Uterine rupture a awm tih i hria em? Hlau lovin i sawi chhuak ang u!

Nau neih tura i inbuatsaih a nih chuan, emaw, i chhungkuaa mi tu emaw naupai a nih chuan, i thil hriatte avanga a chang chuan hlauthawng tlem i neih hi thil pangngai a ni. Vawiin hian uterine rupture tih dinhmun kan sawi dawn a, chu chu a na deuh thei a, mahse a tlem hle . He thu i hriat hian hlauthawng suh, awlsam tak leh chiang takin i hrethiam ang u.

Uterine Rupture tih hi eng nge ni?

A awlsam zawngin, nausen pum (uterine rupture) chu i nausen pum (uterus) bang a chhiat emaw, a chhe emaw a ni. Hei hi hmeichhia a hmaa cesarean section (C-section) nei tawh, an nau neih leh tur chu vaginal hmanga nau neih tum (Vaginal Birth After Cesarean - VBAC) te zingah a lang tam ber.

Ngaihtuah teh, i uterus hi taksa peng mak tak, taksa peng hrang hrang atanga siam a ni a, i naute a lo seilian zel angin a thang lian thei a ni. Tissue layer engemaw zat atanga siam a ni. Uterine rupture a awm chuan heng layer te hi a tear thin. A tam zawkah chuan he mittui hi a hmaa C-section neihna hmunah a thleng thin. C-section an tih lai hian i doctor chuan i naute lakchhuah nan i nausen chu a tikehsawm a, chutah chuan hliam a lo awm ta a ni. A tlangpuiin he hliam hi a dam tha tur a ni a, a hnua naupai leh nau neih avanga pressure a tuar tur a ni. Mahse, uterine rupture a awm chuan he scar hi a tear chhuak thin.

He nausen pum hi a rupture theih dan tlangpui pahnih a awm a, chungte chu:

• Complete uterine rupture: Hei hi uterine wall layer pathum zawng zawng a inthen vek a ni. Hei hi natna khirh tak a ni a, enkawl vat a ngai a ni.
• Incomplete uterine rupture: Hetah hian uterine wall layer pathum zawng zawng hi a chhe vek lo.

Uterine rupture tam zawk hi nau neih laiin a thleng thin a, mahse a chang chuan naupai laiin a thleng thei bawk. A tlem hle a, naupai loh lai pawhin a awm thei bawk.

Nausen pum a rupture chuan eng nge thleng?

Uterine rupture hi medical emergency anga ngaih a ni . Hei hi a chhan chu nang leh i naute tan pawh nunna atana hlauhawm a nih theih vang a ni. I nausen pum chhunga khur pakhat, i pum chhunga zungbun nena inzawm chu han mitthla teh. Hei hi a hlauhawm hle a, thisen chhuah tam tak a thlen thei bawk. Uterus a rupture chuan naute hian uterus atanga venhimna a dawn chu a hloh ta a ni. Tin, naute heart rate a ti hniam thei a, naute chu oxygen a tlakchham phah thei bawk. Naute hian oxygen a tlakchham chuan thluak a tichhe thei a, a thaw pawh a tichhe thei a ni. Chuvangin, naute lak chhuah leh i nausen (uterus) siam that nan doctor-te chuan hma an lak vat a ngai a ni.

Uterine rupture hi engtiang chiahin nge a awm?

Dik tak chuan uterine rupture hi thil thleng tlem tak a ni.. Hmeichhia cesarean section vawi khat nei tawh zingah hian nau 300 zinga pakhat velin hetiang hi a thleng thin. Mahse, hmeichhia C-section vawi khat aia tam nei tawh zingah chuan uterine rupture hlauhawmna a sang deuh hlek a ni. Chu chu delivery 300 zinga 9 vel ah a thleng thei tihna a ni. Chuvang chuan i nau neih hmaa i doctor nen zalen taka inbiakna neih a pawimawh.

Tu nge hlauhawm ber?

A tam zawkah chuan hmeichhiain a hmaa C-section a lo neih tawh a, a naute lo piang tur chu vaginally (VBAC) hmanga hrin a tum laiin, uterine rupture hi a awm thin a, chutah chuan a hmaa surgery atanga hliam chu a awm a ni. C-section i neih tam poh leh uterine rupture i neih theihna a sang zawk.

Risk factor dang pawh a awm a:

• Uterine surgery (e.g. fibroids lakchhuah) i neih tawh chuan.
• Tun hmaa uterine rupture i neih tawh chuan.
• Nausen pum chhungah hlauhawm emaw, hliam emaw a awm a nih chuan.
• Nausen piangsual ( septate uterus emaw bicornuate uterus ang chi) nei uterus i neih chuan.
• I uterus a zau lutuk a nih chuan. Chu chu, naute tam tak i neih chuan, twins ang chi, emaw, amniotic fluid a tam lutuk chuan .
• I naute chu breech position-ah a awm a, nau neih hmain manual-a turn (external cephalic version - ECV) i tum a nih chuan.
• Nau neih chu a rei a nih chuan.

Heng thilte hi ngaihtuah buai suh. Hengte hi risk factors chauh a ni. Hengte nei zawng zawng hian uterine rupture an nei vek dawn lo. A pawimawh ber chu heng zawng zawng hi i doctor nen sawiho a, i tana tha ber tur nau neih dan tur ruahmanna siam hi a ni.

Uterine rupture awm hian eng symptoms nge a neih?

A châng chuan, symptoms engmah i hmu lo mai thei. I obstetrician leh midwife te chuan nau neih laiin harsatna a awm leh awm loh an enfiah reng ang. Thil dik lo nia an hriat chuan hma an la thuai ang.

Uterine rupture symptoms te chu:

• Naute pum chhunga naute thinlung thawk dan dik lo (fetal distress) .
• Nu naupai zingah thinlung thawk chak emaw, thisen sang hniam emaw.
• Vawikhatmah, pum na na tak.
• Vaginal atanga thisen chhuak.
• Contractions awm reng emaw, awlsam lo emaw.
• Labour a tawp emaw, a slow emaw.

I doctor chuan uterine rupture hlauhawmna i nei tih a hriat chuan nau neih hmain fimkhur a tul ang. Chuvangin i medical history kimchang chu doctor hnenah i share a pawimawh em em a ni.

Uterine rupture awm chhante chu engte nge ni?

A tam zawkah chuan hmeichhiain a naute lo piang tur chu a pianphung anga a hrin hian, a hmaa C-section scar a neihna hmunah, uterine ruptures hi a awm thin. Hei hi a chhan chu pressure leh strain of labor hian scar tissue a tichak lo va, a tikehsawm thei a ni. Vawikhat chu nausen pum a rupture chuan naute chu kalna tur hmun nei lovin pum chhungah a kal thei a ni.

C-section i neih tawh chuan uterine rupture i neih theihna a sang hle. Mahse, i surgeon-in low-transverse uterine incision a siam chuan vertical incision i siam aiin a hlauhawmna chu a hniam deuh hlek a ni. Mahse, uterine surgery dang, uterine defect siamthatna tur ang chi te pawhin i risk a tipung thei bawk. I doctor chuan uterine rupture hlauhawmna sang tak neia a ngaih chuan harsatna awm lo turin C-section neih a rawt mai thei.

Mahse hei hi hre reng ang che: C-section i neih tawh vang mai mai chuan vaginal birth i nei thei ngai lovang tihna a ni lo. I nau neih tawh chungchang doctor nen inbiakna neih a pawimawh a, VBAC atan i fit tha em tih i zirchiang bawk. A then phei chuan VBAC hi a hlauhawm lutuk a, chuvangin i doctor chuan uterine rupture ven nan C-section neih a rawt mai thei.

Uterine rupture hi engtin nge a awm?

Mi zawng zawng hian uterine rupture an nei vek lo. Mahse, i tih chuan rang takin, pressure na tak emaw, i pum chhungah cramping emaw i nei thei. Thisen sang hniam emaw, thinlung na chak lutuk emaw, luak chhuak emaw, thawk hah emaw ang chi symptoms i nei thei bawk.

Uterine rupture hian thihna a thlen thei em?

Ni e, uterine rupture avanga thihna chance a tlem hle . Nu thihpui zat hi 1% aia tlem a ni. Chu chu mi 100 zinga pakhat aia tlem tihna a ni.

Nausen hi nu aiin thihna a sang zawk deuh (6% vel). Chuvang chuan doctor-te chuan naute chhanchhuahna tur leh nunna chhanhim thei tur enkawlna pek vat a pawimawh an ti.

Engtin nge uterine rupture i hriat theih ang?

Hei hi nau neih laiin hmuhchhuah a ni fo. I doctor chuan a hnuaia mite hi a hmu thei ang:

• I naute lu chu pelvis chhungah a tla thla tha hle a, vaginal exam lai pawhin i hre thei lo.
• I naute heart rate a tlahniam a, uterine contraction chak tak i neih chuan.

Doctor-te chuan i pum chhungah incision siamin i uterus a chhe tawh em tih an enfiah a, uterine rupture a awm tih an nemnghet bawk. Uterine rupture an finfiah chuan a rang thei ang bera leh him taka naute lakchhuah nan operation an nei ang.

Uterine rupture hi engtin nge enkawl a nih?

I nausen pum a chhe a nih chuan i doctor chuan naute chu a hrin nghal ang . Tichuan, i uterus siamthat nan surgery an ti ang. A chang chuan thisen a chhuak nasa a nih chuan i nausen pum chu lakchhuah vek a ngai mai thei (hysterectomy). Health care provider te chuan naute chu i pum atanga lakchhuah thuai turin an inpeih tur a ni a, nang leh i naute tan pawh emergency care an pe tur a ni.

Uterine rupture hi a dam theih nan eng chen nge a mamawh?

Uterine rupture atanga i dam leh theih nan kar li atanga kar ruk tal i mamawh a ni .Hetih lai hian chawlh hahdam tam a pawimawh a, i dam hma chuan doctor-in tih loh tur a tih thil tih loh tur a ni. I doctor chuan i dam chhung hian hetiang thil hi pumpelh turin a hrilh thei che a ni:

• Pound tlemte aia tam chawi.
• Vagina chhungah eng thil pawh dah luh. Hei hian tampon hman leh sex hman te a huam a ni.
• Exercise tih te, stairs chhoh te, leh movement hahthlak tak tak tih te.
• Tuia inbual emaw, tuiah thut emaw.

Uterine rupture avanga harsatna awmte chu engte nge ni?

Uterine rupture hian nunna atana hlauhawm harsatna a thlen thei a ni. Mahse, rang taka enkawl a nih chuan harsatna lian tham a thlen theihna a tlem hle.

Fetus tana harsatna awm thei te:

• Thâwk a tawi.
• Oxygen tlakchham vangin thluak a chhia.

Harsatna i tawh theih turte:

• Thisen chhuah tam lutuk (thisen chhuak) .
• Hysterectomy avanga nau neih theihna hloh.
• Thih nau piang a awm thin.

Engtin nge uterine rupture hlauhawmna tihziaawm theih ang?

He hlauhawmna hi i doctor hnenah i medical history kimchang i hrilh a, uterine rupture i neih theihna tur risk factors te sawihoin i tihziaawm thei a ni. Uterine rupture hlauhawmna i hriat chuan i doctor chu a venna atana inbuatsaihna tul tak tak siam turin a pui ang.

Cesarean section i neih avanga uterine rupture hlauhawmna sang tak i neih chuan i doctor chuan C-section neih hun tur ruahman chu a him zawk tih a rel mai thei. Hei hian nau neih nana i neih loh nan leh i nausen pum chungah pressure dang a siam loh nan a veng ang.

Uterine rupture hnuah naute neih leh theih a ni em?

Ni e, mi tam tak chuan hlawhtling takin nau an pai leh thei a, uterine rupture hnuah nau an pai thei bawk. Mahse, a hmaa uterine rupture i neih tawh chuan i naute lo piang tur chu C-section hmanga nau neih a ni tlangpui.

Uterine rupture leh placental abruption hi eng nge a danglamna?

Nausen pian hmaa nausen (placenta) atanga nausen (uterus) atanga a inthen hi Placental abruption tih a ni. Placental abruption-ah chuan i uterine wall a chhe lo va, a chhe lo bawk. Mahse, uterine rupture ang bawkin nang leh i naute tan harsatna lian tak a thlen thei a ni. Risk factor thenkhat, uterine rupture leh twins naupai te hi he natna pahnihah hian a awm ve ve a ni. Tin, symptom thenkhat, pum na leh vaginal bleeding te hi an pahnih ah hian hmuh tur a awm bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Uterine rupture hi harsatna awm lo mahse na tak a ni thei. Hmeichhia, a hmaa C-section emaw, uterine surgery dang emaw nei tawh, vaginal delivery tum mekte zingah a tam ber.

A pawimawh ber chu i nau neih dan tur chungchangah i nau neih dan tur chungchangah thutlukna tha ber an siam theih nan i nau neih dan tur chungchang hi zalen taka sawipui tur a ni .

A hmain cesarean section i lo nei tawh a nih pawhin, criteria thenkhat i tlin chuan vaginal birth (VBAC) i nei thei a ni. I nau neih dan tur leh uterine rupture hlauhawmna i neih leh neih loh te chu i doctor nen sawiho rawh. I naute chu him takin, hlauhna awm lovin, leh hriatna nen khawvelah rawn hruai lut turin inbuatsaih rawh!

` Uterine Rupture, Cesarean, C-section, VBAC, Nau neih, Naupai, Hmeichhe hriselna