Nu ni tur i nih angin nau neih chungchang hi tlem i hlau emaw, i hriat duh emaw pawh a ni thei. A pangngai hle mai. Engkim a kal tha ang tih i ngaihtuah a nih pawhin a chang chuan kan ngaihtuah ngai loh harsatna a awm thei. Vawiin hian nau neih laia emergency lo thleng thei, mahse a tlem hle a, mahse ngaihven vat a ngai thu kan sawi dawn a ni. Hei hi Umbilical Cord Prolapse an ti a.
A awlsam zawngin, he umbilical cord sticking out hian eng nge a awmzia?
Okay, hei hi kan hriatthiam hmain umbilical cord hi eng nge a nih i en hmasa phawt ang. I hriat angin nausen pum chhunga naute hian a mamawh oxygen leh nutrient zawng zawng chu he umbilical cord hmang hian a dawng vek a, chu chu nu nausen atanga naute pum nen a inzawm a ni. A awlsam zawngin, hei hi naute nunna kawngkhar a ni .
Nau piang pangngaiah chuan naute chu vagina kaltlangin a chhuak hmasa a, chutah chuan nausen chu umbilical cord nen a chhuak dun a ni. Mahse, ``Umbilical Cord Prolapse`` an tih dinhmunah chuan a kalh zawngin a thleng thin. Chu chu naute a chhuah hmain umbilical cord chu cervix kaltlangin a lo chhuk a, vagina chhungah a lut tihna a ni.
Ngaihtuah teh, mi pakhatin kawngkhar zim tak aṭanga chhuah a tum hian, an kuta pipe ang chi thil a lo chhuak hmasa a nih chuan eng nge thleng ang? Chu mi chu a rawn chhuah chuan chu pipe chu a inzawm tlat a ni lawm ni? Hetah pawh hi chutiang chu a ni.
Naute pian hmaa umbilical cord a lo chhuk chuan naute lu emaw taksa emaw chu nu serh leh serh chhungah a tang thei a ni. Hei vang hian hei hi thil pawimawh tak leh hlauhawm takah ngaih a ni .
Umbilical cord a tlakbuak chuan eng nge thleng?
Naute hnena oxygen leh thisen pekna kawng ber chu umbilical cord a ni. Chuvangin a pinch chuan chu thisen supply chu a tawp vek a ni.
- Thisen supply a reh chuan: Naute hian a mamawh oxygen a hmu lo.
- Uterus a inzawm khawm chuan (nau neih tan chuan): Hetiang tightness hi a pung thin.
- Umbilical cord boruakah a awm: Umbilic cord chhunga thisen kalna kawngte chu a tlem a, thisen kal dan a tichhe zual hle.
Heng dinhmunte hian naute tan harsatna nasa tak emaw, chak lohna nghet tak emaw pawh a thlen thei a ni. Chuvangin doctor-te chuan hei hi "obstetric emergency"-ah an ngai a ni.
Hetiang dinhmun hi chi hnih a awm a.
Hei hi Doctor-te chuan kawng lian pahnihin an hmu a.
1. Overt prolapse: Hei hi naute pian hmaa umbilical cord chu cervix kaltlangin a chhuk kim vek a, vagina chhungah a lut a ni.
2. Thilmak tihchhiatna:Hetah hian naute hmaah umbilical cord a chhuak lo. Chu ai chuan naute taksa nen a chhuak a, chu chu a sir lamah a tla thla a, naute lu emaw a kekawrteah emaw a tang tihna a ni. Hei hi pawn lam atanga hmuh theih a nih loh avangin hriat chian a harsa deuh.
Hetiang dinhmun hi engtiang chiahin nge a awm? Tin, a symptoms te chu engte nge ni?
Hei hi thil awm dan tlangpui a ni lo. Statistics atanga a lan dan chuan he natna hi nau piang 300 zinga 1 vel ah a awm thin. Zirna thar thenkhat chuan tunah chuan he natna hi a tlahniam lehzual a, nau piang 1,000 zinga 1 a ni tawh niin an sawi.
Hei hi hriat theihna tur feature lian ber berte chu:
- Tui a chhe hnuah: Doctor emaw nurse emaw chuan vaginal exam laiin umbilical cord chu a hre thei emaw, a hmu thei emaw a ni.
- Naute heart rate tlahniam nghal: Doctor-te chuan CTG machine-a naute heart rate a tlahniam nghal (bradycardia) a nih chuan hei hi an ringhlel a, minute khatah beat 120 hnuai lam a tlahniam tihna a ni.
Hetiang dinhmun hi nu tui a chhiat hnuah a awm fo thin. Zirna hrang hrangah chuan tui a tlak hnu minute 5 chhungin prolapse 50% aia tam a awm a, darkar khat chhungin 70% vel a awm bawk.
Umbilical cord prolapse thlen theihna tur risk factors te chu engte nge ni?
Hei hi a chhan chiang tak pakhat hriat chian a harsa hle. Mahse he natna hi i vei theihna tur risk factor engemaw zat a awm. Chung zinga pakhat emaw a aia tam emaw i neih chuan i doctor chuan a bik takin a ngaihven ang.
| Risk factor a ni | Hrilhfiahna awlsam tak |
|---|---|
| Fetal Presentation a ni | Breech presentation : Naute lu chu a hnuai lam ni lovin, a sir lamah emaw, a serh sir zawng zawngah emaw dah a ni. Lu hian serh chu a khuh kim lo va, umbilical cord chu a rawn chhuak thei a ni. |
| Naupai tam tak neih | Twins emaw triplets emaw an neih hian naute hmasa ber a pian hnuah leh naute pahnihna a lo thlen hmain umbilical cord chu a tla thla thei a ni. |
| Amniotic fluid tam lutuk (Polyhydramnios) . | Naute chhehvela tui (amniotic fluid) a tam lutuk chuan tui bawm a chhiat chuan tui chuan rang takin umbilical cord chu a nawr thla thei a ni. |
| Nau piang hmasa ber | Tui bag chu a khat hmaa a chhe a nih chuan naute a te avangin serh chu a khar tha lo ang. Chu gap atang chuan umbilical cord chu a rawn chhuk thei a ni. |
| Umbilical cord pangngai lo tak | Umbilical cord a sei lutuk chuan a tlak theihna chance a sang zawk. |
| Placenta Previa tih hi a ni | Nausen (placenta) hi nausen pum hnuai lamah a awm a. |
| Naupang awm zat | He risk hi nu nau panga emaw a aia tam emaw nei tawh tan chuan a sang zawk a ni. |
Hei bakah hian nau piang rihna hniam, taksa rihna sang lutuk (macrosomia), leh doctor-in tui bag a tihchhiat (amniotomy) te pawh hian a hlauhawmna a tipung thei bawk.
Hei hian eng harsatna nge a thlen theih?
Sawi tawh angin hei hi emergency a ni. Enkawl nghal loh chuan naute thluak leh taksaah oxygen a tlakchham dawn avangin naute hian nghawng pawi tak a nei thei a ni.
- Hypoxia: Taksa tan oxygen tlakchhamna.
- Birth asphyxia (HIE): Oxygen tlakchhamna avanga thluak chhiatna.
- Cerebral Palsy: Thluak chhiatna avanga chetna lama harsatna awm reng.
- Thluak a tichhe vek.
- Stillbirth: Nausen pum chhunga vanduaithlak taka thihna.
Hei hi i tan chuan hlauhawm tak angin a lang thei a, mahse hei hi thil thleng tlem tak a ni tih hre reng ang che. Tin, damdawi inah hetiang hi a thleng a nih chuan medical team te chuan hma an la nghal ang a, naute chhanchhuah nan theihtawp an chhuah ang.
Hei hi Doctor ten engtin nge an enkawl?
Vawikhat Umbilical Cord Prolapse a awm tih hriat a nih chuan second tin hian a chhiar vek a ni. Medical team-te thil tum ber chu a rang thei ang bera naute hrin hi a ni.
1. Emergency C-section: A tam zawkah chuan emergency C-section hi i naute chhanchhuahna kawng him ber leh rang ber a ni. Operating theatre-ah hruai nghal i ni ang.
2. Umbilic cord-a pressure tihziaawm: Surgery atana inbuatsaihna hun chhung hian medical team-te chuan umbilical cord-a pressure tihziaawm an tum ang. Chumi atan chuan hmanraw engemaw zat hman a ni a:
- Nu dinhmun thlak danglam: Nu chu khup atanga a beng thlenga dah a ni. Hei hian gravity hian naute chu tlem a ti sang thei a, umbilical cord-a pressure a tihtlem phah a ni.
- Kut hmanga naute nawr chhoh: Doctor emaw, nurse trained emaw chuan an kut chu vagina-ah an dah a, naute lu chu zawi zawiin an nawr chho a, umbilical cord chu an chhuah tir a ni. Cesarean section tan hma loh chuan hetiang dinhmunah hian i awm reng a ngai ang.
Heng zawng zawng hi naute oxygen supply siam that leh him taka naute hrin theihna tura tih a ni.
Naute hian he natna hi a dam khawchhuak thei ang em?
Ni e, a theih ngei ang. Hetiang dinhmun hi damdawi inah a awm chuan naute chhanchhuah theihna chance a sang hle. Damdawi in pakhata thihna hi a hniam hle a, 3% vel a ni. Mahse damdawi in pawnah, entirnan in lama nau neih laiin hetiang thil hi a thleng a nih chuan thil awmdan chu a hlauhawm hle. A chhan chu operation nghal theihna tur facility a awm loh vang a ni. Chuvang chuan damdawi inah naute hrin hi a pawimawh reng a ni.
Hei hi ven dan tur a awm em?
Vanduaithlak takin Umbilical Cord Prolapse veng turin kan tih theih a awm lo. Naupai lai hian hei hi hriat lawk theih a ni lo, a chhan chu naute leh umbilical cord hi nausen pum chhungah an inher kual reng a ni.
Hei hi pumpelh theih loh leh emergency hmuh tur awm lo tak a ni. Kan tih tur chu risk factors hriat chian a, nau neihna tur damdawi in thlan mai a ni. Tichuan, chutiang emergency a lo thlen chuan i medical team chuan a tul angin hma an la nghal vat ang.
Take-Home Thuchah a ni
- Umbilical Cord Prolapse chu naute pian hmaa umbilical cord vagina chhunga a luh hian a ni.
- Hei hi medical emergency pawi tak a ni a, naute oxygen leh thisen supply tibuaitu a ni.
- Naute dinhmun (breech), twins, leh tui tam lutuk te hian a hlauhawmna a tipung thei a ni.
- A lan chhuahna ber chu tui a chhe hnua umbilical cord hmuh theih emaw, khawih theih emaw a nih a, naute thinlung thawk chu a tlahniam nghal mai a ni.
- Hei hi enkawlna awmchhun chu naute hi nau neih nghal a ni a, a tam zawkah chuan emergency C-section hmanga nau neih hi a ni.
- Hei hi pumpelh theih ni lo mah se, damdawi inah naute hrin hian hetiang emergency dinhmunah hian nu leh naute nunna a chhanhim thei zawk a ni.
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