Nausen nau neih laiin a kekawrte a tlakbuak chuan engtin nge ni ang? McRoberts Maneuver chungchang hi han sawi ila

Nau neih tura i inbuatsaih a nih chuan a chang chuan hlauhna tlem i nei thin a ni lawm ni? Engkim a tha ang em, naute pawh a buai dawn em ni? Nau neih hi thil pianpui leh mawi tak ni mah se, a chang chuan beisei loh harsatna a lo chhuak thei a ni. Mahse, lungngai suh, doctor leh medical staff te hi chutiang dinhmun eng pawh hmachhawn turin training pek an ni. Vawiin hian hetiang huna naute venhimna atana hmanraw bik leh tangkai tak tak kan sawi dawn a ni.

A awlsam zawngin McRoberts Maneuver hi eng nge ni?

Ngaihtuah teh, naute a pian dawn lai, naute lu a chhuah hnuah, a ke pakhat emaw, a pahnih emaw chu nu pelvis chhungah a inkhung ta a ni. Kawngkhar frame-a inkhung ang mai. Chumi avang chuan naute chu a chhuak kim thei lo. Hei hi emergency deuh a ni. Chutih lai chuan doctor-te chuan he technique McRoberts Maneuver an tih hi an hmang ta a ni.

A awlsam zawngin, hei hian doctor emaw, chuta damdawi lama thawktu trained zinga pakhat emaw chuan nu ke chu khup thlengin a ben a, a kekawrte chu a pum chungah nghet takin a nawr a ni. A dik zawka sawi chuan khup chu armpits-a a awm hnaih thlengin an ben a.

Hei hian pelvis chu a ti rotate deuh a, a pianzia a tidanglam deuh a, naute kekawrte chu kawng a\angin a kal chhuak thei a ni. Hei hi pawn lam atanga thil tih awlsam tak a ni a, mahse naute chhungril atanga chhuak tura puitu thil pawimawh tak a ni.

Engtikah nge he method hi hman a nih?

He McRoberts maneuver hi Shoulder Dystocia tih condition ah hman a ni. Hei hi medical term deuh a ni a, mahse a awlsam zawngin sawi ila, ka sawi tawh ang khan naute kekawr ipte a tlakbuak hi a ni.

Shoulder Dystocia chu eng nge ni?

Nau piang pangngaiah chuan naute lu chu vagina atanga a chhuah veleh, a hnua a inzawm khawmna nen chuan a kekawrte chu awlsam takin a chhuak thin. Mahse, Shoulder Dystocia-ah chuan naute kekawr pakhat (a tlangpuiin hmalam kephah) chu nu pelvis hma lama awm pubic symphysis hnung lamah a tang a ni. Hei hian naute taksa dang zawng zawng a chhuak thei lo.

Shoulder Dystocia vei theihna chance sang zawk tu nge awm?

Hetiang dinhmun hi tu chungah pawh thleng thei mahse, mi thenkhat chu an hlauhawm zawk. Mahse, heng risk factors te hi i neih hian i hmu ngei ang tihna a ni lo tih hre reng ang che. Tin, he dinhmun hi heng risk factors zinga pakhat mah nei lo tan pawh a thleng thei bawk.

He McRoberts method hi engtiang chiahin nge a hlawhtlin?

Tunah chuan hei hi tih theih awmchhun a ni em tih i ngaihtuah mai thei. McRoberts maneuver chauh i tih chuan hlawhtlinna rate chu 42% vel a ni . Chu chu percentage tha tak a ni.

Mahse, hei hi a hlawhtling lehzual theih nan doctor-te chuan a rualin hmanraw dang an hmang bawk. A hming chu suprapubic pressure an ti a. Chu chu, i kut chu pubic bone chung lam deuh, pum hnuai lam chiaha pressure zawi zawia dah tihna a ni. Kawngkhar nghet tak chungah nawr a, chhuah tir ang mai a ni.

He McRoberts maneuver leh Suprapubic pressure hi an tih dun chuan hlawhtlinna rate chu 90% ah a pung a ni. Chu chu hlawhtlinna rate ropui tak a ni lawm ni? Chuvangin hei hi Shoulder Dystocia enkawlna tha tak a ni.

Engtin chiah nge he thil kalphung hi a lo awm?

Hei hi a thleng rang hle a, ruahman lawk a ni. A tlangpuiin hetiang dinhmunah hian i chhehvelah mi engemaw zat an awm a, doctor leh nurse te pawh an tel.

Step 1: Thil awmdan hriat chian

Pakhatnaah chuan doctor chuan hei hi Shoulder Dystocia case a nih thu a nemnghet a ngai a ni. Chu chu engtin nge i hriat?

• Naute lu a lo chhuak tawh a, mahse a taksa dang zawng zawng chu vagina chhungah a tang a nih chuan.
• Naute lu a chhuak a, minute khat aia rei a taksa a chhuah loh chuan.

Step 2: McRoberts chu a dinhmunah hruai luh

I dinhmun an hriat chian hnuah chuan medical staff pahnih chuan i ke chu an la ang a, khup thlengin an ben ang a, i pum chhungah a theih ang anga nghet takin an nawr ang. Chutih rual chuan i hip te chu tlem an inthen darh ang (hip abduction). Hetiang dinhmun hian i pelvic ruh inkar chu centimetre 2 velin a zau ang. Tin, i pelvis (sacrum) hnunglam chu a flatten deuh bawk ang a, naute kekawrte pawh a chhuah awlsam phah ang.

Step 3: Suprapubic Pressure (a tul chuan) hman dan .

McRoberts position hnuah pawh naute kekawrte chu a la chhuak lo a nih chuan doctor emaw nurse dang emaw chuan an kut emaw, kut cupped emaw hmangin i pum hnuai lam, pubic bone chung lam chiah, hnuai lam leh a sir lamah pressure an pe ang. Hei hian stuck shoulder free turin a pui ang. Hei hi contraction laiin tih a ni fo.

Hetiang hmanrua hi eng nge a thatna?

McRoberts maneuver hlawhtling tak neih hian hlawkna tam tak a nei a ni.

• Nau neih pangngaia chhunzawm theihna: Hei hian emergency cesarean section (C-section) neih a ngai lo.
• Naute tana harsatna thlen thei venna: A kekawrte chu a lian lutuk a, a tang a nih chuan naute hian harsatna lian tak tak a nei thei a, chu chu a kut ruh tliak, nerve tihchhiat, oxygen tlakchham (asphyxia) te hi a ni. Hetiang method hian chu risk chu a ti bo ta a ni.
• Episiotomy mamawhna tihtlem: A chang chuan episiotomy neih a ngai thin. Hetiang hmanrua hi a hlawhtling a nih chuan chu mamawhna pawh chu a tlahniam thei bawk.
• Simple and Fast: Hei hi pawn lama tih theih awlsam leh tangkai tak a ni a, Shoulder Dystocia vei tan chuan hman hmasak ber a ni.

Complication a awm thei em?

Doctor trained-te’n dik taka an tih chuan harsatna lian tham a awm tlem hle. A pawimawh ber chu, tuna kaihhruaina awm mek chuan naute lu chu hrual emaw, a kawr emaw chu hrual ngai lovin a awm tur a ni tih a sawi . Chutianga tih chuan naute kawr emaw, ruhro emaw a tichhe thei tih doctor-te chuan an hria. Chuvang chuan hemi kawngah hian an fimkhur hle a ni.

A tlem hle a, hetiang tih hian nu chu a keah pelvic separation emaw neuropathy emaw a nei thei a ni. Mahse, hengte hi a tlem hle a, hun eng emaw chen atan a ni fo.

Hetiang method hi a hlawhtlin hnuah eng nge thleng?

McRoberts maneuver hlawhtling tak i neih hnuah i naute chu him takin vaginally-in a piang ang. He technique hi dik taka tih a nih chuan suprapubic pressure nen hian nau neih dan pangngaia nau neih theihna chance a sang hle.

Hetiang kalphung hi nu tan chuan a nuam lo deuh thei. Mahse chutih laia thil pawimawh ber chu naute himna a ni a, chuvangin medical staff-te thusawi ngaihthlak a, rilru hahdam taka awm a pawimawh. A tawpah chuan naute hrisel tak chelh hi a hlu hle.