A tam zawkah chuan nu chuan a naute chu a pangngaiin a hrin a beisei a, harsatna engmah a awm lo. Mahse a chang chuan kan beisei angin thil a kal lo. Nau neih hnuhnung berah chuan naute i nawr chhuah lai hian darkar tam tak i nawr hnuah pawh naute chu a chhuak lo mai thei. Hetiang hunah hian nang leh naute tan hlauhawmna engemaw zat a awm theih avangin, doctor-te chuan naute chu rang tak leh him taka chhuah tir theih dan dang an ngaihtuah thin. Chutiang huna hman dan pakhat chu `Vacuum Extraction` a ni.
A awlsam zawngin, Vacuum Extraction chu eng nge ni?
Hei hi a awlsam hle. `Vacuum Extraction` hi Doctor-in nau i neih laiin naute nawr nana a puih theih nan a hmang thin. Hei hi `Vacuum` kan ti bawk. He device hian cup ang chi part te tak te (suction cup) a nei a, a chhungah hian pump a inbun bawk. Doctor chuan he cup hi uluk takin naute lu chungah a dah a, pump hmangin suction tlem a siam a. Tichuan, i nawr lai chuan doctor pawhin he hmanrua hi hmangin naute chu zawi zawiin a chhuah tir thin. I pushing-ah extra force i dah belh ang mai a ni.
A pawimawh ber chu hei hi nang leh naute tanpui nan tih a ni. Naute lu a chhuah veleh doctor chuan he no hi a la chhuak a, naute taksa dang zawng zawng chu kut hmangin a la chhuak thin.
Engtikah nge doctor chuan he hmanrua hi hman a tum ang?
Vacuum aspiration hman a tha tlangpui chhan hrang hrang a awm. I doctor chuan a hnuaia thil awm danah hian hetiang hian a rawt thei ang:
| Chhan | Hrilhfiahna |
|---|---|
| Delivery tihkhawtlai a ni | Rei tak i nawr pawhin naute chu birth canal-ah a rawn chhuk lo. |
| Nausen (fetal distress) a awm | Naute heart rate chu a pangngai aia hniam emaw a sang emaw a nih chuan naute chu eng emaw chen hrehawmna a nei tihna a ni. Hetih lai hian naute chu chhuah vat tur a ni. |
| Nu chu a chau emaw, hriselna lama harsatna dang a nei emaw a ni | Hun rei tak i nawr hnua i chau hle a nih chuan, emaw, damdawi lam thil dang, thisen sang ang chi avanga nawr lehzual a hlauhawm a nih chuan. |
Vacuum hmain eng nge tih belh theih?
Doctor ten `Vacuum` an hmang nghal lo. Chutianga an tih hmain hetiang thil awlsam tak tak hi an lo ti tawh thin:
- I tana hmun nuam takah i kal theih nan leh naute chhuah tir turin a pui che a ni.
- `Oxygen` pek i ni.
- A chang chuan saline (IV fluids) pek thin a ni.
Heng thilte tih zawh hnua hmasawnna a awm loh chuan `Vacuum Extraction` emaw, hmanraw dang, `Forceps` emaw hman tura thutlukna siam a ni.
Hetiang hmanrua hi hman theih loh a awm em?
Ni e, a dik tak zet. A châng chuan, naute chhuah chhuahna kawngah ṭanpuina i mamawh mai thei a, mahse `Vacuum` hman dan hi a ṭha lo. A hnuaia table-ah hian heng dinhmun thenkhat hi tarlan a ni.
| Nihna | Chhan |
|---|---|
| Naute hi a pian hmaa a pian chuan | Hetiang method hi risky a ni thei a, a chhan chu naute piang hmasa lu hi a nalh em em a ni. |
| Naute chu breech a nih chuan | He hmanrua hi naute lu-ah hman a nih avangin naute chu hmun danga a awm chuan tih theih a ni lo. |
| Naute hi birth canal chhungah hian a la chhuk thui tawk lo. | Device him taka hman tur chuan naute chu a awmna tur dik takah a awm a ngai a ni. |
| Naute chu a lian zawk a nih chuan | Naute lu chu i pelvis aiin a lian zawka i hriat chuan he method hian hna a thawk lovang. |
| Naute hian thisen chhuah harsatna a neih chuan | Luruh chungah pressure engemaw zat a awm avangin thisen chhuah theihna a awm. |
Hetiang hmanrua hi eng nge a thatna leh a hlauhawmna?
Damdawi lam thil tih dan dang ang bawkin he thil hian hlawkna a nei bakah hlauhawmna engemaw zat a nei bawk.
Hlawkpuina
A thatna ber chu cesarean section (C-section) tih loh hi a ni. A châng chuan naute harsatna a tawh hunah he method hian surgery aiin naute chu a chhuah thuai theih nan a pui ṭhin. Chu chu a pawimawh hle mai.
Risk a awm thei
Heng hlauhawmnate hian nu leh naute chu a hranin a nghawng thei a ni.
Nu tana hlauhawmna: 1.1.
Hengte hi nau neih pangngai laia thil thleng thei a ni.
- Vaginal mittui tla. A châng chuan doctor chuan vagina leh anus inkar hmunah hian cut tlem a siam a ngai thei bawk. Hei hi ``episiotomy'' an ti a. Chumi hnuah chuan an sewn leh thin.
- Nau neih hnua thisen chhuak tam lutuk (Postpartum bleeding).
- Zun harsatna emaw, zun thunun theih lohna (incontinence).
Naute tana hlauhawm thei turte:
Chung zinga a tam zawk chu hun eng emaw chen atan a ni a, ni engemaw zat emaw, kar tlemte emaw chhungin a dam vek ang.
| Naute chunga thil thleng thei dinhmun | Hrilhfiahna awlsam tak |
|---|---|
| A nghawng tlangpui, hun eng emaw chen atan | |
| Luruh a hring (Caput succedaneum) . | Naute lu chu a hring deuh ang a, cone ang maia lian a siam ang. Hei hi ni rei lote hnuah a bo vek ang. Ngaihtuah buai tur a ni lo. |
| Hriselna leh hliam (Bruising / Jaundice) . | Vacuum cup dahna hmunah hian hliam te tak te a awm thei. Hei hian naute chu jaundice (yellowing) a neih theihna a tipung a ni. Hei pawh hi kar tlemte hnuah a dam leh ang. |
| Cephalohematoma (lu chhunga thisen lakkhawm) . | Naute lu ruh leh vun inkarah thisen tlem a awm khawm a. Hei hian naute thluak a nghawng lo. Hei pawh hi kar khat emaw kar hnih emaw hnuah a mah chauhin a dam leh ang. |
| A tlem hle a, harsatna lian tak tak a awm | |
| Luruh a tliak | Hei hi a tlem hle. Nausen piang thar ruh chu a nêm hle mai. A tam zawkah chuan hengte hi ruh tê tê, mahni chauha dam chhuak an ni. |
| Thluak chhunga thisen chhuak (Intracranial hemorrhage) . | Hei hi natna khirh tak a ni bawk a, a thleng tlem hle bawk. |
| Luruh pawn lama thisen chhuak (Subgaleal hemorrhage) . | Hei pawh hi thil awm lo tak a ni. |
A pawimawh ber chu doctor-te chuan he hmanrua hi hman loh aiin nu leh naute tana hlauhawmna a hniam zawk tih an finfiah hnuah chauh an hmang thin.
A dam leh theih nan eng chen nge hun a duh?
Harsatna a awm loh chuan nau neih pangngai ang bawkin dam leh hun i nei ang a, chu chu kar ruk vel a ni . Stitch i neih chuan i enkawl a ngai a ni.
Naute lu a hring leh hliam chu kar engemaw zat chhungin a bo vek ang. Chumi hun chhung chuan naute lu chu i fimkhur hle tur a ni. Doctor-in a pek date-ah naute chu checkup turin i hruai ngei tur a ni bawk.
Vacuum method a hlawhchham chuan doctor chuan cesarean section (C-section) a hmang leh thei ang.
Take-Home Thuchah a ni
- Vacuum Extraction hi nau neih laiin nu leh naute tanpui nan hmanraw him tak a ni.
- Hei hi thil chi hrang hrangah chauh hman a ni a, chu chu nau neih a tlai emaw, naute harsatna a neih emaw, a nu chu a chau lutuk a, a nawr theih loh emaw a ni.
- Hetiang method hian cesarean section tih loh nan a pui a ni.
- Naute lu-a hliam leh hliam hi rei lo te chhung chauh a ni a, kar tlemte chhungin a dam vek ang.
- Hetiang hmanrua chungchanga zawhna i neih chuan naute i neih hmain i doctor nen sawiho la, rinhlelhna i neihte chu tifai rawh.
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