Nau neih hmaa nau neih loh nan thil 5 i tih theih! Hemi chungchang hi kan sawi dawn em ni?

Chibai! Tunlai nu nau nei tur i nih chuan i rilrua beiseina lian ber pakhat chu a hun taka he khawvela naute hrisel rawn hruai luh hi a ni. Chu chu mumang mawi tak a ni lo maw? Mahse a chang chuan naute hian tlem a hma deuh, beisei loh takin lo kal a tum fo thin. Hei hi ‘preterm labor’ emaw doctor-te’n an tih angin , `(Preterm Labour)` kan ti a. Heng thute i hriat hian i hlauthawng leh hlauthawng deuh hi thil pangngai tak a ni. Mahse, lungngai suh, a tha em? A chhan chu hei hi kan hriat chian a, a tul anga hma kan lak chuan a tam zawkah chuan he dinhmun hi kan veng thei a ni. Vawiin hian he natna `(Preterm Labour)` an tih hi laka invenna atana i tih theih pawimawh ber berte kan sawi dawn nia.

`(Preterm Labour)` tih hi eng nge ni? Engvângin nge kan ngaihtuah tûr thil a nih?

A awlsam zawngin sawi ila, preterm labor chu naute beisei kar 40 hmaa a pian, chu chu kar 37 hmaa piang tihna a ni. A tlangpuiin, naute chu nu pum chhunga a puitlin theih nan kar 37 leh 40 inkar hun hi a pawimawh hle. Chuvangin, chumi hmaa naute hian chhuah a tum a nih chuan naute taksa peng thenkhat, a bik takin lung leh thluak te hi a lo thang tha lo mai thei.

Cake siam ang maiin han ngaihtuah teh. A hun hmaa oven atanga i lak chhuah chuan eng nge thleng ang? A thang tha lo ang a, a thlum bawk ang, a dik em? Chu chu naute chungah a thleng thin. Naute chu a hun hmaa a pian chuan harsatna tam tak a nei thei a, chu chu thawk harsa, nau piang rit lo, chaw ei lama harsatna, leh natna vei awlsamna te hi a ni A châng chuan, hun rei tak chhûnga hrisêlna lama harsatna a awm bawk. Chuvang chuan he `(Preterm Labour)` hi kan ngaihtuah em em a ni. Mahse, nau neih hun hmaa nau neihna chhinchhiahna i lantir pawhin naute chu a hun hmain a piang reng dawn lo tih hre reng ang che. Doctor-te chuan a châng chuan tihtawp tumin an ṭanpui thei a ni.

``Preterm Labour'' vei tur hian tute nge risk sang zawk?

Hei hian hlauthawng suh. Hetiang hi mi zawng zawngah a thleng tihna a ni lo. Mahse mi thenkhat chu midang aiin risk sang zawkah an awm thei. Tu nge an nih hriat a pawimawh a, chutiang chuan i in enkawl belh thei ang.

• Nu nau pai hmaa nau pai tawhte: A hmaa nau neih hmaa i lo neih tawh chuan a lo thlen leh theihna chance tlemte a awm.
• Nu nau piang emaw, fa pathum emaw nei (`(Multiple Pregnancy)`): Nausen pakhat aia tam an neih hian nausen pum hian pressure a nei tam zawk a, chuvangin nau neih hmaa nau neih theihna a sang zawk.
• Mite chu nausen pum (`(Uterus)`) emaw, nausen pum (`(Cervix)`) emaw a harsatna engemaw zat nei te: Entirnan, serh a chak lo (`(Incompetent Cervix)`) chuan hetiang hi a thleng thei.
• Nu natna khirh tak tak nei: zunthlum thunun theih loh, thisen sang, leh thyroid natna te ang chi te.
• Urinary tract infection (UTIs) leh vaginal infection te hi a enkawl tha tawk lo.
• Nu zu in, zu leh ruihhlo hmang thinte.
• Nu kum 17 hnuai lam emaw kum 35 chunglam te.
• Stress nasa tak hnuaia awm, chawlh hahdam tawk loh ang chi.
• Naupai laiin taksa rihna tihpun loh emaw, taksa rihna sang lutuk emaw.
• Nausen (placenta)-ah harsatna a awm chuan (e.g., Placenta Previa).

Chûng thilte zînga pakhat tal chu i tâna hman theih nia i hriat chuan i doctor hnênah sawipui rawh. Thurawn chiang tak a pe thei che a ni.

Chuti a nih chuan, naute lo kal hma lo turin eng nge kan tih theih ang? Hetah hian kawng 5 kan rawn tarlang e!

Okay, tunah chuan a pawimawh ber a lo thleng ta. Hetiang dinhmun `(Preterm Labour)` an tih atanga kan invenna tur hian eng nge kan tih theih ang tih i lo en ang u. Hengte hi thil awlsam tak tak, mahse thil tangkai tak tak a ni.

1. I doctor nen inbiak reng tur a ni (nau neih hmaa enkawlna tha tak dawng rawh!) .

Hei hi a pawimawh ber number 1 a ni. Naute i nei tih i hriat ni atang khan a hun takah doctor i pan a ngai a ni. A hun takah ``Antenatal Clinic`` ah kal rawh.

• Eng `(Clinic Visit)` pawh skip suh: Doctor-in a pek che nitin kal ngei ngei tur a ni. Chutih hunah chuan nang leh i naute hriselna dik takin an enfiah thei ang.
• I doctor hnenah inthlak danglamna tenau i hmuh apiang hrilh rawh: pum na, vaginal discharge danglam tak, luak chhuak, etc. A chang chuan i tan thil tenawm tak angin lang mahse, chhinchhiahna langsar tak a ni thei.
• Zawhna dik tak zawt rawh: Engmah nghei suh. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor hnenah zawt rawh.
• Screening leh test tul tak tak tihsak rawh: I doctor-in a rawt test, ultrasound scan ang chi chu a hun takah ti rawh. Hengte hian naute thanlen dan leh nausen pum dinhmun chungchang tam tak a hriat theih nan a pui thei che a ni.

Ngaihtuah teh, i thianpa, Nimali ti ila. Nimali chuan a pum chhungah a tight deuh niin a hria a. A ngaihthah lo. Chumi ni vek chuan doctor chu a ko ta a. Doctor chuan a enfiah a, a tul angin thurawn a pe a. Chu thil tenawm tak chuan harsatna lian tak chu a veng thei mai thei, a dik em? Chutiang chuan i awm tur a ni.

2. I ei leh in leh i khawsak danah fimkhur rawh.

I naute hian a nutrition chu i ei leh in a\angin a hmu a, chuvangin he hun chhung hian i ei leh in tur i fimkhur hle a ngai a ni.

• Ei leh in inthlau tak ei: Chaw tha tak tak, greens, thlai, thei, sa thau lo, sangha, leh bawnghnute atanga siam te ei thin ang che. I doctor-in vitamin a pek che kha ei la, a bik takin folic acid leh iron te hi ei la. Folic acid hi i naute nervous system tihhmasawn nan a pawimawh hle.
• Tui tam tak in rawh:Ni khatah tui glass 8-10 tal in tum ang che. Taksa chhunga tui awm zat a tlem chuan nausen pum hi a inzawm rang thei hle (`(Uterine Irritability)`). Chu chu `(Preterm Labour)` thlentu a ni thei bawk.
• Thil pawi tak tak lakah inthiarfihlim vek rawh: Hemi hun chhung hian meizuk, zu in leh ruihhlo dang hman hi a tha lo tak zet a ni. Heng thilte hian naute thanlenna a tichhe mai ni lovin, nausen piang hmaa neih theihna chance a tipung bawk. I chhehvela mite hian zu an in a nih chuan chu meikhu atang pawh chuan hla takah awm rawh.
• Hrisel taka taksa rihna tihpun: Naupai laiin taksa rihna tihpun hi thil pangngai a ni. Mahse taksa rihna sang lutuk emaw, thau lutuk lo emaw hi a tha lo. I taksa rihna tur dik tak chu i doctor nen sawiho rawh.
• Ha leh ha hriselna ngaihtuah rawh: Zirna thenkhatah chuan ha natna leh nau neih hmaa nau neih hi inzawmna a awm thei tih hmuhchhuah a ni. Chuvang chuan ni hnih danah ha silfai a, ha endik turin kal thin a tha.

3. I natna khirh tak dangte chu enkawl rawh

Zunthlum, thisen sang, thyroid lama harsatna, kal natna te i neih chuan naupai laiin chutiang natna chu uluk taka control a pawimawh hle.

• Doctor-in damdawi a pek chu a hun takah ei tur a ni.
• I ei leh in i control a nih chuan chutiang chuan ti rawh.
• Checkup fo la, i hriselna dinhmun pawh enfiah fo bawk ang che.

Heng dinhmunte hi uluk taka control a nih loh chuan nausen (placenta) a nghawng thei a, naute hian oxygen leh nutrition a dawn chu a tihtlem phah thei a ni. Chutiang a nih chuan naute chu a hun hmaa pian theihna a sang zawk a ni. Chuvangin hemi kawngah hian a bik takin fimkhur a tul hle.

4. I rilru hahdam la, hahdam takin chawl rawh!

Naupai lai hian taksa leh rilru lamah pawh inthlak danglamna tam tak a awm thin. Hemi hun chhung hian i rilru a hahdam thei ang bera awm reng a pawimawh hle. Stress lutuk hi preterm labor tichhe thei thil dang a ni bawk.

• I hlim theihna tur thil ti rawh: lehkhabu chhiar la, music ngaihthlak la, i hobby nuam takah inhmang rawh.
• Ngaihtuah la, thawk chhuahna exercise ti rawh: Chûngte chuan rilru hahdamna nasa tak a pe a ni.
• Harsatna i neih chuan i rintlak tak nen sawiho rawh: i pasal, i nu, i ṭhian. A chhungah bottle-ah dah suh.
• Mut tawk: Ni khatah darkar 7-8 tal mut tha rawh. Nilengin rei vak lo i muhil thei a nih chuan chu pawh chu a tha.
• Hna hah lutuk lakah inthiarfihlim rawh:Inchhung hna i thawk a nih pawhin, vawi khatah i rilru hah lutuk lovin, a tlem berah ti rawh. Thil rit phurh leh hun rei tak ding ang chi thilte chu tihtlem la, a bik takin nau neih hmaa nau neih hlauhawmna i neih chuan. I taksa chu ngaithla rawh. I chau nia i hriat chuan chawlh hahdam rawh.

5. Vaukhânna chhinchhiahnate hre chiang la, hma la vat rawh!

Hei pawh hi thil pawimawh tak a ni. ``Preterm Labour'' tih chhinchhiahna hmasa thenkhat a awm. Hengte hi i hriat chian chuan doctor hnenah hriattir vat la, a tul anga enkawlna i dawng thei bawk.

Chutiang thil ṭhenkhat chu hetiang hi a ni:

• Contractions: Pum chhunga tihkhauh leh tihzauh ang chi . Hengte hi darkar khatah vawi li aia tam, a hun taka (e.g. minute 10-15 danah) a lo awm a nih chuan, nau neih hmaa nau neih chhinchhiahna a ni thei. A châng chuan natna nei lo an ni thei bawk. (Hengte hi Braxton Hicks contraction atanga thliar hran tur a ni. Braxton Hicks contraction hi a tlangpuiin a mumal lo va, a na lo zawk a, position inthlak danglam rualin a bo thin.)
• Vaginal discharge pangngai lo: Tui, thisen (Corrected: thisen), brown, emaw mucus ang chi thick (`(Mucus Plug)`) a awm chuan.
• Lower abdominal pain or cramping: Thlasik ang chi natna, emaw naute chu a hnuai lam a nawr ang maia hriatna.
• Back pain: Natna mak tak, a la awm ngai lo, awm reng emaw, a hun hunah lo kal leh kal (Corrected: comes and goes) emaw a ni.
• Symptoms te chu diarrhea, a chang chuan nausea nen a awm bawk.

Heng symptoms te hi i neih chuan khawngaihin in lama awm mai mai lovin nghak mai suh. "A bo dawn em tih chu nghak ila," tih hi ngaihtuah suh. Mahni inenkawl suh la, miin ti tura an tih ang che chu ti suh. I doctor ko nghal la, a nih loh leh damdawi in hnai ber pan rawh. Thil tih vat hian a chang chuan nau piang hmasa tur venna a pui thei bawk.

Nausen piang hmasa i neih thut chuan engtin nge ni ang? (``Preterm Labour'' i neih chuan engtin nge ni ang?)

Heng zawng zawng hi uluk taka i tih pawhin, a chang chuan beisei loh takin ``preterm labor'' i tan thei bawk. Chuti chung pawh chuan lungngai suh. Tunlai hian Medical science hi a lo changkang hle a.

Doctor chuan naute naupai kum leh nang leh i naute hriselna a en hmasa ang. A theih chuan i nausen pum chhunga inzawmna (contractions) tihtawp nan damdawi (Tocolytics) pek an tum ang che. Tin, i naute lung a than chak zawk nan Corticosteroids tih damdawi an pe thei bawk. Hei hian i naute chu a hun hmaa a pian chuan thawk lama harsatna a tihziaawm thei a ni. A tul chuan damdawi inah enkawlna bik nei turin i awm ang.

Hei hi in lama rilru hahdam nan pawh a pawimawh hle (Take-Home Message) .

Tunah chuan nau piang hmasa lo tur venna atana i tih theih tam tak a awm tih i hrethiam tawh mai thei.

• A pawimawh ber chu doctor nen inlaichinna tha tak nei reng tur leh a thurawn zawm hi a ni.
• Nunphung hrisel tak hmang rawh. Chaw ei tha la, in tha la, chawl tha rawh.
• Warning signs te hi hre reng la, rinhlelhna i neih chuan doctor hnenah hrilh nghal rawh.
• Nausen tam zawk hi a hun taka piang leh hrisel taka piang an ni tih hre reng ang che. Mahse heng thilte hriat chian hian chakna nasa tak a pe thei che a ni.
• He zinkawngah hian nangmah chauh i ni lo. I doctor, midwife, chhungte leh i thiante an awm vek a. An tanpuina dawng rawh.

Nau neih hrisel, mawi tak nei turin thinlung takin duhsakna ka hlan a che u! Nang leh i naute himna atan heng thilte hi zawm theihnghilh suh.

` Preterm Labour, Prenatal Care, Naute hriselna, Nu Naupai, Naupai hrisel