I serh hi a inhawng hma ang em? (Incompetent Cervix) - Hlau suh, hei hi i fimkhur ang u!

Nu nih i beisei laia i hlimna chu sawi chian rual a ni lo. Amaherawhchu, thil tenawm ber pawha hlauhna leh lungkhamna nei hi thil pangngai a ni. Vawiin hian nu thenkhatin naupai laiin an tawn thin, mahse sawi tam loh dinhmun kan sawi dawn a ni. Chu chu serh (cervix) a chak lo, a tawi emaw, a inhawng hma emaw tihna a ni. Hei hi Doctor-te chuan `(Incompetent Cervix)` emaw `(Cervical Insufficiency)` emaw an ti a. He thu i hriat hian hlau suh, a chhan chu hemi chungchang hi uluk taka hriattir i nih a, a tul anga enkawl i nih chuan a tam zawkah chuan naute hrisel tak chu he khawvelah hian harsatna awm lovin i rawn hruai lut thei a ni.

Cervix chu eng nge ni? Engvangin nge a pawimawh em em?

Okay, a hmasa berin he cervix hi eng nge a nih i hrethiam mai ang. Uterus hi i pum chhunga i naute lo seilian na hmun a ni. Nausen pum hnuai lam, bottle hmui ang maia awm, chutah chuan vagina nena inzawm chu cervix kan tih chu a ni.

, . , . , . , ‍ , , ( `effacement` ) ( `dilation` ) . .

Chuti a nih chuan hei hi eng nge ni `(Incompetent Cervix)`?

Tunah chuan cervix a pawimawh zia i hrethiam ta. ``Incompetent Cervix'' emaw ``Cervical Insufficiency'' tih dinhmunah chuan, chu himna kawngkhar kan sawi tawh, serh chu a chak lo va, a tawi a, a nih loh leh naute a lo seilian kim hmain, naupai hun chhung chu kar 37 pawh a tling hmain a inhawng tan a ni.

Hei hi kawngkhar hawn hma ang a ni. Hetiang thil a lo thlen chuan eng nge thleng ang? Naute chu a hun hmaa piang a nih a rinawm zawk, chu chu a hun hmaa piang tihna a ni . Thil engemaw takah chuan, a bik takin second trimester (kar 14 leh 27 inkar)-ah chuan, he natna hian nau pai a thlen thei bawk . Hei hian nau piang thi a thlen thei bawk a, chu chu naupai kar 20 hnua naute boralna a ni.

A pawimawh ber chu a hmaa hriatchhuah leh enkawlna \ha tak chuan he hlauhawmna hi nasa takin a tihziaawm thei a ni. Chuvangin hlauthawng suh.

Hetiang dinhmun hi engtiang chiahin nge a awm (Incompetent Cervix)? Tute nge risk sang zawk?

Statistics atanga a lan dan chuan he natna (Incompetent Cervix) hi naupai 100 zinga 1 vel ah a awm thin. Chumi awmzia chu chutiang chuan a awm lo tihna a ni a, mahse ngaihthah tur pawh a ni lo.

Tu pawhin he natna hi vei thei mah se, mi thenkhat chu an hlauhawmna a sang zawk. Hêng thudikte hi i tân a inmil em tih en rawh:

• Nausen pum emaw, nausen pum emaw pianphung dik lo (congenital abnormal shape of the uterus or cervix) i neih chuan: Hetiang hlauhawmna hi mi thenkhata uterus emaw cervix awm dan inang lo vang a ni thei.
• Naupai hmasa lama second-trimester-a nau pai emaw, nau piang hma emaw i neih chuan: Hei hi risk factor pawimawh tak a ni.
• Naupai emaw nau neih hmasak laia serh emaw, nausen pum emaw a chhiat chuan.
• I serh (cervix) surgery i neih tawh chuan: Entirnan, test emaw, `(LEEP)` ang chi enkawlna emaw hnuah.
• Genetic conditions thenkhat: Connective tissue tichak lo thei genetic disease nei, Ehlers-Danlos syndrome ang chi te pawhin cervix chak lo tak tak an nei thei bawk.
• Zirna thenkhatah chuan hmeichhe dum leh nu nau piang emaw, fapa pathum (multiple) nei te pawhin he natna hi an vei theihna chance a sang deuh hlek tih a tarlang.

`(Incompetent Cervix)` tih lanchhuahna chu engte nge ni?

Hetah hian a buaithlak deuh thin. A tam zawkah chuan serh thiam lo (incompetent cervix) chhinchhiahna langsar tak tak a awm lo. Preterm labor ang bawkin, a tir lamah chuan contraction emaw tui chhe emaw hi hriat theih a ni lo mai thei.

Mahse mi thenkhat chuan heng ang symptom thenkhat hi an nei thei a ni:

• Pum hnuai lam a rit leh pressure awm.
• Pum a na.
• A chang chuan spotting a awm thin.
• Vaginal discharge (tui, viscous, thisen chhuak) inthlak danglamna.

Heng symptoms te hi a fiah lo em em avang hian thil pawi tak a ni lo tih i ngaihtuah mai thei. Chuvangin i hriselna chanchin kimchang, a bik takin a hmaa nau pai emaw, nau piang hma emaw chungchangah i doctor hnenah inhawng leh rinawm taka sawi a pawimawh hle. Chumi hnuah chuan i doctor chuan i hlauhawm em tih a hre thei a, a tul chuan fimkhur zualna a la thei bawk.

Eng thilin nge `(Incompetent Cervix)` a thlen? Naupai lai hian engtik laiin nge hetiang hi a lo awm thin?

Dik tak chuan ``Incompetent Cervix'' awm chhan dik tak hi hmuhchhuah a la ni lo. Mahse doctor-te chuan a hmaa kan sawi tawh risk factors (cervix tihchhiat, operation, leh piansualna te) te hian a thlen tih an hria a ni.

He natna hi naupai laiin engtik lai pawhin a awm thei a, mahse naupai thla thum hnihna, kar 14 leh 27 inkarah a awm tam ber.

Engtin nge Incompetent Cervix hian nau a pai tir?

Nau pai (miscarriage) chu naupai kar 20 hmaa naute boral hi a ni. Hetiang hian han ngaihtuah teh: serh hi nausen (nausen pianna hmun) leh vagina inkar kawngkhar a ni. He hawnna hi naute a pian hma loh chuan khar reng tur a ni. Mahse ``Incompetent Cervix`` a nih chuan he hawnna hi a hun hmain a inhawng thin. Tichuan naute taksa peng leh ruh te a lo thanlen kim hmain naute chu a lo chhuak thei a ni. He ``Incompetent Cervix`` natna hi second-trimester-a nau pai zawng zawng zinga 25% vel a ni.

Mahse, a pawimawh ber chu hei hi enkawl dante hi a hlawhtling hle tlangpui. Chuvangin lungngai suh.

``Incompetent Cervix`` nei mi pakhatin term-ah naute a nei thei ang em?

Ni e, a theih ngei ang! Enkawlna dik tak nen chuan a theih. He natna enkawlna atana thil tum ber chu nau piang hmasa lo tur venna leh naute chu a rei thei ang bera nu pum chhunga awm tir a, a taksa peng hrang hrangte chu a lo thanglian tha thei tur a ni.

Engtin nge `(Incompetent Cervix)` tih hi kan hriat theih ang?

Antenatal clinic i kal apiangin doctor chuan i health history leh naupai symptoms chungchang zawhna a zawt ang che. A hmaa nau pai tawh emaw, i serh (cervix) surgery i neih tawh emaw chuan doctor hnenah hrilh theihnghilh suh. Heng risk factors te hi a zirin doctor chuan i cervix enkawl belh zel a tum mai thei.

``Incompetent Cervix`` natna hi hriat theihna atana hmanraw lian pahnih a awm a:

1. Pelvic exam: Doctor chuan serh (cervix) a enfiah thin.

2. Transvaginal ultrasound scan: Hemiah hian vagina kaltlangin instrument te tak te dahin sei zawng leh sei zawng leh a inhawng dan an teh thin.

Engtin nge `(Incompetent Cervix)` hi enkawl a nih?

Enkawlna tum ber chu naupai chu a rei thei ang bera vawn reng hi a ni. Hetiang dinhmun hi hriat harsa tak a nih theih avangin a hlauhawmna hriat a pawimawh hle. I doctor chuan i dinhmun leh i medical history a zirin enkawlna tha ber a ruat ang.

Enkawl dan tlangpui engemaw zat a awm a:

1. Cervical cerclage tih a ni

Hei hi enkawlna hman tlanglawn ber leh hlawhtling ber a ni. A awlsam zawngin, bag khar ang maia i serh chu surgery hmanga khar a ngai a ni. Hei hi naupai kar 12 leh kar 14 inkarah tih a ni tlangpui. Tichuan, naute piang tur a nih chuan, kar 37 vel a nih chuan, a stitches te chu lakchhuah a ni. Chumi hnuah chuan vaginal birth pangngai i nei thei ang.

I doctor chuan a hnuaia thil thlengah hian cerclage hman a rawt thei ang:

• Tun hmain second-trimester-a nau pai tawh i nih chuan.
• Naupai hmaa cerclage tihsak tawh i nih chuan.

Mahse mi zawng zawng hian cerclage an nei thei lo. Doctor-te chuan hetiang ang case-ah hian he surgery hi an ti lo:

• Twins, triplets emaw a aia tam emaw i beisei a nih chuan. (Hetiang hunah hian cerclage hian nau piang hmaa nau neih theihna a tihziaawm tih finfiahna chiang tak a awm lo.)
• I cervix chu centimetre 4 vel a dilated tawh a nih chuan.
• I tui bag a chhe (membranes a rupture) a nih chuan.

2. Progesterone tihpunna tur

``Incompetent Cervix'' vei theihna i neih chuan i doctor chuan second trimester atang khan hormone ``Progesterone'' awmna supplement (pills emaw vaginal pessaries) ei turin a hrilh thei che a ni. He hormone hian naupai chu a vawng reng thei a ni.

3. Ultrasound scan hmanga monitoring tihpun

`(Cervical Insufficiency)` risk factors i neih chuan i doctor chuan naupai kar 24 vel thlengin i serh hi `(Transvaginal ultrasound)` scans hmangin a enfiah thei ang. I serh a tawi deuh niin a lang a nih chuan i doctor chuan `(Cerclage)` a rawn rawt thei ang. Mahse, `(Cerclage)` hi a tlangpuiin naupai kar 24 vel thleng chauh tih theih a ni.

`(Incompetent Cervix)` avanga harsatna awm thei te chu engte nge ni?

Cervix thiam lo chuan harsatna a thlen thei a, a bik takin nau pai leh nau piang hma lutuk .

A tlem hle a, cerclage hian harsatna engemaw zat a thlen thei. Entirnan:

• Uterine rupture a awm
• In chhungril lama thisen chhuak
• I serh (cervix) ah laceration a awm
• Kaichhawng

Mahse hengte hi a tlem hle. Hemi chungchang hi Doctor ten an ngaipawimawh em em a ni.

`(Incompetent Cervix)` hi ven theih a ni em?

Dik tak chuan tumahin serh (cervix) thiam lo (incompetent cervix) a lo thang lian tur chu tumahin an dang thei lo. Mahse, naupai hrisel tak neih theihna tura pui turin thil i tih theih a awm. Chûngte chuan indirect-in a ṭanpui thei a ni:

• Naupai clinic-ah hun ruat saah kal thin ang che.
• Ei leh in hrisel, inthlau tak ei rawh.
• Naupai laiin taksa rihna dik tak tipung rawh.
• Zu, cigarette leh ruihhlo dangte chu pumpelh vek rawh.
• Doctor-in prenatal vitamin a rawt chu ei thin ang che.
• Damdawi dang emaw supplement dang emaw i ei hmain doctor zawt hmasa phawt ang che.

``Incompetent Cervix'' ka neih chuan eng nge ka beisei ang?

Lungngai suh. Cerclage hi cervix thiam lo tan 90% a hlawhtling a ni. Chumi awmzia chu he enkawlna avang hian nu tam tak chuan an pian hun hnaihah naute hrisel tak an nei thei tihna a ni.

Tun hmain ``Incompetent Cervix'' ka nei a nih chuan ka naupai chuan a thleng leh dawn em ni?

Ni e, naupai hmasa khan ``Incompetent Cervix`` i nei a nih chuan i naupai leh hunah pawh hetiang dinhmun hi i nei ve thei tihna a ni. Chuvang chuan naute dang i beisei a nih chuan naupai hmaa doctor pan a, he thu hi sawi hmasak a pawimawh hle. Tichuan doctor chuan thurawn tul tak tak a pe thei ang che a, naupai him leh hrisel tak neih theih nan a pui thei ang che. ``Cerclage`` pawh i ti hmasa thei mai thei.

Engtik hunah nge Doctor ka hmuh ang?

A tam zawkah chuan doctor-te chuan second-trimester-a nau pai emaw, nau piang hma emaw hnuah cervix thiam lo an hmuchhuak ṭhin. Mahse, naupai laiin nau pai lohna chhinchhiahna, thisen chhuah, pum hnuai lam na, emaw, pum na hrual , i neih chuan doctor pan nghal rawh.

Doctor hnenah eng zawhna nge ka zawh ang?

``Incompetent Cervix'' condition i nei tih hmuhchhuah a nih chuan i doctor hnenah zawhna i zawt thei ang:

• Ka tan chuan ``Incompetent Cervix'' neih hi engtiang chiahin nge a risky?
• Eng harsatna chhinchhiahna nge ka fimkhur tur?
• Engtin nge enkawlna a hlawhtlin leh hlawhtlin loh ka hriat theih ang?
• Nitin hnathawh dan pangngai angin ka chhunzawm thei ang em?

Engtikah nge ka thiltih pangngaiah ka kir leh theih ang?

Cervix thiam lo nei tam zawk chuan an naupai chhung hian nitin hnathawh an tihtlem a ngai lo. Mahse, i dinhmun a zirin chiang taka hriat theih nan i doctor nen sawiho a tha ber.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvangin kan sawiho atang hian `(Incompetent Cervix)` emaw `(Cervical Insufficiency)` emaw tih hi hriatthiamna tha zawk i neih ka beisei.

``Incompetent Cervix'' tih chu serh a chak lo, a tawi emaw, a hun hmaa a inhawng tan emaw a ni tih hre reng ang che. Hei hian nau pai te, nau piang hma te a thlen thei a ni.

Hetiang dinhmun hi hriat harsa tak a ni thei a, a chhan chu mi zawng zawng hian symptoms langsar tak tak an nei vek lo. Chuvangin i doctor hnenah i medical history kimchang hrilh a pawimawh a, a bik takin a hmaa nau pai emaw, nau piang hma emaw a awm chuan. Tin, naupai laiin symptom danglam tak tak i neih apiang doctor hnenah hrilh bawk ang che. He information hian i doctor chu `(Cervical Insufficiency)` vei theihna tur i nih leh nih loh a hriat theih nan a pui ang.

Thu lawmawm tak chu a tam zawkah chuan he natna hi ``Cerclage'' tih surgery hmangin hlawhtling takin enkawl theih a ni. Chuvangin hlau suh. I doctor nen engkim chu tlang takin sawi rawh. He khawvelah hian naute hrisel rawn hruai luh theihna chakna i hmu ang che!

` Cervical chak lohna, Cervix thiam lo, Cervical Insufficiency, Naupai, Nau piang hma, Nau pai, Cerclage, Progesterone, Uterus, Hmeichhe hriselna