Stillbirth - Hemi chungchang hi han sawi ila

Naupai laiin i naute duh tak hloh hi nu emaw pa emaw tan chuan thil hrehawm leh harsa tak a ni tih rin theih a ni. Chutiang thil lungchhiatthlâk tak kan hmachhawn huna rilrua zawhna, lungngaihna, thinurna leh sualna lo chhuakte chu thuin a sawifiah thei lo. He thuziakah hian he thupui sensitive tak, chu chu ‘Stillbirth’ an tih dinhmun hi awlsam leh ngilnei takin sawifiah kan tum dawn a ni.

Thi piang hi eng nge ni tak tak?

A awlsam zawngin, nau piang thi chu naupai kar 20 hnua nausen pum chhunga thihna a ni . Naupai kar 20 hmaa naute boral chu nau pai tih a ni tlangpui.

Hetiang dinhmun hi a tlem hle. Naupai 200 zinga pakhat vel ah a awm thin. Nu leh pate tan chuan thil mak tak a ni thei a, naupai hrisel takah pawh a thleng thei a, a tam zawkah chuan harsatna a awm lo.

Mahse hetah hian thil pawimawh tak leh thlamuanthlak tak kan sawi tur a ni. Nu tam zawk, nau piang thi tawhte chuan a hnua naupai hlawhtling tak an nei thei a, naute hrisel tak an nei thei bawk. A tlangpuiin, a hnu lama naupai tur chu a hlawhtling theihna chance 90% aia tam a awm. Hei hi chromosomal problem thenkhat vang emaw, umbilical cord lama harsatna vang emaw a nih chuan a lo thleng leh theihna chance a tlem hle. Mahse, hei hi nu natna rei tak vang emaw, nu leh pa thlahtute zingah genetic disorder vang emaw a nih chuan a hlauhawmna chu a sang deuh thei a ni.

Eng thilin nge thi thei nau piang?

Dik tak chuan, nau piang thi report zawng zawng zinga a chanve vel chuan a chhan hriat theih an nei lo. Chu chu a lungchhiatthlak ber a ni. Mahse, a chhan hriatchhuah a nih chuan a chhan pawimawh tak tak engemaw zat a awm a ni.

Thih nau neih theihna hlauhawmah ka awm em?

Thil engemaw tak chuan nau thi tawh theihna chu tlem a tipung thei a ni. Chungte chu risk factor an ti a.

• Naupai hmaa STI miscarriage i neih tawh chuan.
• Zu emaw ruihhlo emaw hman.
• Meizial zuk.
• Thau lutuk .
• Kum 15 hnuai lam emaw kum 35 chunglam emaw nih.

Heng risk factors te hi neih hian nau thi tawh i nei ngei ang tihna a ni lo. Mahse, hengte hi hriat reng a pawimawh a, doctor nen inbiakna neih a pawimawh a, i naupai chhung zawng hian fimkhur zual a pawimawh bawk.

Thi nau piang hian eng symptoms nge a neih?

A tam zawkah chuan nau piang thi a thlen hmain vaukhânna chhinchhiahna a awm lo. Mahse, a châng chuan harsatna a awm tih tilangtu chhinchhiahna tlemte a awm ṭhin. Hengte hi ngun takin i ngaihven tur a ni.

1. Vaginal bleeding: Naupai lai a bikin second half-a thisen chhuah hi naute chungah thil dik lo a awm tih hriattirna a ni thei. Mahse, naupai laia thisen chhuak zawng zawng hian naute tan harsatna a thlen vek dawn lo tih hre reng ang che. Amaherawhchu, thisen chhuak tlemte pawh i neih chuan i doctor nen inbia nghal ang che.

2. Naute chetna a tawp emaw a tlahniam emaw: I naute pum chhunga che vel, chu chu thil tih dan pangngai a tlahniam thut emaw, a tawp vek ang tih emaw a nih chuan chhinchhiahna pawi tak a ni thei.

Naupang bo hnuah engtin nge a chhan i hriat chhuah?

Hetiang thil rapthlak tak a thlen hnu hian i doctor chuan i fa taksa chu engvangin nge a thlen tih hriat tumin a ti thei che a ni. Hei hi autopsy an ti a. Hei hi hemi atana a bik taka training nei doctor (pathologist)-in a ti thin. Hei hian genetic testing ang chi thilte pawh a huam thei.

Heng test result hian, "Engvangin nge ka naute chungah hetiang hian a lo awm?" tin, naupai leh tur i ruahman a nih pawhin a ṭangkai thei bawk.

Heng test te hi neih leh neih loh chu nang leh i kawppui inkara thutlukna siam vek a ni. I doctor leh chhungte nen sawiho la, thutlukna siam rawh. Tin, he lungngaihna chi hrang hrang hmachhawn thei tur che lungngaihna counselor biak pawh hian tanpuina nasa tak a ni ang.

Engtin nge taksa leh rilru lamah i dam leh theih ang?

Naute chu a pum chhungah a thi tih hmuhchhuah a nih hnuah chuan naute chu hrin a ngai dawn a ni. A tam zawkah chuan nuin hriselna lama harsatna hmanhmawhthlak tak a neih loh chuan hei hi tih nghal a ngai tawh lovang. Doctor chuan hun remchang a thlang ang. Vawi tam tak chu naute chu nau neih tir (inducing labor) hmangin vaginal hmangin a piang thei a ni. Thil bik thenkhatah chuan cesarean section neih a ngai mai thei.

Hei hi hun harsa tak a ni. Taksa lama dam laia rilru natna nasa tak tuar chu thil awlsam a ni lo.

Lungngaihna te, thinrimna te, leh buaina te hi thil pangngai tak a ni. He hlohna hian in inneihna pawh a nghawng thei a ni. Chuvangin, rilru lam hriselna lama mi thiam tak, rilru lam doctor emaw, rilru lam doctor emaw hnen atangin tanpuina dil hreh ngai suh. Chutiang thil tawn tawh nu leh pa dangte nêna ṭanpuina group-a tel chu a ṭangkai hle thei bawk.

Thi nau piang chu ven theih a ni em?

Vanduaithlak takin nau piang thi hi vaukhânna awm lovin a awm thei a, chu chu hmeichhia risk factor nei lote pawhin an nei thei a ni. Mahse, naupai, zunthlum leh thisen sang ang chi risk factor nei te chu doctor ten uluk takin an vil reng a ni. Naute dinhmun hi Doctor-in a hmuh apiangin an enfiah thin. Heng test te hi naupai hun tawp lamah an ti fo thin a, ‘non-stress testing` leh regular `ultrasound` scan ang chi special test te pawh an hmang thin.

Nu naupai zawng zawng tih tur pawimawh ber chu!

Risk factors nei lo mah la, kar 26 hnuah chuan ni khatah vawi eng emaw zat i naute che vel (kick) te chu uluk takin en reng ang che. Hei hi "kick counting" an ti bawk. I naute che vel dan a inthlak danglam tih i hriat chuan, kick zat a tlahniam tih i hriat chuan doctor pan nghal la, damdawi in emergency department (ETU) ah kal nghal rawh. Hei hi nunna chhanhimna a ni thei.

I tum leh hmain taksa leh rilru lama dam leh turin hun i mamawh ang. Doctor nen inbia la, naupai hrisel tak neih theih nan a tul angin hma la rawh.

• Naupai leh hmain damdawi lam thurawn la hmasa phawt ang che. Vitamin tul tak tak folic acid te ei thin ang che.
• Zu leh meizuk hi pumpelh vek tur a ni.
• Ei leh in hrisel ei rawh. Chaw tui tak chauh ei rawh.
• I doctor-in a pek damdawi chauh ei thin ang che.
• I in chhungah carbon monoxide detector dah rawh. Hemi chungchang hrechiang duh tan Colombo National Hospital-a National Poison Information Center ah zawhfiah theih a ni.