Fetal Heart Rate Monitoring hi eng nge ni?

Naupai laiin Doctor i pan chuan i pum chhungah device te tak te an dah a, naute lungphu chu an ngaithla thin a ni lawm ni? A chang chuan i pum chhungah belt an dah a, an check thin. Hei hian eng nge a tih tak tak? Engvangin nge hei hi a pawimawh em em? Hei hian i naute chungchang eng nge a hrilh theih che? Hemi chungchang hi awlsam takin han sawi ila.

Fetal Heart Rate Monitoring hi eng nge ni?

A awlsam zawngin sawi ila, Fetal Heart Rate Monitoring hi i naute thinlung thawk chak zia leh a rhythmic dan enfiahna hmanrua a ni. I naupai lai hian i doctor chuan i naute chu a hrisel a, a thang tha em tih enfiah a duh a ni. Chumi atana hmanraw hman ber pakhat chu naute thinlung thawk dan leh a rhythm enfiah hi a ni.

He test hi naupai tlai leh nau neih laiin tih a ni fo. He test hi test dang nen tangkawpin i naute dinhmun ngun zawka hriat theih nan tih theih a ni a, a bik takin hriselna atana hlauhawm tak, zunthlum emaw thisen sang emaw i neih chuan.

Engvangin nge doctor ten he test hi tih a ngai an tih?

I naupai chu a hlauhawm hle a nih chuan he test hi a tha fo thin. Entir nan:

• Diabetes i neih chuan.
• Preterm labor medicine i hman chuan.
• Doctor-in naute thanlenna emaw, thanlenna emaw a pangngai lo nia a hriat chuan.

Hei bakah hian doctor chuan he test hi a refer thei a, naute chu nau neih laiin a dam tha em tih finfiah nan emaw, chhan dang vangin naute thinlung thawk dan enfiah an duh leh duh loh emaw a finfiah thei bawk.

He test neih dan tur hi engte nge ni?

Naute thinlung thawk dan enfiah dan tlangpui pahnih a awm a. Pakhat chu pawn lam atanga tih a ni , i pum chungah. The other is by doing it internally , i tui a chhe hnuah leh nau neih a tan hnuah.

1. Pawn lam atanga enkawl

Hei hi hmanraw hman tlanglawn ber a ni. Hei pawh hi kawng hnih in tih a ni.

• Auscultation: I naupai chu a kal tha a, harsatna engmah a awm lo a nih chuan i doctor chuan special stethoscope (`fetoscope`) emaw, kut zungtang te tak te (` Doppler ultrasound` ) emaw hmangin naute thinlung thawk dan chu a hun hunah a enfiah ang. Hei hi a awlsam hle.
• Electronic hmanga enkawl dan:A châng chuan, a bik takin kar 32 hnuah i doctor chuan ``Nonstress Test'' tih test a ti thei a, hei hian minute 20 chhunga i naute thinlung chakna vawi engzat nge a san tih chhiar a ngai a ni. I pum chhungah electronic sensor nei belt i bun a. I naute heart rate chu a record chhunzawm zel a ni. Nau neih laiin hetiang belt hi i bun thei bawk. I naute hian i nausen pum chhunga inzawmna (contraction) avanga pressure a neih leh neih loh a enfiah thei a ni. Pressure a awm chuan a rang thei ang bera naute i hrin a ngai mai thei.

2. Chhungril lam enkawlna (Internal Monitoring) neih

Hei hi nau neih tan a nih hnuah, i tui a chhe tawh a, i serh a inhawng hnuah chauh tih thin a ni.

Doppler leh Fetoscope: Eng nge an danglamna?

Mi tam tak chuan heng device pahnih hi an buai deuh hlek a. Chu chu i tichiang ang u.

Heng hmanrua te hi in lama hman a tha em?

Mi thenkhat chuan in lama an hman theih tur ``at-home fetal doppler`` device an lei thin. Mahse doctor-te chuan hei hi thil tha tak niin an ngai lo. A chhan chu mi thiam loin a hman chuan:

• Naute thinlung na (a bik takin naupai kar tir lamah) i hre lo tih ngaihtuah chu a dik lo thei a ni.
• Nausen lungphu ri emaw, nangmah ngeiin thisen kalna lian tak thawm emaw i hre chiang thei lo mai thei.
• Harsatna a awm chuan hriat loh leh certificate dik lo dawng thei a ni .

Heng test te hi risk a awm em?

• Pawn lam atanga enkawlna hi risk-free tak a ni. Nangmah emaw, i naute emaw a tichhe lovang. I pum chhunga belt i bun avang hian i rilru a hah deuh mai thei.
• Internal monitoring hian risk tenau tak tak a nei thei.
• Harsatna engemaw chen nei.
• A tlem hle a, infection a awm thin.
• Naute lu vunah hliam tenau emaw, hliam emaw.

Pawimawh: HIV vei i nih chuan internal monitoring tih a ni lo a , a chhan chu i naute hnena natna kai theihna a tipung a ni.

Results hian eng nge a sawi?

Naute hrisel tak chu minute khatah 110 leh 160 inkar a ni tlangpui . He rate hi naute chet lai hian a sang deuh a, hei hi chhinchhiahna tha tak a ni.

Harsatna a awm thei tih chhinchhiahnate chu:

• Heart rate hi minute khatah beat 110 aia tlem lo a ni.
• Minute khatah beat 160 aia tam speed a nei thei.
• Heartbeat pattern-a inthlak danglamna pangngai lo lantir.
• Nausen a che emaw, nausen pum a inzawm emaw pawhin heart rate a sang lo.

Mahse, hetiang thil a thleng vang mai mai hian naute hian harsatna lian tak a nei tihna a ni lo tih hre reng ang che. Naute hian an mamawh oxygen a dawng lo mai thei tih chhinchhiahna mai a ni. Doctor chuan a chhui leh ang.

A châng chuan i taksa rih zawng, nangmah emaw i naute emaw dinhmun, emaw, nausen pum chhunga amniotic fluid tam lutuk emaw te hian result dikna a nghawng thei a ni.

Lungphun a dik lo a nih chuan engtin nge kan tih ang?

Doctor-in naute thinlung thawk danah thil danglam a hmuh chuan a hnuaia mi ang hian an ti thei ang:

• Position thlak (e.g. veilam hawi) turin an ti che a ni.
• Fluids hi IV ( saline ) hmangin taksaah pek a ni.
• Oxygen extra pek che i ni.
• Uterine contraction tihziaawm nan damdawi pek thin a ni.

Heng step zawh hnua naute lungphu chu a pangngaia a lo kir leh loh chuan naute chu rang taka nau neih a ngai mai thei. Cervix chu a dilated kim a nih chuan forceps emaw vacuum device emaw hmangin naute piang tur a pui thei bawk. Chutiang a nih loh chuan emergency cesarean section neih a ngai mai thei.