Nang pawhin hei hi i tuar ve em? Nau pai chungchang hi han sawi ila

Hei hi mi tam takin sawi tur harsa leh lungchhiatthlak tak a ni. Mahse vawiinah hian naupai laiin naute boral chungchang kan sawi a ni , chu chu nau pai tihna a ni. He thu i hriat hian i lungngai a, i hlauthawng mai thei. Mahse heng thilte hriat hi a pawimawh hle a, a bik takin naute i beisei a nih chuan. Hemi chungchang hi chipchiar takin sawi ila, a tha em?

Nau pai tih hi eng nge ni?

A awlsam zawngin sawi ila, nau pai chu naute pum chhunga a lo seilian tan hmaa naupai hloh a ni a, a mah chauha a dam theih hma, chu chu a lo thanglian tha hma tihna a ni. A châng chuan nuin nau a pai tih a hriat hma pawhin hetiang hi a thleng thei a ni. Dik tak chuan, nau pai hi i ngaihtuah aiin a tam zawk.

Nau pai tam zawk hi naupai atanga thla thum hmasa berah, kar 12-na hmain a thleng thin. Mahse, a tlem hle a, kar 20 hnuah nau pai a awm thin. Hengte hi nau piang thi kan ti a ni . Chumi chungchang chu nakinah kan sawi leh ang.

Nau pai lai hian eng nge thleng?

A châng chuan hmeichhiain nau a pai tih a hriat hma pawhin thla khata a hun hman ṭhin aia thisen chhuak tlem zawk ang maiin a inhria thei. Tichuan nau pai a ni tih a hre lo.

Mahse nau pai tawh thenkhat chuan hetiang symptom hi an nei thei a ni:

• Back pain a zui a, a hnuai lam natna a awm bawk.
• Spotting a ni.
• Thisen chhuah chu period pangngai aiin a rit zawk hle.
• Pum natna , emaw, pum hnuai lam natna.
• Nunna nei lo anga inhriatna.
• Hnung lam natna .

Pawimawh: I underwear-ah spotting tlem i hmuh chuan hlauthawng suh. Nu naupai tam tak chuan naupai tirh lamah spotting an nei a, harsatna nei lovin naute hrisel tak an nei thin. Mahse, him lam pan tur chuan heng symptoms te hi i naupai laiin engtik lai pawha spotting emaw thil danglam tak emaw i neih chuan doctor hnenah thurawn dil ngei ang che.

Thi piang chu eng nge ni?

Doctor tam zawk sawi dan chuan nau piang thi chu naute kar 20 hnua a thihna a ni. Hei hi naute pian hmain a thleng thei a, a pian lai pawhin a thleng thei bawk. A chang chuan intrauterine fetal death emaw antenatal death emaw an ti bawk .

Nau piang thi tawhte nghawng thei thil thenkhatRisk factors a awm a . Entir nan:

• Meizial zuk .
• Thau lutuk .
• Placenta lama harsatna a awm.
• Naupai kar 42 aia rei.
• Hri kai theihna thenkhat.

Mahse, nau piang thi tam tak awm chhan dik tak hriat chian theih lohna pawh a awm bawk.

Thih nau piang chhinchhiahna ber chu naute che vel a tlahniam hi a ni. I naute chu a hma angin a che lo emaw, a che tlem zawk emaw nia i hriat chuan doctor hnenah hriattir nghal rawh. Doctor chuan ultrasound hmangin naute lungphu a enfiah thei a. A nih loh leh, naupai laiin a tlai deuh a nih chuan fetal non-stress test ti rawh . Hei hian i pum chhungah hmanraw tenau tak tak i bun a, naute thinlung thawk dan, a che vel leh a uterine contraction te record a huam a ni.

Engvangin nge nau pai hi a awm thin?

A tam zawkah chuan nau pai chhan ber chu naute chromosome-a harsatna vang a ni. A awlsam zawngin, chromosomes hi naute taksa pum puia blueprint bulpui ber (basic blueprint) awmna thil tenawm tak takte hi a ni. Hengah hian tihsual a awm chuan nausen chu a lo thang tha thei lo ang.

Chu bâkah, heng ang thilte hian nau pai pawh a nghawng thei bawk:

• Nu hormone level inthlak danglamna: Entirnan, thyroid hormone hniam emaw sang emaw .
• Nu hian thunun theih loh zunthlum a nei a.
• Environment leh hnathawhna hmuna thil hlauhawm tak takte nena inzawmna: Radiation emaw toxic agents ang chi thil .
• Hri kai theihna thenkhat.
• Nausen pum chhunga thil danglam engemaw zat neih.
• Incompetent cervix: Hei hi naute a lo puitlin hma leh a chhuah theih hmaa cervix chu zawi zawiin a inhawng tan chuan a thleng thin. Hei hian naute chu nu pum chhunga awm a harsat phah a ni.
• Nu hian damdawi thenkhat a ei mek a ni: Entirnan, hmai vun natna damdawi Accutane ang chi te.

Tin, nu naupai, heng thil tih dan nei te hian nau pai an tam zawk bawk:

• I zuk chuan: Cigarette-a awm nicotine leh chemical dangte chu nu thisenah a lut a, chu chuan nautein oxygen a dawn zat a ti tlem a ni.
• Zu leh ruihhlo i hman chuan.

Nau pai hnuah eng nge thleng?

Hmeichhiain nau a pai chuan doctor chuan special pelvic exam leh ultrasound a ti ang.Test neih chuan hei hi a nemnghet ang. Nausen pum chhungah nausen tissue a awm tawh lo a nih chuan, emaw, naupai lai atanga nau pai a nih chuan mi tam zawk chuan enkawlna dang an mamawh tawh lovang.

Mahse, a chang chuan nausen emaw tissue dang emaw chu nausen pum chhungah a la awm thei. Chutiang a nih chuan doctor-in a lak chhuah a ngai mai thei. Doctor chuan tissue chu a mah chauhva a pass out theih nan damdawi a pe thei che a ni. A nih loh leh, serh chu a zau thei a, chu chu hetiang hian tih theih a ni:

• D&C (Dilation and Curettage): Hei hian nausen pum chhunga lining chu scraping leh tihfai a huam a ni . Mi tam tak chuan hei hi "thianghlimna" an ti bawk.
• D&E (Dilation and Extraction): Hei hian nausen pum chhungah hmanrua dahin nausen tissue emaw nausen emaw la awm zawng zawng chu scraping out a ni.

Hetianga enkawl hnu hian ni engemaw zat chhung chu thisen chhuah emaw, pum na emaw a awm thei.

Naute chu naupai laiin a thi tlai a nih chuan doctor chuan nau neih leh nau neih a tichak thei a ni. Naute a pian hnuah pawh a thih chhan hriat a la nih loh chuan doctor chuan a chhan zawn chhuah theih nan naute leh nausen (placenta) test tir turin thu a pe thei a ni.

Hmeichhia a zawna vawi tam tak nau pai tawhte tan chuan doctor-te chuan nau pai theihna tipung thei taksa, genetic, hormone lama harsatna awm leh awm loh enfiah turin test an nei a ni.

Nau pai hi ven theih a ni em?

A tam zawkah chuan nau pai chu ven theih a ni lo. A chhan chu, a hmaa kan sawi tawh ang khan nausen chromosomes a chhiat vang emaw, nausen pianphung lama harsatna vang emaw a nih vang a ni. Mahse, thil \henkhat, zu in leh zu in te hian nau pai theihna a tipung a ni.

Nau neih hmaa enkawlna tha hian naupai chhung zawng nu leh naute hrisel taka awmtir turin a pui a ni. Chuvangin naupai i nih chuan hengte hi fimkhur rawh:

• Ei leh in tha tak ei la, a bik takin folic acid leh calcium tamna ei tur .
• Doctor-in prenatal vitamin a pek chu nitin ei thin ang che.
• Exercise neih fo la, i doctor remtihna nen.
• Taksa rihna hrisel tak vawng reng rawh. Hmeichhe naupai thau lutuk te pawh hi thau lutuk lo te ang bawkin nau pai an tam hle.
• Ruihhlo leh zu hi pumpelh vek tur a ni.
• Chaw thenkhat (e.g. deli sa, unpasteurized cheese - feta ang chi) ei loh tur a ni a, Listeriosis ang chi natna a thlen thei a ni.
• Caffeine awmna in tur hi tihtlem rawh .
• Meizial zu mi i nih chuan tunah hian titawp rawh.
• Damdawi i ei zawng zawng chu i doctor hnenah hrilh rawh. I doctor-in a thurawn dang a pek loh chuan damdawi tam zawk (prescription leh over-the-counter-te) hi naupai laiin hman a him lo.
• I pum chhunga harsatna nasa tak thlen thei thil tih loh tur.
• I vaccine mamawh zawng zawng chu a hun takah i dawng vek tawh tih hria ang che.
• I chhungkuaa natna leh genetic condition te fimkhur rawh.
• Doctor hmuh tur i ruahman ni tin doctor hnenah kal ngei ngei tur a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan doctor nen sawiho rawh.
• I khawsik i neih chuan, i hrisel lo a, i naute chu a che tlem zawk ang tih i hriat chuan, emaw, thisen chhuak, spotting , emaw, i pum hnuai lam natna i neih chuan i doctor chu biak nghal rawh.

Nau pai hnua beih leh

Nau pai tawh i nih chuan lungngaihna leh dam lehna hun pe la. Naupai laia naute hloh chu hmangaih tak hloh ang a ni. Dam nan hun pe la, rilru leh taksa lamah pawh. Doctor thenkhat chuan naupai leh tum hmain thlasik hun vawi khat tal, a aia rei emaw nghah turin an fuih.

He hun harsa tak paltlang thei tur thil dang thenkhat chu hetiang hi a ni:

• Support group zawng rawh. Nau pai hnua hmeichhiate tana group hrang hrangte zawt leh rawh.
• Hlawhtlinna chanchin zawng rawh. Hmeichhe dang nau pai a, naupai hlawhtling tak takte thil tawn hian a tichak thei che a ni. I doctor chuan inbiakna tur mi zawng turin a pui thei che a ni.

Heng thilte hian i naupai leh hunah a pui ang:

• Proactive takin awm rawh. I naupai chungchanga damdawi lam thil i hriat chian poh leh i doctor nen enkawl dan tur leh a rah chhuah chungchang sawipui a awlsam zawk ang.
• I naute che vel chu enfiah rawh. I naute chu a kick leh kick tih i hriat tan chuan (a tlangpuiin kar 18 leh 22 inkar) i naute chetna chu zing leh zan tin journal-ah ziak thin ang che. Thil danglam i hmuh emaw, chetna hloh i hmuh chuan doctor hnenah hrilh rawh. I naute chu a che lo a nih chuan thil thlum (ei tur emaw in tur emaw) ei tum la, i sir lamah phelh rawh. Darkar hnih chhungin i naute chu vawi sawm tal a che tih i hre tur a ni. I tih loh chuan doctor ko nghal rawh.
• Inthlauhna nei suh. Naupai pahnih hi a inang chiah lo. Chuvangin, he naupai hi naupai hmasa, nau pai a tawp tawh nen khaikhin suh.
• Positive takin awm rawh. Engkim a kal zel ang tih rinna chuan positive taka awm turin a pui ang che.

A tawp berah chuan take-home message:

Nau pai hi hmeichhia tan chuan thil hrehawm tak a ni. Mahse, nangmah chauh i ni lo tih hre reng ang che. Nau pai tam zawk hi nu sual vang a ni lo. A chhan chu a thunun theih loh thil a ni fo va, nausen lo piang chhoh dan nena inzawm thil a ni.

Nau pai tawh i nih chuan lungngaihna hun pe la, chu chu process rawh. A tul chuan damdawi lam thurawn leh rilru lam counseling la rawh. Hemi chungchang hi i chhungte leh i thiante nen sawiho rawh.

Naupai leh i tum a nih chuan hriselna lama nunphung tha tak neih a pawimawh a, damdawi lam thurawn dik tak zawm a pawimawh a, a chung berah chuan i taksa leh rilru hriselna uluk taka enkawl a pawimawh.

` Nau pai, Nau pai, Naute hloh, Naupai, Thih, D&C, Postpartum Care