Nau pai chungchang hi han sawi ila: Nangmah chauh i ni lo.

Nu naupai zawng zawng hian naute hrisel neih hi an mumang a ni. Mahse, a châng chuan, chu beiseina chu beisei loh takin a tichhe thei a ni. Nau pai chu chutiang rilru natna leh hrehawm tak thil tawn pakhat a ni. Sawi harsa tak ni thei mah se, nang leh i kawppui tan he dinhmun hi hriat chian a pawimawh hle.

Nau pai tih hi eng nge ni tak tak?

A awlsam zawngin sawi ila, nau pai chu naupai kar 20-na hmaa naupai hloh hi a ni.

Hei hi i ngaihtuah aiin a tam zawk. Mahse nau pai zat chiang taka sawi a harsa a, a chhan chu a chang chuan naupai i hriat hma pawhin a thleng thei a, i period a tlai hma pawhin a thleng thei bawk. A tlangpuiin doctor-te’n naupai an hmuhchhuah zinga 10% leh 20% inkar chu nau paiah a tawp thin. Mahse zirchiangtute chuan a zat dik tak chu 40% hnaih zawk a nih theih an ring.

A tam zawkah chuan, chu chu nau pai 80% aia tam chu naupai thla 3 hmasa berah a thleng thin tihna a ni . Zirchianna pakhatah chuan kar 5-na hnua nau pai theihna hi 20% vel a ni. Mahse kar 8 leh kar 13 inkar ah chuan he risk hi 2%-4% ah a tlahniam thin. Kar 14 hnuah chuan a hlauhawmna chu 1% aia tlem a ni.

Chûngte chu nau pai chhinchhiahna a ni thei ang em?

A châng chuan nau pai hi engmah chhinchhiahna awm lovin a awm thei bawk. Mahse, chhinchhiahna tlanglawn tak tak, i hriat tur a awm. Naupai i nih chuan heng chhinchhiahnate hi ngaihven a pawimawh hle.

Heng symptoms te hi i neih chuan tihkhawtlai suh. I doctor rawn nghal rawh. Doctor chuan in lama awm reng tur nge, a clinic-a lo kal tur nge, hospital-a Emergency Department (ETU)-ah kal nghal tur nge tih a hrilh ang che.

Engvangin nge heng nau pai te hi a lo awm?

Nau pai a awm chuan nu tam tak chuan anmahni an inpuh a. An ngaihtuah a, "Eng emaw ka chungah a kal sual em?" Mahse chu chu thudik a ni lo.

Nau pai tam zawk chhan ber chu embryo emaw fetus-a genetic problem vang a ni. A awlsam zawngin, naute siamtu cell-ah hian thil dik lo a awm a ni. A pawimawh ber chu heng harsatna te hi nu sualna avanga lo awm a ni lo . An pianphungah an thleng thin.

Hemi chhan ber bakah hian nau pai theihna tipungtu chhan dang a awm bawk :

• Infection: Nua infection thenkhat chuan nausen chu a nghawng thei a ni.
• Nu damdawi lam dinhmun: Zunthlum thunun theih loh emaw, thyroid natna emaw ang chi thil.
• Hormone lama harsatna : Taksa hormone level inthlauhna.
• Immune system chhanna hrang hrangte:Nu taksa chakna (immune system) chu nausen laka thawktu a ni.
• Uterine abnormalities: Nausen pum pianzia emaw, a insiam dan emaw lama harsatna awm.
• Nunphung: Meizial zu, zu in, ruihhlo hman .
• Radioactive emaw toxic emaw thila inhnamhnawih.

Cervical insufficiency avanga nau pai

Hei hi thil awmdan danglam deuh a ni. Heta thil thleng chu nausen naupai chhung zawnga naute chelh thei tur khawpa chak a ni lo. Chumi avang chuan serh (cervix) chu natna awm lovin a inhawng nghal thei a, nau a pai thei bawk. Hei hi second trimester-ah a thleng tlangpui. Hetiang history nei nu tan chuan doctor chuan naupai leh tur kar 12 vel ah cervix vel ah stitch a dah ang. `Cerclage` an ti a. Naute pian hnaih thlengin stitch chu a hmunah dah a ni a, chutah chuan lakchhuah a ni.

Nau pai chi hrang hrang a awm em?

Ni e, doctor-te chuan nau pai hi chi hrang hrangah an ṭhen a. Eng type nge i neih tih hriat hi enkawlna atan a pawimawh hle.

Engtin nge doctor chuan nau pai a nih leh nih loh a finfiah?

I natna lan chhuah dan a ngaihthlak hnuah doctor chuan test eng emaw zat a nei ang a, i natna chu a finfiah ang.

• Pelvic Exam: Cervix a inhawng em tih a enfiah thin.
• Ultrasound Scan: Naute lungphu a awm leh awm loh hriat nan scan a ni. A chang chuan a chiang lo a nih chuan kar khat vel hnuah scan leh turin an ti leh thei bawk.
• Thisen Test: Thisen a pregnancy hormone (hCG) awm zat enfiah a, a hmaa a level nen khaikhin a ni.
• Tissue Test: I taksa atanga tissue chhuak i neih chuan eng nge a nih tih finfiah turin lab-ah thawn theih a ni.

In lamah i confirm thei ang em?

In lama naupai test hian nau i pai tawh em tih chiang takin a hre thei lo. Hei hi a chhan chu nau pai tawh mah la, naupai hormone te hian i taksa a chhuahsan nghal lo va, chuvangin test-ah chuan positive a la awm thei tho a ni. Chuvangin, thil awmdan dik tak hriat tumin doctor i pan ngei ngei tur a ni.

Nau pai hnuah eng enkawlna nge tih tur?

Enkawl dan chu eng nau pai chi nge i neih tih leh nausen pum chhungah tissue a awm leh awm loh a innghat a ni.

• Nau pai pumhlum a awm a, nausen pum chu a hring vek a nih chuan enkawlna bik a ngai lo tlangpui.
• In the case of an incomplete miscarriage , chu chu tissue a la awm tihna a ni a, doctor chuan duhthlan tur engemaw zat a pe thei a ni.

1. Nghah: Kar khat emaw kar hnih emaw chhunga tissue la awm chu a mah chauha tlak chhuah tir.

2. Damdawi: Nausen pum (uterus) tibuaitu leh tissue la awmte hnawhchhuahna damdawi.

3. D&C surgery: Nausen pum tihfai. Hei hi D&C (Dilation leh Curettage) an ti a. Hetah hian serh chu a zau deuh a, tissue la awm zawng zawng chu uluk takin lakchhuah a ni.

I thisen hi Rh negative a nih chuan doctor in a hrilh ang cheVaccine Rh immune globulin (RhoGAM) an tih chu pek a ni. Hei hian i taksain antibodies a siamte chu nakin lawka naupai turte tichhe lo turin a veng a ni.

Nau pai hnuah taksa leh rilru lamah eng nge thleng?

Nau pai hnuah ni engemaw zat thisen chhuah leh cramping tlem a awm hi thil pangngai a ni. Mahse, thisen chhuak nasa tak, khawsik, khawsik emaw, natna nasa tak emaw i neih chuan natna hrik i neihna chhinchhiahna a ni thei. Chutiang a nih chuan i doctor ko nghal rawh .

I taksa chunga thil thleng ang chiah hian i rilruah pressure nasa tak i neih hi thil pangngai a ni. Lungngaihna te, mahni inthiam lohna te, thinrimna te, leh hmalam hun hlauhna te ang chi rilru natna tam tak i tawng thei a ni.

Nau pai hnuah naute dang neih theih a ni em?

I ti thei ngei ang! Nau pai tawh chuan naute dang i nei thei tawh lo tihna a ni lo. Hmeichhia nau pai zinga 80% aia tam chuan naupai leh nau hrisel tak tak an nei zui zel a ni.

Engtikah nge i tum leh tur tih i doctor nen sawiho rawh. Doctor thenkhat chuan thla khat emaw thla thum emaw nghak rawh an ti. Mahse a pawimawh ber chu taksa leh rilru lama i inpeih hma chu nghah hi a ni. Hemi avang hian nangmah leh nangmah in dem ngai suh.

Nau pai tam zawk hi nausen chhunga genetic factors kan control theih loh vang a ni. Mahse nakin lawka naupai hmaa i tih theih tur a awm. Chung zinga pawimawh ber chu nunphung hrisel neih hi a ni.

• Ei leh in inthlau tak ei rawh.
• Exercise neih fo thin ang che.
• I taksa rihna hrisel tak vawng reng rawh.
• Meizial zu te, zu leh ruihhlo te chu pumpelh vek tur a ni.