Tunah hian naute beisei nu hmangaihna nei tak i ni ngei ang. Tunlai hian kan fimkhur em em a ni lawm ni? Kan ei leh in atanga kan in thlengin vawi hnih kan ngaihtuah a. Mahse a chang chuan, hriselna lama harsatna kan hriat ngai loh, mahse a pawi hle thei a ni. Vawiin hian naupai laiin natna khirh tak lo thleng thei chungchang kan sawi dawn a ni , chu chuan nu leh nausen pum chhunga naute pawh a nghawng thei a ni.
Chorioamnionitis hi eng nge ni?
A awlsam zawngin sawi ila, Chorioamnionitis hi bacteria infection a ni a, naute awmna hmun, uterus chhungah a awm a ni. Nau neih hun hnaihah a thleng fo thin. He natna hian naute chhehvel tissue eng pawh a nghawng thei a ni.
Hetiang hian han ngaihtuah teh, naute chu pum chhungah a awm a, tui venna bawm ang mai a ni. Hei hi ‘tui bawm’ kan ti bawk. A hnuaia mite hi he natnain a nghawng berte chu an ni:
- Placenta : Naute hnena oxygen leh nutrition pe theitu pawimawh ber.
- Chorion leh Amnion: Naute hual veltu venhimna membrane pahnih.
- Amniotic fluid: Naute chu tuiah a awm reng a, venhimna pe theitu tui a ni.
He natna hian naute hun pumhlum 1%-5% vel a nghawng a, mahse nau piang hmasa 40%-70% vel erawh a nghawng thei thung . Nau piang hmasa ber a ni bawk . Enkawl that loh chuan nu leh naute tan pawh harsatna lian tak a thlen thei a ni.
Engvangin nge hetiang natna hi a lo awm?
Hei hi a chhan ber chu bacteria a ni. A tlangpuiin kan taksaah hian bacteria chi hrang hrang an cheng a, a bik takin vagina leh rectum-ah te an cheng a ni. Thil awmdan pangngaiah chuan hengte hian harsatna a thlen lo. Mahse a chang chuan heng bacteria te hi vagina chungah an kal thei a, nausen pum chhungah an lut thei bawk.
He bacteria hian naute in chhunga luh theihna kawng thuruk angin hna a thawk a ni. He risk hi a bik takin amniotic sac a chhe hnuah a pung nasa hle.
Hetiang natna thlentu bacteria chi hrang hrang tlanglawn thenkhat chu:
- `E. coli` tih a ni
- `Group B-a streptococci (GBS)`
- ` Urea plasma` tih a ni
- `Mycoplasma hominis` tih a ni
Hetiang hi tu nge vei thei ber?
Hmeichhe naupai zawng zawng hian he natna hi an nei vek lo. Mahse thil thenkhat chuan he hlauhawmna hi a tipung thei a ni. Hemi chungchang hi i doctor chuan a hriattir ang che. Eng nge an nih i en ang u.
| Risk Factor a ni | Hrilhfiahna awlsam tak |
|---|---|
| Tui bawm a rup hma deuh | Tui chu a hun hmaa a luang chhuah chuan bacteria luh a awlsam phah thin. |
| Natna hi rei tak a awm theih dan | Nau neih hi darkar tam tak a awm chuan natna kai theihna a sang hle. |
| Vaginal examination neih fo thin | Naupai laiin doctor-te’n vaginal exam an tih tam zawk. |
| Infection dang awmna | Vaginal, urinary tract, emaw sexually transmitted infection (STI) ang chi natna nei. |
| Naupai hmasa ber | Nu nau neih hmasak ber tan chuan a hlauhawmna a sang deuh thei. |
| Ruihhlo, zuk leh hmuam, zu | Chutiang thil hman chuan nu in natna hrik a ti tlem a, hri kai theihna a tipung bawk. |
| Immune system a chak lo | Natna dang vangin immunity a tlahniam. |
Hetiang natna lan chhuah dan hi engte nge ni?
A châng chuan, a bîk takin naupai tirh lamah chuan he natna hi a lan chhuah lohvin a awm thei . Chu chu hetah hian a hlauhawm ber chu a ni. Mahse a tam zawkah chuan a hnuaia symptoms pakhat emaw a aia tam emaw hmuh tur a awm ang.
A lan chhuah dan ber leh langsar ber chu khawsik , taksa lumna 100.4 F (38 C) aia sang a ni.
A lan chhuah dan dangte chu:
- Nuin lungphu a chak (minute khatah 100 aia tam).
- Nausen pum chhunga a thinlung na hi a rang (minute khatah 160 aia tam) a ni.
- I kut hmanga uterus i hmet laiin natna hriat (uterine tenderness).
- A tlangpui aia tam thawmhnaw hak .
- Vaginal discharge leh rimchhia .
Hei hi nu leh naute tan pawh dinhmun hlauhawm tak a ni thei. Chuvangin heng symptoms te hi kan hriat chian a pawimawh hle. Thil tenawm tak angin ngaihthah suh.
Engtin nge doctor hian hei hi a hriat chian?
Hei hi natna khirh tak a nih avangin i doctor chauhvin dik takin a diagnosis thei a ni. Khawsik ang chi symptom i neih chuan i doctor chuan a enfiah ang che.
- Taksa enfiahna: Khawsik, heart rate, leh uterine na ang chi thil te a enfiah thin.
- Thisen test: Thisen sample lak a, taksaa natna hrik awm leh awm loh enfiah a ni. A bik takin thisen chhiar kimchang (CBC) hi a pawimawh hle a, hei hian thisen var zat a tehna a ni.
- Zun test: Zun kawng infection a awm leh awm loh enfiah thin ang che.
- GBS test: Naupai thla thum hnuhnung berah Group B Strep (GBS) bacteria awm leh awm loh enfiah nan vaginal swab lak a ni.
- Amniotic fluid sample: A then phei chuan i tui a chhe a nih chuan a atanga tui chhuak sample lak theih a ni a, infection a awm leh awm loh enfiah theih a ni.
Engtin nge enkawl a nih? Tin, eng harsatna nge a awm?
Chorioamnionitis hi enkawl vat ngai a ni . Enkawlna a rei zawk chuan nu leh naute tan pawh a hlauhawmna a sang zawk.
Enkawlna ber chu antibiotics a ni . Chungte chu taksaah direct-in vein (intravenous emaw IV antibiotics) hmangin an pe tlangpui a, pill angin an pe lo. Damdawi paracetamol ang chi te pawh khawsik tihziaawm nan an pe bawk.
Infection a dam kim hma loh chuan antibiotics ei tur a ni. He enkawlna hi nau neih hnuah pawh chhunzawm zel tur a ni.
A tam zawkah chuan doctor chuan naute chu a rang thei ang bera neih a rel ang (induce labor).. A chhan chu a hri kai awmna hmun atanga naute lakchhuah vat a tha ber a ni. Naute a pian hnuah pawh naute chu natna kai leh vei loh enfiah a ni a, a tul chuan ``IV`` antibiotics pek a ni bawk.
Harsatna awm thei te
Hetiang dinhmun atanga harsatna lo awm thei hi a na hle thei a ni.
| Harsatna awm thei | |
|---|---|
| Nu chunga harsatna awm thei | |
| Nau neih hnua thisen chhuak, uterine infection (endometritis), pelvic abscesses, thisen infection (sepsis), leh a tlem hle a, thihna pawh a thleng thei. | |
| Naute tan harsatna awm thei | |
| Hun rei tak chhunga natna hrang hrang, thisen infection (Sepsis), meningitis, lung infection (Pneumonia), seizures, thluak chhiatna avanga cerebral palsy, leh a nasat chuan thihna thlengin a awm thei. |
Hei hi ven dan tur a awm em?
A ven kim theih loh nachungin, a hlauhawmna tihziaawmna tur thil i tih theih a awm.
- Clinic kal fo: Vaginal infection ang chi thil hi a hmaa hriatchhuah leh enkawl a nih theih nan thla tin clinic-a kal fo hi a pawimawh hle.
- GBS test: Naupai kar 35-37 inkar chhunga GBS test neih chuan he bacteria hi a awm leh awm loh hriat theih a ni. A awm chuan nau neih laiin antibiotics pek theih a ni a, chu chuan nauteah natna hrik a kai loh nan a pui thei a ni.
- Naupai lai enkawl dan: Damdawi lam thawktute chuan a tul tak tak a nih loh chuan vaginal examination neih fo loh nan an fimkhur hle.
A pawimawh ber chu he thuziak-a kan sawi tak symptoms i neih chuan i doctor hmu la, damdawi in Emergency Department (ETU)-ah kal nghal rawh . Hetiang dinhmunah hian hun hi a pawimawh ber a ni.
Take-Home Thuchah a ni
- Chorioamnionitis hi naupai laiin nausen pum chhungah bacteria infection na tak a ni.
- Khawsik, thinlung na rang, pum na, leh vaginal discharge rimchhia te ang chi symptoms te hi fimkhur hle ang che.
- Hetiang dinhmun hian nu leh nausen piang lai tan pawh harsatna hlauhawm tak tak a thlen thei a ni.
- Heng symptoms te hi i neih chuan tihkhawtlai suh la, doctor pan nghal rawh .
- Inenkawlna atan antibiotics pek a ni a, a chang chuan doctor-te chuan nausen hi nau neih hmasak an rel thei bawk.
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