Postpartum Care: I Taksa leh Rilrua Thil Thleng

Naute in lama hruai luh avanga hlimna lo awm chu sawifiah a har khawp mai, a dik em? Mi zawng zawng ngaihvenna chu naute thar lam a ni. Mahse, heng zawng zawng karah hian nu thar i nih angin engtin nge i awm? Thla 9 kalta chhung khan i taksa hi a danglam nasa hle a, nau neih kawngah pawh harsatna i tawk tawh bawk. Chuvangin, tun ṭumah hian naute i neih hnuah, ‘Postpartum’ period hi i dam lehna leh dam lehna atan a pawimawh hle. Vawiin hian he hun chungchang te, i rilru put hmang te, i in enkawl dan tur te kan sawi dawn a ni.

Nau neih hnua hun chhung hi eng nge ni?

A awlsam zawngin sawi ila, postpartum chu nau neih hnu hun chhung a ni. Kar ruk atanga kar riat hmasa ber anga ngaih a ni fo. Chu chu i taksa chu naupai hmaa a awm dan anga a lo kir leh theih nan hun a mamawh tihna a ni. Mahse, he hun chhunga natna lan chhuah dan leh inthlak danglamna hi a takah chuan kar riat aia rei a daih thei a ni.

Hetih hun chhung hian i taksa leh nun hian vawi khatah inthlak danglamna engzat nge a paltlang dawn tih ngaihtuah la. A danglamna thenkhat chu taksa lam a ni. Entirnan, i hnute chu bawnghnutein a lo hring ang a, i vagina chu thisen a chhuak tan ang. Mi dangte chu i hormone level inthlak danglamna nasa tak nen a inzawm a ni. A tawi zawngin, naute neih hi taksa leh rilru lamah pawh harsatna lian tak a ni. Hetih hun chhung hian nau piang thar enkawl leh nun thara insiamrem chu hahthlak tak a ni thei bawk.

Chuvangin, naute i neih hnua i rilru put hmang hi fimkhur hle ang che. Thil dik lo nia i hriat chuan i doctor hnenah hrilh hreh suh. Naute i neih vang mai mai chuan i hriselna a pawimawh lo tihna a ni lo. I chawlh hahdam leh hriselna bakah naute enkawl dan tur ngaihtuah a ngai ngei ang.

I doctor chuan i naute i neih hnuah postpartum checkup a pe ang che. An hnenah kal ngei ngei ang che. Hei hi i dam dan leh i dam leh dan tur enfiah a ni ang. Complication eng pawh chu hriat theih a ni. Hei hi zawhna i neih apiang zawh hun tha tak a ni bawk a, i rilru put hmang dik tak sawina hun tha tak a ni bawk.

Recovery time frame hi eng ang nge ni?

I naupai ang bawkin i dam leh hun chhung hi i tan chuan a danglam bik a ni. One-size-fits-all timeframe a awm lo. Mahse, thil tlangpui i beisei theih tur a awm.

I naute pian hnu darkar leh ni hmasa berah chuan:

• Uterine contractions: I uterus chu a size pangngaiah a tlahniam leh tur a ni. Hei hian cramping leh vaginal bleeding a thlen thei a ni. A châng chuan i doctor chuan i uterus chu i pum chungah a massage thei a, chu chuan a contract rang zawk nan a pui thei bawk.
• Hormone level inthlak danglam: Hei hian hot flash, mood swing, leh lu na ang chi thil a thlen thei.
• Hnute engorgement: 1.1.I hnute hian hnute a siam chhuak mek a ni. Nau hnute i pe lo a nih pawhin i hnute chu a hring thei a, a na thei bawk.
• Perineal soreness: Vaginal birth i neih tawh chuan vagina leh anus (the perineum) inkar hmunah natna engemaw zat i hriat chu thil pangngai a ni. Hmeichhia 70% vel chuan nau an neih laiin he hmunah hian mittui tlakna engemaw zat an nei thin. Cesarean section (C-section) nei tawhte tan chuan ni engemaw zat chhung chu incision chhehvelah natna nasa tak i nei thei a ni.
• Tui tam lutuk avanga hring: Hei hi naupai laiin tui tam lutuk lo awm thin avanga lo awm a ni tlangpui. He swelling hi kar khat chhungin a tlahniam tur a ni. Mahse, a hliam hi rilru na emaw, thawk harsa emaw a awm chuan thil pawi zawk a awm theihna tur a ni.
• Chauhna: Nau neih, nau neih leh nau piang enkawl hian i la chau ngai lo ang maiin a ti chau thei. Naute i neih hnu ni emaw, kar tam tak emaw chhung chu hahdam taka inhriat hi thil pangngai a ni. A theih ang anga chawlh hahdam tumna hmangin thlamuanna i hmu thei a ni.

Nau neih hnua stage pathumte

Doctor-te chuan he hun chhung hi stage lian pathum-ah an ṭhen a. Hei hi chiang taka hrethiam tur chuan a hnuaia table hi en la.

Taksa lama natna lan chhuah dan tlangpui chu engte nge ni?

Nau neih hnua i taksa hian inthlak danglamna tam tak a paltlang thin. Chung zinga tam tak chu hormone inthlak danglamna avanga pianphung inthlak danglamna a ni.

• Perineal pain leh soreness: Nau neih laiin he hmun hi a inzawm tlat a, chuvangin kar engemaw zat chhung chu a hring thei a, a na thei bawk. Pillow-a thut, toilet hman zawha tui lum hmanga silfai te, sanitary pad lum tak hman te hian he harsatna hi a tihziaawm thei a ni.
• Vaginal discharge: Nau i neih hnuah (cesarean section hmang pawhin) vaginal bleeding i nei ang. Hei hi damdawi lam chuan lochia tia hriat a ni. Dark red angin a intan a, zawi zawiin a rawn sen a, a tawpah chuan light brown discharge angin a tawp ta a ni. Hetiang zawng zawng hi kar ruk vel a ni thei. Hemi hun chhung hian tampon ai chuan sanitary pad chauh hmang thin ang che tih hre reng ang che.
• Uterus involution: Hemi hun chhunga pum hnuai lam natna hi "nau neih hnua natna" an ti bawk. Ni hmasa ber hnuah a natna hi a reh tlangpui a, mahse nau hnute pek laiin a na zawk thei.
• Breast Swelling leh Nipple Pain: Ni engemaw zat tal chu hnute hring, na tak tak beisei tur a ni. Nu naupai lai hian hnute chhe tawh ang chi natna khirh tak takte tanpui turin lactation consultant puihna an mamawh mai thei.
• Sweating: Naute i neih hnuah hormone level a inthlak nasa hle. Hei vang hian thawmhnaw hah tam hi thil pangngai a ni a, a bik takin zan lamah. Hei hi kar khat emaw kar hnih emaw chhungin a reh tur a ni.
• Ek khal:Nau neih hnua bawlhhlawh pass harsa tih hi thil awmze nei tak a ni. Natna tihziaawmna atan epidural i neih chuan i ril a ti slow thei a, ek chhuah pawh a ti harsa thei bawk. A chang chuan zun a ngai dawn tih hlauhna avang hian chaw ei kham a awm thei bawk. Hei hi a puih theih nan i doctor chuan stool softeners ei a rawt mai thei. Hemi hun chhung hian Hemorrhoids hi a tam hle bawk.
• Cesarean section hnua damna: C-section atanga stitches i neih chuan vun a dam theih nan ni 10 vel a ngai ang. Internal stitches hi a dam kim theih nan kar 12 vel a ngai thei. Incision atanga pus ang chi discharge emaw, khawsik emaw a awm chuan hei hi infection chhinchhiahna a ni thei. Hei hi hre reng ang che.
• Sam tlakchham: Hemi hun chhung hian hormone inthlak danglam vangin sam a tla nasa hle bawk.

Rilru leh rilru lamah inthlak danglamna a awm

Naute i neih hnu kar leh thla engemaw zat chhung hian rilru lama inthlak danglamna tam tak a awm thei a, chu chuan i rilru, i lungkhamna leh i taksa i ngaih dan a nghawng thei a ni.

• Baby blues: Baby blues hi nau neih hnua lungngaihna leh thil tenau avanga tap duhna a ni. Hêng rilru tharte hi mak tihna angin a lo thleng thei a, mahse, kar tlemte chhûngin a bo ṭhîn.
• Nau neih hnua lungngaihna: Hei hi lungngaihna nasa tak leh beiseina nei lo, naute neih hnu kar leh thla tam tak chhung a awm thin a ni. Baby blues ang lo takin hei hi a mah chauhin a bo lo. Damdawi emaw, nungchang lama enkawlna emaw a ngai thei.
• Postpartum anxiety: Hei hi naute pian hnua lungkhamna leh lungkhamna nasa tak awm thin chu a ni. Taksa lama natna lan chhuah dan, mut theih lohna leh thinlung chak lutuk te pawh a awm thei bawk. Nau neih hnua lungngaihna leh lungkhamna hi a awm dun thei a ni.
• Weight loss leh body image: Naupai leh nau neih lai khan i taksa hian inthlak danglamna tam tak a paltlang a. I hip emaw i pum emaw vel a vun tlahniam, stretch mark leh extra weight te ngaihtuah hi thil pangngai tak a ni.

Hemi hun chhunga harsatna awm thei te

I naute i neih hnuah hriselna lama harsatna thenkhat a awm thei. Hospital-ah chuan medical team-in heng natna khirh tak takte hi an enfiah ang che. Symptom thenkhat chu a pangngai a nih laiin, thenkhat chu harsatna chhinchhiahna a ni thei bawk.

Nau neih hnua natna khirh tak tak lo awm thei thenkhat chu:

• Nau neih hnua thisen chhuak
• Nau neih hnua preeclampsia a awm
• Deep vein thrombosis (DVT) a awm a, a chhuak thei lo.
• Pulmonary embolism a awm thin
• Rilru lam natna, nau neih hnua thinrimna emaw, nau neih hnua rilru lam natna (postpartum psychosis) te
• Sepsis - natna khirh tak a ni a, taksa pum puiah a darh

Naute i neih hnuah engtin nge i in enkawl ang?

I tih theih pawimawh ber chu chawlh hahdam leh damna hun pek hi a ni. Hei hi a ngaihnawm angin a awlsam lo mai thei. Mahse chawlh hahdam hian i taksa leh rilruin a dam leh theih nan a mamawh hun a pe a ni. I mamawh hunah tanpuina dil rawh. Tlawhtu i neih zat tihtlem te, nau enkawlna lama ṭanpuina dîl te, a nih loh leh in chhûng hna emaw, chaw siamna emawa ṭanpuina dîl te pawh a ni thei.

Chawlh hahdam bakah hian mahni in enkawl dan dang thenkhat chu hetiang hi a ni:

• Nutrition: Tui tam tak in tur a ni. Chaw hrisel tak tak, lean proteins, thei, thlai, leh whole grains te ei tum ang che. Tui tam in hian chaw ei khamna a tiziaawm thei bawk.
• Perineum enkawl dan: Nau neih pangngai i neih chuan kar engemaw zat chhung chu natna engemaw zat i nei ngei ang. I doctor chuan in lama he hmun hi enkawl dan tur a pe ang che. Toilet hman zawha tui lum hmanga sil (peri bottle hmanga) ang chi thilte hian a pui thei a ni.
• Taksa tihkhawtlai: Naupai hmaa i size-ah rang taka awm leh i duh laiin, exercise lakah hmanhmawh suh. I doctor chuan engtikah nge exercise lak a him tih a hrilh ang che. I naute pian hnu ni engemaw zat chhungin exercise light tak tak, kea kal ang chi hi i tan thei tlangpui. Cesarean section nei tawhte chuan rei vak lo an nghah a ngai mai thei. Exercise i tih theih tawh chuan zawi zawiin tan la rawh.
• Mental health support: Ṭanpuina dil hlau suh. I rilru put hmang chu dawhthei takin awm rawh. Nau neih hnua hun chhung hi a harsa thei hle. I lungngaih a, i lungngai a, i lungkham a nih chuan i ṭhian emaw, i kawppui emaw, i doctor emaw nen inbia ang che. I tanpui theihna tur resources tam tak a awm a.

Engtikah nge doctor nen inbiakna neih a ngaih?

Symptom thenkhat chu harsatna lian tak chhinchhiahna a ni thei. I symptoms te chu ngaihthah suh la, sawi chhuah pawh zak suh. A bik takin a hnuaia symptoms te hi hre reng ang che. Heng zinga pakhat emaw a aia tam emaw i neih chuan i doctor nen inbia nghal rawh.

Postpartum period hi insiamrem leh inthlak danglam hun a ni. Naupai lai angin ngaihven i hlawh loh avangin mahni chauha awm emaw, inpeih lo emaw i ni thei. Nangmah chauh i ni lo tih hre reng ang che! Nausen piang thar nena nun i insiamrem hian taksa leh rilru lama inthlak danglamna tam tak i tawk mek a ni.

Symptom thenkhat chu a pangngai a, thenkhat erawh chu harsatna dang chhinchhiahna a ni thei. I chungah ngilnei la, a theih ang anga i hriselna enkawl la, i mamawh chuan tanpuina dil rawh. I dam tha hle a nih pawhin i doctor-in clinic appointment a pek zawng zawngah i tel vek a pawimawh hle.