Nu nih hi nun hlimna ber pakhat a ni. Chu thil tawn mawi tak rual chuan naute kan neih hnua hriselna lama harsatna lo awm thei thenkhatte kan hriat chian a pawimawh hle bawk. A chhan chu chutiang hunah chuan hlauthawng lovin dik takin kan hmachhawn thei a ni. Vawiin hian hetiang dinhmun khirh tak, mahse a tlem berah chuan postpartum hemorrhage, emaw Postpartum Hemorrhage (PPH) ang chi hi kan sawi dawn a ni. Hei hi nau neih atanga darkar 24 hmasa berah a thleng tlangpui a, mahse a chang chuan kar 12 thleng pawh a thleng thei.
Engtin nge hetiang hi a lo thlen tak tak?
A awlsam zawngin han sawi ila. Naupai lai hian i nausen pum chhungah hian taksa peng bik pakhat, placenta an tih chu a lo piang chhuak thin. Hei hian naute mamawh oxygen leh nutrients a pe a ni. Naute a pian hnuah i nausen chu a inzawm khawm lehzual a, nausen chu a hnawtchhuak ta a ni. He contraction hi a pawimawh hle. A chhan chu nausen pum chhunga thisen kalna kawngkhar khauh takin a tikhauh a, thisen chhuah tihtawp nan a pui a ni.
Ngaihtuah teh, eng emaw chhan vanga heng contraction te hi a chak tawk lo a nih chuan eng nge thleng ang? Chu thisen kalna kawngte chu thisen a chhuak tan ta a ni. A châng chuan, nausen (placenta) te te chu nausen pum chhungah a awm reng a nih chuan chu chuan thisen chhuahna nasa tak a thlen thei bawk. Nau neih atanga minute 30 chhunga placenta a chhuah loh chuan "Retained Placenta" kan ti thin. Hei hian thisen chhuahna nasa tak a thlen thei a, natna hrik na tak a thlen thei bawk.
Placenta chungchanga zawhna emaw, ngaihtuahna emaw i neih chuan i naupai lai hian i doctor nen inbiakna neih hlau ngai suh.
Hemi chhinchhiahna berte chu engte nge ni?
Postpartum Hemorrhage (PPH) hian hmeichhia zawng zawng a nghawng dan inang vek lo. Amaherawhchu, natna lan chhuah dan tlangpui thenkhat, hriat tur pawimawh tak tak a awm.
| Symptom a ni | Hrilhfiahna awlsam tak |
|---|---|
| Thunun theih loh khawpa thisen chhuak nasa tak | Hei hi a symptom ber leh langsar ber a ni. A tlangpui aia thisen chhuak a nih chuan i ngaihtuah tur a ni. |
| Thisen sang a tlahniam | Taksa atanga thisen tam tak a bo chuan thisen sang chu a tlahniam thut thei a ni. Hei hian muthilh leh luak chhuak ang maia hriatna a thlen thei a ni. |
| Heart rate a sang chho zel | Thisen sang tlahniam chu phuhruk tumin ang maiin thinlung chu a na zual tan ta a ni. |
| Thisen sen (red blood cells) a tlahniam | Thisen nen hian taksaah hian thisen sen tam tak a chhuak thin avangin thisen test hmangin hei hi hriat theih a ni. |
| Vagina chhung leh a chhehvelah a hring leh a na | A chang chuan tissue chhungah thisen a awm khawm (hematoma), natna leh hliam a thlen thin. |
Hetianga hlauhawmna tihpun chhan awm thei te chu engte nge ni?
Hmeichhe thenkhat chuan midang aiin PPH an vei tam zawk. Hei hi a thlen thei thil engemaw zat a awm. Hetiang dinhmun hi i neih chuan doctor hnenah hriattir hmasak phawt a tha.
- Nausen hnute lama harsatna awm: 1.1.
- Placental abruption: Nausen pian hmain nausen chu nausen pum a\angin a in\hen darh \hin.
- Placenta previa: Nausen chu nausen pum hnuai lam, serh bulah a awm a.
- Nausen pum (uterus) a inzawm lutuk: Twins i phur a nih chuan, naute chu a rit lutuk a nih chuan, emaw, nausen pum chhungah amniotic fluid a tam lutuk a nih chuan, nausen pum hi a inzawm lutuk thei a ni.
- Naupai laiin thisen sang: Gestational hypertension emaw preeclampsia ang chi natna.
- Nau piang hmasa tam tak nei tawh.
- Nau neih hun pangngai aia rei zawk.
- Hri kai theihna thenkhat.
- Thau lutuk.
- Nau neih theihna tura damdawi hman.
- Nau piang hmasa te uterine contraction tihtawp nan damdawi hman .
- Nau neih laiin vacuum emaw forceps emaw ang chi hmanrua hman.
- General anesthesia pek a ni.
Chu bakah, PPH hi serh chhunga thisen kalna kawng, serh chhunga thisen kalna kawng, emaw, nausen pum emaw, thisen zam (blood clotting disorders), leh nausen (placenta) nena inzawm harsatna dang vang te pawh a awm thei bawk.
Hei hi Doctor ten engtin nge an enkawl?
Hei hi dinhmun pawi tak ni mah se, hlauthawng suh . Damdawi inah chuan hetiang dinhmun hi hmachhawn turin doctor leh nursing staff te zirtir an ni. An thil tum hmasa ber leh pawimawh ber chu a rang thei ang bera thisen chhuah tihtawp hi a ni. Hemi atan hian enkawlna chi hrang hrang an hmang thin.
Doctor chuan i hriselna chanchin leh i dinhmun nasat dan te a zirin i tana enkawlna tha ber tur a ruat ang.
Enkawl dan hrang hrang:
- Damdawi pek: Nausen pum (uterus contract) pui turin damdawi pek a ni.
- Uterine massage: Doctor chuan nausen pum chu a pum chunglam atangin a massage a, hei hian thisen chhuahna a titawp a, nausen chu a tikhawlo thei a ni.
- Nausen hmin (placental fragments) lakchhuah: Nausen pum chhungah hian nausen (placenta) a la awm leh awm loh enfiah a, lakchhuah a ni.
- Nausen pum enfiah: Vagina emaw, nausen pum emaw-ah mittui a awm leh awm loh a enfiah thin.
- Uterine balloon tamponade: Nausen pum chhungah balloon bik uterine balloon tamponade an tih chu dahin thisen kalna kawngte compress leh thisen chhuah tihtawp nan inflated a ni.
- Surgery: A châng chuan thisen kalna kawng khar ang chi thil tih nân surgery tenau tak tak neih a ngai ṭhin. A tlem hle a, damdawi dangin thisen a chhuah chu a titawp thei lo a nih chuan nu nunna chhanhimna tur kawng hnuhnung ber atan hysterectomy tih theih a ni.
Heng enkawlna te bakah hian thisen leh tui hloh te pawh thlak a pawimawh hle bawk. Hei hi saline (IV fluids) hmangin rang takin tih a ni a, a tul chuan thisen pek a ni bawk.
Take-Home Thuchah a ni
- Postpartum Hemorrhage (PPH) hi natna khirh tak a ni a, mahse enkawlna rang leh tangkai tak a nei a ni . A pawimawh ber chu a natna lan chhuah dan hriat hmasak a, damdawi ina inenkawlna zawn hi a ni.
- Hei hi i sualna a ni lo va, engtikah mah ngaihtuah ngai suh la, lungngai takin awm suh.
- Nau i pai hnuah damdawi inah emaw, in lamah emaw, thisen chhuak tam lutuk i rinhlelh chuan i doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh .
- I naupai chhung zawngin i doctor nen zalen takin inbiakna nei rawh. I risk factors te hi a hmain hriat chian a pawimawh.
- A hmaa hmuhchhuah leh enkawl a nih chuan nu tam zawk chu an dam kim thei a ni.
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