Nau neih laiin vagina a hrual hi thil pangngai a ni em? (Vaginal Tears) Hemi chungchang hi han sawi ila!

Nu ni tur i nih angin nau neih chungchang hi tlem i hlau emaw, i hriat duh emaw pawh a ni thei. A pangngai hle mai. Mi tam takin an zawh leh hlauh ber pakhat chu nausen a pian hunah vagina chhehvel chu a hrual dawn em tih hi a ni. Hei hi a takah chuan nu tam takin an tawn thin thil a ni. Mahse i hlauh hmain chiang tak leh awlsam takin sawi ila.

A awlsam zawngin, vaginal tear tih hi eng nge ni?

Hei hi damdawi lam chuan ``Perineal Laceration'' kan tih chu a ni. A awlsam zawngin, nau neih lai hian naute chu serh atanga a chhuah chuan i hnute chhehvel vun leh tissue te chu a chhe vek thin. I vaginal opening leh i anus inkar chu ``Perineum'' an ti a. He lai hmunah hian mittui hi a awm tlangpui.

Ngaihtuah teh, naute a chhuah dawn lai chuan i vagina chhunga vun chu rin loh takin a inzawm tan ta a ni. Kan taksa hi he hmun hi a tizau tha thei ang bera siam a ni a, chutiang chuan naute chu harsatna awm lovin a chhuak thei a ni. Amaherawhchu, a chang chuan he hmun hi naute lu a chhuah chuan tlem a hrual thei a ni. Ngaihtuah buai suh, hei hi a hluar hle. Dik tak chuan nau neih pangngai nu 90% vel chuan eng emaw chen chu mittui tlakna an nei thin.

He mittui enkawl dan hi a nihnaah a innghat a ni. Thil tam takah chuan in lama damdawi hian natna tihziaawmna leh damna tikhawtlai thei a ni.

Heng Iriyam te hi chi li a awm a.

Heng symptoms te hi a nasat dan azirin level lian paliah then a ni. Eng nge an nih i en ang u.

Engvangin nge hetiang hi a lo awm? Tute nge risk sang zawka awm?

Nau neih laia he mittui tlak chhan ber chu naute a chhuah ruala a vagina leh perineum a inzawm khawm vang a ni. Hei hi thil kalphung pangngai a ni. I vaginal skin elasticity ang chi hi kan control thei lo. Mahse, thil engemaw chuan he mittui tlakna hi a tipung thei a ni.

• Hei hi i pian hmasak ber a nih chuan.
• Naute a chhuah dawna hnuai lam hawi lovin chunglam hawi a nih chuan.
• Naute lakchhuah nan ``Forceps`` emaw ``Vacuum`` device i hman a ngai a nih chuan.
• Naute chu a thau lutuk (pound 8 aia tam) a nih chuan .
• Labour stage hnihna, emaw, nawr emaw hian hun rei tak a daih a nih chuan.
• Natna tihziaawmna atan epidural pek i nih chuan.
• Zirna thenkhatah chuan Asian hmeichhiate hi an hlauhawmna a sang zawk tih hmuhchhuah a ni.

Hemi chungchang hi i doctor nen in inbia a, heng risk factors te hi i neih leh neih loh i hre thei ang.

Hei hian eng harsatna nge a thlen theih?

Mittui tla hian harsatna leh natna engemaw zat a thlen thei. Mahse, mittui tenau tam zawk chu kar hnih vel chhungin a dam leh thin. Mittui hi tlem a lian deuh a nih chuan thla khat emaw thla hnih emaw chhung lungawi lohna hriat hi thil pangngai a ni. Third- leh fourth-degree tears-ah chuan complication awm theihna a sang deuh hlek a ni.

• Kaichhawng:Hliam fai taka vawn loh chuan natna hrik a kai thei a ni.
• Thisen chhuak.
• Sex hman laiin natna: (Doctor phalna la hmasain) .
• Fecal incontinence: Hei hi natna khirh takah a awm thei.
• Natna leh natna chhunzawm zel.

Hetiang thil i neih chuan nau neih hnua i doctor hnenah hrilh ngei ang che. Chumi hnuah chuan i thil hriat chu a pangngai leh pangngai lo tih a hrilh thei che a ni.

In lama hliam a dam hma chu engtin nge kan enkawl ang?

Naute i neih hnuah mittui a dam lai hian hrehawmna engemaw chen i tawk mai thei. Chu hrehawmna tihziaawmna turin in lama thil awlsam tlemte i tih theih a awm. Hengte hi eng level of tear tan pawh tih theih a ni.

• Faina fimkhur rawh: Toilet i hman zawhah `(peri-bottle)` (a squirt bottle) hmangin tui lum hmanga silfai tur a ni. Toilet paper hmanga phih ai chuan a hmun chu zawi zawiin pat dry rawh.
• Ice pack hnawih: Sanitary pad bik a awm a, chutah chuan ice pack a awm a, chu chu damdawi dawr atanga lei theih a ni. A nih loh leh, ice cube tlemte chu puan thianghlim takah khuh la, hliam chungah minute 10-15 vel dah rawh. Hei hian a hring leh natna a tiziaawm ang.
• Constipation ven: Hemi chhung hian straining tih loh tur. Tui tam tak in thin ang che. Tin, fiber tamna ei tur (thei, thlai, leh greens) ei bawk ang che. A tul chuan doctor hnenah stool softener ei chungchang zawt la.
• Sitz Bath la rawh: Bathtub i neih chuan inches tlemtea sang tui lum nen khat la, minute 10-15 vel thu rawh. Hei hian natna a tiziaawm ang a, hliam chu a dam thuai ang. Hei hi ni khatah vawi hnih vawi thum tih a tha ber.
• Donut Pillow hmang rawh: Thut laiin i hliam chungah pressure i hriat chuan donut ang chi cushion-ah thu la, a laiah khur awm rawh. Hei hian hliam chunga pressure a tihziaawm ang.
• Hmun nuam lo taka awm loh tur: Hliam ti na thei exercise, stairs chhuk, squat, etc. te chu rei lo te chhung tih kha bansan rawh.
• Painkillers: Doctor-in a tih angin paracetamol ang chi painkiller ei tur a ni. Mittui a nasat chuan natna tidamtu chak zawk a pe thei a ni.
• Painkiller spray: Natna leh rilru hahna tihziaawmna tur spray i hmang thei a, chu chu ``(Dermoplast®)``, damdawi dawr atanga lei theih a ni. Amaherawhchu, Doctor zawt la, a finthlak hle ang.

A dam leh theih nan eng chen nge hun a duh? Risk factors te chu engte nge ni?

Nu tam zawk tan chuan kar hnih vel hnuah chuan natna leh lungawi lohna chu nasa takin a tlahniam ang. Mittui hi a lian a nih chuan a dam rei zawk thei. Stitch i dawnte chu rei vak lo hnuah a mah chauhin a bo vek dawn a, chuvangin cut tir a ngai tawh lo.

Amaherawhchu, hliam a dam lai hian hri kai chhinchhiahna i hriat chian a ngai a ni.

Naute dang neih dan tur i ngaihtuah thei ang em?

Ni e, a theih ngei ang. Nau piang hmasa lama nausen pum (uterus ruptured) neih hian a dawt lehah nau piang pangngai i nei thei dawn lo tihna a ni lo. Nu nausen ruptured nasa tak nei tawhte hmanga zirchiannaah pawh hian a dawt leh hunah Caesarean section neih a ngai tih finfiahna chiang tak a awm lo.

Tin, a vawi khatna atana a hrual vang mai mai chuan a vawi khatnaah a hrual vek dawn tihna a ni lo. Dik tak chuan nu tam zawk chuan an pian vawi hnihna emaw, nau piang thumna emaw hian mittui tlakna an nei tlem zawk. Chuvangin ngaihtuah buai suh. I rilru a thil awm apiang chu i doctor nen sawiho rawh.

Episiotomy nge episiotomy - eng nge tha zawk?

A châng chuan naute hian chhuahna tur hmun a hmu tlem a nih chuan doctor chuan vaginal opening sir lamah cut te tak te a siam ang. Hei hi ``Episiotomy'' an ti a. Hei hi controlled taka vaginal opening tihzauh nan leh control loh taka tearing awm loh nan tih a ni.

Mahse, tuna damdawi lam ngaihdan chuan episiotomy hi tih dan pangngaia tih a tha lo tih a ni. Zirchianna thar ber atanga a lan dan chuan mittui chu a pianphungah a dam theih nan phalsak a tha zawk. Chuvangin tunah chuan doctor-te chuan he incision hi an ti tlem hle a, a tul lutuk a nih loh chuan.