I Placenta chu a hniam em? (Placenta Previa) – A chanchin hi i zir chiang ang u! | Nirogi Lanka chuan a rawn ti a

Naute i beisei a nih chuan inthlak danglamna tenau tak tak pawha lungkham hi thil pangngai tak a ni. A bik takin naupai laiin vaginal bleeding i neih chuan ngaihtuahna seng hi thil awmdan pangngai a ni. Hemi hun chhunga i tawn theih tur term pakhat chu ‘Placenta Previa’ tih hi a ni. Khawngaihin hlauthawng suh; Nirogi Lanka-ah chuan he thu hi awlsam tak leh chiang taka hrilhfiah turin kan rawn kal a ni.

‘Placenta Previa’ hi eng nge ni tak tak?

A bulpui ber atang hian tan ila. I hriat angin, i naute chu a pum chhunga a awm lai hian ‘placenta’ kaltlangin ei tur mamawh zawng zawng, oxygen leh thisen an dawng vek a ni. Placenta hi i nausen chhunga lo thang lian, umbilical cord hmanga i naute nena inzawm, ei tur pe thei pouch angin ngaihtuah rawh. A tlangpuiin, i naupai a lo zual zel chuan—a bîk takin, a tawp ber (kar 28 aṭanga 40)-ah—nausen chu nausen pum chung lam pan chuan a kal a ni. Hei hian i naute chu birth canal kaltlangin a pianphung anga a pian theihna tur kawng chiang tak a siam a ni. ‘Placenta Previa’-ah erawh chuan nausen chu chunglam a pan lo. Chu ai chuan, nausen pum hnuai lamah a awm reng a, a ṭhen emaw, a pum emaw chuan serh chu a khuh vek a ni . A awlsam zawngin sawi ila, a bul berah chuan placenta hian i naute chhuahna kawng a tikhawlo a ni.

‘Placenta Previa’ tih hi eng chi nge ni?

Hetiang dinhmun hi classification hrang hrang a awm a:

• Marginal placenta previa: Nausen chu serh kawngkhar kil khatah a awm a. Rim a khawih a, mahse a hawnna erawh a khuh lo. Thil tam takah chuan naupai a kal zel chuan nausen pum chu a lo thang lian a, nausen chu a pianphungah serh atanga a inhlat thei a ni.
• Partial placenta previa: Nausen hian serh kawngkhar hawnna chu a then a block a.
• Complete or total placenta previa: Hetiang a nih chuan, nausen hian serh (cervix) chu a khuh vek a, nau neihna kawng chu a tikhawlo vek a ni. Hetiang chi hi naupai chhunzawm zel a nih chuan a mah chauhin a reh thei lo.

Placenta Previa chi hrang hrang ni se, naupai emaw, nau neih lai emaw hian vaginal bleeding i nei thei. Thisen chhuah a hlauhawm avangin doctor-te chuan nau neih nan Caesarean section (C-section) neih an rawt fo thin.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Placenta Previa hi naupai 200 zinga 1 velin a awm thin. Doctor-te chuan second trimester-ah routine ultrasound scan -ah an hmuchhuak tlangpui.

‘Placenta Previa’ leh ‘Placental Abruption’ hi eng nge an danglamna?

An pahnih hian naupai laiin thisen a chhuah thei a, mahse an dinhmun a inang lo hle. ‘Placenta Previa’ ah chuan nausen chu serh chungah dah mai a ni a, mahse uterine wall-ah chuan nghet takin a inzawm tlat thung. Chumi nêna inkalh takin, ‘Placental abruption’ chu nausen pum chu nausen pum (uterine wall) aṭanga a inṭhen emaw, a inṭhen emaw hian a thleng a ni . An pahnih hian vaginal bleeding a thlen laiin, a chhan leh a awmzia chu a danglam hle.

‘Placenta Previa’ tih hian ‘Anterior Placenta’ ka nei tihna em ni?

Ni lo, hengte hi a inang lo. I nausen (placenta) hi i nausen pum chhungah khawi hmunah pawh a lo awm thei. ‘Anterior placenta’ tih hian i nausen pum hmalam bang, i pum lam hawiin, nausen chu a lo inzawm tawh tihna a ni. Naute leh i pum inkarah cushion neih ang maiin ngaihtuah la; hei hian a tlangpuiin Placenta Previa angin harsatna a thlen lo.

‘Placenta Previa’ natna lan chhuah dan chu engte nge ni?

A lan chhuah dan tlangpui en tur chu:

• Vaginal bleeding sen hring hring . Hei hi i naupai hun chanve hnuhnung berah a intan tlangpui . Thisen chhuahna chu a reh thei a, a intan thei a, a chang chuan ni engemaw zat hnuah a lo lang leh thei bawk.
• Pum emaw hnungzang emaw natna na lo tak emaw, inzawmkhawmna hriatna emaw.

Thisen chhuah zat hi mi hrang hrangah a inang lo. Vawi tam tak chu he thisen chhuahna hi natna engmah awm lovin a thleng thin.

Engvangin nge ‘Placenta Previa’ hi a lo awm?

Hetiang thil a thlen chhan hi hriat chian a ni lo. Mahse, i hriselna chanchin emaw, i nunphung emaw nena inzawm risk factor thenkhat a awm a, chu chuan a chance a tipung thei a ni.

‘Placenta Previa’ vei theihna tur risk factors te chu engte nge ni?

Thil awm thei thilte chu:

• Meizial zu emaw, cocaine ang chi thil hman emaw.
• Kum 35 aia upa a nih.
• Tun hmaa naupai vawi tam tak nei tawh.
• Twins, triplets, a nih loh leh a aia tam phur .
• A hmaa uterine surgery neih tawh , Caesarean section ( C-section ) emaw D&C (dilation leh curettage) emaw tih ang chi te.
• Uterine fibroids a awm tawhna chanchin.

‘Placenta Previa’ hian eng harsatna nge a thlen theih?

Placenta Previa i vei tih hmuhchhuah a nih chuan i doctor chuan nangmah leh i naute tana hlauhawm thei tur a enkawl theih nan uluk takin a enkawl ang che. I tana harsatna awm thei te:

• Thisen chhuah: Naupai lai emaw, nau neih lai emaw, nau neih hnu lawkah thisen chhuah tam lutuk hi a awm thei.
• Nau piang hmasa: Thisen chhuak nasa tak i neih chuan i doctor chuan full term i thlen hmain emergency C-section a tih a ngai mai thei.
• Thisen tlakchham: Thisen chhuak nasa tak chuan thisen tlakchhamna , thisen sang hniam, vun dum, emaw thawk harsatna a thlen thei .
• Placenta accreta: Hei hi nausen pum chu uterine wall-ah thuk lutuka a inzawm chuan a thleng a, chu chuan nau piang hnuah thisen chhuahna nasa tak a thlen thei a ni.
• Placental abruption: Nausen chu a hun hmain a inthen thei a, chu chuan naute hnena oxygen leh nutrient supply a tihtlem phah thei a ni.

I naute tana harsatna awm thei te:

• Nau piang hma: Thisen chhuah avanga emergency C-section lak a ngai a nih chuan i naute hi a pian hma a ni thei.
• Nau piang rit lo: Naute piang hmasa te hian temperature regulation emaw weight gain emaw an ti buai thei.
• Thâwk lam harsatna: Chuap chu a puitling kim lo a nih chuan naute chu a pian hnuah thawk a harsat phah thei a ni.

Pawimawh: Khawngaihin heng harsatnate hi hlauthawng suh. Medical professional-te hian he natna hi enkawl kawngah hian tawnhriat sang tak an nei a ni. Nang leh i naute him taka awm theih nan a tul anga enkawlna leh thurawn an pe ang che.

Thisen chhuak lovin 'Placenta Previa' ka nei thei ang em?

Ni e, a theih a ni. Placenta Previa vei mimal thenkhat chuan vaginal bleeding an nei lo. Mahse, a chang chuan pum emaw, hnungzang emaw na lo deuh i nei thei. Symptoms i neih chuan i medical provider emaw local emergency services emaw hnenah zawh nghal tur a ni. Chuvangin, naupai laiin vaginal bleeding emaw, i pum hnuai lam na emaw i neih chuan doctor rawn nghal tur a ni.

Engvangin nge Placenta Previa hian thisen a chhuah?

Hei hi a chhan bulpui ber pahnih a awm a, chungte chu i taksain i naute piang tura a inbuatsaih dan nen a inzawm vek a ni. 1. I hriat a rinawm a, cervixi uterus leh birth canal inkar kawngkhar angin a thawk a ni. Naupai tawp ber i hnaih chuan i serh chu a hring (efface) tan a, nau neih tura inbuatsaih nan a inhawng tan a ni. Placenta hi cervix chungah dah a nih chuan he thinning process hian thisen a chhuah tir thei a ni. 2. Nau neih lai hian naute chu birth canal hnuai lam pan thei turin serh (cervix) a zau (a inhawng) thin. Cervix a inhawng chuan placenta leh uterine wall thlunzawmtu thisen kalna kawngte chu a chhe thei a, thisen a chhuak thei a ni.

Placenta Previa hian nau pai a thlen thei em?

Miscarriage tih hi kar 20 hmaa naupai hloh tihna a ni. Doctor-te chuan kar 20 a tlin hnua ultrasound scan tih dan pangngai hmangin placenta previa an hmuchhuak tlangpui. Chuvangin, placenta previa hian nau a pai hi a tlem hle.

Engtin nge Placenta Previa hi hmuhchhuah a nih?

A tam zawkah chuan doctor-te chuan naupai kar 20-na vel khan ultrasound scan pangngai (routine ultrasound scan) an neih laiin an hrechhuak thin. A chang chuan vaginal bleeding ang chi symptoms a awm hnua examination an neih laiin hmuhchhuah a ni. Chumi hnuah i doctor chuan follow-up scans a nei ang a, placenta awmna chu a enfiah ang.

Eng diagnostic test nge hman thin?

I doctor chuan a bul berah chuan ultrasound scan hmangin placenta previa a enfiah ang.

• Transvaginal ultrasound: Hetiang tih lai hian doctor chuan probe (transducer) te tak te chu vaginal canal-ah dahin i naute, placenta leh cervix te a enfiah thin. Hei hian nausen awmna hmun (placental position) chu chiang takin a hmu thei a ni.
• Abdominal ultrasound: Doctor chuan i pum chhungah gel a hnawih a, transducer hmangin a hmun chu a scan thin. Hei hian doctor chuan i naute awmna hmun, nausen awmna leh serh (cervix) te pawh a zirchiang thei bawk.

Scan pahnih hian monitor-a en theih tur images a siam chhuak vek a ni. I doctor chuan heng result te hi a hrilhfiah ang a, chu chuan cervix chu placenta hian engzat nge a khuh tih leh eng step nge tih tur tih a hre ang.

Placenta Previa hi engtin nge enkawl a nih?

A tum ber chu i naupai hun tur hnaih thei ang bera vawn reng hi a ni. Thisen chhuak a awm reng chuan C-section hi i naute neih theihna tur kawng him ber a ni fo thin. Placenta previa enkawlna hi thil engemaw zatah a innghat a:

• I thisen chhuahna nasat dan .
• I naute gestational age .
• Placenta leh naute awmna hmun .
• Nang leh i naute hriselna zawng zawng .

I doctor-in second trimester tir lamah hei hi a hmuhchhuah chuan a natna chu a mah chauhin a reh thei a ni. Uterus a lo seilian chuan placenta chu chunglam hawiin a kal thei a ni. Mahse, naupai hnua hmuhchhuah a nih chuan nausen chu chunglam hawia inthlak theihna a tlahniam a ni. Nausen chu serh bulah a awm emaw, a then chauh a block emaw a nih chuan, thisen a chhuak lo a nih chuan, i doctor chuan a hnuaia mite hi a hrilh thei ang:

• Tlan, thil rit chawi, exercise nasa tak ang chi thil hahthlak tak takte chu pumpelh rawh .
• In lamah bed rest practice rawh .
• Mipat hmeichhiatna hman loh, tampon hman leh douche hman loh tur.
• Doctor tlawh leh ultrasound scan-naah te tel fo thin ang che.

Placenta previa hi a hniam lam atanga na tak a nih chuan, emaw, thisen chhuak fo i neih chuan, enkawlna dang a ngai mai thei:

• Damdawi inah khum chawlh hahdamna tur.
• Nau neih hmaa nau neih loh nan damdawi.
• I naute lung a than chak theih nan steroid shots .
• Thisen tlakchhamna nasa tak i neih chuan thisen pek .
• Thisen chhuah chu thunun theih loh a nih chuan emergency C-section tih a ni.

Placenta Previa hian a mah chauhin a reh em?

Ni e, second trimester-a hmuhchhuah a nih chuan placenta chu chunglam hawia a kal zel chuan a reh thei. Third trimester-a uterus a lo lian chhoh zel chuan placenta hi a inthlak danglam theihna a la awm reng a ni. Mahse, naupai a kal zel chuan serh (cervix) a block reng chuan a pianphungah a reh thei lo. I doctor chuan nau neih hmain scan a ti chhunzawm zel ang a, i natna chu a thianghlim tawh em tih a enfiah ang.

Placenta Previa vei theihna hi ka tihtlem thei ang em?

Placenta previa ven dan tur hriat a ni lo va, placenta dahna tur "fix" turin medical procedure emaw surgery emaw pawh a awm lo. Mahse, controllable risk factors, meizuk loh leh cocaine ang chi thil dik lo hman te chu i enkawl thei a ni. I doctor-in he natna hi a nemnghet hnuah chuan vaginal bleeding hlauhawmna tihtlem dan tur a awm.

Placenta Previa ka neih chuan eng nge ka beisei ang?

I enkawlna chu i dinhmun bik ang zela siam a ni ang. Mahse, mimal tam tak chuan:

• Second leh third trimester chhunga enkawl fo thin . I doctor chuan nausen awmna hmun a enfiah ang a, a natna lan chhuah dan a danglam leh awm loh a enfiah ang.
• Taksa tihkhawtlai emaw tihdanglam emaw , exercise leh sexual activity te pawh huam tel.
• Nau neih hnua i thisen zat enfiah nan thisen test .

Placenta Previa ka neih chuan ka naute hi a piang hma em?

A theih a ni. I doctor chuan thisen chhuah zat, nausen awmna hmun leh i naute naupai kum a zirin nau neih hmasak a ngai em tih a rel ang. Around 36 weeks , naute nau neih hma hi nang leh i fa tan pawh a him ber mai thei. A châng chuan nute chuan an naute chu kar 40, a nih loh leh full term thlengin an phur thei bawk.

Placenta Previa ka neih chuan vaginal delivery ka nei thei ang em?

Marginal placenta previa (chu chu nausen chu serh bulah awm mahse a block vek lo tihna) i neih chuan i doctor chuan vaginal delivery a awm theih thu a rel thei ang. Mahse, hei hian thisen chhuah theihna a keng tel a, a hlauhawm thei hle. I doctor chuan i tana nau neih dan him ber tur a sawipui ang che.

Placenta Previa ka neih chuan C-section ka mamawh ngei ang em?

Ni e, a tam zawkah chuan placenta hian cervix hmun eng pawh a khuh a, C-section hi nau neih dan him ber a ni. Vaginal delivery tum hian thisen chhuahna nasa tak a thlen thei. I doctor chuan i C-section chu a ruahman lawk ang. Mahse, engtik lai pawha i thisen chhuahna a nasat chuan emergency C-section neih a ngai mai thei.

Placenta Previa hian ka naute hi piansualna a thlen thei em?

Placenta Previa hian nau piangsual a thlen hi a tlem hle. Mahse, i doctor-in naute hrin hma chu thil him ber a ni tih a hriat chuan i naute chu a hun hmain a piang thei a ni. Nau piang hmaa nau neih hian harsatna a thlen thei a, chu chu nau piang rihna hniam leh thawk lama harsatna a thlen thei a ni.

Placenta Previa ka nei leh dawn em ni?

Naupai hmasaah Placenta Previa i lo nei tawh a nih chuan, a lo lang leh thei tih hlauhawmna tlemte— 2% vel—a awm a ni. I naupai leh a nih chuan i doctor hnenah hriattir ngei ang che, chutiang chuan i medical history an enfiah thei ang.

Placenta Previa hian ka naupai theihna a nghawng em?

Placenta Previa hian nakin lawka naupai theihna a nghawng lo. Mahse, a hnu lama naupaiah chuan he natna hi a lo awm leh theihna tur a la awm lo.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor chu i zawhnate chhang turin a awm a, Placenta Previa enkawl dan tur inbuatsaihnaah a pui bawk che a ni. Zawhna i zawh duh ṭhenkhat chu hetiang hi a ni:

• Ka naute hi hlauhawmah a awm em? Risk ah ka awm em?
• Ka enkawl dan tur chu engte nge ni?
• Engtin nge ka Placenta Previa chu a reh tawh tih ka hriat ang?
• Ka thiltih eng emaw chu ka khap tur em ni?
• Tunah hian naute hi hrin theih a ni em?
• Eng complication nge ka en tur?
• Ultrasound tam zawk emaw test dang emaw ka mamawh dawn em?
• Eng symptoms nge damdawi ina kal tura min fuih tur?

Ka doctor hian eng zawhna nge min zawh theih ang?

• Engtik lai khan nge thisen chhuak hi i hriat hmasak ber?
• Thisen chhuah hi engtiang chiahin nge a rit?
• Thisen chhuak chu a awm reng em, a nih loh leh a lo kal leh chhuak thin?
• I pum na emaw, i rilru na emaw i nei em?
• Naupai hmasaah harsatna i nei tawh em?
• Uterine surgery i nei tawh em?
• Cocaine ang chi thil i in em, i hmang em?
• Mut chawlh a ngai a nih chuan enkawltu tur che i nei em?

Engtikah nge ka doctor ka biak ang?

I naupai laiin— a bik takin second half-ah—vaginal bleeding, pum na, emaw cramping emaw i neih chuan doctor rawn nghal rawh.

Engtikah nge Emergency Room (ER) ah ka kal ang?

Vaginal bleeding nasa tak i neih chuan emergency medical care zawng nghal rawh. Thisen chhuak nasa tak hian nang leh i naute tan pawh hlauhawmna nasa tak a thlen thei a ni.

Placenta Previa hmang hian exercise ka ti thei ang em?

I doctor chuan thiltih ṭhenkhat, exercise nasa tak, khur, zuang, a nih loh leh thil rit phurh te chu tihtlem tûrin a fuih mai thei che a, chûngte chuan thisen chhuahna a thlen thei a ni. Nitin hnathawh dan tur doctor nen sawiho a, a tul anga siamthatna siam a tha ber.

Placenta Previa ka neih chuan inpawlna ka nei thei ang em?

Doctor tam zawk chuan Placenta Previa i neih chuan mipat hmeichhiatna hman loh turin an fuih a ni. Tin, thisen chhuah emaw, nausen pum huap emaw, tampon hman te, douching emaw, vagina chhunga eng thil pawh dah emaw te hi pumpelh a tha ber bawk.

Take-Home Thuchah a ni

Placenta Previa hi enkawl theih a ni. Hetiang natna nei nu tam tak hian naute hrisel tak tak an nei chhunzawm zel a ni. Doctor kaihhruaina i zawm chuan him taka nau neih theih a ni. I naupai laiin thisen chhuak emaw, hrehawmna emaw i neih chuan doctor pan hreh suh. Nang leh i naute himna hi i ngaih pawimawh ber a ni. Nausen hnuai lama awm, Placenta Previa, naupai thisen chhuak, C-section, serh, naupai harsatna, ultrasound scan