I naute umbilical cord chu placenta kil lamah a inzawm em? (Marginal Cord Insertion) Hemi chungchang hi han sawi ila!

Nu tam tak chuan an naupai lai hian an naute hriselna tur an ngaihtuah fo thin a, a thang tha em tih pawh an ngaihtuah fo thin a ni lawm ni? Chuvangin, a chang chuan i doctor-in ultrasound scan a tihsak a, "Naute umbilical cord-ah hian danglamna tlem a awm a, placenta lai takah a awm lo va, a sir lamah a innghat zawk a ni," tih ang chi a tih hian, rang taka hlauhna leh lungkhamna tlem a awm chu thil pangngai a ni. Chu chu hetiang dinhmun hi ``Marginal Cord Insertion'' kan tih chu a ni. Chuvangin, vawiinah hian he thu hi chiang takin sawi ila, i hriatthiam theih dan tur angin? Hlauh tur a awm em, he thila thil thleng dik tak hi i zawng chhuak ang u.

Marginal Cord Insertion tih hi eng nge a nih i hria em?

A awlsam zawngin sawi ila, `(Marginal Cord Insertion)` hi naupai laia nausen umbilical cord `(Umbilical Cord)` `(Placenta)` nena inzawm dan a inthlak danglam deuh a ni. I hria em, `(Umbilical Cord)` hi nu leh naute inzawmkhawmtu nunna kawngkhar ang a ni. Naute hian he umbilical cord hmang hian nu hnen atangin a mamawh ei leh in leh oxygen a dawng vek a ni. He umbilical cord hi taksa peng bik `(Placenta)` an tih nen a inzawm a, chu chu naupai lai chauhvin a lo thang lian thin.

A tlangpuiin umbilical cord hi placenta lai takah emaw, a hnaih hle emaw a inzawm tur a ni. Hei hi a chhan chu nutrients te chu nu atanga nausen chhungah leh chuta tang chuan naute thlengin engmah tibuaitu awm lovin awlsam takin a luang thei a ni. Chu chu kawng him ber a ni.

Mahse, `(Marginal Cord Insertion)` a nih chuan he umbilical cord hi nausen lai takah a inzawm lo va, nausen sir emaw, a sir emaw (millimeter 20 vel a hla) nen a inzawm zawk a ni. A dik tak chuan he inzawmna hi nausen (placenta) kil atanga centimetre hnih emaw a aia tlem emaw a ni. Hetiang inzawmna hi margin thlenga siam a nih chuan a chang chuan (a ni lo) nausen atanga naute thlenga nutritional journey hi a slow deuh thei a ni. Chutiang a nih chuan naute thanna chu tlem a zawi deuh mai thei. Hei hi `(IUGR - Intrauterine Growth Restriction)` kan ti a. Tin, a chang chuan nausen nau neih laiin a lungphu (heart rate) a tlahniam thei bawk.

Amaherawhchu hetah hian a pawimawh ber chu `(Marginal Cord Insertion)` hmanga naupai tam zawk hi harsatna awm lovin hrisel taka nau neihnaah a tawp thin. Chuvangin, hlauthawng nghal loh a tha zawk, a dik em?

Hetiang dinhmun hi engtiang chiahin nge a awm?

He natna hi ``Marginal Cord Insertion'' tia koh hi naupai, nau piang tam tak, twins emaw triplet emaw teah chuan singleton naupai aiin a tam zawk a ni. Naupai zinga 2% leh 25% inkarah a awm thin. Singleton pregnancy-ah chuan rate a hniam zawk a, multiple pregnancy-ah chuan a sang zawk bawk.

Marginal Cord Insertion i neih leh neih loh hriat theihna tur symptoms te chu engte nge ni?

Hetah hian thu pawimawh tak a awm. A tam zawkah chuan ``Marginal Cord Insertion'' nei nu hian symptom bik a nei lo.A danglamna i hmu lo mai thei. I doctor chuan naupai laiin ultrasound scan pangngaiah he umbilical cord connection pangngai lo hi a hmu fo ang.

Engvangin nge hetiang (Marginal Cord Insertion) hi a lo awm? A chhante chu engte nge ni?

Researcher te hian Marginal Cord Insertion hi eng nge a thlen tih chiang takin an la hre lo. Mahse, thil ṭhenkhat chuan hetiang cord insertion hi a tipung niin an ngai. Kan sawi tawh ang khan naute tam tak nei (twins ang chi) naupaiah a tam zawk. Chu bâkah, thil dang engemaw zât a awm bawk a, chungte chu:

• Naupai laia ruihhlo emaw zu emaw hman.
• Diabetes ang chi damdawi lam harsatna rei tak nei.
• Nu kum hi kum 35 aia upa ( advanced maternal age ) a ni.
• Hei hi i pian hmasak ber (`Nulliparity`) a ni.
• Naupai hmaa IUD (Intrauterine Device) hman tawh.
• Naupai hi artificial reproductive technology (ART - Artificial Reproductive Technology) hmanga naupai (e.g. test tube naute).

Mahse hre reng ang che, heng thil pakhat emaw a aia tam emaw i neih vang mai mai chuan Marginal Cord Insertion i nei dawn tihna a ni lo. Entirnan, ART hmanga nau pai tam tak chuan umbilical cord insertion pangngai an nei thei. A pawimawh ber chu umbilical cord insertion-ah hian thil danglam deuh awm mahse mi tam zawk chuan naupai hrisel tak an nei chhunzawm zel a ni.

Engtikah nge Marginal Cord Insertion hi hmuhchhuah a nih tlangpui?

Heng umbilical cord abnormalities chi hrang hrangte hi second trimester (kar 14 atanga 27) chhungin ultrasound scan-ah hmuhchhuah a ni fo thin . Mahse, a chang chuan doctor tan chuan umbilical cord chu placenta-a a innghahna hmun dik tak hriat a harsa thei hle.

Chutiang hunah chuan doctor chuan ultrasound endik laiin Doppler an tih technique bik a hmang thei a ni. Hei hian nausen leh naute inkara thisen kal dan chiang takin a hmu thei a, chu chu naute chaw pek dan tur a ni. He Doppler examination hian umbilical cord attachment awmna hmun dik tak a hriat theih nan a pui a ni.

Hei hi eng enkawlna nge ni?

Tunah hian ``Marginal Cord Insertion'' tih hming pu condition "fix" thei tur treatment bik a awm lo. Chumi awmzia chu umbilical cord hi tihdanglam theih a ni lo tihna a ni. Chu ai chuan i naupai chhung zawngin i doctor chuan nang leh i naute chu uluk takin a enkawl ang. Hei hi harsatna lo awm thei tur venna atan a ni. Naute chu a lo thanglian tha em tih leh risk factor dang a awm em tih an enfiah bawk ang. A then phei chuan a hlauhawmna a awm chuan cesarean section (C-section) tih a tha thei bawk.

Chutiang ngun taka enkawl chuan a hlauhawmna chu nasa takin a tlahniam thei a ni. Chuvangin i doctor-te ring la, an sawi angin ti rawh.

Marginal Cord Insertion ven dan tur a awm em?

No. Marginal Cord Insertion a awm loh nan i dang thei lo. I thunun theih thil a ni lo. Mahse i doctor nen hian thawhhona tha tak i nei thei a, i naupai lai kha uluk takin i enfiah thei a, naute hrisel tak leh nau neih hlawhtling tak neih theih nan i theihtawp i chhuah thei bawk.

Condition (Marginal Cord Insertion) hi a mah chauhin a dam em?

A thleng thei. A tam zawkah chuan `(Marginal Cord Insertion)` hian naupai tan hlauhawmna lian tak a thlen lo va, naute pawhin a mamawh ei tur a hmuh theih loh phah lo. Chutiang a nih chuan umbilical cord inzawm dan tur ngaihtuah lutuk a ngai lo. Chu ai chuan i doctor chuan naute hmasawnna chu uluk takin a enfiah ang tih ring la, naupai laiin i hriselna vawng reng turin i rilru pe zawk ang che.

Marginal Cord Insertion hi thil hlauhawm tak a ni em?

Umbilical cord inbun danah thil danglam a awm chuan naupai laiin hlauhawmna engemaw zat a awm thei. Mahse, `(Marginal Cord Insertion)` i vei tih hmuhchhuah a nih chuan a chhe ber chu ngaihtuah suh. A chhan chu `(Marginal Cord Insertion)` vei hmuhchhuah tam zawkah chuan naupai hrisel leh naute hrisel tak tak an piang thin.

I doctor chuan i ngaihtuahna i neih apiang chu i medical history leh ultrasound result nen a sawipui thei ang. Thil ngaihtuah ber pakhat chu i naute chu a lo seilian zawi lutuk mai thei a, hei hi Intrauterine Growth Restriction (IUGR) an tih hi a ni. Naute hian nausen atanga ei tur tha a dawn loh chuan IUGR a hlauhawm thei a ni. I naute piang thar chungah hian a hnuaia mi hi a thleng thei a ni:

• Nau piang rit lo: Naute piang pound 5 leh ounces 8 (kilogram 2.5 vel) aia rit lo, a tlangpuiin.
• Low Apgar score: Apgar test hi naute pian hnu lawka hriselna endikna hmanrua a ni. Apgar score hniam chuan naute hian an thinlung emaw, an lung emaw-ah harsatna a nei thei tih a tilang thei. Chutiang naute chuan enkawlna dang an mamawh mai thei.
• Neonatal Intensive Care Unit (NICU)-a awm a ngaih theihna a sang: Naute chu a dam leh hma loh chuan NICU-ah enkawl belh theih a ni a, regular ward-ah sawn theih a ni.

I doctor chuan nangmah emaw i naute emaw tan hlauhawm a awm nia a hriat chuan cesarean section (C-section) tih a rawt thei ang.

(Marginal Cord Insertion) chu (Velamentous Cord Insertion) a ni thei ang em?

``Marginal Cord Insertion'' tih hming pu, a bik takin naupai kum thumna (kar 29 atanga 40) chhung hian ``Velamentous Cord Insertion'' tih dinhmunah a chang thei a ni. Mahse, hei hi a tlem hle.Velamentous Cord Insertion chu umbilical cord chu nausen chhungah direct-a inzawm lovin, nausen pawn lama membrane-ah a inzawm zawk a ni. Hetiang dinhmun hi Marginal Cord Insertion (naupai zinga 1% vel a awm) aiin a tlem zawk a, ngaihven deuh deuh a ngai a ni.

I doctor chuan umbilical cord a inzawm dan a enfiah ang a, heng dinhmun pahnih, ``Marginal Cord Insertion`` leh ``Velamentous Cord Insertion``-ah te result tha ber i neih theih nan a pui ang che.

Chuvangin, Marginal Cord Insertion chungchangah hian ka buai tur em ni?

Ni lo, i lungkham a ngai lo. Marginal Cord Insertion vei tam zawk hian naute hrisel tak tak an nei a. Naute hian a thanlenna atana a mamawh ei tur dik tak a dawng a nih chuan Marginal Cord Insertion neih hian i naupai chu a nghawng lo thei.

I ngaihtuahna i neih apiang chu i doctor nen sawiho rawh. Eng naupai lai pawhin harsatna a thlen theihna tur thil tam tak a awm a. Umbilical cord-a thil dik lo awm chu hlauhawm tak a ni thei a, a hlauhawm lo thei bawk. I doctor chuan i naupai chhungin a kaihruai thei che a, dik takin a teh thei bawk che a ni.

I doctor zawh tur zawhna pawimawh tak takte chu engte nge ni?

Hetiang hunah hian i rilruah zawhna tam tak a awm hi thil pangngai a ni. Doctor i zawh theih tur zawhna thenkhat chu hetiang hi a ni:

• Ka naupai enfiah nan vawi engzat nge ultrasound scan ka neih a ngai dawn?
• Test dang neih a ngai em?
• Marginal Cord Insertion hian ka naupai hi engtiang chiahin nge a nghawng theih ang?
• Naute hmasawnna enfiah nan test dang neih belh a ngai dawn em?
• Naupai hrisel ber neih theih nan engtin nge ka ei leh in, exercise leh mipat hmeichhiatna ka hman dan tur ka siamrem ang?
• Ni khatah engzat nge mut tur? Ni khatah engzat nge chawlh ka neih ang?

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

`(Marginal Cord Insertion)` i nei tih i hriat hian hlauhna tlem i neih hi thil pangngai a ni. Mahse, he diagnosis hian i naupaiah hian a tul lo taka stress a belhchhah suh. `(Marginal Cord Insertion)` hian enkawl belh emaw, enkawl emaw a ngai thei. Tin, he natna hian i naupai chu a nghawng lo tak tak thei bawk.

A pawimawh ber chu i doctor hian he natna hi i nei tih a hriat hi a ni. He information hian nang leh i naute chu a hrisel thei ang bera awm tir turin a pui ang. Hetiang natna vei nu tam tak chuan naute hrisel tak tak an nei zui zel tih hre reng ang che. Chuvangin a tha zawngin ngaihtuah la, i doctor thurawn zawm la, engkim a tha vek ang!

` Umbilical cord, placenta, naupai, naute than dan, ultrasound, Marginal Cord Insertion, IUGR