Naupai laia i hriat leh hriat zingah hian he ‘tui chhe’ hi i hre duh deuh mai thei a, i hlauthawng pawh a ni mai thei. Movie-a tui a chhe nghal a, i lungkhamna scene i hmuh hnuah pawh hetiang hi a thleng ngei ang tih i ring em? Dik tak chuan mi zawng zawngah a thleng lo. A châng chuan a hnim deuh pawh a ni thei. Chuvangin hlau suh, he thil hi chiang takin i zawng chhuak ang u.
A awlsam zawngin ‘tui chhe’ tih awmzia chu eng nge ni?
I naupai chhung zawng hian i naute chu i nausen pum chhunga tuiin a khat bawm chhungah him takin a khuh a. Hei hi damdawi lam chuan amniotic sac kan tih chu a ni. He bawm chhunga tui ang chi hi amniotic fluid an ti a. He tui hian naute chu a chhehvel a tihnghing loh nan leh natna hrik lakah a venghim a ni.
Chuvangin, ‘the bag of waters breaking’ tih awmzia chu naute hual veltu venhimna bawm chu zawi zawiin a phelh a, a chhunga tui chu zawi zawiin emaw, rang takin emaw vagina kaltlangin a chhuak tihna a ni. Hei hi naute piang tur a nihzia tilangtu lian tak a ni. Hei hi nau neih tan hma emaw, nau neih lai emaw, naute pian hma lawk pawhin a thleng thei. A châng chuan, Doctor ngeiin tui bawm chu a tikehsawm ṭhin. Hei hi ``Amniotomy'' an ti a.
Engtin nge i tui bag a chhe tawh tih chiang taka i hriat theih ang?
A châng chuan hei hi zun tlemte chauh emaw, thil dang chhuak emaw a ni tih hriat a harsa thei. Hetiang thil i hriat chuan ngaihven rawh.
- Vagina atang hian ‘tock’ ri a rawn chhuak nghal a, chu chu tui tlemte a chhuak leh a .
- I underwear emaw i thawmhnaw emaw atanga tui luang chhuak ang maia hriatna. A tam emaw, tlem emaw pawh a ni thei.
- He tui hi a rimtui lo va, a rawng a fiah emaw, a sen hring emaw a ni fo thin.
- Tui, zun ang chi, thunun theih loha chhuak.
- He tui hi vaginal discharge pangngai angin a thick lo va, a thim zawk a, tui tak a ni zawk.
- Fluid a chhuah meuh chuan , a natna chu a hma aiin a na zual tan ta.
Fluid i leak nia i rinhlelh chuan hlau suh. Underwear fai tak ha la, sanitary pad hmang bawk ang che. Tampon hmang ngai suh. Minute 15-30 vel muhil la, ding nghet rawh. Fluid a la chhuak a nih chuan amniotic fluid a nih a rinawm.
Hei hi amniotic fluid a ni em? Nge zun a ni em? Engtin nge i hriat?
Naupai hun hnuhnung berah zun engemaw zat leak hi thil pangngai a ni a, uterus hian bladder a press avangin. Chuvangin, an pahnih inkarah hian inhnialna tur hmun a tam hle. Hetah hian an pahnih inthlauhna hriatthiamna tur table kan rawn dah a ni.
| Mihring ziarang | Amniotic fluid (tui bawm chhunga tui) . | Zun chhuah |
|---|---|---|
| Rim | A tam zawkah chuan rim a awm lo. A châng chuan rimtui tlem a awm thei bawk. | Ammonia ang chi rimtui tak a nei a. |
| Rawng | Tui ang maia thianghlim emaw, sen hring emaw (pink emaw brownish emaw pawh a ni thei) . | A tlangpuiin dark yellow a ni. |
| Thunun | Outflow chu control theih loh leh tihtawp theih a ni lo. Zawi zawiin a leak chhuak chhunzawm zel. | Vawi tam tak chu i taksa ruhte kha tihkhauh hmangin i titawp thei a ni. |
| Lenzawng tehna | A leak chhunzawm zel chuan a zat a pung thei bawk. Discharge nen hian a tam zawk a chhuak mai thei. | Vawikhat a chhuah chuan a tawp ta a ni. Bladder a khat hma loh chuan a chhuak leh tawh lo. |
Amaherawhchu, hemi chungchangah hian rinhlelhna i neih chuan a tha ber chu i Doctor nena inbiak hi a ni. A test thei che a, hei hi eng nge a nih tak tak tih a nemnghet thei bawk.
Tui bawm chu a chhe hma thei em?
Ni e, a thleng thei. Naupai kar 37 hmaa tui a chhe chuan ``Premature Rupture of Membranes (PROM)`` kan ti thin. Hei hi naupai 100 zinga 8 atanga 10 vel ah a thleng thei. Hei hi a thlen theihna tipungtu thil engemaw zat a awm.
- Meizial i zuk chuan
- Naupai kum hnihna emaw, thla thumna emaw-ah vaginal bleeding i neih chuan
- I taksa emaw, i hnute emaw-ah natna hrik i neih chuan
- Hei hi naupai hmasaah a lo thleng tawh a nih chuan
- Cervix tawi i neih chuan
Hetiang hunah hian doctor chuan i kar tam tak a zirin eng nge i tih tur tih a rel ang.
- Kar 34 aia tam a nih chuan: Naute nau neih hi a him ber fo thin.
- Kar 34 aia rei lo a nih chuan: Doctor chuan naute chu a pum chhungah ni engemaw zat dah belh a tum ang. Chumi atan chuan, .
- Naute chu hri kai loh nan antibiotics pek a ni.
- Steroid injection hi naute lung a puitlin thuai theih nan pek thin a ni.
- Magnesium sulfate hi naute thluak thanlenna tur atan pek thin a ni.
Heng zawng zawng hi damdawi inah tih a ni a, uluk taka enkawl a ni.
Ka tui a chhiat chuan engtikah nge doctor ka koh ang?
I tui a chhe tawh nia i hriat chuan i doctor emaw damdawi in emaw ko nghal rawh. Tihkhawtlai suh.
Amniotic fluid hi naute venna khuhna a ni. A bo chuan naute hian infection a nei tam zawk. Chuvangin damdawi lam thurawn lak vat a pawimawh hle.
In inbiaknaah doctor chuan hetiang zawhna hi a zawt thei ang:
- Liquid engzat nge chhuak?
- Eng rawng nge ni? (Green a nih chuan min hriattir nghal ang che.)
- A rim a awm em?
- Tunah hian khawsik i nei em?
- Bacteria `(Group B Streptococcus - GBS)` tih hi i test tawh em?
- Tunah hian kar engzat nge i naupai?
Chûng zawhnate chhân tûrin inbuatsaih rawh. Tin, thlamuang taka awm a, hlauhthawn loh a pawimawh hle bawk.
Take-Home Thuchah a ni
- ‘I tui tihchhiat’ tih hian naute i nei dawn tih a tilang chiang hle. Hei hi hlauh tur a ni lo.
- Movie angin lui lian tak a ni ngai lo. Zawi zawiin a hnim hring pawh a ni thei bawk.
- Discharge chu amniotic fluid nge urine tih hi thliar hran tum ang che.
- I tui bag a chhe emaw, zun kawng infection i neih emaw i rinhlelh chuan doctor emaw damdawi in emaw ko nghal rawh.
- Thu i sawi hmain a rawng, a rim leh a chhuah zat te, a natna lan chhuahna i neih leh neih loh te ngaihtuah hmasa phawt ang che.
- Thlamuang taka awm a pawimawh hle. I doctor chuan a tul angin kaihhruaina a pe ang che.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Naupai laiin 'tui chhe' / PROM chu eng nge ni?
Naute pum chhunga naute chu ‘Amniotic Sac’-ah a awm! Hei hi keimahni tui thianghlim ngeiin a khat a ni. ‘Water Breaking’ tih hi naute pian peih (thla 9-ah) a nih a, chu bag chu a puak a, chu chuan tui lum litre khat vel (Rupture of membranes) a luang nghal (thunun theih loh) a siam a ni. Hei hi zun passing a ni lo, hei hian naute a lo chhuak dawn tihna a ni!
💬 Premature rupture of membranes (PPROM) tih hi eng nge ni? Engtiang chiahin nge a hlauhawm?
Hei hi kar 37 (thla 9) hnuah a thleng tlangpui. Mahse, mi thenkhat tan chuan tui bag chu ‘kar 37 hmain’ (naute pian hma pawhin) a puak nghal vek (Preterm PROM)! Hei hi natna hlauhawm tak a ni! A chhan chu vagina-a hrik/bacteria (Infections/UTI) na tak takte chuan bag chu a ti ro a, a tikehsawm a ni. Chutiang a nih chuan nausen piang hmasa a lo piang thei a, natna hrik na tak avanga naute chu a pum chhungah a thih theihna chance a sang hle.
💬 Nu naupai tui a chhiat huna thil pawimawh tih tur leh ‘thihna thlen thei hlauhawm’ te chu engte nge ni?
Thla 9-ah i tui a chhe emaw a chhe lo emaw pawh a ni lo, tui tlem pawh a leak tih i hriat veleh (pad bun chungin) darkar khat chhungin damdawi in/labor room-ah i kal nghal tur a ni! Hlauhawm ber leh thihna thlentu ber chu ‘umbilical cord prolapse’ a ni a, chutah chuan naute umbilical cord chu tui nen vagina atangin a chhuak a, a tang ta a ni! Chutiang a nih chuan naute chu second tlemte chhungin a chhungah a thi ang a, oxygen supply a tawp dawn avangin doctor-te chuan cesarean section (C-Section) an tih nghal a ngai dawn a ni.
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