Ka naute hi nausen pum pawnah a lo thang lian em? (Ectopic Pregnancy) chungchang zawng zawng hi a awlsam vek.

`(Ectopic Pregnancy)` tih thumal hi i hre tawh mai thei a, a nih loh leh hetiang dinhmun tawk tawh i hre tawh mai thei bawk. A nihna takah chuan a hlauhawm deuh a, mahse hei hi dik taka i hriat chuan, i hriat hmasak chuan harsatna tam tak i tihziaawm thei a ni. Chuvangin vawiin hian `(Ectopic Pregnancy)` emaw, nausen pum pawn lama naupai chu eng nge a nih, engvangin nge a lo awm tih, a natna lan chhuah dan te, engtin nge enkawl a nih tih te hi awlsam takin kan sawi dawn a ni.

Naupai pangngai chu eng nge ni? Chu chu i hrethiam phawt ang u.

A awlsam zawngin, naupai hrisel takah chuan, nu leh pa cell aṭanga lo piang embryo te tak te, fertilized egg chu nu nausen pum chhungah a insiam nghal a ni Nausen pum (uterus) hi bawm te tak te ang mai, naute enkawl, chawm leh thla 9 chhung enkawl theihna hmun him tak a ni. Naute thanlenna atana a mamawh zawng zawng a nei vek a ni.

Chuti a nih chuan ectopic pregnancy chu eng nge ni?

Tunah chuan kawng pangngai chu i hrethiam tawh mai thei. Mahse `(Ectopic Pregnancy)` ah chuan fertilized egg hian uterus a thleng lo va, hmun dangah a implant zawk thin. A tam zawkah chuan, chu chu 100 zinga 90 vel a ni a, he egg hian `(Fallopian tubes)` ah a insiam lut thin. Heng fallopian tube te hi tube te tak te pahnih, ovary atanga uterus thlenga egg phurtu an ni. Hei vang hian `(Ectopic Pregnancy)` hi `(Tubal Pregnancy)` an ti fo thin.

Mahse, fallopian tube-ah chauh ni lovin, a tlem hle a, he egg hi ovary , cervix , emaw , abdominal cavity-ah pawh a implant thei bawk.

Ngaihtuah teh, leilung leh hmun tha tak awmna hmunah thlai te tak te kan phun chuan thing lian takah a lo thang lian ang. Chutiang bawkin embryo hian a lo thanglian tur chuan nu pum a mamawh a ni.

Heng hmun zawng zawngah hian, chu chu fallopian tube emaw, ovary emaw-ah hian embryo chu a lo thang lian thei a, a ei tur tha tur a awm lo. Chuvangin chutah chuan embryo chu a lo thang lian zel a, a dahna organ (entir nan, fallopian tube) chuan a thlawp thei lo ta a ni. A tâwpah chuan a puak thei . Chutiang a nih chuan thisen chhuah tam lutuk leh nu nunna atana hlauhawm tak pawh a awm thei. Chuvang chuan hei hi a hlauhawm em em a ni.

Thil dang pakhat chu hetianga nausen pum pawnah dah a nih chuan nausen hrisel takah a lo thang lian dawn lo tih hi a ni.

Engvangin nge hetiang hi a lo awm? Hei hi eng risk factors nge a nghawng?

A chhan pakhat chauh chu eng nge ni tih chiang taka sawi a harsa hle. Mahse thil thenkhat chuan ectopic pregnancy chance a tipung thei a, a nih loh leh risk a tipung thei bawk.

• Ectopic pregnancy i lo neih tawh chuan: Mi pakhatin he natna hi vawi khat a tawng tawh chuan a nei leh thei zawk.
• Fallopian tubes a chhiat chuan:Fallopian tubes te hi infection, pelvic inflammatory disease (PID) , sexually transmitted infections (STIs) avanga lo awm a nih chuan, egg hian uterus a thleng tha thei lo mai thei.
• I fallopian tube-a operation i neih tawh chuan: Entirnan, i fallopian tube-te chu i khih a, chutah chuan i inzawm leh tawh a nih chuan (reversal of tubal ligation).
• Naupai theihna enkawlna thenkhat: He hlauhawmna hi a sang deuh thei a, a bik takin IVF ang chi enkawlnaah chuan.
• Meizial i zuk chuan: He hlauhawmna hi hmeichhia meizuk tan chuan a sang zawk.
• Kum 35 aia upa i nih chuan.
• IUD i neih laiin nau i pai a nih chuan: IUD hi naupai venna hmanraw tangkai tak a ni. Mahse, IUD i neih laiin nau i pai hi a tlem hle. Chutianga i tih chuan naupai chu ectopic a nih a rinawm zawk.

Hei hi eng symptoms nge ni? Engtin nge kan hriat hmasak theih ang?

Hei hi a pawimawh hle a, a chhan chu a hmaa hriatchhuah a nih chuan enkawl a awlsam zawk a, a hlauhawmna pawh a tlem zawk.

Naupai pangngai ang bawkin, .

• Thlasik chawlhsan
• Hnute na, tightness
• Symptoms, luak chhuak leh luak chhuak ang chi te chu a lang hmasa thei.

Mahse, ``Ectopic Pregnancy'' atana chiang tak, i hriat chian tur symptom tlemte a awm :

• Kawng khata pum na: Hei hi a lan chhuah dan ber a ni. It can start as a dull , aching pain on one side of the abdomen (dinglam emaw veilam emaw), a châng chuan na tak, hliam tuar, emaw, hliam tuar emaw pawh a ni thei. He natna hi a awm reng thei a, a lo thleng thei bawk.
• Vaginal bleeding danglam tak: Hei hi thlasik hun pangngai ang a ni lo. A hring, a sen emaw, tui ang emaw pawh a ni thei. Mi thenkhatah chuan a sen dum pawh a ni thei.
• Shoulder tip pain: Hei hi chhinchhiahna mak tak angin a lang thei a, mahse pum chhunga thisen chhuak a awm chuan he natna chi hi a awm thei a, a chhan chu thisen hian diaphragm, muscle a tichak a ni.
• Ek chhuah emaw, zun emaw laiin natna hriat.
• Chak lohna, luak chhuak, muthilh: Hengte hi chhinchhiahna hlauhawm tak a ni. An sawi tum chu chhungril thisen chhuak tam tak a awm a , shock ah i lut mai thei tihna a ni . Hetiang thil hi a lo thleng a nih chuan tihkhawtlai lovin damdawi inah i kal tur a ni.

I thian pakhat han mitthla teh, Shyama ti ila. A period a tlai a, home pregnancy test a positive a, a hlim hle bawk. Mahse ni engemaw zat hnuah chuan a pum sir khatah a na tan a, thisen a chhuak tlem bawk. A ngaihtuah a, "Aw, naute a attached hian hei hi thil dang a ni mai thei." Mahse, a na chu a zual zauh zauh a.Hetiang hunah hian doctor hmuh kan mamawh tak zet a ni.

Engtin tak nge doctor hian hei hi a hriat chian?

A chunga kan sawi tak symptoms eng emaw tal i neih a, naupai nia i rinhlelh chuan a rang thei ang bera doctor pan a tha ber. Doctor chuan zawhna a zawt ang che a, a enfiah ang che. Chumi hnuah chuan test eng emaw zat a nei thei a, chu chuan a natna chu a finfiah thei a ni.

• Zun test emaw thisen test emaw: Naupai i nih leh nih loh enfiah rawh.
• Transvaginal Ultrasound: Hei hi scan pawimawh ber a ni . He scan hian vagina kaltlangin instrument te tak te dahin, embryo chu nausen pum chhungah emaw pawnah emaw a awm leh awm loh chiang takin a hmu thei a ni.
• Hormone `(hCG)` level enfiah nan thisen test: `(hCG)` hi naupai laiin hormone chhuak a ni. Naupai pangngaiah chuan he hormone level hi a sang chak hle. Mahse, `(Ectopic Pregnancy)`-ah chuan a pung chakna chu a hniam zawk thei a, a nih loh leh a level ang chiah hian a awm reng thei bawk. He thisen test hi ni hnih danah vel tih thin a ni.
• A chang chuan `(Laparoscopy)` surgery: Test dangin a chhan dik tak an hmu thei lo a nih chuan, emaw, emergency a nih chuan, camera te tak te nei device chu pum chhungah dahin direct-in an en thin. Hei hi `(Laparoscopy)` an ti a.

Hei hi eng enkawlna nge ni?

``Ectopic Pregnancy'' a awm tih finfiah a nih chuan nu tan chuan nunna atana hlauhawm a nih avangin naupai chu chhunzawm theih a ni lo . Chuvangin, enkawlna tum ber chu nausen (fetal tissue) uterus pawna dah chu paih chhuakin, nu venhim hi a ni.

Enkawlna kawng hrang hrang a awm. Thil tam takah a innghat a, chung zingah chuan embryo lian zia te, a awmna hmun te, thisen chhuah a awm leh awm loh te, leh i hriselna tlangpui te pawh a tel.

1. Damdawi lam enkawlna: .

• Hetah hian damdawi pakhat ``Methotrexate'' tih chu injection atan pek a ni. He damdawi hian cell inthen chak tak tak (i.e. embryonic cells) te chu a titawp a ni.
• He enkawlna hi ectopic pregnancy hmuhchhuah hma lutuk , embryo lian lo, fallopian tube a rupture loh chauhvin tih theih a ni.
• `(Methotrexate)` pek hnuah, `(hCG)` level a tlahniam hma loh chuan thisen test reng reng a ni.

2. Surgery hmanga enkawl dan:

• Laparoscopy (keyhole surgery): Hei hi tih dan tlangpui a ni. Surgery hi pum chhunga incision tenau tlemte hmanga tih a ni a, camera leh instrument nalh tak tak hmanga tih a ni. Thil tih dan pahnih a awm a:
• Salpingostomy: Fallopian tube chu tan a, fertilized tissue chauh lakchhuah a ni a, tube chu a awm ang angin dah a ni. Hei hi nakin lawkah tube hi hman leh theih nan tih a ni a, a chhiatna a nasat loh chuan.
• Salpingectomy tih a ni:Embryo awmna fallopian tube zawng zawng chu lakchhuah vek a ni. Hei hi tube a chhiat nasa emaw, thisen a chhuak nasa emaw a nih chuan tih a ni.
• Laparotomy (open surgery): Emergency situation-ah chuan fallopian tube a chhe tawh a, thisen chhuak tam lutuk a awm chuan surgery lian tak neih a ngai thei a, chutah chuan pum chhungah incision a awm thei.

Doctor-te chuan i dinhmun chu uluk takin an enfiah ang a, i tana enkawlna ṭha ber chu an sawipui ang che.

Hemi hnu hian eng nge thleng? Naute dang ka nei thei ang em?

``(Ectopic Pregnancy)`` hi hmeichhia tan chuan taksa leh rilru lamah pawh thil harsa tak a ni.

• Psychological impact: Beiseina i hloh avangin i lungngai a, i beidawng a, i thinrim hial thei bawk. Hemi chungchang hi i pasal, chhungte leh i thiante nena inbiak a, an tanpuina zawn a pawimawh hle. A tul chuan counseling i zawng thei bawk. Nangmah chauh i ni lo tih hre reng ang che.
• Taksa dam lehna: Surgery i neih tawh chuan dam leh nan hun engemaw chen a la ngai dawn a ni. Doctor thupek dik takin zawm rawh.
• Nakin lawka naupai: Hmeichhe tam tak chuan ectopic pregnancy hnuah naupai hlawhtling, hrisel tak an nei thin. Mahse, fallopian tube pakhat lakchhuah a nih emaw, a tube a chhiat emaw chuan naupai leh theihna chance a hniam deuh thei. Tin, ectopic pregnancy dang neih theihna chance pawh a sang deuh bawk.

Chuvang chuan naute neih leh tur i ngaihtuah a nih chuan i doctor nen inbia a, a thurawn lak a pawimawh hle. I naupai leh hunah chuan doctor pan hmasak a ngai a, scan neih a ngai a, chu chuan nausen pum chhungah a la awm tih finfiah a ngai a ni.

Hemi atanga kan zir tur pawimawh ber berte chu

Okay, chuvangin vawiin a kan sawiho atang hian `(Ectopic Pregnancy)` tih hi in hriatthiam ka beisei. Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• Ectopic Pregnancy hi natna khirh tak a ni a , mahse a hmaa hmuhchhuah a nih chuan enkawl tha thei a ni.
• Naupai laia natna lan chhuah dan pangngai, i pum sir khata natna, thisen chhuak danglam tak, emaw, kekawrte na emaw i neih chuan, doctor pan nghal vat rawh.
• Hei hi tumah sualna a ni lo.
• Inenkawl hnua taksa leh rilru lama dam leh turin hun pe rawh. I mamawh tanpuina dawng rawh.
• Mi tam takin nakin lawkah naute hrisel tak an nei thei dawn a ni. I beiseina chu vawng reng rawh.

Hemi chungchanga zawhna dang i neih chuan doctor zawt hreh suh. Hrisel takin awm rawh!

` Ectopic Pregnancy, Miscarriage, Fallopian Tubes, Ectopic Pregnancy, Naupai, Hmeichhe hriselna, Emergency Care