Naupai lai pawhin hei hi hre reng ang che: Vasa Previa chu eng nge ni?

Nu nih hi i phur em em a, mahse a chang chuan thil tenawm tak takah chuan tlem chuan hlauhna i nei thin a ni lawm ni? Chu chu thil pangngai a ni. Vawiin hian naupai laia lo awm thei, a tlem deuh a, mahse i hriat lawk chuan uluk taka enkawl theih tur condition kan sawi dawn a ni. Hei hi Vasa Previa an ti a. Ngaihtuah buai suh, chipchiar takin kan sawi dawn nia.

Vasa Previa chu eng nge ni? A awlsam zawngin i hrethiam ang u!

A awlsam zawngin sawi ila, Vasa Previa hi naupai laia lo awm thei complication a ni. Hei hi umbilical cord chhunga thisen kalna kawng thenkhat, i naute hnena ei tur tha phurtu te chu venhimna awm lovin serh chhungah an kal tlang thin a ni. A tlangpuiin heng thisen kalna kawngte hi nausen (placenta) hian a veng tha hle.

Ngaihtuah teh, nau neih tan tirh te, amniotic sac a chhe lai te hian heng thisen kalna venhim loh te hi cervix bulah ngei hian a puak thei a ni. Chutiang a nih chuan naute chu thisen a chhuak nasa thei a, a thi hial thei bawk. Mahse, he natna hi hriat hmasak a, uluk taka enkawl a nih chuan, a bik takin naute chu cesarean section (`C-section`) hmanga nau neih a nih chuan, he hlauhawmna hi pumpelh vek theih a ni. Chuvang chuan hei hi hriat chian a pawimawh hle.

Vasa Previa hi chi hnih a awm a, chungte chu:

Doctor-te chuan he natna hi chi hnih lian takah an ṭhen a. Eng nge an nih i en ang u.

1. Type 1: Vesa Previa leh Velamentous Cord dahna

Hei hi hming buaithlak tak angin a lang thei a, mahse hriatthiam harsa a ni lo. Velamentous cord insertion chu umbilical cord chu nausen chhungah direct-a inzawm lo va, a thisen kalna kawngte chu nausen pawnah a tlan chhuak a, venhimna nei lovin a awm zawk a ni. A tlangpuiin umbilical cord hi placenta-ah direct-in a inzawm a ni.

Tunah chuan han ngaihtuah teh, hetiang thisen kalna kawng venhim loh, nausen pum hnuai lama awm, nausen pum (hei hi `low-lying placenta` an ti) hnaih takah awm se, nau neih tan a, naute chu serh lam pan a kal chuan, chu thisen kalna chu a inzawm khawm a, a puak darh theihna chance a sang zawk hle.

2. Type 2: Vesa Previa leh Bilobed Placenta nei

Hei hi i placenta chu hmun khat ni lovin, lung pahnih ang maia lobe pahnih-a inthen a nih lai a ni . Chumi hnuah chuan umbilical cord hian heng hmun pahnih hi a thlunzawm thei ta a ni. Heng hmun pahnih inkar thisen kalna kawng venhim lohte hi serh hnaihah a kal chuan nau neih tan tirh hian a chhe thei a ni.

Vasa Previa leh Placenta Previa hi eng nge an danglamna?

Heng hming pahnihte hi eng emaw chen an inang a, chuvangin an inthlau thei hle. Mahse heng pahnih hian dinhmun hrang hrang pahnih a kawk a ni.

• Placenta Previa chu nausen chu nausen hnuai lam a awm a, a chung lam ni lovin, serh chhung zawng zawng emaw, a then emaw khuh vek a ni. Nau neih tan chuan nausen leh nausen inzawmkhawmtu thisen kalna kawngte chu a inzawm khawm thei a, thisen a chhuak thei bawk.
• Pawimawh tak chu placenta previa i neih a, a hnuah a reh (resolved placenta previa) emaw, placenta hniam tak i neih emaw chuan vasa previa vei theihna a sang hle. Chumi awmzia chu heng dinhmun pahnih inkarah hian inzawmna a awm thei tihna a ni.

Vasa Previa hi engtiang chiahin nge a serious?

Dik tak chuan vesa previa hi natna khirh tak a ni a, enkawl ngai a ni. A hmaa hriatchhuah a nih loh chuan naute chu thi angin a piang thei hial a ni.

Mahse, hei hi hre reng ang che: He natna hi naupai laiin (prenatal diagnosis) hmuhchhuah a nih a, uluk taka enkawl a nih a, planned cesarean section (C-section) hmanga nau neih a nih chuan naute hian dam theihna chance 98.6% a nei a ni!

Chuvang chuan hlauthawng ai chuan a pawimawh ber chu uluk taka hriattir leh damdawi lam thurawn zawm hi a ni.

He natna hian tute nge a nghawng ber? (Risk factor hrang hrang) 1.1.

Vasa Previa vei tam zawkte chu:

• `velamentous cord insertion` (umbilical cord hi placenta-ah a inzawm tha lo) emaw `bilobed/multilobed placenta` (placenta hi hmun engemaw zatah a inthen) tih ang chi condition i neih chuan.
• I nausen chu nausen pum chhungah a awm a, a pum emaw, a then emaw a khuh vek a nih chuan (`placenta previa` emaw `low-lying placenta`).
• A hmaa cesarean section (C-section) i lo neih tawh chuan.
• In vitro fertilization (IVF - In Vitro Fertilization) hmanga naupai i nih chuan.
• Twins emaw triplets (`multiples`) i beisei a nih chuan.
• Uterine surgery i neih tawh chuan.

Heng risk factors te hi i neih chuan i doctor chuan a ngaihven zawk ang.

Vasa Previa hi engtiang chiahin nge a awm?

Hei hi thil awm lo tak a ni. Nau piang 2,500 zinga pakhat vel ah a awm tlangpui. Mahse, in vitro fertilization (IVF)-ah chuan a tam zawk deuh a, nau piang 200 zinga pakhat vel a ni.

Vasa Previa natna lan chhuah dan chu engte nge ni?

Vawi tam tak chu vasa previa vei nu hian symptom a nei lo thei. Chuvang chuan naupai laiin ultrasound scan hi a pawimawh em em a ni. Doctor-te chuan heng scan hmang hian a natna hi an hre thei a ni.

Mahse, a tlem hle a, mi thenkhat chuan naupai kum hnihna emaw, thla thumna emaw chhungin natna nei lovin vaginal bleeding tlemte an nei thei. He thisen hi a tlangpui aia sen dum deuh a ni thei. I thisen a ni lo mai thei a, nausen thisen chhinchhiahna a ni zawk. Naupai laiin engtik lai pawha vaginal bleeding i neih chuan, natna nei emaw nei lo emaw pawh nise, eng ang pawhin tlem mahse doctor pan nghal rawh.

Vasa Previa hi eng thilin nge a thlen?

Hei hi a chhan ber chu, a hmaa kan sawi tawh ang khan, nang leh i naute inzawmkhawmtu umbilical cord thisen kalna kawngte chu venhim lohvin serh bulah a kal tlang thin vang a ni. A tlangpuiin umbilical cord hi placenta nen direct-in a inzawm a, thisen kalna kawngte pawh a venhim tha hle. Mahse, vesa previa-ah chuan he thisen kalna hi a chhuak mai ni lovin, nau neih laiin a hrual theihna hmun ber, serh (cervix) bulah a awm bawk.

Engtin nge Vasa Previa hi hmuhchhuah a nih?

Vesa previa hi naupai atanga kar 18 leh kar 26 inkar ultrasound scan hmanga hmuhchhuah a ni tlangpui. I scan-ah vasa previa vei theihna tur risk factors, bilobed placenta emaw velamentous cord insertion emaw a awm chuan i doctor chuan i vagina kaltlangin special ultrasound scan (transvaginal ultrasound) a ti thei ang. Hei hian umbilical cord-ah hian cervix (cervical os) bulah thisen kalna kawng a awm leh awm loh chiang takin a hmu thei a ni. A chang chuan doctor te pawhin ultrasound technique color Doppler an tih pawh an hmang thin . Hei hian thisen kal dan chu rawng hrang hrangin a entir a, thisen kalna hmun hriat a awlsam phah hle.

Doctor chuan heng thilte hi a bik takin a zawng ang:

• Cervix nena inzawm hian khawiah nge placenta hi a awm?
• Placenta hian lobe tam tak a nei em tih.
• Umbilical cord awmna hmun.

Vasa Previa hi eng enkawlna nge ni?

Vasa previa i vei tih hmuhchhuah a nih chuan i doctor chuan i naute chu planned cesarean section (C-section) hmanga nau neih a tum mai thei. Tin, i naupai chhung zawngin nang leh i naute chu uluk takin an enkawl bawk ang. Hetah hian Doctor-te thil tum ber chu naute pum chhunga a rei thei ang bera awmtir a ni a, mahse a rang thei ang bera nau neih tan a, thisen kalna kawng a chhiat hmaa him taka nausen hrin hi a ni.

I naupai dan tur ruahmannaah hian:

• Non-stress test: Heng test te hi kar khatah vawi hnih vel tih thin a ni a, naute thinlung thawk dan enfiah thin a ni. Nang leh i naute tan pawh an him vek a ni.
• Corticosteroids: Heng damdawi te hi cesarean section hmaa pek theih a ni a, chu chuan naute lung a lo thang tha thei ang. Hei hi a chhan chu, naute hi tlem a hma deuha hrin a ngai mai thei a, chuvangin lung puitlin hi a pawimawh hle a ni.
• Inpatient management: I doctor chuan i naute pian hma ni engemaw zat chu damdawi inah uluk taka enfiah turin a rel mai thei. He thutlukna hi i damdawi lam dinhmun awm tawh te, nau neih hmaa i awm theihna tur te, leh damdawi in atanga i awm dan te atanga siam a ni ang.
• Cesarean section ruahman (kar 34 leh kar 37 inkar):Vesa previa nena inzawm harsatna awm thei tih tlem nan i doctor chuan i naute nau neih hun tha ber chungchang a sawipui ang che. Tlem a hma deuha nau neih a nih fo avangin i naute chu a pian hnuah Neonatal Intensive Care Unit (NICU)-ah enkawl a ngai mai thei.

I naupai tur ruahmanna bik chu i dinhmun a zirin a innghat ang a, chuvangin i doctor thupek dik taka zawm a pawimawh.

Vasa Previa hi "fix" theih a ni em?

Dik tak chuan vesa previa tih hming pu condition hi "fix" theih a ni lo. Chu chu thisen kalna kawng awm dan i thlak danglam thei lo tihna a ni. Mahse, i dinhmun chu i enkawl thei a, naute hrisel hlawhtling taka neih theihna tur ruahmanna i siam thei bawk. I naute leh i naute tan pawh him taka nau neih hun tha ber tur leh cesarean section neih hun tur chungchang te doctor nen sawiho rawh.

Vasa Previa vei theihna hi a tlahniam thei ang em?

Vesa previa vei theihna chu i tihtlem thei lo. Kan thunun theih thil a ni lo. Mahse, chuta tang chuan harsatna lian ber ber lo chhuak thei chu i tihtlem thei a ni. Engtin nge chutiang chu i tih theih? Nau neih hma clinic pangngaia kal leh doctor thurawn zawm hmangin. Hetiang dinhmun hi a hmaa hriatchhuah hi result tha ber neih theihna kawng pawimawh tak a ni.

Vasa previa ka neih chuan eng nge ka beisei ang?

Vasa previa i neih chuan vaginal delivery ni lovin cesarean section (C-section) i beisei tur a ni. I naupai chhung zawng hian monitoring test dang i neih belh a ngai bawk ang. He extra care hian naute hrisel tak i neih theih nan a pui ang che.

Vasa Previa hian naute a nghawng em?

He natna hian naute a nghawng dan hi a hriat hma danah a innghat a ni. Vasa previa hmuhchhuah a nih loh chuan nausen thihna rate hi 56% atanga 60% thleng a ni thei. Mahse, naupai tirh lamah hmuhchhuah a nih a, uluk taka enkawl a nih a, cesarean section hmanga nau neih a nih chuan naute chu dam theihna chance 97% a nei a ni. Thil engemaw takah chuan naute hi a pian hnuah NICU-ah enkawlna dang a mamawh thei a, a bik takin naute chu a hun hmaa a pian chuan. Mahse, vasa previa hmanga cesarean section neih a nih chuan a result a tha hle.

Engtikah nge ka doctor ka hmuh ang?

I naupai chhung zawng hian doctor hmu fo ang che. Tin, ultrasound scan rawt zawng zawngah pawh tel vek tur a ni. Vesa previa i vei tih hmuhchhuah a nih chuan doctor pan fo a ngai mai thei.

I naupai kum hnihna emaw, thla thumna emaw chhunga vaginal bleeding i hriat chuan doctor pan nghal tur a ni. Thisen chhuah a nasat chuan damdawi in hnai ber emergency department pan nghal tur a ni.

Doctor hnenah eng zawhna nge ka zawh ang?

Vesicoureteral reflux i neih chuan i doctor hnenah harsatna lian tham i neih theihna tur tihtlem dan tur zawt rawh. Entir nan:

• "Sex (pelvic rest) laka insum hi ka tan a tha zawk em?"
• "Naupai hrisel tak neih theih nan eng tih dan nge ka neih theih ang?"

Naupai laiin complication neih hi a hlauhawm hle. Mahse chu chu naupai, nau neih leh naute hrisel tak i nei thei lo tihna erawh a ni lo. Vasa previa i nei tih hriat hi cesarean section hlawhtling tak neih tumna hmasa ber a ni. I diagnosis hian i nau neih dan tur a nghawng dan tur chu i doctor nen sawiho rawh.

Take-Home Thuchah a ni

Vasa Previa hi natna awm lo mahse pawi tak a ni a, naupai laiin a awm thei.

• Hetiang thila thil thleng chu naute umbilical cord thisen kalna kawngte chu venhim lohvin serh chhungah a kal tlang a ni.
• Hriat hmasak a pawimawh hle. Symptoms a awm loh fo avangin scan mumal tak neih a pawimawh hle.
• Enkawlna ber chu naute chu planned cesarean section (C-section) hmanga nau neih hi a ni.
• A hmaa hmuhchhuah leh enkawl dan dik a nih chuan naute nunna chhanchhuah theihna chance a sang hle (97% aia tam).
• Doctor nen inbia fo la, an thurawn zawm rawh. Lungngai suh, nangmah chauh i ni lo. Hriatna dik leh damdawi lam puihna i neih chuan he natna hi hlawhtling takin i tuar thei a ni.

Vasa Previa, naupai, naupai harsatna, umbilical cord, placenta, cesarean section, nausen hriselna, nau neih hmaa diagnosis