Nu naupai i nih chuan naute hualtu tui, ‘tui bawm’ chungchang hi i hre tam tawh ngei ang. ‘I tui a chhe’ chanchin pawh i hre tawh mai thei. Hei hi naute a lo kal dawn tih i hriat dan a ni. Chuti a nih chuan he amniotic fluid hi eng nge ni ? Naute tan engtiang chiahin nge a pawimawh? I rilrua zawhna i neih zawng zawng chhanna chu he thuziak atang hian i hmu thei ang. Hemi chungchang hi awlsam tak leh chiang takin sawi ila.
Amniotic fluid chu eng nge ni tak tak?
Naupai lai hian i naute chu venhimna bawm chhungah a thang lian thin. He sac hi amniotic sac kan ti a. Protective bubble tlemte ang maiin han ngaihtuah teh. He sac chhunga tui thianghlim tak hi amniotic fluid an ti a . I naute chu he tuiah hian a float a, a thanglian bawk. A awlsam zawngin sawi ila, he tui hi i naute venhimna cushion a ni a, i naute thanlenna atana nutrient environment pawimawh tak a ni.
Engtin nge he tui hi a lo awm? Eng nge a chhungah awm?
He amniotic sac hi naupai atanga ni 12 vel hnuah a lo piang tan thin. Naute a lo seilian chhoh zel chuan he bawm hi amniotic fluid-in a khat thin.
Naupai kar tir lamah chuan he tui hi i taksa atanga tui a ni tlangpui. Mahse hun kal zelah naupai a kal zel chuan he tui awm dan hi a danglam thin.
He liquid chhungah hian eng nge awm?
A tir lamah chuan 98% tui leh mineral electrolyte an tih a ni. A bak 2% chu thil pawimawh ber ber atanga siam a ni.
- Antibodies: Hengte hi i naute’n i immune system atanga a dawn leh natna hrik laka a venghimtu thilte an ni.
- Hormone : Naute thanlenna atana chemical messenger mamawh.
- Nutrients: Naute mamawh nutrients, proteins, carbohydrates, lipids leh vitamins te hi a ni.
Mak deuh chu kar 20 hnuah he tui hi naute zun atanga siam a ni tlangpui. A fai vek a, natna hrik a awm lo bawk. Naute hian he tuiah hian ‘a thawk’ (a thawk lut leh chhuak) a, chu chu lung atanga thil chhuak nen a inhmeh bawk.
He tui hi eng rawng nge ni? Green a nih chuan a hlauhawm em?
A tlangpuiin, amniotic fluid hi rawng nei lo (tui ang) emaw, a sen hring emaw a ni .
Mahse a chang chuan he liquid hi green emaw brown emaw a ni thin.A thleng thei. Hei hi nautein a pum chhunga a bawlhhlawh hmasa ber a pass hian a thleng thin. Hei hi meconium kan ti a ni . A tlangpuiin naute hian an pian hnuah an bowel movement hmasa ber an nei thin.
He meconium hi amniotic fluid nen a inhmeh nghal a nih chuan naute tan chuan a hlauhawm deuh thei. Naute hian he tui hi a ei avangin meconium-mixed fluid chu naute lung chhungah a lut thei a ni. Chutiang a nih chuan naute hian thawk lamah harsatna lian tak a nei thei a ni. Hetiang natna hi Meconium Aspiration Syndrome an ti a . Chuvangin, i tui a chhe hunah chuan doctor leh nurse te chuan a rawng an zawt ngei ang. Hetiang natna nei naute hian a pian hnu lawkah enkawlna bik a mamawh thei a ni.
Engvangin nge he amniotic fluid hi a pawimawh em em?
He fluid hian naute tan hna ropui tak a thawk a ni. Naute pum chhunga ' life support system' awm ang mai a ni.
| Liquid hnathawh dan | A awlsam zawngin... |
|---|---|
| Invenna leh cushioning a awm bawk | Nu pum khawih emaw, fawp emaw pawh hian naute chu harsatna lakah a venghim a ni. |
| Umbilical cord venhimna | Nu atanga naute hnena oxygen leh nutrients phurtu umbilical cord chu a compress loh nan a veng a ni. |
| Temperature control dan tur | Naute hian a pum chhungah a lumna a vawng reng a. |
| Hri kai laka invenna | Nu antibody hian naute chu natna lakah a venghim a ni. |
| Organ siam chhuahna kawngah tanpui | Nausen hian he tui hi a ei hian a chaw ei dan a lo thang lian a, a ‘thaw’ chuan a lung a lo thang lian a, a leng a, a ke leh a ke a tihchet chuan a taksa ruh leh ruh te a lo thang lian thin. |
Tui engzat nge awm tur? A tlem lutuk emaw, a tam lutuk emaw chuan eng nge thleng ang?
He tui awm zat hi naupai chhung zawng hian a danglam thin. Kar 34 vel ah a sang ber tlangpui a, milliliter 800 (ml) vel ah a sang ber thin. Tichuan, naute pian hnaih deuh deuh chuan a zat chu a tlahniam zauh zauh tan a. Kar 40-ah chuan 600 ml velin a tlahniam tawh a ni.
A châng chuan he tui hi a tlem lutuk (Oligohydramnios) emaw, a tam lutuk (Polyhydramnios) emaw pawh a ni thei. Heng natna pahnih hian naupai laiin harsatna thlen thei mah se, naute chu hrisel takin an piang tlangpui . Mahse, damdawi lam enkawlna hi a pawimawh hle.
| Nihna | Hrilhfiahna |
|---|---|
| Tui hniam (Oligohydramnios) . | Kar 32-36 inkarah chuan tui hi 500ml aia tlem a ni. Hei hi naupai kum leh nu damdawi lam dinhmun thenkhat vang pawh a ni thei. A nghawng: Naute chu a lo thang chak lo va, naute chu a umbilical cord a pinch avangin oxygen leh nutrition a tlahniam a, a chang chuan cesarean section a ngai bawk. |
| Tui a pung (Polyhydramnios) . | Nausen pum chhunga tui awm tam lutuk. Hei hi thil awmdan tlem tak a ni. Nu zingah hian twins leh gestational diabetes ang chi thil vang a ni thei. A nghawng: Nau neih hma, naute lian lutuk, nausen (placental abruption), nau neih hnua thisen chhuak nasa. |
Doctor, engtin nge hetiang zat tui hi i test ang?
I doctor hian he amniotic fluid hi naupai laiin naute hriselna a enfiah thin.
- Ultrasound Scan hmanga tihchhuah a ni:Scan neih laiin he fluid hi a awm zat i teh thei. Doctor-te chuan Amniotic Fluid Index (AFI) ang chi tehna an hmang a.
- Amniocentesis: Hei hi test bik a ni. Nausen atanga amniotic fluid tlemte lakchhuah nan needle nalh tak tak hman a ni. He tuiah hian naute cell a awm a, chu chu naute hian genetic condition, piansualna leh hriselna lama harsatna dang a neih leh neih loh enfiah theih a ni. Hei hi a tlangpuiin doctor thurawn angin a hlauhawm nia rinhlelh a awm chuan tih a ni.
A pawimawh ber chu i naupai lai hian i hnute atanga tui a chhuak nia i rinhlelh chuan i doctor emaw damdawi in emaw hriattir nghal tur a ni. Amniotic fluid a nih leh nih loh an enfiah ang.
Take-Home Thuchah a ni
- Amniotic fluid hi tui pawimawh tak a ni a, naute venghimtu, chawmtu leh thanlenna atana puitu a ni.
- He tui awm zat leh a rawng hian naute hriselna chungchangah thu pawimawh tak tak a hrilh a ni.
- Naupai laiin vaginal discharge tui tak i neih chuan ngaihtuah buai suh la , i doctor ko la, damdawi inah kal nghal rawh .
- Fluid intake tlem emaw, tam emaw hi harsatna lian tak ni lo mahse, doctor-in uluk taka enkawl a ngai ngei ang.
- Doctor thupek zawm a, a hun taka scan tihsak hi a pawimawh hle.
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