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

Nu ni tur i nih chuan i fa te chu amniotic fluid emaw, kan tih angin naute hualtu tuiah emaw him takin a khuh tih i hria mai thei. He tui hian naute chu a hahdam a, a him a, a che leh a thanlenna tur a pui bawk. Mahse a châng chuan, a tlem berah chuan he tui hi a tam lutuk deuh thei a ni. I doctor chuan chutiang chuan a hrilh che em? Chuvangin chu chu kan sawi tum chu a ni. Hei hi damdawi lam chuan Polyhydramnios an ti a.

A awlsam zawngin Polyhydramnios chu eng nge ni?

Polyhydramnios hi naupai laiin i nausen pum chhungah leh i naute chhehvelah amniotic fluid awm zat pangngai aia tam a awm thin a ni. Naupai lai a ni tlangpui a, mahse a chang chuan kar 16 hnuah pawh a thleng thei.

Mahse hei hi hre reng ang che. Hetiang dinhmun hi a tlem hle. Hmeichhe naupai 100 (1%) zinga pakhat velin a nghawng a ni. Tin, amniotic fluid (mild polyhydramnios) a pung tlem hle bawk. Hetianga a punna tlem hian harsatna lian tham a thlen lo tlangpui. I doctor chuan a check fo ang che a, i dinhmun a enfiah bawk 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 hle a, chuvangin nu thenkhat chuan natna lanchhuahna an nei lo mai thei. Mahse, tui level a sang deuh (severe case) chuan heng symptoms te hi i nei thei a ni.

Thil thleng tak tak chu tui a pun zel chuan nausen pum hi a lian chho zel a ni. Tichuan a chhehvela taksa peng hrang hrang, lung, pum, leh zunthlum te chu pressure a siam a ni. Chu chu heng symptoms te hi a thlentu a ni.

Doctor-in a hmuh thilte

Heng symptoms te hi i tawng lo a nih pawhin i doctor chuan routine exam-a heng thilte hi a hmuh chuan a ringhlel mai thei:

• Nausen pum hi kar khata a lan dan aiin a lian zawkin a lang: Entirnan, naupai kar 30 i nih chuan i pum chu kar 32 vel ang maiin a lang.
• Naute lungphu hriat harsa: Tui a tam em avangin naute lungphu hriat a harsa deuh mai thei.
• Naute dinhmun dik taka hriat theih loh: Naute chu tui tam takah a awm avangin kut hmanga naute dinhmun dik taka enfiah a harsa hle.

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Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Hei hi nu tam takin zawhna an neih chu a ni: "Engvangin nge hetiang hi ka chungah a lo thlen?"

Dik tak chuan a tam zawkah chuan, a bik takin polyhydramnios vei na lo tak takah chuan a chhan bik a awm lo. A thleng mai mai a ni.

Mahse, tui tam lutuk (moderate to severe) a punna hmunah chuan a chhan engemaw zat a awm thei. Chungte chu:

• Naute chuan tui chu a ei thei lo: A tlangpuiin naute hian he tui hi a ei zauh zauh a, chu chu tui awm zat control dan a ni. Naute hian pianpui natna engemaw vangin hetiang hi a ti thei lo a nih chuan tui a pungkhawm ang.
• Nu hian zunthlum a nei a:He risk hi naupai hmaa zunthlum i neih emaw, naupai laiin a lo awm emaw (gestational diabetes) a awm a ni. Nu thisen sugar level a san chuan naute zun volume a sang a, chu chuan naute zun chhunga tui awm zat a tipung bawk.
• Identical Twins: Twin to Twin Transfusion Syndrome (TTTS), twins inkara thisen kal dan inthlau lutuk hian naute pakhat vel ah tui a tipung thei a ni.
• Rh factor incompatibility: Hei hi nu chu Rh-negative a nih a, naute chu Rh-positive a nih chuan harsatna a awm vang a ni thei.
• Naute thinlung thawk chungchanga harsatna: Hetiang dinhmun hi naute thinlung thawk chungchanga harsatna engemaw zat avanga lo awm thei a ni.
• Nausen a hri kai: Nausen pum chhunga natna hrik a awm chuan a chhan pawh a awm thei.

Engtin chiah nge doctor hian hei hi a hmuh?

I doctor-in hei hi a rinhlelh chuan test eng emaw zat an nei ang a, chu chu finfiah turin an ti ang.

I tih hmasak ber tur chu i pum san zawng (fundal height) teh tur a ni. Tichuan, hei hi finfiah turin ultrasound scan i nei ang. He scan hi i nausen pum chhunga tui awm zat dik taka teh theihna awmchhun a ni. Chumi atan chuan hmanraw pawimawh pahnih a awm a, chungte chu:

1. Amniotic Fluid Index (AFI): Nausen pum hi section paliah then a ni a, section tina tui thuk zawng tehna a ni a, a vaiin a zawng zawng belhkhawm a ni.

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

He scan hian polyhydramnios i vei tih a nemnghet a nih chuan i doctor chuan a chhan hriat nan test eng emaw zat dang a rawn rawt thei ang.

• Fetal Echocardiogram: Scan bik, chipchiar zawk, naute thinlung hnathawh leh insiam dan enfiahna a ni.
• Nonstress test: Naute lungphu (heart rate)-a thil dik lo awm leh awm loh enfiahna test a ni.
• Biophysical profile: Scan hmangin naute thawk dan leh taksa che vel te a enfiah thin.
• Amniocentesis: Nau piangsual thenkhat enfiah nan amniotic fluid sample tlemte lak a ni.
• Glucose challenge test: Naupai laiin zunthlum i vei em tih hriat nan test a ni.

Hei hi eng enkawl dan nge ni ang?

Vawi tam tak chu natna a na lo emaw, i naupai tawp dawn emaw a nih chuan enkawlna bik a ngai lo. I doctor chuan nang leh i naute chu a enfiah fo ang a, a dinhmun a enfiah mai ang. Hei hian clinic tlawh tam leh scan tam zawk neih a ngai mai thei tihna a ni. A tam zawkah chuan he close monitoring hi a tha ber.

Amaherawhchu, tui tam lutuk (severe polyhydramnios) leh lungawi lohna nasa tak i neih chuan enkawl a ngai mai thei. Hei atan hian duhthlan tur engemaw zat a awm a:

• A chhan bulpui enkawl dan: Entirnan, a chhan chu zunthlum a nih chuan i zunthlum hi a thunun theih nan enkawl a ni ang.
• Tui tam lutuk lakchhuah: A then phei chuan nausen pum chhunga tui tam lutuk tlem te chu needle hmangin lakchhuah a ni.
• Preterm labor: A natna a nasat a, naute chu a lo thanglian kim tawh chuan doctor chuan nau neih tir a tum thei a, a tlangpuiin kar 37 leh kar 39 inkar a ni.

Hei hian eng hlauhawmna nge a thlen theih?

Hei hi hrethiam rawh. Tui tam lutuk hian naute chu direct-in a tichhe lovang. Mahse, he tui tam lutuk avang hian nausen pum chungah pressure a san avangin harsatna a awm thei tlem hle . Hetiang dinhmun hi naupai tirh lamah a lo awm a nih chuan tui hian hun a neih tam zawk avangin a hlauhawmna chu a sang deuh thei a ni.

Heng thilte hi hlau suh. Hengte hi thil "a awm thei" a ni a, thil "certain" a ni lo. I doctor chu heng hlauhawmnate hi enkawl turin a awm reng a ni.

Engtin nge ka tih ang? Ṭanpuina engemaw tal ka dawng thei ang em?

Hetiang natna i nei tih i hriat hian hlauhna leh lungkhamna i neih hi thil pangngai a ni. Mahse he harsatna leh lungkhamna hi tihziaawmna tur thil i tih theih a awm.

• Chawlh tam rawh: A theih ang anga chawlh hahdam rawh. I thawkrim lutuk suh.
• Hahdam theih dan tur zawng rawh: I rilru hahdam thei thilah inhmang rawh. Lehkhabu chhiar la, music ngaithla la, i duhzawng thil ti rawh.
• I doctor nen zalen takin inbiakna nei rawh: I ngaihtuahna leh hlauh zawng zawng chu i doctor nen sawiho rawh. Nangmah ah engmah dah suh.
• Inthlâk danglamna hre reng ang che: I pum chu a lian lehzual thut emaw, symptom thar i neih emaw chuan doctor ko nghal rawh.
• C-section neih a ngai em? A tam zawkah chuan normal delivery i nei thei. Mahse, i doctor chuan naute dinhmun ang chi thil avang hian C-section hi a him zawk nia a hriat chuan a thlang mai thei. Risk pung chu a tlem hle.
• Hei hi kan dang thei lo em ni? Ni lo, hei hi kan dang thei lo. Mahse zunthlum i vei a nih chuan i thisen sugar level tha taka control-in i risk tihziaawm theih a ni.

A pawimawh ber chu clinic tinah kal a, i doctor-in a pek scan hi a ni. Chutiang chuan nang leh i naute pawh i him thei ang.

Nau neih hnuah nang leh i naute chu uluk takin an enkawl ang. Naute a pian veleh naupang enkawltu doctor chuan naute chu a dam tha em tih a enfiah ang.