Naupai i nih chuan i beiseina lian ber chu i pian hun hunah naute hrisel, puitling tak hrisel hi a ni. Mahse, a châng chuan, i naute chu a hma deuh a, i nau neih hun hma kar engemaw zât hmain lo kal tûrin a inpeih tawh a ni. Hei hi premature labor (preterm labor) kan tih chu a ni a, chu chu i taksain nau neih hun tur kar 3 aia tam a inbuatsaih hian a ni.
Hei hi a hlauhawm deuhin a ri mai thei. Mahse chanchin lawmawm tak chu tunlai damdawi lam thiamna lama hmasawnna avang hian hetiang chi nau piang hma hi tihkhawtlai turin doctor-te hian thil tam tak an ti thei a ni. I naute chu i pum chhunga a seilian ni tin hi a hmalam hun hrisel atan a pawimawh hle tih hre reng ang che.
Hetiang natna vei theihna tipungtu thilte chu engte nge ni?
Nau piang hmasa ber thlen thei thil engemaw zat a awm. Eng nge an nih i han thlir teh ang. Ṭhenkhat chu kan thunun theih thil a ni a, ṭhenkhat chu kan thunun theih loh thil a ni.
| Risk factor chi hrang hrang | Hrilhfiahna |
|---|---|
| Nunphung nena inzawm thil |
|
| Damdawi lam leh naupai kaihhnawih thil | |
| Kum |
Warning signs i hriat ngei ngei tur!
Nau neih hmaa nau neih loh nan warning signs te hi i hriat chian a ngai a ni. Hmanhmawh taka thiltih hian danglamna nasa tak a thlen thei a ni. A hnuaia symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh.
| Symptom a ni | Chumi chungchanga i hriat tur chu |
|---|---|
| Hnung lam natna | Pum hnuai lam natna a ni fo. Constant emaw, lo kal leh kal emaw pawh a ni thei. He natna hi i dinhmun thlak danglam emaw, thil nuam tak i tih emaw pawhin a reh lo. |
| Contraction hrang hrang a awm | Pum chhunga tight leh loosening tih hriatna chu a rang leh na zual zel a, minute 10 emaw a aia rei lo emaw a ni. |
| Pum natna | Menstrual cramps a awm thin. I pum chu gas a khat ang maiin i inhria thei a, chu chu ril\amna nen a inzawm thei bawk. |
| Vaginal atanga chhuak | Tui ang chi tui (tui bag ruptured a ni thei) a leak chhuak. |
| Khawsik natna lan chhuah dan | Symptoms te chu luak chhuak, luak chhuak, luak chhuak te hi a ni. Minor pawh nise doctor hnenah hrilh rawh. Darkar 8 aia rei liquid engmah i dah theih loh chuan doctor pan ngei ngei tur a ni. |
| Vagina emaw pelvis emaw a pressure a sang | Thil pakhatin a press down ang maia inhriatna. |
| Vaginal discharge emaw thisen chhuah tam zawk | Vaginal discharge (tui, mucousy, thisen chhuak) inthlak danglamna emaw, thisen chhuak tlem emaw pawh ni thei. |
Chung zinga ṭhenkhat chu naupai laia hnungzang natna pangngai ang chi thilte nen chuan thliar hran a harsa thei hle. Mahse, rinhlelhna tlemte pawh i neih chuan i Doctor nen inbiakna neih hreh suh. A him ber a ni.
Engtin nge contractions a lo awm leh awm loh ka check ang?
Cervix check hi preterm labor hriat theihna kawng lian ber pakhat a ni.
1. I kut zungtang chu i pum chungah dah la.
2. Nausen pum chu a tight ang maia a hriat a, a loose leh leh a nih chuan chu chu contraction a ni.
3. A hun chu record rawh. Contraction pakhat a intan hun leh a dawta a intan hun chu ziak rawh.
4. Contractions te chu tihtawp tum ang che. I ding a nih chuan thu la, mu la. Hmun hrang hrang thlak danglam. Relax tha rawh. Tui glass hnih thum emaw in tur a ni.
5. Doctor call nghal rawh! Minute 10 emaw a aia rei emaw danah contraction a lo thleng a nih chuan, symptoms a na zual a nih chuan, emaw, natna nasa tak, awm reng i neih chuan doctor ko nghal rawh.
Hriat reng tur chu, hmeichhe tam tak chuan harsatna awm lo, dik lo tak, Braxton Hicks contractions tih hming pu contraction an nei thin. Chûngte chu a tlangpuiin a inmil lo va, hmun hrang hrangah a awm a, i dinhmun i thlak emaw, i chawlh emaw chuan a tawp ṭhin. Eng ang contraction nge i neih tih i hriat chian loh chuan doctor thurawn la ngei ang che.
Damdawi inah ka kal a ngai a nih chuan eng nge thleng ang?
I doctor chuan preterm labor-a i awm nia a hriat chuan damdawi inah dah a ngai mai thei. Damdawi in i kal hunah doctor, nurse emaw chhungkaw hriselna lama thawktu emaw chuan a hnuaia mite hi a ti ang:
- I medical history zawt rawh.
- I pulse, thisen sang leh temperature te an check ang.
- I pum chungah monitor dah a ni ang a, chu chuan naute thinlung thawk dan leh i contraction te a enfiah ang.
- Cervix a inhawng em tih a enfiah thin.
- Fetal Fibronectin tih test atan swab lak theih a ni a, chu chuan nau piang hmaa nau neih theihna tur a hrilh thei a ni.
- Urine emaw cervix atanga sample lak te chu infection a awm leh awm loh enfiah thin a ni.
Nau neih hmaa nau neih nia hriat i nih chuan heng enkawlnate hi pek i ni thei ang:
- IV tui (saline) pek chhuah .
- Nausen pum tih hahdamna tur leh nau neih tihtawp nan damdawi pek
- Naute lung a than chak zawkna tur damdawi pek (hei hi a pawimawh hle) .
- Antibiotics pek chhuah
- Damdawi ina dah leh enkawl
Contractions te hi tihtawp theih a nih loh chuan doctor chuan naute hrin turin a inbuatsaih ang. Tin, uterus emaw amniotic fluid-a infection, preeclampsia na tak, placenta previa avanga thisen chhuak nasa tak, placental abruption ang chi te pawhin naute hi nau neih hma tura thutlukna siam theih a ni bawk.
Naute chu a hun hmaa piang a nih chuan eng nge thleng a, in lama enkawl dan tur?
Nausen piang hmasa tam zawk hi hun kal zelah naute dang ang bawkin an thang lian a, mahse enkawlna bik an mamawh a ni.
Nausen piang hmasa te chu damdawi in NICU (Neonatal Intensive Care Unit) -ah specialist care hnuaiah ni engemaw zat emaw, kar engemaw zat emaw an awm tlangpui. In i thlen hnuah pawh heng thilte hi i la fimkhur hle a ngai a ni.
| Area of concern | I tih tur chu |
|---|---|
| Nursing lam a ni | Nausen piang hmasa te chuan bawnghnute an in thin. Chuvangin chaw pek fo thin ang che (darkar 3-4 danah). I naute chuan hnute a in duh loh chuan i doctor hnenah hrilh rawh . |
| Mu | He naute hi a muhil nasa hle. Chaw pek lai pawhin a muhil thei. Chuvangin chaw pek hun dik takah kaitho rawh. A mut lai hian a hnungzang chungah nghat fo ang che. |
| Thâwk chhuah | Thâwk harsa i neih chuan doctor ko nghal la, a nih loh leh damdawi in hnai ber ETU (Emergency Treatment Unit) -ah hruai rawh . |
| Taksa lum leh vawt | Heng naute hian taksa thau an neih tlem avangin an taksa lum leh vawt tihreh a harsa hle. Khaw lum lakah venghim rawh. Room lum takah dah la. Thlasik atan layer in inchei rawh. |
| Jaundice a awm | I naute vun emaw mit emaw a sen chuan jaundice chhinchhiahna a ni thei. Damdawi in chhuahsan hmain hei hi enfiah hmasa phawt ang che. In lama symptom i hmuh chuan doctor hnenah hrilh rawh. |
| Infection awm thei te | Nausen piang hmasa te hian immune system chak lo tak an nei a, hei vang hian natna hrik kai awlsam zawk an ni. Khawsik leh thawk harsa ang chi symptoms te chu fimkhur hle ang che. |
Take-Home Thuchah a ni
- Premature labor chu nau neih hun tur hma kar 3 aia tam a nau neih tan a ni.
- Vaukhânna chhinchhiahnate chu hnungzang na, minute 10 danah contraction lo awm, vaginal discharge emaw thisen chhuah emaw ang chite chu fimkhur reng ang che. Ringhlel i neih chuan doctor ko nghal rawh.
- Nau neih hmaa enkawlna tha tak neih te, zu in loh te, leh nunphung hrisel tak neih te hian a hlauhawmna a tihziaawm thei a ni.
- I natna (contraction) i hriatte hi a tak tak nge a lem (Braxton Hicks) i hriat chian loh chuan damdawi lam thurawn lak hi a finthlak fo ang.
- Nausen chu a hun hmaa piang ni mah se, tunlai damdawi hmanraw changkang tak tak (a bik takin NICU) nen chuan hrisel leh hlim taka seilian theihna chance tha tak an nei a ni. Hlau suh, i doctor thurawn zawm mai rawh.
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