Nau piang thar luah thisen a chhuak em? Hei hi subgaleal hemorrhage a ni em? Kan sawi dun teh ang!

I naute he khawvela a lo luh hnu hian i hlim hle ngei ang, a dik em? Mahse, chutih rual chuan, a chang chuan thil tenawm tak takah chuan hlauhna i nei thin. A bik takin nau neih kha a harsa deuh a nih chuan naute lu-ah hetiang thil tenawm tak hi i hmu a nih chuan lungngaihna i neih chu thil pangngai a ni. Vawiin hian hetiang huna lu-a lo awm thei dinhmun kan sawi dawn a, tlem chuan fimkhur a ngai hle.

He subgaleal hemorrhage hi eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin, hei hi naute piang thar lu vun hnuaia thisen awmkhawm a ni a, chu chu luruh chunga soft tissue layer hrang hrang inkar a ni. Ngaihtuah teh, kan lu pawh hian vun hnuaiah layer hrang hrang a nei a. Chutiang bawkin naute lu vun hnuaiah hian connective tissue chak tak, fibrous connective tissue atanga siam membrane a awm a, chu chu doctor ten `(galea aponeurotica)` an ti a. Chumi hnuaiah chuan luruh ruh vel chu membrane dang a awm a, chu chu `(periosteum)` an ti a ni. He thisen chhuahna, a nih loh leh thisen lakkhawm hi chu layer pahnih inkarah chuan a thleng a ni.

A chhan ber chu lu vun atanga luruh chhung lam thlenga inzawm thisen kalna kawng te te a awm vang a ni. Chungte chu ``emissary veins`` an ti a. Heng thisen kalna kawngte hi luruh chhunga khur te te (``foramen``) kal tlangin an kal thin. A châng chuan nau piang harsa tak lai hian naute a lo chhuah hunah heng thisen kalna kawngte hi a hrual a, a chhe thei bawk. Chuta tang chuan thisen a luang a, chu gap sawi takah chuan a pungkhawm ta a ni.

Hei hi a hlauhawm deuh thei. A chhan chu, thisen tam tak, naute taksa pumpui atanga 20% leh 40% inkar vel chu hetiang hian lu-ah a khawlkhawm thei a ni. Mahse lungngai suh, hei hi hriatchhuah a, rang tak leh rang taka enkawl a nih chuan a dam vek thei a ni. Hetiang dinhmun hi kar hnih atanga kar thum chhungin a dam tlangpui.

He natna hi tuin nge vei tam ber?

He natna hi ``Subgaleal Hemorrhage`` tia koh a ni a, naute zingah pawh vaginal delivery pangngai hmanga piang tan chuan a awm lo hle. Mahse, naute chhuah a harsat hunah chuan doctor-te chuan nau neihna kawnga pui turin hmanraw engemaw zat an hman a ngai mai thei. Entirnan, ``vacuum extractor`` (inbiaknaah 'vacuum' kan ti) emaw ``forceps`` (forceps ang chi hmanrua) emaw hman a nih chuan a hlauhawmna a sang zawk hle.

Hetiang dinhmun hi engtiang chiahin nge a awm? Kan hlau tur em ni?

Dik tak chuan hei hi thil awm lo tak a ni. Chu chu hmuh fo thin thil a ni lo tihna a ni. Hei hi hmanrua hmang lovin nau piang pangngai 10,000 zinga 4 velin an report a ni. Chu chu number hniam lutuk a ni lo maw? Mahse, ka sawi tawh ang khan ``vacuum extractor`` ang chi device hmanga naute lakchhuah a nih chuan he number hi a pung deuh a ni. Chutiang hunah chuan medical report-ah chuan nau piang 10,000 zinga 60 velin he natna hi an nei thei tih a sawi. Mahse chutiang chu mi zawng zawng tan a ni lo.

Engvangin nge he subgaleal hemorrhage hi a lo awm? A chhante chu engte nge ni?

Ka sawi tawh ang khan hei hi a chhan ber chu nau neih laia pressure engemaw zat avanga lu vun atanga luruh thlenga thisen kalna kawng te tak te (emissary veins) te chu a chhe vek thin a ni. Tichuan, chu thisen chu vun leh luruh inkar hmunah (subgaleal space) a awm khawm ta a ni. Hei hi nau neih pangngai lai chauh a thleng thin , he natna hi cesarean section neih laiin a thleng lo.

A chang chuan nau neih hi kan beisei aiin a buaithlak deuh thei. Chu chu doctor-te chuan naute him taka lakchhuah nan ``vacuum extractor'' emaw ``forceps'' ang chi hmanrua an hman a ngai a ni. Nau neih a harsat theih chhan thenkhat chu hetiang hi a ni:

• Naute lu emaw taksa emaw chu a lian lutuk a, nu pelvis kaltlangin a lut thei lo. Doctor-te chuan hei hi ``cephalopelvic disproportion'' an ti a.
• Naute chu birth canal (fetal dystocia) kaltlangin mumal leh him takin a chhuk lo.
• Naute rih zawng hi a pangngai (macrosomia) aiin a sang zawk hle.
• Nau neih hun rei tak chu nau neih tan atanga darkar 20 aia rei a pian loh chuan a ni.
• A châng chuan, nau neih hi a lo thleng rang hle thei a, darkar thum chhungin a lo thleng thei a, naute chu a piang dawn ta (`precipitous labor`). A châng chuan he hun laiah pawh hian harsatna a lo chhuak thei bawk.

Hetiang dinhmun hi `(vacuum extractor)` hmanga naute lakchhuah a nih hian a awm tam ber. A chhan chu, `(vacuum)` a cup ang deuh hi naute lu-ah a inbun chuan a pulling force a siam chuan lu vun chu luruh a\angin tlem a hruai bo thei a ni. Tichuan `(subgaleal space)` chhunga connective tissue nalh tak chu a lo chhuak a, thisen awmkhawmna tur hmun a siam ta a ni. Hetianga thisen tam lutuk a khawlkhawm chuan naute tan nunna atana hlauhawm a ni thei. Chuvang chuan doctor ten he thil hi an fimkhur hle a ni.

Hei hi eng symptoms nge ni? I hmuh chuan engtin nge i hriat theih ang?

Naute a pian hnuah ``Subgaleal Hemorrhage`` symptoms a lo lang tan thin. I hmuh theih tur thenkhat chu hetiang hi a ni:

• Naute vun chu hliam ang maiin a lang , a bik takin a lu leh a kawngah.
• Lung a na rang hle (tachycardia).
• Thisen sang hniam neih.
• A vun rawng chu a hring (`pallor`) hlein a lang.
• Taksa atanga thisen tam tak a bo avangin thisen chhunga components ``hemoglobin`` leh ``hematocrit`` tih te chu a tlahniam thin.
• Naute lu-a tui ang maia hriatna (boggy swelling) a lo awm thin. Hei hi a chhunga thisen inzawmkhawm vang a ni. He hliam hi naute beng hnung lamah leh a kawngah pawh a darh thei bawk.

Vanneihthlak takin naute zawng zawng hian symptom na tak an nei vek lo. Subgaleal hemorrhage vei zawng zawng zinga 25% aia tlem chuan nunna atana hlauhawm khawpa na tak symptom an nei thin. Chung zingah chuan:

• Internal bleeding tam lutuk emaw thisen zam (coagulopathy) harsatna nei.
• `Hypovolemic or hemorrhagic shock` an tih, taksain tui leh thisen a hloh tam lutuk a, thinlungin thisen a pump tha thei lo khawpa a lo awm thin.
• Thâwk harsa (respiratory distress).
• Nau neih laiin thluaka oxygen supply tling lo (intrapartum hypoxia).
• Internal organs, kidney ang chi te zawi zawiin a fail (organ failure).

Engtin nge doctor-te hian hei hi an hriat chian? Eng test nge an tih?

Naute a pian veleh medical team chuan uluk takin naute chu an enfiah ang a, a hmaa kan sawi tawh ang chi natna lanchhuahna te hi an nei em tih an enfiah ang. Entirnan, naute vun chu ngun takin an en ang a, a vun chu a sen em tih te, a lu a hring em tih te, a nih loh leh hliam danglam tak tak a awm em tih te an en ang.

``Subgaleal Hemorrhage'' rinhlelhna tlemte pawh a awm chuan doctor chuan naute lu chungah special test engemaw zat a ti ang.

• Lu ultrasound hmanga tih a ni.
• `(CT scan - Computed Tomography scan)` tih a ni mai thei.
• A nih loh leh MRI (Magnetic Resonance Imaging) hmanga tih theih a ni.
• A chang chuan X-ray lak a ni thei bawk.

Heng test te hian vun hnuaia thisen chhuak chu eng ang nge a nih tih leh a lian zia chiang takin a tarlang thei a ni.

I naute lakchhuah nan vacuum extractor hman a ni ang tih han ngaihtuah teh. Chutiang a nih chuan i naute hian natna lan chhuahna lian tham a lantir nghal lo a nih pawhin doctor-te chuan i naute chu nursery-ah emaw, a tul chuan neonatal intensive care unit (NICU)-ah darkar engemaw zat an dah ang a, uluk takin an enfiah ang. Hei hi a chhan chu a chang chuan he thisen inzawmkhawm leh vun rawng tidanglamtu tissue tihchhiatna hi a lo awm theih nan hun a duh thin vang a ni. Chumi awmzia chu heng symptoms te hi naute pian atanga darkar khat atanga darkar 72 (ni 3) thlengin khawi hmunah pawh a lang thei tihna a ni.

Hei hi engtin nge enkawl theih ang? Naute chu a dam thuai dawn em ni?

Doctor-te'n ``Subgaleal Hemorrhage'' a nih thu an finfiah hnuah chuan enkawlna an tan nghal a ni. He enkawlna hi neonatal intensive care unit (``NICU'') ah tih thin a ni tlangpui.

A pawimawh ber chu naute thisen volume a tlahniam a nih chuan siam that leh hi a ni. Hei hi naute hnena thisen leh plasma pekna ang chi thil pek hmanga tih a ni.

Tin, naute damdawi lam team chuan naute thisen level (hemoglobin, hematocrit), heart rate leh blood pressure te an enfiah chhunzawm zel dawn a ni. Naute lu sir lam pawh teh reng a ni ang a, a hring chu a tlahniam nge a pung tih hriat a ni ang.

A châng chuan thisen chhuahna a nasat a, tui pek hmanga thunun theih loh a nih chuan emergency surgery neih a ngai thei a, a tlem hle. Hei hi lu chhunga thisen chhuahna hmun atanga thisen chhuak tur tihtawp nan leh thisen awm khawm chu paih chhuah nan tih a ni.

Naute hi enkawl hnuah engtiang chiahin nge a dam thuai ang?

Enkawlna nena thisen chhuah a reh chuan lu-a hliam chu a tlahniam zauh zauh a, chhinchhiahna dang pawh a bo vek bawk. Chungte chu kar hnih atanga kar thum chhungin a reh tlangpui.

Mahse, naute kum khatna chhung zawngin i naute doctor-te nen in inbiak reng tur a ni a, an rawtna clinic leh test-ah te kal zel tur a ni. Hei hi i naute thanlenna tichhe thei tur symptom dang a awm leh awm loh enfiah nan a ni. A tam zawkah chuan 75% velin enkawlna a hlawhtlin chuan naute chu a dam tha ang a, naute nen in lamah i haw thei tawh ang.

Hetiang dinhmun lo thleng hi tihtlem theih dan a awm em?

A nihna takah chuan ``Subgaleal Hemorrhage'' a awm loh nan a pum puia ven hi a harsa hle. Hei hi a chhan chu nau neih harsa tak avanga beisei loh taka lo awm fo vang a ni. Vawi tam tak chu chutiang harsatna awm chu nau neih lai chauhvin hriatchhuah a ni.

Amaherawhchu, nau neih hmaa enkawlna mumal tak neih a pawimawh a, i naupai lai hian doctor thupek zawm a pawimawh. Nau neih hmaa ultrasound neih lai hian i doctor chuan naute awmna hmun, a lian leh te, i pelvis lian leh te chu a en ang a, nau neih dan pangngai chu nang leh i naute tan a him ber em tih emaw, duhthlan tur dang i ngaihtuah tur em tih te a enfiah ang.

Ka naute hian he natna hi a neih chuan eng nge thleng ang? Ka lungngai tur em ni?

Vanduaithlak takin nausen za zela tlemte chauh (10% leh 25% inkar) chu an nausen laiin thisen chhuah tam lutuk vangin an thi thin. Hei hi hriat a lungchhiatthlak hle. Mahse, naute ``Subgaleal Hemorrhage'' vei hmuhchhuah zinga 75% aia tam chu an dam tha a, nun pangngaiin an nung a ni. Naute hi a hmaa hriatchhuah leh enkawl hi i naute tanpui dan tha ber a ni. Chuvang chuan he thil hi doctor-te an fimkhur em em a ni.

He subglottic hemorrhage hi eng chen nge a awm ang?

A tlangpuiin, enkawl hnuah i naute symptoms ``(Subgaleal Hemorrhage),'' a bik takin lu hring , chu kar hnih atanga kar thum chhungin a bo vek tawh mai. Damdawi in atanga a chhuah hnuah pawh Doctor ten a hriselna an enfiah chhunzawm zel dawn a ni. An enkawl danah hian nghawng tha lo a awm em tih te, a hliam chu a tlahniam vek em tih te, naute taksa peng dangte pawh a thawk tha em tih te an enfiah ang.

Hetiang natna nei naute hi engtin nge i enkawl ang? Nangmah pawh i in enkawl a ngai!

I naute piang thar, subgaleal hemorrhage nei chu ni engemaw zat chu NICU emaw special neonatal unit-ah emaw dah a nih a rinawm a, chu chu doctor-te’n naute chu a hrisel a, a stable tawk a, in lama thawn theih a nih thu an rel hma loh chuan.

Naute a lo haw hnuah pawh kum khatnaah doctor-te’n clinic appointment an siamah hruai a pawimawh hle. Heng test te hian enkawlna a hlawhtling em tih leh he natna avanga hun rei tak chhunga harsatna dang lo awm thei tur a awm leh awm loh a nemnghet a ni.

Hei hi a pawimawh hle a ni:I naute pian hnu lawka thil a buaithlak leh a buaithlak em em lai hian nu i nih angin i in enkawl a pawimawh hle. Hei hi hun awlsam a ni lo. I chhungte, i pasal leh i ṭhiante hnen aṭangin ṭanpuina dawng rawh. Stress, lungkham, lungngaih, hlauhna i neih chuan i doctor emaw midwife emaw nen inbia ang che. I mamawh chuan tanpuina dil zak suh.

Engtikah nge doctor ka hmuh leh ang?

I naute a lo haw hnuah a hnuaia mite hi i hriat chuan doctor pan rawh:

• Naute lu-a hliam chu enkawl hnuah a tlahniam lo a nih chuan, a awm reng emaw, a pung emaw a nih chuan.
• I naute vun a hring chhunzawm zel a nih chuan, emaw, an mit emaw, an vun emaw var chu a sen (jaundice ang chi) a nih chuan.
• I naute hmasawnna atana thil pawimawh tak tak - nuihzatthlak, a kawr vawn, leh inher chhuah te chu an kum khatnaah naute dangte aiin a tlahniam ang tih a hriat chuan,

Engtikah nge damdawi in (ER) pan nghal tur?

Naute ``Subgaleal Hemorrhage`` nei (or nei) chuan seizure a neih chuan medical emergency a ni. Seizure chu eng pawh a ni thei:

• Naute chu rei lo te chhung chu a hriatna a hloh niin a lang.
• Ka ke ruhte chu thunun theih lohvin a inher leh nghing reng a.
• Naute chu rang takin a buai ang maiin a lang a, a hlauthawng a, mak tak maiin a che bawk.

Seizure hi second 30 atanga minute hnih chhung a ni tlangpui. Mahse, seizure hian minute nga aia rei a daih chuan a hlauhawm hle. A bik takin naute hian thaw a harsat chuan 911 call nghal la, a nih loh leh naute chu a hnai ber damdawi in emergency room-ah a rang thei ang bera hruai rawh.

Ka doctor hnenah eng nge ka zawh ang?

Hetiang hunah hian i rilruah zawhna tam tak i nei mai thei. I doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• "Doctor, ka naute dinhmun hi engtiang chiahin nge a nasat?"
• "Hemi atan hian naute hian zai a ngai em? A nih loh leh enkawlna dang a awm em?"
• "Engtikah nge naute chu damdawi in atangin ka hruai haw theih ang?"
• "In ka thlen hnua naute ka enkawl dan tur bik a awm em?"

Hemorrhage leh Hematoma hi eng nge an danglamna?

Heng thu pahnih hi i hre tawh mai thei. ``Subgaleal`` tih thumal hian he dinhmun hi a thlenna hmun a kawk a ni. Chu chu lu chunga vun leh luruh inkar hmun a ni.

• `Hemorrhage` tih hian lu `subgaleal` area-ah thisen a la chhuak reng tihna a ni a, a nih loh leh thisen chhuak chhunzawm zel a awm tihna a ni. Chu chu active bleeding tihna a ni.
• `Hematoma` tih awmzia chu hmun khatah thisen a khawlkhawm a, a inzawm khawm tihna a ni . Chumi awmzia chu thisen, tui ni tawh chu a thim deuh a, hnah hring ang maiin a lo awm tawh tihna a ni.

He ``Subgaleal Hemorrhage`` ah hian a tir lamah thisen chhuah (hemorrhage) a awm a, chutah chuan thisen chu hun kal zelah a inzawm thei (hematoma). Heng pahnih hi chu hmuna thisen kalna kawngte chu hliam emaw, chhiatna emaw eng emaw avanga a chhiat chuan a thleng thin.

A tawp berah chuan thil i hriat reng tur...

Nau neih harsa tak hnuah nu angin i naute hriselna chungchangah doctor-te’n hma an lak nghal vat avangin lungkhamna leh lungkhamna nasa tak i neih hi thil pangngai tak a ni. Hetiang hunah hian mahni chauha hrehawm tawrh ai chuan, i chhungte, i pasal leh i thiante hmangaihna leh thlawpna avanga i hual vel a pawimawh hle. I rilru put hmang chu an hnenah hrilh rawh.

Doctor-te hnen atanga enkawlna rang leh uluk taka pek a nih chuan i naute hian result tha tak a neih theihna chance a sang zawk a ni. Damdawi inah i naute a dam leh meuh chuan hmangaihna nena in kuah chungin i hruai haw thei tawh ang. Chuvangin chak takin awm rawh. Nang leh i naute chu dam thuai turin duhsakna ka hlan e!

` Subgaleal Hemorrhage, Nau piang thar, Lu Thisen chhuak, Vacuum hmanga nau neih, Forceps hmanga nau neih, Nau piang harsatna, Nausen hriselna