I naute hrin turin labour room-ah i awm ang tih han ngaihtuah teh. Darkar tam tak i nawr nasat hnuah pawh naute chu a la chhuak lo ang maiin i hria. A châng chuan nute hian nau neih laiin chutiang thil tawn chu an hmachhawn a ngai ṭhin. Chutiang hunah chuan doctor-te tanpui dan hrang hrang a awm a, nang leh i naute himna tur ngaihtuahin. Chutiang hmanraw pakhat chu `Vacuum Extraction` tih hi a ni. He hming i hriat hian i hlauthawng deuh mai thei a, mahse he thuziak i chhiar zawh hian hemi chungchanga i zawhna tam tak chhanna i hmu ang.
A awlsam zawngin, Vacuum Extraction Delivery hi eng nge ni?
Hei hi a takah chuan doctor-te naute chhuah tir theitu hmanrua a ni. A dik tak chuan `suction cup` te tak te a ni a, chu chu rubber cup ang mai a ni a, tube te tak te hmanga pump nena inzawm a ni. Doctor chuan he `cup` hi uluk takin naute lu chungah a dah a, `suction` (a vacuum) hmangin lu chungah a innghat a ni. Tichuan, naute i nawr chhuah rual chuan doctor chuan `cup` chu a rawn hruai leh ta a.
Bottle chhunga cap pakhat dah tum kha han mitthla teh. Kut hmanga lak chhuah ai chuan hmanraw te tak te hmanga lak chhuah a awlsam zawk a ni lawm ni? Chu chu he tanpuina tlemte hian a ti a ni. Naute chhuah a awlsam phah a ni.
America ang ramah chuan nau piang pangngai zinga 3% vel chu he method hmang hian an awm thin. Sri Lanka ramah pawh hei hi a tul huna hmanraw hlawhtling tak a ni.
Engvangin nge doctor-te hian he hmanrua hi hman an tum?
Doctor chuan nang leh i naute himna tur ngaihtuah nasa takin he thutlukna hi a siam thin. Hetiang hman dan hi a chhan lian ber tlemte a awm tlangpui. Eng nge an nih i han thlir teh ang.
| Chhan | A awlsam zawngin sawifiah a ni |
|---|---|
| Hun rei tak i nawr tawh chung pawhin naute chu a chhuak lo. | A châng chuan dârkâr hnih emaw, dârkâr thum emaw kan nawr hnuah pawh naute chhuah chu a harsa hle thei a ni. Hei hi ‘nau neih rei tak’ an ti. Hetiang hunah hian nghah rei a \ha lo va, \anpuina tlem kan pe \hin. |
| Nausen (fetal distress) a awm | Doctor leh nurse ten naute lungphu (heart rate) an enfiah fo thin. A tlangpuiin naute heart rate hi minute khatah 110 leh 160 inkar a ni tur a ni. Rate a tlahniam nghal emaw, a san lutuk emaw chuan naute chu harsatna a tawk tihna a ni a, oxygen a dawng tlem hle pawh a ni thei. Chutiang a nih chuan naute chu a rang thei ang bera lak chhuah tur a ni. |
| Nu chu hna a thawk lutuk emaw, hriselna lama harsatna dang a nei emaw a ni | Darkar tam tak hrehawm taka nawr chu nu tan chuan a hahthlak hle thei a ni. A châng chuan a chak lo lutuk a, a nawr thei lo. A nih loh leh nuin lung natna ang chi natna a neih chuan rei lutuk nawr chu a hriselna atan a tha lo. Hetiang thil hi chutiang hunah pawh hman a ni. |
Vacuum i tih hmain thil dang i lo ti tawh em?
Ni e, a dik tak zet. Doctor ten hetiang hmanrua hi an hmang nghal ngai lo. Chumi hma chuan nau neih ti chak deuh thei thil awlsam tlemte an lo ti thin.
- I dinhmun thlak danglam tura puitu che. I sir lam hawi emaw, hmun danga inthlak emaw chuan naute chu a chhuk a awlsam phah mai thei.
- Oxygen mask pek a ni ang. Hei hian nang leh i naute hian oxygen tling tak in hmu thei ang a, chu chuan i naute heart rate chu a pangngaia a awm leh theih nan a pui thei ang.
- Fluids hi saline (IV) line hmanga pek thin a ni. Hei hian i taksa chu tui tlakchham a nih chuan a siam that theih nan leh chakna thar a pe ang che.
Heng thilte i tih zawh hnua hmasawnna a awm loh chuan doctor chuan `Vacuum Extraction` emaw, hmanraw dang, `Forceps Delivery` emaw chungchang a sawipui ang che.
Hetiang hmanrua hi hman theih loh a awm em?
Ni e, he method hi eng kawngah pawh a tha lo. A châng chuan nuin ṭanpuina a mamawh a nih pawhin `Vacuum` hman loh chhan eng emaw zat a awm.
- Naute a pian hma chuan: Thla 34 hmaa piang chuan lu a nêm hle a, chuvangin he hmanrua hman hi a hlauhawm thei hle.
- Naute chu transverse emaw breech position-a a awm chuan: Hetiang method hi naute chu a lu hnuai lam a nih a, birth canal-a a luh kim chuan hman theih a ni.
- Naute chu birth canal hnuai lam a hla tawk lo a nih chuan: Vacuum hman theih nan naute lu chu birth canal hnuai lam level engemaw takah a awm tur a ni.
- Naute a lian lutuk a nih chuan: Doctor chuan naute lu chu i pelvis tan a lian lutuk nia a hriat chuan he method hi tih tum loh tur a ni. Chutiang a nih chuan naute chu a tang thei a ni.
- Naute hian thisen chhuah harsatna a neih chuan: Naute hian `hemophilia` ang natna a nei tih hriat lawk a nih chuan, hliam te tak te pawhin thisen a chhuah tam theih avangin he hmanrua hi hman a ni lo.
Chutiang dinhmunah chuan doctor chuan cesarean section (C-section) tih a rel fo ang .
Engtin chiah nge he thil kalphung hi a lo awm?
Hetiang thil hi a tan hmain doctor chuan a thatna, a chhiatna leh a side effect awm thei te chu a hrilhfiah ang che a, i remtihna a dil ang che. Chumi hnuah chauh chuan heng step te hi zawm a ni ang.
1. Painkiller pek: Painkiller pek i nih loh chuan he tih hma hian natna tihziaawmna tur damdawi pek i ni ang.
2. Episiotomy (a tul chuan): A chang chuan vagina leh anus inkar hmunah hian cut te te siam a ngai mai thei. Hei hi ``Episiotomy'' an ti a. Hei hi naute chhuahna tur kawngkhar chu tlem a lian zawk leh awlsam zawka siam nan tih a ni. Hei hi mi zawng zawng tan tih a ni lo va, a tul chuan tih chauh a ni.
3. Suction Cup dah dan: Doctor chuan uluk takin naute lu chungah a awmna tur dik takah a dah lut thin.
4. Pushing and pulling: A dawtah chuan a na (contraction) i hriat hunah nawr nasat turin an ti ang che. I nawr lai chuan doctor chuan `vacuum` hmangin zawi zawiin a rawn chhuah ang. Chung pahnih a lo thlen dun chuan naute chu zawi zawiin a chhuk ang.
5. Naute pian dan: Naute lu a chhuah kim veleh suction cup chu lakchhuah a ni. Chumi hnuah doctor chuan naute kut chu a chelh a, naute dang zawng zawng chu chhuah tir turin a pui bawk.
Hetiang method hi a chanve vel atanga tihtawp a nihna instance a awm em?
Awle. Doctor-te chuan naute tan harsatna thlen lova him taka nau neih an tum fo thin. Chuvangin, a hnuaia thil thlengah hian vacuum hman an chawlhsan ta a ni.
- Naute chu rei vak lo beih hnua a lo chhuk loh chuan.
- `Cup` chu naute lu atanga vawi thum a tlak chuan.
- Naute lu vunah chhiatna chhinchhiahna i hmuh chuan.
Hetiang dinhmunah hian a dawt leh tur chu cesarean section a nih a rinawm ber.
Hei hian nu leh naute chungah eng nghawng nge a neih theih?
Damdawi lam thil dang ang bawkin hlawkna leh hlauhawmna a nei vek a ni. A thatna lian ber chu naute chu i chhuah tir vat thei a, cesarean section ang chi surgery lian tak tak paltlang ngai lovin. A châng chuan, chu speed chu a pawimawh hle.
Tunah chuan risk awm thei te chu a hranin han thlir ila.
| Nu tan chuan hlauhawmna | |
|---|---|
| Vaginal mittui tla | Hei hi nau neih pangngai lai pawhin a thleng thei. `Vacuum` hman hian risk a sang deuh hlek a ni. Mahse doctor chuan chutah chuan hliam chu a sew up nghal ang a, chutah chuan a siam tha ang. |
| Nau neih hnua thisen chhuak | Hei hi nau neih pangngai lai pawha hmuh theih thil a ni. Medical team te hian hei hi an ngaihven hle a, a tul anga enkawlna an pe bawk. |
| Zun harsatna | Hun engemaw chen chu zun harsatna emaw, insum theih lohna emaw a awm thei. Chungte chu hun kal zelah a reh tlangpui. |
| Naute chunga nghawng a neih dan | |
|---|---|
| Hun rei lote chhung leh A nghawng tenau te | |
| Substitute Head a ni | Hetianga thil thleng chu naute lu chunga `cup` awmna vun hnuaiah tui ang chi tui a awm khawm a, a hring deuh a ni. Chuvang chuan lu chu cone ang maiin a awm ta a ni. Hei hi i hmuh chuan hlau suh. Hei hi ni rei lote hnuah a bo vek ang. |
| Bruising & Jaundice a awm bawk | Vacuum hian naute lu vunah hliam te te a siam thei a ni. Heng hliamte hi a dam chhoh zel chuan thisenah bilirubin level a sang chho zel a, chu chuan naute chu jaundice vei theihna a tipung deuh a ni. Hei pawh hi kar tlemte chhungin a reh tlangpui. |
| Cephalohematoma a awm a ni | Hei hi naute lu ruh chungah, mahse vun hnuaiah thisen zam te tak te a lo awm hian a ni. Hei hian engti kawng mahin naute thluak a nghawng lo. Hei pawh hi kar khat emaw kar hnih emaw chhungin a mah chauhin a dam leh ang. |
| Complication na tak tak mahse Very Rare tak tak a awm | |
| Luruh a chhe te te (Skull Fracture) . | Nausen piang thar ruh chu a nêm hle mai. A tlem hle a, crack te tak te a awm thei. Chungte chu anmahniin an dam tlangpui a, hun rei tak chhung chhiatna an thlen lo. |
| Lung chhunga thisen chhuak (Intracranial Hemorrhage) a awm | Hei hi thluak chhung emaw, a chhehvel emawa thisen chhuak a ni. Hei hi a tlem hle, a tlem hle a, mahse a lo thleng a nih chuan a pawi hle thei. |
| Subgaleal Hemorrhage awm thin | Hei hi thil awm lo, pawi tak a ni a, chu chu luruh leh lu vun inkar connective tissue-ah thisen a inkhawm thin a ni. |
Heng harsatna lian tak takte hi hlauthawng suh. Doctor-te chuan he hmanrua hi uluk takin an hmang a, heng hlauhawmnate hi a tlem thei ang bera hman theih turin an hmang a ni. Hengte hi a thlen theihna chance a tlem hle.
Eng chen nge tihdam a ngaih?
Nu tan: Harsatna lian tham a awm loh chuan nau neih pangngai hnua i dam leh theih nan hun i mamawh ang. Chu chu kar ruk vel a ni . Episiotomy emaw, hliam eng emaw i neih chuan, chu hliamte chu a dam hma loh chuan hrehawmna engemaw chen i nei thei a ni.
Naute tan: Naute lu-a hliam leh hliam chu kar tlemte chhungin a dam vek ang . Chumi chhung chuan i naute lu chu enkawl belh rawh. Naupang enkawltu doctor pan a, checkup neih a tha bawk.
Nu tam zawk chuan nau piang pangngai, harsatna awm lova neih an beisei. Mahse a chang chuan kan beisei loh thil a thleng thei. Hêng duhthlannate hi a awm tih hriat hi hetiang hun lai hian ṭanpuina nasa tak a ni thei a ni.
Take-Home Thuchah a ni
- Vacuum Extraction hi damdawi atana hmanraw him tak a ni a, nau neih laiin nu leh naute tanpui nan hman a ni. Emergency-a cesarean section neih loh nan a pui thei a ni.
- Hetiang hmanrua hi chhan bik, nau neih rei a nih chuan, nausen harsatna a neih emaw, nuin nawr a harsat emaw a nih chuan hman a ni.
- Damdawi hman dan zawng zawng ang bawkin, hlauhawmna tenau tak tak a awm bawk. Naute lu-ah hian hliam leh hliam engemaw zat hmuh tur a awm fo a, mahse hengte hi ni rei lote chhungin a dam vek ang.
- Naute i beisei a nih chuan heng thilte hi i doctor nena sawi lawk a, zawhna i neih apiang zawh hian rilru lama inbuatsaihnaah a pui thei che a ni.
- A pawimawh ber chu nang leh i naute himna hi a ni tih hre reng ang che. Doctor-te chuan chu himna chu enfiah an tum fo thin.
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