Naute lo kal tur chuan a tlai tawh em? Labour induction chungchang i zir dawn teh ang!

Tunlai hian nu ni tur i nih chuan ‘inducing labor’ emaw ‘inducing labor’ emaw tih hi i hre tawh ngei ang. A nih loh leh i doctor-in a hrilh che pawh a ni thei. Chuti a nih chuan hei hian eng nge a awmzia? Engvangin nge tih a nih? Harsatna a thlen dawn em ni? Vawiin hian heng zawng zawng hi chipchiar takin sawi ila, kan sawi dawn em ni? Thil ngaihtuah tur a awm lo, nang leh i naute thatna tur atana tih vek a ni.

Inducing Labour tih hi eng nge ni?

A awlsam zawngin, inducing labor chu doctor-te’n damdawi emaw, damdawi lam thil dang emaw hmanga nau neih tir a, chu chu natural taka nau neih tan hmain a ni. A châng chuan, naute chu a chhuak tlai a, a nih loh leh nu emaw, naute emaw chuan hrisêlna thil eng emaw vanga naute a hrin vat a ngai a ni. Chutah chuan he method hi hman a ni.

Hei hi naupai chhunzawm zel chuan i hriselna emaw, i naute hriselna atana hlauhawm a awm chuan tih a ni tlangpui. A châng chuan, naupai zawh hma pawhin hetiang hi tih theih a ni. Hei hi doctor-in naupai chhunzawm zel a hlauhawmna chu tlem a hma deuha naute neih a hlauhawmna aiin a tam zawk tih a hriat chuan a ni.

Engvangin nge doctor-te chuan artificial insemination an rawt?

A tlangpuiin, nau neih hi a pianphung anga bul tan tir hi a tha ber. Mahse, ṭhenkhatah chuan i doctor chuan nau neih tir (inducing labor) a rawt thei a ni. Chu chu engtikah nge a nih i en ang u.

• I tui chu a chhe tawh a mahse nau i la tan lo. Nu thenkhat chuan an tui a chheh hnu darkar tam tak chhung chu nau an pai tan lo. Chutiang a nih chuan nang leh i naute tan hri kai theihna chance a sang zawk. Chuvangin doctor te chuan nau neih tir thuai an tum thin.
• Naute chu a pian hun a pelh hnu kar khat emaw kar hnih emaw hnuah pawh a lo thleng lo a nih chuan, a chang chuan naute hian ni a liam zel a, a pum chhungah harsatna a tawk thei a, nausen chu a thawk thei lo thei bawk.
• Nausen pum chhunga natna hrik i neih chuan. Doctor-te chuan hei hi (Chorioamnionitis) tiin an sawi thin. Naute hi a rang thei ang bera hrin a tha ber a, hei hian naute pawh a nghawng thei a ni.
• Damdawi lam harsatna i neih chuan. Entirnan, naupai laia zunthlum emaw, thisen sang (hypertension ) emaw .Hetiang dinhmun hian naupai chhunzawm zel chu nang leh i naute tan a hlauhawm thei a ni.
• Nausen pum chhunga amniotic fluid awm zat a tlem chuan. He tui hi naute thawk tur, a invenna tur leh a che theih nan a pawimawh hle. A tlem chuan naute tan a harsa thin.
• Nausen (placenta)-ah harsatna a awm chuan naute hian a mamawh ei leh in leh oxygen a hmu thin. Harsatna a awm chuan naute pawhin harsatna a nei thei bawk.
• Naute chu a pum chhungah beisei angin a thang lo a nih chuan (Fetal Growth Restriction). Chu chu, nausen chu a rit lo emaw, a thang tha lo emaw a nih chuan, nausen chu a pum chhunga dah ai chuan lakchhuah vat a tha zawk mai thei.

Damdawi lam thil ni lo (Elective Induction) .

Hetiang damdawi lam chhan awm lo pawhin nu leh doctor-in nau neih tir tura thutlukna an siam hun a awm thin. Hei hi ‘elective induction’ an ti a ni. Entirnan, naute hmasa i lo nei tawh a, rang lutuk (rapid labor), emaw, damdawi in atanga hla takah i awm a, a hun taka damdawi in i thleng thei dawn lo tih i hlau a nih chuan elective induction ngaihtuah i duh mai thei.

Tun hnaia zirchianna hrang hrangah chuan kar 39-a elective induction hi damdawi lam chhan awm lo pawhin, a vawi khatna atana nu hrisel thenkhat tan chuan duhthlan tur tha tak a ni thei tih a tarlang. Natural labor tan theihna a siam a, nu leh naute tan pawh a him. C-section leh naupai laia harsatna thenkhat ( preeclampsia , thisen sang sang leh zun chhunga protein awm ang chi) a tihziaawm tih hmuhchhuah a ni bawk. Chuvangin hei hi i tan duhthlan tur a ni em tih i doctor nen sawiho rawh.

Engtin nge he variegation hi artificial taka siam a nih?

Tunah chuan, ‘Awle, chuti a nih chuan engtin nge hetiang hi i tih ang?’ tiin i ngaihtuah a ni mai thei. Doctor-te hian nau neih tir nan hian hmanraw hrang hrang a awm a. I dinhmun a zirin i doctor chuan eng method nge i tana tha ber tih a rel ang.

• Cervix a puitlin. Hei hian i serh – i nausen pum hawnna – chu naute chhuah theihna tura buatsaih turin a ti nem leh tihthianghlim a ngai a ni. Mango puitling ang mai a ni. Chutianga tih theih dan kawng hrang hrang a awm a:
• Damdawi: Prostaglandin tih hormone awmna pill i ei thei a, i vagina-ah gel angin i dah thei bawk. Hei hian serh chu a ti nem ang a, a inhawng tan ang.
• Balloon Catheter: Tube te tak te (catheter) a ni a.Vagina chhungah dah a ni a, a tawp lamah inflatable balloon hmanga serh chu zawi zawiin hrual nan hman a ni. Hei hian zawi zawiin serh (cervix) a hawng a.

• Membranes te chu Stripping emaw Sweeping emaw a ni. Hetiang tihnaah hian doctor chuan kutkawr vuah hmangin naute hualtu bawm te tak te leh nausen pum bang atanga amniotic fluid te chu zawi zawiin a then a. Hei hian a nuam lo deuh mai thei a, mahse i taksa chu prostaglandin tih hormone siam turin a tichak a, chu chu i pianphung anga nau neih tan tirh ang bawkin a ni. He hormone hian serh (cervix) a buatsaih a, nau neih tan a pui bawk.

• I tui tihchhiat (Amniotomy). Vaginal exam neih chhung hian i doctor chuan plastic hook ang chi device te tak te (Amnihook) hmangin i amniotic sac ah khur te tak te a siam ang . Hei hian a ti na lovang, mahse tui a luang chhoh zel chuan mak deuhin i inhria mai thei. I serh chu a inbuatsaih tha a nih chuan i tui a tihchhiat atanga darkar tlemte chhungin nau neih a tan tlangpui thin.

• Nausen pum chhunga inzawmna (contraction) tichaktu. Thiltih dan dangin nau a pai tir lo che a nih chuan, emaw, contraction i neih tlem chuan i doctor chuan damdawi Pitocin tih chu IV line hmangin a pe ang che , chu chu saline solution a ni. Pitocin hi i taksain hormone oxytocin a siam chhuah synthetic form a ni a, naupai laiin i uterus contract a pui thei a ni. Hei hi dose tlemte atanga tan a ni a, zawi zawiin nau i neih thlengin tihpun a ni. Pitocin i pek lai hian i naute heart rate leh i uterus contractions te uluk takin an enfiah thin.

Hei hi engtin nge a ngaih?

Tunah chuan, ‘Heng thilte hi ka tih hunah engtin nge ka awm ang?’ tih hi i ngaihtuah tawh ngei ang. Mi tinte rilru put hmang chu a inang lo thei a, mahse a tlangpuiin hetiang hian a thleng thin:

• Membrane i stripping hian natna emaw, nuam lo emaw i nei thei. Mahse a tlangpuiin minute khat emaw vel chauh a daih. Chumi hnuah chuan ni khat emaw ni hnih emaw chhung chu cramping emaw, thisen chhuah tlem emaw i nei thei.
• I tui tihchhiat pawh hian a nuam lo deuh thei bawk. Thil pakhat chu hrual ang maiin i inhria thei a, chutah chuan tui lum tak a lo chhuak thei a, a nih loh leh vawi khatah a chhuak vek thei bawk.
• Prostaglandin pek a nih chuan mi thenkhat chuan cramping nasa tak an nei thei. Hei hi nau neih tan a nihzia tilangtu a ni.
• (Pitocin) pek hunah, .Contraction te hi a tlangpui aia tam leh regular takin a lo thleng tan thin. Mi thenkhat chuan hei hi a nasa deuh niin an ngai mai thei.

Artificially inducing ovulation hian eng hlauhawmna nge a neih?

A tam zawkah chuan labour induction hi harsatna awm lovin a hlawhtling thin. Mahse, damdawi lam tih dan dang ang bawkin hlauhawmna engemaw zat a awm. I doctor chuan heng zawng zawng hi a hrilh lawk ang che. Eng nge an nih i en ang u.

• Hei hi i ngaihtuah angin a thleng rang lo mai thei (Failed Induction). Labour induce hi faucet on ang a ni lo. A châng chuan hun rei tak a daih thei bawk. Doctor ten tum mahse, a chang chuan nau neih a intan lo. Chutiang a nih chuan, a chang chuan engkim a tha a, tui bawm chu a la chhe lo a nih chuan, nu chu in lama haw a, ni danga tum leh turin an ti mai thei. Mahse a rei lutuk a nih chuan, a nih loh leh nu emaw, naute emaw harsatna a awm chuan cesarean section (C-section) tih a ngai mai thei. Mahse, artificial-a nau neih tir hian cesarean section neih theihna a tipung lo tih hre reng ang che.
• A châng chuan contraction hi a na hle thei a, a tam lutuk thei bawk. Hei hi a chhan chu:
• Naute thisen kal dan leh oxygen supply-ah nghawng tlem a nei thei (chuvang chuan naute thinlung thawk dan enfiah reng a ni).
• Uterine Rupture hi a awm thei a, mahse hei hi a tlem hle a, a bik takin a hmaa uterine surgery i neih loh chuan.
• Tui bawm chu a chhe a, naute a pian tlai lutuk chuan nu emaw naute emaw tan pawh natna kai theihna a tlem hle.
• Naute a pian hnuah chuan uterine muscle te chu a contract tha lo thei (uterine atony). Hei hian a chang chuan thisen chhuah tam lutuk (postpartum hemorrhage) a thlen thei. Hemi atan pawh hian Doctor-te an inpeih reng a ni.
• Due date chhiarnaah tihsual a awm chuan naute chu a hun hmain a piang thei a ni. Hei hian chaw pek, thawk, taksa lumna tihreh kawngah harsatna a thlen thei a ni. (Amaherawhchu, kan sawi tawh ang khan, a châng chuan doctor-te chuan nau neih hmaa nau neih hlauhawmna aiin hrisêlna lama hlauhawmna a tam chuan nau pai tir hma an tum ṭhin.)

Eng dang nge i hriat duh?

Inducing labor hi naupai apiang tan a theih loh a, mi zawng zawng tan pawh a inhmeh lo.

• Tun hmaa cesarean section (C-section) i lo neih tawh chuan hei hi a tha lo mai thei a, chu chu operation chi hrang hrang (a bik takin uterus-a incision) a zirin a ni.
• Tin, naute emaw, nausen emaw, nausen emaw, nausen emaw, nausen pum chhunga a awm dan (e.g., naute chu transverse a nih chuan, emaw, nausen chu serh a khuh a nih chuan - Placenta Previa) a zirin a theih loh mai thei bawk.

In lama damdawi chi hrang hrang, dandruff tihbo nan a pui thei che nia sawi, castor oil hman ang chi te i hre tawh ngei ang.

Mahse, hetiang thil tih hmanga artificial-a nau neih tir tum hi a him lo tak zet tih hre reng ang che.

Castor oil hian rilru hahna, luak chhuak, luak chhuak nasa tak, leh tui tlakchhamna a thlen thei a ni . Tin, herbs leh herbal supplement, diarrhea thlentu nia sawite hman hian nang leh i naute tan a tichhe thei bawk. Thenkhat phei chu hlauhawm tak an ni thei.

Mi thenkhat chuan hnute tihchak hian hormone oxytocin a tichhuak a, chu chuan nausen pum a tikhawlo thin niin an sawi. Chu chu a dik a, mahse zirchianna thenkhatah chuan hnute stimulation hian naute heart rate-ah thil danglam tak a thlen thei tih an hmuchhuak. Mi thenkhat chuan naupai tlai lama sex hman hian nau a pai thei niin an ngai bawk a, mahse hei hi scientific evidence chiang tak a la awm lo.

A pawimawh ber chu i fa te chu khawvela rawn hruai lut tura puitu tur nia i hriat thil tih hmain i doctor nen inbiakna neih hmasak phawt hi a ni. Artificial insemination process hi medical professional-te kutah dah mai hi a tha ber leh him ber a ni fo.

Chuti a nih chuan, he thawnthu atang hian eng thuchah nge in lama kan hruai duh?

Okay, chuvangin kan sawi tawh atang khan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Inducing labor chu doctor-te’n nau neih hi a pianphung anga a intan hmaa an induce a, chu chu damdawi lam thil vang emaw, a chang chuan nu ngenna angin emaw (elective induction) a ni.
• Hei hi nu leh naute hriselna atana hlauhawm a awm emaw, naupai chhunzawm zel theihna a sang emaw chuan tih a ni fo.
• Nau neih tir dan kawng hrang hrang a awm a, chung zingah chuan serh (cervix) tihzauh te, tui bag tihchhiat te, damdawi hmanga nausen pum (uterine contraction) te pawh a tel.
• Engkim ang bawkin hlauhawmna engemaw zat a awm thei a, mahse doctor-te chuan chu zawng zawng chu an hriattir ang che a, nang leh naute tan a tha ber tur an ti ang che.
• In lamah nangmah chauhin nau neih tir tum ngai suh, damdawi lam thurawn tel lovin. Nang leh i naute tan a hlauhawm thei hle.
• Hemi chungchanga zawhna i neih chuan, i hlau a nih chuan, thil chiang lo a awm chuan, i doctor emaw, chhungkaw hriselna lama thawktu (midwife) emaw nen zalen takin inbiakna nei ngei ang che. Hmangaihna nen engkim an hrilhfiah ang che.

Nang leh i naute hrisel leh hlim taka piang turin duhsakna ka hlan e!

` Labour Induction, Naupai, Nau neih, Nau neih, Pitocin, Cervix, Elective Induction, Damdawi lam thurawn