I fate he khawvela lo kal tur ni a hnaih meuh chuan thil tam tak i hre thin a ni lawm ni? Tlemte chuan hlauhna i nei thei a, mahse hlimna leh dawhtheih lohna nasa tak i nei bawk. Heng zawng zawng hi thil pangngai tak a ni. Chuvangin, vawiin hian he zinkawng mawi takah hian a pawimawh ber leh a tawp ber, chu chu hnathawh dan kalphung leh a chance awm dan te hi han sawi ila.
Nau neihna stage lian ber berte chu engte nge ni?
A awlsam zawngin, i naute leh nausen (placenta) chu vagina kaltlangin nausen pum atanga chhuak zawng zawng hi stage lian pathum-ah then theih a ni.
- Stage 1: Nau neih tan tirh (contractions) .
- Stage 2: Nau neih leh nau neih
- Case 3: Nausen hnute (placental abruption) a awm
Doctor-te chuan hei hi "normal labor" an ti. Mahse, chutiang chuan engkim hi a thleng vek tur a ni tihna erawh a ni lo. Heng dinhmun tlemte hi i paltlang a ngai mai thei a, mahse naute chu cesarean section (C-section) hmanga nau neih a ni thei. A nih loh leh, C-section ruahman lawk i neih avangin heng dinhmunte hi i tawn a ngai lo mai thei bawk. Chuvângin, pian apiang hi a danglam vek tih hre reng ang che .
Hetiang thil lian tak hi eng nge thleng dawn tih chiang taka i hriat loh laia hlauhthawn hi thil pangngai a ni. Mahse i doctor leh medical team te chu he zinkawng chhung zawng hian thlawp turin an awm reng a ni. Nang leh anni pahnih hian thil tum inang in nei a, chu chu naute hrisel tak neih a ni.
A vawi khatna: Kar bul tanna
Hei hi nau neih hun hmasa ber leh rei ber a ni. Regular contraction i neih tan atang hian a intan thin. I cervix chu a dilated vek a, a effaced chuan a tawp thin. Darkar 12 leh 19 inkar a daih tlangpui. Mahse, naute i lo nei tawh a nih chuan hun a la rei lo hle mai thei.
He hun remchang hmasa ber pawh hi hmun hnih ah then a ni:
- Nau neih hma: Hetiang dinhmunah hian serh hi centimetre 6 vel a inhawng a. Hei hian darkar 6-12 vel a awh tlangpui.
- Active labor: Hei hi i serh chu centimetre 10 a nih chuan a ni a, chu chu a dilated kim tihna a ni. I nawr duhna chu i nei ṭan mai thei. Hei hian darkar 4-8 vel a daih tlangpui.
I doctor chuan i contraction hun, a nih loh leh engtikah nge a intan tih record turin a hrilh ang che. Contraction pakhat tan atanga a dang tan hun chhung chu teh rawh. A hun taka an lo kal chuan, minute 3-5 danah velin nau pai i ni thei. Hei hi a chang chuan "practice contractions" (Braxton Hicks) i tawn thin nen a danglam hle.
A tir lamah chuan in lamah i awm thei a, mahse damdawi in pan tur chuan inpeih reng tur a ni. Active phase a tan tawh chuan damdawi ina awm hi a tha ber ngei ang.
A vawi khatna atan natna tihziaawmna
Hemi hun chhung hian natna tihziaawmna tur a hnuaia thilte hian a pui thei che a ni:
- Stretch tih fo thin ang che.
- I rilru tihmuang turin ngaihtuahna seng rawh.
- Hmun khata awm lovin, kal kual la, kal rawh.
- Thâwk la la, zawi zawiin thawk chhuak rawh.
- Tui lum hmangin inbual la, a lum lo.
- Birthing ball hmang rawh.
Hetih hun chhung hian i pasal, i nu, i farnu emaw, i thian tha ber emaw i bula awm hi chakna ropui tak a ni. Natna chu tuar theih loh a nih chuan, i medical team-te nen natna tihziaawmna tur kawng hrang hrang sawipui chu hlau ngai suh.
A vawi hnihna: Naute a chhuah hunah
He stage hi cervix chu centimetre 10 thlenga a dilated kim vek atanga tan a ni. I naute hlu tak a lo pian hunah a tawp thin. Hei hi minute 30 atanga darkar engemaw zat thleng a ni thei.
Hetih lai hian thil thlengte chu hetiang hi a ni:
- Contraction hi minute hnih atanga minute nga danah a lo thleng thin. An pahnih hian second 60-90 vel an daih vek.
- Contractions (push) te chu i hre mai ang. Contraction inkar ah hian rei vak lo i chawl thei bawk. I doctor chuan engtikah nge contractions i hriat tur tih chiang takin a hrilh ang che.
- Naute lu chu vagina atang hian a rawn chhuak tan a. Hei hi "lallukhum khum" kan ti a ni.
- Doctor hian uluk takin naute chu vagina atanga lakchhuah tumin a pui a ni.
- Naute pian hnuah umbilical cord chu an tan a.
Stage pathumna: Nausen hnute (placental abruption).
He stage hi naute pian hnuah a intan a, placenta a pian hnuah a tawp thin. Hei hi stage tawi ber a ni. Minute 30 aia rei lo a ni tlangpui.
Hetih lai hian, .
- Naute pian hnu minute 5-30 chhungin contraction tenau te a lo awm leh tan thin. Chungte chuan nausen (placenta) chu nausen pum (uterus) chhuahsan turin a pui thin.
- Tlem i nawr a ngai mai thei a, a nih loh leh doctor chuan i pum chu a press ang a, chu chuan placenta a chhuah theih nan a pui ang.
- Nausen (placenta) a chhuah hunah emaw, a hnu rei vak lo chhung emaw chu thisen chhuak tlem a awm thei.
- Nu thenkhat chuan khawsik emaw, khawsik emaw an nei thei. Hetiang a nih chuan medical team hnenah hrilh nghal rawh.
C-section i neih chuan i naute i hrin veleh i doctor chuan placenta chu a la chhuak nghal mai ang. A chhungah hian placenta chi hrang hrang a awm loh nan an enkawl ang. Episiotomy emaw i vagina-a tear emaw i neih chuan placenta a chhuah hnuah an sew up ang.
Hei hi Inrinni a ni tak tak em? Engtin nge ka hriat theih ang?
Labour tak tak i nei em tih hriat a harsa thei a, Braxton Hicks ang contraction practice mai mai i ni em tih hriat a harsa thei bawk. Labour tak tak hian pattern chiang tak a nei a, zawi zawiin a nasa zual zel bawk. Heng thil pathumte hi ngaihven rawh.
| Mihring ziarang | Eng nge ngaihven tur |
|---|---|
| Zinzia | I contraction te hi eng chen nge a lo awm thin? Pattern pangngai, inhnaih zawka lo kal an nih leh nih loh en rawh. I phone-a app-ah emaw, lehkhabuah emaw ziak rawh. |
| Rei zawng | Contraction pakhat hi eng chen nge a awm? He hun hi hnathawk a hnaih deuh deuh chuan a pung zauh zauh a. Second tlemte chhungin teh rawh. |
| Intensity a ni | Natna chu a zual zel em? I kal emaw, i dinhmun i thlak emaw hian tlahniam lovin a awm reng em? Tichuan arthritis dik tak a ni thei. |
Engtikah nge damdawi inah ka kal ang?
Active labor i tan tirh hian damdawi inah i kal a ngai tlangpui.
Darkar khat chhung zet minute nga danah i contraction a lo thleng a nih chuan i doctor emaw damdawi inah labor room emaw ko rawh.
I tui a chhe a nih chuan i doctor emaw damdawi in emaw ko nghal la, contractions i neih emaw hriat loh emaw pawh nise. I chiang lo emaw, thil danglam i hriat chuan i medical team hnenah hriattir hreh ngai suh.
Damdawi in pan nghal ngai dinhmun te
Heng symptoms te hi i neih chuan damdawi in Emergency Department (ETU) ah kal nghal rawh :
- A rilru a na
- Luak chhuak emaw, muthilh emaw (syncope) .
- Nausen nausea leh luak chhuak
- Thâwk harsa
- Kut, ke emaw, hmai emaw a hring lutuk (edema) .
- Thisen chhuah tam lutuk
- Naute fussiness nasa taka tlahniam
Damdawi in i kal hian eng nge thleng thin?
Damdawi in i thlen hunah chuan labour room-ah i inziak lut a ngai dawn a ni. Chuta tang chuan triage room-ah an hruai ang che. Tichuan, delivery room (LDR room) ah admit i ni ang.
Chutah chuan heng thilte hi a thleng dawn a ni:
- Damdawi in chuan kawr hak tur a pe ang che.
- I pulse, thisen sang leh temperature te an check ang.
- I pum velah hian external fetal monitor (belt ang maia lang) dah a ni a, chu chuan i naute thinlung thawk dan leh uterine contraction te a teh a ni.
- Doctor chuan nau neih hun chhung hi eng chen nge a hlat tih hriat tumin cervical exam a ti ang.
- I kut vein pakhatah IV line dahin saline leh damdawi tul tak tak pek theih a ni.
Take-Home Thuchah a ni
- Nau neih hi chi thum a awm a, chungte chu: nausen pum (uterine contractions) tan tirh te, nausen pian hun te, leh nausen (placenta) nau neih te hi a ni.
- Labour contraction dik tak hian pattern bik a nei a. An inhnaih zawk a, an daih rei zawk a, hun kal zelah an hrehawm zawk bawk.
- He zinkawng chungchangah hian hlauthawng leh lungkhamna neih hi thil pangngai tak a ni. I tanpui tur hian doctor team pum pui an awm a, Dr. pawh an tel.
- Damdawi in kal hun tur leh emergency a symptoms te chu uluk takin hre reng ang che. Ringhlelna i neih chuan doctor ko nghal rawh.
- Pian apiang hi a danglam vek. I thil tawn chu midang nen tehkhin suh. I chak a, he zinkawng hi i paltlang thei!
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