I naupai lai hian placenta hi a inthen thei em? (Placental Abruption) Hemi chungchang hi han sawi ila!

Naute i beisei a nih chuan he hun chhung hian zawhna tam tak leh hlauhna tlemte i neih hi thil pangngai a ni. Vawiin hian naupai laiin a chang chuan lo awm thei, mahse mi zawng zawngah a thleng ngai lo, chu chu ngaihtuahna tlem a mamawh thu kan sawi dawn a ni. Chu chu placental abruption a ni a, chu chu doctor-te’n `(Placental Abruption)` emaw `(Abruptio Placentae)` emaw an tih ang chi a ni. Hlau suh, he thu hi awlsam takin sawi ila.

Placenta previa chu eng nge ni? A rawn chhuah chuan eng nge a awmzia? (Placental Abruption) tih hi a ni.

Okay, placenta hi eng nge a nih kan en hmasa ang. A awlsam zawngin sawi ila, naupai lai hian nausen pum chhunga taksa peng hrang hrang, hun eng emaw chen atana lo awm thin a ni. It’s what provides oxygen and nutrients to your baby , nu leh naute inkara nunna kawngkhar ang mai. Placenta hi a tlangpuiin nausen pum bangah a innghat a, a chung lam emaw, a sir lamah emaw a innghat a ni. Naute umbilical cord pawh he placenta-ah hian a inzawm tlat a ni. Naute taksa atanga bawlhhlawh paih chhuah a pui bawk.

Tunah chuan naute pian hmaa uterine wall atanga placenta a inthen vek emaw, a then emaw a inthen a, chu chu placental abruption a ni. Ngaihtuah teh, poster bang chunga tar a, a tlak nghal mai ang mai hian? Chutiang chu a ni. Chutiang a nih chuan naute hian oxygen leh nutrition a hmu tlem thei hle. Tin, nu hian thisen a chhuah tam thei bawk. Hei hi natna khirh tak a nih fo avangin doctor-te chuan uluk takin an enkawl ang che a, naute hi a hmaa nau neih an rel mai thei.

Hei hi chi hrang hrang a awm em?

Ni e, doctor-te chuan hei hi nausen (placenta) leh nausen (uterus) a inthen nasat dan azirin an thliar hrang a:

• Partial Placental Abruption: Hei hi nausen pum chu uterine wall atanga a inthen kim loh a, a then chauh a inthen a ni.
• Complete or Total Placental Abruption: Hei hi nausen pum chu nausen pum (uterine wall) atanga a inthen vek hun a ni. Hei hian vaginal bleeding nasa tak a thlen tlangpui.

Thisen hloh zat a zirin an thliar hrang bawk a:

• Revealed Placental Abruption: Hetiang a nih chuan vagina atanga thisen chhuak zatve atanga na tak tak i hmu thei.
• Concealed Placental Abruption: Hetiang a nih chuan thisen chu placenta leh uterine wall inkarah a tang tlat avangin vaginal bleeding hmuh tur a tlem emaw, a awm lo emaw a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm? Engtikah nge a lo awm tam ber?

He natna, ``Placental Abruption'' tia koh hi naupai 100 zinga 1 vel (chu chu 1% vel a ni) ah a awm thin. Chuvangin, a awm vak lo.

Hei hi naupai kum thumna tawp lamah a thleng tam ber. Chu chu kar 28 hnuah, naute kar 40-a a pian thlengin a ni. Mahse, a chang chuan kar 20 hnuah engtik lai pawhin a thleng thei.

Hei hi eng symptoms nge ni? Engtin nge a awm?

Mi zawng zawng hian symptom inang an nei vek lo. Amaherawhchu, mi tam tak tan chuan a lan chhuah dan ber chu naupai thla thum chhungin vaginal bleeding leh pum na a ni. A lan chhuah dan dangte chu:

• Pum natna.
• Uterine contractions (pum chhunga natna lo chhuak) chu naupai natna pangngai aiin a chak zawk a, a awm reng bawk .
• Nausen pum khawih hian natna hriat.
• Backpache emaw natna emaw.
• Naute chetna (stirring) a tlahniam ang maia hriatna.

Vaginal bleeding zat hi mi hrang hrangah a inang lo thei. Tin, thisen chhuah zat a zirin a nasat zia chiang taka sawi theih a ni lo bawk. A châng chuan a hmaa kan sawi tawh ang khan thisen chu a chhungah a tang a, chuvangin thisen chhuahna hmuh theih a awm lo thei bawk. A natna chu a inang reng a, mi thenkhat tan chuan hliam na tak ang maiin a lang thei a, thenkhat tan chuan natna khirh tak ang maiin a lang nghal mai thei bawk.

Pawimawh: Heng symptoms te hi naupai harsatna dang chhinchhiahna a ni thei bawk. Chuvangin, vaginal bleeding emaw, pum na emaw i neih chuan doctor pan nghal ngei ang che.

Thisen chhuak reng reng em?

A tam zawkah chuan nausen (placenta) a inthen chuan thisen chhuah engemaw zat i hmu ang. Mahse, a hmaa kan sawi tawh ``Concealed Abruption``-ah khan thisen chu nausen hnung lamah a tang a, chuvangin thisen chhuah i hmu lo mai thei. A dang erawh chuan nausen chu a inthen zauh zauh a, chuvangin a chang chuan thisen chhuah tlem chauh i hmu thei.

Naupai lai hian vaginal bleeding eng emaw i tawk a nih chuan doctor hnenah hrilh a pawimawh hle.

Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?

Dik tak chuan, placental abruption awm chhan dik tak chu hriat a la ni lo . Doctor-te chuan eng thil nge a hlauhawmna tipung tih chauh an hria. Entirnan, accident-a i pum chhunga vuakna na tak i neih chuan nausen chu a inthen a rinawm zawk.

Hei hi i pum i press lai emaw, lirthei tlan lai i chuan emaw a thleng thin em?

Ni lo, i doctor chuan checkup laiin i pum a hrual thei dawn lo va, i car chuan kawngpuiah khur a tawk a nih pawhin a tikehsawm thei dawn lo. Mahse, pum chhunga vuak na tak (car accident emaw stairs atanga tlak ang chi) chuan nausen chu a inthen thei a ni. Chuvangin doctor-te chuan naupai laiin tlu leh pum tichhe thei thil (sakawr khalh emaw roller coaster emaw ang chi) atanga inthiarfihlim turin an rawt a ni.

Placental abruption hlauhawmna tipungtu risk factor thenkhat chu hetiang hi a ni:

• Accident emaw, nausen pum hliam emaw: car accident emaw, tlu emaw, pum chhunga vuakna emaw ang chi.
• Naupai hmasa lama nausen chu a inthen tawh a nih chuan.
• Multiple pregnancy: Hei hian nausen pum chhungah nausen pakhat aia tam (twins ang chi) a awm tihna a ni.
• Thisen sang (Hypertension) , naupai laia zunthlum, emaw preeclampsia ang chi natna te.
• Meizial i in emaw, ruihhlo i hman emaw chuan.
• Kum 40 aia upa i nih chuan.
• Uterine fibroids i neih chuan.
• Thisen zam natna (Thrombophilia) i neih chuan.
• Membrane a hun hmaa a rupture (nausen a lo seilian kim hma) emaw, amniotic fluid (naute chhehvel tui) nasa taka tlahniam emaw a nih chuan.
• Chorioamnionitis, amniotic fluid atanga natna hrik awm.

Hei hian eng harsatna nge a thlen theih?

Placental abruption hi naute tan pawh nunna atana hlauhawm tak a ni a, a then phei chuan nangmah tan pawh nunna atana hlauhawm tak a ni. Chuvang chuan a ngai pawimawh em em a ni.

Naute chunga nghawng a neih theih dan:

• Nau piang hmasa ber.
• Nau piang rit lo.
• Hmasawnna lama harsatna (Intrauterine Growth Restriction).
• Oxygen tlakchham vangin thluak a chhia.
• Nau piang thi tawh.

Nu chunga nghawng a neih theih dan:

• Anemia (thisen tlakchhamna).
• Thisen zam harsatna a awm.
• Thisen pek ngai.
• Thisen chhuak tam lutuk (Hemorrhage).
• Kidney Failure a awm.

Heng thilte hi hriat a hlauhawm thei hle a, mahse hre reng ang che, mi zawng zawng hian heng harsatna lian tak takte hi an nei vek dawn lo. A hmaa hriatchhuah leh enkawl dan dik chuan heng hlauhawmnate hi a tiziaawm thei fo.

Engtin nge doctor-te hian hei hi an hriat chhuah?

Placental abruption i neih i rinhlelh chuan i doctor chuan a enfiah ang che a, test thenkhat a kalpui ang che. Natna nasat dan azirin damdawi inah dah i ni thei a, in lamah haw la, chawlh hahdam turin an ti thei bawk. I doctor chuan a tlangpuiin hetiang hian a ti ang:

• Thisen engzat nge hloh tih a zawt a .
• Khawiah nge a natna leh engtiang chiahin nge a na tih an zawt thin .
• Engtik atang khan nge symptoms a lo lan tan tih an zawt thin .
• I thisen sang chu teh a ni.
• I uterine contractions (pains) te chu an enfiah thin.
• Naute thinlung thawk leh che vel a enfiah thin .
• Ultrasound scan hmangin thisen chhuahna hmun leh naute dinhmun enfiah a ni.
• Thisen leh zun test an dil thin .

A nasat dan azirin grading: 1.1.

Doctor-te chuan placental abruption hi grade thum, a nih loh leh class-ah an then tlangpui a:

• Grade 1: Thisen chhuak tlem a awm a, a chang chuan uterine contraction a awm a, mahse nangmah emaw i naute tan emaw harsatna lian tham a awm lo. Hei hi a tlangpuiin placental abruption thenkhat a ni.
• Grade 2: Thisen chhuak tlem a awm a, nausen pum (uterine contraction) a awm a, naute hian harsatna engemaw zat a lantir thei bawk.
• Pawl thumna (Pawl 3):Thisen chhuak tlem atanga na tak, a nih loh leh a chhungah thisen a inkhung tlat. Uterine contractions hi a awm reng a, a reh lo. Pum natna nasa tak, thisen sang hniam, leh naute thihna thlengin a awm thei.

Hei hi eng enkawl dan nge ni ang?

Nausen chu nausen pum atanga a inthen hnuah chuan a inzawm leh thei lo va, siamthat theih a ni lo bawk. Doctor chuan a hnuaia thilte hi a zirin enkawl dan tur a rel ang:

• Chhanchhuahna a nasat dan.
• Naute naupai / naupai kum hi eng chen nge a rei?
• Naute hian harsatna a lantir em tih.
• Thisen engzat nge i hloh tawh.

A tlangpuiin, seizure nasat dan leh naute kum hi enkawl dan tur tichiangtu ber pahnih a ni.

Naute chu a la te (full term hnaih lo) a nih chuan:

I naute a la pian hun a la awm a, i nausen chu a la te a nih chuan i doctor chuan uluk takin a lo en reng ang che . In lamah haw la, chawl turin an ti che a, damdawi inah an dah mai thei bawk. I naute lung a puitlin thuai theih nan corticosteroids pek i ni thei bawk. Uluk taka enkawl i ni ang.

Mahse, nau neih a nasat a, nangmah emaw, i naute emaw hriselna atana hlauhawm a awm chuan, naute chu a full term (kar 37 aia rei lo) a la nih loh pawhin, naute chu i hrin hma a ngai mai thei.

Tunah hian naute chu a lian tawh a nih chuan (close to term):

Nausen hnute (placental abruption) a tlem a, naute lungphu a pangngai a nih chuan i doctor chuan i naupai tawp thlengin nausen pum chhunga awm a phalsak thei che a ni. I naute lung a puitlin theih nan corticosteroids an pe ang che a, an enkawl chhunzawm zel ang che.

Amaherawhchu, nau neih a nasat chuan naute chu a pian thuai a ngai dawn a ni. Engtik lai pawha nangmah emaw naute tan emaw hlauhawm a awm chuan naute chu a piang ang (a tam zawkah chuan emergency cesarean section hmangin).

Emergency delivery mamawhna dinhmun:

Heng thilte hi engtik lai pawha thleng se, naute kum eng pawh ni se, naute chu i hruai a ngai mai thei:

• Placental abruption a nasat/a pun chuan.
• Thisen chhuak nasa emaw, thisen tlakchhamna nasa tak i neih emaw chuan .
• Naute chu a nuam lo a, oxygen a dawng tlem tih chhinchhiahna a lantir chuan .

Placenta chu tlemte chauh a inthen a nih chuan engtin nge ni ang? A detach tha lo a nih chuan engtin nge ni ang?

Nausen hnute (placental abruption) chu a tlem hle a nih pawhin, i doctor chuan enkawlna a ruahman hunah naute kum chu a ngaihtuah ang. Entirnan, i nau neih hun a hnai tawh chuan nau neih tir turin an ti mai thei che a ni. I nau neih hun tur thla engemaw zat a la awm a nih chuan, abruption chu a tlem hle a nih pawhin, i doctor chuan enkawlna dang a ngaihtuah thei ang. A tlangpuiin, abruption emaw thisen chhuak emaw a tam lutuk lo a, naute chu engmah hrehawmna a neih loh chuan i naupai tawp thlengin i nghak thei a ni.

Placenta a nasat chuan nu leh naute tan pawh nunna atana hlauhawm tak a thlen theih avangin medical emergency a ni tlangpui . Chutiang hunah chuan naute chu a rang thei ang bera hrin tur a ni.

Naute hi nausen (placenta) a inthen chuan chhanchhuah theih an ni em?

Nausen chhanchhuah theih a nih leh nih loh nghawngtu lian ber pahnih chu naute pian tirh kum leh nausen (placental abruption) nasat dan hi a ni. Hriat hmasak, uluk taka enkawl leh enkawl vat chuan harsatna a tiziaawm thei a ni. Placental abruption nasat ber ah chuan naute thih theihna chance 15% vel a awm. Amaherawhchu, chumi awmzia chu nausen tam zawk chu chhandam theih a ni tihna a ni.

Hetiang hi a thleng leh thei ang em?

Vawi khat chu placental abruption i nei tawh a nih chuan i naupai leh hunah a lo thleng leh theihna chance 15% a awm. Tun hmaa vawi hnih a lo thleng tawh a nih chuan he chance hi 25% velin a pung thei a ni. Chuvangin, a hmaa placental abruption i neih tawh chuan doctor hnenah hrilh rawh.

Hei hi ven dan tur a awm em?

A tlangpuiin placental abruption hi pumpelh vek theih a ni lo. Mahse, a hnuaia mite hi i tih hian i hlauhawmna chu i tihtlem thei a ni:

• Meizial zu lo la, ruihhlo hmang lo la, naupai laia damdawi engmah i ei hmain i doctor zawt hmasa phawt ang che.
• I thisen sang chu hrisel level-ah dah la.
• I hriselna dinhmun khirh tak chu uluk takin enkawl rawh.
• Hriselna lam fimkhur rawh. Entirnan, car-a kan chuan laiin seat belt vuah.
• Pum lama harsatna emaw, vaginal bleeding emaw i neih chuan doctor hnenah hrilh nghal tur a ni.

Engtikah nge Doctor ka hmuh ang?

I naupai lai, a bik takin third trimester-a thisen chhuak, pum na, emaw cramping i neih chuan doctor pan nghal rawh. Tikhawtlai suh.

Doctor hnenah eng zawhna nge i zawh tur?

I doctor chuan i zawhnate chu a chhang thei tur a ni a, he natna hi enkawl dan tur a zirtir thei tur che a ni. Zawhna i zawh theih ṭhenkhat chu hetiang hi a ni:

• Ka naute nunna hi a hlauhawm em?
• Placental abruption ka neih chuan eng nge thleng thei?
• Eng enkawlna kawng nge ka neih?
• Tunah hian naute hi ka nei thei ang em?
• Engtin nge ka placental abruption hi a na zual zel tih ka hriat theih ang?
• Eng harsatna nge awm thei?
• Test tam zawk tih ka ngai em?
• Nakin lawka naupai turah pawh hetiang hi a thleng thei ang em?

Placental abruption leh placenta previa hi thil inang an ni em?

Ni e, hengte hi dinhmun hrang hrang pahnih a ni. `Placenta Previa` chu nausen (placenta) hian serh (cervix) a khuh kim vek emaw, a then emaw a khuh hian a ni. Nausen pum atanga chhuak kawngkhar chu thil pakhatin a lo dang ang mai a ni. Nausen chu hmun dangah awm mah se, nausen pum (uterus)-ah hian a la inzawm tlat a ni.

Placental abruption chu nausen pum leh nausen inthenna a ni. Heng pahnihah hian naupai lai leh nau neih laiin vaginal bleeding a awm thei a ni.

Hei hi sex, thawk hah, etc. ang chi thil vang a ni thei ang em? Meizial zu hian nghawng a nei em?

Sex hman hi placental abruption thlentu direct a ni lo. A tam zawkah chuan naupai laia sex hman hi a him. Mahse, naupai laiin tlu emaw, hliam emaw hlauhawma siam thei thil tih loh a tha ber.

Thil pangngai, thawk hah leh khuh te hian nausen (placenta) a tithen lo. Naute chu an tichhe lovang. Mahse, i thawk hah fo emaw, i khuh tam emaw chuan i doctor hnenah hrilh rawh .

Meizial zuk hian naupai laiin harsatna tam tak a thlen theihna a tipung a, chutah chuan nausen (placental abruption) pawh a tel. Meizial zuk bânsan tura ṭanpuina i mamawh chuan doctor zawt rawh.

A tawp berah chuan take-home message:

Naupai lai hian natna khirh tak a ni a, naupai lai hian nausen (placental abruption) hi a awm thei a ni. Naupai laiin vaginal bleeding, pum na, cramping i neih chuan doctor pan nghal tur a ni. I doctor chuan a hnua i tih tur chu a nasat dan te, i naute kum leh thil dang a zirin a rel ang. A tam zawkah chuan i thil tih vang a ni lo tih hre reng ang che. I doctor hian nang leh i naute tan a tha ber a ti tih ring rawh. Hlauthawng suh, fimkhur zawk rawh.

` placental abruption, abruptio placentae, naupai harsatna, vaginal bleeding, pum na, nau piang hma, placental abruption, naupai harsatna