Naute i neih hnuah i taksa leh rilruah eng nge thleng? Postpartum period chungchang hi i zir dawn teh ang!

Khawvelah naute thar i rawn hruai lut chauh a ni! Chu chu thil lian tak, hlimawm tak a ni lo maw? Mahse naute i neih hnuah chuan i taksa leh rilru hian inthlak danglamna tam tak a paltlang thin. Hei hi postpartum period, a nih loh leh nau neih hnu hun kan tih chu a ni. Hemi chungchang hi i hriat chian a pawimawh hle.

Nau neih hnua tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, postpartum period chu i naute i neih hnu hun a ni. Hei hi kar ruk atanga kar riat hmasa ber anga ngaih a ni fo a, chutih lai chuan i taksa chu a tam zawk chu naupai hmaa a awm danah a kir leh thin. Mahse, he hun chhunga natna lanchhuahna leh danglamna lo awmte hi a chang chuan kar riat aia rei a daih thei a ni.

Hemi hun chhung hian i taksa leh i nun hian inthlak danglamna tam tak a paltlang dawn a ni. A danglamna thenkhat chu taksa lam a ni - entirnan, i hnute chu bawnghnutein a hring ang a, i hnute chu thisen a chhuak tan ang. Midang erawh chu hormone inthlak danglamna vang a ni . Naute hrin hi taksa leh rilru lamah pawh harsatna lian tak a ni. Tichuan, i nau piang thar enkawl leh he nun thara insiamrem chu thil harsa tak a ni thei a ni.

Naute i neih hnua i rilru put hmang ngaihven rawh . Thil mak leh danglam bik i hriat chuan i doctor hnenah hrilh theihnghilh suh. Naute i neih vang mai mai chuan i hriselna enkawl i bansan tur a ni lo, a pawimawh hle. I naute i enkawl lai hian i chawlh hahdam leh hriselna ngaihtuah tum ang che.

I doctor chuan nau neih hnua checkup neih hun tur a pe ang che. Anmahniah hian tel ve ngei ang che. Hei hi doctor-in i dam leh dan leh i dinhmun a enfiah theih hun a ni. Tin, harsatna awm thei zawng zawng hriat hmasakna kawngah pawh an pui thei bawk. Hei hi zawhna i neih apiang zawh theihna hun tha tak a ni a, i dam leh dan tur dik taka sawi theihna hun tha tak a ni.

I taksaah eng thil nge thleng? (Nau neih hnua dam leh hun tur)

I dam hun chhung hi i naupai ang bawkin i tan chuan a danglam bik a ni. Mi zawng zawng hian schedule inang an nei vek lo. Mahse, thil tlangpui i beisei theih tur a awm.

I naute pian hnu darkar leh ni hmasa berah hian hetiang hian i beisei thei ang:

• I uterus chu a size pangngaiah a tlahniam leh a ngai 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 massage a siamsak thei a, chu chuan a tihtlem thuai theih nan a pui thei bawk.
• Hormone lama inthlak danglamna lian tak tak. Hei hian hot flash, mood swing, leh lu na a thlen thei.
• Breast engorgement tih hi a ni. I hnute hian hnute a siam chhuak mek a ni. Nau hnute i pe lo a nih pawhin i hnute chu na takin a lo hring thei a ni.
• Perineal natna a awm.Nau neih pangngai i neih tawh chuan vagina leh anus (perineum) inkar hmunah natna engemaw zat i hriat chu thil pangngai a ni. Hmeichhia 70% vel chuan nau an neih laiin vaginal tearing engemaw zat an nei thin. C-section nei tawhte tan chuan zai nana hmun chu ni engemaw zat chhung chu a na zual ang.
• Extra fluid avanga lo hring chhuak. Hei hi a tlangpuiin taksain naupai laia tui a lo pungkhawmte a paih chhuah dan a ni. 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.
• Chau. Nau neih leh i naute enkawl hian a hmaa i hriat tawh zawng zawng aiin i chau zawk thei a ni. Naute neih hnu ni engemaw zat emaw, kar engemaw zat emaw chhung chu hahdam taka inhriat hi thil pangngai tak a ni. A theih ang anga chawlh hahdam i tum chuan i rilru a hahdam ang.

Nau neih hnua stage thum a awm tih i hria em?

Doctor-te chuan nau neih hnua hun chhung hi phase lian pathum-ah an ṭhen a, chungte chu acute phase, subacute phase leh delayed phase te an ni.

• Acute phase: Hei hi nau neih atanga darkar 6 atanga darkar 12 chhunga a hmasa ber a ni. Hei hi eclampsia, postpartum hemorrhage, leh medical emergency thenkhat ang chi condition a awm tam ber hun a ni. Hemi chhung hian i medical team te chuan i thisen sang, heart rate leh thisen volume te an enfiah ang a, chubakah, i thisen zam danglam tak tak a awm leh awm loh an zawng bawk ang.
• Subacute phase: He phase hi nau neih atanga darkar 24 vel atanga tan a ni a, kar hnih atanga kar ruk vel a ni. I taksa chu a la danglam reng a, mahse medical emergency a awm theihna chu a tlem hle. Hemi hun chhung hian doctor-te chuan cardiomyopathy, nau neih hnua lungngaihna, zun insum theih lohna ang chi symptoms te chu an ngaihtuah nasa hle.
• Delayed phase: He phase hi nau neih atanga kar ruk atanga thla ruk vel a ni. Hemi hun chhunga inthlak danglamna hi zawi zawiin a thleng thin. A pawimawh ber chu i taksa ruh leh tissue te chu naupai hmaa an awm dan angin a lo kir leh thin. He phase chhung hian doctor-te chuan pelvic floor dysfunction, sex natna, leh uterine prolapse ang chi natna te an enkawl thei a ni.

Naute neih hnua a lan chhuah dan tlangpui chu engte nge ni?

Nau i pai hnu hian inthlak danglamna tam tak i tawng ang. Chung zinga tam tak chu hormone inthlak danglamna avanga pianphung inthlak danglamna a ni. Heng chhinchhiahnate hi taksa lam, rilru lam emaw, a pahnih inzawmkhawm emaw pawh a ni thei.

Taksa lam atanga a lan chhuah dan

Postpartum physical symptoms hian i taksa – a hnathawh dan, a lan dan leh a rilru put hmang a nghawng a ni. Taksa lama natna lan chhuah dan tlangpui thenkhat chu hetiang hi a ni:

• Perineum (vagina leh anus inkar hmun)-a natna leh natna: He hmun hi nau neih pangngaiah a inzawm a, a chang chuan a teh bawk. Nau neih hnu kar engemaw zat chhung chu perineum pumpui chu a na thei a, a hring thei a, khawih pawhin a hring thei bawk. Pillow-a thut, tui lum hmanga silfai leh sanitary pad lum hman hian he harsatna hi a tidam thei a ni.
• Vaginal discharge: Naute i neih hnuah (cesarean section i neih pawhin) i vagina atangin thisen a chhuak ang. Hei hi lochia an ti a . A tan a, a sen a, zawi zawiin a sen a, a tawpah chuan a sen hring hring (light brown discharge) angin a tawp ta a ni. Hetiang zawng zawng hi kar ruk vel a ni thei. Naute i neih hnua i vaginal bleeding i neih chuan sanitary pad chauh hmang thin ang che (tampons hmang suh).
• Uterine involution: Hei hi i uterus chu naupai hmaa a size-a a tlahniam leh theihna tur damdawi lam thumal a ni. Hetiang zawng zawng hi kar ruk vel a ni thei a, mahse i naute pian hnu lawkah a intan thung. Chutiang a nih chuan nau neih hnua natna emaw, cramping emaw engemaw zat i nei thei. Cramping hi ni engemaw zat chhungin a reh tlangpui a, mahse naute i hnute i pek hian a na zawk thei.
• hnute tuiin a khat leh hnute na: Ni engemaw zat tal, leh rei zawk i hnute i pek chuan i hnute chu a hring a, a na thei bawk. Mi thenkhat chuan nau hnute pek avanga natna lanchhuahna, hnute chhe tawh ang chi te tanpui nan lactation consultant atanga tanpuina an mamawh mai thei.
• Sweating: Naute i neih hnu lawkah i hormone te hian inthlak danglamna tam tak a tawk a. Chuvangin, thawk hah tam hi thil pangngai a ni a, a bik takin zan lamah. Hei hi symptom pangngai a ni a, kar khat emaw kar hnih emaw vel hnuah a reh tur a ni.
• Constipation: Nausen neih hnua riltam neih harsat hi nau neih hnua a lan chhuah dan tlangpui a ni. Epidural , i neih chuan i ril a ti slow thei a, i ril a ti harsa thei bawk. A châng chuan, chaw ei laiin straining hlauhna avang hian constipation pawh a awm thei bawk. Doctor thenkhat chuan nausen an neih hnuah stool softeners ei an rawt a. Hemi hun chhung hian Hemorrhoids hi a tam hle bawk.
• C-section recovery: C-section atanga stitch i neih chuan vun a dam theih nan ni sawm vel a ngai ang. A chhunga stitches thuk zawk dah chuan a dam kim theih nan kar sawm leh pahnih vel a daih thei. Infection chhinchhiahna, hliam atanga zun chhuak leh khawsik te chu en reng ang che.
• Sam tlakchham: Nau neih hnuah pawh sam tlakchham hi a awm fo a, hormone inthlak danglam vang a ni fo bawk.

Emotional Symptoms a awm thei

Postpartum symptoms hi naute i neih hnu kar leh thla engemaw zat chhunga i rilru put hmang, i stress emaw, i taksa i ngaih dan emaw tichhe thei thil eng pawh a ni.

• Baby blues: Baby blues hi naute neih hnua lungngaihna leh tap reng reng hi a ni. Hêng rilru tharte hian mak a ti hle thei che a, mahse, kar tlemte hnuah a bo ṭhîn.
• Postpartum depression: Hei hi nau neih hnu kar leh thla engemaw zat chhungin lungngaihna nasa tak leh beiseina nei lo tak tak a ni. Baby blues ang lo takin hei hi a bo mai lo. Damdawi emaw, nungchang lama enkawlna emaw hmanga enkawl a ni fo.
• Postpartum anxiety: Nau neih hnua lungkham lutuk hi nau neih hnua lungkham lutuk hi a ni. Tin, taksa lama natna lan chhuah dan te, mut theih lohna leh heart rate sang te pawh a awm thei bawk. Nau neih hnua lungngaihna leh nau neih hnua lungkhamna hi a awm dun fo thin. Hei hi damdawi emaw, behavioral therapy emaw hmanga enkawl theih a ni bawk.
• 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 a sagging, stretch marks, leh extra weight avanga lungkhamna neih hi thil pangngai a ni. Hahdam takin la la, dam leh turin hun pe rawh. Damdawi in chhuahsan hunah chuan pound 10 atanga 20 vel i hloh tawh ngei ang. Chaw tha ei leh mahni in enkawl danah rilru pe rawh. I taksa hian inthlak danglamna lian tak a paltlang chauh tih hre reng ang che.

Hetih hun chhung hian eng harsatna nge thleng thei? (Thil fimkhur tur)

Hriselna lama harsatna thenkhat chu i naute i neih hnuah a intan thei a ni. I medical team chuan i naute pian hnu darkar leh ni engemaw zat chhungin heng natna khirh tak takte hi enkawl turin an lo enfiah ang che. Naute i neih hnuah pawh symptom thenkhat chu a normal a, mahse thenkhat erawh chu harsatna chhinchhiahna a ni thei.

Nau neih hnua natna khirh tak tak awm thei thenkhat chu hengte hi an ni:

• Nau neih hnua thisen chhuak
• Nau neih hnua preeclampsia a awm
• Thisen thûk takah thisen zam (Deep vein thrombosis - DVT) .
• Pulmonary embolism (lung chhunga thisen zam) .
• Rilru hriselna dinhmun, nau neih hnua thinrimna emaw, nau neih hnua rilru lam natna (postpartum psychosis) te
• Sepsis (taksa zawng zawnga natna hrik darh) .

Naute i neih hnua i hriselna atana i tih theih tha ber chu i taksa thu ngaihthlak hi a ni.Thil eng emaw i hriat loh chuan i doctor rawn la. Zawhna emaw, ngaihtuahna emaw i neih chuan i postpartum check-up hma chu nghak suh. I dam lehna leh hriselna zawng zawng hi doctor-te tan pawh a pawimawh hle.

Naute i neih hnuah engtin nge i in enkawl ang?

Naute i neih hnua i tana i tih theih pawimawh ber chu chawlh hahdam leh damna hun i neih hi a ni. Hei hi a ngaih angin a awlsam lo mai thei, mahse chawlh hahdam tawk chuan i taksa leh rilru chu damna hun a pe ang. I mamawh hunah tanpuina dil rawh. Hei hian tlawhtu i neih zat tihtlem te, nau enkawlna kawnga ṭanpuina dîl te, a nih loh leh in chhûng hna, chaw siamna ang chite ṭanpuina dîlna emaw a kawk thei a ni.

Chawlh hahdamna bakah hian naute i neih hnu kar engemaw zat chhunga i in enkawl dan tur dang thenkhat chu hetiang hi a ni:

• Nutrition: Tui tam tak in la, eitur hrisel tak tak, lean protein, thei, thlai, leh whole grains te ei tum ang che. Tui tam tak in hian chaw ei khamna a tidam thei bawk.
• I perineum enkawl dan: Vaginal birth i neih chuan kar engemaw zat chhung chu natna engemaw zat i nei thei. I doctor chuan in lama i perineum enkawl dan tur tips thenkhat a pe che a ni mai thei. Toilet hman zawhah Peri bottle tui lum nen hman a, witch hazel pads (pads special herbal solution-a hnim) hman hian i perineum chu a ti hahdam thei a ni.
• Taksa tihchakna tihtlem: Naupai hmaa i pianziaah i awm leh duh a nih pawhin exercise lak emaw, taksa peng hrang hranga awm emaw chu hmanhmawh suh. I doctor chuan exercise lak a him hun tur a hrilh ang che. Mi tam zawk chuan naute an neih hnu ni engemaw zat chhungin kea kal leh exercise light tak tak an ti tan thei a ni. Cesarean section nei tawhte chuan rei vak lo an nghah a ngai mai thei. Exercise i tih theih hunah chuan zawi zawiin tan la, chutiang chuan i inhliam palh lo ang.
• Mental health support: Ṭanpuina dil hlau suh la, i rilru put hmang chu dawhthei takin awm rawh. Nau neih hnua hun hi kawng tam takah a harsa thei hle. I lungngaih, i rilru a buai, i lungkham a, i lungkham a nih chuan, i ṭhian emaw, i kawppui emaw, i doctor emaw hnenah chu chu sawipui rawh. I tanpui theihna tur resources tam tak a awm a.

Engtikah nge doctor i hmuh ang? (Heng symptoms te hi fimkhur rawh!)

Nau pai hnua symptom thenkhat chu harsatna chhinchhiahna a ni thei. I natna lan chhuah dan chu ngaihthah tur a ni lo va, i dam lehna tur sawi chhuah pawh i zak tur a ni lo. I dam lehna tur emaw, i rilru put hmang emaw chungchangah ngaihtuahna i neih chuan a tha ber chu i doctor pan hi a ni.

I ngaihven tur feature thenkhat chu hetiang hi a ni:

• Vaginal bleeding nasa tak a awm. Hei hian darkar tin pad pakhat darkar engemaw zat soak tihna a ni tlangpui. A nih loh leh, nitin a tlahniam ai chuan thisen chhuahna a pung zawk.
• Thisen zam lian tak tak engemaw zat pass. Thisen zam lian tak hi pawisa fai aiin a lian zawk tlangpui. Thisen zam lian tak pakhat pass chu a pawi lo, mahse tam tak pass chu harsatna chhinchhiahna a ni thei.
• Khawsik chu 101 degree Fahrenheit (38 degree Celsius) aia sang a ni.
• Natna thar emaw, natna tihpun emaw. Hun kal zelah a tha lehzual i duh a, a na zual zel lo.
• Vaginal discharge leh rimchhia.
• Ke emaw ke ruh emaw a na a, a bik takin a hring a.
• Caesarean section hliam atanga thisen chhuak emaw thisen chhuak emaw.
• Luak chhuak emaw, mit a danglam emaw.
• Lu na na tak leh awm reng.
• Chhung na emaw thawk harsa emaw.

Nangmah emaw, i naute emaw tihnat tumna i neih chuan emergency medical service call nghal rawh (e.g. 1990 Suwaseriya) emaw, national mental health helpline number 1926 ah emaw call rawh.

Hriat reng tur pawimawh ber (Take-Home Message) .

Postpartum period hi inthlak danglamna leh insiamrem hun a ni . Sawi tam loh a nih fo avangin mahni chauha awm leh inpeih lo ang maiin i inhria thei. Mahse, nangmah chauh i ni lo tih hre reng ang che! Naupai hian ngaihven a hlawh ber ang tih a rinawm laiin, nau neih hnu hun pawh hi chutiang bawk chuan a pawimawh hle. Taksa leh rilru lama inthlak danglamna tam tak hmachhawn dan i zir a, nau piang thar nena nun danah pawh insiamrem i tum bawk.

Nau neih hnua symptom thenkhat chu beisei tur a ni a, ngaihtuahawm tur a awm lo. Mahse, mi dangte chu thil dang a thleng tih chhinchhiahna an ni thei. As you adjust to this new life , nangmah leh nangmah ngilnei la, i ṭhatna chu a theih ang anga ngaih pawimawh la, a ṭul chuan i doctor hnen aṭangin ṭanpuina zawng rawh. I dam tha hle a nih pawhin post-delivery check-up zawng zawngah tel vek a pawimawh. Hei hian zawhna i zawt thei ang a, i doctor-in harsatna lo awm thei zawng zawng a hriat theih nan a pui bawk ang.

` Nau neih hnua enkawlna, nau neih hnu hun, nau neih hnua dam lehna, nu hriselna, nau neih hnua, hormone inthlak danglamna, rilru hriselna