Nu hmangaihna nei tak, naute nei tur i ni em? Tichuan nau neih chungchangah hian i rilruah thil tam tak i nei a. Hlimna te, beiseina te, hlauhna tlem te pawh nei hi thil pangngai tak a ni. Nau neih hi thil awmdan pangngai ni mah se, a châng chuan harsatna tenau te a lo awm thei a ni. Mahse tûn laiah chuan doctor thiam tak takte chuan an zavai deuhthaw tân solution an nei tawh a ni. Vawiin hian hetiang dinhmun bik, nau neih laia lo awm thei, mahse enkawl that theih, leh chutiang atana hmanraw hman dan tur kan sawi a ni.
A hmasa berin ‘Shoulder Dystocia’ chu eng nge ni?
He hming hian hlau suh. A awlsam zawngin i hrethiam ang u. A tlangpuiin he khawvela naute a lo luh hian naute lu a rawn chhuak hmasa a, chutah chuan a kephah leh a taksa dang zawng zawng a rawn chhuak leh thin. Mahse a tlem hle a, naute lu a chhuah hnuah chuan a ke pakhat (a nih loh leh a ke pahnih pawh ni thei) chu nu pelvic bone chhungah a innghat a ni. Ngaihtuah teh, kawngkhar atanga kan chhuah chuan kan bag lian tak chu kawngkhar frame-ah a tang a. Chu chu damdawi lamah Shoulder Dystocia kan tih chu a ni.
Hei hi emergency anga ngaih a ni a, medical team-in an enkawl nghal a ngai a ni . A chhan chu naute kekawrte a innghah chuan naute chu a chhuak chhunzawm thei lo. Hei hian naute leh nu chu harsatna tawk thei dinhmunah a dah a ni. Mahse, i doctor leh midwife te bakah medical team te hi hetiang dinhmun atan hian an inzir tha hle tih hre reng ang che.
Chuti a nih chuan he ‘Gaskin Maneuver’ hi eng nge ni?
A awlsam zawngin sawi ila, Gaskin Maneuver hi doctor-te’n a chunga kan sawi tak `Shoulder Dystocia` natna a lo thlen huna naute kekawr ipte tang chu chhuah zalenna atana an hman dan a ni. Thil awlsam tak leh hlawhtling tak a ni fo. Midwife pakhat Ina May Gaskin-i chuan he method hi a rawn hmang hmasa ber a ni. Chuvang chuan ‘Gaskin Maneuver’ an ti a ni. Mi thenkhat chuan ‘all fours’ method an ti bawk a, chu chu all fours-a ding dan tihna a ni .
Hetiang method hian a tum ber chu nu dinhmun thlak danglam leh nu pelvis chhunga hmun awm zat tihpun a ni. Hei hian naute kekawr, a tangte chu a chhuah zalen ang a, awlsam takin a rawn chhuak thei ang.
Hei hi thil mak tak a ni. Nu dinhmun thlak danglam mai mai hian pelvis chhunga hmun chu a pung a, naute kekawrte chu chakna dang awm lovin a chhuah zalen ta a ni.
Engtin nge he method hian step by step-in hna a thawh?
A tlangpuiin nau neih hi nu chu khumah a ke inzawm chungin a muhil thin. Mahse, `Shoulder Dystocia` tih natna a lo awm a, doctor-in `Gaskin Maneuver` hman a tum a nih chuan, hetiang hian i zawm theih tur step thenkhat tarlan a ni.
| Step hrang hrang | Thil thleng mek sawifiahna awlsam tak |
|---|---|
| Step 1: Posture thlak danglam | Medical team puihnain nu chu uluk takin all-fours position-ah an sawn a ni . Hei hian khup leh kut pahnih chu khumah dah a, hip sang taka dah tihna a ni. Vawi tam tak chu hetiang dinhmuna kal ringawt hian a ke ruh (stuck shoulder) chu a chhuah zalen ang a, nau neih chu hlawhtling taka kalpui theih a ni. |
| Step 2: Ke pakhat (a tul chuan) chawi sang rawh . | Step hmasa berin shoulder a chhuah zalen loh chuan a dawt leh tur chu ke pakhat chu khup bulah ben a, ke pali a la awm laiin shoulder thlenga chawi sang tur a ni. Mi pakhatin ‘running start’ position-a a luh ang mai a ni. Hei hian pelvis chhunga hmun a tipung lehzual ang. |
| Step 3: Doctor puihna (a tul chuan) . | Heng tih dan pahnih hi a hlawhtling lo a nih chuan doctor chuan uluk takin a kut zungtang chu vagina chhungah a thun lut thei a, naute kekawrte chu a tang lai atanga chhuah tir a tum thei a ni. |
A pawimawh ber chu heng zawng zawng hi i doctor-in a rel a, a ti a, chu chu i medical team a ni ang. `Shoulder Dystocia` ang case-ah chuan chutih laia nang leh i naute tan eng nge him ber leh remchang ber tih chu an rel ang. `Gaskin Maneuver` hi chutiang hmanraw pakhat chauh a ni.
Hetiang hmanrua hi eng nge a thatna?
Hetiang hmanraw thatna lian ber chu, a hlawhtlin chuan naute kekawrte chu a zalen a, nau neih a chawlhsan tawhna hmun atang chuan nau neih leh theih a ni.
Chubakah chuan,
- Low-risk: Hei hi a tlangpuiin a him hle a, nu pum chungah pressure a siam belh lo va, naute taksa lama enkawl tam a ngai lo bawk.
- Thil tih dan buaithlak zawka kal a pumpelh:`Shoulder Dystocia` chungchangah chuan hetiang thil awlsam tak hi a hlawhtling a nih chuan `C-section` (cesarean section) emaw, damdawi lam thil buaithlak zawk `symphysiotomy` (pelvic ruh inkar cartilage cutting) emaw tih a ngai lo thei a ni.
Risk leh complication a awm lo em ni?
Hetiang method hmanga risk lian ber chu a chang chuan a thawk lo thin. Chutiang a nih chuan i doctor chuan i kekawrte zalenna tur kawng dang a lo enchhin a ngai dawn a ni. Doctor te hian hetiang dinhmunah hian an zawm thin ``sequence of maneuvers`` an nei a. Chuvangin method pakhatin hna a thawh loh chuan ngaihtuah buai a ngai lo.
Chuvangin, nau neih laiin "nausen a tang" tih ang chi i hriat chuan a theih ang anga rilru hahdam tum ang che. I medical team te chu ring rawh. An thil tum ber chu nang leh i naute himna tur a ni.
Take-Home Thuchah a ni
- Shoulder Dystocia hi nau neih laiin naute lu a chhuah hnuah nu pelvic bone-ah shoulder a inkhung tlat thin a ni.
- `Gaskin Maneuver` hi hetiang dinhmunah hian naute kekawrte chhuah zalenna atana hmanraw awlsam, him tak a ni a, nu chu prone position atanga prone position-ah sawn a ni.
- Hei hian nu pelvis-a hmun a tipung a, naute chhuahna tur hmun a siamsak a ni.
- Nau neih laiin eng method nge hman tur tih i doctor chuan a rel ang. Hemi atan hian an training tha hle.
- Chuvangin, nau neih chungchangah hlauhna tul lo tak nei lovin, i medical team-ah rinna famkim nei rawh. I leh i naute himna atan an inpekna zawng zawng a ni.
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