I due date a hnai tawh em? Labour ti chak thei membrane sweep chungchang hi i zir belh ang u!

I naute i kuah hun tur ni, a nih loh leh ‘due date’ chu a ni em? A liam tawh maithei. I naute lo thlen hun tur chu dawhthei lo, phur tak leh hlauthawng deuha i nghah lai hian i doctor chuan ‘membrane sweep’ chungchang a hrilh tawh che em? Nu tam tak chuan he hming an hriat hian an hlauthawng deuh thin. "Eng nge ni?" "A na dawn em ni?" "Naute chungah thil a thleng dawn em ni?" rilruah lo kal turin. Chuvangin lungngai suh. Vawiin hian a zawng zawng hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

‘Membrane sweep’ tih hi eng nge ni tak tak?

A awlsam zawngin, hei hi doctor-in nau neih chu a pianphung anga a intan theihna tura a tih thin thil tenawm tak a ni. Ngaihtuah teh, i naute chu nausen pum chhungah tui khat bag chhungah a awm a ni lawm ni? Hei hi ‘amniotic sac’ kan ti a. He tui bag hi nausen pum bang ah a inbun a.

Membrane sweep an tih lai hian doctor chuan gloved finger chu i vagina kaltlangin i cervix chhungah a dah lut a, chu chuan tui bag chu uterine wall atanga tlem a inthen a ni. Bang chunga poster kil khat chawi chhuah ang mai a ni. Hei hi nalh takin tih a ni.

Tunah chuan, "Chutiang ka tih chuan eng nge thleng ang?"

I tui a chhe a, uterine lining a inthen chuan i taksa chuan a pianphungah chemical prostaglandins tih chu a siam chhuak thin. Chûngte chu i serh chu zawi zawiin a nem, a hring, leh a zauh theih nâna ṭanpuitu berte chu an ni . Phên dangin sawi ila, nau neih hmasak ber ṭan turin nawr tlem an pe che a ni.

Engvangin nge hetiang hi tih a nih? Hei hi tu tan nge a inhmeh?

A tlangpuiin naupai kar 39 emaw kar 40 emaw i pel tawh a, chu chu i naute chu a lo puitlin tawh tihna a ni a, mahse nau i la tan lo a nih chuan i doctor chuan he dan hi a rawn rawt thei ang. Hei hi natural taka nau neih tan tumna atan tih a ni a, a bik takin medical induction hmaa tih a ni.

Mahse hei hi mi zawng zawng tan thil theih a ni lo. Membrane sweep tih tur chuan i serh chu a inhawng (dilated) deuh tur a ni. I serh chu a khar vek a, a khauh a nih chuan doctor chuan he hna hi a tih theih nan kut zungtang a dah thei lo.

Hemi atan hian tute nge tling leh tling lo tih chu a hnuaia table atang hian i en ang u.

‘Membrane sweep’ tih dan tur chu eng nge ni?

Hetiang tih dan hi nau neih hmaa doctor nena in inhmuhkhawm ni khatah tih theih a ni tlangpui. Inbuatsaihna a ngai lo.

• Pakhatna: Pelvic exam-a i tih dan pangngai angin i thawmhnaw phelh a, exam table-ah mu turin an ti ang che.
• Pahnihna: Doctor chuan i serh (cervix) a enfiah hmasa ang. Engtiang chiahin nge a inhawng, eng ang taka nem nge a nih. Hei hi "favorable cervix" an ti bawk a, chu chu cervix chu 'sweep' tih theihna tur dinhmun tha takah a ding em tih tihna a ni. Cervix a tight lutuk emaw, a khar lutuk emaw chuan hei hi tih harsa tak a ni ang a, a thawk lo thei bawk.
• Pathumna: Cervix chu a awmna tur dik takah a awm chuan doctor chuan gloved finger pakhat emaw pahnih emaw chu cervix kaltlangin a thun ang a, cervix hawnna vel chu circular motion-in a herh kual ang. He movement hian a hmaa kan sawi tawh angin tui bag chu uterine wall atang hian a then hrang ang.

Hetiang zawng zawng hi minute tlemte chauh a ni a, chuvang chuan ngaihtuahawm tur a awm lo.

Hei hian a ti na hle em?

Hei hi nu tam takin harsatna an neih chu a ni. Dik tak chuan mi tin a hrehawmna hi a inang lo. Mi thenkhat chuan vaginal exam pangngai nena khaikhin chuan hrehawmna tlemte chauh an nei thin. Mi dangte chuan tlem a hrual deuh niin an hria a, period ang maiin. Mahse he natna hi ‘sweep’ chhung hian minute tlemte chauh a awm thin. Chumi hnuah chuan natna na tak chu a reh ta a ni.

‘Sweep’ hnuah eng nge beisei tur?

‘Sweep’ tih zawh hnu chuan in lamah i haw thei tawh ang. Mahse, darkar 24-48 chhungin i taksaah inthlak danglamna engemaw zat i hmu ang. Hengte hi thil pangngai a nih avangin lungngai suh.

• Cramping: Hei hi a lan chhuah dan tlangpui a ni. Ni khat emaw ni hnih emaw chhung chu pum hnuai lam ah hian a na deuh emaw, a na emaw a awm thei a, chu chu thlasik lai a natna ang chiah a ni.
• Contraction mumal lo: A chang chuan i pum chhungah tightening sensation i nei thei a, chu chu cramping ang chiah a ni. Mahse, hengte hi a lo thleng chhunzawm zel emaw, a lo thleng fo lo emaw pawh a ni thei. Hun engemaw chen hnuah pawh an kal bo mai thei bawk.
• Thisen chhuak light emaw brown discharge (Spotting): Cervix hi hmun nalh tak a nih avangin i kut zungtang hmanga i khawih chuan thisen tlemte emaw, brown discharge emaw a chhuak thei. Hei hi thil pangngai a ni. Mahse , thisen a chhuak nasa lutuk (darkar khat chhunga pad a hnim lutuk) chuan i doctor hnenah i hriattir nghal tur a ni.

Hei hi engtiang chiahin nge a hlawhtlin? A thatna leh that lohna eng nge ni?

Membrane sweep hnuah eng chen nge nau neih tan a nih dawn tih sawi a harsa hle. Naupai apiang leh taksa tin hi a danglam vek. Zirna thenkhatah chuan hmeichhia membrane sweep nei zinga 50% vel chuan kar khat chhungin nau an pai tan dawn tih hmuhchhuah a ni.

A thatna ber chu:

• Natural method a nih: Taksa hormone te tichakin nau neih tan tir a pui a, damdawi emaw thil siam dang emaw hmang lovin.
• Medical induction pumpelh theihna: A tam zawkah chuan hei hi a hlawhtling a nih chuan saline leh damdawi pek hian nau neihna natna thlen loh theih a ni.
• Psychological relief: Kar 40 hnuah nu tam tak chu taksa leh rilru lamah an chau hle. Naute hmuh thuai duhna nen chuan hetianga tanpuina tlem tal hmuh hi rilru lam hahdamna ropui tak a ni.

A that lohna emaw, a hlauhawmna emaw:

• Hrisel lohna leh natna: Sawi tawh ang khan he kalphung hi a nuam lo deuh thei.
• Thisen chhuah: Thisen chhuah tlem hi thil pangngai a nih laiin, a tlem hle a, thisen chhuah tlem a tam thei.
• Tui a chhe: Sweep lai hian i tui a chhe thei a, a chhe thei lo. Mahse, naupai tawh i nih avangin hei hi thil lian tak a ni lo. I tui a chhe a nih chuan darkar 24 chhungin nau neihnaah i lut tur a ni.
• Hnathawh dik lo:A châng chuan irregular contraction a inṭan a, nau neih i ring mai thei. Mahse, rei vak lo hnuah an tawp thei.

Engtin nge ‘sweep’ hi a intan tak tak tih i hriat theih ang?

‘Sweep’ hnua lameness tenau leh lameness dik tak hi thliar hran a pawimawh. Lameness dik tak chu a hnuaia mi ang hian a hriat theih a ni:

• Regular, strong, and close-knit contractions: A tir lamah chuan minute 10 danah vawi khat vel a intan a, mahse zawi zawiin a na zual a, a rei zawk (second 45-60 vel), a lo thleng fo thin (minute 5 danah vawi khat vel).
• Mucus plug: Thil thuk tak, mucus ang chi, a hmaa serh kawngkhar tikhawlotu kalna.
• ‘Bloody Show’: Thisen pink emaw sen emaw tlem te te chu mucus nen a inhmeh chuan serh a zau tih hriatna tha tak a ni.
• Tui chhe: Vagina atanga tui chhuak nghal emaw, zawi zawiin emaw.

Heng symptoms zinga pakhat emaw a aia tam emaw i neih chuan doctor emaw hospital emaw call la, thurawn la rawh.

Damdawi lam thurawn lak nghal tur

‘Sweep’ hnua lungawi lohna pangngai awm mah se, a hnuaia thil thlengte hi a lo thleng a nih chuan doctor ko nghal tur a ni. A nih loh leh damdawi in hnai ber Emergency Department (ETU)-ah kal rawh.

• Thisen chhuak nasa: Darkar khat chhunga sanitary pad hnim vek thei khawpa thisen i chhuah chuan.
• Natna tuar theih loh i tawn chuan .
• Khawsik i neih chuan .
• Tui bawm a chhe a, a tui chhuak chu green emaw brown emaw a nih chuan.
• Naute che vel a tlahniam emaw, hriat loh emaw a nih chuan .

Hengte hi fimkhur a pawimawh hle.