Naute dang i beisei em? I naute hmasa ber chu cesarean section ( C-section ) hmanga i hrin a nih chuan, "Tun ṭumah hian ka naute chu natural takin ka hrin thei ang em?" Hei hi nu tam tak tan chuan zawhna lian tak a ni. Cesarean section hnua vaginal nau neih hi damdawi lam chuan VBAC (Vaginal Birth After C-section) tia hriat a ni. Chuvangin, hei hi nu tam tak tan chuan thil theih a nih laiin, i tan a tha em tih leh a him em tih kan rel hmain thil tlemte kan sawi hmasak a ngai a ni.
A pawimawh ber chu nang leh i naute himna hi a ni. VBAC hi mi zawng zawng tan a him lo.
A châng chuan, harsatna tawk thei dinhmuna ding mi pakhatin nau piang pangngai neih a tum chuan, nang leh i naute tân harsatna lian tak, nunna atana hlauhawm tak pawh a thlen thei a ni. Chuvangin thutlukna i siam hmain i doctor nen a hlauhawmna chungchang sawiho hmasak a pawimawh hle.
I hriselna leh i naute hriselna chu engtin nge a awm?
VBAC i enchhin theih leh theih loh tur ngaihtuah tur chuan nang leh i naute pahnih hi an hrisel em tih hriat a pawimawh. I hrisel a nih chuan twins i neih pawhin VBAC i tum thei mai thei . Mahse, i doctor phalna i lak a ngai dawn a ni.
Mahse, a then phei chuan i doctor chuan VBAC tih tum chu a hlauhawm lutuk a ti mai thei. A hnuaia tarlan te hi vaginal birth hlawhtling tak neih theih lohna tur risk factor thenkhat tarlan a ni.
| Risk Factor a ni | A sawifiahna awlsam tak |
|---|---|
| Thau lutuk | I Body Mass Index (BMI) 30 aia sang a nih chuan. |
| Preeclampsia a awm thin | Naupai laiin thisen sang a sang. |
| Kum | A tlangpuiin nu hi kum 35 chunglam a ni. |
| Surgery hmasa inkar hun chhung | I cesarean section hmasa atanga thla 19 tal a liam tawh chuan. |
| Naute size a ni | Nausen pum chhunga naute rit zawng chu a lian leh te (nausen lian tak) aiin a tam zawk hle a nih chuan. |
Tun hmaa C-section surgery kan neih tawhna hmuna hliam awmte chu i zir dawn teh ang.
I doctor nen in sawiho tur pawimawh ber pakhat chu i uterine scar awm dan hi a ni . Hei hi a pawimawh hle. Mi tam tak chuan i pum pawn lama hliam leh i nausen pum chhunga hliam awm chu a inang vek niin an ngai. Mahse, incision te hi kawng hrang hrangah a awm thei. Cesarean section neih laiin i pum leh nausen pum chhungah incision siam dan tlangpui pahnih a awm a, chungte chu:
- Vertical cut: A chung atanga a hnuai lam thlenga cut siam.
- Transverse cut: A sir lehlamah (across) atanga cut siam.
| Uterine incision chi hrang hrang | VBAC-a nghawng a neih dan |
|---|---|
| Vertical cut a ni | VBAC i attempt thei lo . Nau neih laiin he scar hi a rupture theihna chance a sang hle. Hei hi nu leh naute tan pawh a hlauhawm hle. Cesarean section dang i neih leh a ngai dawn a ni. |
| Transverse cut hniam tak a ni | VBAC i tum thei mai thei . Hei hi c-section chi hrang hrang hman tlanglawn ber leh him ber a ni. Risk factor dang a tlem chuan i doctor hian VBAC a phal zawk a ni. |
Chuvangin i nausen pum chhungah eng ang hliam nge a neih tih chiang taka hriat a pawimawhzia i hmu thei ang.
Hospital i thlan pawh a pawimawh!
Hei pawh hi i zirchian hmasak tur a ni. I naute neih i tumna damdawi inah VBAC a phal em tih leh a tul ang ang an neih leh neih loh i doctor zawt rawh. Damdawi in zawng zawng hian hei hi an phal vek lo.
A chhan chu VBAC tih tumnaah hian a hliam hlui chu a chhe thei lo a, mahse a thleng a nih chuan emergency a ni . Hetiang emergency hmachhawn tur hian damdawi in hi a inpeih reng tur a ni. Chumi awmzia chu emergency cesarean section atana mamawh zawng zawng, operation room, anesthesiologist, leh blood bank facility te chu engtik lai pawhin a inpeih vek tur a ni. Hospital thenkhat chuan chutiang emergency hmachhawn tur chuan facility an nei lo mai thei. Chuvang chuan damdawi in thlan pawh hi a pawimawh hle a ni.
Risk hniam tih hian risk a nei lo tihna em ni?
No. VBAC tumtu nu hrisel, transverse scar hniam nei tan chuan uterine rupture hlauhawmna a tlem hle. Doctor-te chuan hetiang hi i chungah a thleng dawn nge dawn lo tih chu 100% chiang takin an sawi thei lo.
VBAC tum hmeichhia 1% aia tlem loah uterine rupture hi awm mahse, a lo awm a nih chuan a hlauhawm hle thei a, chuvangin nu thenkhat chuan chutiang risk tlemte pawh chu an la duh lo.
Chuvangin, i duhthlan turte ngun taka ngaihtuah a, i doctor nen inbiakna neih a , a thatna leh that lohna zawng zawng i hriatthiam hnuah thutlukna siam a tha ber.
VBAC hlawhtling tak chuan eng hlawkna nge a neih?
Okay, tunah chuan a chhe lam kan sawi tawh a, VBAC hlawhtling tak hlawkna tur hi han en ila. VBAC i lei theih a, vaginal birth i duh chuan enchhin chhan tha tak tak a awm. Tin, hlawhtlinna chance pawh a sang hle bawk. VBAC hmanga naute hlawhtling taka enchhin nu zinga 70% vel chuan vaginal hmangin an naute hi an hring chhuak thin. A bak zawng tan chuan nau neih laiin harsatna a awm chuan cesarean section tih nawn leh a ngai a ni.
VBAC hlawhtling tak i neih chuan heng hamthatna te hi i dawng ang:
- Surgery lian tham tih a ngai lo.
- Thisen chhuah hi a tlem hle.
- Operation hnu aiin i dam chak zawk thei.
- Hri kai theihna a tlem hle.
- I bladder emaw i intestines emaw a chhiat theihna chance a tlem hle.
- Nakin lawkah fa dang i beisei a nih chuan nau neih laia harsatna awm thei te chu a tlem phah ang.
Take-Home Thuchah a ni
- Cesarean section (VBAC) hnua vaginal birth hi mi tam tak tan a theih laiin, mi zawng zawng tan chuan a dik lo.
- VBAC i neih theih leh theih loh hriatna atana pawimawh ber chu surgery hmasa atanga uterus-a scar chi hrang hrang (vertical emaw horizontal emaw pawh nise) hi a ni .
- VBAC i tih hmain i doctor nen a thatna, a chhiatna leh a hlauhawmna zawng zawng chu uluk takin sawiho la, hriatthiam hmasa phawt ang che.
- I nau neihna tur damdawi in i thlanah hian emergency cesarean section tih theihna tur thil tul zawng zawng (ETU, operation room) a awm ngei ngei tur a ni.
- A tawpah chuan a pawimawh ber chu nang leh i naute tan chuan a him ber tur thlan hi a ni. Chu thutlukna siam turin i doctor chuan a pui ang che.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh