Naupai laiin zing khawvar leh luak chhuak hi nu tam tak tan chuan a awm fo thin. Duhawm takin ‘Morning Sickness’ kan ti thin. Mahse a chang chuan he dinhmun hi a na zual deuh thei bawk. Vawiin hian engmah tih hniam theih loh, ni khatah vawi eng emaw zat i luak chhuak a, i taksain a rihna a tihtlem theihna dinhmun kan sawi dawn a ni. Damdawi lam hawi chuan hei hi Hyperemesis Gravidarum (HG) kan ti a ni. Hei hi Morning Sickness pangngai nen a danglam hle a, damdawi lam enkawl ngai a ni.
Hei hi zing natna pangngai a ni em? A nih loh leh Hyperemesis Gravidarum a ni em? A danglamna i hria ang u.
Nu tam tak chuan hei hi zing natna tlemte chauh niin an ngai. Mahse, an pahnih inkarah hian danglamna chiang tak a awm. Ngaihtuah teh, i thianpa chu zing lamah a naute a, nang pawh i nauseal ve bawk. Mahse a chhiat em avangin nilengin engmah ei leh tui i in thei lo a nih chuan chu chu thil pangngai a ni lo.
A awlsam zawngin, naupai zinga 80% vel chuan zing natna an nei thin. Nausen a thlen thei a, a chang chuan ni khatah vawi khat emaw vawi hnih emaw a luak thei bawk. Mahse ei leh in thenkhat chu an dah hniam thei tlangpui. Hetiang dinhmun hi first trimester tawp lamah a reh tlangpui.
Mahse Hyperemesis Gravidarum (HG) hi a danglam bik a, a na zawk bawk. Hemiah hian luak chhuak chu tuar theih loh a lo ni ta a ni. Hei hian taksa rihna a ti tlahniam a, tui a tlakchham phah bawk. Hetiang dinhmun hi first trimester hnuah pawh a awm thei a, naute a pian thlengin a awm thei bawk.
He inthlauhna hi hrethiam zawk turin he table hi han en ila.
| Mihring ziarang | Zing Natna pangngai | A rilru a buai em em a, a rilru a hah em em bawk a. Hyperemesis Gravidarum (HG) . |
|---|---|---|
| Luak chhuak awm dan | Ni khatah vawi khat emaw vawi hnih emaw ang maiin, a chhe lutuk lo. | Ni khatah vawi thum aia tam, a lutuk leh chhunzawm zel. |
| Chaw leh tui ei tamna | Vawi tam tak chu ei leh in leh tui te hi taksaah hian a awm reng thei a ni. | Ka luak chhuak nasa lutuk a, ka ei leh in engmah ka dah hniam thei lo. |
| Taksa rih zawng | Weight loss a awm dawn lo. Tlemte pawhin a rihna a pung mai thei. | Naupai hmaa i rihna 5% aia tam tihtlem. |
| Tui tlakchhamna (dehydration). | A thleng lo. | A thleng fo a, damdawi ina dah pawh a thlen thei. |
| Hun bituk | Kar 12-14 chhungin a reh tlangpui. | Kar tam tak, thla tam tak, a chang chuan nau neih thlengin a daih. |
Hyperemesis Gravidarum natna lan chhuah dan chu engte nge ni?
Hetiang dinhmun hi naupai atanga kar 6 vel atanga tan thin a ni. Heng symptoms te hian nitin hna i thawh theih loh khawpin a ti nuam lo thei che a ni.
A bik takin hmuh theih features te
- Severe nausea: Nilengin a awm reng a, engmah tih theih loh khawpa na a ni.
- Ni khatah vawi thum aia tam luak chhuah: Hei hi thil pangngai a ni lo va, luak chhuak reng reng a ni zawk.
- Weight loss: Naupai hmaa i rihna 5% aia tam tihtlem. Entirnan, kg 60 i rit chuan kg 3 aia tam i hloh ang.
- Ei leh in tur tihhniam theih lohna: Tui tlem in hnuah pawh luak chhuak leh thei dinhmun a ni.
- Dehydration: Taksa atanga tui tling lo hloh. Hei hian hmui leh hmui a ti vawt a, zun chhuah zat a tlahniam a, zun chu a sen dum a lo ni ta a ni.
- Luak chhuak leh luak chhuak: Lung hah lutuka ding thei lo anga inhriatna, leh luak chhuak tih hriatna.
- Chauhna nasa tak: Chutah chuan awm mai mai pawh nise hah lutuk.
- Fainting: A chang chuan hriatna hlohin i tlu thei bawk.
- Lu na: Lu na reng reng.
Symptom na tak tak hmuh tur a awm lo
- Thisen sang hniam
- Lung chak tak
- Vun a vawt
- Rilru tibuai
- Liver chhiatna avanga jaundice (vun sen) a awm
- Wernicke-Korsakoff syndrome: Vitamin B1 (Thiamine) tlakchham vanga thluak tibuaitu natna khirh tak a ni.
Engvangin nge hetiang dinhmun hi a lo awm?
Hei hi a chhan dik tak hi hriat chian a la ni lo a, mahse rinhlelhna ber chu naupai laia taksaa hormone inthlak danglamna vang a ni.
A awlsam zawngin, naute kan rai hian kan taksa hormone-te hian inthlak danglamna lian tak a tawk a. Hetah hian player lian ber pakhat chu hormone HCG (human chorionic gonadotropin) tih a ni. He hormone hi naupai laiin taksain a siam chhuak a, a pung chak hle a, a tam hle bawk. HCG level hi naupai atanga kar 10 vel ah a sang ber thin. Hei hi nu tam takin natna lanchhuahna na ber an tawn hun a ni. Chuvangin he HCG hormone leh HG hi inzawmna nghet tak a awm nia ngaih a ni.
Tin, naupai laiin hormone estrogen a pung bawk hian he natna leh riltamna hi a thlen thei bawk.
A pawimawh ber chu, hei hi i sualna a ni lo. I ei leh in leh i thil tih avanga lo awm a ni lo. Hei hi taksaa thil thleng biological process atanga lo chhuak vek a ni.
Hetiang dinhmun hi tute nge hlauhawm ber?
Mi thenkhat chuan midang aiin Hyperemesis Gravidarum an vei tam zawk. Heng risk factors te hi:
- Naupai hmasa lama HG neih: Naute i neih hmaa hetiang dinhmun hi i neih chuan i naupai leh hunah i neih leh theihna a sang zawk.
- Twins emaw naute tam zawk neih: Naute i neih tam poh leh i HCG hormone level a sang zawk ang. Chuvangin nu nau piang emaw, fa pathum emaw nei tan chuan a hlauhawmna a sang zawk.
- Hei hi i naupai hmasak ber a ni.
- Chhungkaw zinga mi (nu, unaunu) hian zing natna nasa tak emaw HG emaw a neih chuan: Hei hian genetic influence engemaw zat a nei thei.
- Migraine emaw motion sickness ang chi natna nei.
- Gestational Trophoblastic Disease (GTD) tih natna nei, chu chu nausen pum chhunga cell te lo thang dan pangngai lo a ni.
Hei hi eng enkawlna nge ni?
Enkawlna chu i natna lan chhuah dan nasat danah a innghat. A pawimawh ber chu i doctor nen hemi chungchang hi sawipui la, i tana tha ber tur enkawl dan tur thlang rawh. In lama tih theih thil a awm a, chubakah damdawi ina dah ngai enkawlna a awm bawk.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Mild symptoms (in lama tih theih) tan chuan . | |
| Ei leh in lama inthlak danglamna | Chaw lian ei ai chuan chaw te tak te, ei fo thin (e.g., darkar hnih danah) ei thin ang che. Chaw hmin, hring, cracker, chhang, buhfai, leh alu hmin ang chi ei rawh. Chaw hriak, spicy ei loh tur. |
| Nunphung a inthlak danglam thin | Nausea tihziaawmna turin acupressure wristband vuah. Ginger pill ei emaw, ginger tea in emaw. I rilru ti na thei thil (rimtui thenkhat, car-a chuang) atanga inthiarfihlim. |
| Damdawi lam thurawn pek | I doctor chuan damdawi Vitamin B6 (Pyridoxine) leh Doxylamine te a rawn rawt thei ang. Damdawi dawr atangin eng thil vang pawha doctor rawn hmasa lovin lei loh tur a ni. |
| Natna lanchhuahna na tak (hospital treatment) tan . | |
| Vein hmanga tui pek (IV Fluids) . | Dehydrated i nih chuan saline hmangin tui leh nutrients pek i ni ang. Hei hian damdawi ina awm a ngai dawn a ni. |
| Damdawi hman tur rawtna | Damdawi chak zawk Promethazine, Metoclopramide, Ondansetron te hi luak chhuak control nan pek thin a ni. Pill i ei theih loh chuan injection emaw suppository emaw i ei thei bawk. |
| Tube hmanga chaw pek | Ei i ei thei lo tak tak a nih chuan hnar emaw, pum emaw hmanga pum chhunga dah tube te tak te hmangin nutrition pek a ni. |
| Parenteral nutrition zawng zawng (TPN) 1.1. | A nasat ber lai chuan ei tur mamawh zawng zawng chu vein hmangin taksaah direct-in a thleng a, chu chuan chaw ei kawngah harsatna engmah siam lovin chawlhna a pe a ni. |
Hetiang dinhmun hi eng chen nge a awm ang? Naute a nghawng dawn em ni?
Hei hian a ti hlauhawm thei che a, a dik bawk. Mahse thu lawmawm tak chu enkawl dan mumal a nih chuan nang leh i naute chu in dam thei a ni.
- Hun chhung: Mi thenkhat chuan first trimester hnuah symptoms tlahniam an nei thin. Mi dangte chuan naupai chhung zawngin he natna hi an nei tam emaw a tlem emaw pawh a ni thei. Mahse naute a pian hnuah chuan heng symptom zawng zawng deuhthaw hi a bo vek mai.
- Naute chunga nghawng a neih dan: Damdawi lam enkawlna hnuaia a tul anga enkawlna i ei chuan naute chungah nghawng a nei lo tlangpui. Mahse, nu taksa rihna tlahniam nasa tak emaw, tui tlakchhamna nasa tak emaw ang chi dinhmunte chu enkawl a nih loh chuan naute chu nau piang rit lo tak emaw, a hun hmaa piang emaw a ni tlem thei.
- High-risk pregnancy: HG i neih chuan doctor-te chuan i naupai chu high-risk-ah an ngai ang. Chu chu ngaihtuah tur a awm tihna a ni lo va, mahse nang leh i naute chu uluk zawk leh enkawl tam zawk tur a ni tihna a ni .
Doctor i hmuh ngei ngei tur hunah
In lama awm mai maiin hrehawm tuar mai suh, naupai laiin luak chhuak nasa hi "normal" a ni tih ngaihtuah suh. Heng symptoms te hi i neih chuan doctor pan nghal tur a ni.
Enkawlna i tan hma chuan i natna a zual zel loh nan i veng thei zawk tih hre reng ang che.
- Nilenga awm thin natna avanga engmah i ei theih loh chuan.
- Ni engemaw zat ni khatah vawi thum aia tam i luak chhunzawm chuan.
- I taksain a thau a tlahniam ang tih i hriat chuan .
- I lu a na , i lu a hah a, i muhil a nih chuan .
- I zun chhuah zat a tlahniam nasa hle a nih chuan, emaw, i zun chu dark yellow/orange color a nih chuan.
Hetiang hunah hian damdawi in Emergency Treatment Unit (ETU)-ah dah a ngai mai thei a, saline leh damdawi mamawh pek i ngai mai thei.
Take-Home Thuchah a ni
- Hyperemesis Gravidarum (HG) hi zing natna pangngai mai a ni lo. Damdawi lam natna khirh tak, enkawl ngai a ni.
- I luak chhuak nasa lutuk a, ei leh in i tihhniam thei lo a nih chuan, i thau a tlahniam a nih chuan, emaw, i luak chhuak a nih chuan , nangmah chauhin hrehawm tuar suh la, doctor hmu nghal rawh.
- He dinhmun hi i sualna a ni lo. Taksa a hormone inthlak danglamna avanga lo awm a ni.
- Hemi atan hian enkawlna tha tak tak a awm a. Hetiang dinhmun hi intravenous fluids (saline) leh damdawi hmanga control theih a ni.
- Damdawi lam enkawlna leh enkawlna dik tak i neih chuan nang pawhin naute hrisel tak i hring thei a ni. Chuvangin hlau suh, i mamawh tanpuina zawng rawh.
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