Naute neih hi i nunah chanchin lawmawm tak a ni. Chutih rual chuan naute neih avanga harsatna awm thin chu hlauhna tlem leh hriat duhna tlem a awm hi thil pangngai tak a ni bawk. ‘Hei hi ka tuar thei ang em?’, ‘Engzat nge a na ang?’ tih ang chi zawhnate. i rilruah an awm ngei ang. Mi zawng zawng tawnhriat hi a inang vek lo. Tun hmaa fa nei tawh tan pawh tun ṭuma thil tawn chu a danglam thei. Chuvangin vawiin hian he harsatna hi engtin nge i hmachhawn ang tih leh eng option nge i neih tih hi han sawi ila.
Natna tihdamna atana damdawi hman loh dan
Nu thenkhat chuan he thil tawn hi a pianphung angin, damdawi tel lovin an paltlang duh zawk. Hemi kawngah hian kawng hrang hrangin a pui thei che a ni.
A pawimawh ber chu i naupai chhung zawnga active taka awm hi a ni. I doctor i zawh a, a remtih chuan exercise \ha tak i tih chuan i taksa a tichak ang tih chu a dik a ni. I tuar thiamna a tipung ang. A châng chuan hnathawh hi darkar tam tak a awh chuan he chakna hi i tân a hlu hle ang.
Chu bakah, chutiang atana hmanraw bik siam chhuah a awm bawk.
- Lamaze Method: Hei hian nau neih hi thil awmdan pangngai, hrisel tak a ni tih ring tur leh rin dan tur a zirtir che a ni. Hetiang method hian thawk lak leh chawlh hahdamna exercise hmangin natna a tihziaawm thei a ni . Tin, support person (i pasal emaw i nu emaw) massage pe tur leh distraction hmang turin a zirtir bawk.
- Bradley Method: Hei hian mi dang (a tam zawkah chuan naupang pa) "birth coach" anga che a huam a ni. Hetiang method hian damdawi engmah hmang lovin nau neihpui turin a fuih che a , a tul tak tak loh chuan. Class-ah hian ei leh in, exercise, mindfulness, leh thawk dan te an zir nasa hle. Mahse, nau neih laiin harsatna awm thei te chu a buaipui lo tlangpui. Chuvangin, hengte hi doctor nen inbia a, inpeih reng a tha.
Ngaihtuah teh, nu thenkhat chuan an naupai laia hla an ngaihthlak lai te, emaw, an pasal lo kal a, an hnungzang massage tlem a pek lai te khan hahdamna nasa tak an nei tih an sawi. Heng ang thil awlsam tak takte pawh hian a pui thei che a ni.
Kawng awlsam tlemte:
- Tlemte chuan kea kal rawh
- Hmun nuam takah a inthlak
- Tui lum hmanga sil emaw, inbual emaw
- Hla thlamuanthlak tak tak ngaihthlak
Natna tihreh nan damdawi hman tur
A châng chuan a natna chu tuar harsa tak a ni thei. Chutiang hunah chuan damdawi lam hmanrua a\anga \anpuina dil chu thil dik lo a awm lo. Damdawi chi hnih a awm ber a . Heng pahnih inthlauhna hi i hre hmasa phawt ang u.
| Ruihhlo chi hrang hrang | A hnathawh dan |
|---|---|
| Natna tihdamna damdawi | Hengte hian natna a tiziaawm ang a, mahse hriatna i hloh vek dawn lo. |
| Anesthetics hmanga tihdam theih a ni | Chungte chuan hriatna zawng zawng a ti bo vek a, natna (i.e., numb the area) te pawh a ti bo vek a ni. |
Tunah hian nau neih laia natna tidamtu leh anesthesia hman dan tlangpui thenkhat han thlir ila.
Epidural Block a ni
Hei hi Sri Lanka bakah khawvel pumah nau neih laia natna control nana hmanraw hman lar ber leh hman tlanglawn ber a ni. Mi tam tak chuan "epidural" an ti mai mai a ni.
- Engtin nge pek a nih?: He damdawi hi i ruhro chhehvel epidural space-ah, i hnungzang hnuai lamah inject a ni.
- Eng chen nge hnathawh a ngaih?: Minute 10-20 chhungin a natna chu a reh ang.
- A thatna: A thatna lian ber chu natna a reh tawh pawhin i hriat reng theih hi a ni. Vaginal birth leh Caesarean Section/C-section atan pawh hman a ni.
- Side Effects : Engkim ang bawkin side effect tenau te pawh a awm thei. Mahse hengte hi a pawi lo tlangpui.
- I thisen sang chu a tlahniam nghal mai thei . Hei hian naute heart rate a ti tlahniam deuh thei a, mahse medical team-in an enfiah reng avangin ngaihtuahawm tur a awm lo.
- Zun theihna a nghawng thei a, chuvangin catheter dah a ngai mai thei.
- Khawsik i nei thei.
- Vun chu a na thei hle.
- A tlem hle a, nau neih hnu ni engemaw zat hnuah lu na nasa tak a awm thei.
Spinal Block a ni
Hei pawh hi ruhro chhunga injection a ni a, mahse epidural nen chuan a danglam deuh hlek.
- C-section surgery hmaa hman fo thin.
- Injection pek a nih hnuah minute tlemte chhungin a natna chu a reh ta .
- Mahse a nghawng chu hun rei lote chhung chauh a awm a, darkar 1-2 vel a ni.
- Side effects hi epidural hmanga tih ang chiah a ni.
Spinal-Epidural (CSE) Block inzawmkhawm a ni
Hetiang method hian a chunga kan sawi tak method pahnih thatna hi a thlunzawm a ni. Natna tihziaawmna rang zawk leh natna thunun rei zawk a pe bawk. "Walking epidural" an ti bawk a, a chhan chu a chang chuan i dawn hnuah tlem i kal thei mai thei a, mi pakhat puihnain.
Natna tidamtu dang
Hengte hi a chunga kan sawi ang hian hman a ni lo.
- Tranquilizers: Hengte hi taksa ruh chhunga injection emaw, saline solution (intravenous - IV) hmanga pek thin a ni. Chûngte chuan natna chu a ti bo vek lo va, rilru lam hlauhna leh lungkhamna a tiziaawm thei a, a ti thlamuang thei bawk. Mutthilhna an thlen thei a ni. Chûngte chuan i naute chu a pian hunah tlem a muhil theih nân a ṭanpui thei a ni.
- Narcotics/Opioids: Hengte hi saline hmanga pek thin natna tidamtu chak tak an ni bawk. Minute tlemte chhungin hna an thawk tan a, darkar engemaw zat an daih. Amaherawhchu, nang leh i naute tan thawk harsatna a thlen thei a, chuvangin doctor ten fimkhur takin an pe thin.
- Pudendal Block: Hei hi injection a ni a, vagina leh anus (perineum) inkar chauh a numb thin. Tunlai hian he method hi hman a la tam lo hle.
Eng method nge ka thlan ang? Doctor nen inbia rawh!
Option tam tak a awm avangin, "Eng nge ka tan a tha?"
A pawimawh ber chu mahni chauha thutlukna siam ai chuan, i doctor nen zalen taka inbiakna neih hi a ni. I naupai laiin clinic i kal hunah i doctor nen sawiho thin ang che.
I hlauhthawn zawng zawng, i duhzawng zawng zawng, i hriselna dinhmun (natna dang i neih chuan) hrilh vek rawh. I doctor chuan i tana hmanraw tha ber thlang turin a pui ang che.
Thil dang hriat reng tur chu nau neih dan tur ruahmanna i nei a nih pawhin nau neih hi engtik lai pawha danglam thei thil a ni. I beisei aia hrehawm zawk a ni thei a, emergency a lo awm thei bawk. Chuvangin ruahmanna siam la, mahse a tul chuan thlak danglam thei turin insiamrem thiam rawh. Chu chu thil fing ber a ni.
Take-Home Thuchah a ni
- Nau neihnaah hian cramping hi thil pangngai tak a ni. Mi tin a inang lo. Lungngai suh.
- Natna tihreh nan damdawi hmang lo (thraw exercise, massage) bakah damdawi hmanga siam (epidural ang chi) pawh a awm nual.
- Epidurals hi mi tam takin an hman dan him leh tangkai tak a ni a, mahse side effect tenau te a thlen thei tih erawh hre reng ang che.
- A pawimawh ber: Naute i neih hmain prenatal clinic-ah i duhthlan tur zawng zawng, i hlauhthawn zawng zawng leh i duh zawng zawngte chu i doctor nen inbiakna neihpui hmasa phawt ang che.
- Ruahmanna neih chu a tha a, mahse nau neih laiin a tul chuan chu ruahmanna chu thlak danglam turin rilru lamah inpeih rawh.
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