Nausen pum pawn lama naupai Ectopic Pregnancy chungchang hi han sawi ila.

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.

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.

Hetiang dinhmun hi hriat hmasak leh enkawl a nih loh chuan embryo dahna organ (a tam zawkah chuan fallopian tube) chu a rupture (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.

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.