Nau pai hnuah nangmah chauh i ni lo 💔😔😢

Chumi ni a clinic-a lo kal Anika (kum 29) chu a lungngaih em em a, a khawvel pum pui chu a chim nghal vek ang maiin a lang. A mit chu a hring vek a, non-stop a tap tawh avangin thusawi pawh a harsa hle. Harsatna nasa tak nena kal a, ka dawhkan hmaa thutu Anika chuan a mittui chu a kuta tissue kengin a hrufai a, heti hian min hrilh a:

"Dr. Priya, ka naute chu a awm tawh lo. Eng thil nge thleng tih ka hre lo. Mahni inpuh mai loh chu tih tur dang ka nei lo. Thil dik lo ka ti em ni doctor?"

Anika chanchin ka ngaihthlak chuan lungngaihna thuk tak ka nei a. Nau pai hi damdawi lama thil thleng pangngai ni mah se, kan khawtlang nunah hian tlang taka kan sawi chhuah a ni lo. Hei vang hian nu tam tak chuan an sualna niin an ngai a ni. Anika kut chu ka vuan a, lainatna nen, "Anika, i chunga thil thleng hi ka pawi ka ti hle mai. Mahse, hre reng ang che, hei hi i sualna a ni lo tak zet a ni. Thil thleng tak tak chu sawi ila. I taksa leh rilru tihdam nan i pui ang u," ka ti a.

Nau pai tih hi eng nge ni?

Miscarriage chu naupai kar 20 hmaa a pianphung atanga a hloh a ni. Damdawi lam hawi chuan he natna hi spontaneous abortion tia hriat a ni bawk .

Hei hi a awm dan tlangpui a ni. Naupai 4 emaw 5 emaw zinga 1 vel chu hetiang hian a tawp thin. Nau pai tam zawk hi naupai kar 12 hmasa berah a thleng thin. Hmeichhe thenkhat chuan nau an pai tih an hriat hma pawhin nau an pai thei.

Nau pai Chhuahna

Nu tam tak chuan nau pai chu an thawhrim lutuk vang emaw, ei tur dik lo ei vang emaw niin an ngai nghal a. Mahse, damdawi lam hawi chuan nau pai tam zawk hi nu thunun theih loh thil vang a ni.

1. Chromosomal dik lo awm thei

Nau pai hmaa 50% aia tam hi embryo chhunga genetic emaw chromosomal problems vang a ni. Hei hi naupai laiin natural error a awm avangin chromosomes te hi a inthen dik loh vang a ni. Hei hi tu pawhin an ven theih thil a ni lo va, nausen hrisel lo chu a lo thanglian zel loh nan nature ngeiin hma a lakna anga sawi theih a ni.

2. Uterine emaw Placental emaw chungchanga harsatna awm thei

Nau pai hi nausen pianphung a danglam vang te, nausen pum chhunga fibroid awm vang te, serh thiam lo vang te pawh a awm thei. Nausen chawmtu nausen (placenta) hi a lo thang tha lo thei a ni.

3. Nu hriselna dinhmun

Nu hian zunthlum thunun theih loh, thyroid natna, thisen zam (Anti-phospholipid Syndrome) ang chi natna a neih chuan nau pai theihna a sang hle.

Nau pai lohna Symptoms

Naupai lai hian a hnuaia symptoms te hi ngun takin ngaihven rawh:

• Vaginal Bleeding: Hei hi light spotting atanga thisen rit tak tak, thlasik lai ang chi thlengin a awm thei. Hei hi nau pai chhinchhiahna langsar ber a ni.
• Abdominal Cramping: Pum hnuai lam a cramps, menstrual cramps aiin a na zawk a, hnungzang kaltlangin a radiate thin.
• Passing Clots or Tissue: Tissue sen emaw grey emaw leh thisen zam chu vagina kaltlangin a kal a.
• Naupai hloh Symptoms: Zing natna leh hnute natna hloh nghal.

🚨 Damdawi ina dah vat ngai Red Flags

Nau pai lai emaw, nau pai hnu emawa a hnuaia symptoms te hi i neih chuan tihkhawtlai lohvin damdawi in pan nghal tur a ni:

• Thisen chhuak nasa: Darkar khat chhungin sanitary pad 2 aia tam i hnim theih khawpa thisen chhuak i nih chuan.
• Pum natna nasa tak: Natna nasa tak, tuar theih loh, pum sir khat chauh a awm (hei hi ectopic pregnancy chhinchhiahna a ni thei).
• Infection chhinchhiahna: Khawsik sang, khawsik, leh vaginal discharge rimchhia.
• Thil hriatna hloh: Luak na tak, lu hah, emaw hriatna hloh emaw.

Nau pai chu engtin nge kan enkawl ang? (Nau pai enkawl dan) .

Nau pai a awm chuan doctor chuan ultrasound scan hmangin nausen pum chhungah nausen peng a la awm leh awm loh a enfiah thin. Chumi hnuah chuan enkawl dan tur chu a zirin thutlukna siam a ni.

1. Expectant Management: Nau pai a zo tawh a, tissue engmah a la awm loh chuan taksain tissue la awm chu a mah chauhin a paih chhuah hma chu doctor enkawlna hnuaiah kar 1-2 vel nghah theih a ni.
2. Surgical treatment (Dilation and Curettage - D&C): Nausen pum chhungah tissue fragment a awm reng chuan natna hrik leh thisen chhuah tam lutuk loh nan nausen pum chu tihfai nan surgical procedure tenau (D&C) tih a ni.
3. Medical Management: Nausen pum chhunga tissue la awmte natural expulsion tichak turin doctor-in damdawi bik a pe thei.

Taksa leh rilru lama dam lehna neih

Taksa lama dam leh tur chuan kar 1-2 vel a la ngai thei a, mahse rilru lama dam leh tur chuan hun rei zawk a la ngai thei.

• Taksa chawlh: Nau pai hnu ni 2 tal khumah chawlh hahdamna famkim neih. Hna rit leh thawhrimna pumpelh rawh. Infection laka inven nan tampon hman loh tur leh kar 2 tal sex hman loh tur a ni.
• Hriatthiamna sawi rawh:Lungngaihna nasa tak leh sualna chu a chhungah bottle-a dah ai chuan, i pasal emaw, i ṭhian hnai tak emaw, damdawi lam thurawn petu emaw hnenah hrilh rawh.
• Naupai leh tur ruahmanna: Taksa leh rilru lama i inpeih tawh chuan thlasik pangngai vawi khat emaw pahnih emaw tal i neih zawh hnuah naupai leh tum theih a ni.

Tih tur & Tih loh tur

Scientific lam atanga lak chhuah (References) .

• 📚 Nau pai - NHS
• 📚 Naupai hmaa hloh chhinchhiahna leh chhinchhiahna: A Systematic Review - PMC