Cesarean section (C-section) i lo neih tawh chuan tun ṭumah hian nau neih pangngai i nei dawn em? Hemi (VBAC) chungchang hi han sawi ila!

I naute hmasa ber chu cesarean section (C-section) hmanga hrin a nih chuan, "Tun ṭumah hian normal, vaginal birth ka nei ang em?" Hei hi nu tam takin beiseina sang tak an nei a, mahse a chang chuan hlauhna tlem nen a lo thleng thin. Chuvangin vawiinah hian he thu hi chiang tak leh i hriatthiam theih tur zawngin i sawi dawn nia.

Chutih lai leh tunah: Nau neih chungchanga i ngaihtuahna chu cesarean section hnuah a danglam tawh em?

I hre reng mai thei, i nu hunlai khan mi tam tak chuan vawi khat C-section i neih chuan chu mi hnuah naute tin tan C-section dang i neih leh a ngai dawn niin an ngai a. Chutih laia doctor-te pawhin chu chu an sawi fo thin. Chutiang a nih chhan pawh a awm.

Mahse tunlai hian medical science hi a hmasawn hle a ni . Research thar leh hriatna thar nen thil tam tak a danglam ta. Tunah chuan doctor-te ngei pawhin nu thiam tak tak tam tak, a hmain cesarean section nei tawh pawh ni se, vaginal hmangin nau an pai thei tih an sawi (Vaginal Birth After Cesarean - VBAC) . Dik tak chuan tunah chuan hei hi nu tam tak leh an naute tan chuan duhthlan tur him takah ngaih a ni ta.

Naute pangngai i neih hnuah i haw thuai thei ang tih han ngaihtuah teh. Hrisel lohna a tlem a, i dam thuai thei bawk. Hengte hi VBAC thatna lian ber ber thenkhat an ni.

Chuvangin, (VBAC) pawh ka ti thei ang em? Chu chu eng thilin nge tichiang?

Hei hi zawhna pawimawh ber a ni. Mi zawng zawng hi kan inang vek lo. VBAC i neih theih leh neih loh tur hi thil engemaw zat a awm. A mal zelin han thlir ila.

1. I cesarean section hmasa ber (C-section) i neih chhan kha eng nge ni?

A châng chuan operation hmasa ber chu naute nena emergency vang emaw, nu thisen sang ang chi thil vang emaw pawh a ni thei. Chhan thenkhat a awm a, chu chhan chu he naupaiah hian a inzawm tlat a nih chuan VBAC neih hi a hlauhawm thei hle. Mahse chhan engemaw zat a awm bawk a, chu hun lai chauh nghawngtu thil a nih chuan. Entirnan, breech position ang chi thil vangin cesarean section i neih chuan, tun ṭumah hian naute chu a position dik takah a awm a nih chuan VBAC i enchhin a rinawm zawk mai thei. I doctor emaw midwife emaw chuan chipchiar takin a hrilhfiah ang che.

2. Type of Uterine Incision - Hei hi a pawimawh ber a ni!

Hetah hian fimkhur hle tur thil a awm. I cesarean section hmasa berah i uterus-a incision awm dan hi VBAC atan a pawimawh hle. Hei hi i vunah hmuh theih incision a ni lo va, i uterus chhunga incision a ni zawk.

Cut chi hnih kan sawi ber a ni:

• Transverse incision tih hi a awm lo.

A awlsam zawngin sawi ila, hei hi incision chi hrang hrang tih tam ber a ni a, VBAC tan pawh a tha ber bawk.. He incision hi nausen hnuai lam, a hring zawk, transverse-a siam a ni. Bikini line (vun incision ni lovin, uterus chhunga incision) angin ngaihtuah rawh. He incision hi naute pian tirh (nausen chhuah tir tura a contract lai) uterus pressure nasa lutuk lohna hmun a ni. Chuvangin, hetiang incision nei nu hian VBAC hlawhtling tak neih theihna chance a sang zawk hle. He incision hming dang chu (Low-transverse incision) tih a ni .

• Vertical incision a awm chuan:

Hetah hian incision hi nausen pum chunglam atanga a hnuai lam thlengin, a sei zawngin an siam thin. He incision hi uterus muscles kaltlangin a kal avangin nau neih laiin uterus chu nasa taka a inzawm chuan incision kaltlangin uterus tearing (uterine rupture) a awm theihna a sang hle . Hei hi nu leh naute tan pawh dinhmun hlauhawm tak a ni thei. Chuvangin, doctor-te chuan a tlangpuiin VBAC hi vertical incision (a bik takin uterus chunglam atanga classical incision siam) a awm chuan an fuih lo.

Pawimawh: I vun incision chu horizontal ni mahse, a chang chuan i uterus chhunga incision chu vertical a ni thei. Chuvangin, i cesarean section hmasa ber atanga i surgical notes te kha enfiah lehin, incision chu eng ang chiah nge a nih tih hriat a pawimawh hle. Hemi chungchang hi i doctor nen inbia ang che.

3. Cesarean section engzat nge i neih tawh?

VBAC hi cesarean vawi khat hnuah ngaihtuah ni mahse, cesarean vawi hnih emaw a aia tam emaw i neih tawh chuan VBAC neih hi a hlauhawm deuh thei. Uterus chhunga scar tissue a pun avangin uterine rupture hlauhawmna a sang zawk thei bawk. Mahse, thil bik thenkhatah chuan a hmaa cesarean section vawi hnih nei tawhte pawhin VBAC hi, uluk takin, hmun remchang takah an enchhin phalsak an ni thei. Hei hi i medical history, uterine incision chi hrang hrang leh enkawltu doctor thutluknaah a innghat vek a ni.

4. Tuna i naupai dinhmun leh hriselna lama harsatna dangte

He naupai chhung hian zunthlum, thisen sang, i naute thanna lama harsatna, emaw, naute lian tak anga lang (macrosomia) ang chi natna i neih chuan i doctor chuan VBAC kal chu vawi hnih a ngaihtuah thei ang. Tin, i nausen pianphung (e.g. fibroids) chungchangah harsatna i neih chuan, chu chuan VBAC neih tura thutlukna siam pawh a nghawng thei bawk.

(VBAC) ah hian risk a awm lo em ni?

VBAC hi nu tam zawk tan chuan duhthlan tur him ni mahse, hlauhawmna nei lo a ni lo . A hlauhawm ber chu uterine rupture a ni . Hei hi a hmaa cesarean section neihna hmuna uterine wall a tear lai a ni. Hei hi thil thleng tlem tak a ni (Sri Lanka statistics atanga a lan dan chuan 1% aia tlem a ni a, a bik takin horizontal incision nei tawhte tan chuan), mahse a thleng a nih chuan nu leh naute tan pawh nunna atana hlauhawm emergency a ni thei. Chuvangin VBAC i tum a nih chuan .Emergency cesarean section tih theihna tur facility zawng zawng awmna hospital-ah tih tur a ni an ti.

A lehlamah chuan VBAC i enchhin a, a hlawhtling lo a nih chuan emergency cesarean section neih a ngai mai thei. He ruahmanna siam loh emergency surgery hian scheduled cesarean section aiin harsatna tenau a thlen tam zawk thei.

Hlau suh! Heng risk te hi i zirtirna tur a ni a, i hlauhthawn nan a ni lo. Nu tam zawk chuan harsatna awm lovin hlawhtling takin VBAC an nei thin. A pawimawh ber chu i dinhmun nena inmil a nih leh nih loh, a hlauhawmna leh a hlawkna tur te doctor nen inbiakna neihpui hi a ni.

(VBAC) ka duh chuan engtin nge ka tih ang?

VBAC i ngaihtuah a nih chuan hengte hi zawm rawh:

1. Doctor nen inbia: Hei hi a hmasa ber leh pawimawh ber a ni. I cesarean section hmasa zawng zawng (a bik takin hysterectomy chi hrang hrang), tuna i hriselna leh i hriselna chungchanga i harsatna bikte chu i doctor nen sawiho rawh. VBAC thatna leh that lohna te, eng risk bik nge i neih theih tih te zawt rawh. I doctor chuan a enfiah ang che, i record te chu a enfiah ang a, VBAC chu i tan a tha em tih a rel ang.

2. I nau neihna tur damdawi inah zawt rawh: Damdawi in zawng zawng hian VBAC facility emaw policy inang an nei vek lo. Hospital thenkhat chuan VBAC hi an thlawp a, emergency room leh operation room te chu 24/7 a awm thei a ni. Mahse, damdawi in thenkhat, a bik takin damdawi in tenau zawkte chuan emergency buaipui theihna tur sum an neih tlem avangin VBAC hi an phal lo mai thei. Chuvang chuan i naute hrin i tumna damdawi inah hian VBAC policy chu eng nge ni tih hriat lawk a pawimawh.

3. Inbuatsaih la, mahse insiamrem rawh: VBAC atan inpeih tawh mah la, a chang chuan ruahmanna angin thil a kal lo. Nau neih laiin harsatna a awm chuan i doctor chuan emergency cesarean section tih a rel thei ang. Tum ber chu nu hrisel leh naute hrisel neih hi a ni tih hre reng ang che. Chuvangin, i doctor thupek zawm turin inpeih rawh.

Ngaihtuah teh, i damdawi thlan chuan VBAC a phal lo a, mahse i duh tak zet a, i doctor pawhin a remti a nih chuan, chutiang ti thei damdawi in dangah i transfer thei mai thei. Hemi chungchang pawh hi i doctor nen sawiho rawh.

Kan sawi tawhte kha tawi te tein kan hrechhuak ang em? (In lama hruai tur thuchah)

Okay, chuvangin, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• A hmain cesarean section (C-section) i lo nei tawh a nih pawhin nu tam tak chuan vaginal birth (VBAC) an nei thei a ni . Tunah chuan hei hi duhthlan tur him tak a ni ta.
• VBAC i neih theih leh theih loh hriatna atana thil pawimawh ber chu i cesarean hmasa bera uterine incision siam chi hi a ni Transverse incision hi a tha ber a nih a rinawm ber.
• Hei hi i cesarean hmasa ber chhan, cesarean i tih hmasak zat, leh tuna i hriselna dinhmun te hian a nghawng a ni.
• VBAC-ah hian hlauhawmna engemaw zat a awm thei a, mahse ruahmanna \ha leh medical team thiam tak takte chuan heng hlauhawmnate hi tihziaawm theih a ni.
• A pawimawh ber chu hemi chungchang hi doctor nen inhawng taka sawi dun hi a ni. I dinhmun atana tha ber tur thurawn petu tur che chu amah hi a ni ang.
• Tin, i naute i hrinna tur damdawi in VBAC policy pawh hre reng ang che.

Naupai apiang leh nau piang apiang hi a danglam bik tih hre reng ang che. Nang leh i naute tan pawha him ber leh hrisel ber thlan theihna chakna ka duhsak che a ni!

` VBAC, Caesarean, Nau neih dan pangngai, Hysterectomy, Nau neih, Nu hriselna, Damdawi lam thurawn