Nau piang hmasa i nei em? Hengte hi i hria ang u! (Preterm Naupai) 1.1.

Naupai hi nu tin nunah chuan hun bik tak a ni. Mahse, hlauhna leh rinhlelhna engemaw zat neih hi thil pangngai a ni bawk. I rilru a hlauhthawn ber chu, "Naute ka neih hun tur hmaa ka neih chuan engtin nge ni ang?" Chu chu vawiina kan sawi tum chu a ni. Damdawi lamah chuan hei hi ‘preterm labor’ emaw, premature birth emaw kan ti thin. Ngaihtuah buai suh, hei hi i hriat chian chuan kan doctor te hian a tam zawkah chuan he dinhmun hi an thunun thei a ni.

A awlsam zawngin, preterm labor chu i taksain i due date hma kar 3 emaw a aia rei emaw chhunga nau neih tura a inbuatsaih tan hi a ni. Naute chu a pum chhunga a awm rei poh leh a pian hnuah harsatna a nei tlem zawk thin. Chuvang chuan hemi chungchang hi hriat a pawimawh em em a ni.

Hei hi eng risk factors nge a nghawng?

Nau piang hmasa ber thlen thei thil engemaw zat a awm. Ṭhenkhat chu kan thunun thei a, ṭhenkhat chu kan thunun thei lo. Risk factor lian ber berte hi han thlir ila.

Heng symptoms te hi fimkhur rawh!

Nau neih hmaa nau neih loh nan, early warning signs hriat a pawimawh . Ringhlelna tlemte pawha thil tih vat chuan danglamna nasa tak a thlen thei a ni. Hetiang thil hi i hriat chuan , i doctor ko nghal rawh.

Engtin nge contractions a lo thlen dawn tih chiang takin i hriat theih ang?

‘Contractions’ hi nau neih chhinchhiahna ber pakhat a ni. Hei hi dik taka hriat a pawimawh.

1. I kut zungtang chu i pum chungah dah rawh .

2. Nausen pum chu a tight ang tih a hriat a, a lo loose leh leh ang tih en rawh. Chu chu ‘contraction’ an tih chu a ni.

3. A hun chu record rawh. Natna intan hun leh a hnua a natna intan hun chu ziak rawh.

4. Natna tihtawp tum ang che. Khumah awm rawh. Hmun hrang hrang thlak . Relax tha rawh. Tui glass hnih thum emaw in tur a ni.

5. Minute 10 danah emaw a aia tam emaw a natna a lo awm a nih chuan, a natna lan chhuah dan a zual chuan doctor ko nghal tur a ni.

Mahse, hmeichhe naupai tam tak chuan harsatna nei lo, ‘Braxton Hicks Contractions’ an tih chu an nei thin tih hre reng ang che. Chûngte chu vawi khatah an lo thleng vek lo va, tlem an kal emaw, chawlh hahdam emaw hnuah an kal bo ṭhîn. Eng ang natna nge i neih tih i hriat chian loh chuan Doctor rawn pan a tha ber.

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 i ni thei. Thil ngaihtuah tur a awm lo. Medical staff te hian a hnuaia mite hi an ti ang:

• I hriselna chanchin kimchang an zawt ang a, a bik takin naupai laia damdawi i ei tawh zawng zawngte an zawt ang.
• I pulse, thisen sang leh temperature te an check ang.
• I pum chhungah monitor dah a ni ang a, chu chuan i naute thinlung thawk dan leh i contraction awm dan tur a enfiah ang .
• ‘Fetal Fibronectin’ tih test hmangin nau neih hmaa nau neih a hlauhawm leh awm loh enfiah theih a ni.
• Infection a awm leh awm loh enfiah nan zun test emaw, serh atanga sample lak emaw a ni ang.
• Cervix a inhawng em tih an enfiah thin.

Preterm labor tih finfiah a nih chuan a hnuaia enkawlnate hi pek i ni thei ang:

• Saline (IV fluids) pek a ni.
• Nausen pum tih hahdamna tur leh natna tihtawp nan damdawi pek.
• Naute chu naute lung a lo thanglian chak zawk theih nan damdawi bik (steroids) pek .
• Antibiotics pek chhuah.

A \henah chuan a natna chu a thunun theih loh chuan doctor-te chuan nausen hrin an rel thei a ni. Tin, nuin preeclampsia na tak ang chi natna a neih chuan, naute a dam loh chuan, emaw, nausen (placenta previa/abruption)-ah harsatna a awm a nih chuan naute chu a hmaa nau neih a ngai mai thei bawk.

Hun hmaa nau neih hi ven theih a ni em?

A ven kim thei lo mah se, a hlauhawmna tihziaawmna tur thil kan tih theih a awm.

• Nau neih hmaa enkawlna tha tak dawng rawh: Clinic dik takah kal a pawimawh. Doctor chuan i risk factors te chu a hmuchhuak ang a, a tul angin thurawn a pe ang che.
• Stress tihtlem: Nitin hun engemaw chen hmang la, ngawi reng rawh. I mamawh chuan i chhungte hnenah tanpuina dil rawh.
• I hmui hriselna enkawl rawh: Research chuan ha natna leh nau piang hma hi inzawmna a nei tih hmuhchhuah a ni. Chuvangin ni khatah vawi hnih ha sil thin ang che.
• Thiltih \ha lo pumpelh rawh: Meizial i zuk chuan bansan rawh. Zu leh ruihhlo hi pumpelh vek tur a ni.

A châng chuan doctor-te chuan transvaginal ultrasound bik hmangin sei zawng tehna hmangin a hlauhawmna an teh ṭhin. Hmeichhia serh tawi nei tan chuan nau neih hmaa nau neih loh nan hormone progesterone pek hi nau neih hmaa nau neih lohna tur kawng tha tak a ni bawk.

Naute hi a pian hma chuan eng nge thleng ang?

Hei hi nu tam takin an hlauh em em a ni. Mahse thudik tak chu, naute hun hmaa piang tam zawk hi a tawpah chuan an lo seilian a, an term-a piang naute ang bawkin an hrisel leh tha hle.

Mahse, naute piang hma chuan hriselna lama harsatna engemaw zat an tawk thin. Hei hi naute pian kar a zirin a danglam thei.

• NICU (Neonatal Intensive Care Unit) Enkawlna: Naute piang hmasa berte chu special care unit (NICU)-ah an awm a ngai a, chutah chuan a tul anga lumna, ei leh in leh damdawi lam enkawlna an dawng thin.
• Nutrition: Nausen piang hmasa tan chuan vawi khatah bawnghnute tam tak pek a harsa a, chuvangin chaw pek fo a ngai a, darkar 3-4 danah vel.
• Thâwk lak: Nausen ṭhenkhat chuan thawk harsa an ti thei. I naute hian thawk a harsat tih i hriat chuan i doctor ko nghal la, a nih loh leh ETU (Emergency Treatment Unit)-ah hruai rawh.
• Jaundice natna: 1.1.I naute vun emaw mit emaw a sen chuan jaundice chhinchhiahna a ni thei. Hei hian thisen atanga bilirubin tihfai kawngah liver hian harsatna a tawk tihna a ni. Hei hian enkawl vat loh chuan thluak a tichhia thei a, chuvangin damdawi in chhuahsan hmain check out hmasa phawt ang che. In i thlen hnuah pawh heng symptoms te hi lo thlir reng ang che.
• Infection: Nausen piang hmasa te hi immune system a thang kim lo a, chuvangin infection an kai tam zawk. Khawsik leh thawk harsa ang chi symptoms te chu en reng ang che.