Naute i neih hnuah i uterus-ah eng nge thleng? (Uterus Involution) tih hi a ni.

Naute i neih chuan thlamuang mah la, ni engemaw zat chhung chu i taksain a chau deuh hi thil pangngai a ni lawm ni? A bik takin thla tam tak chhung naute phur tawh i uterus chu a hmaa a lian zawngah a tlahniam leh a ngai a ni. Vawiin hian he kalphung pawimawh tak hi kan sawi dawn a ni.

Uterine Involution hi eng nge ni?

A awlsam zawngin, uterine involution chu i uterus chu naute i neih hmaa a lian leh te angin a lo tlem leh a ni. Hei hi i naute i neih hnu lawkah a thleng a, kar ruk vel a daih. Hei hi nau neih hnua thisen chhuak leh thisen chhuak, a nih loh leh lochia kan tih ang chi i tawn hun tur a ni.

Ngaihtuah teh, i nausen chu thla tam tak chhung chu a lo thang lian tawh a, i naute tan venhimna leh chaw tha pe turin a inpeih tawh a ni. Chuvangin, naute a chhuah hnuah chuan a size hmasa lama a lo kir leh theih nan hun engemaw chen a la ngai hi thil pangngai a ni. Hetianga uterus tihtlem hi nau neih hnua damna atana thil pawimawh tak a ni .

Chuti a nih chuan hei hian eng nge a awmzia? I nausen chu a pangngaia a lo awm leh hunah i thlasik hun chu a intan leh ang. Hetiang hian naupai laiin i nausen pum chhunga thisen leh tissue tam tak awm zawng zawng chu a paih chhuak vek bawk.

Engtin nge hetiang kalphung hi a lo awm?

Hetiang uterine contractions process hi placenta i neih veleh a intan nghal a ni. Chu chu nau neih hun thumnaah a ni. Tichuan i uterus chu a inzawm leh tan ta a ni. Ngaihtuah teh, heng contraction te hian nausen pum (placenta) nausen (uterus) a innghahna hmun atanga thisen chhuah tihtlemtu chu a ni. Hei hi a takah chuan kan taksain a neih defense mechanism mak tak a ni a, thisen chhuah tam lutuk (postpartum hemorrhage) tihtawp nan .

Heng contraction te hian uterus chu a ti tlem leh a, extra tissue, lochia an tih chu a paih chhuak ta a ni. Heng uterine contractions te hi nau neih hnu darkar 12 hmasa berah chuan a regular hle a, a chak hle bawk. Hetih lai hian i pum hnuai lam natna i nei thei a, chu chu ‘afterpains’ kan tih chu a ni.

He ‘butt pain’ hi ni rei lo te chhungin a reh tlangpui. Mahse, naupai lai emaw, pump lai emaw hian he natna hi i hre tam zawk mai thei. Tin, naute i lo nei tawh a nih chuan he natna hi tlem chuan i hre lehzual thei bawk.

Nausen pum hi a pianphung pangngaia a lo kir leh theih nan kar ruk vel a ngai a ni. I uterus rit a tlahniam chuan i pelvic cavity chhunga space pawh a tlahniam ve bawk. Nau i pai hnu ni engemaw zat chu ‘belly-like’ deuhin i la inhriat mai thei. Hei hi a chhan chu i naute chu pawnah awm mahse i pum chhungah hmun tam tak a la luah reng a ni.

Hemi kawngah hian nau hnute pek hian nghawng a nei em?

Ni e, a dik tak zet! I naute i hnute i pek chuan i nausen chu a inzawm rang zawk ang . Hei hi a chhan chu i naute’n hnute a hnek (or bawnghnute i pump) hian i taksaHormone oxytocin hi a lo piang chhuak a. He hormone hian nausen pum (uterus) a tikhawlo (contract) thin. Chuvangin, naupai lai hian naupai lai hian a pui hle a ni.

Engtin nge doctor-te chuan nausen pum chu a pangngaiin a lo kir leh tawh em tih an enfiah?

Damdawi ina i awm lai hian doctor emaw nurse emaw chu i nausen pum a inzawm dan enfiah turin a rawn lut fo ang. I pum chungah an kut an dah ang a, i nausen pum chunglam an en ang a, chu chu i ‘fundal height’ an ti a ni. I nausen pum chu a harsat em tih an enfiah bawk ang. Hemi chhung hian i lochia (wax) pawh an ngaihven ang.

Entîr nân, i nausen pum chu beisei angin a inzawm lo a nih chuan, a nih loh leh a nêm tih a hriat chuan, nau neih hnua thisen chhuah theihna a sang zâwk thei a ni . Chutiang a nih chuan i doctor chuan i uterus (fundal massage) chu a contract theih nan a massage fo ang. A châng chuan, Pitocin® tih damdawi, artificial hormone, uterine contractions tichaktu tur pek i ni thei bawk.

Hetih hun chhung hian engtin nge nausen pum hi a inthlak danglam? (A lian zawng leh a rih zawng) .

Mi zawng zawng nausen pum chu schedule inangah contract ni mah se, naupai hmaa i nausen lian leh rit zawng chu a inang lo thei hle. Hei hi nghawng thei thil engemaw zat a awm a:

• Naute i lo nei tawh emaw (hmeichhe tam tak chuan nau neih hmasak hnuah nausen pum lian deuh deuh an nei).
• Naute engzat nge i neih, twins ang mai?
• I naupai lai khan engtik lai khan nge naute i hrin?

A tlangpuiin nau neih hnuah nausen rit zawng hi hetiang hian a inthlak thin:

• Pian hnu lawkah: Gram 1000 vel (pound 2 vel).
• Kar khat chhungin: gram 500 vel.
• Kar hnih chhungin: gram 300 vel.
• Kar li chhungin: gram 100 vel.
• Kar riat a nih chuan: gram 60 vel (ounces 2 vel).

I hrethiam em? Hetianga inzawmkhawm lai hian nausen pum chu grapefruit , pelvic cavity zawng zawng luah khattu ang maia lian a\angin pear -a lianah a tlahniam ta a ni. Uterus chu pelvic cavity chhunga a chhuk leh theihna tur schedule chu hetiang hi a ni:

• Nau neih hnu darkar khat vel chu nausen pum (fundus) chunglam chu i pum chhungah a awm tur a ni.
• Chumi hnuah chuan nausen pum chunglam chu darkar 24 danah centimetre 1 vel zetin pum chhungah a chhuk tur a ni.
• Kar khat vel hnuah i nausen pum chunglam chu i pum hnuai lam pubic bone (symphysis pubis) bulah a awm tur a ni.
• Ni 10 atanga ni 14 hnuah chuan nausen pum chunglam chu pelvic cavity chhungah a awm leh tur a ni.

Hetiang kawngah hian eng harsatna nge lo awm thei?

Nausen pum a dam leh hunah harsatna lian tak pahnih a awm thei a, chungte chu nausen pum a inzawm tha lo leh nau neih hnua thisen chhuah tam lutuk hi a ni.

Nausen pum chhunga subinvolution (subinvolution) a awm

Subinvolution chu i nausen (uterus) a contract tha lo a, a contract loh tihna a ni. Doctor-te chuan hei hi "placental subinvolution" an ti \hin. Hei hi spiral arteries, placenta chu uterus-a a innghahna hmun kha a khar tha lo va, a tlai deuh a ni.

I doctor chuan i nausen pum chunglam (fundal exam) a enfiah hnuah hei hi a ringhlel mai thei. Tin, nau neih hnu kar khat aia rei, a sen dum, thisen chhuak ( lochia rubra ) chu he natna chhinchhiahna a ni. Chutiang a nih chuan i doctor chuan eng nge thleng tak tak tih hriat tumin ultrasound a order thei ang.

A châng chuan, nausen pum chu a inzawm chhunzawm thei lo thei a, a nih loh leh harsatna dangin he thil hi a tibuai thei bawk. Subinvolution a awm theih chhan thenkhat chu hetiang hi a ni:

• Nausen pum chhunga natna hrik, endometritis .
• Nausen pum chhunga placenta chi hrang hrang la awm ang chi thil.
• Hun rei tak nau neih emaw, Pitocin® rei tak hman emaw, chu chuan nausen pum a tichhe thei a ni.
• Cesarean section hmanga naute neih (C-section) .
• General anesthesia pek, emergency cesarean section atan ang chi.

Nau neih hnua thisen chhuak (PPH) .

Postpartum Hemorrhage (PPH) tih hi nau neih hnua nausen pum atanga thisen chhuak tam lutuk a ni. This can be life-threatening , chuvangin i fimkhur hle a ngai a ni.

PPH vei zinga 80% vel chu nau neih hnua uterine contractions a chak tawk loh vang a ni. PPH hi nau neih atanga darkar 24 chhungin a thleng tlangpui. Mahse, nau neih hnu kar 12 thleng a awm thei.

Damdawi ina i dam leh lai hian damdawi lam thawktute chuan thisen chhuah ( lochia ) a awm leh awm loh an enfiah fo ang che. Thisen chhuak nasa tak i neih chuan an enkawl nghal mai ang.

A pawimawh ber chu, in lama awm laiin thisen a chhuak nasa a nih chuan damdawi in hnai ber Emergency Department (ETU) ah a rang thei ang bera kal tur a ni.

Engtin nge i in enkawl ang? (A hnungzang natna enkawl dan) .

Naute i neih hnuah i in enkawl leh chawlh hahdam bakah i naute enkawl a pawimawh . Mahni inngaihtuah nan hun zawng la, naute enkawl turin chhungte leh thiante hnen atangin tanpuina dil rawh.

Uterine contraction nena lo awm ‘back pain’ hi a chang chuan a nasa thei hle a, a bik takin nau hnute pek lai hian a nasa thei hle. A natna hi minute nga vel a awm thei a, chumi hnuah zawi zawiin a reh thei bawk. He hnungzang natna hi enkawl dan tur thenkhat chu hetiang hi a ni:

• Thâwk lak leh chawlh hahdamna exercise (nau neihna atana exercise ang chi).
• I pum hnuai lam hnuaiah pillow dahin i pum chungah mu rawh.
• I doctor-in a rawt over-the-counter pain reliever ei. Ibuprofen hian acetaminophen aiin hna a thawk tha zawk mai thei .
• Tlemte chuan kea kal rawh.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Uterus chu a normal size-a a lo kir leh hi thil pawimawh tak, natural process a ni. Mahse, a chang chuan i uterus hian he zinkawngah hian tanpuina tlem a mamawh mai thei. Chuvang chuan i naute i neih hnuah medical staff ten an check reng ang che. Heng checkup te hi i chhungkaw member thar i hman thiam mai mai lai hian a buaithlak deuh mai thei a, mahse nau neih hnua thisen chhuah ang chi harsatna te hriat hmasak nan a pawimawh hle. I nausen pum a inzawm dan chungchangah ngaihtuahna an neih chuan an hriattir ang che. Chuvangin, lungngai suh, engkim a tha vek ang!

` Uterine contractions, postpartum, lochia, postpartum hemorrhage, nau hnute pek, uterine size, dam lehna