I nau neih hun hmaa naute neih theihna hlauhawm tak i nei bawk em? (Preterm Labour) Hei hi i fimkhur ang u!

Naute i beisei a nih chuan tunlai hian hlauhna tlem bakah hlimna i nei ve tho a ni mai thei, a dik em? Engkim a kal tha ang em tih leh naute chu hrisel takin a piang ang em tih ngaihtuah hi thil pangngai tak a ni. Chutih lai chuan a chang chuan, "Aw, naute chu a due date hmain a lo awm tawh!" Chuvangin vawiin hian he nau neih hun tur hmaa inbuatsaih dan hi han sawi ila , emaw doctor-te’n an tih angin , `(Preterm Labor)` . Eng nge a nih tak tak, engvangin nge a lo awm tih, kan veng thei ang em, a lo thleng a nih chuan eng nge kan tih ang tih te chu thu awlsam takin sawi ila.

Preterm Labour chu eng nge ni?

A awlsam zawngin `(Preterm Labour)` tih awmzia chu i taksain naupai kar 37-na hmaa nau neih tur a inbuatsaih tihna a ni. Naupai hrisel tak chu kar 40 vel a ni tlangpui. Kar 37 a ral chuan "at term" i ni tih kan sawi thin. Chumi hma, chu chu kar 37 hmaa , nau neih chhinchhiahna i lan tan chuan, chu chu `(Preterm Labour)` a ni.

Labour chu i taksain i naute lo thlen hun atana a inbuatsaih dan a ni. Hei hian i nausen pum ruhte tihkhauh leh tih hahdam (contractions) leh i membrane rupture (rupture of membranes) te a huam a ni. Preterm labor-ah chuan i nausen hnuai lam, cervix tia koh chu a tlangpui aia hmain a inhawng (or dilate) tan thei a ni.

Ngaihtuah teh, Nalini hian a naute pahnihna a neih dawn lai khan thla 7-na vel khan a pum na te te a nei tan a. Doctor-in a enfiah chuan a serh chu a zau deuh tih a hmuchhuak a. Hei hi chutiang chu a ni.

Mahse hei hian naute chu a hun hmain a piang dawn tihna a ni lo. A châng chuan doctor-te chuan nau neih chu an titawp thei a, naute chu nu pum chhungah ni engemaw zat an lo seilian leh thei bawk. Hei hi bed rest , intravenous fluids (IV fluids) , leh uterus tih hahdamna damdawi hmanga tih theih a ni.

Tin, a then phei chuan naute emaw, nu emaw nena inzawm damdawi lam thil avang hian doctor-te chuan naute hi nau neih hmasak an rel thin. Entirnan, naupai laiin thisen sang (`Preeclampsia`), nausen (placental abruption) ang chi natna, emaw, naute a thang tha lo (`Fetal growth restriction`) a awm chuan.

Nau piang hmasa chu eng nge ni? (Nau piang hmasa chu eng nge ni?)

Premature birth, a nih loh leh preterm birth tih hi nausen naupai kar 37-na hmaa a pian hi a ni. Hetianga naute piang hma hian hriselna lama harsatna engemaw zat an nei thei a, chu chu thawk harsatna leh nau piang rihna hniam te hi a ni. Chuvang chuan naute chu a rei thei ang bera nu pum chhunga awm reng turin theihtawp chhuah a ni.

Eng thilin nge preterm labor a tichhuak?

Preterm labor chhan dik tak sawi a harsa khawp mai. A thlentu tur thil engemaw zat a awm a . Ṭhenkhat chu i damdawi lam chanchin, naupai hmasa leh i nunphung nena inzawm a ni. Mahse mak tak mai chu a chang chuan risk factor nei lote hian he natna hi an nei thei thin.

Preterm labor hi tihtawp theih a ni em?

A châng chuan a ti thei a, mahse a tam zâwk chu hun eng emaw chen chauh a ni . Preterm labor i neih chuan i doctor chuan nau neih tihtawp emaw, tihkhawtlai emaw nan damdawi a pe thei che a ni. Heng damdawi te hian a titawp vek dawn lo nain, i naute chu a pian hma chuan a lung leh taksa peng dangte chu tlem a lo thanglian theih nan a pui thei a ni.

Nang pawhin heng symptoms te hi i nei ve em? Fimkhur rawh! (Engtin nge preterm labor i nei tih i hriat?)

Nau neih hmaa nau neih chhinchhiahna hriat a pawimawh. A hnuaia symptoms te hi i neih a, darkar khat chhunga a lo tha lo a nih chuan emaw, a natna a nasat leh a awm reng chuan doctor ko nghal rawh.

• Darkar khat chhungin vawi li emaw a aia tam emaw uterus a contract leh a relax a nih chuan (constriction) , leh position thlak emaw chawlh emaw hnuah a tlahniam lo a nih chuan.
• I hnungzang hnuai lam a tight emaw, a na emaw a lo awm fo a nih chuan, emaw, a awm reng a nih chuan (position i thlak emaw, hmun nuam taka i awm lai emaw pawhin).
• Pum hnuai lam a cramp, gas-a khat pum ang chi (diarrhea nen a awm thei a, a awm lo thei bawk).
• I vagina emaw pelvis emaw ah pressure nasa lutuk i neih chuan.
• Pum natna awm reng, thlasik nena lo awm ang chi.
• Vaginal discharge a pung a nih chuan, emaw, a thin, pink discharge a awm chuan.
• Vagina atanga tui ang chi a luang chhuak a nih chuan hei hi amniotic fluid a ni thei .
• Vaginal bleeding a awm chuan.
• Fever ang chi symptoms, rilru hahna leh luak chhuak ang chi thil tihna a ni.
• Naute chetna tlahniam (naute chu darkar khat chhungin vawi ruk tal a che lo a nih chuan).

A pawimawh ber chu heng symptoms te hi i neih emaw, rinhlelhna i neih emaw chuan doctor thurawn lak nghal hi a ni. Mahni chauhin thutlukna siam suh!

Engtin nge contractions a awm leh awm loh ka check ang?

A châng chuan contraction tak tak i nei lo mai thei a, contraction dik lo, Braxton Hicks contractions tia koh, i taksain nau a pai thiamna kawng khat a ni zawk. Contraction tak tak chu a hnaih zawk a, a na zawk bawk. I chawlh emaw, dinhmun i thlak emaw pawhin an ding lo. I thil hriat chu contraction tak tak a nih leh nih loh i hriat chian loh chuan i doctor nen inbia ngei ang che.

Naute neih hmaa risk factors awmte chu engte nge ni? (Eng thilin nge nau neih hmaa nau neih chhan?)

Preterm labor a awm theihna chhan tam tak a awm. Thenkhat chu kan thunun thei a, a then chu kan thunun thei lo bawk.

Risk factor lian pathum, nghawng nei lian ber:

• Tun hmain nau piang hmasa i lo nei tawh a nih chuan .
• Twins, triplets emaw a aia tam emaw i naupai chuan .
• I nausen pum, i serh, a nih loh leh i vagina-ah harsatna i nei a, i nei tawh a nih chuan .

Naupai nena inzawm risk factors: 1.1.

• Naupai chhung zawng khan vaginal bleeding a awm a nih chuan.
• ``(IVF)`` (in vitro fertilization) ang chi hmanga naupai i nih chuan .
• Nausen pum chhunga naute hian pianpui chak lohna a nei tih rinhlelhna a awm chuan .
• Naupai pakhat leh naupai dang inkar hun a rei lo a nih chuan (entir nan, thla 12-18 aia rei lovah naupai leh tur).

Kum leh hnam nena inzawm risk factors:

• Kum 17 hnuai lam emaw kum 35 aia upa emaw i nih chuan .
• Zirna thenkhatah chuan he natna hi hnam thenkhat zingah a tam zawk tih a lang (hei hi scientific observation mai a ni a, mi zawng zawng tan chuan a awm lo).

Nunphung nena inzawm risk factors: 1.1.

• Nau neih hmaa enkawlna awm loh.
• Naupai hmaa taksa rihna tihtlem emaw tihpun emaw .
• Naupai laiin taksa rihna a tipung tawk lo .
• Ei leh in hrisel lo zawm .
• Meizial zu, zu in, a nih loh leh dan loa ruihhlo hman .
• Taksa lama harsatna nei hna neih (ni khatah darkar tam tak ding, emaw darkar tam tak hnathawh).
• Stress nasa tak emaw lungkhamna emaw hnuaia awm .
• Naute tana chhiatna thlen thei thil (teratogens), chemical tha lo, lead, leh radiation te nena inzawmna .

Damdawi lam thil avanga risk factor lo awm thei te:

• Vaginal infection enkawl loh (e.g., urinary tract infection (UTIs), mipat hmeichhiatna hmanga kai theih natna (STIs), emaw uterine emaw vaginal infection dang emaw).
• Connective tissue disorder ang chi dinhmun, entirnan Ehlers-Danlos syndrome (EDS) .
• Placental harsatna, placental abruption emaw placenta previa emaw ang chi te .
• Amniotic fluid (`Polyhydramnios`) emaw, hnute tui (`Oligohydramnios`) emaw .
• Cervix tawi emaw, nausen pianzia mumal lo (e.g., septate uterus emaw bicornuate uterus emaw).
• A hmain cervix emaw uterus emaw surgery nei tawh .
• Damdawi lam harsatna i nei a, chu chu zunthlum, thisen sang, a nih loh leh thisen zam natna te hi a ni .
• ``Intrahepatic cholestasis of pregnancy (ICP)'' tih natna nei, naupai laiin thin natna a awm.

Engtin nge doctor hian hei hi a hriat chian? (Engtin nge preterm labor hi an hriat theih?)

I doctor chuan a bul berah chuan i serh (cervix) chu preterm labor i neih leh neih loh a enfiah ang. I cervix chu effaced leh dilated a nih chuan preterm labor-ah i awm mai thei. He internal examination bakah hian i doctor pawhin:

• Ultrasound scan: Hei hian naute lian leh te, nausen pum chhunga a awmna leh nausen emaw, amniotic fluid emaw-ah harsatna a awm leh awm loh a enfiah thei a ni.
• Monitor contractions: I contractions pattern tehna machine nen i inzawm thei bawk.
• Fetal fibronectin test: I vaginal fluid sample lak a, fetal fibronectin tih protein a awm leh awm loh enfiah a ni. Hei hi protein a ni a, amniotic sac chu uterus-ah a innghat tlat a ni. Vaginal fluid-a a awm hian nau neih tan a ni thei tihna a ni.

Hemi atan hian doctor-te hian eng nge an tih? / Enkawlnate chu engte nge ni? (Engtin nge doctor-te hian preterm labor an enkawl?)

Preterm labor i neih chuan i contractions tihziaawm emaw, tihtawp emaw nan damdawi i mamawh mai thei. Contraction te hi a hla lutuk a, tihtawp theih a nih loh chuan i doctor chuan i naute chu a hrin hma a ngai mai thei. Tin, i naute chu a hun hmaa a pian chuan a lung leh taksa peng dangte tihhmasawn pui thei damdawi a awm bawk. I doctor chuan a hnuaia mite hi a ngaihtuah ang:

• Kar engzat nge i naupai?
• Nausen piang hi a him em ?
• I nau pai hmasak chhan chu eng nge ni (e.g., damdawi lam harsatna, nausen natna, natna hrik kai).

Nau neih hmaa nau neih nan eng damdawi nge hman thin?

Damdawi hman tum ber chu nau neihna kal zel tur tihtawp a, naute chu a theih ang anga rei tak chhung chu nausen pum chhunga a lo thanglian theihna tura phalsak hi a ni. `(Preterm Labour)` atana damdawi chi hrang hrang hman berte chu:

• Tocolytics: Heng damdawi te hian darkar 48 thleng nau neih a titawp thei a, nau piang hmaa nau neih pawh a tikhawtlai thei bawk. Nau neih a tlai hnuah i doctor chuan magnesium sulfate emaw corticosteroid emaw a pe thei che a ni . Hemi chhung hian Neonatal Intensive Care Unit (NICU) nei damdawi inah pawh sawn theih i ni bawk.
• Magnesium sulfate: Hei hi thisen kal tlanga pek thin damdawi a ni. Naute cerebral palsy leh movement disorder awm theihna tur a tihziaawm thei a ni. Naupai kar 32 hnuai lam leh darkar 24 chhunga nau neih theihna a awm chuan pek thin a ni.
• Corticosteroids: Heng steroid te hian naute chu a pian hmain a lung, chaw ei leh a thluak te a ti thang lian thin. A tlangpuiin naupai kar 24 atanga kar 34 inkarah pek thin a ni.

Nau piang hmasa i lo neih tawh chuan i nau neih dan tur doctor chuan nau neih hmaa nau neih loh nan damdawi i pe thei ang. A tam ber chu progesterone a ni . Hei hian progesterone suppository (pill ang chi) chu vagina chhungah dah a huam a ni. A then phei chuan i doctor chuan cervical cerclage an tih pawh a rawt thei bawk. Hei hian serh (cervix) chu a inhawng loh nan a khar (sewing) a ni .

Nau neih hma lutuk lo turin eng nge kan tih theih ang? (Engtin nge nau neih hmaa ka luh loh theih ang?)

Nau neih hmaa nau neih hi pumpelh vek chu harsa tak ni mah se, nau neih hmaa nau neih theihna tihziaawmna turin thil engemaw zat kan tih theih a awm a:

• Meizial zu te, zu in te, ruihhlo hmansual te, damdawi hmansual te pumpelh rawh.
• Naupai hmain taksa rihna hrisel takah awm la , naupai laiin taksa rihna tling tak nei rawh.
• Chaw hrisel ei la, doctor-in a rawtna prenatal vitamins ei bawk ang che.
• I stress tihziaawmna tur emaw, enkawl dan tur emaw zawng rawh. Active takin awm la, kea kal la, lehkhabu chhiar la, nitin chawlh hahdamna hun hmang rawh.
• Prenatal clinic zawng zawngah kal vek tur a ni. Ha enkawltu hmu la, i ha tifai rawh. I hmui hriselna leh `(Preterm Labour)` inzawmna a awm.
• Damdawi lam harsatna i neih zawng zawng, thisen sang (hypertension), naupai laia zunthlum (naupai laia zunthlum), lungngaihna, emaw, vaginal infection emaw te chu enkawl la, enkawl rawh.
• Naupai inkarah thla 12 atanga thla 18 tal inthlauhna nei tur a ni.

Engtikah nge doctor i hmuh ngei ang? (Engtikah nge nau neih hmaa nau neih chungchangah i healthcare provider i biak tur?)

A hnuaia nau neih hmaa chhinchhiahna i neih chuan i doctor hnenah hriattir nghal rawh:

• Vaginal discharge pangngai lo (fluid leakage) emaw thisen chhuak emaw.
• Nausea emaw, pum na emaw (diarrhea awm emaw nei lo emaw).
• Lower back natna awm reng.
• Pelvic cavity emaw pum chhunga pressure awm tih hriat.
• "I tui a chhe vek."

Take-Home Thuchah hnuhnung ber

Preterm labor, a nih loh leh premature labor hian i naute chu a hun hmain a piang thei a ni. Chuvangin, i rilru natna, i vaginal discharge pung, thisen chhuah, emaw pelvic pain ang chi symptom i neih chuan doctor ko nghal rawh. Vanneihthlak takin i doctor-in i cramping enkawl dan tur a tih theih tur a awm. I naute chu i pum chhunga a awm rei poh leh hriselna lama harsatna a neih a tlem phah thin. Twins i pai emaw, a hmaa nau neih hma emaw, nau piang hma emaw i neih chuan i hlauhawmna a sang deuh mai thei.

Preterm labor venna kawng tha ber chu i naupai chhung zawngin hrisel taka awm a, i hriselna dinhmun uluk taka enkawl hi a ni. Doctor nen inbia fo la, an thurawn zawm rawh. Hlauthawng suh, a pawimawh ber chu hriattirna hi a ni!

` nau neih hma, nau neih hma, naupai, nau neih, naute, hriselna, nau neih