Uterine inversion hi i hria em? Nu te tana thil pawimawh thenkhat!

Nu nih hi nunah thil tawn duhawm ber pakhat a ni. Mahse, nau neih hi hlimna hun a ni a, mahse a chang chuan, harsatna engemaw zat a awm thei. Vawiin hian natna hlauhawm tak, emergency medical attention mamawh tak chungchang kan sawi dawn a ni. Chu chu uterine inversion a ni a, doctor-te’n an tih angin ``Uterine Inversion'' a ni. He thu hriat hi a hlauhawm deuhin a lang thei a, mahse hlauthawng suh. Hei hi hriat chian a pawimawh hle.

Uterine inversion tih hi eng nge ni? A awlsam zawngin i hrethiam ang u!

Nau piang pangngai laia thil thlengte hi han ngaihtuah teh. I naute chu pum (uterus) a\angin a lo chhuak a, vagina kaltlangin khawvelah a lut a ni. Chumi hnu rei vak lovah chuan naupai laia naute chawmtu taksa peng (placenta) pawh taksa atangin a lo chhuak leh bawk. Hei hi "delivery" kan ti bawk. Hetiang a nih chhung zawng hian nausen pum hian a pianzia a vawng reng a ni.

Mahse, he uterine inversion an tih dinhmunah hian nausen chunglam chu chhung lam hawiin a pil a, a chhung lam atanga a then emaw a inher chhuak vek emaw a ni. Sock chhung lam atanga pawn lam hawi tir ang mai a ni. A châng chuan hetianga inverted uterus hi vagina kaltlangin a chhuak thei bawk. Chutiang a nih chuan thisen chhuahna nasa tak a thlen thei a, a tithinur thei a, vanduaithlak takin thihna pawh a thlen thei bawk.

Mahse, hlauthawng suh. Medical team inbuatsaih tha tak chuan hma a la thuai thei a, heng a rah chhuah rapthlak tak takte hi a veng thei bawk. Chuvang chuan hei hi hriat chian a pawimawh hle.

Hei hi engtiang chiahin nge a pawi? Reversal stage hrang hrangte chu engte nge ni?

He natna hi stage paliah then a ni a, chu chu nausen pum chhung lam hawia a inher chhuah dan leh taksa peng dangte a nghawng dan azirin a ni:

• Stage 1 (incomplete retroversion): Nausen pum chunglam chu nausen pum chhungah a tla thla tawh a.
• Second degree (complete inversion): Nausen pum chunglam, sock chhung lam atanga chhuak ang maiin, serh chhung lam hawiin a inzawm khawm a.
• Stage 3 (prolapsed): Nausen pum chunglam chu vagina thuk ber a thleng tawh a.
• Stage 4 (total prolapse): Nausen pum leh nausen pum pahnih hi taksa atanga rawn chhuak vek an ni.

A tam zawkah chuan hetiang dinhmun hmachhawntute hi second emaw third stage-ah an awm thin.

Uterine inversion hi engtiang chiahin nge a awm?

Hei hi thil awm lo tak a ni. Nau piang 3,500 zinga pakhat velah a awm a, report thenkhatah chuan nau piang 20,000 zinga pakhat velah a awm bawk. A tam zawkah chuan nau neih hnu darkar 24 hmasa berah a thleng thin (acute uterine inversion) . A tlem zawkah pawh nau neih hnu thla khat chhungin (subacute uterine inversion) emaw, thla khat hnuah (chronic uterine inversion) emaw a ni thei.

A tlem hle (5% vel), nau neih vang ni lovin nausen pum hi a tilt thin. Tin, nausen pum chhunga tumor, fibroids emaw, cancer natna dang emaw vang pawh a ni thei bawk.

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

Uterine inversion awm chhan dik tak hi hriat chian a la ni lo.

Mahse, doctor-te’n nausen (placenta) lak chhuah an tum laiin umbilical cord an hrual nasat lutuk chuan hetiang hi a thleng thei tih ngaihdan awmze nei tak a awm. Hei hi Doctor tihsual a ni lo. Nau neih laiin harsatna tam tak awm thei zinga pakhat chauh a ni.

Doctor chuan umbilical cord (nausen leh nausen inzawmkhawmtu taksa peng) chu a hrual ang a, a pum chu a hmet a, nausen chu a chhuah tir thei ang. Hei hi ``Crede maneuver'' an ti a. Hetiang tih lai hian uterus hi a roll tam zawk a, chu chu:

• I nausen chu i nausen pum chunglam (fundal placental implantation)-ah dah a nih chuan. Naupai lai hian nausen pum (placenta) hian nausen pum (uterine wall) chunglam, a sir lam, hmalam emaw, hnunglam emaw-ah a dah thei a ni. A tam zawkah chuan a chung lamah a implant thin.
• Nau neih hnua nausen pum (uterus) a inzawm loh chuan (uterine atony). A tlangpuiin nausen pian hnuah nausen pum hi a inzawm khawm nasa hle. Hetianga tihkhauh hian nausen (placenta) a chhuah tir a, thisen kalna kawng (blood vessels) a tihkhawtlai avangin thisen chhuah a ti tlem bawk. Hei hi ``uterine atony'' an ti a, chu chu nausen pum chu a inzawm tha lo tihna a ni.

Mahse, he theory hi finfiah a harsa hle a, a chhan chu heng condition awm lo hian uterus hi inverted a ni tawh a ni. Tin, nau neih dan tur ``Crede maneuver'' ang chi hi hman a ni tlangpui a, uterine inversion pawh a tlem hle bawk.

Hemi atan hian tute nge hlauhawm ber?

Uterine inversion vei zawng zawng zinga a chanve vel chuan a hnuaia risk factor pakhat emaw a aia tam emaw an nei a ni:

• Umbilical cord tawi tak neih.
• Nau neih rang emaw, rei tak emaw.
• Nausen pum ti hahdam thei damdawi hman.
• I fa hmasa ber neih (hei hi i naupai hmasak ber a nih a ngai lo. Nau i pai hmasa a, nau i nei lo pawh a ni thei).
• Naute pangngai aia lian (fetal macrosomia) neih.
• Retained placenta (placental abruption) (nau neih atanga minute 30 chhungin placental abruption a chhuak lo).
• Preeclampsia na tak (naupai laiin thisen sang nena inzawm natna).
• Placenta accreta spectrum (nausen chu nau neih laiin a inthen loh nan uterine wall-ah a inzawm thuk em em a ni ).

Eng nge a lan chhuah dan? Engtin nge i hriat chian?

Uterine torsion hian thisen nasa tak a chhuah thei a, shock a thlen thei bawk. Torsion nasat dan azirin symptoms a inang lo:

• Vaginal bleeding (a rit lo emaw, a rit emaw pawh a ni thei).
• Pum hnuai lam na leh pressure a awm.
• Vagina atanga rawn chhuak zungbun hring, zungbun.
• Thisen sang tlahniam.

Shock-a mizia: 1.1.

Heng symptoms te hi shock chhinchhiahna nen a inzawm thei bawk. Hengte hi a hlauhawm hle a, enkawl vat a ngai a ni.

• Luak chhuak, lu hah, chak lohna, buai, chau, emaw mut theih lohna emaw.
• Thinlung thawk chak tak leh thawk thuk lo.
• Vun lum leh thawk hah.
• Muscle a ti na hle.
• Inbual duhna nasa tak nei (thirst).

Engtin nge doctor-te hian hei hi chiang taka an chhui chhuah?

In cases of complete inversion , doctor chuan a hre nghal thei. A lan chhuah dan ber chu nausen pum (uterus) chhuak leh thisen chhuak nasa tak a ni. Doctor chuan i pum chu a hre bawk ang a, nausen pum chu a hmun atanga a kal loh enfiah ang.

He diagnosis hi siam vat a ngai a, a chhan chu nunna chhanhim thei enkawlna hi tan nghal a ngai a ni.

Engtin nge enkawl a nih?

Enkawlna hlawhtling tak chu medical team-te’n an thiltih chak danah a innghat a, i vital sign-te a tihngheh danah a innghat a, i nausen pum chunglam chu a awmna tur hmunah a hruai kir leh theih danah a innghat a ni. I enkawlna tur chu inversion stage-ah a innghat ang. Hei hian a huam thei ang:

• Damdawi lam thawktu dang: Natna tihziaawmna tur anesthetics pe tur te, thisen level enfiah tur te, a tul chuan thisen pek tur te, leh doctor pui turin staff dang mamawh a ni thei.
• Manual reinsertion: Doctor chuan i vagina leh cervix kaltlangin needle hmangin uterus chunglam chu a hmunah nawr leh a tum ang. Nausen pum chu hman a awlsam zawk nan damdawi pek i ni thei bawk. A theih chuan nausen chu nausen pum chhunga a la inzawm laiin dah leh a ni a, a la inthen lo a nih chuan. Nausen pum chu taksa pawna a awm laiin nausen (placenta) lakchhuah a nih chuan thisen chhuak nasa tak a chhuah theihna a sang zawk.
• Surgery (laparotomy): Nausen pum chu serh kaltlanga luh theih loh emaw, thisen chhuak nasa tak i nih chuan doctor chuan laparotomy an tih surgery a ti thei a ni. Hetah hian doctor chuan i pum chhungah incision a siam a, pelvic cavity-ah a lut a, uterus chu a hmunah a dah leh a ni.
• Uterus stabilizing: Nausen chu a hmuna dah leh a nih hnuah a contract leh theihna tur damdawi pek i ni ang. He contraction hian thisen chhuah a ti tlem ang a, nausen pum chu a hmunah a awm reng ang.

He nunna chhanhimtu enkawlna hi operation room-ah tih a ni. Thisen chhuah a reh hnuah thisen pek a ngai a nih chuan Intensive Care Unit (ICU)-ah sawn theih i ni. A tul angin thisen pek i ni ang.

Hei hi ven dan tur a awm em?

Vanduaithlak takin uterine inversion ven dan tur a awm lo. Mahse, i medical team-in hma an lak thuai chuan hei hi a ni theiTha taka enkawl theih a ni.

Hetiang dinhmun hi i hmachhawn a nih chuan eng nge thleng ang?

Uterine torsion hi uluk taka enkawl loh chuan nunna atana hlauhawm tak a ni thei. Mahse, emergency-a chhan let turin medical team an inpeih tawh avangin damchhuah theihna chance a sang hle. Hetiang enkawlna dawngtute hian hun rei tak chhunga harsatna awm lovin nun hrisel tak an hmang thin.

Uterus inverted hnuah nau i pai leh thei ang em?

Uterine inversion nei tawhte chuan naupai hlawhtling tak tak an nei tawh a ni. Mahse, hei hian nakin lawka naupai turte a nghawng dan dik tak hriatthiam nan data tam zawk a ngai a ni. Uterine inversion hmasa tawh i neih chuan doctor hnenah hriattir tur a ni. Chu thu hriat chuan i hmalam hun tûra i enkawlna tûr ruahmannaah a ṭanpui thei che a ni.

Engtin nge ka in enkawl ang?

Uterine inversion hnuah ei leh in hrisel ei a pawimawh a, tui in tam a, a theih ang anga chawlh hahdam a, doctor thupek dik taka zawm a pawimawh. In lama i enkawlna tur chu i enkawlna a zau zia leh thisen i hloh zat a innghat ang. Entirnan, thisen tlakchham vangin thisen test nawn leh a ngai mai thei a, iron supplement i ei a ngai mai thei bawk. Chuvangin, i doctor thupek ang chiah kha zawm rawh.

Uterine rupture i neih theihna chance a tlem hle. Mahse, i tih chuan i enkawl nghal thei tur medical team awm chuan i nunna a chhanhim thei a ni. Uterine rupture ang chi complication rang tak thlenga i ngaihtuahna i neih apiang chu i doctor nen sawiho rawh. Tin, emergency a thlen hunah nunna chhanhim thei enkawlna kawng awmte pawh zawt bawk ang che.

Thupui tawi leh Take-Home Message

Okay, chuvangin thil pawimawh ber berte i hriat reng theih nan kan sawi tawhte kha han khaikhawm ila:

• Uterine inversion hi natna khirh tak a ni a, nau neih laiin a thleng thei a, mahse a tlem hle a, emergency medical treatment a ngai a ni.
• Chutiang a nih chuan nausen pum chu a chhung lam atanga pawn lam a inher a, vagina atang pawhin a chhuak thei bawk.
• Thisen chhuah tam lutuk leh shock hi a hlauhawm ber a ni.
• A chhan dik tak hriat ni lo mah se, placental abruption leh uterine contraction awm lohna te hian a hlauhawmna a tipung a ni.
• A hmaa hriatchhuah leh enkawl vat chuan nunna a chhanhim thei a ni. Enkawlnaah chuan nausen pum chu kut hmanga dah leh emaw, operation emaw a ni thei.
• Hei hi pumpelh theih ni lo mah se, damdawi inenkawlna tha tak nen chuan i dam leh thei a, nun hrisel takin i nung thei a ni.
• Nakin lawka naupai tur chungchangah doctor nen inbiakna neih a pawimawh.

He thu hi hriattirna atan chauh a ni tih hre reng ang che. Damdawi lam thurawn aiah hman ngai lo tur a ni. Zawhna emaw, ngaihtuahna emaw i neih chuan i doctor emaw, healthcare professional thiam tak emaw zawt rawh. Pian leh nu hrisel tak nei turin duhsakna kan hlan a che u!

`Uterine Inversion, Nau neih avanga harsatna awm thei, Placenta, Thisen chhuak nasa, Shock, Gynecology, Nu hriselna