Naupai kar hnuhnung berte hi a hahthlak hle a ni lawm ni? Hrehawm lohna zawng zawng nen, naute lo thlen hun tur beiseina nen chuan, a chang chuan, "Aw, tunah hian naute neih chu a va nuam ang em?" Nu thenkhat chuan damdawi lam chhan engmah nei lovin, an doctor nena inbiak a, ni khat ruat sain, an tana remchang ni, ni duhawm tak atan pawh ni se, naute neih chu an thlang thin. Chuvangin, he artificially inducing labor leh naute pian hun hmaa nau neih hi `(Elective Labor Induction)` kan tih hi a ni. Hemi chungchang hi vawiinah hian chipchiar deuhin han sawi ila.
He ‘Elective Labour Induction’ hi eng nge ni?
A awlsam zawngin, i taksain a pianphung anga hna a thawh tan hmain damdawi emaw, hmanraw dang emaw hmangin artificial-in nau i neih tir tihna a ni. Hei hian nausen pum chhunga inzawmna (contraction) siam leh serh (cervix) tihzauh (dilating) a huam a ni.
Hetah hian thil pawimawh tak chu ‘Elective’ tih thumal hi a ni . Chumi awmzia chu damdawi lama thil tul vang ni lovin, nu leh pa emaw doctor emaw remchan dan, dilna emaw, duhthlanna emaw atanga tih a ni tihna a ni.
Mahse, doctor-te ngei pawhin naute hi a pian hun hmaa lak an rawtna ṭhenkhat a awm. Chutiang hunah chuan ‘El ECT ive’ kan ti lo va, ‘Medically Necessary Induction’ emaw, damdawi lama mamawh induction emaw an ti a ni. Entir nan:
- Nuin thisen sang a neih chuan.
- Diabetes Mellitus ang chi condition i neih chuan control harsa tak i nei a nih chuan.
- Nausen pum chhunga naute thanlenna kawngah harsatna a awm emaw, naute chu eng emaw zat hrehawmna ( Fetal Distress ) nei anga lang emaw a nih chuan.
- Tui bag chu a chhe rei tawh a, thisen a la chhuak tan lo a nih chuan.
Chutiang hunah chuan doctor-te chuan he thutlukna hi an siam a, a chhan chu naupai chhunzawm zel theihna chu a hun hmaa nau neih aiin a tam zawk vang a ni. Mahse vawiinah hian ``Elective Induction`` kan sawi dawn a, chu chu damdawi lam chhan awm lovin tih a ni.
Engtin nge hetiang party hi i tan ang?
Hetiang kalphung hi tan dan kawng hrang hrang a awm. I doctor chuan i dinhmun a zirin a hman dan tur dik ber a thlang ang.
- Damdawi: Thil hman tlanglawn tak chu Pitocin an tih damdawi chu saline solution hmanga pek hi a ni. Hei hian nausen pum chhungah contractions a siam a, chu chu nau neih tan tirtu a ni.
- Cervical softening: A chang chuan cervix hi nau neih a inpeih loh chuan, chu chu a nem lo a nih chuan, pill (prostaglandins) chu vagina-ah dahin a nem leh inhawng thei a ni.
- Amniotomy : Servix chu eng emaw chen a inhawng tawh a nih chuan doctor chuan hmanraw bik hmangin naute hual veltu amniotic sac, a nih loh leh ‘tui bawm’ kan tih ang chi chu a tikehsawm thei a ni. Hei hian nau neihnaah pawh a pui thei bawk.
- Mechanical methods: A chang chuan, tube te tak te (catheter) balloon vuah chu serh chhungah dahin, balloon chu serh hawn tumna atan an inflated thin.
Engvangin nge mi thenkhatin hetiang hi an tih duh?
Okay, tunah chuan, "Engvangin nge harsatna awm lovin hetiang hian ka tih ang?" Hei hi mimal chhan hrang hrang a awm thei.
- Thil awlsam leh ruahmanna : I pasal emaw chhungte emaw chuan nau neihna hmuna lo kal turin chawlh an lak theih hun tur ni ruahman rawh.
- I doctor duh ber: Nau neih chu i rin leh enkawltu doctor ngeiin a tih ngei ngei tur a ni.
- Naupai tlai lama harsatna: Thla engemaw zat kalta chhunga hah lutuk, natna leh hahdam lohna nasa tak avanga nau neih hma duhna.
- Dawhtheih lohna leh hlauhna: Damdawi in thleng tlai emaw, kalkawngah harsatna i tawk ang emaw tih hlauhna i neih vang a ni.
- Ni bik: Mi thenkhat chuan sakhaw kût emaw, ni duhawm bik emaw ni-ah hetiang hian an ti thin.
Hetiang hmanrua hi eng nge a thatna leh a that lohna?
Midang ang bawkin he process hian a thatna leh that lohna a nei a. Thutlukna i siam hmain a pahnih hi i hre chiang tur a ni.
| Pros | Cons & Risks a awm thei |
|---|---|
| Ruahmanna siam thiam: Nangmah leh i chhungte leh i doctor inhmeh ni khatah i nau neih tur chu i ruahman thei a ni. | Hlawhchham theihna chance: A châng chuan, nau neih hi tum hnuah pawh a inṭan lo thei. In lama haw a, nakin lawkah i tum leh emaw, cesarean hmanga nau neih emaw a ngai mai thei. |
| Rilru lama inbuatsaihna:Nau neih ni hriat lawk hian rilru leh taksa lamah chutiang tur chuan inbuatsaihna hun a pe che a ni. | Hri kai theihna: Tui a chhiat hnuah nu leh naute tan pawh hun kal zelah natna kai theihna a sang chho zel a. |
| Riduced uncertainty: Hripui hi engtikah nge a thlen dawn tih leh khawiah nge a lo awm dawn tih hriat chian lohna chu a bo ta a ni. | Contraction na tak tak: Damdawi artificial-a pek avanga uterine contraction hi a pianphung atanga lo awm aiin a na zawk thei a, a na zawk bawk. |
| Movement limited: Naute thinlung thawk chu enfiah reng a ngai a nih avangin (CTG monitor hmangin) khumah i inkhung mai thei. | |
| Naute tana hlauhawmna: Hei hi kar 39 hmaa tih a nih chuan naute chu a piang hma hle thei. Hei hian thawk laknaah harsatna a thlen thei a, nau hnute pek danah leh taksa lum leh vawt tihreh kawngah harsatna a thlen thei a ni. Zirchianna atanga a lan dan chuan hetianga naute piangte hi an pian tirh lamah an rihna a hniam zawk a, neonatal intensive care unit (NICU)-ah dah an ni zawk. |
Damdawi lam chhan awm lovin nau pai tura thutlukna i siam hmain i doctor nen a thatna leh that lohna chungchang chiang takin sawiho a pawimawh tih hre reng ang che.
Chutianga tih hmaa zawm tur condition te
Okay, hetiang thil hi i ngaihtuah a nih chuan heng thilte hi i ngaihtuah reng a ngai ngei ang. Hei hi tu pawhin an ti thei lo. Condition tlemte zawm ngai a awm.
- Naupai: I naupai chu kar 39 tal a tling tur a ni . Hei hi naute taksa peng lian ber ber, thluak, lung leh thin te a lo thanglian kim theih nan a pawimawh hle.
- Due date nemnghet: Doctor chuan due date hriatthiamna dik tak a neih a ngai a ni. Hei hi tihsual palh pawhin, ni khat hma pawha hetiang thil hi a thlen loh nan a ni.
- Cervix buatsaih dan: 1.1.Doctor chuan i serh (cervix) chu nau neih theihna tura a inpeih tawh em tih a enfiah ang. Chu chu a nem emaw, a hring emaw, a inhawng deuh emaw pawh ni se. Chumi atan chuan scoring system an hmang a, chu chu Bishop Score an ti a ni. He score hi labour hlawhtling tak neih theih nan level tha takah a awm tur a ni.
- Surgery hmasa: Hetiang method hi a hmaa cesarean section (C-section) emaw, uterine surgery lian dang emaw i neih tawh chuan a tha lo tlangpui a, artificial contractions avanga uterine rupture hlauhawmna tlemte mahse nasa tak a awm avangin.
Nu nau neih hmasak ber tan chuan he thil hi darkar tlemte atanga ni hnih emaw ni thum emaw vel a ni thei a, chu chu i taksain enkawlna a dawn dan azirin a ni.
Take-Home Thuchah a ni
- `Elective Labour Induction` tih hi tumruh taka nau neih hma, damdawi lam chhan awm lova induction a ni.
- Hei hi a thatna ber chu ruahmanna fel tak siama pek theihna a nih vang a ni. Mahse, chhiatna leh hlauhawmna lian tak tak a nei bawk a, chu chu nau neih rei tak, natna kai theihna leh cesarean section neih theihna a sang hle.
- Damdawi lama a tul chhan a awm loh chuan, naupai kar 39 hnuah chauh hetiang hi tih tur a ni lo .
- Hemi chungchangah hian thutlukna engmah siam hmain, i doctor nen nangmah leh i naute tana a thatna, a that lohna, leh hlauhawm thei zawng zawngte uluk tak leh tlang taka sawiho a pawimawh hle a ni
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