Nu naupai i nih huna i hlimna chu tawngkam hmanga sawi chhuah theih a ni lo, a dik em? Tin, naute hriselna chungchangah hlauhna leh hriat duhna tlem a neih hi thil pangngai tak a ni bawk. Clinic-a i kal a, doctor emaw chhungkaw hriselna lama thawktu emaw chuan i pum chungah hmanraw te tak te a dah a, naute thinlung thawk ri chu i ngaithla thei che a, i hlimna chu... Chu "dug dug" ri ang music thlum chu a awm lo mai thei. Chuti a nih chuan, engvangin nge he heartbeat hi nitin an check thin? Hei hi eng nge Fetal Heart Rate Monitoring an tih? Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.
Naute thinlung thawk dan enfiah hi eng nge a awmzia?
A awlsam zawngin, i naute thinlung thawk chakna leh a kalphung a teh a ni. Doctor-in kan lungphu a en a, kan hrisel leh hrisel loh a hriat theih ang bawkin, i naute thinlung thawk dan hian a pum chhunga a tih that leh hahdam zia a hriat chian theih ang. I naute hnen atanga "progress report" ang mai a ni.
Engvângin nge he fiahna hi a pawimawh êm êm?
Nausen hrisel tak pum chhunga seilian heart rate chu a tlangpuiin minute khatah 110 leh 160 inkar a ni tur a ni . Doctor chuan he heartbeat hi a enfiah hian a rate chu a normal limit chhungah a awm leh awm loh leh a pattern-ah thil danglam a awm leh awm loh a ngaihven hle ang.
Ngaihtuah teh, naute heart rate a tlahniam lutuk emaw, a san lutuk emaw a nih chuan naute hian oxygen a dawng tlem lutuk emaw, harsatna dang a awm tih emaw a ni thei.
Mahse hei hi hre reng ang che: I heart rate-ah hian a hniam lam a inthlak danglam hi thil pangngai a ni. Minute 10 chhunga minute khatah heart rate 6 leh 25 inkar a inthlak danglam thin hi chhinchhiahna tha tak a ni tlangpui. Chuvangin inthlak danglamna tlemte i hmuh chuan hlauthawng suh.
He test hian thil danglam tak a lantir chuan doctor chuan hma a la vat thei a, a tul chuan test dang a ti thei a, a chang chuan emergency delivery atan a refer thei bawk. Heng zawng zawng hi nang leh i naute himna tur atana tih a ni.
Eng dinhmunah nge he test hi tih a nih?
Naute thinlung thawk dan enfiahna hun pawimawh pathum a awm.
1. Nau neih hmaa tlawh dan pangngaiah: Thla tin nau neih hma clinic i tlawhnaah i doctor emaw, chhungkaw hriselna lama thawktu emawin naute thinlung thawk dan a enfiah lai i hmu tawh mai thei. Hei hi routine checkup-na atana thil pawimawh tak a ni.
2. Naupai hlauhawm tak: Hmeichhe naupai thenkhat chuan ngaihven bik an mamawh. A hnuaia thil awmte hi i neih chuan i doctor chuan i naute thinlung thawk dan a enfiah fo thei ang.
- Preeclampsia - Hei hian naupai laiin thisen sang tihna a ni.
- Zunthlum.
- Naupai laiin thisen chhuak dangte.
3. Nau neih leh nau neih lai: Nau neih leh nau neih lai, a bik takin nau neih tan atanga naute pian thleng hian naute lungphu chu enfiah chhunzawm zel a ni. Hei hi a chhan chu naute hian nausen pum a inzawm apiangin pressure tlem a nei thin. Naute hian chu pressure chu a tuar thei em tih leh oxygen a dawng tlem em tih hriat theihna tha ber chu he thinlung thawk dan hi en hi a ni.
Heart rate tehna hmanrua te hi engte nge ni?
He test hi kawng hnih hmanga tih a ni ber. Chu chu pawn lam leh chhung lam a ni. Heng pahnih inthlauhna hi eng nge ni tih i lo en ang u.
Pawn lam atanga enkawl
Hei hi hmanraw hman tlanglawn ber a ni. Device hi i pum chungah dahin enfiah a ni.
| Device hming | A awlsam zawngin... |
|---|---|
| Fetoscope hmanga enkawl a ni | Hei hi doctor-te’n kan rilruah stethoscope an dah ang mai a ni a, mahse a sir khat chu funnel ang maia siam a ni. I pum chungah direct-in dah a ni a, i beng i nghat a, naute thinlung thawk chu i ngaithla a ni. Hei hi hmanraw hlui deuh a ni. |
| Kut hmanga Doppler ultrasound hmanga tih a ni | Hei hi clinic-a i hmuh fo thin chu a ni. Doctor chuan i pum chhungah gel tlem a hnawih a, a chungah he machine te tak te hi a dah a. Tichuan, sound wave hmangin naute thinlung thawk chu kan hriat theih nan a thawn chhuak a. Tin, screen-ah heart rate a entir bawk. |
| Electronic hmanga enkawl chhunzawm zel | Hei hi nau neih laiin hman a ni fo. I pum vel chu elastic band pahnih dah a ni. Band pakhata ultrasound device chuan naute thinlung thawk dan a teh chhunzawm zel a. Band danga device pakhat chuan i uterus-a contractions, a nih loh leh dilation chu a teh a ni. An pahnih hian monitor-ah an inzawm a ni. |
Internal Monitoring neih a ni
Hei hi thil tih dan tur awm lo deuh a ni. Hetiang hmanrua hi nau neih lai chauh hman a ni a, i tui a chhe hnuah chauh hman a ni.
Hei hian vagina kaltlangin wire electrode tha tak tak dahin naute lu vunah a inzawm tir a ni. Lungngai suh, hei hian naute tan harsatna lian tham a thlen dawn lo. Hetiang method hi hman a ni:
- Pawn lam exam result a chiang lo a nih chuan.
- Naute dinhmun chungchangah hian chiang zawka enfiah a ngai a nih chuan.
Heng test-ah hian risk a awm em?
A tlangpuiin naute thinlung thawk dan enfiah hi test him tak a ni .
Mahse, thil thenkhat kan hriat chian hi kan tan a tha khawp mai.
- Naupai laiin enkawl chhunzawm zel i nih chuan khumah i zalenna leh i kal kual theihna chu a tlem hle. A châng chuan kea kal leh dinhmun inthlâk danglam hian hrehawmna chu a tuar thei a ni.
- Tin, zirchianna thenkhatah chuan hetianga enkawl chhunzawm zel a nih chuan cesarean section emaw, vacuum/forceps ang chi hmanrua hmanga nau neih a ngai theihna chance a sang deuh thei a, chu chu a tul lo thei bawk.
- Internal monitoring hmang hian risk a tlem hle. Naute hian a lu vunah hliam tenau a neih theihna te, nuin natna a kai theihna te, nuin HIV emaw genital herpes ang chi natna a thlen theihna chance a tlem hle.
Hemi avang hian mithiam tam tak chuan naupai laiin naupai laiin enkawl chhunzawm zel a ngai lo niin an ngai a, naupai harsa lo, hlauhawm lo tak takah chuan.
In lama hman tur machine leh phone app te hi a tha em?
Hei hi ngaihven tur a ni ngei ang. Tunlai hian at-home doppler monitor hrang hrang online-ah hralh a ni a, chu chuan in lamah i naute thinlung thawk ri hriat theihna a siam niin an sawi. I phone-a i download theih tur apps pawh a awm.
Hengte hi lei leh hman loh tur a ni.
Khawvel hmun hrang hranga health agency lian tak tak, U.S. Food and Drug Administration (FDA) te chuan hengte hi in lama hman hi an thlawp lo. Hei hi chhan hrang hrang a awm a:
- Damdawi lam thil tul lo:Hengte hi damdawi lama mamawh hmanrua an ni lo.
- A hman dik theihna tur hriatna tlakchham: He hmanrua hi dik taka hman tur leh a rah chhuah hriatthiam nan training bik a ngai a ni. Nangmah ngei pawhin i thinlung thawk i hre mai thei.
- Results dik lo a awm thei: Heng device atanga result hmuh hi a dik lo. Hei hi chhan pahnih vang a ni thei.
1. A ṭul lova hlauhna: I naute lungphun i hmuh theih loh chuan ṭul lovah i lungkham a, i rilru a buai thei bawk.
2. Thutiam dik lo neih: A châng chuan naute chungah harsatna tak tak awm mah se, thinlung thawk i hriat avangin "naute chu a ṭha" tih i ngaihtuah mai thei. Hei hian damdawi lam thurawn lak a tikhawtlai thei a ni.
Phone app hrang hranga survey an neihah chuan phone-a microphone hmanga device engmah nei lo hmanga mi thinlung natna hre thei nia sawi app pakhat mah hian dik takin a ti thei lo tih hmuhchhuah a ni.
Chuti a nih chuan engtin nge in lamah naute chu a dam tha em tih i hriat theih ang?
In lama i naute hriselna enfiahna kawng tha ber, him ber leh doctor-in a pawmpui chu i naute che vel chhiar hi a ni (fetal movement counting) . I naute chu kar 16-20 vel atang hian a che tih i hre tan tlangpui. Heng chetnate hi dik taka enkawl dan tur hi doctor zawt rawh. I naute’n signal a pek che tha ber an ni.
Heart rate a inthlak danglam chuan eng nge thleng ang?
A hmasa berin hlauthawng suh. Thinlung thawk danah thil danglam i hmuh apiang ni lovin, naute chu hlauhawm takah a awm tihna a ni. Doctor chuan naute chu a vil chhunzawm zel ang a, test dang pawh a ti ang.
Thil awmdan ngaihtuah tur chu naute heart rate chu minute 10 emaw a aia rei emaw a inthlak chuan a ni . Chutiang a nih chuan doctor chuan naute venhim nan cesarean section emaw, assisted delivery method dang emaw hmanga nau neih thuai a rel thei a ni.
Heng test chungchang hi i doctor nen zalen takin sawipui rawh. Zawhna leh ngaihtuahna i neih chuan zawt hreh suh. Nang leh i naute tana tha ber tur chu i rel thei ang.
Take-Home Thuchah a ni
- Fetal Heart Rate Monitoring hi naupai lai leh nau neih laia naute hriselna enfiahna atana test pawimawh tak leh him tak a ni.
- Naute hrisel tak heart rate chu minute khatah 110 leh 160 inkar a ni.
- In lama Doppler device (at-home monitor) leh phone app hman hi a tha lo tak zet a ni. An result chu rintlak a ni lo va, a ṭul lo taka lungkhamna a thlen thei a, a nih loh leh rinna dik lo a pe thei bawk.
- I naute in lama a dam that dan enfiah dan tha ber chu a che vel (a che vel zat) en reng hi a ni. Hemi chungchangah hian doctor hnenah thurawn zawt rawh.
- I naupai chhung zawngin i doctor leh midwife te thurawn zawm thin ang che. Ringhlelna emaw, lungkhamna emaw i neih chuan zawh hreh ngai suh.
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