I nunah mikhual thar a lo thleng dawn a ni lawm ni? Hemi hun chhung hian rilruah thil tam tak a lo lang thin. Hlimna, hlauhna tlem, leh thil hriat duhna ang chi emotion tam tak neih hi thil pangngai a ni. Nu i nih angin he zinkawng chungchangah hian zawhna tam tak i nei a. Chuvangin vawiin hian naute i neih huna thil thleng tak tak leh he nau neih an tih hi eng stage nge awm tih hi han sawi ila. Chûng thilte hriat chian chu i tân chakna nasa tak a ni ang.
Nau neihna stage lian pathumte
A awlsam zawngin, i naute leh i nausen (placenta) i uterus atanga i vagina hmanga an chhuah chhuah zawng zawng hi labor an ti a. Stage lian pathum ah then theih a ni.
| Huntha | Eng thil nge thleng mai mai |
|---|---|
| Case 1-na a ni | Contractions a intan a, cervix chu a inhawng kim vek. |
| Case 2-na a ni | Naute nawr leh hrisel. |
| Case 3-na a ni | Placenta hmanga nau neih. |
Hei hi doctor-te chuan "nau piang pangngai" tiin sawi mah se, mi zawng zawng tawn dan hi a inang vek lo. Hetiang hi vawi tam tak i tawng tawh mai thei a, a tawpah chuan naute chu cesarean section (C-section) hmangin a piang thei bawk. A nih loh leh, C-section ruahman lawk i neih avangin heng natnate hi i tawng lo tak tak thei bawk. Chuvangin pian apiang hi a danglam bik tih hre reng ang che.
A hmasa ber: Natna lo awm tanna
Hei hi nau neih hun rei ber leh hrehawm ber a ni. Regular contraction atanga tan a ni a, i cervix chu a dilated kim (centimetre 10 vel) leh effaced (thined out) a nih chuan a tawp thin.
He hun hi darkar 12 leh 19 inkar a ni tlangpui. Mahse, nau i pai tawh a nih chuan he hun hi a rei zawk hle mai thei.
He hun remchang hmasa ber pawh hi hmun hnih ah then a ni.
1. Hnathawh hmasak ber
Hei hi cervix chu centimetre 6 vel a nih thlenga a inhawng zauh zauh lai a ni. Hei hi a tlangpuiin darkar 6 leh 12 inkar a daih thei. He natna hi a na vak lo. Hemi hun chhung hian in lamah i awm thei a, mahse damdawi in pan tur chuan inpeih reng tur a ni.
2. Hnathawktu (active Labor).
Hei hi cervix chu centimetre 6 atanga 10 vela zau a nih chuan a ni a, chu chu a inhawng kim tihna a ni. A natna chu a zual zel a, naute chu i nawr ang maiin i inhriat tan mai thei. Hei hi darkar 4 leh darkar 8 inkar a daih thei. Hetih lai hian damdawi inah i awm ngei tur a ni.
Engtin nge he vawi khatna hi awlsam zawka ka siam theih ang?
Natna chu tuar harsa viau mah se, he hun hi enkawl dan tur thil engemaw zat a awm a:
- Zawi zawiin kal la, hmun hrang hrangah kal rawh.
- Exercise light tak tak leh stretching ti rawh.
- Thâwk thûk tak exercise ti rawh.
- Tui lum (mahse tui lum ni lovin) hmangin inbual rawh.
- I kawppui, i nu, i ṭhian hnai tak ang mi i bula awm hi chakna ropui tak a ni.
- Natna chu tuar theih loh a nih chuan i medical team-te hnenah natna tidamtu damdawi chungchang zawt rawh.
Nau neihna hmasa ber a lo thlen chuan i theih chuan mu la, chawlh hahdam rawh. Hei hian chakna humhalh kawngah a pui ang che. Mahse a na a zual deuh deuh chuan mut a harsa deuh ang.
Chance pahnihna: Naute piang
He stage hi i cervix centimetre 10 a dilated atanga tan a ni. I naute a pian hunah a tawp thin. Hei hian darkar chanve atanga darkar engemaw zat thleng a daih thei.
Hetih lai hian thil thlengte chu hetiang hi a ni:
- A natna hi minute 2-5 danah a lo thleng a, second 60-90 vel a ni.
- Naute chu a natna a lo thlen apiangin i nawr a ngai a ni. Contraction inkar ah natna a awm loh laiin chawlh hahdam theih a ni.
- Doctor emaw medical team emaw chuan engtikah nge i nawr tur tih an hrilh ang che.
- Naute lu chu vagina kaltlangin a rawn lang tan a.
- A tawp berah chuan Doctor puihnain naute i hrinsak a. Tichuan umbilical cord chu an tan a.
Stage pathumna: Nausen hnute (placental abruption).
He stage hi naute pian hnuah a intan a, placenta a pian hnuah a tawp thin. Hei hi stage tawi ber a ni. A tlangpuiin minute 30 aia rei a daih lo.
Naute pian hnu minute 5-30 chhungin natna hi a intan leh ang. He natna hi placenta hian uterine wall atanga inthen a puih vang a ni. Tlem i nawr a ngai mai thei. A nih loh leh doctor chuan i pum chu a press thei a, chu chuan placenta chu a chhuah tir thei a ni.
Placenta a nau neih hnuah doctor chuan a chhuak vek tawh em tih a enfiah ang. Hei hi a chhan chu a chhunga hmun tenau reng reng a awm chuan harsatna a thlen thei a ni. Episiotomy emaw, i vagina-a tear emaw i neih tawh chuan he hun lai hian a stitch up bawk ang.
Engtin nge natna chu a intan tak tak em tih i hriat theih ang?
Hetiang thil hi a vawi khatna atana tawngtu tan chuan Braxton Hicks contractions chauh hmanga nau neihna tak tak chu a buaithlak a awlsam hle. Nau neih tak takte hi pattern chiang tak a awm a, hun kal zelah a pung zauh zauh bawk.
| Mihring ziarang | I hmuh duh chu |
|---|---|
| Zinzia | Engzat nge natna hi a lo thleng a, a kal zel? Lehkhabuah emaw, i phone-a app-ah emaw ziak rawh. Natna tak tak a nih chuan episode inkar hun hi a tlahniam zauh zauh ang. |
| Rei zawng | Natna hi eng chen nge a awm? Second tlemte chhungin teh rawh. Hun kal zelah natna rei zawng hi a pung zel a ni. |
| Natna nasa tak | Natna chu a zual zel em? I kal emaw, i dinhmun i thlak emaw a natna a reh loh chuan nau neihna dik tak a ni thei. |
Engtikah nge damdawi inah ka kal ang?
‘Active labor’-a i luh tan tirh hian damdawi ina awm hi a tha ber tlangpui.
Pawimawh tak: Darkar khat chhung zet minute 5 danah i natna a lo thleng a nih chuan i doctor emaw damdawi in labor room emaw ko rawh. Tin, i tui a chhe a nih chuan i doctor emaw damdawi inah emaw hrilh nghal la, i na emaw, na lo emaw pawh nise.
| Heng symptoms te hi i neih chuan damdawi in pan nghal mai rawh! | |
|---|---|
| - A rilru a na | - Vaginal bleeding lutuk |
| - Luak chhuak nasa emaw, hriatna hloh emaw | - Naute fussiness nasa taka tihtlem |
| - Nausen natna leh luak chhuak | - Thâwk harsa |
| - Ke, kut, emaw hmai emaw a hring (edema) . | |
Damdawi in i kal hian eng nge thleng thin?
Damdawi in i kal hunah chuan labor and delivery unit-ah dah i ni ang.
1. Hospital gown hak tur pek i ni ang.
2. Nurse pakhatin i pulse, thisen sang, leh temperature a check ang.
3. I pum vel chu strap pahnih dahin machine nen inzawm tir a ni. Pakhat chuan uterine contractions (pain) a teh a, pakhat chuan naute thinlung thawk dan a teh bawk.
4. Doctor emaw nurse emaw chuan i serh (cervix) chu eng chen nge a inhawng tih a enfiah ang.
5. Saline needle (IV line) chu kut chhunga vein pakhatah dahin tui leh damdawi mamawh pek theih a ni.
Take-Home Thuchah a ni
- Nau neih hi thilsiam (natural process) a ni a, stage lian pathum a awm a ni.
- Pian apiang hi a danglam vek. I thil tawn chu midang tawn tawh nen tehkhin suh.
- Nau neihna dik tak (interval, duration, intensity) ziarang hre reng ang che.
- Thil eng emaw chungchangah rinhlelhna emaw, lungkhamna emaw i neih chuan i doctor emaw, damdawi in emaw biak pawh hlau suh.
- Nangmah chauh i ni lo tih hre reng ang che. I medical team te hian he zinkawng chhung zawng hian an thlawp che a, an enkawl che a ni.
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