Naute a neih hnuah uterus a contract tha lo em ni? (Uterine Atony) chungchang hi han sawi ila!

Nu nih hi nunah thil tawn mawi leh mawhphurhna nei ber pakhat a ni. Amaherawhchu, he hlimna nen hian a chang chuan beisei loh hriselna lama harsatna a lo chhuak thei a ni. Vawiin hian nu thenkhatin nau an pai hnua an hmachhawn thin natna khirh tak, mahse enkawl theih tak chungchang kan sawi dawn a ni. Hei hi uterine atony an ti a, damdawi lam tawngkam chuan uterine atony an ti bawk.

Uterine Atony chu eng nge ni? A awlsam zawngin...

A awlsam zawngin, Uterine Atony chu nau i neih hnua i nausen (uterus) a inzawm tha lo emaw, a nghet lo emaw a nih chuan a ni. A tlangpuiin naute a pian hnuah nausen pum chu a inzawm tha hle a, nausen pian hnua thisen chhuah chu a control thei a ni. Mahse, hetiang dinhmunah hian uterine muscle te hian hna an thawk tha lo a, chu chu a lo loose a, a tight angin a tight lo tihna a ni. Hei hi a hlauhawm hle a, a chhan chu thisen chhuak nasa tak a thlen thei a, chu chuan nunna a tichhe thei a ni .

Ngaihtuah teh, i naute chu naupai laiin nausen pum chhunga a lo seilian lai hian naute hian a mamawh thisen, oxygen leh ei leh in zawng zawng chu nausen (placenta) kaltlangin a hmu vek a ni. He placenta-a thisen pe chhuaktu thisen kalna kawng tam tak a awm a. Naute a pian hnuah nausen pum chu a inzawm khawm a, nausen chu a hnawtchhuak ta a ni. A inzawm khawm chuan chu thisen kalna kawngte chu a khauh a, thisen a chhuak tawh lo. Chuvangin, nausen pum chu a inzawm tha lo a nih chuan, chu chu (uterine atony) a awm chuan, chu thisen kalna kawngte chu thisen chhuak chhunzawm zel tan a ni. Hei hi postpartum hemorrhage kan tih chu a ni .

Hetiang dinhmun (uterine atony) hi nau pai emaw, nausen pum huap operation dang emaw hnuah a awm thei a ni. Nau neih pangngai lai bakah cesarean section neih lai pawhin a awm thei. Hetiang dinhmun hi nau piang zawng zawng zinga 2% vel ah awm mahse, thisen chhuah tam lutuk a thlen ngai lo. Mahse, hei hi damdawi lam pan vat ngai dinhmun a ni. Enkawl vat a nih chuan a dam kim thei a ni.

Naute a neih hnua nausen pum (uterus) a inzawm loh chuan eng nge thleng?

Nau neih hnua uterine muscle te a contract tha lo a nih chuan thisen chhuah theihna a sang hle. Kan sawi tawh ang khan nau neih hnuah nausen (placenta) hi nausen pum (uterine wall) atanga inthen a ngai a ni. Hei hian chutah chuan thisen kalna kawng a hawng a. Nausen pum chhunga inzawmna (contraction) hian chu thisen kalna chu a tikhauh a, thisen chhuahna chu a titawp bawk. Chuvangin, taksa ruh te hi a inzawm tha lo a nih chuan thisen a chhuak chhunzawm zel dawn a ni. Hei hi medical emergency a ni a, nunna atana hlauhawm thei a nih avangin.

Eng thil nge he natna vei theihna tipung?

Uterine atony hi risk factor engemaw zat a awm a. Heng thilte hian nau i neih hnua i uterus contracting a tibuai thei a ni:

• Hei hi i naute hmasa ber a nih chuan , emaw fa panga aia tam i neih chuan .
• Twins, triplets, emaw a aia tam emaw i beisei a nih chuan .
• I naute chuA tlangpui aia lian a nih chuan (doctor-te chuan hei hi Fetal Macrosomia an ti) .
• Kum 35 aia upa i nih chuan .
• Amniotic fluid (naute chhehvel tui) i neih tam lutuk chuan (hei hi polyhydramnios an ti) .
• I thau lutuk a nih chuan .
• Uterine fibroids i neih chuan .

Tin, doctor-te chuan nau neih laiin heng thilte hi a thleng a nih chuan nau neih hnuah nausen pum hi a inzawm lo thei niin an ngai bawk:

• Nau neih rei tak i neih chuan , emaw nau pai rang tak i neih chuan .
• Nau neih harsa tak i neih chuan .
• I labor kha induced a nih chuan .
• Chorioamnionitis (naute chhehvela membrane-a infection) tih natna i neih tawh chuan.
• General anesthesia pek i nih chuan .
• Uterus lian zawk i neih chuan .

Pawimawh: Heng risk factor pahnih aia tam i neih chuan uterine atony i vei theihna a sang zawk. Doctor-te chuan hlauhawma awmte chu an hre hmasa a, nau neih hmain a tul anga inbuatsaihna an siam a, chutiang chuan rang taka kalpui theih a ni.

Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?

Uterine atony hi nau neih hma leh nau neih laiin i taksain uterine contraction tichak tura a siam hormone (oxytocin) chu uterus muscle-te’n an chhân lêt ṭhat loh vang a ni. A awlsam zawngin, nausen pum hian "a ngaithla lo" ang mai a ni.

Hei hi eng symptoms nge ni?

Uterine atony chhinchhiahna lian ber leh pawimawh ber chu uterus atanga thisen chhuak reng emaw a tam lutuk emaw hi a ni . A tam zawkah chuan i naute i hrin hnu lawkah i doctor chuan he natna hi a hre nghal mai ang. Chu bâkah, nau i pai hnuah i nausen pum chu a lo hring thei a, a chak lo thei a, a nghet lo thei bawk.

A lan chhuah dan dangte chu:

• Thisen sang hniam .
• Fast Heart Rate .
• Luak chhuak emaw, rilru hah emaw .
• A hmel chu a pale hle .
• Thil hriatna hloh .
• Zun chhuah theih lohna .
• Natna, a bik takin hnungzang natna .

Doctor-te hian engtin nge hei hi an hriat?

Kan doctor te hi Uterine Atony hi rang taka hriatchhuah leh enkawl tura zirtir an ni. Hei hi nau i neih hnua i nausen pum lian leh nêm loh kut hmanga enfiah a ni tlangpui. Doctor chuan a kut pakhat chu i pum chungah a dah ang a, a kut dang kut zungtang chu i vagina chhungah a dah lut ang a, i nausen chu a enfiah ang. Doctor thenkhat chuan thisen hipna atana hman pad emaw gauze emaw te pawh an rit ang a, thisen i hloh zat an chhut ang.

Uterine atony i neih chuan i uterus chu a lian a, a nem a, a chak lo bawk. Nau neih pangngaiah chuan nausen chu a inzawm (harden emaw stiffen emaw) a, naute a pian hnuah a tlahniam tan tur a ni.

Nau neih hnua thisen chhuahna nasa tak thlentu ber chu uterine atony a nih avangin i doctor chuan a hnuaia mite hi a enfiah bawk ang:

• I serh, i serh, i nausen pum chhungah mittui a awm em ?
• Nausen (Retained Placental Tissue) hmun thenkhat chu nausen pum chhungah a innghat em tih.

I doctor chuan i thisen sang leh heart rate a inthlak danglam leh awm loh a enfiah chhunzawm zel ang. Tin, thisen test an nei thei bawk a, i red blood cell count leh blood clotting factor an enfiah thei bawk.

Enkawlnate chu engte nge ni?

Uterine atony hi emergency a nih avangin i medical team atanga hmalak nghal a ngai a ni. Enkawlna tum ber chu thisen chhuahna chu a rang thei ang bera tihtawp a thisen emaw tui hloh emaw thlak danglam a ni . Thisen chhuahna control a nih hnuah pawh, a bo tawh chu thlak turin thisen emaw, IV fluid emaw i neih a ngai mai thei.

I obstetrician-gynecologist chuan uterus chu nasa zawka a contract theih nan massage hmangin enkawlna a tan tlangpui ang. A natna nasat dan azirin hei hian uterine atony tihdamna kawngah pawh a pui thei a ni.

Nau neih hnua uterine massage bakah hian i doctor chuan i uterus contract-a pui turin damdawi engemaw zat a hmang thei bawk. Heng damdawi te hi:

• (Oxytocin) (brand hming Pitocin®) tih a ni.
• (Methylergonovine) (brand hming Methergine®) tih a ni.
• Prostaglandins , entirnan 15-methyl-PGF2 (Hemabate®), misoprostol (Cytotec®) emaw dinoprostone emaw te hi a ni .
• Ergot Alkaloid chi hrang hrang , entirnan (Ergometrine) .

Uterine wall-a pressure pek dan (Tamponade Techniques) .

I doctor chuan i nausen pum chu thisen chhuah tlem nan pressure tam zawk a pek a ngai mai thei. Heng hmanrua te hi nausen pum chu gauze hmanga pack emaw, nausen chhunga balloon inflating emaw a ni. Heng hmanrua hmang hian doctor chuan uterine wall-ah direct pressure a pe a, thisen chhuah chu a titawp a ni.

Surgery hmanga enkawl a ni

Thil dang zawng zawngin thisen chhuah a titawp thei lo a nih chuan operation neih a ngai mai thei. Uterine atony enkawlna atana surgery hman dante chu:

• (Uterine Curettage): Hetah hian doctor chuan thisen emaw, nausen emaw, nausen pum chhunga tang (D&C ang chi) chu a scrape a, a paih chhuak thin.
• Uterine Artery Ligation: Nausen pum chhunga thisen petu thisen kalna kawng hrang hrangte inzawmkhawmna a ni.
• (Uterine Artery Embolization): Nausen pum chhunga thisen chhuah tihtawp nan, leilung ang chi thil te te hmanga siam a ni.
• Hysterectomy: A tawp berah chuan thil dang zawng zawng a hlawhchham chuan nausen pum (uterus) lakchhuah.

Hei hian eng harsatna dang nge a thlen theih?

Uterine atony hian harsatna a thlen thei a, chungte chu:

• Anemia - chu chu thisen tlakchham tihna a ni.
• Chau lutuk emaw hnathawh tam lutuk emaw anga inhria .
• Thisen sang hniam avanga luak chhuak emaw, muhil emaw tih hriat.
• Nakin lawka naupai turah thisen chhuah theihna a sang .

Hei hi ven theih a ni em?

A tam zawkah chuan uterine atony hi a veng thei lo. Mahse i hlauhawm a nih chuan i doctor chuan thisen chhuak nasa tak laka inbuatsaih turin hma a la thei a ni. Entîr nân, nau neihna pindan-a ṭanpuitu emaw, hmanrua emaw dang neih emaw, damdawi in danga i naute i hrin emaw chuan a ṭanpui thei a ni. Naupai hrisel tak neih theih nan hma i la thei. Hei hian nau neih hmaa vitamin ei , nau neih hmaa i appointment neih reng , leh naupai laiin taksa rihna hrisel tak neih te a huam a ni.

Nau neih hmaa thisen chhuak nasa tak i neih tawh chuan i obstetrician leh gynecologist hnenah hriattir ngei ngei tur a ni.

Hei hi a thleng leh thei ang em?

Ni e, uterine atony vawi khat aia tam neih theih a ni. I lo neih tawh chuan i neih leh theihna chance a sang zawk.

A tawp berah chuan ka hrilh a ngai a ni... (Take-Home Message)

Uterine atony hi natna khirh tak a ni a, nau neih hnua lo awm thei a ni. Hetiang dinhmun hi i neih chuan thisen chhuah tam lutuk loh nan i medical team te chuan an enkawl vat a ngai dawn a ni. I doctor nen uterine atony chungchang leh a hlauhawmna i neih leh neih loh chungchang sawipui rawh. A hlauhawmna hriat hmasak hian a tul chuan emergency treatment dawng tura inpeih turin a pui ang che. Chûng thilte hriat chian chu hlauhna thlentu a ni lo va, a ṭûl chuan ṭanpuina rang taka hmuh theihna hun remchâng a ni zâwk tih hre reng ang che. Nangmah chauh i ni lo va, doctor-te pawhin tanpui turin an inpeih reng a ni.

` Uterine Contraction, Uterine Atony, Nau neih hnua thisen chhuak, Nau neih, Uterus, Hmeichhe hriselna, Placenta