Nu ni tur tan chuan nau neih hi in nunah thil danglam tak a ni. Nu hmasa ber i ni thei a, fa i nei tawh pawh a ni thei. Amaherawhchu, pian tin hi a danglam vek. A chang chuan naute hi khawvelah a rawn kal thuai thin. Mahse a chang chuan a rei deuh deuh thin. I naute lo thlen thuai dan chu thil tam takah a innghat a ni.
A awlsam zawngin sawi ila, nausen chu i nausen pum chhunga ruh (muscles) te chu a inzawm tlat a, naute chu vagina hnuai lamah a nawr thla a ni. Heng taksa peng hrang hrangte hi ‘natna’, ‘cramps’ emaw ‘contractions’ kan tih te hi a ni. Hetiang natna hi i hnungzang leh i pum hnuai lam ah i hre ang. Heng ‘contraction’ te hian serh (cervix) chu a inhawng zauh zauh thin. Nausen chhuah theihna tur kawngkhar inhawng ang mai a ni. He kawngkhar hi a inhawng vek chuan naute a lo chhuak thei a ni.
A tlangpuiin nu hmasa ber chu darkar 12 leh 18 inkar chhung nau a pai ang. Mahse, naute hmasa i lo nei tawh a nih chuan he hun hi a tawi zawk thei a, a chanve pawh a ni mai thei.
Hun rei tak nau neih chu eng nge ni?
A chang chuan, nau neih dan hi i ngaihtuah angin a kal chak lo. A stall emaw, a kal zawi hle emaw angin a lang thei. Doctor te chuan hei hi " Failure to Progress " tiin an sawi thin.
Hun rei tak nau neih chu nau neih stage leh cervix a dilated kim em tih a zirin a ni. Darkar 20 vel zet regular contraction i neih tawh a, i naute a piang lo a nih chuan i doctor chuan ‘ prolonged labor ’ ah a ngai mai thei. A chang chuan hei hi darkar 18 leh 24 inkar a ni an ti.
Twins i neih chuan nau neih hi darkar 16 aia rei a nih chuan prolonged labor anga ngaih a ni.
Engvangin nge nau neih a tlai em em?
Nu tam tak chuan nau piang rang leh awlsam tak hi an mumang a ni. Mahse, i thawhrimna chu a kal tha hle niin a lang a nih chuan lungngai suh. I doctor , nurse, leh midwife te chuan nang leh i naute chu uluk takin, uluk takin an enkawl vek a ni. Labour tihkhawtlai chhan hrang hrang a awm thei.
| Chhan | A sawifiahna awlsam tak |
|---|---|
| Naute hi a lian chho zel a. | Naute taksa hi tlem a lian deuh a nih chuan nu pianna kawngkhar atanga rawn chhuak chu a harsa mai thei. |
| Nausen pose a awm | Naute chu a lu hnuai lam hawiin a chhuak tlangpui a, a hmai chu nu hnunglam hawiin a chhuak thin. He dinhmun hi a inthlak chuan (entir nan, breech a down chuan) labour a tlai thei. |
| Nau neihna kawng (birth canal) a tawi (narrowing). | A chang chuan nu pelvis hian naute chhuah theihna tur hmun a nei tlem thei bawk. |
| Contractions chak lohna | Nausen pum chu serh kawngkhar hawn thei tur khawpa na taka a inzawm loh chuan naute chu a hnuai lam a nawr chuan nau neih zat a tlahniam thin. |
Nau neih a tlai chuan damdawi inah eng nge thleng?
Hetih lai hian nangmah chauh i ni lo. Medical team chuan nang leh i naute dinhmun an enfiah chhunzawm zel ang. Heng thilte hi an ngaihven ber dawn a ni:
- Contraction i neih tam dan: Hei hian contraction i neih tam dan a enfiah ang.
- Nau neihna natna nasatna: Hei hi nau neih theihna tur khawpa natna a chak em tih enfiahna a ni.
He thu hi dik taka hriat theih nan hian a chang chuan test bik pawh tih theih a ni.
1. IUPC (Intrauterine Pressure Catheter): Hei hian nausen awmna hnaih takah, tube ang maia thui tak, naute awmna hmun hnaih takah dah a ni. Hei hian doctor chuan i contraction a lo thlen hun chauh ni lovin, engtiang chiahin nge a chak tih pawh a teh thei a ni. Natna a tawk lo a nih chuan hetiang test zawhah hian doctor chuan a tihpun nan damdawi pek che a rel ang.
2. EFM (Continuous Electronic Fetal Monitoring): Hei hian naute thinlung thawk dan a enfiah thin.Monitoring neih chhunzawm zel a ni. Nu pum velah strap pahnih dah i hmu tawh mai thei a, naute thinlung thawk dan enfiahtu machine pawh i hmu tawh mai thei. Hei hian naute chu a dam tha em tih hriat chian theihna a siam a, engmah hrehawmna leh hahna awm lovin.
Heng zawng zawng hi nang leh i naute venhimna atana tih a ni. Chuvangin damdawi ina thil thleng hi hlau suh. Hriselna tha ber tur atan engkim tih a ni.
Nau neih tlai lutuk hi eng enkawl nge ni ang?
I nau neih a kal tha a nih chuan i doctor chuan rei lo te chawlh hahdam turin a ti hmasa mai thei. A châng chuan, natna tihziaawmna tûr damdawi an pe thei che a ni. Hmun nuam takah insawn turin an fuih thei bawk che.
Tin, enkawlna chu nau neih tlai chhanah a innghat bawk.
- Naute chu birth canal a thleng tawh a nih chuan: Naute chu birth canal hnuai lam a thleng tawh a, mahse a chhuah theih nan hun rei tak a la ngai a nih chuan doctor chuan forceps emaw vacuum device emaw hmangin naute chu uluk taka lakchhuahnaah a pui thei a ni.
- I contraction a chak tawk lo a nih chuan: I contraction a chak tawk lo a nih chuan saline kaltlangin damdawi Pitocin (oxytocin) an tih chu pek theih a ni a, chu chuan a ti chak a, a chak zawk bawk.
- Cesarean section (C-section): Naute a lian hle a nih chuan, emaw, Pitocin ang damdawi ei hnua nau neih a kal zel loh chuan cesarean section (C-section) neih a ngai mai thei.
Cesarean section hi a hlawhchhamna a ni lo. I naute nunna chhanchhuahna tur kawng tha ber leh him ber a nih hun a awm thin.
Hun rei tak nau neih hian hlauhawmna a awm em?
Ni e, nau neih hi rei lutuk a nih chuan hlauhawmna engemaw zat a awm thei. Tin, `C-section` neih a ngaih theihna chance a tipung bawk. Naute tana hlauhawmna chu:
- Naute zingah oxygen level a tlahniam.
- Naute heart rate-a thil dik lo awm.
- Naute chhehvela amniotic fluid-a thil tha lo awmkhawm.
- Uterine natna a awm.
Mahse, heng hlauhawmnate hi medical team-in nang leh i naute uluk taka an enkawl chhan a ni tih hre reng ang che . I naute hian nausen harsatna a lantir chuan heng hlauhawmnate hi ven nan emergency delivery neih nghal a ni. Chuvangin kut him takah i awm tawh a ni.
Take-Home Thuchah a ni
- Hun rei tak nau neih hi thil mak a ni lo. A theih a, enkawl theih a ni bawk.
- I doctor leh damdawi ina thawktute chuan nang leh i naute hi uluk takin an lo vil reng dawn a, chuvangin lungngai suh.
- Nau neih chakna tur kawng him tak tak a awm a, chawlh atanga damdawi ei thlengin.
- A then phei chuan cesarean section (C-section) hi nang leh i naute tan chuan a him ber a ni.
- Zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen taka inbiakna neih hi i dikna a ni.
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