Labor Pain Relief: I hriat tur chu!

Nausen a hnaih deuh deuh chuan nu tin rilrua zawhna leh hlauhna lian ber chu, ‘Engtin nge he natna hi ka tuar ang?’ tih hi a ni. I thiante leh chhungte hnen atangin thawnthu i lo hre tawh a ni mai thei, mahse nawrna nasa tak i la nei reng a ni. Mahse, lungngai suh, thil pangngai tak a ni. A pawimawh ber chu hemi chungchang hi uluk taka hriattir a ni. Vawiin hian labor pain chu eng nge a nih tih leh a tihtlem theihna tur option kan neihte chu i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

Nau neih na hi eng ang nge ni tak tak?

Hriatthiam hmasak tur chu, mi tin thawhrimna hi a danglam vek a ni. Chuvangin i hrehawmna chu mi tinah a inang lo thei a ni. I natna i neih zat tichhe thei thil engemaw zat a awm. Entirnan, i naute lian leh te, i naute dinhmun te, i contraction a chak dan te, leh natna i tuar theihna tlangpui te.

A awlsam zawngin sawi ila, nau neih na hi i nausen (uterus) a tikhauh a, chutah a hahdam (contracting) vang a ni. Hengte hi contractions kan ti a. Hei hi naute chu vagina hnuai lam pan tura pui turin a thleng thin. Hetianga nawr hian i serh (cervix) chu a inhawng (dilate) a, a ti thim (efface) bawk. Naute lu hian i bladder leh bowels a press avangin natna i nei thei bawk. Naute chu a tawpah a chhuah rualin i vagina a inzawm chuan natna i nei thei bawk.

Vawi tam tak chu nau neihnaah hian a hrehawm ber chu heng contraction te hi a lo thlen hian a ni. An rilru put hmang hi mi zawng zawng tan a inang vek lo. A châng chuan i naute pahnihna nêna i natna chu i naute hmasa ber nêna i natna nên a danglam thei a ni. Nu thenkhat chuan thlasik lai ang maia pum na na tak angin an sawi . Mi dangte chuan natna thlipui lo thleng leh chhuak ang maiin a awm niin an sawi a, chu chu i pum a hring chhuah huna i natna ang mai a ni .

A châng chuan, a natna a nasat poh leh tuar a harsat poh leh a nghet zual ṭhin. Chuvang chuan mi tam takin natna tihdamna an zawng thin.

Natna tihziaawmna tur kawng hrang hrangte chu engte nge ni?

A tha ber chu, he hrehawmna hi nangmah chauhvin i hmachhawn lo. I tanpui theih dan tur tam tak a awm a. Kawngpui pahnih a awm a, chungte chu:

1. Natna tihziaawmna tur damdawi hmanga thlan theih

2. Natna tihdamna atana damdawi hman loh duhthlan tur

Naute i neih hmain heng duhthlannate hi i doctor nen sawiho hmasak a pawimawh a, nau neih hmaa i tlawh lai pawhin. Thiltih dan tinte thatna leh that lohna i hriat chian chuan a hun a thlen hunah thutlukna siam a awlsam zawk ang.

A châng chuan anesthesiologist a lo kal ang a, epidural emaw spinal anesthesia emaw chu a hrilhfiah ang che. Chutih laia zawhna i neih apiang zawt rawh.

Damdawi hmanga natna tihziaawmna atana hmanraw pawimawh ber ber

Tunah hian damdawi hman dan tur engte nge hman tih i lo en ang u.

1. Natna tidamtu (Analgesics) .

Hengte hi natna tidamtu damdawi a ni a, vein (`IV` kaltlangin) emaw, taksa ruh chhungah emaw pek a ni. Heng damdawi te hian natna hi a ti bo vek lo a, mahse natna hriatna chu nasa takin a tiziaawm a ni. Heng damdawi te hian i taksa pum a nghawng avangin nang leh i naute pahnih hian mutthilh deuhin in inhria thei a ni. Chuvang chuan nau neih tirh lamah an hmang fo thin. Chawlh hahdamna leh chakna humhim turin an pui che a ni. Hengte hi ``Opioid`` type painkillers an ni. Side effect angin naute pian hnua thawk danah tlem a nghawng thei a, chuvangin a thatna leh that lohna hrethiam turin i hman hmain i doctor nen inbia ang che.

2. Local anesthesia hmanga tihdam theih a ni

Hei hian i taksa hmun tlemte, vagina leh a chhehvel (`vulva` leh `perineum`) te chu numbing a huam a ni. Hei hi naute pian dawn lai emaw, naute pian hnua hliam tuar a ngai a nih chuan (`episiotomy` emaw, vagina-a tear emaw ang chi) tih a ni fo.

Hei hi chi bik pakhat chu pudendal block an ti a . Hetah hian pudendal nerve-ah injection pek a ni. Hei hian naute chu vagina atanga a chhuah ruala vagina chhung leh a chhehvela natna hriat thin chu a ti bo thin.

3. Regional Anesthesia hmanga tihdam theih a ni

Hei hi nau neih laia natna tihdamna hmanraw lar leh tangkai ber a ni. I hnungzang hnuai lam atanga natna a tihziaawm emaw, a ti bo vek emaw ang. Emergency C-section neih a ngai a nih pawhin he method hi i hmang thei bawk. Hetih lai hian i harh kim tawh a, natna chauh a reh ang.

Hei hi chi hrang hrang 3 a awm a. Eng nge an nih i en ang u.

Epidurals chungchanga i zawhnate chhanna!

Mi tam tak chuan epidural chungchangah hian zawhna an nei a. I chhang ang u.

• Hei hian ka naute hi a nghawng dawn em ni?

No. Zirna tam takah chuan he hmanraw hi nang leh i naute tan pawh a him tih an nemnghet a ni.

• Hei hian eng chen nge nghawng a neih?

Epidural atanga natna tihziaawmna hi i nau neih tawp thlengin a awm a, a chhan chu catheter kaltlangin engtik lai pawhin damdawi tam zawk pek theih a nih vang a ni.

• Engzat nge ka numb ang?

Natna engmah nei lo mah la, contraction a lo thlen chuan "pushing" i la nei thei tho. Doctor-in a enfiah che hian pressure i nei mai thei. I kal tam thei lo mai thei. Mahse, i harh chhuak kim a, i fimkhur hle bawk. Push hun a thlen hunah chuan i hre mai ang.

• Epidural neih hian ka nau neih a tikhawtlai dawn em ni?

Mi thenkhat chuan epidural an tih hnuah an contraction chu rei lo te chhung atan a tlahniam thei bawk. Mahse mi tam zawk tan chuan natna a reh chuan an reh a, chuvang chuan contraction pattern a tha zawk thin. Chawlh hahdamna hun i nei bawk.

• Naute chu ka nawr thei dawn em ni?

A theih ngei ang. Epidural hi i serh a inhawng hma loh chuan natna awm lovin chawlh hahdamna tur a ni. I nawr hun a lo thlen hunah chuan i mamawh chakna i nei ang. I nawr theihna a nghawng dawn lo.

• Hei hian side effect a nei em?

Complication na tak tak a awm hi a tlem hle. Anesthesiologist chuan an ven theih nan a bik takin a fimkhur thin. Mahse, side effect tenau thenkhat chu a awm thei a:

• Thisen sang tlahniam: 1.1.Chutiang a nih loh nan saline (IV) pek i ni ang a, i thisen sang chu enfiah chhunzawm zel a ni ang.
• Minor itching: A buaithlak chuan damdawi i pe thei bawk.
• Lu na: Epidural hnua lu na i neih chuan tui in leh painkiller ei hian a pui ang. A awm reng chuan doctor hnenah hrilh rawh.

4. General Anesthesia hmanga tihdam theih a ni

Hei hian muthilh vek che a huam a ni. Hei hi emergency-ah chauh hman a ni tlangpui a, emergency C-section ang chi hi a ni. A thawk rang hle nachungin a that lohna ber chu naute pian hnu lawkah i hmu thei dawn lo tih hi a ni.

5. Nitrous Oxide - Nuihzatthlak Gas

Hei hi gas thlum lo, rim nei lo a ni. Contraction i neih dawn laiin mask hmangin i thawk lut thin. Natna chu a titawp lo va, a natna hlauhna leh lungkhamna a tiziaawm thung. Sri Lanka-ah chuan hman a ni lo.

Damdawi tel lova natna hmachhawn dan pianphung

Nu thenkhat chuan he harsatna hi an pianphung anga hmachhawn an duh zawk a, damdawi ei lovin an hmachhawn duh zawk. Chumi kawngah pawh tanpui theih dan tam tak a awm. A châng chuan, damdawi i hman lai pawhin hengte hi i lo enchhin thei bawk.

• Massage: I kawppui emaw, i hnaih ber emaw chu i hnungzang leh i kekawrte massage tir rawh.
• Tui lum hmanga inbual: Tui lum taka inbual emaw, i hnungzang atanga tui lum luang chhuak emaw hian taksa ruhte a ti hahdam thei a, natna a tiziaawm thei bawk.
• Hla thlamuanthlak tak ngaihthlak: I duhzawng leh i rilru timuangtu music ngaithla rawh.
• Birthing Ball hman dan: Exercise ball lian tak chunga thu a, hma leh hnung lama rocking hian hnungzang hnuai lam tan hahdamna a pe thei.
• Thâwk lak dan: Thâwk thûk tak leh thawk chhuah dan zir rawh. Contraction a lo awm chuan, chu chu i ngaihtuah chuan natna a\angin i ngaihtuahna a tibuai thei a ni.
• Meditation emaw Hypnobirthing: Mindfulness technique leh self-hypnosis (`Hypnobirthing`) te hian natna enkawlna kawngah nasa takin a pui thei a ni.
• Mi hnai tak neih: I pasal, i kawppui, i nu, i unaunu, i ṭhian rintlak tak i bula awm a, i fuih che hi rilru lama tichaktu ropui tak a ni.