Labour room-ah i naute hrin tumin i awm ang tih han ngaihtuah teh. Darkar tam tak i nawr tawh a, mahse naute chu a chhuak dawn lo ang maiin a lang. Doctor te chuan i chau lutuk a, naute tan a tha lo an ti. Hetiang hun lai hian medical team te hian ‘forceps delivery’ tih thil an sawi tan thin. He hming an hriat hian nu tam takin an hlauthawng deuh hi thil pangngai a ni. Mahse, hei hi eng tak nge ni? A hlauhawm em? Engkim hi chiang tak leh awlsam takin sawi ila.
A awlsam zawngin Forceps Delivery tih hi eng nge ni?
A awlsam zawngin, forceps delivery hi vaginal delivery pangngai, tanpuina nena tih a ni. Hei hi medical team-in nau neih hun hnuhnung ber, eng emaw chhan vanga nau neih a tihkhawtlai laia nang leh i naute tanpui nan an hman dan a ni.
Chumi atana hmanraw hman chu ‘forceps’ an ti a. Mi thenkhatin hei hi an hmuh hian metal salad spoon lian pahnih a hriatchhuah tir thin. Mahse hei hi naute lu chu zawi zawia man a, a pianna kawngkhar kal tlanga kaihruai tur chauha siam a ni a, engmah tichhe lo. Hei hi mi zawng zawng tih a ni lo. Mahse a then phei chuan cesarean section (C-section) kal ngai lovin naute him taka lakchhuah hi a tangkai hle.
Engvangin nge nau neih laiin forceps i hman a ngaih?
Nau neih stage hnihna, ‘pushing stage’, chu chu eng ang pawhin nawr mah la, naute a chhuak lo tihna a nih chuan, medical team chuan nang leh i naute hi uluk takin an vil reng ang.
Hei hi chhan hrang hrang vang pawh a ni thei:
- I hriselna: I hriselna lama harsatna i nei a, chu chuan i nawr chhunzawm zel theih nan a ti hah lutuk emaw, a hlauhawm lutuk emaw a ni thei. Chutiang hunah chuan doctor-te chuan i nawr nasat lutuk chu tihtlem an tum ang.
- Naute hriselna: Naute thinlung chakna a inthlak danglam chuan naute hian nau neih harsatna a tuar chhuak thei tih a tilang a nih chuan doctor-te chuan naute chunga lungkhamna awm chu tihziaawm an tum ang. Heart rate thenkhatah chuan naute hian nau neih laiin oxygen a dawng tlem hle tih a tilang thei. Hetiang a nih chuan naute hi a rang thei ang bera hrin a tha ber.
Hetiang dinhmunah hian him taka naute neih theihna tura tanpuina a ngai tih thutlukna siam a nih chuan medical team chuan duhthlan tur engemaw zat an nei a ni. Forceps hmanga nau neih leh vacuum extraction hi hmanraw pahnih a ni a, surgery tel lovin naute chu a pianphungah a piang thei a ni. Amaherawhchu, heng hmanraw hmang tur chuan naute hi pianna kawngkhar lamah a hmasawn tha hle tur a ni a, naute dinhmun pawh chiang taka hriat chian a ngai a ni. Hetianga assisted delivery hi a theih loh chuan, emaw, a hlawhchham chuan doctor chuan cesarean section (C-section) neih a rawt ang.
Forceps nge vacuum hmang? Eng nge tha zawk?
Forceps leh vacuum pahnih hian a hlauhawmna leh a hlawkna hi a tam zawk chu a inang vek a ni. Chumi pahnih zinga thlan chu i doctor training leh experience ah a innghat fo thin . Forceps hi thiamna tam zawk a mamawh a, doctor training tlem zawk a nih avangin hman a tlem hle.
Mahse vacuum method hmanga tih theih loh leh forceps hmang chauha tih theih thil a awm.
| Mihring ziarang | Forceps hmanga siam a ni | Boruak awm lohna |
|---|---|---|
| Naute dinhmun chu | I naute lu chu a inher theih nan i pui thei a, a awmna tur dik takah i dah thei bawk. | Naute lu chu a ding nghet tur a ni. Rotate theih a ni lo. |
| Breech hmanga pek chhuah a ni | Naute chu breech position-a a awm lai pawhin hman theih a ni. | Hman theih loh. |
| Hlawhtlinna rate | Hlawhtlinna rate hi vacuum method aiin a sang zawk. | Forceps hmanga hlawhtlinna rate hi a hniam deuh hlek a ni. |
Engtikah nge leh khawiah nge forceps hman theih ang
Forceps hi hman apiangin hman theih a ni lo. Chutiang a nih theih nan chuan condition thenkhat zawm a ngai a ni. Tin, hetianga tih hi thil tha lo tak tak a nih loh chang pawh a awm bawk.
| Forceps hman hun tur | Forceps hman loh hun tur |
|---|---|
| Doctor hian forceps hman danah training tha tak leh experience tha tak a neih chuan. | I cervix chu a dilated kim lo a nih chuan. |
| Darkar tam tak nawr hnuah pawh delivery a hlawhtling lo a nih chuan. | Naute chu kar 6 aia tam a pian hma chuan. |
| Naute chu birth canal chanve vel a nih a, forceps dah theihna stage-a a awm chuan. | Naute hian thisen chhuah harsatna emaw ruh natna emaw a neih chuan. |
| Naute thinlung na hian nausen harsatna a tawk tih a tilang a, rang taka lakchhuah a ngai a nih chuan. | Naute awmna dik tak i hmuh theih loh chuan. |
| Naute chu a lian lutuk a, birth canal kaltlangin a chhuak thei lo nia i ngaih chuan. |
Hei hi a him em? Eng nge a hlauhawmna?
Hriat hmasak tur chu eng nau neih pawh hian risk engemaw zat a keng tel tih hi a ni . Medical team hna chu nangmah leh i naute tana chu hlauhawmna chu tih tlem hi a ni.
Doctor-te chuan forceps hmanga nau neih an rawt a, a chhan chu chutianga tih loh chuan a hlauhawmna a sang zawk an rin vang a ni.
Ngaihtuah teh, nau neih a tlai chhunzawm zel a nih chuan naute hian oxygen a hmu tlem mai thei. Forceps hmanga chhiatna tenau lo thleng thei aiin chhiatna thleng thei chu a nasa zawk hle. Tin, he method hi a hlawhchham chuan emergency cesarean section neih theihna chance chu forceps hmanga nau neih tum aiin a tam zawk bawk.
Nu tan risk a awm
Heng hlauhawmnate hi nau neih pangngaiah a awm thei a, mahse forceps hman a nih chuan a tam zawk deuh.
- Vaginal mittui tla: 1.1.Hliam tenau emaw, na tak emaw a awm thei.
- Anal lesions: Mi tlemteah a awm thei a, 10% vel a ni.
- Zun harsatna: Hliam nen a inzawm.
- Pelvic organ prolapse: Hei hi hliam nasat dan nen pawh a inzawm tlat a ni.
Naute tana hlauhawm thei tur
A tha ber chu, naute tana hlauhawm tam zawk hi a tlem hle a, rei lo te chhung atan a ni . Complication na tak tak a awm hi a tlem hle.
- Lu emaw hmai emaw a superficial scratches: Hengte hi ni engemaw zat chhungin a dam vek ang.
- Temporary facial nerve palsy: Facial nerve tlemte pinching hian hmai sir khata thau te chu a tichak lo thei a, chu chuan hmui chu a sir khatah a hrual ang maiin a lang thei a ni. Hei hi kar tlemte chhungin a reh vek tlangpui.
- Luru ruh tliak (Skull fractures): Nausen piang thar lu ruh hi a nêm hle. Hei vang hian fracture tenau lo awm thei te hi anmahni chauhin an dam fo thin.
- Luruh chhunga thisen chhuak: Hei hi a awm lo hle a , mahse na tak a ni. Hei vang hian medical team te hian nau piang hnuah uluk takin an vil reng 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 ni. Mahse a dam leh hun chhung hi nau neih pangngai nen a inang hle. Kar ruk vel a ni tlangpui . Hliam na tak i neih chuan a rei deuh mai thei. Stitch i neih chuan thla khat vel hnuah a dissolve ang.
I natna tihziaawm nan doctor-in a pek painkiller i hmang thei bawk. Mahse, a natna chu tuar theih loh a nih chuan doctor hnenah hrilh ngei ang che .
Take-Home Thuchah a ni
- Forceps delivery hi hlauh tur a ni lo. Nau neih tlai huna cesarean section tih loh nan assisted birthing method a ni.
- I doctor chuan he hman dan hi i hman leh hman loh tur thu a rel ang a, i naute himna leh himna ngaihtuahin.
- Damdawi hman dan zawng zawng ang bawkin, hlauhawmna a awm. Mahse, a tam zawkah chuan he hmanraw hman loh hian a hlauhawmna a tam zawk.
- Naute hian harsatna a tawh tam ber chu a tenau leh rei lo te chhung chauh a ni. Serious condition hi a tlem hle.
- A tha ber chu i doctor nen heng assisted birthing method chi hrang hrangte hi sawipui la, i naupai chhung hian hriattir reng hi a ni. Chutiang chuan emergency-a thutlukna siam chu a awlsam zawk ang.
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