I naute umbilical cord chu a kawngah a khuh em? (Nuchal Cord) Lungngai suh, he thu hi han sawi ila!

Nu nih i hnaih deuh deuh chuan i naute chungchangah thil chi hrang hrang a rawn lang chhuak thin a ni lawm ni? A chang chuan thil tenawm ber pawh hi a hlauhawm hle thei. Chutiang chu a ni, ‘Naute kawr chhungah umbilical cord an inkhuh a ni’ tih i hriat hian. Phurrit lian tak ang maiin a lang, a ni lawm ni? Mahse, hei hi eng tak nge ni? Hei hi a hlauhawm em? Vawiin hian sawi ila.

Nuchal Cord chu eng nge ni?

A awlsam zawngin sawi ila, nuchal cord chu naute kawr, vawi khat emaw, vawi tam tak emaw inkhuh, umbilical cord a ni. ‘Nuchal’ tih thumal hi ‘kawng lam thil’ tihna a ni. Hei hi naute pum chhunga a la awm laiin a thleng thei a, a pian tirh lai pawhin a thleng thei bawk.

Tunah chuan he umbilical cord hi eng nge ni tih i ngaihtuah mai thei. Umbilical cord hi tube mai a ni. Chumi hmang chuan naute chuan nu hnen atangin a mamawh zawng zawng, oxygen, ei leh in leh thisen te chu a hmu thei a ni. Phên dangin sawi ila, naute nunna kawngkhar ang a ni. He umbilical cord hi naute leh placenta inzawmkhawmtu a ni .

Chuvangin, i naute kawngah umbilical cord a inkhuh tih i hriat hian hlauhna i neih hi thil pangngai a ni. Mahse i hriat tur pawimawh ber chu a tam zawkah chuan he umbilical cord hian naute tan harsatna a thlen lo. Hemi chungchang hi i doctor emaw midwife emaw chuan a hrilh belh ang che.

Nuclear code chi hrang hrang a awm em?

Ni e, doctor-te hian he thu hi sawifiahna kawng hrang hrang a awm a:

• Single Nuchal Cord: Chumi awmzia chu umbilical cord chu naute kawr chhungah vawi khat chauh a khuh tihna a ni.
• Multiple Nuchal Cords: Hetah hian umbilical cord hi naute kawngah vawi khat aia tam, chu chu vawi hnih emaw vawi thum emaw a khuh theih a ni.

Tin, umbilical cord hi a kawr chhunga an inthuam dan azirin ‘loose’ emaw ‘tight’ emaw a ni an ti bawk.

• Loose Nuchal Cord: Hei hi a tam ber a ni. Hetah hian umbilical cord hi a kawngah nghet takin a inkhuh lo va, a hnute chu a hlimthla a ni zawk. A châng chuan, naute chu a pum chhunga a kal kual rualin a mah chauhin a chhuak thei bawk.
• Tight Nuchal Cord: Hei hi a tlem deuh. Hetah hian umbilical cord chu naute kawr chhungah nghet takin an khuh thei a ni. Hetiang nuchal cord tight chi hi a loose aiin complication a thlen tam zawk. Mahse a tlem hle bawk.

Naute engzat nge he nuchal cord hi hmu thei?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk. Naute pali zinga pakhat (25%) vel chu nuchal cord pakhat neia piang an ni a, chu chu umbilical cord chu vawi khat kawr chhungah an khuh tihna a ni. Naute 100 zinga 2 leh 8 inkar (2.4% - 8.3%) chu umbilical cord chu vawi hnih emaw a aia tam emaw an kawr chhungah khuh a ni a, chu chu multiple nuchal cords tihna a ni . Chuvangin hei hi ngaihtuah tur a ni lo tih i hmu thei a ni lawm ni?

Nuclear code i neih theihna tur chhinchhiahna engte nge ni?

Naute chu a pum chhunga a awm emaw, a pian hnaih emaw a nih chuan a châng chuan chhinchhiahna pakhat hmuh theih chu nuchal cord a awm chuan a ni.Fetal heart rate monitoring hian heart rate a inthlak danglam tih a hriat theih. A bik takin, ‘variable decelerations’ an tih condition hmuh tur a awm. A awlsam zawngin, hei hi naute lungphun, chu chu thinlung thawk chakna chu tlem a tlahniam thut a, a pangngaia a lo kir leh hun a ni.

Heng heart rate inthlak danglamna hian umbilical cord kaltlanga thisen kal dan tur tikhawtlai engemaw zat a awm tih a tilang tlangpui. Hei hi umbilical cord chhunga thisen kalna kawngte compression vang pawh a ni thei. Hei hi nuchal cord vang pawh a ni thei . Mahse, chhan dang, cord-a knot emaw, umbilical cord prolapse emaw pawh hian heng heart rate inthlak danglamna hi a thlen thei bawk.

Mahse a pawimawh ber chu i naute heart rate-ah hetiang hian inthlak danglamna i hmu a nih chuan i doctor leh nurse-te chuan hma an la thuai ang a, nang leh i naute venhimna atan theihtawp an chhuah ang. Chuvangin hlauthawng suh.

Nuclear code siam chhante chu engte nge ni?

Nuchal cords hi a takah chuan random takin a thleng thin. Chumi awmzia chu an chhan dik tak chu tumah sawi a harsa tihna a ni. Mahse, a hnuaia thilte hian nuchal cord lo awm theihna a tipung deuh thei tih hmuhchhuah a ni:

• Nausen chet lutuk: Naute chu a thawkrim hle a nih chuan umbilical cord chu a hnung leh a inher chhuah rualin a kawngah a inzawm khawm thei a ni.
• Umbilical cord sei: Umbilical cord hi inches 27 (centimetre 70 vel) aia sei a nih chuan a inzawm khawm a rinawm zawk.
• Nausen pum chhunga amniotic fluid tam zawk (Polyhydramnios): Naute chhehvelah tui a tam lutuk chuan naute hian a kal kual theihna tur hmun a neih tam avangin umbilical cord a inzawm thei a ni.

Heng risk factors te hi control turin engmah tih theih a awm lo. I naute hian nuchal cord a neih chuan i sualna a ni lo. Chuvangin ngaihtuah buai suh.

Nuchal cord vang hian eng harsatna nge awm thei?

Ka sawi tawh ang khan loose nuchal cord hi a tlem hle. Naute a pian chuan doctor emaw nurse emaw chuan nausen lu chungah zawi zawiin cord loop chu birth canal atanga a chhuah rualin a hrual thei a ni.

Mahse, naute nuchal cord khauh tak nei – a zawng zawng ni lovin, a chang chuan – an pian hnuah heng harsatna tenau te hi an tawk thei a ni:

• Subconjunctival hemorrhage (mit chhunga thisen kalna kawng te tak te a puak) .
• Thisen sang hniam (Hypotension ) .
• Taksa a thisen volume tlahniam ( Hypovolemia ) .
• Thluak lama harsatna na lo tak
• Hmai vun hnuaia thisen chhuahna hmun sen te te ( Facial petechiae ) .
• Kawr vel vunah hliam tenau te
• Hun eng emaw chen chu hmai rawng thlak danglam a ni

Mahse, heng harsatnate hi a tlangpuiin a na lo va, hun rei tak chhung hriselna lama harsatna a thlen lo tih hre reng ang che.

A tlem hle, a tlem berah chuan nuchal cord khauh tak hian hetiang thil hi a thlen thei tihna a ni:

• Thisen hloh nasa tak a awm
• Thisenah acidity a sang (Acidosis ) .
• Anemia (thisen tlakchhamna) .

Hetiang thil hi a thleng a nih chuan i naute enkawltu doctor leh nurse-te chuan chutiang dinhmunte chu an enkawl dan tur an hre chiang hle. Chuvangin chu pawh chu ngaihtuah buai suh.

Engtin nge nuclear code i neih leh neih loh chiang taka i hriat theih ang?

I naupai laiin ultrasound scan laiin i doctor chuan nuchal cord a hmu thei a. Mahse, a châng chuan an hrilh lo mai thei che a ni. Hei hi a chhan chu nuchal cord hi a tam hle a, a tlangpuiin normal anga ngaih a ni. Umbilic cord kaltlanga thisen kal dan pangngai a nih chuan ngaihtuahawm tur a awm lo tlangpui. I doctor chuan Doppler ultrasound hmangin he thisen kal dan hi a normal em tih a enfiah thei ang.

I naute pian hnaih deuh deuh chuan i doctor chuan taksa test a nei thei a, nuchal cord a awm leh awm loh a enfiah thei bawk. Hei hian i naute kawr, i pum chungah chiah, zawi zawiin i hmet a ngai a ni. I naute heart rate a tlahniam chuan umbilical cord chu compress hlauhawmna a awm tih a tilang thei. Chutiang a nih chuan i doctor chuan i naute heart rate chu a enfiah chhunzawm zel ang a, harsatna a awm chuan hma a la ang.

Nausen a pian laiin nuchal cord a neih chuan doctor-te chuan engtin nge an tih?

Nausen pian tirh laia umbilical cord a neih chuan lakchhuah dan leh siamthat dan tur a awm lo. Doctor leh nurse-te chuan naute pian hma leh a pian laiin heart rate an enfiah ang a, umbilical cord-ah harsatna a awm leh awm loh an enfiah ang. Naute heart rate a hniam chuan medical team-in a tul angin hma an la ang. Hei hian a tlangpuiin:

• I dinhmun thlak danglam (entir nan, sir khat atanga sir dang hawi) .
• A tul chuan saline (IV fluids) pek
• Oxygen therapy pek a ni

Naute a lo pian hunah, naute lu chu vagina atanga a chhuah hnuah doctor emaw nurse emaw chuan naute kawr chhungah an kut an nghat ang a, umbilical cord a awm leh awm loh an enfiah ang. Nuchal cord hrual a awm chuan naute lu chungah zawi zawiin an paih chhuak thei tlangpui.

Umbilical cord chu a tlakbuak thut (tight nuchal cord) a nih chuan doctor chuan ‘Somersault maneuver’ a ti thei a ni.I naute chu "breech delivery" tih hmangin nau pai rawh. Hei hian naute lu chu i pelvis hnaih taka dah a, naute taksa dang zawng zawng vagina atanga a chhuah rualin umbilical cord chu a kawngah a pinch loh nan uluk taka lakchhuah a ngai a ni.

Naute umbilical cord nei chu a pangngaiin a piang thei ang em?

A tam zawkah chuan nuchal cord hian nau neih a tibuai lo va, chu chu ruahmanna angin vaginal delivery pangngai i nei thei tihna a ni.

Mahse, a tlem hle a, umbilical cord khauh tak chuan umbilical cord kal tlanga thisen kal chu a tikhawlo thei a, chu chuan nausen chu a ti lungngai thei a ni . Chutiang a nih chuan emergency C-section neih a ngai mai thei .

Tin, naute chu breech position-ah a awm a, nuchal cord a awm chuan doctor chuan external cephalic version (ECV ) emaw, vaginal delivery emaw a rawt lo tlangpui bawk. Chuti chung pawh chuan cesarean section neih a tha ber.

Chuvangin nuclear code hi ka hlau tur em ni?

Dik tak chuan a tam zawkah chuan nuchal cord hi ngaihtuah tur a ni lo. Nau piang thi leh hriselna lama harsatna lian tham a thlen thei tih hmuhchhuah a la ni lo. I doctor chuan nuchal cord enkawl dan a hre ang. Naute tan harsatna ( fetal distress) a thlen chuan an hrilh ang che. Chuvangin tul lova lungngai suh.

Umbilical cord chu ka kawngah a inkhuh loh nan ka tih theih tur a awm em?

Nuchal cord a siam loh nan engmah tih theih a awm lo. I naute pum chhunga a che vel dan emaw, umbilical cord kal dan emaw i thunun thei lo. Tin, umbilical cord a tangled chuan a phelh theihna tur engmah a awm lo. I naute hian a pian tirh atangin nuchal cord a neih chuan eng nge tih tur tih chiang takin i medical team te chuan an hre vek ang.

I naute hian an kawr chhungah umbilical cord an khuh tih hriat chu hlauhawm tak angin a lang thei a, mahse nuchal cord atanga harsatna lo thleng hi a tlem hle hle tih i ring tlat thei. I naute tan hriselna lama harsatna a thlen lo tlangpui. I naute hian nuchal cord avanga harsatna a tawh theih loh chuan i medical team te chuan i naute hi a him thei ang bera hrin turin an inpeih reng a ni.

I hriat reng tur pawimawh ber berte

Okay, chuti a nih chuan, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• Nuchal cord chu naute kawr chhunga umbilical cord inkhuh (umbilical cord) a ni. Hei hi a hluar hle.
• A tam zawkah chuan hei hi dinhmun hlauhawm tak a ni lo. Naute hian harsatna awm lova pian theihna chance a nei sang hle.
• Hei hi random takin a thleng a, i sualna a ni lo. Chuvangin ngaihtuah buai suh.
• Doctor te an niHei hi scan hmangin kan enfiah a, naute heart rate kan enfiah bawk.
• A tam zawkah chuan naute chu a pangngaiin a piang thei a ni. Emergency-ah chauh cesarean section tih a ngai a ni.
• Complication hi a tlem hle a, mahse a lo awm a nih chuan a na lo tlangpui.
• Hei hi ven nan hian engmah tih theih a awm lo. Mahse i doctor leh nurse te chu eng dinhmun pawh hmachhawn turin an inpeih reng a ni.

Chuvangin, doctor-in nuchal cord chungchang a hrilh che chuan hlau suh, zawhna i neih apiang zawt mai rawh. Engkim an hrilhfiah ang che. Nang leh i naute tan a tha ber!

` Nuchal cord, umbilical cord intanglement, naupai, nau neih, naute hriselna, umbilical cord, nausen thinlung thawk