Naute lu a tla thla em? Vertex Presentation chungchang hi han sawi ila!

I naupai kar tawp lam i hnaih meuh chuan doctor-in i pum a khawih a, "Naute chu tunah chuan a dinhmun dik takah a awm tawh a, lu hnuai lam" a tih i hre tawh mai thei. I scan report-ah 'Vertex Presentation' tih thumal pawh i hmu tawh mai thei. He thu i hriat khan tlemin hlauhna emaw, mak emaw i ti em? ‘Vertex’ tih awmzia chu eng nge ni? Hei hi thil tha nge thil tha lo tih i ngaihtuah tawh mai thei. Lungngai suh. Hei hi a takah chuan chanchin lawmawm tak a ni. Vawiin hian he thu hi i hriatthiam theih tur khawpa awlsam takin kan sawi dawn a ni.

A awlsam zawngin, he Vertex Presentation hi eng nge ni?

Vertex Presentation tih awmzia chu i naute chu vaginal delivery pangngai neih theihna tur hmun remchang leh him ber a ni tihna a ni. Hetiang hian han ngaihtuah teh, naute chu pum chhungah a awm a.

A dik tak chuan hetiang dinhmunah hian naute hi a lan dan chu hetiang hi a ni:

• Lu hnuai lam: Naute lu chu i serh (cervix) lam hawi a ni.
• Lu hmalam lallukhum: Naute lu hnung lam ni lovin naute lu lallukhum hi serh chhungah a inlan hmasa ber a ni. Hei hi ‘Vertex’ an ti a.
• Chin to chest: Naute chu ball ang maiin a inkhuh a, a hmui chu a rilruah a hmet a. Hei hi a lu peng te ber pawh a chhuah hmasak theihna tur hmun siamsak nan a ni.
• I hnunglam hawi: Naute hmai chu i hnunglam hawi a ni.

A awlsam zawngin, hei hi naute khawvela "VIP entrance" ang mai a ni. Engkim ti awlsamtu dinhmun him ber.

Vertex leh Cephalic hi a inang em?

‘Cephalic presentation’ tih thumal pawh i hre tawh mai thei. Heng pahnih hi an inang hle a, mahse a danglamna tlem a awm.

• Cephalic presentation: Hei hian ‘naute lu a tla’ tihna mai a ni.
• Vertex presentation: Hei hi cephalic presentation chi hrang hrang tha ber leh dik ber a ni. Chumi awmzia chu lu chu a hnuai lam a ni a, a hmui chu a rilruah a nawr a, a lu chunglam chu hmalam a pan tihna a ni.

Cephalic position dang pawh a awm a, chu chu face presentation emaw brow presentation emaw a ni a, mahse nau neih pangngai tan chuan a tha lo hle. Chuvangin, Vertex hi kan beisei theih zawng zawng dinhmun tha ber a ni.

Engtikah nge naute chu hetiang dinhmunah hian a inthlak?

Naute tam zawk chu naupai kar 32 leh kar 36 inkarah hetiang dinhmunah hian an inthlak a, an awm ta a ni. Chumi hma chuan naute chu a pum chhungah a che vel nasa hle. Ni khat chu a lu a sang ang a, a tuk ah chuan ke cross-in a mu ang. Chu chu thil pangngai a ni. Mahse kar 36 vel a nih chuan naute chu a lian deuh a, a pum chhungah hmun a awm tlem hle. Chuvangin a kal kual theihna tur hmun a nei tlem hle a, hmun khatah a insiamrem ta a ni.

Mahse a chang chuan naute hi kar 36 hnuah pawh hetiang dinhmunah hian an inthlak thin. Chuvangin hlauthawng lutuk suh.

I doctor chuan i naute dinhmun chu kawng hnih in a enfiah ang:

1. Leopold-a maneuvers: Clinic-a i kal chuan Doctor chuan i pum chu hmun hrang hrangah a hre mai ang, a dik em? Chutianga a tih chuan naute lu chu khawiah nge a awm a, a hnuai lam chu khawiah nge a awm tih leh a ruhro chu khawi lam nge a nih tih a hre thei a ni.

2. Ultrasound scan: Naute awmna leh nausen awmna hmun te, engkim dik zawka enfiah nan scan an ti thin.

Engvangin nge Vertex position hi nau neih pangngai tan a tha?

He dinhmun hi nau neihna atana a tha em em chhan hrang hrang a awm.

• Lu hmasa ber: Lu hi naute taksa peng lian ber leh khauh ber a ni. Chuvangin vawi khat lu chu birth canal atanga a chhuah chuan taksa dang zawng chu a chhuak awlsam zawk hle.
• Lu pianzia hi a danglam thei: Naute lu ruh ruhte hi a tir lamah chuan a inzawm khawm lo. Chuvangin, birth canal a paltlang rualin lu chu a pianzia (molding) tlem a inthlak thei a, hmun tight atang chuan awlsam takin a chhuak thei bawk.
• Cervix hawn pui: Naute lu hian serh a hmet a, nau neihna atana mamawh hormone siam chhuahna a tichak a, chubakah serh inhawng turin a pui bawk.

Hetiang dinhmunah hian risk a awm em?

Vertex hi position tha ber ni mahse, harsatna awm lo tak chu naute chu a lian lutuk thei tih hi a ni . I naute hi a lian hle a nih chuan a lu emaw, a ke emaw chu nau neihna kawngah a tlakbuak theihna chance tlemte a awm a, Vertex position-ah pawh awm mahse. Chutiang hunah chuan i doctor chuan nang leh i naute himna atan cesarean section (C-section) tih a rawt thei ang.

Vertex leh Breech Presentation hi eng nge an danglamna?

Vertex position kalh chiah chu ‘Breech Presentation’ a ni. A awlsam zawngin, hei hi naute lu chu chunglam hawi a, a hnute emaw, ke emaw hnuai lam hawia a awm lai a ni.

An pahnih inthlauhna chiang taka hriat theih nan he table hi han en ila.

Naute 3% leh 4% inkar chu breech position-ah an tawp thin. I naute chu breech position-ah a awm a nih chuan lungngai suh. I doctor chuan a him ber tur chungchang a sawipui ang che, chu chu cesarean section a ni. Hei hi a chhan chu breech position-a normal delivery neih theihna risk a sang zawk vang a ni.

Naute chu breech position-ah a awm a nih chuan a turn theih em?

Ni e, a then phei chuan naute chu Vertex position-ah dah leh tum theih a ni. Mahse hei hi mi zawng zawng tan thil theih a ni lo va, a hlawhtling reng reng lo. Chutianga tih theih dan kawng hrang hrang a awm.

• External Cephalic Version (ECV): Hei hi doctor-te hman dan ber a ni. Hemiah hian doctor pahnih an thawk ho a, naute chu scan-ah an en a, chutah chuan zawi zawiin i pum chu an nawr a, naute chu nausen pum chhungah an hawitir a ni. Hei hi damdawi inah tih a ni a, eng emergency pawha inbuatsaih a ni. Hetiang hmanraw hian thatna leh that lohna a neih avangin i doctor nen uluk takin sawihoin thutlukna i siam tur a ni.

• I posture thlak danglam dan:Yoga ang chi pose thenkhat hian naute chu a hawi let thei niin rinna a awm. Entirnan, khup khup, i elbow te leiah dah a, hmalam pan. Hengte hi a pawi lo hle a, mahse 100% a thawh hlawk tur erawh a awm lo.

• Stimulation hman: Naute room-a music play emaw, inbiakna emaw, a pum thlenga light zawi zawia khawih emaw hmangin i naute chu a che thei ang. Hengte hi thil him tak tak enchhin tur a ni bawk.

Naute Vertex position-a awm tawh chu Breech a ni leh thei ang em?

Hei hi a tlem hle. Naute chu Vertex position-ah a awm tawh chuan a pum chhungah a inher leh theihna tur hmun a awm tawh lo. Mahse, a tlem hle a, naute, amniotic fluid (polyhydramnios) tam lutuk nei nu atanga piangte hian nau neih laiin inherna tur hmun engemaw zat an la nei tho.