Mumang leh beiseina tam tak i vawn tlat chuan, a hloh hrehawmna tuar chhuak tawhte chauh hian a tihchhiat theihzia chu an hre chiang tak zet a ni. A châng chuan, naupai kar hmasa berah i beisei ngai loh angin , hei hi a thleng thei a ni. Vawiin hian mi tam takin sawi harsa an tih thupui kan sawiho a, chuti chung pawh chuan a pawimawh hle tih chu rin theih a ni lo: nau pai chu eng nge a nih tih hriatthiam a ni.
Nau pai tih hi eng nge ni tak tak?
A awlsam zawngin, nau pai — ‘ spontaneous abortion ’ tia koh fo —chu kar 20 hmasa berah, a tlangpuiin thla 5 hmasa berah naupai beisei loh taka hloh hi a ni. Damdawi lamah chuan ‘ nau pai ’ tia sawi a nih laiin, i hriatthiam hmasak ber leh pawimawh ber a ni: hei hi i sualna a ni lo. A tam zâwk chuan, heng thilthlengte hi i thunun theih loh a ni a, naute lo pian chhuahnaah natural halt a awm vâng a ni .
Nau pai chi hrang hrangte chu engte nge ni?
Nau pai zawng zawng hi a inang vek em tih i ngaihtuah mai thei. Ni lo, i doctor chuan a hnuaia mi ang hian a classified thei ang:
Missed Miscarriage a ni
Chutiang a nih chuan nau pai tih pawh i hre lo mai thei a, a chhan chu a natna lan chhuah dan pangngai i neih loh vang a ni. Ultrasound scan lai chauh hian nausen thinlung thawk a awm lo tih finfiah a ni fo thin . Chutiang chanchin kan dawn chu a lungchhiatthlak tak zet a ni.
Nau pai vek
Hei hi naupai tissue chu a kal tlang vek a, i nausen pum chu a hring vek a nih chuan a thleng thin. Thisen chhuak leh tissue passing i nei thei . I doctor chuan ultrasound hmangin hei hi a nemnghet thei ang .
Nau pai leh thin
Hei hian a zawna naupai vawi thum hloh tihna a ni. Nupa zinga 1% velin a nghawng nia chhut a ni. Hei hian a tibuaitu anga inhriatna chu thil pangngai tak a ni.
Nau pai theihna hlauhawm tak
Hetiang dinhmunah hian i serh chu khar reng mah se, thisen chhuak leh pum hnuai lam natna i nei thei a, chu chu thlasik laiin natna (menstrual cramps) ang chiah a ni. Mahse, a tam zawkah chuan naupai hi harsatna awm lovin a chhunzawm zel a ni. I doctor chuan naupai chhung zawngin uluk zawkin a enkawl mai ang che. Hetah hian rilru hahdam taka awm leh damdawi lam thurawn zawm hi a pawimawh hle.
Nau pai loh theih loh
Hetah hian thisen chhuak leh pum na i nei thei a, i serh erawh a inhawng tan thung. A châng chuan naute vêla ' amniotic fluid ' chu a leak thei bawk. Heng hunah hian nau pai vek theihna a sang hle.
Engtin nge ka nau pai tih ka hriat ang? (Natna)
A châng chuan i hriat lohvin nau pai a thleng thei bawk. Mahse, symptoms a awm tak tak a nih chuan hengte hi a lan chhuah tam berte chu an ni:
- Zawi zawiin vaginal bleeding a tipung. A chang chuan greyish tissue emaw thisen zam emaw i hmu thei bawk.
- Pum hnuai lam na leh cramping. Hei hi a tlangpuiin menstrual cramps pangngai aiin a na zawk.
- Hnung lam natna. Hei hi zawi zawiin a intan thei a, a zual thei a, thenkhat tan chuan a level hniam takah a awm thei bawk.
- Naupai symptoms tlahniam. Entirnan, luak chhuak emaw, zing natna emaw a tlahniam nghal tih i hmu mai thei.
Heng symptoms te hi i neih chuan i healthcare provider hnenah zawh nghal rawh.Clinic tlawh tur nge emergency department pan tur tih an kaihruai ang che. Hlauhthawn loh a harsat laiin, rang taka hma lak chu a pawimawh hle.
Eng thilin nge nau pai chhan?
Mi tam tak chuan, ‘Engvangin nge hetiang hi ka chungah a lo thlen?’ tiin an ngaihtuah thin. emaw, 'Thil dik lo ka ti em?' A nihna takah chuan nau pai tam zawk hi i thil tih vang a ni lo. A chhan bulpui berte chu han en ila.
Chromosomal-a thil awm dan dik lo
Trimester hmasa berah—naupai kar 13 vel thleng— nau pai 50% vel chu chromosomal abnormalities vang a ni. Chromosomes hian kan genes a keng tel a, chu chuan sam rawng, mit rawng, leh thisen chi hrang hrang ang chi mizia a tichiang a ni. Egg leh sperm an inzawmkhawm chuan an genetic material chu an inzawm khawm a ni. Chromosome a tam lutuk emaw, a tlem lutuk emaw chuan embryo hi a lo thang tha lo thei a ni. Heng chromosomal issues te hi a thleng tlangpui a , a chhan dik tak hi hriat a ni lo fo thin.
A thawhhlawk dangte pawh
Chromosomal issues piah lamah hian thil dang engemaw zatin nau pai theihna a thlen thei a:
- Infection awm thei te.
- TORCH natna (eg, Toxoplasmosis, Rubella, Cytomegalovirus, Herpes simplex) laka invenna .
- Hormone inthlauhna (hormone inthlauhna) a awm.
- Fertilized egg chu uterine wall-ah dik lo taka dah .
- Nu kum upa lam. Kum upat deuh deuh hian a hlauhawmna chu a sang deuh hlek a ni.
- Uterine-a thil danglam (eg, structural variation, fibroids) a awm.
- Incompetent cervix (cervix a inhawng hma lutukna hmun).
- Nunphung lam thil , zu in, zu in, ruihhlo hmansual ang chi.
- Autoimmune disorder Lupus ang chi te hi a awm thei.
- Kal natna na tak a ni.
- Pianpui thinlung natna.
- Zunthlum enkawl loh.
- Thyroid natna a ni.
- Radiation laka invenna.
- Damdawi thenkhat , Isotretinoin (Accutane®) ang chi, hmai vun natna atana hman thin.
- Ei leh in lama harsatna nasa tak.
A pawimawh ber chu, stress, exercise, sexual activity, emaw, hun rei tak birth control pill hman hian nau a pai tih finfiahna a awm lo. I dinhmun chu engpawh nise, khawngaihin nangmah leh nangmah mawhpuh suh. Nau pai tam zawk hi i thunun theih loh chhan vang a ni. Hei hi hriatthiamna hi i damna kawngah thil pawimawh tak a ni thei.
Nau pai hi engtiang chiahin nge a hrehawm?
He thil tawn hi mimal tinte tan chuan a danglam bik tak zet a ni. Ṭhenkhat chuan pum hnuai lam natna nasa tak leh rilru na tak tak an nei thei a, ṭhenkhat erawh chuan thlasik hun laia rilru natna pangngai ang bawkin an hrehawm lo thei thung. A nasat dan chu i nau pai chi hrang hrangah a innghat fo thin. Entirnan, in lama ‘complete miscarriage’ i neih chuan ‘missed miscarriage’ laiin nausen tissue lakchhuahna tur surgery nei mi ai chuan i hrehawm zawk mai thei.
Nau pai lai hian eng nge thleng hmasa ber a, eng chen nge a daih?
Nau pai hi engtin nge a intan tih chiang taka sawi a harsa a, a chhan chu a natna lan chhuah dan a inang lo. A then phei chuan pawn lam chhinchhiahna a awm lo va, nau pai hi ultrasound exam-ah chauh hmuhchhuah a ni. Mahse hmeichhe tam tak tan chuan pum hnuai lam natna level engemaw zat leh vaginal bleeding hi a tir lama a lan chhuah dan tlangpui a ni. Eng pawh ni se, hmasawnna chu mi zawng zawng tan a danglam vek.
Chutiang bawkin, a kalphung hun chhung pawh a inang lo hle . Hmeichhe thenkhat chuan midang aiin hun rei zawk chu natna nasa tak leh thisen chhuak nasa tak an nei thei bawk. I doctor hi i beisei tur kaihruaitu tha ber a ni a, natna leh cramping enkawl dan tur chungchangah thurawn chiang tak a pe thei bawk.
Nau pai theihna tur risk factors te chu engte nge ni?
Risk factor chu damdawi lam dinhmun bik awm theihna tipungtu mizia emaw, nungchang emaw a ni. Nau pai theihna atana hlauhawm ber berte chu hetiang hi a ni:
- I Kum: Research atanga a lan dan chuan kum 20 hnuai lam hmeichhiate nau pai theihna chance chu 12% leh 15% inkar a nih laiin, kum 40 an tlin chuan 25% velin a pung a, kum upat avanga nau pai tam tak hi chromosomal abnormalities vang a ni , chutah chuan embryo hian chromosomes dik lo a nei a ni.
- Previous Miscarriage: Nau pai hmasa pakhat i neih tawh chuan a dang i neih theihna chu 25% vel a ni (hei hi nau pai ngai lo mi aiin a sang deuh chauh a ni).
- Hriselna dinhmun: Zunthlum enkawl loh, natna hrik thenkhat, emaw, i nausen emaw, i serh emaw a structural issue bikte hian i hlauhawmna a tipung thei a ni.
Heng risk factors te hi i healthcare provider nen sawiho rawh. I medical history chu an enfiah ang a, i risk chu personalized assessment an pe ang.
Nau pai hi engtiang chiahin nge a awm a, hun kal zelah engtin nge risk hi a inthlak?
Naupai hriat chhuah zinga 10% atanga 20% vel chu nau painaah a tawp thin niin an chhut . A tam zawk (80%) chu first trimester (kar 13 hmasa berah) chhungin a thleng thin . Kar 20 hnua nau pai hi a tlem hle a, 5% aia tlem loah a thleng thin.
A châng chuan, implantation hnu rei vak lovah hloh hmasa berte kan chhiar chuan percentage chu a tam thei hle. Chutiang hunah chuan thisen chhuah chu thlasik hun pangngai nen a inmil fo avangin, mi pakhat chuan nau a pai tih pawh a hre lo mai thei. Hei hi ‘chemical pregnancy’ tia hriat a ni .
Thu lawmawm tak chu i naupai kar a liam apiangin nau pai theihna a tlahniam thin . Risk zawng zawng chu 15% vel a nih laiin, second trimester (kar 13 atanga 19) chhunga risk chu 1% leh 5% inkar ah a tlahniam thung. I kum leh hriselna zawng zawng hian hmun pawimawh tak a chang a, mahse hriselna lama harsatna bulpui i neih loh chuan i naupai a lo zual zel chuan nau pai theihna chu a tlahniam zel a ni.
Engtin nge nau pai tih hriat theih?
Nau pai tih finfiah nan i doctor chuan a hnuaia test te hi a ti thei ang:
- Ultrasound Exam: Hei hian nausen thinlung thawk emaw, naupai tirh lamah hmuh theih tlangpui ‘yolk sac’ ang chi structure awm leh awm loh a enfiah thin.
- Thisen Test: Hengte hian human chorionic gonadotropin (hCG) , hormone, nausen atanga siam chhuah zat a teh a. hCG level hniam emaw tlahniam reng reng hian nau pai a nih thu a nemnghet thei a ni.
- Pelvic Exam: Hei hi i serh (cervix) a dilate (open) tan em tih enfiah nan hman thin a ni.
Nau pai hi engtin nge an enkawl?
Nau pai i tawk a nih chuan nausen pum chu a hring vek tih hriat a pawimawh hle. Naupai nena inzawm tissue eng emaw a la awm chuan natna hrik kai, thisen chhuak nasa tak, a nih loh leh harsatna dang i nei thei a ni .
Nau pai chu ‘a famkim’ a nih chuan—nausen tissue zawng zawng chu a pianphungah a kal vek tihna a ni—chuan enkawl belh a ngai lo tlangpui. I doctor chuan ultrasound hmangin hei hi a nemnghet ang .
Mahse, tissue chu a kal kim lo a nih chuan, emaw, thisen a la chhuak lo a nih chuan, i doctor chuan tissue tihfai nan damdawi emaw, surgery emaw a rawt thei ang.
Nonsurgical Treatment hmanga enkawl a ni
I doctor chuan i taksain tissue chu a pianphung anga a pass theih hun nghah a rawt thei a, a bik takin ‘missed miscarriage’ a awm chuan. Mahse, he thil hi ni engemaw zat a daih thei a ni. Nghah hi damdawi lamah a him lo a nih chuan, emaw, a tih thuai i duh chuan, i doctor chuan nausen pum chu a hring vek theih nan damdawi a pe thei ang. Heng options te hi a tlangpuiin naupai kar 10 hnuai lam tan chauh a awm thin.
Nau pai tih finfiah loh mahse symptom i lan chuan i doctor chuan khumah chawlh tir a rawt mai theini engemaw zat chhung emaw, enfiahna atan damdawi ina zan khat riah emaw a ni thei bawk. Thisen chhuah a reh chuan a tlangpuiin hna pangngai i thawk leh thei. I serh chu a hun hmaa a inhawng tih hmuhchhuah a nih chuan hei hi ‘incompetent cervix’ tia hriat theih a ni a, a khar reng theih nan ‘cervical cerclage’ tia hriat surgical procedure pawh tih theih a ni bawk.
Surgery hmanga enkawl a ni
Tissue chu nausen pum chhungah a awm reng emaw, thisen chhuak nasa tak i neih chuan i doctor chuan D&C (Dilation and Curettage) emaw D&E (Dilation and Evacuation) emaw a ti thei ang. Naupai kar 10 a pel tawh a nih chuan operation hi a tha ber fo thin. Heng an tih lai hian cervix chu dilated a ni a, tissue la awm chu suction emaw gentle scraping hmangin lakchhuah a ni. Heng procedure te hi damdawi inah anesthesia hnuaiah an ti thin.
Nau pai hnuah eng chhinchhiahna nge awm a, engtikah nge ṭanpuina i zawn ang?
Nau pai hnuah hian spotting thenkhat leh minor discomfort te hi thil pangngai a ni.
Mahse, a hnuaia mi hi i tawn chuan i doctor i pan nghal tur a ni, natna hrik kai chhinchhiahna a nih theih avangin:
- Thisen chhuak nasa tak a pung emaw, a tawp lo emaw.
- Khawsik.
- Chills a awm.
- Natna nasa tak emaw, na zual zel emaw.
Nau pai hnuah kar hnih tal chu vagina chhungah engmah dah suh . Hei hian tampon hman loh te, mipat hmeichhiatna hman loh te, mipat hmeichhiatna hmanraw hman loh te a huam a ni. I doctor chuan i dam tha em tih leh harsatna i neih loh nan follow-up appointment a ruahman ang.
Nau pai leh thin chu eng test nge tih thin?
Naupai vawi thum emaw a aia tam emaw a zawna i neih chuan (‘recurrent miscarriage’ tia hriat natna) i doctor chuan thisen test emaw, genetic test emaw a rawt thei ang. Chung zinga ṭhenkhat chu:
- Genetic Tests: Nang leh i kawppui te pahnih hian thisen test, Karyotyping , te chu in nei thei a, chromosomal abnormalities awm apiang hriat theih a ni. Naupai atanga tissue a awm chuan heng thil dik lote hi test theih a ni bawk.
- Thisen Test: I doctor chuan naupai hloh theihna tur autoimmune condition hnuaia awm emaw, hormone imbalances emaw enfiah turin thisen test a ti thei ang.
I doctor chuan i nausen pum enfiah nan a hnuaia diagnostic procedure pakhat hi a rawt thei bawk ang:
- Hysterosalpingogram: X-ray procedure bik a ni a, contrast dye hmangin i uterus leh fallopian tubes te chu hmuh theih a ni.
- Hysteroscopy: I doctor-in telescope ang maia hmanraw te tak te hmanga i nausen pum chhung a en dan a ni.
- Laparoscopy: I doctor-in lighted instrument hmanga i pelvic organs a enfiah thin dan a ni.
Nau pai hnuah nau i pai leh thei ang em? Engtiang chiahin nge rei lo te?
Ni e, a dik tak zet. Hmeichhe tam tak (87% vel) chuan naupai hrisel tak leh nau pai hnuah nau an pai chhunzawm zel a ni. Nau pai loh i tawn hian nau neih lama harsatna i nei tihna a ni lo. Khawngaihin hre reng ang che, nau pai tam zawk hi random chromosomal abnormalities vang a ni—i thil tih leh tih loh vang a ni lo.
Naupai dang engtikah nge i tum ang tih thutlukna siam hi i doctor nena inrawnkhawma i duhthlan tur a ni. Hmeichhe tam tak chu thlasik hun ‘normal’ vawi khat hnuah taksa lamah nau pai leh thei an ni.
A pawimawh ber chu taksa leh rilru lamah pawh damna hun pek hi a ni.He hlohna hi i tihfel theih nan counseling service a awm bawk. Support group, chutiang bawka hloh tawh midangte nena inbiakna neih theihna hmun chu nang leh i kawppui tan pawha hmanraw pawimawh tak a ni thei. I healthcare provider hnenah counseling leh support group option hrang hrangte zawt rawh. A chung berah chuan khawngaihin nangmah hi mawhpuh suh. Lungngaihna hun i mamawh chu pe rawh.
Nau pai vawi thum emaw a aia tam emaw a zawna i tawn tawh chuan, a chhan bulpui ber hriat theih nan i doctor hnenah test dang neih belh tur zawt rawh. Heng test result a awm hma chuan naupai venna hman a tha a, chutih hunah chuan i doctor chuan naupai venna tihtawp a, nau pai leh tum leh a remchan hun tur a kaihruai ang che.
Nau pai dang chu ven theih a ni em?
Dik tak chuan nau pai tam zawk hi chu ven theih a ni lo. Nau pai i lo nei tawh a nih chuan, chu chu a thlen theihna tura i thil tih vang a ni lo. I tih theih ṭha ber chu i ṭhatna tur ngaihtuah hi a ni. Mahni in enkawl dan tur tlemte chu hetiang hi a ni:
- Nau neih hmaa i enkawlna appointment zawng zawngah rinawm takin tel vek rawh.
- I tana tha tur taksa rihna hrisel tak vawng reng ang che.
- Risk factor hriat tawh, zu in leh meizuk te chu pumpelh rawh.
- Nau neih hmaa vitamin i rawt te kha ei thin ang che.
- Exercise mumal, a tlem berah inhmang la, ei leh in inthlau leh hrisel tak nei rawh.
Nau pai lai lungngaihna chu engtin nge kan hmachhawn ang? ( A tawp berah chuan heng thute hi hre reng ang che )
Naupai hloh hi rilru tichhe thei leh thil buaithlak tak a ni a, chu chuan rilru natna chi hrang hrang a thlen thei a ni. Emotional recovery process hi taksa damna aiin a rei zawk fo a, a harsa zawk bawk. I hloh chu lungngai turin phalna pe rawh. I rilru put hmang chu i kawppui, i ṭhiante, a nih loh leh i chhûngte hnênah sawi rawh. Online-a naupai tihtlem tumna group-ah pawh thlamuanna i hmu thei bawk. Support system nghet tak hmangin in hual la, a nih loh leh he hun harsa tak hi i zawh theih nan professional counselor puihna dil rawh.
Nau pai chu nu leh pa ni turte tan chuan hun thuk tak a ni a, i lungngaihna chu a dik vek a ni. Khawngaihin hre reng ang che, nau pai hi a veng thei lo va, i sualna pawh a ni lo. Nakin lawkah fa i nei thei dawn lo tihna a ni lo va, nau pai dang chu pumpelh theih loh a ni tihna a ni lo. Lungngaih hi thil pangngai a ni. I hmangaih tak takte, support group emaw, licensed counselor emaw hnenah tanpuina dil rawh. I naupai leh tur ruahmanna i siam fel hunah chuan i doctor nen appointment siam la, i hmabak tur te, i hun hman dan tur te, leh zawhna i neih apiang te sawipui rawh.
Nirogi Lanka ah chuan | Nau pai, Naupai, Hmeichhe hriselna, A natna lan chhuah dan, a chhan, Enkawl dan, Naupai hloh
