An beiseina a tlakchhiat thut avanga hrehawm tawrh tawhte chauh hian a lungchhiatthlak zia an hria. A châng chuan, i beisei loh ber laiin naupai kar tir lamah hetiang thil hi a thleng thei bawk. Vawiin hian mi tam takin an sawi hreh em em thupui kan sawi dawn a, mahse a pawimawh hle. Chu chu nau pai tih hi a ni.

Nau pai tih hi eng nge ni tak tak?

A awlsam zawngin, nau pai , mi thenkhat chuan ‘spontaneous abortion ’ an ti bawk a, chu chu naupai kar 20 hmasa berah beisei loh taka naupai hloh a ni a, chu chu thla 5 vel a ni. ' Nau pai ' tia sawi ni mahse hei hi i thil tihsual a ni lo tih hriat reng a pawimawh . A tam zawkah chuan heng thilte hi kan thunun theih loh thil a ni a, chu chu nausen pum chhunga naute a lo seilian tawh loh vang a ni .

Nau pai hi eng chi nge awm?

Tunah chuan heng nau pai te hi a thleng vek em tih i ngaihtuah mai thei. Ni e, i doctor chuan heng nau pai chi hrang hrangte hi a hrilh thei che a ni:

Missed Miscarriage a ni

Hetiang dinhmunah hian thil thleng chu nau pai tih pawh i hre lo. Chumi awmzia chu nau pai laiin a tlangpuiin symptoms a awm lo tihna a ni. Mahse ultrasound i tih hian naute chhungah hian heartbeat a awm lo tih i hre thei chauh a ni. Chutiang thil hriat chhuah chu a lungchhiatthlâk hle ang tih han ngaihtuah teh.

Nau pai vek

Chutiang a nih chuan naupai chu a bo vek a, i nausen pum chu a hring vek a ni. Thisen i chhuak thei a, nausen tissue chi hrang hrang pawh a pass out thei bawk . Doctor chuan hei hi nau pai vek a nih leh nih loh chu ultrasound hmangin a nemnghet thei a ni .

Nau pai leh thin

Hei hi a zawna nau pai vawi thum i neih lai a ni. Hetiang dinhmun hian nupa 1% vel a nghawng niin an sawi. Hetiang thil a thlen hian stress nasa tak neih hi thil pangngai a ni.

Nau pai theihna hlauhawm tak

Chutiang a nih chuan i serh khar ni mah se, thisen chhuah leh pum hnuai lam natna engemaw zat i nei thei a, chu chu period ang chiah a ni. Mahse a tam zawkah chuan naupai hi harsatna awm lovin a chhunzawm zel a ni . Mahse, i naupai chhung zawng hian i doctor chuan tlem a ngun zawkin a lo enkawl ang che. Hetih lai hian hlauthawng lova doctor thupek zawm a pawimawh.

Nau pai loh theih loh

Thisen a chhuak thei a, i pum hnuai lam a na a, i serh pawh a inhawng tan thei bawk. Amniotic fluid , naute hual vel tui ang chi chu i leak thei bawk. Hei hi nau pai kim vek theihna hun a ni.

Engtin nge ka nau pai tih ka hriat theih ang? (Natna)

A châng chuan nau pai tih pawh i hre lo mai thei. Mahse nau pai laiin symptoms nei ve tho tan chuan hengte hi a chhinchhiahna langsar berte chu an ni:

• Thisen chhuahna chu zawi zawiin a pung zel. A châng chuan gray tissue emaw thisen zam emaw a chhuak thei bawk.
• Pum hnuai lam na leh cramping. Hei hi thla tin i period chhunga i natna aiin a na zawk tlangpui.
• Hnung lam natna. Hei hi zawi zawiin a intan thei a, mi thenkhat tan chuan a na thei hle a, mi thenkhat tan chuan a na lo thei bawk.
• Naupai chhinchhiahna te chu a tlahniam zauh zauh a. Entirnan, luak chhuak leh luak chhuak ang chi thilte chu a reh thei.

Heng symptoms te hi i neih chuan i prenatal care provider i call nghal tur a ni . Office-a lo kal nge emergency room-a kal tur tih a hrilh ang che. Hetiang hunah hian hlauhthawn loh a har a, mahse hmalak vat a pawimawh.

Eng thilin nge nau pai chhan?

Mi tam tak chuan, "Engvangin nge hetiang hi ka chungah a lo thlen?" "Thil dik lo ka ti em?" Mahse thudik tak chu, nau pai tam zawk hi nangmah sual vang a ni lo. A chhan berte han thlir ila.

Chromosomal-a thil awm dan dik lo

Chromosomal abnormalities hian nau pai zinga 50% vel chu first trimester-ah a thlen a , chu chu naupai atanga kar 13 vel a ni. Chromosome hi kan cell chhunga thil te tak te, kan gene zawng zawng phurtu a ni tih hre reng ang che. Mi pakhat sex atanga a sam rawng, mit rawng leh thisen chi hrang hrang hi heng genes te hian a hril vek a ni.

Egg leh sperm inzawmkhawmin embryo an siam chuan chromosome set hnih a inzawm khawm a ni. Ngaihtuah teh, egg emaw, sperm emaw hian chromosome pangngai aia tlem emaw, tam emaw a neih chuan, a chhuak embryo chuan chromosome a nei tlem hle ang. Tichuan, embryo a lo thanglian zel chuan cell te chu an inthen darh a, an pung chho zel a, chutianga thil awm dan pangngai lo chuan nau a pai thei bawk. A tam zawkah chuan heng chromosome problems te hi random a ni. Hei hi engvanga lo awm nge tih chiang taka hriat a la ni lo.

Nau pai chhan dang engte nge ni?

Chromosomal abnormalities tih loh chu thil dang engemaw zatin nau pai a thlen thei a:

• Infection chi hrang hrang.
• Natna TORCH group-a tel natna laka invenna.Hengte hi natna chi hrang hrang, naupai laia hlauhawm tak tak awm thei te an ni. (Entirnan: Toxoplasmosis, Rubella, Cytomegalovirus, Herpes simplex) te hi a tha lo hle a ni.
• Hormone inthlauhna (Hormone inthlauhna) a awm.
• Fertilized egg chu uterine wall-ah dik lo taka dah.
• I kum a ni. I upat deuh deuh chuan nau pai theihna a sang deuh hlek a ni.
• Uterine Abnormalities (e.g., nausen pianzia inthlak danglam, fibroids) .
• Incompetent cervix: Hei hi naupai laiin cervix a inhawng hma lutuk a ni.
• Nunphung thenkhat. Entîr nân, zu in te, zu in te, ruihhlo hmansual te.
• Immune system natna, lupus ang chi te .
• Kidney Disease na tak a awm.
• Pianpui Lung natna.
• Diabetes enkawl theih loh.
• Thyroid natna a ni.
• Radiation laka invenna.
• Damdawi thenkhat. Entirnan, hmai vun natna damdawi Isotretinoin (Isotretinoin / Accutane®) ang chi te.
• Malnutrition nasa tak.

A pawimawh ber chu, stress, exercise, sex, emaw, hun rei tak nau tihtlakna damdawi hman hian nau a pai tih finfiahna a awm lo. I dinhmun chu eng ang pawhin awm mah la , nau pai i neih chuan nangmah leh nangmah mawhpuh suh. Nau pai tam zawk hi i thil tih leh tih loh avanga lo awm a ni lo. Chu chu i hriatthiamna chuan i rilru siam tûrin a ṭanpui thei che a ni.

Nau pai hi engtiang chiahin nge a hrehawm?

Hei hi mi hrang hrangah a inang lo tak zet a ni. Mi thenkhat chuan pum hnuai lam na tak leh cramping nasa tak an nei thei bawk. Mi dangte chuan thlasik hun lai ang bawkin natna an nei thei bawk. I nau pai chi hrang hrang a zirin a natna zat pawh a inang lo thei bawk. Entirnan, in lama ‘complete miscarriage’ i neih chuan surgical abortion hmanga ‘missed miscarriage’ nei tawh aiin natna i tawk tam zawk thei.

Nau pai laiin eng nge thleng hmasa ber? Eng chen nge a daih?

Nau pai lai hian eng nge thleng hmasa ber tih chiang taka sawi a harsa a, a chhan chu mi tin symptoms hi a inang lo vek a ni. A chang chuan, symptoms a awm lo tak zet a, ultrasound scan hmangin nau pai a awm leh awm loh hriat theih a ni. Hmeichhe tam zawk chuan pum na leh thisen chhuahna engemaw chen an nei thin . Mahse thil thleng hmasa ber chu mi tinah a inang lo.

Nau pai hun chhung pawh chutiang bawk chu a ni a, mi hrang hrangah pawh a inang lo.Hmeichhe thenkhat chuan midang aiin natna nasa zawk leh thisen chhuak nasa zawk an nei thei bawk. I doctor chuan i beisei tur a hrilh thei che a, he natna leh hrehawmna hi i enkawl dan tur thurawn a pe thei bawk che a ni.

Nau pai theihna tur risk factors te chu engte nge ni?

Risk factor chu natna emaw, dinhmun emaw vei theihna tipungtu mizia emaw, nungchang emaw a ni. Nau pai theihna tur risk factor lian tak tak engemaw zat a awm a:

• I kum: Zirna hrang hrangah chuan hmeichhia kum 20 hnuai lam tan nau pai theihna chu 12% leh 15% inkar a ni a, kum 40 an tlin chuan 25% velin a kai chho a, kum upat avanga nau pai tam tak hi chromosomal abnormalities vang a ni , chu chu nausen hian chromosome tam lutuk emaw, tlem lutuk emaw a neih vang a ni.
• Nau pai tawh: Nau pai tawh i nih chuan nau pai leh theihna chance 25% vel i nei (hei hi nau pai tawh ngai lo aiin a sang deuh chauh a ni).
• Hriselna dinhmun: Zunthlum thunun theih loh, natna chi hrang hrang, emaw, i nausen pum emaw, i serh emaw-a harsatna engemaw zat i neih chuan nau pai theihna a tipung thei a ni.

Heng risk factors te hi i doctor nen sawiho rawh. I medical history a enfiah ang a, i risk chungchang a hrilh ang che.

Hmeichhia engzat nge nau pai tawh? Kar khat atanga kar khatah eng risk nge awm?

Naupai hriat zawng zawng zinga 10% leh 20% inkar chu nau paiah a tawp niin an chhut . Heng nau pai tam zawk (80%) hi naupai atanga thla thum hmasa berah (i.e. kar 13 chhungin) a thleng thin . Nau pai zinga 5% aia tlem chu kar 20 hnuah a thleng thin.

A châng chuan, implantation hnu lawka nau pai tih ngaihtuah chuan he percentage hi a sang zawk thei a ni. Chutiang hunah chuan thlasik hun pangngai ang bawkin thisen a chhuak fo thei a, chuvangin mi pakhatin nau a pai tih pawh a hre lo mai thei. Hei hi ‘chemical pregnancy’ an ti bawk.

Thu lawmawm tak chu i kum upat deuh deuh chuan nau pai theihna a tlahniam thin . Naupai zinga 15% vel chu nau paiah a tawp nia chhut a ni. Second trimester (kar 13 atanga 19) chhunga nau pai theihna hi 1% leh 5% inkar a ni. Thil tam tak, i kum leh hriselna te hian he hlauhawmna hi a nghawng a ni. Mahse, hriselna lama harsatna dang i neih loh chuan i upat deuh deuh chuan nau pai theihna a tlahniam a ni.

Engtin nge nau pai tih dik taka i hriat theih?

Nau pai tih finfiah nan i doctor chuan a hnuaia test te hi a ti thei ang:

• Ultrasound: Hei hian naute hian heartbeat a nei em tih emaw, ‘yolk sac’ a awm em tih emaw a enfiah a, chu chu embryo hmasa berah hmuh theih a ni.
• Thisen test: 1.1.Hei hian hormone pakhat ‘Human Chorionic Gonadotropin’ (hCG) tih level a test thin a ni. Hei hi nausen (placenta) atanga siam hormone a ni. hCG level hniam chuan nau pai a nih thu a nemnghet thei.
• Pelvic Exam: Hei hian i serh a inhawng em tih a enfiah thin.

Nau pai chu engtin nge enkawl a nih?

Nau pai i neih chuan nausen chu i nausen (uterus) atanga lakchhuah a ngai a ni. Naupai lai hmun eng emaw chu i taksa chhungah a awm chuan natna hrik i nei thei a, thisen chhuak nasa tak i nei thei a, a nih loh leh harsatna dang i nei thei bawk .

Nau pai a zo tawh tihna a ni a, chu chu nausen tissue zawng zawng chu nausen pum atanga lak chhuah vek a nih chuan enkawlna dang a ngai tawh lo tlangpui. I doctor chuan ultrasound a ti ang a, nausen pum chhungah engmah a awm tawh lo tih a chiang ang.

Mahse, i taksain heng tissue zawng zawng hi a la chhuak vek lo a nih chuan, emaw, thisen i la chhuak lo a nih chuan, i doctor chuan he tissue hi damdawi emaw, operation emaw hmanga lak chhuah a rawt thei ang.

Nonsurgical Treatment hmanga enkawl a ni

I doctor chuan i taksain nau a paih chhuah hun nghak turin a ti mai thei che. Hei hi nau pai loh a nih chuan a dik hle. Mahse naupai hun nghah hian ni engemaw zat a daih thei. Chutianga tih chu a him lo a nih chuan, emaw, naupai chu a rang thei ang bera tihbo i duh chuan, i doctor chuan naupai pass theihna tur damdawi a pe thei che a ni. He option hi i naupai atanga kar 10 hmaa nau pai a nih chauhvin a awm tlangpui.

Nau pai tih finfiah a nih loh pawhin, nau pai chhinchhiahna i neih chuan i doctor chuan ni engemaw zat mut hahdam a rawt thei ang. Damdawi inah zan khat chhung enfiah turin i awm thei bawk. Thisen chhuah a reh tawh chuan hna pangngai i thawk leh thei tawh ang. I serh chu a inhawng a nih chuan ‘incompetent cervix’ tih hmuhchhuah a ni a, serh khar nan operation ( ‘cervical cerclage’ an tih) pawh tih theih a ni.

Surgery hmanga enkawl a ni

I naute chu i nausen pum a chhuah loh chuan, emaw, thisen a chhuak nasa hle a nih chuan, i doctor chuan D&C (Dilation and Curettage) emaw D&E (Dilation and Evacuation) emaw a ti thei ang. Kar 10 aia upa i naupai chuan operation tih chauh hi a awm mai thei. Hetiang tih danah hian i serh (cervix) chu hawn a ni a, naupai tissue la awm zawng zawng chu i nausen (uterus) atangin scraping emaw suctioning emaw hmangin lakchhuah a ni. Hetiang tih hi damdawi inah tih a ni a, anesthesia hnuaiah tih a ni.

Nau pai hnua a lan chhuah dante chu engte nge ni? Engtikah nge Doctor ka hmuh ang?

Nau pai hnua spotting leh discomfort engemaw zat neih hi thil pangngai a ni.

Mahse, heng symptoms te hi i neih chuan i doctor i ko nghal tur a ni , hengte hi infection chhinchhiahna a nih theih avangin:

• Thisen chhuah tam lutuk emaw, thisen chhuah tam lehzual emaw pawh a pawi lo.
• Khawsik (fever) a nei.
• Chills a awm.
• Natna nasa tak a ni.

Nau pai hnu kar hnih tal chu i vagina chhungah engmah dah suh . Hemi hun chhung hian tampon hman loh, sex hman loh, kut zungtang emaw sex toys emaw hman loh tihna a ni. I doctor chuan i dam leh tawh loh leh harsatna i neih leh neih loh enfiah turin follow-up appointment a ruahman ang.

Nau pai chhunzawm zel i nih chuan eng test nge tih tur?

A zawna nau pai vawi thum aia tam i neih tawh chuan (hei hi ‘repeated miscarriage’ an ti) a nih chuan i doctor chuan thisen test emaw, genetic test emaw engemaw zat a ti thei ang. Chung zinga ṭhenkhat chu:

• Genetic Tests: Nang leh i kawppui pahnih hian thisen test, karyotyping ang chi, chromosomal abnormalities awm leh awm loh enfiah theih a ni. Nausen paih chhuah atanga tissue a awm chuan chromosomal abnormalities a awm leh awm loh pawh test theih a ni.
• Thisen Test: Thisen test hi autoimmune condition emaw hormonal condition emaw, nau pai thei tur awm leh awm loh enfiah nan tih theih a ni.

Chu bâkah, i doctor chuan i nausen pum enfiah nân hengte zînga pakhat hi a hmang thei bawk:

• Hysterosalpingogram: Hei hi X-ray ang chi dye hmanga i uterus leh fallopian tube enfiahna a ni.
• Hysteroscopy: Hetiang tih danah hian doctor chuan nausen pum chhung chu telescope ang maia te tak te hmangin a en thin.
• Laparoscopy: Hetah hian doctor chuan pelvic organs chu lighted instrument hmangin a en thin.

Nau pai hnuah nau i pai leh thei ang em? Engtiang chiahin nge rei lo te?

Ni e, i ti thei. Hmeichhe nau pai tam zawk (87%) chuan naupai pangngai leh naute hrisel tak tak an nei zui zel a ni. Nau pai tih hian naupai lama harsatna i nei tihna a ni lo. Nau pai tam zawk hi i thil tih vang ni lovin, chromosomal abnormality vang a ni tih hre reng ang che.

Naupai leh tum leh hun tur chungchanga thutlukna siam hi nang leh i doctor nen in siam dun tur a ni. Hmeichhe tam zawk chu thlasik hun ‘normal’ vawi khat hnuah naupai leh thei an ni.

A pawimawh ber chu nau pai hnua taksa leh rilru lama damna hun hman hi a ni.He hlohna hi i hmachhawn theih nan counseling a awm a ni. Nau pai hloh chungchang in sawi theihna tur support group te hi nang leh i kawppui tan chuan thil hlu tak a ni thei a ni. Counselling leh chutiang support group chungchang hriat belh duh chuan i doctor zawt rawh. A chung berah chuan nau pai chungchangah hian nangmah hi mawhpuh suh. Lungngai turin hun hmang rawh.

Nau pai vawi thum a zawna i neih tawh chuan, a chhan bulpui hriat tumin i doctor hnenah test chungchang zawt rawh. Chutiang test result i hmuh hma chuan birth control hman a tha ber. Doctor chuan test result a enfiah ang a, chutah chuan birth control hman tawh loh tur leh naupai leh tum turin a hrilh ang che.

Nau pai dang chu ven theih a ni em?

Dik tak chuan nau pai tur ven hi a tlangpuiin a awm lo. Nau pai i nei tawh a nih chuan a thlentu tur thil i tih vang a ni lo. I tih theih ṭha ber chu i taksa enkawl ṭhat hi a ni. I in enkawl dan tur thenkhat chu hetiang hi a ni:

• I nau neih hmaa i enkawlna (prenatal care) tlawh fo thin.
• I taksa rihna hrisel tak, i duh ang taka vawn reng.
• Nau pai theihna tur risk factors, zu in leh meizuk te pumpelh.
• Nau neih hmaa vitamin ei.
• Exercise mumal leh ei leh in hrisel.

Nau pai lai lungngaihna chu engtin nge kan hmachhawn ang? ( A tawp berah chuan hei hi hre reng ang che )

Naupai hloh hi thil lungchhiatthlak tak a ni a, rilru natna leh zawhna tam tak a rawn keng tel a ni. Nau pai atanga rilru lama dam lehna hi taksa lama dam lehna aiin a rei zawk a, a harsa zawk fo bawk. I boralna lungngaih nan i mamawh hun hmang rawh. I kawppui, i ṭhiante leh i chhungte nen i rilru put hmang sawipui rawh. A nih loh leh online-ah naupai hloh thlawptu group zawng rawh. Mi ṭanpui theitute nêna in hual vel la, a nih loh leh i hloh tawhte hmachhawn tûra ṭanpui tûrin professional ṭanpuina zawng rawh.

Nau pai hi nu leh pa beisei tur tan chuan emotional tak a ni a, a boralna lungngaih hi thil awmdan pangngai a ni. Nau pai chu ven theih a ni lo tih hre reng la, i thil tihsual a ni lo. Fa i nei leh thei tawh lo tihna a ni lo va, nau i pai leh dawn tihna a ni lo. Lungngaih hi thil pangngai a ni. Chhungte, ṭhiante, online support group emaw, licensed counselor emaw aṭangin ṭanpuina dawng rawh. Naupai leh i tum a nih chuan i naupai leh tur chungchang te, a hun tur te leh zawhna i neih te chu i doctor nen sawiho rawh.

` Nau pai, Naupai, Hmeichhe hriselna, A natna lan chhuah dan, a chhan, Enkawl dan, Nau pai