Naupai laiin naute chhehvela tui tam (Polyhydramnios): Thil ngaihtuah tur a ni em?

Nu hmangaihna nei tak, nau nei tur i nih chuan i pum chhunga naute chungchang hi i rilruah thil sangkhat a nei a ni. Scan apiangin doctor-in a sawi chu hriat i duh hle. Mahse rang takin doctor chuan "naute chhehvelah tui tlem a tam lutuk" tih ang chi a sawi a nih chuan hlauhna leh lungkhamna nasa tak nei hi thil pangngai tak a ni. Mahse, hlau suh. Vawiin hian nu tam takin an tawn theih he natna hi kan sawi dawn a, chu chu he natna hi damdawi lama `(Polyhydramnios)` tia hriat a ni.

A awlsam zawngin Polyhydramnios chu eng nge ni?

Awle, a bul atang hian tan ila. I naute chhehvelah hian i pum chhungah liquid fluid a awm a, chu chu i nausen pum chhungah a awm a ni. Hei hi amniotic fluid kan ti a . Naute venhimna tur swimming pool te tak te ang mai a ni. He tui hi naute thanlenna, chetna leh himna atan a pawimawh hle.

Polyhydramnios chu amniotic sac chhunga amniotic fluid awm tam lutuk hi a ni. Hetiang dinhmun hi naupai hun chanve hnihnaah a awm tlangpui a, mahse a chang chuan kar 16 hnuah pawh a awm thei. A pawimawh ber chu tui pung hi a na lo a nih chuan harsatna a thlen lo tlangpui. I doctor chuan nang leh i naute chu uluk takin a enkawl ang a, a tul angin thurawn a pe ang che.

Engtin nge he natna hi ka nei tih ka hriat theih ang? Eng nge a lan chhuah dan?

A tam zawkah chuan he natna hi a na lo deuh chuan a lan chhuahna chiang tak i hmu lo mai thei. Mahse, tui a tam lutuk chuan heng symptoms te hi i nei thei a ni.

Engtin nge doctor hian hei hi a rinhlelh theih ang?

Clinic-a i kal hunah doctor-in i pum a enfiah ang. Hetiang thil a hmuh chuan a ringhlel mai thei:

• I naupai kar zat aia lian zawka i uterus a lan chuan.
• Naute lungphu ri hriat a harsat chuan.
• Naute dinhmun dik taka i hriat theih loh chuan.

Engvangin nge hetiang hi a lo awm? Polyhydramnios hi engte nge ni?

Hei hi nu tam takin an zawh thin a ni. "Thil dik lo ka ti em?" I ngaihtuah mai thei. Chutiang chuan ngai suh. Vawi tam tak chu, a bik takin tui level sang deuh chauh a nih chuan a chhan chiang tak hmuh a harsa thin.

Mahse, tui tamna (moderate to severe) nasa taka a awm chuan a hnuaia chhan pakhat emaw a aia tam emaw vang a ni thei:

• Naute hian amniotic fluid a ei thei lo: A tlangpuiin naute hian he tui hi a ei a, taksaah a hip lut a, chutah chuan zun angin a pass leh thin. Hei hi cycle ang mai a ni. Naute hian he ei leh in tur tibuaitu pianpui natna a neih chuan a tui chu a pungkhawm thei a ni.
• Nua thisen sugar level sang: Naupai hmaa zunthlum i nei emaw, naupai laiin gestational diabetes i nei emaw, i thisen sugar level control loh chuan i naute chu a zun tam zawk ang. Hei hian amniotic fluid a tipung thei a ni.
• Twins inang nei: A châng chuan, Twin to Twin Transfusion Syndrome (TTTS) an tih, twins inkara thisen kal dan a inthlau lutuk hian naute pakhat chhehvelah tui tam lutuk a siam thei a ni.
• Rh factor incompatibility: Nu thisen chu ``Rh-negative'' a nih a, naute thisen chu ``Rh-positive'' a nih chuan harsatna awm thei vang a ni.
• Naute thinlung thawk danah harsatna a awm.
• Nausen pum chhunga natna hrik awm.

Engtin nge doctor-te hian hei hi an hriat chian tak?

I doctor-in hei hi a rinhlelh chuan, a finfiah theih dan ber chu ultrasound scan hmangin a ni .

Scan chhung hian tui awm zat chu kawng hnih in a teh thei a:

1. Amniotic Fluid Index (AFI): Hei hian i uterus chu rilru lamah section paliah then a, section tin a fluid level thuk ber teh a, value pali te chu a belhchhah vek a ni.

2. Maximum Vertical Pocket (MPV): Hei hian nausen pum chhunga tui thuk ber chauh a teh a ni.

Heng test-te hian tui a tam lutuk tih a finfiah chuan doctor chuan a chhan hriat nan test eng emaw zat tih belh leh turin a rawt thei a ni.

• Fetal Echocardiogram: Naute thinlung hnathawh dan leh a insiam dan enfiahna special scan a ni.
• Nonstress Test: Naute thinlung thawk dan enfiahna test a ni a, naute chu a dam tha em tih enfiahna a ni.
• Biophysical Profile: Scan hian thil panga a enfiah a, chungte chu naute che vel leh thawk dan te hi a ni.
• Amniocentesis: A chang chuan, naute hian genetic condition a neih leh neih loh enfiah nan uterus atang hian tui tlemte chauh lak a ni.
• Glucose Challenge Test: Zunthlum vei i neih leh neih loh enfiahna a ni.

Hei hi eng enkawlna nge ni?

Tui retention a na lo a , i naupai hun tawp lam i nih chuan a tam zawkah chuan enkawlna bik a ngai lo . Doctor chuan engkim a kal tha em tih hriat nan nang leh i naute chu a enfiah fo mai ang.

Mahse, tui a tam zawk a , i rilru hahna a tam zawk a nih chuan enkawl a ngai mai thei.

• A chhan bulpui enkawl dan: Entirnan, zunthlum i neih chuan i thisen sugar level control dan tur thurawn pe rawh.
• Tui tam lutuk lakchhuah: A then phei chuan ``Amnioreduction'' an tih hian nausen pum atanga tui tam lutuk lakchhuah nan tube te tak te an hmang thin.
• Nau neih hma: Naute chu a lo puitlin kim tawh a, nuin harsatna nasa tak a tawk a nih chuan doctor chuan kar 37 leh kar 39 inkarah nau neih tir a rel thei a ni.

Polyhydramnios hi eng nge a hlauhawmna?

A hmasa berah chuan amniotic fluid a pun hian naute chu direct-in a tichhe lo. Mahse, nausen pum a lian lutuk avangin harsatna engemaw zat a awm theihna a tlem hle .

Heng thilte hi hlau suh. Hengte hi risk mai a ni. Mi zawng zawng chungah an thleng lo. I doctor hian heng hlauhawmnate hi a hre chiang a, a venna atan a tul angin hma a la ang.

Hei hian ka nau neih dan a nghawng dawn em?

A tam zawkah chuan i naute chu a pian dan pangngaiin a piang ang. Mahse, i doctor chuan nau neih laiin i naute thinlung thawk dan a enfiah chhunzawm zel ang. I tui a chhe chuan vawi khatah tui tam tak a chhuak thei. Naupang enkawltu doctor chuan i naute chu a pian veleh a enfiah nghal ang.

Cesarean section (C-section) i mamawh theihna chance a sang deuh mai thei a, mahse hei hi nang leh i naute dinhmun a zirin i doctor-in a ruat ang.

Ka rilru hahna tihziaawmna turin eng nge ka tih theih ang?

Hetiang natna i nei tih i hriat hian lungkhamna i neih hi thil pangngai a ni a, mahse, hahdamna engemaw chen i hmuh theih nan heng thilte hi i ti thei a ni.

• Chawlh tam rawh: A theih ang anga chawlh hahdam rawh. I thawkrim lutuk suh.
• I rilru ti hahdam rawh: I rilru tih hahdam la, i thil hlimawm tak tak, ngaihtuahna seng emaw, music ngaihthlak emaw ang chi thil tih hmangin.
• Doctor nen inbia: I harsatna leh i hlauhthawn zawng zawngte chu Doctor hnenah sawipui rawh. Hahdamna nasa tak i nei ang.
• Symptoms tharte fimkhur rawh: I pum chu a lian lehzual emaw, thawk harsa i ti zual emaw a nih chuan doctor hnenah hriattir nghal rawh.