I naute chu a hun hmaa a piang ang tih i hlau em? A laka inven dan tur i zir ang u!

Nangmah, nu ni tur leh i pum chhunga i fa te tan a tha ber chu i naute term-a piang hi a ni a, chu chu kar 40 vel a ni tlangpui. Chutih lai chuan naute taksa peng zawng zawng chu a lo thanglian vek tawh a ni. Mahse, a chang chuan kan naute hi tlem a hmanhmawh lutuk a, kar 37 hmaa khawvela rawn luh an tum thin. Damdawi lam hawi chuan hei hi ‘premature birth’ kan ti a ni. Hetiang taka pian hma hian naute tan hriselna lama harsatna a thlen thei a, chu chuan a dam chhung zawng a nghawng thei a, chuvangin hei hi kan hriat vek a pawimawh hle. Chuvangin, vawiinah hian heng nau piang hmasa te, an ven dan tur te, chutiang thil a lo thlen chuan eng nge tih tur tih te kan sawi dawn a ni.

Hun hmaa nau neih hi ven theih a ni em? A nih loh leh, a hlauhawmna tihtlem nân eng nge tih theih ang?

Dik tak chuan nu thenkhat chu a hun hmaa nau neih theihna chance a sang deuh hlek a, mi dangte aiin. Entirnan, nu thenkhat serh (cervix) - nausen pum hnuai lam, vagina nena inzawm - chu a tawi deuh emaw, a chak lo deuh emaw pawh a ni thei. Heng hmeichhiate tan emaw, tun hmaa nau pai hmaa nu nei tawhte tan chuan tun ṭumah hian a hlauhawmna a sang zawk.

Mahse lungngai suh, hetiang thil thlengah hian doctor ten an pek theih tur enkawlna a awm.

Servix tawi nei leh a hmaa nau piang hmasa tawhte enkawlna

• Progesterone hmanga enkawlna: Hei hi a takah chuan hormone a ni. Nau piang hmasa i neih tawh chuan, emaw, i doctor-in i serh a tawi lutuk tih a hriat chuan, hormone progesterone an tih chu injection emaw, vaginal suppository emaw atan emaw pek i ni thei. Hei hian nau piang hmaa nau neih theihna a tihziaawm thei a ni.

• Cerclage: Cerclage hi operation tenau tak a ni. Chu chu i serh (cervix) emaw, i nausen pum hawnna emaw chu stitches tlemte hmanga khar a ni. A khin khar ang mai a ni. Hei hian serh chu a hawng hma ang a, naute chhuah theihna a ti tlem ang. Doctor-te chuan a hmaa nau pai tawh, nau pai tawh, emaw, serh tawi nei tawh emaw, a hun hmaa serh a inhawng tan tawh emaw tan cerclage hman an rawt tlangpui.

Pawimawh: Heng enkawlna pahnih zinga pakhat mah hian mi zawng zawng tan hna a thawk lo. Chung zinga pakhat chu i tan a tha em tih chu i doctor chauhvin a rel thei ang.

Nu fapa mal nei tan hian engtin nge hetiang enkawlna hi a awm?

Nu nau piang emaw, fa pathum emaw nei i nih chuan nau piang hmasa i neih theihna chance a sang deuh hlek a ni. Vanduaithlak takin zirchianna atanga a lan dan chuan a hmaa kan sawi tawh progesterone treatment leh cerclage surgery te hi twins i neih laiin nau piang hmasa venna kawngah a hlawk vak lo tlangpui.

Naute a lo thlen hmaa symptoms a lo lang nghal a nih chuan engtin nge i tih?

Ngaihtuah teh, rang takin pum na i nei a, period natna ang maia na na tak (Contractions) i nei. A nih loh leh i vagina atang hian thisen emaw tui emaw a chhuak tan thin. He tui hi a luang chhuak zauh zauh thei a, a chhuak chhunzawm zel thei a, a chhuak nghal thei a, a tam thei bawk. Chung chhinchhiahna eng emaw i neih chuan i doctor emaw midwife emaw chu tihkhawtlai lohvin i ko nghal tur a ni.

A bik takin serh atanga thisen chhuak a nih chuan emaw, i tui a chhe tawh nia i hriat chuan damdawi in hnai ber pan nghal tur a ni.

Naute piang hmasa i beisei a nih chuan a tha ber chu Neonatal Intensive Care Unit (NICU) neia damdawi inah kal a ni a, hei hi nausen piang hma enkawlna atana specialized unit a ni a, staff training bik nei a ni. Chutiang hmunah chuan naute chuan a mamawh zawng zawng a dawng vek ang.

Damdawi inah hian eng enkawlna nge awm?

Nau neih hmaa natna neia damdawi ina i kal hian doctor-te chuan nang leh i naute tanpui nan heng ang enkawlna hi an tan thei ang:

• Antibiotics: Heng damdawi te hi nausen leh nu natna chi hrang hrang ven nan emaw, natna hrik awm tawh enkawl nan emaw pek thin a ni.
• Steroids: Hei hi damdawi chi khat pawimawh tak a ni. Heng steroid te hian naute chu a hun hmaa piang a nih chuan a lung a tipung chak zawk a, thawk lama harsatna awm theihna a ti tlem a ni. He damdawi hlawkna kimchang hi a kick in theih nan darkar 24-48 vel a ngai a ni.
• Tocolytics: A châng chuan doctor-te chuan nausen piang chu ni khat emaw ni hnih emaw vel tihkhawtlai an tum ṭhin. Hei hi a hmaa kan sawi tawh steroid te chu naute lung a lo thanlen theih nan hun pek nan a ni. NICU nei damdawi inah sawn a ngai a nih chuan hun a lei bawk.

Doctor-te hian nau neih hi tihtawp an tum ngai lo!

Mahse hei hi a ni: Naute chu kar 34 aia rei a nih chuan, chu chu naute lung chu eng emaw chen a lo thanglian tihna a ni a, emaw, nu emaw, naute emaw tan hriselna lama harsatna lian tak a awm a nih chuan (entir nan, nuah natna khirh tak, thisen chhuak nasa tak, emaw naute thinlung thawk dan pangngai lo) a awm chuan, doctor-te chuan naute chu hetianga piang tur hi tihtawp an tum lo vang. Hei hian nu leh naute tan pawh harsatna a thlen belh thei a ni.

He nau piang hma hi ven nan keimah ngei pawhin eng nge ka tih theih ang?

Nau piang hmaa nau neih hi pumpelh theih vek a ni lo. Kan thunun theih loh chhan thenkhat a awm. Mahse, he hlauhawmna hi a theih ang anga tihziaawmna turin i chanvo i hlen thei a ni. Top tips thenkhat chu hetiang hi a ni:

• Nau neih hmaa enkawl dan dik leh damdawi lam thurawn: Naupai i nih i hriat ni atang khan doctor hmu fo la, a hun takah i hmu la, a thupek zawm rawh. Clinic appointment engmah lo awm suh. I test zawng zawng tihfel vek rawh. Hei hi naute hrisel tak neihna kawng tha ber a ni.

• I hriselna lama harsatna dangte kha enkawl rawh: Hriselna lama harsatna i neih chuan ``Diabetes Mellitus'', ``High blood pressure'', thyroid problem, emaw ``Depression'' te hi i neih chuan naupai hmain, leh i naupai chhung zawng khan uluk taka enkawl leh control a pawimawh hle.

• Thiltih \ha lo chu pumpelh vek rawh: Meizial zu te, zu in te, ruihhlo hmansual te hi bansan vek tur a ni. Hengte hi nang leh i nausen piang lo tan pawh a pawi hle. Chungte chuan nau piang hmasa ber a thlen mai bakah, naute thanlenna a tikhawlo bawk.

• Ei leh in tha leh tha tak ei: Nitin ei tur tha chi hrang hrang, greens, thlai, thei, nut, dairy products, sangha leh artui te telna diet inthlau tak ei thin ang che. Chaw thianghlim, in lama siam chu a tha ber. A theih ang anga oil, sugar, chi, leh artificial flavors tamna ei tur ei loh tur. I doctor-in vitamin a pek ang kha ei la.

• I taksa rihna dik tak neih: Naupai laiin taksa rihna engemaw chen tihpun hi thil pangngai a ni. Mahse, taksa rihna sang lutuk hi a tha lo va, tihpun tlem lutuk pawh hi a tha lo. I doctor nen inbia la, i taksa rihna chu i duh angin enkawl rawh.

• Infection lakah inveng rawh: Infection thenkhat chuan naupai laiin i naute chu a nghawng thei a ni. Chuvangin, sahbawn leh tuiin uluk takin kut sil thin ang che. A bik takin chaw ei hma leh toilet hman zawhah. Sa raw, sangha leh artui ei loh tur. Uluk takin chhum rawh. Unpasteurized milk emaw cheese emaw ei loh tur. Sex hman laiin condom hmang la, mipat hmeichhiatna hmanga kai theih natna laka inven nan. I in chhungah ui i neih chuan he hun chhung hian an bawlhhlawh chu khawih loh tur a ni. (Toxoplasmosis hi natna kai theihna tur risk factor a ni thei).

• Stress tihtlem: Hei hi sawi ai chuan tih a awlsam zawk tih ka hria. Mahse i nunah lungkhamna awm chu a theih ang anga tihtlem tum ang che.Chawlh hahdam la, i hlim theihna tur thil ti rawh. Ngaihtuahna te, music ngaihthlak te, lehkhabu chhiar te ang chi thilte hian i rilru a hahdam thei a ni. Ṭanpuina i mamawh chuan i chhungte, i ṭhiante emaw, i doctor emaw hnenah hemi chungchang hi sawipui rawh.

He thawnthu atanga in lama kan hruai duh ber chu

Chuvangin, vawiina kan sawiho tawhte hian nau piang hmasa chungchangah ngaihdan engemaw zat a pe che u ka beisei.

Naupai apiang hi a danglam vek tih hre reng ang che. Nu tin leh naute tin hian risk factor hrang hrang an nei vek a.

A pawimawh ber chu:

• I naute hriselna atan full term-a piang a tha ber.
• Nau piang hmaa nau neih hlauhawm i nih chuan (e.g., i lo vei tawh a nih chuan, i serh a tawi a nih chuan), i doctor nen sawiho la, enkawlna tul tak tak (Progesterone, Cerclage) te chu zawt rawh.
• Nau neih hmaa chhinchhiahna (pum na, thisen chhuah, tui chhuak) hriat reng tur. If any of these occur , doctor thurawn zawng nghal rawh.
• A theih phawt chuan ``NICU'' awmna damdawi inah kal tum ang che.
• Tin, he hlauhawmna tihtlem nan hian thil tam tak i tih theih a awm bawk. Chung zingah chuan nau neih hmaa enkawlna mumal neih te, nunphung hrisel zawm te, natna hrik laka invenna te a tel.

Naupai i nih emaw, naupai i tum emaw a nih chuan doctor hmu la, heng zawng zawng hi sawipui ngei ang che. Nu nau neih hmaa enkawlna mumal tak dawng thinte hian naupai hrisel tak neiin naute hrisel tak an nei tam zawk hle. Nang leh i naute tan duhsakna ka hlan e!

` Nau piang hma, naupai enkawl, cerclage, progesterone, NICU, naute hriselna, nau neih hma