Naute hian contraction a tuar thei em? Contraction Stress Test'' chungchang hi han sawi ila!

Chibai! Tunah chuan naute beisei hun laiah i awm tawh a ni. Hemi chhung hian nang leh i naute hi test tam tak in neih a ngai dawn a ni lawm ni? A châng chuan doctor-in a sawi test ṭhenkhat hming i hriat chuan i hlauthawng deuh ṭhin. Mahse, lungngai suh, heng zawng zawng hi nang leh naute thatna tura tih a ni. Vawiin hian chutiang test pakhat chungchang kan sawi dawn a ni. Chu chu `(Contraction Stress Test)` test a ni.

Hei hi eng nge ni `(Contraction Stress Test)`?

A awlsam zawngin sawi ila, he `(Contraction Stress Test)` hian i naute hian nau a neih laiin nausen pum huap (i.e., naute ang maia nawr) te chu a tuar thei em tih a enfiah a, chutih lai chuan naute chuan nausen atanga oxygen a dawng dik em tih a enfiah bawk. Ngaihtuah teh, naute a pian dawn lai hian i nausen chu a khauh a, naute chu a nawr chhuak a, hei hi chutih laia naute thinlung thawk (heart rate kan ti bawk) a inthlak dan en nan a ni ber . Hei hian naute chu nau neih theih nan engtiang chiahin nge a inpeih tih a hmu thei a, chutih laia nawrna lo thleng chu tuar thei turin naute hian chakna a nei em tih a hmu thei bawk.

Engvangin nge hetiang `(Contraction Stress Test)` hi tih a nih?

A tlangpuiin, a hmaa test dang tih tawh, entirnan, `(Nonstress Test)` emaw, `(Biophysical Profile - BPP)` (hei hi `(Ultrasound scan)` `(Nonstress Test)` hmanga tih a nih)-in harsatna tenau tak a awm tih a lan chuan doctor chuan he `(Contraction Stress Test)` hi tih a rawt a ni. Tichuan, doctor chuan a hmaa ka sawi tawh ang khan, naute thinlung chu a stable em tih, chu chu danglamna lian tham awm lo, uterine contraction a lo thlen hunah a hriat chian duh a ni. A chhan chu, chutih laia heart rate tlahniam nasa tak a awm chuan naute chuan chutiang contraction te chu a tuar harsa tihna a ni a, oxygen a tlachham mai thei bawk Hei hi driver-in tlang a lawn hmaa car engine a tha em tih a enfiah ang mai a ni.

Engtikah nge hetiang hi i tih a ngaih?

Mi zawng zawng hian he test hi an mamawh vek dawn lo. I mamawh leh mamawh loh chu i doctor chauhvin a rel thei ang. Doctor-te chuan a bik takin he ``Contraction Stress Test`` hi heng dinhmunah hian an ngaihtuah thin:

• Diabetes Mellitus ang chi damdawi lam natna i neih chuan.
• Thisen sang i neih chuan.
• I naute chu beisei angin a thang tha lo a nih chuan (i.e. naute chu a te - `Intrauterine Growth Restriction` emaw `IUGR` emaw).
• I naute chu a che tlem zawk nia i hriat chuan.
• A hmaa kan sawi tawh ``Nonstress Test`` result a lawmawm vak loh chuan.
• Ultrasound scan-a i amniotic fluid a hniam tih a hriat chuan (oligohydramnios).
• I naupai laiKar 40 i skip tawh chuan i overdue tihna a ni.
• Naute hian a hmaa nau neih lai khan harsatna a tawh a nih chuan.

Hetiang thil thlengah hian doctor-te chuan he test hmang hian naute dinhmun hi finfiah belh an tum thin.

Hetiang `(Contraction Stress Test)` hi ka tih a ngai em?

Hei hi zawhna tha tak a ni tak zet a ni. Doctor chuan he test hi a rawt mai lo. Naute himna tur a ni . Naute hian uterine contractions a chhan dan tur leh, chu stimulation chu naute heart rate-in a chhan dan tur en turin an ti a ni. Mahse, hemi chungchanga thil pakhat chu a chang chuan he test hian nau a pai tan tak tak thei a, nau a pai tir thei hial a ni. Chuvang chuan doctor chuan hetiang a tih hma hian uluk takin a ngaihtuah a, a bia che a, thutlukna a siam thin. Hlauhna emaw rinhlelhna emaw i neih chuan i doctor nen pawh sawipui ngei ang che. I dikna a ni. Doctor chuan hei hi a thatna leh a that lohna zawng zawng a hrilhfiah ang che.

Engtin nge he `(Contraction Stress Test)` hi tih a nih?

Hetiang tih dan i hriat hian mak i ti deuh mai thei a, mahse hei hi a tam zawkah chuan him taka tih thin a ni.

Hei hian i nausen zawi zawia tihchak a, a inzawm khawm tir a huam a ni. Hei hi kawng hnih in tih theih a ni:

1. `(Pitocin)` pekna hmangin: `(Pitocin)` hi hormone `(Oxytocin)` (nau neih laiin pianphung atanga chhuak hormone) synthetic version a ni. Zawi zawiin i taksaah saline solution hmangin a lut thin. Tichuan, nausen pum chu a inzawm khawm tan ta a.

2. Nipple stimulation: I hnute zawi zawia massage hian natural takin hormone `(Oxytocin) a chhuak bawk.` Hei hian uterine contraction a thlen thei bawk. A chang chuan i doctor in hetiang tih dan tur a hrilh ang che.

I nausen pum (uterus) a inzawm zauh zauh chuan doctor leh nurse-te chuan i naute thinlung thawk dan an enfiah chhunzawm zel a. ``CTG machine'' (Cardiotocography machine) an tih machine an hmang a. Chu chu i pum chhungah strap pahnih dahin a ti thin. Pakhat chuan i uterine contractions a teh a, pakhat zawk chuan i naute heart rate a teh bawk.

Hetih lai hian i rilru a na deuh mai thei. Mahse a intense lutuk lo, control a ni. Thla tin i period chhungin i pum na deuh ang mai a ni.

Chutiang chuan minute 30 atanga 40 vel chhungin contractions engemaw zat a awm a (a tlangpuiin minute 10 danah 3 vel), naute chu a inhnek apiangin a heart rate chu enfiah a ni.

Naupai lai hian engtik laiin nge hetiang hi tih thin?

He ``Contraction Stress Test`` hi i naupai atanga kar 34 emaw a hnu lama tih thin a ni tlangpui.. A chhan chu, chumi hmaa hetianga tih a nih chuan nau piang hmaa nau neih theihna chance a sang zawk a ni. Kar 34 hnuah naute chu a puitling tawh hle a, chuvang chuan he test avang hian naute hi piang mahse hlauhawmna lian tak a awm lo thei. Mahse, thil bik thenkhatah chuan doctor-in a duh chuan hei hi tlem a hma deuhin tih theih a ni a, naute leh i dinhmun a zirin.

Eng chen nge result lo thleng tur?

Hemi chungchanga thil tha tak chu `(Contraction Stress Test)` result hi test zawh hnu lawkah a awm nghal mai mai a ni . Chumi awmzia chu doctor chuan naute dinhmun leh a hnua a tih tur chungchangah thutlukna a siam nghal thei tihna a ni. I nghah rei lutuk pawh a ngai lo.

Engtin nge result chu kan chhiar ang?

Hei hi i tan pawh i hriat a tha a, chuvangin doctor in a sawi dan chu hriatthiam a awlsam zawk ang.

• Negative result: Hei hi result tha ber a ni . Naute heart rate chu uterine contraction a awm chuan a hniam lutuk lo (`late decelerations` an ti) tihna a ni. Naute hian heng contraction te hi a tuar tha thei a, nausen atanga oxygen a dawng tlem tihna a ni. Hetiang result i hmuh chuan kar khat vel hnuah he test emaw test dang emaw tih leh turin an ti leh mai thei che a, naute chu enkawl chhunzawm zel turin an ti leh mai thei bawk.
• Positive result: Hei hian naute heart rate chu a contraction tam zawkah a tlahniam tihna a ni (`late decelerations` a awm). Chumi awmzia chu naute hian heng contraction te hi a tuar harsa a, oxygen a dawng tlem thei tihna a ni. Chutiang a nih chuan doctor chuan naute chu a hmaa nau neih a rel thei a, ``Caesarean section`` hmangin a nei mai thei.
• Equivocal emaw Suspicious Result: A châng chuan result chu a chiang lo thei bawk. Hei hian heart rate-ah hian danglamna tlem a awm tihna a ni a, mahse ‘positive’ tia sawi theih khawpa na a ni lo. Chutiang a nih chuan doctor chuan test chu rei vak lo a ti sei thei a, a hnua tih leh turin a ti thei bawk.

Side effect a awm em?

Ka sawi tawh ang khan he test hi a hlauhawm ber chu nau piang hma emaw, nau neih tan emaw a ni. Tin, mi thenkhat chuan Pitocin vang hian rilru hahna leh luak chhuak tlem an nei thei bawk. Nausen pum hi overstimulated (uterine hyperstimulation) a nih chuan naute pawh a nghawng tlem thei bawk. Mahse hei hi a thleng tlem hle a, a chhan chu doctor-te hian uluk takin an ti a, engkim an enfiah thin. Tin, he test chhung hian hun engemaw chen chu hmun khatah i awm a ngai a, chuvangin i rilru a hah deuh thei bawk.

Kan hriat reng tur pawimawh ber berte

Okay, chuvangin he `(Contraction Stress Test)` chungchang hi kan sawi nasa hle. A tawi zawngin, hriat reng tur thenkhat chu hetiang hi a ni:

• Hei hi naute hian khaw lum a tuar thei em tih leh oxygen a dawng tlem em tih enfiah nan an ti thin .
• Hei hi a hmaa ``Nonstress Test'' emaw ``Biophysical Profile'' emaw tih tawhah harsatna a awm chuan tih a ni tlangpui.
• He test atang hianBuaina hi a intan theihna chance a awm.
• Uterine contractions hi Pitocin pek emaw, hnute stimulate emaw a ni.
• Hei hi kar 34 hnuah tih thin a ni tlangpui .
• Results chu a awm thuai dawn a ni .

A pawimawh ber chu, he test chungchangah hian zawhna, ngaihtuahna, rinhlelhna i neih chuan i doctor nen inbia la, chiang takin sawi rawh. Doctor thusawi chu ngun takin ngaithla rawh. Engkim hi i leh i naute himna atan tih a ni.

Lungngai suh, engkim a tha vek dawn tih hre reng ang che. Nangni pathum leh naute hi malsawmna chang rawh se!

` Naupai test, Contraction Stress Test, Naute thinlung na, Uterine Contractions, (Contraction Stress Test), (Pitocin), (Nonstress Test)