I naupai tih i hriat veleh hlimna i neih chu sawi phak bak a ni. Mahse, chutih rual chuan nang pawhin hlauhna tlem i nei ve tho a ni lawm ni? Engkim a kal tha ang em, naute pawh a dam tha ang em? A tam zawkah chuan engkim a kal tha hle. Mahse, a chang chuan, kan beisei ngai loh thil, tlem a pawi deuh deuhte chu kan hmachhawn a ngai thin. Chutiang emergency pakhat, damdawi lam pan ngai chu ectopic pregnancy a ni. Hei hi thupui hlauhawm deuh ni mah se, hei hi i hriat chian a pawimawh hle.
Baby's due date (EDD)
Calculate the due date based on the last menstrual period
A awlsam zawngin Ectopic Pregnancy tih hi eng nge ni?
A tlangpuiin egg fertilized chu i uterus wall-ah a innghat a, chutah chuan zawi zawiin naute angin a lo thang lian ta a ni. Lei tha takah thlai phun ang mai a ni. Uterus hi a tan chuan environment tha ber a ni.
Mahse, Ectopic Pregnancy ah chuan fertilized egg chu uterus pawn hmun dangah a implant thin. 90% aia tam chu Fallopian tube ah hian a thleng thin. Chuvangin he natna hi Tubal pregnancy an ti bawk. Chu bakah, embryo hi Ovary, Abdominal cavity emaw Cervix emaw ang hmunah te a implant thei bawk.
Pawimawh tak chu, nausen pum pawna dah chu a dam thei lo va, naute hrisel takah pawh a lo thang lian thei lo . Nausen pum pawn lama a mamawh thisen supply, space, leh nutrition a hmuh loh avangin hei hi nau pai (Pregnancy loss)-ah a tawp fo thin.
Hetiang dinhmun hi hriat hmasak leh enkawl a nih loh chuan embryo dahna organ (a tam zawkah chuan fallopian tube) chu a rupture ) thei a ni. Chutiang a nih chuan chhungril thisen chhuak nasa tak a thlen thei a, nunna atana hlauhawm pawh a ni thei. Chuvang chuan hei hi kan hriat chian a pawimawh hle a ni.
Hetiang natna lan chhuah dan hi engte nge ni?
A tir lamah chuan ectopic pregnancy symptoms hi naupai pangngai nen a inang hle. I period i tlai thei a, hnute a na a, i pum chhungah pawh a nuam lo deuh thei bawk. Chuvangin a tir lamah chuan hriat harsa deuh a ni thei.
Mahse, a tlangpuiin symptom bik chu kar 4 leh 12 inkarah a lang tan thin.
| A lan chhuah hmasak ber | Hrilhfiahna |
|---|---|
| Vaginal atanga thisen chhuak | Menstrual bleeding pangngai nen a danglam thei a, light brown discharge angin a lo thleng thei bawk. |
| Pum hnuai lam natna | I pum sir khatah natna nasa tak, nasa tak i nei thei. |
| Luak chhuak leh chak lohna | I luak chhuak nghal emaw, lu hah lo emaw i nei thei bawk. |
| Kawngkhar na | Hei hi symptom mak deuh a ni. Pum chhunga thisen chhuak a awm chuan nerve te chu a tichak thei a, kekawr bul natna angin a awm thei bawk. |
| Luak chhuak leh luak chhuak | Vomiting hian pum na a zui thei bawk. |
| Emergency (Ruptured Ectopic Pregnancy) a awm tih hre rawh! | |
Fallopian tube a chhe a nih chuan nunna atana hlauhawm emergency a ni . Heng symptoms te hi i neih chuan hospital emergency room (ETU) ah kal nghal la , ambulance pawh ko la.
| |
Engvangin nge hetiang hi a lo awm? Risk factors te chu engte nge ni?
Hei hi a chhan chiang tak hmuh a harsa fo thin. Mahse, a chhan ber chu fallopian tube chu eng emaw ti takin a chhiat avangin fertilized egg chu uterus-ah a kal harsat vang a ni thei.
Ectopic pregnancy neih theihna chance i nei sang thei a, chu chu:
- Meizial i zuk chuan: Meizial zuk hian fallopian tubes hnathawh a tichhe thei .
- Kum 35 aia upa i nih chuan.
- Tun hmaa mipat hmeichhiatna hmanga inkaichhawn (STI) i lo neih tawh chuan: Infection, a bik takin chlamydia hian fallopian tube bang nalh tak takte a tichhia a, hliam a siam thei bawk.
- I pum emaw, i pelvis emaw surgery i neih tawh chuan: Entirnan, appendectomy emaw cesarean section emaw hian a chang chuan chhungril lama hliam a thlen thei.
- Ectopic pregnancy i lo neih tawh chuan: I lo nei tawh a nih chuan a lo awm leh theihna chance a sang hle.
- Family planning method atan tubal ligation i tih tawh emaw, reverse tura operation i neih tawh emaw chuan .
- IVF ang chi fertility treatment i lo nei tawh a nih chuan.
- IUD ang chi birth control method i hman laiin nau i pai a nih chuan naupai chu ectopic a nih theihna chance a sang hle.
- Endometriosis tih natna i neih chuan: Hetah hian nausen pum chhunga hmuh ang chi tissue chu nausen pum pawnah a lo thang lian thin. Hei hian fallopian tubes a block thei bawk.
Engtin nge hei hi i hmuh theih, Doctor?
A chunga kan sawi tak symptoms te hi i neih chuan i doctor chuan a enfiah ang che. A hnuaia test te hi tih thin a ni tlangpui:
1. Pelvic exam: Natna awmna hmun leh nausen pum lian leh te ang chi thil a enfiah thin.
2. Thisen test: Hei hian naupai hormone hCG (human chorionic gonadotropin) level a teh a. (Ectopic Pregnancy) ah chuan he hormone level hi naupai pangngai aiin a hniam zawk thei a, beisei angin a pung chak lo thei bawk.
3. Ultrasound scan: Hei hi test pawimawh ber a ni. Hei hian doctor chuan gestational sac chu uterus chhungah nge pawnah a awm tih a hmu thei a ni. A châng chuan pum chunglama scan tih bakah hian vagina kaltlangin scan (transvaginal ultrasound) pawh tih theih a ni a, chu chuan fallopian tube leh ovary te chu chiang zawka hmuh theih a nih avangin.
Engtin nge enkawl a nih?
Ectopic pregnancy hi nausen pum pawnah a lo awm thei lo va, nu nunna atana hlauhawm a nih avangin nausen chu lakchhuah a pawimawh hle. Chumi atan chuan hmanraw lian pahnih a awm. I doctor chuan i dinhmun, nausen lo thanglian dan leh fallopian tube a rupture leh rupture loh a zirin enkawlna dik ber a ruat ang.
1. Damdawi hmanga enkawl
He natna hi hriat hmasak a nih a, fallopian tube a rupture loh a, hCG level chu level engemaw zat hnuai lam a nih chuan damdawi methotrexate an tih chu injection angin pek theih a ni. He injection hian nausen cell te thanna a titawp thin. Tichuan, kar 4-6 chhungin i taksa chuan a taksain tissue chu a hip lut ta a ni. Hetiang tih dan hian operation a ngai lo. Mahse, doctor chuan hCG level chu zero-a a tlahniam vek thlengin a enkawl ang che.
2. Surgery hmanga enkawl
Thil dangah chuan zai a ngai thin.
- Laparoscopy: Hei hi surgery neih tam ber a ni. "Keyhole surgery" an ti bawk. Pum hnuai lam ah hian incision tenau tak tak tlemte siam a ni a, chu chu ectopic embryo lakchhuah nan camera nei tube te tak te dah a ni. Fallopian tube a chhiat chuan tube nen hian lakchhuah a ngai mai thei.
- Laparotomy: Fallopian tube a chhe a, thisen chhuah tam lutuk a awm chuan pum hawn a, emergency surgery tih a ni.
Enkawlna i neih hnuah kar engemaw zat chhung chu i chau a, i pum a na thei bawk. Taksa leh rilru lamah pawh dam turin hun i pe a ngai a ni.
He thil tawn hnu hian...
Ectopic pregnancy hi taksa leh rilru lamah pawh a hrehawm hle. Fa boral avanga lungngaihna chu tuar harsa tak a ni thei. Hemi chungchang hi i pasal emaw, chhungte emaw, i thian rintlak tak emaw nena sawi dun a pawimawh hle. A tul chuan professional counselor tanpuina zawng hreh suh.
Nau pai leh tum hmain i taksa chu damna hun i pek a ngai a ni. Doctor-te chuan thla 3 tal nghah an rawt tlangpui. I doctor nen inbia la, i tan eng hun nge tha ber tih rel rawh. Fallopian tube pakhat lak chhuah ni mah la, a dang chu a hrisel a nih chuan a pangngaiin i naupai leh thei a ni. Chumi chungchang pawh i doctor nen inbia ang che.
Take-Home Thuchah a ni
- Ectopic Pregnancy hi natna khirh tak a ni a, nausen chu nausen pum pawnah a insiam a, damdawi lam pan vat a ngai a ni.
- A hmaa a lan chhuah dan chu naupai pangngai nen a inang thei a, mahse, vaginal bleeding danglam tak, pum khata natna nasa tak, leh luak chhuak te hi ngaihtuah hle ang che .
- I pum na, tuar theih loh khawpa natna, thisen chhuak nasa tak, emaw, hriatna hloh emaw i neih chuan, .Damdawi in pakhata Emergency Treatment Unit (ETU)-ah kal nghal rawh.
- Enkawlna hrang hrang a awm. A hmaa hriat chhuah a nih chuan he natna hi damdawi emaw, operation emaw hmangin enkawl theih a ni.
- He thil tawn avang hian lungngaihna leh lungngaihna hi thil pangngai tak a ni. Chutiang rilru put hmang chu bottle-ah dah suh. I doctor nen inbia la, a tul chuan mental health counselor nen pawh inbia la, tanpuina dil rawh.
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