He thupui hi mi tam tak tan chuan sensitive leh mimal thil a ni thei. Tin, mi thenkhat chuan sawi an hreh hle bawk. Mahse hemi chungchangah hian medical information dik tak hriat a pawimawh hle. Chuvangin vawiin hian naupai tihtawp chungchang hi pill hmanga tihtawp chungchang emaw, damdawi lama kan sawi thin ‘Medical Abortion’ emaw chungchang hi han sawi ila.
A awlsam zawngin ‘Medical Abortion’ tih hi eng nge ni?
Hei hi non-surgical method a ni a, naupai hmasa ber chu a bik taka pek pill hmanga tihtawp a ni. Hemi atan hian damdawi chi hnih hman a ni. Anni chu mifepristone leh misoprostol te an ni .
Ngaihtuah teh, kan taksa hian naupai theihna atana pawimawh tak hormone a nei a, chu chu progesterone an ti a ni.
- Damdawi hmasa ber (Mifepristone): Hei hian ka sawi tawh progesterone hormone hnathawh a titawp a ni. He hormone hi a bo chuan uterine wall chu a thim a, naupai chu a dam thei tawh lo.
- Damdawi pahnihna (Misoprostol): Hei hian nausen pum a tikhawlo a, thisen a chhuah a, a na a, nausen chhunga thil awmte a hnawtchhuak bawk.
Mi thenkhat chuan he method hi an pan thin a, a chhan chu surgery procedure a nih loh vang a ni. Mahse, hei hi naupai kar hmasa lamah chauh tih theih a ni. Naupai a tlai lutuk a nih chuan i doctor chuan hmanraw dang a sawipui thei a, chu chu D&C (Dilation and Curettage) an tih surgery tih te hi a ni.
Engvangin nge mi pakhatin hetiang hian thutlukna a siam ang?
Hei hi mimal thutlukna leh buaithlak tak a ni. He thutlukna hi mi nun dinhmun azirin a danglam thei.
- Nu leh pate chuan an naute hian pianpui emaw rochun emaw natna a nei tih an hriat hian he thutlukna hi an siam thei a ni .
- A châng chuan beisei loh taka naupai vang pawh a ni thei.
- Tin, naute chu a pum chhunga thi mahse taksa a chhuahsan lo (hei hi ‘missed abortion’ kan ti) a nih chuan doctor-te pawhin heng damdawi ang chiah hi an hmang bawk a, chu tissue fragment te chu an paih chhuak thin.
- Naupai avanga nu nunna atana hlauhawm a awm chuan hei pawh hi damdawi lam thurawn anga tih a ni.
Mi tin dinhmun hi a inang lo vek a, chuvangin i medical history hre chiangtu leh i mamawh hrethiamtu doctor nena inbiakna hmanga thutlukna siam a tha ber.
He method hi tute tan nge a inhmeh lo?
Damdawi enkawlna dang ang bawkin hei hi mi zawng zawng tan a ni lo. Hei hi i tan a him em tih hriat nan i hriselna chanchin kimchang i doctor nen sawiho a pawimawh hle. Hetiang method hi a him lo tak zet a ni, a hnuaia condition te hi i neih chuan:
| Nihna | Hrilhfiahna |
|---|---|
| Naupai lai | Hetiang hmanrua hi naupai chu kar tam tak a tlai (doctor-in a tihkhawtlai aia tam) a nih chuan a tha lo. |
| Damdawi ei avanga allergy nei | Damdawi hmante allergy i neih chuan. |
| Ectopic pregnancy dang a awm leh bawk | Naupai chu nausen pum pawnah (entir nan, fallopian tube-ah) a awm a nih chuan. Hei hi dinhmun hlauhawm tak a ni. He damdawi hian a tan hna a thawk dawn lo. |
| IUD hmanga tih a ni | Intrauterine device (IUD) i neih chuan. Mahse, he method hi IUD lakchhuah hnuah tih theih a ni. |
| Damdawi lam dinhmun thenkhat | Thisen zam natna, thisen tlakchhamna nasa tak, hun rei tak chhung corticosteroid hman, adrenal failure rei tak i neih chuan. |
| Hmanhmawh taka enkawl theih lohna | Hetiang hmanrua hi emergency a awm chuan damdawi in Emergency Treatment Unit (ETU)-a rang taka kal theihna tur facility a awm loh chuan a hlauhawm hle. |
Engtin nge hetiang kalphung hi a lo awm?
Hei hi multi-step process a ni a, engkim hi i doctor enkawlna hnuaiah a thleng vek a ni.
Step 1: Doctor appointment leh inbuatsaihna
A hmasa berin doctor i hmuh a ngai a ni. Hei hi a lo thleng dawn a ni:
- Zun emaw thisen test emaw chuan naupai tak tak i nih leh nih loh a finfiah ang.
- Ultrasound scan hmangin kar engzat nge i naupai tih chiang taka hriat theih a ni.
- Hetiang kalphung zawng zawng, a hlauhawmna leh a side effects te chu chipchiar takin kan hrilhfiah ang che.
Step 2: Damdawi ei
Hetah hian doctor thupek dik taka zawm a pawimawh hle .
1. Pill hmasa ber (Mifepristone): He pill hi doctor hmaah pek thin a ni tlangpui. Hemi hnu hian i haw thei tawh ang. Mi thenkhat chuan hemi hnu hian thisen chhuah tlem an nei thei a, mahse mi tam zawk chuan engmah an hre lo.
2. Second Pill (Misoprostol): He pill pahnihna hi pill hmasa ber ei atanga darkar 24 atanga darkar 48 hnuah ei tur a ni. Kawng chhungah dahin a hmin theih a, a nih loh leh vagina chhungah dah theih a ni bawk. I doctor chuan hetiang tih dan tur dik tak a hrilh ang che.
Step 3: Process lo awm dan
Pill pahnihna i ei hnuah chauh hian i hre nasa tan thin. Heng thilte hi i beisei thei ang:
- Damdawi ei atanga darkar 1 leh darkar 4 inkarah pum na (cramping) leh thisen chhuah a intan thin.
- Darkar engemaw zat hnuah chuan pum na nasa tak a awm ang a, thisen chhuak nasa tak a awm ang a, thisen zam a awm ang . Hei hi hun rit tak angin a lang ang.
- Mi thenkhat chuan ni khat vel chu khawsik tlem te te, khawsik te, luak chhuak te, pum na te an nei thei a.
Hemi hun chhung hian hmun nuam leh him takah chawlh hahdam a pawimawh. I rintlak i neih chuan tanpuina tha tak a ni. Tui lum bottle chu i kutah dah la, natna tidamtu tur a ni a, doctor-in a rawt angin natna tidamtu (ibuprofen ang chi) ei bawk ang che.
Enkawl hnuah eng nge thleng?
Darkar tlemte chhungin thisen chhuahna nasa tak leh natna chu a reh mai ang, mahse ni engemaw zat emaw, kar engemaw zat emaw chhung chu thisen chhuah tlem i nei thei a, chu chu hun pangngai ang bawkin a ni. Hemi hun chhung hian sanitary pads hmang thin ang che. Hei hian thisen chhuah engzat nge i neih tih i enfiah thei ang.
A pawimawh ber chu doctor nen follow-up appointment nei tura kal hi a ni. Hei hi kar hnih vel hnuah a ni thei. Chutah chuan naupai chu a tawp vek tawh tih finfiah nan test (scan emaw thisen test emaw) an ti ang.
Eng nge a hlauhawmna leh a hlawkna?
Hetiang hmanrua hi damdawi lam enkawlna dik hnuaia tih a nih chuan 98% velin a hlawhtling a, a him bawk.
A thatna te: 1.1.
- Hei hi naupai tirh lamah pawh tih theih a ni.
- Surgery a awm loh avangin a kaihhnawih hlauhawm a awm lo.
- Hetiang kalphung hi hmun nuam, mimal (in lama ang chi)-ah i paltlang thei a ni.
- I mamawh puihna pe tute chu i bulah i dah thei a ni.
Risk (a tlem hle, mahse hriat a pawimawh):
- Nau pai: A chang chuan naupai hi a kim lo thei. A nih loh leh nausen pum chhungah tissue thenkhat a awm thei bawk. Chutiang a nih chuan D&C neih a ngai mai thei.
- Heavy bleeding: Thisen chhuak rit lutuk, tihtawp theih loh.
- Infection: Infection chhinchhiahna chu vagina atanga rimchhia leh ni khat aia rei khawsik te hi a ni.
- Damdawi avanga allergy nei.
Hetiang tih dan hian nakin lawka naupai turte a nghawng dawn lo (harsatna a awm loh chuan). I thlasik hun pangngai chu kar 4-6 chhungin a intan leh ang.
Doctor hmuh nghal hun tur
A hnuaia symptoms te hi i neih chuan i doctor ko nghal la , a nih loh leh damdawi in hnai ber Emergency Department (ETU) ah kal rawh .
| Symptom a ni | Eng nge ngaihven tur |
|---|---|
| Thisen chhuak nasa tak a chhuak | Sanitary pad thick pahnih aia tam chu darkar khat chhunga a hnim vek chuan . |
| Thisen chhuak lo | Pill pahnihna (misoprostol) ei atanga darkar 24 hnuah thisen chhuah a la tan loh chuan. |
| Hri kai theihna chhinchhiahna | Darkar 24 aia rei khawsik, vaginal discharge rimchhia. |
| Natna nasa tak a nei | Pum emaw hnungzang natna nasa tak, natna tidamtu damdawi hmang pawha thunun theih loh. |
| Naupai chhinchhiahna awm | Kar tlemte hnuah pawh naupai symptoms nausea leh hnute tenderness ang chi i la neih chuan. |
Hetiang kalphung hian taksa leh rilru lamah a nghawng thei che a ni. Hlimna, lungngaihna, sualna leh lungkhamna te pawh hi rilru natna chi hrang hrang neih hi thil pangngai a ni. Mi biak tur i mamawh a nih chuan i thian rintlak, chhungte emaw, rilru lam hriselna lama counselor (therapist) emaw nena inbiakna neih hi a \angkai hle thei a ni. Hemi kawngah hian i doctor pawhin a pui thei che a ni.
Take-Home Thuchah a ni
- ‘Medical Abortion’ hi damdawi hmanga naupai tirh lai te chu pill hmanga tihtawp a ni a, zai ngai lovin a titawp a ni.
- Hei hi doctor thiam tak enkawlna hnuaiah chauh tih tur a ni . Damdawi hi nangmah chauhin emaw, midang thurawn angin emaw eng thil vang pawha ei suh.
- Doctor thupek dik taka zawm hi a hlawhtlinna leh i himna atan a pawimawh hle.
- Vaukhânna chhinchhiahna, thisen chhuak nasa, natna nasa tak, natna hrik kai theihna chhinchhiahnate chu fimkhur la, damdawi lam thurawn la nghal rawh.
- Rilru hriselna hi taksa hriselna ang bawkin a pawimawh. Psychological support i mamawh chuan sawi hreh suh.











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