Naupai lai hian oligohydramnios (naute chhehvela amniotic fluid hniam) chungchang hi kan zir tur em ni?

Nu i nih dawn lai hian a chang chuan doctor-te thusawi hian a ti buai deuh thei a ni lawm ni? ‘Naute chhehvelah tui a tlem’ tih ang chi thu i hriat hian tlem a lungkham hi thil pangngai tak a ni. Hei hi Doctor ten `(Oligohydramnios)` an tih chu a ni. Mahse, lungngai suh, a dik em? A tam zawkah chuan he natna hi uluk taka i enkawl chuan he khawvelah hian naute hrisel, duhawm tak i rawn hruai lut thei a ni. Hemi chungchang hi chipchiar takin sawi ila, Sinhala tawngin i hriatthiam theih tur.

Chuti a nih chuan naute chhehvela tui tlahniam chungchangah hian eng nge a awmzia?

A awlsam zawngin, i naute chu a pum chhunga a awm lai hian a chhehvelah tui ang chi tui a awm a. Hei hi `(Amniotic fluid)` emaw amniotic fluid kan tih emaw, a tam zawkah chuan "naute chhehvel tui" emaw kan tih chu a ni. Hei hi naute tan venhimna bag ang a ni. Ngaihtuah teh, he tui bawm avang hian naute chu pawn lam nawrna leh natna chi hrang hrang lakah a him a ni. Thil pawimawh dang chu he tui hian umbilical cord pressure laka venhimna atan a pui bawk. Chu mai a ni lo, he `(Amniotic fluid)` hi naute lung, chaw ei dan, leh taksa lum leh vawt dan tur dik taka a lo thanlenna atan a pawimawh hle. Chuvangin, `(Oligohydramnios)` tih awmzia chu naute chhehvela tui awm zat chu beisei aia tlem a ni tihna a ni. Chutiang a lo thlen chuan naute lo pian lai emaw, nausen pian lai emaw hian harsatna engemaw zat a awm thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

He natna hi ``Oligohydramnios'' tia koh a ni a, hmeichhe naupai 100 zinga 4 vel (4%) vel a awm a ni. Naupai thla thum hnuhnung berah, a nih loh leh naupai thla thumnaah a thleng tlangpui. Mahse, i nau neih hun tur i pelh tawh a nih chuan, emaw, i nau neih hun tur thlenga i la neih loh chuan a hlauhawmna chu 12% velin a pung thei a ni. Hei hi a chhan chu naute chhehvela tui awm zat chu a pianphungah he hun chhung hian a tlahniam deuh tan thin a ni.

Naupai lai hian naute chhehvelah tui engzat nge awm tur?

Hei hi kar engzat nge i naupai tih ah a innghat tak zet a ni. He ``Amniotic fluid'' hi i naupai atanga ni 12 vel ah a lo awm tan thin. A tir lamah chuan he tui hi ``Placenta'' atanga lo chhuak a ni. Kar 15 vel a nih chuan thil mak tak a thleng a, naute zun chu he tui hi a lo ni ta a ni. Ni e, naute chuan chu tui chu a in a, zun angin a paih chhuak thin. Hei hi fluid level tihreh dan a ni. He tui hian naupai kar 36 velin a level sang ber a thleng thin. Chumi hnuah chuan a tlahniam zauh zauh tan thin. Chuvangin, tui awm zat hi hun hrang hrangah a inang lo thei a ni.

Naute tui tlakchhamna chhinchhiahna engte nge ni?

A tam zawkah chuan i hre lo mai thei. A chhan dang vangin naute than dan enfiah nan ultrasound scan an neih laiin a lo hmuchhuak thei bawk. Chutiang a lo thlen chuan mak tih leh hlauhna i nei nghal mai thei. Mahse, lungngai suh.

Mahse a chang chuan doctor chuan he thil hi a ringhlel thei a, a chhan chu:

• I vagina atanga tui chhuak i neih chuan (hei hi eng nge a nih i hriat chian loh chuan doctor hnenah i hrilh tur a ni).
• I naupai kar zat aia i nausen pum lian leh te a tlem chuan.
• Naute chetna a tlem lutuk nia i hriat chuan.

Engvangin nge naute chhehvelah tui a tlem?

A tam zawkah chuan a chhan tak tak a awm lo. Random takin a thleng thei a, naupai hrisel takah pawh a thleng thei. Mahse a châng chuan doctor-te chuan a chhan bik an hmu thei a.

A chhan thenkhat chu hetiang hi a ni:

• Congenital anomalies of the naute kal emaw urinary system: Naute kal a lo thang tha lo a nih chuan a zun chhuah zat a tlahniam ang. Hei hian naute chhehvela tui awm zat pawh a ti tlem bawk ang.
• Placenta Problems: Nausen thisen leh nutrients te hi placenta hi a ni. A thawk tha lo a nih chuan tui siamchhuahna pawh a tlahniam thei bawk.
• Due date kar hnih chuang a liam tawh: Ka sawi tawh ang khan ni a liam zel chuan tui hi a tlahniam zel a.
• Hypertension emaw preeclampsia: Heng natnate hian nausen chhunga thisen kal a ti tlem thei a, chu chuan tui level a ti hniam thei bawk.
• Dehydration: I taksain tui a neih tlem chuan a nghawng thei bawk. Chuvangin tui in tam a pawimawh hle.
• Premature rupture of the membranes (PROM): Naute pian hmaa membrane a rupture a, tui a chhuah tan chuan a chhunga tui awm zat a tlahniam thin.

Heng natna te hi i neih chuan i naute chhehvelah tui tlem i nei tam zawk. Naupai hmaa tui tlem i neih tawh chuan chu pawh chu risk factor a ni.

Hei hian eng harsatna nge a thlen theih?

Naupai thla 6 hmasa berah chuan naute chhehvel tui hi a tlangpui aia hlauhawm deuhin a awm thei a, a chhan chu chutih lai tak chuan naute taksa peng hrang hrang a lo insiam thin a ni.

• Organ hmasawnna lama harsatna: A bik takin lung hi a lo thang tha lo thei a, a nih loh leh naute chu a pum chhungah a insiam tha lo thei a, chu chuan ke ruh a tichhe thei a ni.
• Hun hmaa nau neih .
• Stillbirth (hei hi a tlem hle a, mahse a hlauhawmna a awm).
• Tui a chhe hma chuan infection a awm thei.

Mahse, he natna (Oligohydramnios) hi naupai thla thum hnuhnung berah (i.e. kar 28 atanga kar 40 thleng) hmuhchhuah a nih chuan a hnuaia harsatnate hi a awm thei a ni:

• Umbilical cord compression: Naute chhehvela tui tlakchham vangin umbilical cord chu a compress thei a, chu chuan nautein ei leh in leh oxygen a dawn zat a ti tlem thei a ni.
• Fetal growth tihkhawtlai a ni .
• Cesarean section (C-section) hmanga nau neih theihna a sang zawk.
• Naute neih hma.
• Tui a chhe hma chuan hri kai theihna a sang zawk.

Ngaihtuah teh, tui khata balloon-a thil i dah ang chiah hian a him a, chutiang bawkin naute pum chhunga naute pawh a him bawk. Tui level a tlahniam chuan chu himna chu a tlahniam ta a ni.

Engtin nge doctor-te hian hei hi an hriat chhuah?

I naupai laia doctor office-a i kal chuan doctor chuan ultrasound scan hmangin i naute chhehvela tui awm zat a teh ang. I naute kar engzat nge a awm chhung atan tui hi beisei aia tlem a nih chuan oligohydramnios i vei tih hmuhchhuah a ni thei.

He tui hi teh dan kawng hnih a awm a:

1. Amniotic fluid index (AFI): Hei hian i nausen pum chu section paliah then a, section tina tui thuk ber san zawng tehna a ni. Chumi hnuah chuan section pali atanga tehna zawng zawng te chu a belhkhawmin AFI chu chhut a ni. AFI pangngai chu centimetre 5 (cm) aia tam a ni tur a ni.

2. Maximum vertical pocket (MVP): Hei hian nausen pum chhunga tui column pakhat, thuk ber san zawng a teh a ni. MVP hi centimetre 2 (cm) aia tlem a nih chuan tui hniam anga ngaih a ni.

Hei hi eng enkawlna nge ni?

Hei hi enkawlna chu i naupai chhunga i awm chhung leh naupai laia harsatna dang i neih leh neih lohah a innghat a ni. Full term hnaih tawh (chu chu kar 37 kalta tihna a ni) i doctor chuan i naute humhim nan nau neih tir hi a tha ber tih a rel thei ang.

Doctor chuan a rawn tlawh fo ang che a, clinic ni tam zawk a hmang ang. A tum apiangin i naute hmasawnna chu uluk takin an enfiah ang. Heng clinic-a i tih theih ṭhenkhat chu hetiang hi a ni:

• Ultrasound scan nawn leh thin.
• `Nonstress tests` (hei hian naute heart rate-in a chetna a chhan dan a enfiah thin).

Enkawlna dangte chu i tui tlakchham chhanah a innghat. I tui a chhe tawh nia rinhlelhna a awm a nih chuan, emaw, i tui level a hniam chhunzawm zel chuan damdawi inah uluk taka enfiah turin dah theih i ni.

Tui in hian naute chhehvela tui a tipung thei em?

Maithei. Zirna thenkhatah chuan naupai laiin tui tam tak in hian, a bik takin tui tlakchham tan chuan naute chhehvela amniotic fluid awm zat a tipung thei tih an hmuchhuak. Chuvang chuan nitin tui in tam a pawimawh. I doctor hnenah thurawn zawt rawh.

Hei hi ka ven theih dan tur a awm em?

Oligohydramnios venna tur hian engmah tih theih a awm lo tak zet a ni. A pawimawh ber chu nau neih hmaa i appointment-a tel fo hi a ni. Tin, i doctor hnenah i symptoms leh i health history kal tawh chungchang inhawng taka sawi turin. He natna hi i hlauhawm em tih hriat hmasak hi a hriat chian leh enkawl dan tha ber a ni.

Hetiang dinhmun hi ka naute hi a hrisel ang em?

Ni e, i naute chu hrisel takin a piang ngei ang. Lungngai suh. Amniotic fluid hi a châng chuan pawi tak ni thei mah se, naute tam zawk chu an pian hnuah an dam ṭha hle. A pawimawh ber chu he natna hi hriat hmasak a, damdawi lam thurawn angin uluk taka enkawl hi a ni.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi i neih chuan doctor ko nghal rawh:

• I vagina atanga tui chhuak i neih chuan (eng ang discharge nge a nih i hriat chian loh chuan doctor hnenah hrilh rawh).
• Vaginal bleeding a awm chuan.
• Pum na, cramps emaw pelvic pain emaw i neih chuan.
• Contraction i neih chuan, nau neih na nen a inang.
• Naute chetna a tlem lutuk nia i hriat chuan.

Heng symptoms te hi i neih chuan ngaihthah suh tih hre reng ang che. Damdawi lam thurawn lak nghal hi nang leh i naute himna atan a pawimawh hle.

Hemi atanga kan zir tur pawimawh ber berte chu

Okay, chuti a nih chuan, i naute hian tui a tlem tih hriat hi, a nih loh leh oligohydramnios a nei tih hriat hi thil mak tak a ni a, zawhna tam tak neih hi thil pangngai a ni. 'Ka naute hi engtin nge a awm ang?', 'Hei hi siam that theih a ni lo em ni?' I ngaihtuah a ni mai thei. Chu zawhna zawng zawng chu a dik vek a ni. Mahse, hlauthawng lo turin bei rawh. Ka sawi tawh ang khan he natna vei nu tam zawk hian naute hrisel tak tak an hring thin.

I naupai chhung zawngin i doctor chuan uluk takin a enkawl ang che. Nang leh i naute tan pawha enkawlna tur ruahmanna him ber chu eng nge ni tih an sawipui ang che. Doctor-te thil tum ber chu nang leh i naute hrisel taka awmtir hi a ni. Chuvangin, nau neih hmaa i appointment zawng zawnga tel vek leh i natna lan chhuah dan doctor hnena hrilh hi i naute chhehvela tui awm zat chungchanga harsatna awm thei zawng zawng hriat theihna kawng tha ber a ni. Tui tam tak in theihnghilh suh. Lalpan nang leh i naute malsawm rawh se!

` Oligohydramnios, naupai laia amniotic fluid tlahniam, amniotic fluid, naute chhehvela tui tlahniam, naupai harsatna, ultrasound, nau piang hmasa