Nu thar i nih angin thil sangkhat vel i ngaihtuah mai thei. Naute hi a tha em tih te, a mamawh zawng zawng a hmu vek em tih te, engkim ka ti dik em tih ngaihtuah hi thil pangngai tak a ni. Hetiang hun lai hian "knot in the umbilical cord" tih ang chi thu hriat hi ngaihtuahna hlauhawm tak a ni thei. Mahse, lungngai suh. Vawiin hian eng nge a nih tak tak, engvangin nge a lo awm tih leh kan hriat chian a tulte kan sawi dawn a ni.
A awlsam zawngin, umbilical cord-a knot chu eng nge ni?
Hei hi i pheikhawk kawrfual chhunga knot lo awm ang mai a ni. Umbilical cord hi naute hnena oxygen leh nutrients phurtu leh naute bawlhhlawh phur kir lehtu nunna kawng a ni. Nang leh naute inkara bridge te tak te ang mai a ni. Naute chu nausen pum chhunga a kal kual vel hian a chang chuan he umbilical cord hi a knot thei bawk.
Mahse hei hi a ni. Knot lo awm zawng zawng hi a hlauhawm vek lo. A tam zawkah chuan hengte hi knot loose tak tak an ni. Umbilical cord chhungah hian jelly ang chi thil a awm a, chu chu `(Wharton's jelly)` kan ti a, chu chuan heng knot te hi a ti nghet lo. Naute a inher leh hunah heng knot te te hi anmahni chauhin an lo chhuak mai thin.
But, very rarely , naupai 100 zinga 1 aia tlem loah chuan he knot hi a tight hle thei. Chu chu doctor-te'n "knot dik tak " an tih chu a ni. Hetiang knot tight tak atanga lo awm thei chu naute hnena oxygen leh nutrients thleng thei chu a titawp thei a ni.
Tui pipe-ah kink awm ta se, tui luang chu a tlahniam ang tih han ngaihtuah teh, a dik em? Hetah pawh hi chutiang chu a ni. He kink hian naute mamawh thil luang chhuak tur a tikhawlo a ni.
Mahse ka sawi nawn leh a, hei hi thil thleng tlem tak a ni . A tam zawkah chuan nausen hrisel tak chu harsatna nei lovin a piang thin.
Engvangin nge hetiang harsatna hi a lo chhuah? Hemi kawngah hian mawhphurtu ka ni em?
Ni lo tak zet a ni. Hei hi i sualna a ni lo. Hei hi i thunun theih thil a ni lo. Hei hi a chhan ber chu naute pum chhunga a che vel vang a ni . Naute chu a che leh a inher lai chuan heng knot te hi a lo awm thei a ni. A pianphung tak a ni.
Mahse, doctor-te chuan thil engemaw zat an hmuchhuak a, chu chuan thil engemaw takah chuan ``True Knot'' vei theihna a tipung deuh a ni. Chung zinga pakhat emaw a aia tam emaw i neih chuan i doctor chuan a ngaihven hle ang.
| Risk factor a ni | Hrilhfiahna awlsam tak |
|---|---|
| Umbilical cord sei zawng tihpun | Umbilical cord chu a tlangpui aia sei a nih chuan a inzawm khawm a rinawm zawk. |
| Naute a te deuh deuh | Naute chu a te a nih chuan a pum chhungah hian a kal kual theihna tur hmun a tam zawk a, chuvang chuan knot a lo awm thei a ni. |
| Twins `(Monoamniotic twins)` tih a ni | Amniotic sac khata twins awm chuan an umbilical cords te chu a inzawm khawm a, a inzawm khawm thei a ni. |
| Amniotic fluid `(Polyhydramnios)` tihpun a ni | Naute chhehvelah tui (amniotic fluid) a tam poh leh naute hian chetna tur hmun a neih tam avangin tangle a siam tam zawk thin. |
| Naupai vawi hnihna emaw, a hnu lama naupai (Multiparity) . | Fa pahnihna emaw pathumna emaw nei nute chuan nausen chu a zau deuh thei a, chu chuan naute chu a che thei lo thei a ni. |
| Nu kum 35 chunglam a ni | Zirna hrang hrangah chuan nu kum 35 chunglam tan chuan he hlauhawmna hi a sang deuh hlek tih hmuhchhuah a ni. |
Naute chetna tlahniam pawh hi chhinchhiahna a ni em?
Awle. Naupai thla thum chhunga naute chetna tlahniam nghal mai pawh hi he knot chi hi a nghet tawh tih chhinchhiahna a ni thei bawk. Chuvang chuan naute che vel hi ngaihven a pawimawh hle a ni.
Knot a awm leh awm loh hriat lawk theih a ni em?
A tam zawkah chuan naute a pian hnuah chauh he lump hi a awm leh awm loh chiang takin i hre thei a, a chhan chu ultrasound scan hmang pawhin chiang taka hmuh a harsa hle.
Mahse, a châng chuan doctor-in scan laiin naute thinlung thawk tlahniam emaw, thil danglam dang emaw a hmuh chuan rinhlelhna a siam thei a ni.
Tin, nau neih lai hian naute thinlung natna chu a inzawm khawm rualin a inthlak danglam nghal a nih chuan doctor-te chuan he knot hi an ringhlel a, a chhan chu nausen pum (uterus) a inzawm chuan knot hi a nghet zual thei a ni.
Hei vang hian doctor-te chuan , "I naute chu a che tlem zawk nia i hriat chuan damdawi inah lo kal nghal rawh," an ti fo thin. Ngaihtuah suh. I rinhlelhna tlemte pawh i doctor nen sawiho rawh.
Knot a awm chuan eng harsatna nge awm thei?
Hei hi i tan chuan hlauhawm tak angin a lang thei a, mahse hriat reng a pawimawh. ``True Knot'' a tight lutuk chuan naute oxygen supply chu a titawp vek thei a ni. Hetiang dinhmun hi ``Hypoxia'' kan ti a.
Hun rei tak chhunga nghawng a neih dan chu knot a tight danah a innghat. Knot a tight lutuk a, oxygen supply pawh rei tak a tihtawp chuan naute nunna pawh a nghawng thei a ni. Thluak tihchhiat theihna a awm bawk.
- Cerebral Palsy natna a ni
- Oxygen tlakchham vanga thluak chhiatna (Hypoxic-ischemic encephalopathy - HIE) .
- Hmasawnna emaw hriatna lama tihkhawtlai
Heng dinhmunte hi a thleng thei a ni. Mahse, ka sawi uar leh a, hengte hi a rah chhuah nasat ber ber, a thleng tlem berte an ni. A tam zawkah chuan knot a tight lutuk loh vang emaw, doctor-te inrawlh vat vang emaw chuan naute hrisel tak chu engmah tichhe lovin a piang thin.
Hei hi enkawlna emaw, enkawl dan emaw a awm em?
Nausen pum chhungah hian he knot hi phelh theih a nih loh avangin doctor-te chuan he natna hi enkawl dan tur an ngaihtuah ber a ni.
- A hmaa hmuhchhuah a nih chuan: Nau neih hma scan laiin lump a awm nia rinhlelh a nih chuan i doctor chuan nang leh i naute chu uluk takin a enkawl ang che . Hei hian scan tam zawk neih te, naute than dan enfiah te, naute thisen kal dan enfiah nan Doppler study te a huam thei a ni.
- Nau neih laiin hmuhchhuah a nih chuan: Nau neih laiin knot a awm nia rinhlelh a nih chuan, naute heart rate tlahniam ang chi chu medical team te chu high alert-ah an awm ang. Naute hian ``fetal distress'' chhinchhiahna a neih chuan emergency C-section tih an rel ang. Hetih lai hian an tum ber chu second khat pawh khawhral lova naute chhanchhuah hi a ni.
Chuvangin, medical team thiam tak enkawlna hnuaia i awm chuan he emergency chi hi an buaipui thei a ni. I hna chu doctor thupek zawm a, inthlak danglamna i hmuh apiang hriattir nghal a ni.
Take-Home Thuchah a ni
- Umbilical cord-a knot dik tak awm hi a awm lo hle . Chuvangin hei hi a tul lovah hlau suh la, lungngai takin i naupai hun hmang rawh.
- Heng knot te hi naute che vel avanga lo awm a ni a, i sual vang a ni lo. Ngaihtuah buai suh.
- I tih theih pawimawh ber chu i naute che vel (movement) ngun taka ngaihven hi a ni a, a bik takin thla hnuhnung berah hian. Nitin i naute che vel danah inthlak danglamna lian tak i hmuh chuan, emaw, a che vel a tlahniam tih i hriat chuan, thil thleng mai mai ni lovin, i doctor emaw, damdawi in hnai ber emaw pan nghal rawh.
- Risk factors emaw, complication emaw awm mahse, a tam zawkah chuan naute hrisel, chaw tha tak chu harsatna nei lovin he khawvelah hian a lo kal thin.
- Zawhna emaw hlauhthawnna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh. I rilru a phurrit chu nasa takin a tihziaawm ang.
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