I naupai chhung zawng khan hlim leh hrisel takin i awm tawh a nih pawhin , i naute pian hun i hnaih rualin tlem tal i hlauthawng hi thil pangngai a ni. "Buaina lian tak a awm dawn em ni?", "Engkim a kal tha ang em?", tih leh a dangte. Dik tak chuan, a châng chuan i naute pian lai hian harsatna tenau te a lo awm thei a ni. Mahse, lungngai suh. Heng zawng zawng atan hian i doctor leh damdawi ina thawktute chu an inpeih tha hle a ni. Hetih hunlaia harsatna lo awm thei tam ber leh hmachhawn dan tur te han thlir ila.
Hun hmaa nau neih
Nausen harsatna lian ber pakhat chu a hun hmaa piang hi a ni. Hei hi a chhan chu naute taksa chu pum pawna dam khawchhuak thei tur khawpa puitling a la nih loh vang a ni. Entîr nân, lungte chu a ṭhang kim lo thei a, boruak thawk a harsat phah thei a, naute chuan taksa lumna a vawng reng thei lo thei bawk.
Naupai famkim chu kar 40 vel a ni tlangpui. Kar 37 hmaa contraction a tan chuan preterm labor kan ti thin. Tin, naute kar 37 hmaa piang chu ‘premature baby’ anga ngaih a ni bawk. Heng naute hi lung puitling lo, thawk harsatna, leh chaw ei lama harsatna te ang chi harsatna an tawk nasa zawk a ni.
Mahse damdawi leh enkawlna dang a awm a , chu chuan nau neih hma chu a titawp thei a ni . Chutiang enkawlnate chu hlawhtling lo mah se, intensive care unit hmasawn tak takte chuan hetiang hian nausen piang hmasa tam tak nunna a chhanhim thei a ni.
Heng symptoms te hi fimkhur rawh.
A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.
| Symptom a ni | Hrilhfiahna |
|---|---|
| Contraction hmasa ber | Kar 37 hma chuan nausen pum ruhte chu lungpui ang maiin a khauh a, a khauh bawk. Hei hi minute 10 emaw a aia rei emaw danah a thleng thin (a na lo pawh a ni thei). |
| Thlasik lai ang maiin hnungzang na | Pum hnuai lam natna. Hei hi Braxton Hicks contractions nen hian inzawm tir suh, chu chu a rualin a lo thleng tlangpui lo. |
| Pum hnuai lam ah pressure a awm | Pelvic area-ah pressure a awm tih hriatna. |
| Pum na emaw, pum na emaw | Condition, pum na, riltam, emaw, ril\am te ang chi natna a lo awm a, chu chu contractions nen a awm a nih chuan nau neih hmaa nau neihna chhinchhiahna a ni thei. |
| Vaginal atanga thisen emaw tui emaw chhuak | Vaginal bleeding emaw vaginal discharge inthlak danglam (a bik takin tui chhuak). |
Hun rei tak chhunga hnathawh
A awlsam zawngin, hei hian labour hi beisei aia zawi zawkin a thleng tihna a ni. Hei hian a awmzia chu serh a inhawng emaw, naute chu a tlangpuiin a tlai deuh emaw tihna a ni.
Hei hi a chhan hrang hrang a awm a, chu chu naute rihna a san vang te, naute chu breech position- a a awm vang te , emaw, nausen pum a inzawm chak tawk loh vang te hi a ni. Mahse, a tam zawkah chuan a chhan chiang tak hmuh tur a awm lo.
Hetianga nau neih a kal zel a, a bik takin tui a chhe rei tawh a nih chuan nu leh naute pahnih hian natna hrik kai ang chi harsatna an tawk thei a ni.
Hetih lai hian i doctor chuan tui tlakchhamna i neih loh nan IV fluids (saline) a pe thei che a ni. I nausen chu a inzawm tha lo a nih chuan a inzawm theih nan damdawi oxytocin tih an pe thei che a ni. I serh a la inhawng lo a nih chuan cesarean section (C-section) neih a ngai mai thei .
Naute dinhmun lama harsatna (Abnormal Presentation) .
"Prepresentation" tih thumal hian naute taksa peng pakhat, nausen pianna kawng atanga lo chhuak hmasa ber a kawk a ni. Pian hma kar tlemte , naute chu nausen pum chhungah a hnuai lam dinhmunah a awm a. A dinhmun tha ber leh a remchang ber chu naute lu hnuai lam, a hmui chu a rilruah dahin, nu hnungzang lam hawi a ni.Nghak. Tichuan naute lu atanga a te ber chu serh kaltlangin birth canal-ah a lut ta a ni. Hei hi `vertex occiput anterior` kan ti a.
Engvangin nge posture hi a pawimawh?
Lu hi naute taksa peng lian ber leh a flexible lo ber a ni. Chuvangin lu a lo chhuak hmasa phawt chuan naute taksa dang zawng zawng chu khawiah mah inkhuar lovin awlsam takin a chhuak ang.
Mahse naute thenkhat chu dinhmun hrang hrangah an awm.
- Breech presentation : Naute thenkhat chu breech emaw breech position-ah an awm a, lu hnuai lam position-ah an awm lo. Hei hi naupai tirh lamah ultrasound scan-ah hmuh theih a ni a, mahse naute tam zawk chuan nau neih hnaih deuh deuhin an lu an tikehsawm thin.
- Transverse Lie: A tlem hle a, naute thenkhat chu nausen pum chhungah a dinglam hawiin an mu thin. Hetiang a nih chuan naute kekawrte hi birth canal-ah a lut hmasa ber a ni.
- Cephalopelvic disproportion: Chumi awmzia chu naute lu chu a lian lutuk a, nu pelvis a paltlang thei lo tihna a ni.
- Malpresentation: Naute chu lu hnuai lam ni mah se, a hmai, a lu chunglam emaw, a hmai emaw chu hmalam hawiin a awm thei. Chutiang a nih chuan nau neih hi a hrehawm thei a, a rei thei bawk. Mi thenkhat chuan hei hi " back labor " an ti thin.
Heng dinhmun danglam tak takte hian nu nausen pum emaw, nau neihna kawng emaw hliam a tipung a, nau neih dan pangngai lo a thlen theihna a tipung bawk. Breech naute hi hliam leh umbilical cord tlakchhiat theihna a sang zawk. Heng dinhmun zingah hian transverse lie hi a pawi ber a ni.
Hemi chungchangah hian eng nge i tih?
Third trimester tawp lamah chuan i doctor chuan naute dinhmun chu i pum palpating emaw ultrasound hmangin emaw a enfiah ang. Naute chu breech position-ah a awm a nih chuan, i doctor chuan external cephalic version tih ang chi tih a tum thei ang. Hei hian doctor chuan i pum chungah a kut a dah a, zawi zawiin naute chu a awmna tur dik takah a chantir a tum a ni. Hei hian 50-60% hlawhtlinna a nei a ni. Mahse, hei hi damdawi inah tih a tha ber a, C-section lak a ngai a nih chuan inbuatsaih a ngai a ni.
Umbilical cord lama harsatna leh harsatna dangte
Umbilical cord hi i naute nunna kawngkhar a ni. I taksa atanga oxygen leh nutrients te chu i naute hnenah a phur lut thin. A châng chuan, he cord-ah pawh hian harsatna a awm thei bawk.
Umbilical Cord a tlakchhiat
A châng chuan tui a chhiat hnuah naute a chhuah hmain umbilical cord chu birth canal-ah a lut thei a ni.
Hei hi thil pawi tak leh hlauhawm tak a ni. Umbilical cord chu a compress a, naute thisen leh oxygen supply chu a titawp vek thei a ni. In lama i awm laiin hetiang hi a lo awm a nih chuan ambulance ko nghal la, damdawi in pan rawh.. Ṭanpuina a lo thlen hma loh chuan khup thla la, elbows chu leiah dah la, buttocks chu chawi sang rawh. Hetiang dinhmunah hian gravity hian umbilical cord-a pressure a tihziaawm a ni. Damdawi in an thlen hnuah C-section an ti nghal a.
Umbilical Cord tihkhawtlai a ni
Naute chu nausen pum chhunga a kal kual rualin umbilical cord a inzawm khawm hi thil pangngai a ni. Mahse a chang chuan nau neih laiin a tight thei bawk. Hei hian naute thisen tlem a hloh phah thei a, naute heart rate pawh a tlahniam nghal thei bawk. Hei hi Doctor ten an vil thei a ni. A tam zawkah chuan hei hi harsatna lian tak a ni lo a, mahse naute chu a lungngai hmel hle a nih chuan doctor chuan forceps emaw vacuum emaw hmangin naute chu rang takin a hrin a, a nih loh leh C-section a ti thei bawk.
Thil dang na tak thei tur
- Amniotic fluid embolism: Hei hi thil awm lo tak a ni. Naute hual vel tui (amniotic fluid) tlemte chauh chu nu thisenah a lut a. Hei hi dinhmun pawi tak a ni.
- Preeclampsia: Naupai atanga kar 20 hnua thisen sang lo awm thin.
- Postpartum hemorrhage: Nausen pian hnua uterus, cervix emaw vagina atanga thisen chhuak tam lutuk.
- Post-term pregnancy: Naupai hi kar 42 aia rei a nih chuan placenta hian naute mamawh tur ei tur a pe thei lo mai thei a, chu chuan harsatna a thlen thei a ni.
Chutiang harsatna lo thleng tur ven nan eng nge tih theih ang?
Naute hrisel tak neih theihna tura i tih theih pawimawh ber chu i naupai tirh lamah prenatal care dik tak neih hi a ni . Dik tak chuan i tih theih tha ber chu naupai chungchang pawh i ngaihtuah hmain i hriselna enkawl hi a ni.
Harsatna awm lo tura pui thei thil dang thenkhat chu hetiang hi a ni:
- Meizial i zuk chuan chawlhsan nghal rawh. Meizial zuk hian nau neih hmaa nau neih a thlen thei.
- Nitin ha brush leh floss thin ang che. Zirchiangtute chuan ha natna leh naupai hmaa inzawmna a awm tih an hmuchhuak.
- I stress tihziaawm rawh. Nitin chawlh hahdam nan hun hmang la, a tul hunah midangte tanpuina dil bawk ang che.
I doctor chuan nau neih hmaa nau neih theihna tur hlauhawm i nih leh nih loh a enfiah ang a, fimkhur dan tur a sawipui ang che. Cervix sei zawng tehna atana transvaginal ultrasound leh fetal fibronectin an tih test te hian nau neih hmaa nau neih theihna tur engemaw zat a tarlang thei a ni.
Take-Home Thuchah a ni
- I tih theih tha ber chu i naupai tirh atang khan damdawi lam thurawn dik tak leh nau neih hmaa enkawlna i lak hi a ni.
- Nau neih hmaa nau neih chhinchhiahnate hre reng ang che. Heng symptoms zinga pakhat tal i neih chuan doctor ko nghal rawh.
- Harsatna a awm chuan lungngai suh. I medical team te hi an zawng zawng hmachhawn turin training an nei a ni.
- I rilru hahna emaw, rinhlelhna emaw i neih chuan i doctor nen zalen takin sawipui rawh.
- Nunphung tihdanglamna chungchangah i doctor thurawn, meizuk bânsan ang chite chu zawm chiang rawh.
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