Nau piang hmasa i nei em? (Preterm Labour) - Lungngai suh, he thu hi han sawi ila!

Nu naupai i nih chuan i thinlunga beiseina lian ber pakhat chu a hun takah he khawvela naute hrisel tak hrisel hi a ni. Mahse, a châng chuan, beisei loh takin, i nau neih hun hmaa i naute neih chu i hlauthawng deuh mai thei. Hei hi nu tam takin an hriat a ni. Vawiin hian he ‘nau piang hma’ emaw, damdawi lam atanga thlir chuan nau neih hmaa nau neih chungchang hi kan sawi a ni . Hlau suh, a pawimawh ber chu hemi chungchang hi uluk taka hriattir a ni.

Preterm Labour chu eng nge ni?

A awlsam zawngin, naupai zat chu kar 40 vel a ni. Kar 37-na hmaa serh natna (contraction) (pains) leh dilation of the cervix kan neih tan chuan chu chu Preterm Labor kan ti thin.

Hemi chungchanga buaina ber chu hetianga nausen piang taksa peng hrang hrang, a bik takin lung leh thluak te hi a thang kim lo a ni. Hei hian naute hian harsatna chi hrang hrang a neih theihna a tipung a ni. Naupai zinga 10% vel chu nau piang hmasaah a tawp thin. Tin, harsatna lian tham emaw nausen thihna 60% vel chu heng nau piang hmaa nau neih vang a ni.

Naute chu a hun hmaa a pian chuan eng hlauhawm nge a tawh theih ang?

Nau piang hmasa neih hi nu tan chuan thil hlauhawm tak a ni thei. A chhan chu a naute chunga thil thleng tur hlauh vang a ni. Nausen piang hmaa a hmachhawn tur harsatna engemaw zat a awm thei.

• Lung puitling lo: Hei hi harsatna lian ber a ni. Nausen lung a lo thang kim lo a nih chuan amah chauha thawk a harsa dawn a ni. Tichuan naute chu thawk chhuahna tur machine (ventilator)-ah a inzawm a ngai dawn a ni . Hetianga oxygen pek a nih pawhin harsatna dang a awm thei bawk.
• Taksa lumna thunun harsa: Naute hian taksa lumna pangngai a vawng thei lo mai thei. Hei hi hypothermia an ti bawk . Chumi awmzia chu taksa lumna chu hlauhawm takin a tlahniam tihna a ni. Chuvang chuan naute a lum reng theih nan hmanraw bik (incubator) a ngai a ni.
• Suck harsa: A chang chuan naute hnute hnek nana taksa ruh (muscle) mamawh chu a lo thang kim lo. Chutiang a nih chuan liquid food chu thisenah pek emaw, naute chu hnar leh pum atanga tube dah hmanga chaw pek emaw a ngai mai thei.
• Harsatna dang: Chu bakah chuan natna khirh tak tak, thluaka thisen chhuah, meningitis leh sepsis , kal hnathawh lama harsatna leh jaundice te a awm theihna a sang hle.Hetiang dinhmun hi a thleng thei a ni.

Hemi atan hian tu nge hlauhawm zawk?

Nu thenkhat chuan midang aiin he natna hi an nei tam zawk. Heng risk factors te hi eng nge an nih tih hriat nan a hnuaia table hi en la.

Hetiang natna lan chhuah dan hi engte nge ni?

Heng symptoms te hi hriat chian a pawimawh hle a, chuvang chuan rang takin hma i la thei ang.

• Contractions: I nausen pum chu darkar khatah vawi li aia tam lungpui ang maia khauh leh khauh a nih chuan . A châng chuan hei hi a hrehawm lo thei bawk.
• Lower abdominal pain : Backpain emaw, lower abdominal na emaw, thlasik natna ang chi.
• Back pain: A hnungzang hnuai lam natna dull, awm reng.
• Pelvic pressure: Thil pakhatin vagina sir lam a nawr thlak ang maia hriatna.
• Vaginal discharge inthlak danglamna: Vaginal discharge awm zat emaw, a nihna emaw inthlak danglamna, a bik takin tui tui chhuak nghal emaw, zawi zawiin leak emaw a awm.
• Pum na emaw, pum na emaw: A chang chuan, pum na, gastritis- ang chi, emaw, pum na emaw ang chi symptoms te pawh a awm thei bawk.

Engtin nge hei hi i nemnghet theih ang, doctor?

Damdawi in i kal hunah doctor-te chuan test eng emaw zat an nei ang a, preterm labor i nei tak tak em tih an finfiah ang.

1. Monitoring: I pum vel ah hian strap pahnih dah la, naute thinlung thawk dan leh uterine contraction te record a ni.

2. Vaginal examination: Doctor-in serh chhung lam chu a inhawng em tih leh a thim em tih a enfiah thin.

3. Tui bag testing: I tui bag a chhe tih i sawi emaw, i rinhlelh emaw chuan i vagina atanga tui chhuak sample lak a ni ang a, naute vel chu amniotic fluid a ni tak tak em tih enfiah a ni ang.

4. Test dang: Vagina leh zun atanga sample lak a, infection awm leh awm loh enfiah turin laboratory-ah thawn a ni. A châng chuan sei zawng tehna atan transvaginal ultrasound bik tih theih a ni bawk.

Hei hi eng enkawlna nge ni?

Preterm labor i nei tih hmuhchhuah a nih chuan enkawlna chu kar engzat nge i awm tih, i naute dinhmun leh nangmah ngeiin i dinhmun a zirin a innghat ang. A tum ber chu a theih ang anga nau neih hun sawn a, naute chu a pum chhunga rei zawk awm tir hi a ni.

• Intravenous hydration leh bed rest: A hmasa ber chu bed rest leh intravenous saline a ni. Heng thil awlsam tak takte hian a chang chuan contraction a titawp thei.
• Painkillers: Damdawi magnesium sulfate emaw terbutaline emaw hi thisenah pek a ni a, chu chuan contractions a titawp thei a ni. Chûngte chuan nausen pum ruhte chu a ti hahdam a, natna chu a titawp a ni.
• Nausen lung a lo than chhoh theihna tura damdawi: Nau neih chu tihtawp theih loh a nih pawhin, ni hnih tal a tlai thei a nih chuan he hun chhung hian nu chu steroid injection pek a ni. Hei hian naute lung chu a puitlin thuai theih nan a pui a ni.
• Nau neih phalsak: Thil engemaw takah chuan doctor-te chuan nau neih chhunzawm zel turin an rel a, chu chu tihtawp lohvin an nei thin. Entirnan, nuin natna khirh tak a neih chuan, thisen sang (preeclampsia) , emaw, naute chu a pum chhungah a dam tha lo a nih chuan, nu leh naute tan pawh nau neih hma chu a him zawk mai thei.

Hei hi pumpelh turin eng nge kan tih theih ang?

Hetiang dinhmun hi 100%-a ven theih ni lo mah se, a hlauhawmna tihtlem nan thil engemaw zat kan tih theih a awm.

I doctor chuan a enfiah ang che, i risk factors te chu a hmuchhuak ang a, chu mi ang chuan thurawn tul tak tak a pe ang che.

A hmaa kan sawi tawh ang khan symptoms i neih tan chuan, i tih tur chu hetiang hi a ni:

1. I thil tih chu titawp nghal rawh.

2. Bathroom ah kal la, zun la. (A chang chuan bladder full hian contraction a thlen thei bawk.)

3. Tui emaw thei tui emaw glass hnih vel in thin ang che.

4. Vei lamah hawi la, chawlh hahdam rawh.

5. Heng thil i tih hnu darkar khatah vawi li aia tam natna a awm reng chuan doctor ko nghal emaw, tihkhawtlai belh ngai lovin damdawi in pan emaw la.