Naute pian hmain nau neih a lo thleng em? Hei hi nau neih hma (premature labor) an ti.

I due date hmain naute i nei dawn niin i inhria fo thin em? Hei hi nu tam tak tan chuan hlauhthawnna tlanglawn tak a ni. Hei hi preterm labor an ti a . A awlsam zawngin, i taksain i nau neih hun tur kar 3 aia tam a nau neih tura a inbuatsaih lai a ni. Hei hian a chang chuan i naute chu a piang hma thei a ni. Mahse thu lawmawm tak chu he nau neih hma hi tihkhawtlai turin doctor-te hian thil tam tak an ti thei a ni. I naute chu a pum chhunga a awm rei poh leh a pian hnuah harsatna a nei tlem zawk ang.

Tute nge risk sang zawka awm?

Nau piang hmaa nau neih theihna chhan hrang hrang a awm. Eng nge an nih i han thlir teh ang.

• Meizial zuk: Naupai laia meizuk hi a hlauhawm hle.
• Taksa rihna : Naupai hmaa taksa rihna sang lutuk emaw, tlahniam emaw.
• Kum: Nu naupang kum 20 hnuai lam emaw kum 40 chunglam emaw nih.
• Antenatal clinic-a kal loh: Naupai chhung zawnga doctor thupek leh test dik taka zawm loh.
• Zu leh ruihhlo: Naupai laia zu in emaw, ruihhlo dang hman emaw.
• Hriselna lama harsatna dang: Thisen sang, zunthlum, preeclampsia ang chi dinhmun, thisen zam natna, emaw natna thenkhat emaw.
• Nausen pum chhunga harsatna awmte: Nausen pum chhunga naute hian piansualna a nei thei.
• Artificial insemination: `( In Vitro Fertilization - IVF)` tih ang chi technique hmanga naupai.
• Twins: Naupai tam tak nei, twins emaw triplet emaw ang chi.
• Hmanlai chanchin: Nangmah emaw, i chhungte zinga tu emaw chuan a hmaa nau a pai tawh a nih chuan.
• Fa inzawm tlat neih: Fa pakhat neih hnu rei vak lovah naupai leh .

Hengte hi fimkhur tur symptoms te chu a ni.

Nau neih hmaa nau neih loh nan vaukhânna chhinchhiahnate i hriat chian a ngai a ni. Hetiang dinhmunah hian rang taka thil tih hian danglamna nasa tak a thlen thei a ni. A hnuaia symptoms te hi i neih chuan doctor ko nghal rawh.

Engtin nge contractions a lo thlen dawn tih chiang takin i hriat theih ang?

He natna hi a hmaa hriat theihna kawng ber chu serh (cervix) enfiah hi a ni.

1. I kut zungtang chu i pum chungah dah la.

2. Nausen pum chu a tight ang maia a hriat a, a relax leh a nih chuan chu chu ``Contraction`` an ti.

3. A hun chu record rawh. Ni khat a intan hun leh a tuk a intan hun ziak rawh.

4. Hei hi tihtawp tum ang che. I ding a nih chuan thu rawh. Hmun hrang hrang thlak danglam. Thâwk la la, chawlh hahdam rawh. Tui glass hnih thum emaw in tur a ni.

5. Minute 10 danah emaw a aia tam emaw a natna a awm chhunzawm zel a nih chuan, a natna a zual a nih chuan, emaw, a tuar theih loh chuan , doctor ko nghal rawh.

Mahse, hre reng ang che, nu tam tak chuan ``Braxton Hicks contractions`` tih hming pu, hlauhawm lo tak tak, natna dik lo (fase contraction) an nei thin. Hnathawh zingah an tel lo. Mahse, a natna chu eng nge ni tih i hriat chian loh chuan damdawi lam thurawn la ngei ang che.

Damdawi inah ka kal a ngai a nih chuan eng nge thleng ang?

I doctor chuan preterm labor-a i awm nia a hriat chuan damdawi inah dah i ni thei. Damdawi in i kal hunah doctor emaw nurse emaw chuan a hnuaia mi ang hian a ti ang:

• I medical history zawh a ni ang a, a bik takin naupai laia damdawi i ei dan te.
• I pulse, thisen sang, leh taksa lum leh vawt te chu a enfiah ang.
• I pum chhungah monitor bun a ni a, chu chuan i naute thinlung thawk dan leh i che vel dan a enfiah thin.
• Vagina atang hian sample lak a ni a, ``fetal fibronectin`` tih thil pakhat test nan an hmang thin.`` Hei hian nau piang hmaa neih hlauhawmna tur ngaihtuahna a pe thei a ni.
• Infection awm leh awm loh enfiah nan zun emaw cervical test emaw tih a ni ang.
• I cervix chu a dilated em tih an enfiah thin.

Preterm labor tih finfiah a nih chuan a hnuaia enkawlnate hi pek i ni thei ang:

• IV fluid (saline) pek a ni.
• Nausen pum tih hahdamna tur leh nau neih tihtawp nan damdawi pek.
• Naute lung a than chak zawk nan damdawi pek.
• Antibiotics pek chhuah.
• Damdawi ina dah leh enkawl.

Contractions te hi tihtawp theih a nih loh chuan doctor te chuan naute hrin turin an inbuatsaih ang. Tin, nausen pum chhunga natna hrik emaw, amniotic fluid emaw, pre-eclampsia na tak ang chi natna i neih chuan naute hi nau neih hmasak an tum mai thei bawk.

Hun hmaa nau neih hi ven theih a ni em?

Naute hrisel tak neih theihna tura i tih theih pawimawh ber chu i naupai hmaa hrisel taka awm a, i naupai chhung zawnga damdawi lam thurawn leh clinic dik tak kal hi a ni.

Nau neih hmaa nau neih hi ven theih vek a ni lo mai thei a, mahse hengte hi i tih hian i tihziaawm thei a ni:

• Stress tihziaawm rawh. Nitin hun engemaw chen chu ngawi rengin hmang rawh. I mamawh hunah midangte tanpuina dil rawh.
• I ha leh i hmui hrisel takin vawng reng ang che. Research chuan ha natna leh nau piang hma hi inzawmna a nei tih hmuhchhuah a ni. Chuvangin nitin ha silfai thin ang che.
• Meizial i zuk chuan chawlhsan nghal rawh.

I doctor chuan i risk factors te chu a enfiah ang a, i fimkhur tur chungchang a sawipui ang che. A châng chuan transvaginal ultrasound hmangin i cervix sei zawng teh theih a ni a, chu chuan nau piang hmaa nau neih theihna tur i ngaihtuah thei a ni. Tun hnaia zirchianna hrang hrangah chuan progesterone an tih hormone pek hian hmeichhe thenkhatah nau piang hmaa nau neih loh nan a pui thei tih hmuhchhuah a ni.

Naute hi a pian hma chuan eng nge thleng ang?

Nausen piang hmaa piangte hi ``Premies`` kan ti thin.A tam zawkah chuan heng naute hi zawi zawiin an lo thang lian a, term-a naute piang level an thleng thin.

Mahse, heng naute hian harsatna engemaw zat an neih theihna chance a sang zawk. An hmasawnna a tlai deuh mai thei. Rolling over, thusawi, leh thil man thiam ang chi thil zir nan hun rei zawk an hmang thei. Tin, hun rei tak chhunga hriselna lama harsatna, autism, rilru lama harsatna, cerebral palsy, lung lama harsatna, leh mit leh hriatna lama harsatna te pawh an vei theihna a sang zawk bawk.

Naute hian harsatna a neih theih nasat dan chu an pian hma danah a innghat a ni. Thla 7 hnua naute piangte hian damdawi ina ``NICU - Neonatal Intensive Care Unit''-ah rei vak lo awm an mamawh tlangpui. Nausen piang hmasa zawkte chuan harsatna lian zawk an tawk a ni. ``NICU''-ah hian damdawi lam enkawlna leh enkawlna bik an mamawh a ni.

Naute leh i naute in haw hnua nang leh i naute hian heng symptoms te hi in hriat chuan doctor ko nghal emaw, damdawi in Emergency Treatment Unit (ETU)-ah emaw hruai nghal rawh.

• Nau hnute pek: Nausen piang hma chuan hnute an pe thei. Chuvangin nau hnute pek fo tur a ni (darkar 3-4 danah). I naute chuan hnute a pek duh loh chuan i doctor hnenah hrilh rawh .
• Mu:Heng naute hi an mut tam thei hle. Chaw pek laiin an muhil thei bawk. Chuvangin chaw pek laiin kaitho thin ang che. An hnungzang chungah mut tir fo ang che.
• Thâwk lak: I naute hian thawk a harsat hmel hle a nih chuan doctor ko nghal la, 1990 call rawh.
• Jaundice: I naute vun emaw mit a sen emaw, chaw pek harsatna a neih chuan jaundice chhinchhiahna a ni thei. Hospital i chhuahsan hmain check hmasa phawt ang che. In i thlen hnua natna lan chhuahna i hmuh chuan i doctor hnenah hrilh rawh .
• Infection: Nausen piang hmasa te hi immune system a thang kim lo a, chuvangin infection an kai tam zawk. Khawsik leh thawk harsa ang chi symptoms te chu en reng ang che.