Nau neih hnaih tawh i nih chuan i naute hrin nan ‘vacuum’ i neih thu hi i hre tawh ngei ang. Chu thu i hriat chuan tlem a hlauhthawn leh hlauhna i neih chu thil pangngai a ni. "Naute a ti na dawn em?", "Ka chungah eng emaw a thleng dawn em?", etc. Zawhna tam tak ka rilruah a lo lang mai thei. Mahse, he vacuum delivery hi eng nge ni tak tak ? Mi zawng zawng tih thin a ni em? Hlauh tur thil a ni tak tak em? Okay, vawiinah hian a chungchanga zawhna i neih zawng zawng chhanna i zawng chhuak ang u.
A awlsam zawngin, Vacuum Delivery hi eng nge ni?
Vacuum delivery, emaw doctor-te sawi angin ``Vacuum Extraction'' tih hi vaginal nau neih pangngaia naute chhuah tir tura tanpuina tlem pekna hmanrua a ni. Doctor hnen atanga ‘tanpuina’ tlemte ang maiin ngaihtuah rawh.
Hemiah hian Doctor chuan zawi zawiin naute lu chungah chuan no nêm tak , te tak te a dah a. He cup hian handle te tak te a nei a, a chhungah hian vacuum pump a inbun bawk. Naute hrin tura i nawr lai hian doctor chuan he hmanrua hi hmangin very gentle suction , naute chu birth canal atanga chhuak turin a pui thin. Hei hi naute chu tharum hmanga chhuah tir ang a ni lo va, naute chhuah chhuah theihna tura kaihhruaina mai a ni .
Engtikah nge vacuum hi a mamawh?
A tlangpuiin nau neih laiin nu hian naute chu a mah chauhin a nawr chhuak thin. Mahse, thil bik thenkhatah chuan doctor chuan he kalphung hi tlem tal tanpui a tha zawkin a hria mai thei. Chutiang hunah chuan vacuum hman a tha.
Vacuum mamawh huna thil awm dan tlangpui chu hengte hi a ni:
- Nau neih chu beisei angin a kal lo a nih chuan: I nawr nasa hle a, i bei nasa hle a, mahse naute chu nau neihna kawngkhar hnuaiah zawi zawiin a kal a, a nih loh leh hmun khatah a tang ang maiin a lang a nih chuan i doctor chuan vacuum hmanga puih a tum mai thei. Hei hi ``Prolonged second stage of labor'' an ti bawk.
- I naute lungphu a inthlak danglam tih i hriat chuan: Nau neih lai hian doctor-te chuan i naute lungphu chu an enfiah chhunzawm zel ang. Pattern pangngai lo a awm a, chu chuan nausen lungngaihna a tilang thei a, naute chu rang taka nau neih ṭanpui nân vacuum hman theih a ni.
- Nu hriselna dinhmun engemaw zat avang hian:Hriselna lama harsatna i neih chuan, a bik takin thinlung lam natna i neih chuan i hriselna tan rei lutuk nawr chu a tha lo mai thei. Chutiang hunah chuan i doctor chuan i nawr hun tihtlem a rel thei a, naute chhuah tir turin vacuum hmangin a pui thei bawk.
A pawimawh ber chu he thutlukna hi nang leh i naute himna leh hriselna ngaihtuaha siam a ni. Hei hi doctor-in a sawipui ang che a, i remtihna a la ang.
Vacuum hman a rem loh hun a awm em?
Ni e, vacuum hi thil awmdan zawng zawngah hman theih a ni lo. Nang leh i naute tan himna sang ber neih theih nan doctor-te chuan he hmanrua hi an hman hmain thil engemaw zat uluk takin an ngaihtuah hmasa thin. Vacuum hman loh tur dinhmun thenkhat chu hetiang hi a ni:
- Naupai kar 34 hnuai lam i nih chuan (naute hi a pian hma avangin).
- I naute hian ruh chakna tichhe thei damdawi lam harsatna (e.g. Osteogenesis Imperfecta) a nei tih i hriat chuan.
- Naute lu hian birth canal lai tak a la paltlang loh chuan.
- Naute lu dinhmun a chiang lo a nih chuan .
- Naute taksa peng pakhat, a ke, a kut, a hnute, a ke emaw a lu hmaa nau neihna kawngkhar a luh chuan (hei hi `Breech presentation` kan ti a ni).
- Naute size chu nu pelvis tan a lian lutuk nia i hriat chuan .
Hetih lai hian i doctor chuan nang leh i naute tan a him ber tur a rawt thei a, chu chu cesarean section (C-section) a ni.
Vacuum delivery hian eng risk nge a neih?
Damdawi lam thil dang ang bawkin vacuum hmanga pek hi a hlauhawmna nei lo a ni lo. Mahse, doctor chuan he hman dan hi a hlawknain a hlauhawmna aiin a tam zawk hunah chauh a rawt a ni. Nu leh naute tan pawha hlauhawmna hi ngun zawkin han thlir ila.
| Nu tan risk a awm | Naute tana hlauhawm thei tur |
|---|---|
| Vagina leh anus (perineum) inkar ah natna a awm. He natna hi ni rei lo te chhungin a reh tlangpui. | Naute lu ruh vunah a hring (lump ang mai) a awm. Hei hi cone ang maiin a lang thei. Mahse hei hi ni engemaw zat hnuah a bo vek tawh mai dawn a ni. |
| Vaginal mittui tla. Doctor chuan hengte hi dissolvable stitches hmangin a siam tha ang. | Very rarely , luruh thawmhnaw tenau a awm thin. |
| Hun eng emaw chen atana zun harsatna emaw, zun control harsa emaw. | Luruh chhunga vun hnuaiah thisen tlem a awm khawm (subgaleal hemorrhage). Hei pawh hi thil awm lo tak a ni. |
| Hun engemaw chen chhung chu riltam control harsat. Heng harsatnate hi hun rei lote hnuah a pangngaiin a lo let leh fo thin. | Naute lu a chhuah hnuah shoulder dystocia vei theihna a sang deuh hlek a ni. |
Engtin nge hetiang kalphung hi a lo awm?
Awle, tunah chuan hei hi engtin nge an tih tih i en ang u. Doctor chuan vacuum hmanga tanpui i mamawh nia a hriat chuan a sawi hmasa ang che. Hei hi a hlawkna leh hlauhawm zawng zawng a sawifiah ang a, i remtihna a la ang.
Tichuan, natna damdawi pek i ni ang. Epidural i neih tawh chuan chu chu a tawk mai thei. A nih loh leh i vagina chhehvel hmun ti na turin local anesthetic pek i ni thei bawk.
I ke inhlat taka khumah i mut lai hian doctor chuan uluk takin i naute lu chungah chuan no nem tak chu a dah ang. Tichuan, natna (a contraction) i neih hunah chuan i theih ang tawkin nawr turin a hrilh ang che. I nawr lai hian doctor chuan naute chu zawi zawiin a chhuah theih nan suction nalh tak tak a hmang ang.
Naute lu a chhuah hnu chuan vacuum-a suction chu chhuah a ni a, cup chu lakchhuah a ni. Tichuan naute taksa dang zawng zawng chu i nawr chhuak thei ang.
Vacuuming hi a hlawhtling lo a nih chuan engtin nge ni ang?
A tlem hle a, naute chu vawi tam tak tih tum hnuah vacuum hmangin lakchhuah theih a ni lo. Chutiang a nih chuan doctor chuan nang leh i naute himna atan cesarean section (C-section) tih nghal a rel ang. Hei hi emergency-a in pahnih nunna chhanhimna tur solution tha ber a ni.
Vacuum delivery hnuah eng nge thleng?
Naute a pian hnuah doctor chuan uluk takin i vagina leh birth canal a enfiah ang a, mittui a awm leh awm loh a en ang. A awm chuan dissolvable stitches hmanga siamthat an ni ang. Naute pawh uluk taka enfiah a ni ang a, chu chu a hnute atanga hliam tenau a awm leh awm loh enfiah a ni ang.
Mittui a awm chuan a hmunah natna engemaw zat hriat chu thil pangngai a ni. He harsatna hi kar tlemte chhungin a reh zauh zauh ang.
Mahse, a na zual zel a, khawsik i nei a, emaw, hliam a rimchhia emaw, a chhuak emaw a nih chuan (hengte hi natna kai chhinchhiahna a ni) a nih chuan, i doctor ko emaw, damdawi in Emergency Department (ETU) -ah emaw, tihkhawtlai lohvin i kal tur a ni.
Take-Home Thuchah a ni
- Vacuum delivery hi nau neih laiin mi zawng zawng tana tih tur a ni lo. Nau neih harsat huna nu leh naute tanpuina tura tih a ni.
- Hetiang hmanrua hi damdawi lam thil bik atan chauh hman a ni a, chu chu nau neih a tlai emaw, naute harsatna a neih emaw, nu hriselna dinhmun emaw a ni.
- Damdawi lam thil zawng zawng ang bawkin, hlauhawmna tlemte a awm a, mahse doctor chuan he thutlukna hi a siam ang a, chu chu a hlawknain a hlauhawmna aiin a tam zawk hunah chauh a ni.
- Hemi chungchangah hian hlauhna emaw rinhlelhna emaw i neih chuan i doctor nen zalen taka inbiakna neih hi hlau ngai suh.
- Nu leh naute tam zawk chu vacuum hmanga nau neih hnuah an dam tha hle. Harsatna tenau lo awm thin hi rei lo te chhung atan a ni fo thin.
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