he nausen fibronectin (fFN) hi eng nge ni?
Okay, he hming hi a buaithlak deuhin a lang thei a, mahse a takah chuan a awlsam khawp mai. I naute chu tui khat bag chhungah a awm ang tih han ngaihtuah teh. Damdawi lam hawi chuan hei hi amniotic sac kan ti a. He bag hi i uterus wall-ah nghet taka dah a ngai a ni. Chu attachment nghet taka awm tir thei he natural "gum" hi fetal fibronectin an ti a. Hei hi protein chi khat a ni.
He fFN protein hi naupai kar 22 hmasa berah vaginal discharge-ah a awm hi thil pangngai a ni. Tin, naupai tawp lam, kar 35 hnuah naute piang tura a inpeih tawh avangin he fFN protein hi vaginal discharge-ah hmuh leh theih a ni.
Mahse, kar 22 leh kar 34 inkarah chuan he fFN protein hi vaginal discharge-ah hian a awm tur a ni lo. A awm chuan "gum" chu a lo chhuak tawh a, naute awmna bawm chu uterine wall atanga a inthen tan tihna a ni. Chu chu naute piang hmaa neih hlauhawmzia tilangtu chhinchhiahna a ni.
Eng dinhmunah nge he fFN test hi tih a nih?
Hei hi hmeichhe naupai zawng zawng tan test a ni lo. I doctor chuan nau piang hmaa i neih theihna tur hlauhawma a rinhlelh chuan he test hi a rawt chauh ang. Hei hi chhan pahnih awm thei a ni.
1. Preterm labor symptoms i lantir a nih chuan.
2. Nau piang hmaa neih theihna tipungtu thil dang i neih chuan.
Heng point pahnih hi a hranin han thlir ila.
1. Naupai hmaa natna lan chhuah dan
Kar 37 hmaa heng symptoms pakhat emaw a aia tam emaw i neih chuan i doctor chuan fFN test neih a rel thei ang.
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Nausen pum (uterine) a inzawm khawm | Ka pum chu lungpui ang maiin a khauh ang maiin ka hria a, rei vak lo hnuah a bo a, a rawn let leh thin. Darkar khatah vawi li aia tam hetiang hi a thleng a nih chuan i ngaihtuah tur a ni. |
| Pum natna emaw, nuam lo emaw | Ka pum a na a, thlasik lai ang bawkin. |
| Spinal cord hliam a awm | A hnungzang hnuai lam natna mak tak, awm reng. Position ka thlak pawhin a bo ngai lo. |
| Vaginal discharge a inthlak danglam thin | Vagina atanga tui chhuak, mucus ang chi, thisen tlem a awm. 'Show' kan paltlang ang mai a ni. |
| Cervical dilation chhinchhiahna a awm | Hei hi doctor-in test a tih hian a nemnghet a ni. |
| Pelvic area-a pressure awm | Naute chu a hnuai lam a nawr ang maia hriatna. |
| Tui bag rupture `(PPROM)` | Amniotic sac hi a hun hmain a rupture a, chu chuan vagina chhungah tui ang chi a luang chhuak thin. |
A pawimawh ber chu hetiang symptom hi i hmuh chuan thil tenawm tak angin ngaihthah suh la, i doctor hnenah hriattir nghal rawh .
2. Nau piang hmaa neih theihna tipungtu thil dang
A chang chuan symptoms i nei lo thei bawk. Mahse a hnuaia risk factors te hi i neih chuan i doctor chuan he fFN test hi a order thei ang.
- Naupai hmaa naute a hun hmaa a hrin tawh.
- I uterus emaw cervix emaw surgery eng pawh neih tawh.
- Nunphung hrang hrang, naupai laia meizuk leh naupai hmaa thau lutuk te.
- Cervix tawi: Hei hi scan hmanga hriat theih thil a ni.
- Naupai pahnih inkar hun hi a rei lo hle (e.g. thla 6 aia rei lo).
Test hmain engtin nge ka inbuatsaih ang?
Hei hi a pawimawh hle. A chhan chu, test result dik tak a nih theih nan heng thilte hi i zawm a ngai a ni. Test lak hmain darkar 24 chhung a hnuaia thilte hi pumpelh tur a ni.
- Sex hman loh tur.
- Vagina chhungah engmah dah suh. Entîr nân, lubricant, sahbawn, suppository, douche emaw hmang suh.
- Pelvic examination pangngai emaw, transvaginal ultrasound emaw neih loh tur.
- Kawng danga vagina, cervix, uterus tibuai thei thil engmah tih loh tur.
Heng thilte hi i tih chuan test result chu falsely positive a ni thei . Chumi awmzia chu risk-ah i awm tak tak lo a nih pawhin false positive result i hmu thei tihna a ni. Tin, i vaginal bleeding moderate emaw heavy emaw i neih chuan i doctor chuan he test hi a ti lo ang. Hei hian result a thlak danglam thei bawk.
Engtin nge fFN test hi tih a nih? A na em?
He test hi hlau suh. A awlsam em em a, a hrehawm lo hle bawk. Pap smear ang maiin a lang.
I doctor chuan i vagina-ah cotton swab sei leh te tak te a dah ang a, i serh atanga tui sample tlemte a la ang. Chumi hnuah sample chu laboratory-ah thawn a ni ang a, fFN protein a awm leh awm loh enfiah a ni ang.
Test result hian eng nge a sawi?
Chumi rah chhuah chu chi hnih a awm a: Positive emaw Negative emaw . Heng pahnih awmzia dik tak hriat hi i tan a pawimawh hle.
| Nghawngchhuah | Hei hian eng nge a awmzia? | Eng nge thleng leh ang? |
|---|---|---|
| Dik | fFN protein hi i vaginal discharge ah a awm a. Chu chu kar khat emaw kar hnih emaw chhungin nau pai theihna a awm tihna a ni . | Doctor chuan nau neih hma turin a buatsaih ang che. I naute lung a than chhoh theih nan damdawi a pe ang che a, uterine contraction tihziaawmna tur damdawi a pe ang che a, uluk takin a lo en reng ang che. |
| Dik lo | I vaginal discharge ah hian fFN protein a awm lo. Hei hian kar hnih chhunga nau pai theihna a tlem hle tihna a ni . Hei hi result thlamuanthlak tak a ni. | In lamah haw turin an ti ang che. I natna lan chhuah dan a la awm reng chuan kar khat emaw kar hnih emaw hnuah test dang nei leh turin an ti thei che a ni. |
Hetah hian thil pawimawh tak chu result tha tak i neih chuan naute hmasa i nei ngei ang tihna a ni lo. Risk a sang zawk tihna mai a ni a, chuvangin kan fimkhur lehzual a ngai a ni.
A result a positive a nih chuan doctor hian eng nge a tih?
Positive result i hmuh chuan hlauthawng suh. I doctor chuan nang leh i naute chu enkawlna tha ber pe turin hma a la nghal ang tihna a ni. Hei hi a tlangpuiin hetiang hian tih a ni:
- Naute lung a puitlin theih nan Corticosteroid injection: Nausen piang hmasa te tana harsatna lian ber chu an lung a lo thang kim loh vang a ni. Heng injection te hian naute lung a tipung thuai a, nausen pian hnua lo awm thei respiratory distress syndrome (RDS) a veng thei bawk.
- Uterine contraction tihtawp emaw tihtlem emaw nan tocolytics pek: I na a nih chuan, i uterus a contract tihna a nih chuan heng damdawi te hian a titawp emaw tihziaawm emaw a pui thei a ni. Hei hian naute pum chhunga awm reng turin ni engemaw zat min pe leh thei a ni. Hei hian steroid injection te pawh a thawk thei dawn a ni.
- Antibiotics pek: A then phei chuan, a bik takin i tui a chhe emaw, group B strep infection i neih emaw chuan naute hnena natna darh zel tur venna atan antibiotics pek thin a ni.
He test hi engtiang chiahin nge a dik?
Hei hi zawhna pawimawh tak a ni.
- Negative result hi a dik hle: fFN test a negative a lo let leh chuan kar hnih chhungin nau i pai dawn lo tih 99% in i chiang thei ang. Chuvangin hei hi result thlamuanthlak leh rintlak tak a ni.
- Positive result hi a dik vak lo:Nu tam tak result tha tak nei te chuan an naute chu full term-ah an hrin tawh a ni. Chuvangin result tha tak i neih chuan a rah chhuah tur chu hlau suh. Risk a awm tihna mai a ni a, chuvang chuan kan fimkhur zual a ngai a ni.
Results hmuh nan darkar 24 atanga 48 vel a ngai tlangpui. Hemi chungchang hi i doctor nen inbia la, a hmain hre reng ang che.
Take-Home Thuchah a ni
- Fetal fibronectin (fFN) hi "natural glue" a ni a, gestational sac chu uterus-ah a stick a ni. fFN test hian hei hi vaginal fluid ah a zawng thin.
- He test hi kar 22 leh 34 inkarah chauh tih tur a ni a, preterm labor symptoms emaw risk factor dang emaw i neih chuan.
- Test result negative a lo let leh chuan kar hnih chhunga nau pai theihna a tlem hle tihna a ni. Hei hi thlamuanna ropui tak a ni.
- Results positive a nih chuan risk a sang zawk tihna a ni. Mahse naute hmasa i nei dawn tihna erawh a ni hauh lo. I doctor chuan uluk takin nang leh i naute chu a enkawl ang a, a tul anga enkawlna a tan ang.
- Mipat hmeichhiatna hman loh leh test hma darkar 24 chhung chu result dik tak hmuh theih nan vagina chhungah eng thil pawh dah loh a pawimawh hle.
- I naupai laia i rilru hahna, hlauhna leh rinhlelhna i neihte chu hreh lovin i doctor nen inbia ang che .
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