Naupai lai hian hlauhna tlem a awm hi thil pangngai a ni. "Naute chu a tha em?", "Eng emaw a kal sual dawn em?" i rilruah an awm reng a ni. Chûng zîngah chuan nu tam takin an hlauh leh lungngaihna nasa tak thlentu thil pakhat chu nau pai hi a ni . He thu i hriat hian nawrna nasa tak a nei a ni lawm ni? Mahse hei hi hriat chian a pawimawh hle. A chhan chu chutiang hunah chuan a tul chuan hma i la nghal thei a, a tul lovah hlauhna nei lovin.
A awlsam zawngin, nau pai tih hi eng nge ni?
Miscarriage chu naupai kar 20 hmaa eng thil vang pawha naupai hloh hi a ni. A châng chuan nau i pai tih i hriat hma emaw, i period i neih loh hma emaw pawhin hetiang hi a thleng thei bawk. Nau pai tam zawk hi naupai kar 13 chhungin a thleng a, chu chu thla thum hmasa ber a ni.
A pawimawh ber chu nau pai hi a tlangpuiin kan ven theih thil a ni lo. Chuvangin hetiang thil hi a lo thleng a nih chuan nangmah leh nangmah mawhpuh ngai suh, i mawhphurtuah ngaiin. Nangmahin i thlen lo.
Chûngte chu nau pai chhinchhiahna a ni thei ang em?
A hnuaia kan sawi tur symptoms hi nau pai lai hian a awm fo thin. Mahse, heng chhinchhiahna thenkhat hi chhan dang vang pawh a ni thei tih hre reng ang che. Chuvângin, chûng zînga pakhat emaw, a aia tam emaw i neih chuan, i tih tûr ṭha ber chu hlauthawng lo va, i doctor hnêna hrilh .
| Symptom a ni | A sawifiahna awlsam tak |
|---|---|
| Vaginal atanga thisen chhuak | Hei hi thisen hmun tlemte atanga tan a ni a, zawi zawiin thisen chhuak nasa takah a pung thei a, chu chu thlasik lai ang bawkin a ni. |
| Pum emaw hnungzang emaw ah cramps/Na | Pum hnuai lam emaw, hnungzang emaw na, thlasik natna ang chi, mahse a chang chuan a na zawk. |
| Vaginal atanga tui, tissue emaw thisen zam emaw chhuak | White-pink mucus, fluid, emaw thisen zam ang maiin a lang thei a, a chang chuan tissue chi hrang hrang a chhuak bawk. |
| Khawsik leh malaise | Chak lo, khawsik, leh luak chhuak ang chi symptoms te pawh a chang chuan hmuh tur a awm thei. |
| Naupai symptoms tlahniam nghal | Naupai chhinchhiahna hmasa ber, zing natna leh hnute natna ang chi te chu a bo nghal vek ang maiin a lang. |
| Weight loss leh contraction te a awm bawk | Sudden weight loss emaw abdominal cramps emaw, nau neih na nen a inang. |
Case bik fimkhur tur: Ectopic Pregnancy
Ectopic Pregnancy hi nau pai ang chi natna a ni a, mahse a na zawk a, emergency medical treatment a ngai a ni . A awlsam zawngin, hei hi fertilized egg chu uterus pawnah a implant lai a ni a, a tlangpuiin Fallopian tube-ah a awm thin. Hei hi dinhmun hlauhawm tak a ni. Chutah chuan embryo a lo seilian chuan fallopian tube chu a chhe thei a, chhungril thisen a chhuak thei bawk.
Heng symptoms te hi i neih chuan doctor pan nghal la, damdawi in Emergency Department (ETU) ah kal rawh:
- Severe stomach pain , a bik takin pum sir khatah.
- Vaginal bleeding emaw spotting emaw a awm.
- Kawngkhar na emaw, bawlhhlawh paih ngai tih hriatna (hei hi fallopian tube atanga thisen chhuak chhinchhiahna a ni thei).
- Lu hring emaw, muhil emaw.
Infection symptoms hriat reng tur a ni.
A chang chuan nau pai hnuah nausen pum chhungah natna hrik a awm thei. Hei pawh hi enkawl vat tur a ni .Thil awmdan pakhat chu lak tur a ni. A hnuaia symptoms te hi i neih chuan doctor hnenah hriattir nghal tur a ni. Damdawi inah dah a ngai mai thei.
- Vaginal bleeding lutuk.
- Khawsik sang leh khawsik.
- Vagina atanga tui rimchhia lo chhuak.
- Pum natna nasa tak .
Engtin nge doctor hian he dinhmun hi a nemnghet theih ang?
Nau pai chhinchhiahna i neih chuan i doctor-in a tih hmasak ber tur chu a enfiah hmasa phawt ang che. Hei hian pelvic exam leh ultrasound scan te a huam dawn a ni. Scan hian i nausen pum chhung chu chiang takin a hmu thei a ni.
Enkawlna kawng hrang hrangte chu engte nge ni?
Test zawhah nau pai a zo tawh a, nausen pum chu a khar vek (clear) a nih chuan enkawlna dang i mamawh tawh lo mai thei.
Mahse, nausen pum chhungah tissue chi hrang hrang a la awm a nih chuan , chu chu paih chhuah nan enkawl a ngai dawn a ni. Chutianga tih theih dan tlangpui pahnih a awm.
1. D&C (Dilation and Curettage) Surgery: Hei hi Sinhala tawngin "curettage of the uterus" tih mai a ni. Hetah hian doctor chuan serh (cervix) chu tlem a tizau a, nausen tissue emaw, nausen (placental fragment) la awm zawng zawng chu hmanraw bik hmangin uluk takin a la chhuak thin.
2. Damdawi: D&C aiah damdawi thenkhat hman theih a ni. Entirnan, damdawi `(Misoprostol)` an tih hian thlasik lai ang maiin nausen pum chu a tikhawlo a, a chhunga thil awmte chu a paih chhuak thin.
Heng kawng pahnih zingah hian eng nge i tan a tha ber tih i doctor nen in sawiho tur a ni. Entirnan, natna hrik i neih chuan damdawi ei hi a tha lo mai thei.
Take-Home Thuchah a ni
- Naupai lai hian nau pai hi a tam hle. I sualna a ni lo.
- Nau pai avanga vaukhânna chhinchhiahna, vaginal bleeding leh abdominal pain te chu hre reng ang che.
- Heng symptoms zinga pakhat tal i neih chuan hlau suh, doctor ko nghal rawh.
- Symptoms, pum na nasa tak, kekawr na, leh muthilh te hi ectopic pregnancy chhinchhiahna a ni thei a, chu chu emergency a ni. Chuvangin damdawi inah kal nghal rawh.
- Enkawlna a ngai a nih chuan i doctor nen i tana tha ber tur enkawl dan tur sawi la, thutlukna tha ber siam rawh.
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