Naute i beisei a nih chuan a chang chuan vaginal bleeding tlem emaw, i pum hnuai lam natna tlem emaw i neih chuan hlauhna tlem i neih chu thil pangngai a ni. "Ka naute chungah thil thleng ta se engtin nge ni ang?" I ngaihtuah mai thei, a dik em? Vawi tam tak chu, heng chhinchhiahnate hian
nau pai hlauhawm tak a nihzia a tilang thei a ni . Mahse, lungngai suh, he thu hi chipchiar takin sawi ila.
Threatened Miscarriage tih hi eng nge ni?
A awlsam zawngin,
nau pai hlauhawm tak chu i naupai laiin, a bik takin
kar 20 hmasa berah , pum na nei emaw nei lo emaw, vaginal bleeding tlemte a ni. A tam zawkah chuan he thisen chhuahna hi
a tenau , ni engemaw zat emaw kar engemaw zat emaw a ni. Pum natna pawh a na lo hle a, mahse a
na lo . Hetiang dinhmun hi
first trimester (kar 13) chhungin a awm tam ber . Mahse, naupai laiin vaginal bleeding leh pum na hian nau pai tur a ni tihna a ni lo.
Mi tam tak chuan heng symptoms te hi an nei a, harsatna nei lovin naute hrisel tak an nei chhunzawm zel a ni. Heng symptoms te hi
a bul berah chuan i doctor hnenah, "Hey, he naupai chungchangah hian fimkhur deuh deuh a ngai a, tlem tal pawh enkawl zui zel a ngai bawk," tih hi a ni. Chuvangin, i naupai nia i inhriat chuan, emaw, i naupai tih i hriat a, i vaginal bleeding, pum na, emaw cramping emaw i neih chuan
i doctor pan ngei ngei tur a ni. Hetiang dinhmun hi engtiang chiahin nge a awm?
He
nau pai hlauhawmna hi a takah chuan a awm fo thin. Naupai zinga
15% atanga 20% vel emaw, naupai za zinga 15 atanga 20 vel emaw chuan naupai kar 20 hmasa berah hetiang hi an tawk thei a ni.
Chutiang dinhmun hlauhawmah chuan naute chu a dam khawchhuak thei ang em?
Ni e, a dik tak zet!
A tam zawkah chuan nausen chu a dam chhuak a, naupai chu a pangngaiin a kal zel a ni. Zirchianna pakhatah chuan naupai kar 20 hmasa bera vaginal bleeding nei (chu chu nu naupai zinga 25% vel a ni)
zingah 60% chuan naupai hrisel tak chu term (kar 37) thlengin harsatna nei lovin an nei a, naute hrisel tak an nei tih hmuhchhuah a ni. Chuvangin, thisen chhuah tlem vangin hlau suh. Thinrim rawh.
Nau pai vau a nih chuan eng symptoms nge a neih?
A tlangpuiin, heng symptoms zinga pakhat emaw, pahnih emaw hi he dinhmunah hian a awm thei a:
- Vaginal bleeding : Hei hi spotting chauh a ni lo va, thisen chhuahna rit deuh pawh a ni thei. A chang chuan thisen zam te te a awm thin .Tissue ang chi thil a chhuak thei a, mahse thisen hloh zat erawh a tlem tlangpui.
- Pum na : He natna hi a tlangpuiin a na lo emaw, a na lo emaw a ni. A pum hnuai lam natna dull, na tak angin hriat a ni fo . Mahse, a châng chuan he natna hi zawi zawiin a pung thei a , natna nasa tak a lo ni thei ṭhîn .
Naupai i nih i inhriat chuan, emaw, i naupai tih i hriat a, heng symptoms te hi i neih
chuan doctor rawn vat nghal rawh. Vaginal bleeding leh pum hnuai lam natna thlentu dang a awm thei bawk. Chuvangin, thil awmdan dik tak hriat tumin damdawi lam thurawn lak a tha ber.
He nau pai hlauhawm tak hi engte nge ni?
Hei hi a chhan pakhat chauh hriat chian a harsa tak zet. Nau pai theihna tur thil engemaw zat a awm a. Chung zinga ṭhenkhat chu:
- Nausen chromosomal problems: Hei hi a chhan tam ber a ni. A awlsam zawngin, naute lo piang chhuak zingah hian genetic defect a awm chuan taksa chuan naupai chu tihtawp a tum ang .
- A hmaa nau pai tawh a nih avangin .
- Naupai tirh lamah zu emaw ruihhlo emaw hman emaw, chemical tha lo tak tak nena inzawmna emaw .
- Thau lutuk .
- Naupai laiin kum 40 aia upa nih.
- Meizial zu emaw vaping emaw.
- Placenta lama harsatna a awm.
- Trauma emaw taksa hliam emaw.
- Vaginal emaw uterine emaw infection a awm thei.
Mahse, hre reng ang che, a tam zawkah chuan hetiang thil a thlen hian i sualna a ni lo. I thunun theih loh chhan vangin a thleng thin.
Nau pai vau chu eng chen nge a awm theih ang?
Hetiang dinhmun hi ni engemaw zat emaw, kar tam tak emaw pawh a awm thei. Mi tin a inang lo. A natna lan chhuah dan leh a rei zawng hi mi zawng zawng tan a inang vek lo.
Nau pai hlauhawm takah HCG level a tlahniam em?
A châng chuan a ni.
`HCG (Mihring Chorionic Gonadotropin)` tih a ni"Naupai hormone" tia hriat a ni bawk. He `HCG` level hi naupai kar 11 vel thlengin a pung zauh zauh a (a chang chuan ni engemaw zat chhungin a let hnih in a pung bawk). A tlangpuiin kar 11 hma ni engemaw zat `HCG` level a tlahniam chuan nau pai theihna chance a sang hle.
Mahse, `Threatened Miscarriage` a awm lai hian `HCG` level chu a nghet reng thei. I doctor-in i `HCG` level a hniam nia a hriat chuan ni hnih atanga ni thum danah a enfiah leh ang. Pawimawh tak chu naupai hrisel takah pawh kar 11 hnuah `HCG` level a tlahniam a ni. Chuvang chuan
i `HCG` level dik tak hrethiam turin Doctor nen inbiakna neih a pawimawh. Engtin nge doctor-te hian he natna hi an hriat theih?
I doctor chuan i symptoms te a zawt hmasa ang che a, i medical history pawh a sawipui ang che. Chu bâkah, a hnuaia mite hi an ti thei bawk:
- Vaginal emaw pelvic ultrasound emaw hmangin heartbeat a awm leh awm loh enfiah thin a ni .
- I serh chu a dilated em tih enfiah nan pelvic exam tih a ni ang (nau pai tur i nih chuan i serh chu a inhawng tan ang).
- Thisen test tir a ni a , hormone `HCG` leh `Progesterone` tih te chu a awm leh awm loh enfiah a ni.
- Thisen test dang pawh tih theih a ni a , infection dang emaw condition dang emaw enfiah theih a ni bawk .
- I thisen chi (Rh factor) enfiah nan thisen test pawh tih a ni ang. I thisen a negative chuan immune globulin injection (RhoGAM® injection) pek i ngai mai thei .
Hmeichhia
``Threatened Miscarriage`` nei chuan a serh chu a khar tlangpui. Nausen thinlung thawk dan pawh scan-ah hmuh theih a ni bawk. Hengte hi he natna hi nau pai atanga thliar hran theihna tura puitu chhinchhiahnate an ni.
Hei hi engtin nge enkawl a nih?
In most cases, when there is
a threat of miscarriage ,
fimkhur taka nghah hi enkawlna awmchhun a ni. I doctor chuan i hormone level enfiah nan test dang a ti thei bawk. Dik tak chuan doctor-in nau pai tihtawp theihna tur engmah a awm lo. Doctor thenkhat chuan
progesterone (hormone naupai tanpui theitu) an rawt thin. Progesterone level hniam hi nau pai tihna a ni thei. He progesterone hi injection angin emaw, suppository angin emaw, tablet angin emaw ei theih a ni. A thatzia chungchangah ngaihdan hrang hrang awm mah se, zirchianna tam takah chuan naupai tirh lama vaginal bleeding nei hmeichhiate hnena progesterone pek hian hrisel taka nau piang zat a tipung tih a tarlang. Tun hma chuan
, khumah chawlh hahdam an rawt thin. Mahse
khumah chawlh hian nau pai a titawp dawn tih finfiahna a awm lo.Mahse, i doctor chuan nau pai hlauhawmna a liam hma loh chuan
``la awlsam takin la rawh'' a ti mai thei. Thil engemaw zat tih theih a awm a:
- Pelvic rest: Mipat hmeichhiatna hman loh tur leh i natna lan chhuah dan a bo vek hnuah kar khat tal chu vagina chhungah engmah dah suh.
- Chawlh hahdam: Mut tam la, thil hahthlak tak tak tih loh tur. Hei hian a pui thei che a ni.
- Thil tihbuaitu: I ṭhiante nêna inbiakna te, lehkhabu chhiar te, a nih loh leh movie en te ang chi thil engemaw tiin i rilru chu buaipui rawh.
Nau pai vau i neih chuan engtin nge i tih ang?
I doctor-in he natna hi i nei tih a hrilh che chuan result i nghah chhung hian eng nge i tih theih tih zawt rawh. Nau pai tihtawp dan tur enkawlna awm lo mah se, in lama in enkawl dan tur i tih theih tur chungchangah thurawn an pe ang che.
Nau neih hmaa enkawl chhunzawm zel a pawimawh hle. Chuvangin, i scheduled appointment leh test te kha lo thlir ve suh.
Hetiang dinhmun hi ven theih a ni em?
A tam zawkah chuan he
``Threatened Miscarriage`` hlauhawmna hi ven nan nangmah emaw i doctor emaw hian engmah tih theih a awm lo. I doctor-in i naupai chu nau pai hlauhawma a ngaih chuan
an thurawn zawm rawh. I thunun theih tur chu nau neih hmaa i appointment zawng zawnga tel vek leh i doctor thusawi ngaihthlak hi a ni. Naupai hrisel tak neih theihna tura i tih theih dangte chu hetiang hi a ni:
- Zu in, zu in leh ruihhlo dang hman loh tur.
- Chemical, toxin leh nausen tana tha lo thil dang ei loh tur.
- Nau neih hmaa vitamin folic acid awmna ei tur a ni.
- Thlai leh thei chi hrang hrang tamna ei leh in hrisel ei rawh.
- Ni khatah minute 20-30 vel exercise la (damdawi thurawn angin).
- Natna dang, hri kai, hriselna lama harsatna rei tak i neih chuan enkawl la, enkawl rawh.
Hei hi ka hlau tur em ni?
Nau pai vau avanga hlauhna leh lungkhamna neih hi
thil pangngai a ni . Test result emaw, i doctor appointment lo awm tur emaw nghah lai hian lungkhamna leh lungngaihna i nei thei. Hetih hun chhung hian
a theih ang anga in enkawl tha ang che. Mi thlawptu nen in hual la, a theih ang anga rilru hahdam taka awm tum ang che.
Mi tam tak chuan he natna nei hi naute hrisel tak tak an nei tawh tih hre reng ang che. Amaherawhchu, vanduaithlak takin nau pai i nei a nih chuan i sualna a ni lo tih hrethiam ang che.I hloh a\anga harh chhuah leh lungngai turin hun pe rawh. Naupai hloh chu eng pawh ni se, hlohna lian tak a ni.
Engtikah nge Doctor ka hmuh ang?
Naupai laiin vaginal bleeding emaw, pum na emaw i neih chuan doctor pan nghal tur a ni. An enfiah thei che a, nausen hriselna enfiah turin test an ti thei bawk.
He thawnthu atang hian eng nge kan hriat reng tur pawimawh ber?
Threatened miscarriage hi naupai tir lama harsatna awm fo a ni. Vaginal bleeding a thlen thei a, a chang chuan pum hnuai lam natna a thlen thei bawk.
A tam zawkah chuan naupai hi harsatna awm lovin a kal zel a, naute hrisel tak a lo piang thin. Mahse, a chang chuan a rah chhuah chu a tha lutuk lo va, nau paiah a tawp thei bawk. He hun chiang lo tak karah hian
rilru hahdam taka awm tum la, chhungte leh ṭhiante hnen aṭangin ṭanpuina zawng rawh. Nau pai chu i thunun theih thil a ni lo va, i thil tih pawh a ni lo tih hre reng ang che.
A pawimawh ber chu Doctor thurawn zawm a, in enkawl that hi a ni.
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