Nu hmangaihna nei tak, nau nei tur i nih chuan i naute pian chungchangah hian beiseina sang tak leh i thinlungah hlauhna tlem i nei a ni. A chang chuan kan ngaihtuah angin engkim a kal lo. Ngaihtuah teh, darkar tam tak chhung chu nasa takin i nawr a, mahse naute chu a la chhuak tlai hle. Doctor chuan i chau hle tih a hrethiam a, hei hi naute tan chuan a harsa hle. Hetiang hunah hian doctor chuan "Forceps Delivery" chungchang hi tanpuina atan a hrilh thin che a ni. He hming i hriat hian i hlauthawng mai thei. Mahse eng nge a nih chiang taka i hriat hunah chuan i hlauhthawnna chu a bo vek ang. Hemi chungchang hi vawiin hian han sawi ila.
A awlsam zawngin Forceps Delivery hi eng nge ni?
Forceps Delivery hi nau neih laia harsatna a awm chuan uluk taka naute lakchhuah nan Doctor-in hmanraw bik a hmang thin. Hei hi "Assisted Vaginal Delivery" an ti bawk. Nau neih pangngaia tanpuitu a ni tihna a ni.
Heng forceps te hi salad tong lian tak tak ang mai an ni. Mahse naute lu tichhe lova uluk taka chelh thei tur leh i nawr chhuah ruala naute chu kaihruai chhuak thei tura duan an ni. A pawimawh ber chu hemi kawnga a bik taka training nei doctor chauhin a hmang thei a ni.
Vawi tam tak chu nau neih a rei chuan cesarean section (C-section) hi a tawp ber a ni. Mahse, condition thenkhat a tlin chuan he method hi C-section neih ngai lovin him taka naute neihna atan a tangkai hle thei a ni.
Engvangin nge nau neih laiin forceps i hman a ngaih?
Nau neih stage hnihna, naute i nawr na stage-ah hian a chang chuan nau neih chu a tawp thei a, a kal zel thei lo. Engtiang taka nawr mah la, naute chu a chhuak lo mai thei. Chutiang a nih chuan doctor-te chuan nang leh i naute chu uluk takin an enkawl ang.
Forceps hman chhan lian tak tak a awm a:
- Hun rei tak nau neih: Darkar tam tak i nawr a, naute chu birth canal-ah a tlak loh chuan hei hi nang leh i naute tan pawh a buaithlak thei hle.
- Nu hriselna: Nu thenkhat chuan thisen sang emaw, thinlung natna emaw ang chi dinhmun an nei a, chu chuan rei tak nawr luih a hlauhawm hle. Chutiang hunah chuan doctor-te chuan nu chunga pressure tihziaawmna turin he method hi an hmang thin.
- Fetal Distress: A chang chuan naute lungphun inthlak danglamna hi hmuh theih a ni. Hei hian doctor te chu naute hian birth canal chhungah pressure engemaw zat a nei tih leh oxygen a dawng tlem thei tih a hriattir a ni . Chutiang a nih chuan naute chu a rang thei ang bera hrin a ngai a ni.
Chutiang hunah chuan doctor-te chuan naute leh nu pahnih venhimna atan Forceps Delivery emaw Vacuum Extraction emaw ang chi assisted method an hmang thin.
Forceps hman a ni em? Boruak awm lohna? Eng nge a danglamna?
Vacuum Extraction tih dan pawh i hre tawh mai thei. Method pahnih a thatna leh that lohna hi a inang tlang hle. Doctor chuan heng pahnih zinga pakhat hi an training, experience leh chutih laia nang leh i naute dinhmun a zirin a thlang ang.
Forceps Delivery hi Vacuum Extraction aiin hman tlem zawk a ni a, a chhan chu thiamna leh training tam zawk a mamawh vang a ni. Mahse, Vacuum method hman theih loh thenkhatah chuan forceps hi a tangkai hle.
Heng hmanraw pahnih inthlauhna hi ngun zawkin han thlir ila.
| Nihphung | Forceps hmanga pek chhuah a ni | Vacuum hmanga lakchhuah a ni |
|---|---|---|
| Training mamawh a ni | Thiamna sang tak leh training bik neih a ngai a ni. | Training hi a awlsam hle. |
| Naute dinhmun chu | Naute lu chu a sir dik lovah a inher a nih pawhin dinglamah a hawitir theih nan a pui thei a ni. Breech baby tan pawh a pui thei bawk. | Naute chu a lu hmahruai a, a dinhmun dik taka a awm chuan a tha ber. |
| Hlawhtlinna rate | Hlawhtlinna rate hi a sang hle. | Hlawhtlinna rate pawh a hniam deuh. Vacuum cup chu a chhuak thei. |
| Nu chungah nghawng a neih theih dan | Vaginal tears hlauhawmna a sang deuh hlek a ni. Anesthesia hman a ngai nasa zawk. | Tearing risk hi a tlem hle. |
Forceps hmanga nau neih theihna leh tih theih lohna dinhmunte chu engte nge ni?
Hei hi mi zawng zawng tih theih a ni lo. Doctor hian thil tam tak a ngaihtuah hnuah he thutlukna hi a siam thin.
| Nihna | Hrilhfiahna |
|---|---|
| Forceps hman tur atana thil tul hmasa ber | |
| Doctor training a ni | Hetiang titu doctor hian training tha tak leh experience tha tak a neih a ngai a ni. |
| Hnathawh lama hmasawnna | Darkar engemaw zat (1-4) i nawr tawh a, delivery a hlawhtling lo a nih chuan. |
| Naute dinhmun chu | Naute chu birth canal atanga a chanve vel hnuai lam leh forceps man theihna level-ah a awm tur a ni. |
| Naute hriselna dinhmun | Naute thinlung na hian nausen harsatna a lantir a, naute chu lakchhuah vat a ngai a nih chuan. |
| Forceps hman loh tur | |
| Cervical dilation a ni | I cervix chu a dilated kim lo a nih chuan. |
| Naute hmasawnna | Naute chu kar 6 aia tam a pian hma chuan. |
| Naute damdawi lam dinhmun | Naute hian thisen chhuah emaw ruh natna emaw a neih chuan. |
| Naute dinhmun chu | Naute peng pakhat, kut ang chi a lo chhuak hmasa a nih chuan, a nih loh leh naute dinhmun dik tak hriat theih a nih loh chuan. |
| Naute size a ni | Naute chu i pelvis aiin a lian zawk nia i rinhlelh chuan. |
Engtin nge hetiang kalphung hi a lo awm?
Hetiang kawng hi a hman hmain doctor chuan engkim a hrilhfiah ang che a, i hriatpuina (informed consent) a la ang. Chumi hnuah chauh chuan a kalphung chu a intan ang.
Inbuatsaihna
- Painkiller i la pek loh chuan i natna tihziaawmna tur damdawi pek i ni ang.
- Amniotic sac a la chhe lo a nih chuan a chhe vek ang.
- Bladder empty turin catheter dah theih a ni. Hei hian birth canal-a hmun a tipung a ni.
- A chang chuan, forceps awmna tur hmun siam nan vagina leh anus (the perineum) inkar hmunah hian cut tlemte siam a ngai thei bawk. Hei hi episiotomy an ti a .
Forceps hman dan tur
He hmanrua hian hlauthawng deuhin i hria a, mahse naute lu pianzia leh nu pelvis curve nena inmil tura siam a ni.
A kalphung chu hetiang hian a kal a ni:
1. I ke inzar pharh chungin khumah mu turin siam i ni.
2. A nat hunah nawr tur leh a na loh hunah chawlh hahdam turin an ti tlangpui che a.
3. I chawlh lai hian doctor chuan uluk takin forceps blade te chu, pakhat hnu pakhatin, naute lu sir lehlamah a dah ang.
4. A dawtah i nawr lai chuan doctor chuan forceps hmangin naute chu zawi zawiin a hnuai lam a hruai ang.
5. Naute lu chu a dik lo lam hawi a nih chuan a na loh laiin dinglam lamah hawitir tur a ni.
A pawimawh ber chu, hei hi forceful pull a ni lo. I pushing puih theihna tur kawng khat chauh a ni. A tlangpuiin vawi khat emaw vawi hnih emaw a tum hnuah naute chu a lo chhuak ang. Doctor chuan hei hian a puih loh thu a hriat chuan he tih dan hi a bansan nghal ang a, duhthlan tur dang a pan leh ang.
Forceps hmanga nau neih hnuah eng nge thleng?
Naute chu forceps hmanga hlawhtling taka piang a nih chuan i nau neih chu a pangngaiin a tawp ang. Mahse, he method hi a hlawhtling lo a nih chuan i doctor chuan naute hrin nan C-section a ti thei a ni.
Naute i neih hnuah doctor leh nurse ten uluk takin nang leh i naute chu an enfiah ang.
- I neih chuan: vaginal tears emaw episiotomy emaw i neih chuan stitches hmangin siamthat a ni ang.
- Naute tan: Naute hmai emaw lu emaw chu forceps atanga hliam tenau emaw, hliam emaw a awm leh awm loh enfiah a ni ang. Naute hriselna pawh darkar eng emaw zat uluk taka enfiah a ni ang.
Harsatna a awm loh chuan a hma ang bawkin naute nen in lamah i haw thei ang.
Hei hi a him em? Eng nge a hlauhawmna?
Hei hi nu tin rilrua zawhna lian ber a ni. Nau neih eng pawhah hian hlauhawmna engemaw zat a awm tih hre reng ang che. Doctor hna chu nangmah leh i naute tan chutiang hlauhawmna chu a theih ang anga tihtlem hi a ni.
Doctor chuan engmah tih loh aiin a risky lo zawk tih a rin tlat chuan forceps delivery a hmang chauh ang . Hun rei tak nau neih leh naute oxygen tlakchhamna avanga harsatna awm thei chu forceps hmanga chhiatna tenau lo thleng thei aiin a nasa zawk tih hre reng ang che. Tin, emergency C-section neih a nih chuan forceps hmanga nau neih tum aiin a hlauhawm zawk bawk.
Mahse, damdawi lam thil tih dan dang ang bawkin, hlauhawmna engemaw zat a awm. Mahse, harsatna na tak tak erawh a awm lo hle.
| Tute nge hlauhawma awm? | Harsatna awm thei te |
|---|---|
| Nu tan risk a awm | |
| Vaginal mittui tla | Nau neih pangngai aiin a tear theihna a sang zawk. A châng chuan mittui tla nasa tak (3rd or 4th degree tears) hnute thlenga zau a awm thei bawk. |
| Zun harsatna | Urinary incontinence emaw zun harsatna emaw hi nau neih hnuah rei lo te chhungin a awm thei. |
| Pelvic organ a tlakchhiat | Hei hi nau neih pangngai hnuah a thleng thei a, mahse, a hliam na tak a nih chuan a hlauhawmna a sang thei hle. |
| Naute tana hlauhawm (a tam zawk chu hun eng emaw chen atan) . | |
| Vun chunglam (superficial skin lesions) a awm | Naute hmai emaw lu emaw-ah hian forceps blade-te a tlakna hmunah hian hliam tenau emaw, hliam emaw a awm thei. Hengte hi ni rei lo te chhungin a dam vek ang. |
| Hmai nerve palsy a ni | Hun engemaw chen hmai nerve a chhiat chuan hmai sir khatah muscle a tichak lo thei a ni. Hei pawh hi kar tlemte chhungin a mah chauhin a dam leh thin. |
| Luruh a tliak | Nausen piang thar ruh chu a nêm hle mai. A châng chuan, ruh tê tê tê tak tak a awm thei a, mahse enkawlna engmah awm lovin a mah chauhin a dam a, hun rei tak chhung chhiatna a thlen lo. |
| Luruh chhunga thisen chhuak | Hei hi thil awm lo leh pawi tak a ni. Hemi chungchangah hian Doctor ten naute a pian hnuah an fimkhur hle a ni. |
Eng chen nge tihdam a ngaih?
Forceps hmanga nau neih hnuah ni khat emaw ni hnih emaw chhung damdawi inah i awm belh a ngai dawn a, mahse in lama i haw hnua i dam leh hun chhung chu nau neih pangngai nen a inang a ni. Kar ruk vel a awh tlangpui. Tear na tak a awm a, stitches a ngai a nih chuan rei vak lo a la ngai thei.
I stitches te chu thla khat vel hnuah a dissolve ang. Pads hi a hma ang bawkin i hman a ngai dawn a ni. Natna a awm chuan doctor-in a pek thin natna tidamtu damdawi hmangin a thunun theih a ni. Natna chu tuar theih loh a nih chuan doctor hnenah hrilh ngei ang che.
Take-Home Thuchah a ni
- Forceps hmanga nau neih hi doctor trained-in a tih dan him tak a ni a, nau neih lai a tawp a nih chuan nu leh naute tanpui theih a ni.
- Hei hian C-section tih ngai loh nan a pui thei a ni.
- Damdawi lam thil dang ang bawkin hlauhawmna tlemte a awm a, mahse engmah tih loh hlauhawmna erawh a tam zawk fo.
- Harsatna tam zawk hi hun rei lote chhung atan a ni a, harsatna lian tak tak pawh a awm tlem hle.
- Naute i beisei a nih chuan nau i pai hmain heng emergency te hi doctor nen inbiakna neih a pawimawh hle a, zawhna i neih apiang hriattir i ni bawk.
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