Cesarean section hnua ‘Vaginal Seeding’ tih hi a tha em? Thudik i zawng chhuak ang u.

C-section hmanga nau nei tur nu i ni em? A nih loh leh C-section hmangin naute i nei tawh em? Tichuan buzzword thar ‘Vaginal Seeding’ tih hi i hre tawh mai thei. I thian pakhatin a sawi a ni mai thei, a nih loh leh internet-ah i hmu tawh mai thei. Chuti a nih chuan eng nge a awmzia tak? Naute tan a tha em? A nih loh leh, hriat loh vanga naute nunna hlauhawma dah thei thil a ni em? A chungchanga rinhlelhna i neih zawng zawng tihfel nan thu awlsam takin i sawi ang u.

A awlsam zawngin ‘Vaginal Seeding’ tih hi eng nge ni?

Hei hi a awlsam hle. Naute chu cesarean section hmanga a hrin hnu lawkah nu hnute atanga chhuak thenkhat chu la in naute hmui, hmai leh taksaah hnawih a ni. Hei hi ‘vaginal seeding’ an ti a. Hei hi a hming dang chu ‘microbial seeding’ tih a ni.

Hei hi hetiang hian tih a ni tlangpui: C-section hma hian doctor chuan nu hnute chhungah gauze thianghlim tak a dah thin. Hun engemaw chen hnuah gauze hian vaginal discharge chu a absorb ta a ni. Tichuan, naute a pian veleh gauze hmangin naute chu an phihfai leh thin.

Engvângin nge mite chu hetiang thil ti tûra thlêm an nih?

Hemi ngaihtuahna hi hrethiam tur chuan kan taksaa thian te te thenkhat chanchin kan hriat a ngai a ni. Kan taksa tana \angkai thei bacteria "tha" an ni. He bacteria leh microorganisms khawlkhawm hi "microbiome" kan ti a. Heng bacteria tha tak takte hian ei tur min ei theih nan min pui a, natna lakah min venghim a, kan taksa hriselna a tichak bawk .

Ngaihtuah teh, a tlangpuiin, chu chu naute chu vaginally-a a pian hian, naute chu nu pianna kawngkhar atanga a chhuah ang hian, nu hnute atanga heng bacteria ‘tha’ te hi a keng tel bawk a ni. Hei hi a pianphung anga thil thleng a ni. Heng bacteria te hi naute chhungril leh taksaa bacteria colony tha tak siamna atana lungphum hmasa ber an ni.

Mahse cesarean section hmanga naute a pian chuan naute chu direct-in uterus atangin lakchhuah a ni a, chuvangin naute hian heng bacteria tha tak takte hi nu hnute atang hian a dawng lo. Chuvangin ‘vaginal seeding’ method thlawptute chuan C-section hmanga naute piangte chu chutiang naturally occurring bacteria tha tak tak, artificial emaw birth control method hmanga pek an nih chuan an immunity a tha zawk ang a, nakin lawka an lo neih theih tur natna thenkhat (asthma leh allergy ang chi) lakah an him thei ang tih an ring.

‘Vaginal seeding’ hian eng hlawkna leh hlauhawmna lian tak nge a neih?

Eng thil pawh chungchanga thutlukna siam hmain a thatna leh that lohna hriat a pawimawh hle. Heng pahnih hi a hranin han thlir ila.

Eng hlawkna nge i ngaih?

Researcher thenkhat chuan vaginal seeding hian hlawkna engemaw zat a nei thei niin an ngai. C-section hmanga piang naute zingah immune-related diseases , asthma, allergy, leh eczema te vei theihna a ti tlem thei niin an sawi.

Mahse, he thilah hian ‘mahse’ lian tak a awm. Hemi chungchanga zirchianna tam zawk hi chu a tlem hle. Tin, he hmanraw hlawkna hi eng chen nge a awm tih pawh tumahin an hre lo. Heng avang hian khawvela damdawi lam pawl lian ber berte chuan he tih dan hi an rawt lo.

Risk hlauhawm tak tak thei

Hei hi kan ngaihven ber a ngai a ni. Nu hnute chhunga awm bacteria 'tha' chauh a ni lo. A châng chuan natna khirh tak thlen thei ‘bad’ bacteria leh virus te pawh chhinchhiahna awm lovin an awm thei bawk.

Nausen piang tharte taksa hriselna (immune system) a chak lo hle. Heng hrik hlauhawm tak takte hi do theihna an nei lo. ‘Vaginal seeding’ kan tih hian kan hriat lohvin heng hrik hlauhawm tak takte hi naute taksaah kan luhtir thei a ni. Hei hian naute dam chhung zawnga nghawng thei natna a thlen thei a, thihna thlen thei hial a ni.

Hetianga naute hnena kai theih natna hlauhawm tak takte chu a hnuaia table-ah hian en rawh.

Chuvangin C-section naute hnena ‘bacteria tha’ pek dan him a awm lo em ni?

I naute chu bacteria tha tak tak pein microbiome hrisel tak siam turin 100% him leh doctor pawmpui kawng pahnih a awm ngei ang, ‘vaginal seeding’ hlauhawmna awm lovin.

1. Nau hnute pek: Nau hnute pek hi i naute mamawh chaw tha pekna chauh a ni lo. I hnute tuiah hian bacteria chi maktaduai tam tak a awm a, chu chu i naute hian an gut atana a mamawh a ni. I naute pawhin i hnute i pek hian i hnute chhehvel i vun atang hian bacteria tha tak tak chu a hmu thin. Hei hi i naute immunity siam thatna kawng tha ber leh him ber a ni.

2. Vun leh vun inhnaih: I naute a pian veleh an thawmhnaw (diaper tih loh chu) phelh la, i rilru hlim takah vawn tlat ang che. Hei hi ‘Skin-to-skin contact’ an ti a. I vunah bacteria tha maktaduai tam tak chu he hun lai hian i naute vunah hian a pianphungah a inthlak a ni. Hei hian venhimna, lumna a pe mai bakah i naute tan microbiome hrisel tak siam turin a pui bawk.

A tawp berah chuan Doctor-te thurawn eng nge ni?

Tun thlenga scientific evidence awm tawhte a\angin Sri Lanka leh khawvel hmun hrang hranga gynecological leh pediatric medical association lar tak takte chuan lungrual takin ‘vaginal seeding’ tih dan hi an rawt lo tak zet tih an sawi

Chutianga a awm chhan chu a chiang hle mai:

• Benefits not proven: Benefits nia sawi chu theoretical level-ah a la awm reng a ni.
• A hlauhawmna a sang hle a, finfiah a ni tawh bawk: naute hnena natna hlauhawm kai theihna hi a tak tak a ni a, a na hle bawk.

C-section hmanga naute i beisei a nih chuan, heng ang chi risky methods ngaihtuah ai chuan, i doctor nen sawiho la, i naute hriselna tihchangtlun dan tur, proven, safe methods, breastfeeding leh skin-to-skin contact ang chi hmangin.

Hetiang hi i tih emaw, tih i ngaihtuah emaw chuan eng nge i tih ang?

Doctor-te’n an rawt lo nachungin hetiang hian i ti mai thei. Chutiang a nih chuan hengte hi hre reng ang che:

• I doctor hnenah hetiang hian hrilh rawh:Hemi chungchang hi i pediatrician leh obstetrician te hnenah hriattir ngei ang che.
• I naute hri kai chhinchhiahnate fimkhur rawh: I naute hian a hnuaia symptoms te hi a neih chuan doctor thurawn la nghal rawh.
• Khawsik emaw taksa lumna pangngai lo taka hniam emaw
• Khuh emaw thawk rang emaw
• Dairy ei tlem emaw ei loh emaw
• Mit atanga sen emaw, tui chhuak emaw (Pink eye) .
• Vun a hring chhuak
• Mut theih loh emaw, rilru hahna emaw