Naupai lai hian nu tin hian beiseina tam tak leh hlauhna tlem te kan neih hun a ni. Hemi chhung hian i pum chhunga naute lo thanglian dan leh a that dan tur i ngaihtuah fo thin. A châng chuan scan an tih laiin doctor chuan, "Naute chhehvelah hian tui tlem a tam lutuk," a ti ṭhin. Chutih lai chuan hlauhna nasa tak nei hi thil pangngai a ni. Mahse lungngai suh, hei hi i hriatthiam dik chuan , he dinhmun hi i tuar tha thei hle. Vawiin hian he ‘naute chhehvela tui pung’ emaw, damdawi lam thumal ‘Hydramnios’ emaw ‘Polyhydramnios’ emaw kan sawi dawn a ni.
A awlsam zawngin Polyhydramnios chu eng nge ni?
I nausen pum chhungah hian i naute chu tuiin a khat bawm amniotic sac an tih ah a awm a. He sac chhunga tui awm hi amniotic fluid an ti a. He tui hi i naute tan a pawimawh hle. Protective cushion ang mai a ni. I naute chu a rawn tlan kual vel loh nan a veng a, i naute taksa lumna a tidanglam a, i naute lung leh chaw ei dan a tipung bawk.
A tlangpuiin naupai chhung zawng hian he tui hi a level engemaw zatah a awm tur a ni. Polyhydramnios chu amniotic fluid pangngai aia tam a awm chuan a ni. Hetiang dinhmun hi naupai 100 zinga 1 emaw 2 vel ah a awm thin.
Hetiang dinhmun hi a na lo thei hle a, a na lo thei a, a na thei bawk. A tlangpuiin naupai tirh atanga he natna hi a intan chuan a tui a tam theihna chance a awm. Tui a tam chuan harsatna a thlen theihna leh naute hian piansualna engemaw zat a nei thei bawk.
Engvangin nge hetiang hi a lo awm? Hei hi eng chhan nge ni?
Naupai pangngaiah chuan he amniotic fluid hi naute zun atanga siam a ni ber. Naute chuan he tui hi a ei a, chutah chuan zun angin a pass leh ta a ni. Hei hi cycle khatah a thleng thin. Chuvangin he cycle chhungah hian khawi emaw laiah harsatna a awm chuan a tui zat a pung thei a ni. Entirnan, naute chu a zun tam lutuk a nih chuan, a nih loh leh naute chuan tui a ei tha thei lo a nih chuan he natna hi a awm thei a ni.
Mahse a tam zawkah chuan, chu chu 60%-70% vel ah chuan a chhan bik hmuh tur a awm lo. ‘Idiopathic Polyhydramnios’ kan ti a. Mahse, a then phei chuan hetianga thlentu hi thil engemaw zat a awm a ni.
| Chhan | A sawifiahna tawi |
|---|---|
| Naupai laia zunthlum vei | Nu thisen sugar level a san avangin naute thisen sugar pawh a pung a, chu chuan naute chu a zun tam phah a ni. Hei hi a chhan tam ber a ni. |
| Naute nena harsatna a awm | Naute chaw ei kawng, nervous system, chromosomal abnormalities-a piansualna avanga tui ei harsa. |
| Twins (Twin-to-Twin Transfusion Syndrome) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a. | Twins thenkhat chuan nausen (placenta) kaltlangin thisen supply inang lo an nei a, chu chuan naute pakhat vel ah tui tam zawk a siam thei a, a dang vel chu tui tlem zawk a siam thei bawk. |
| Naute thinlung lama harsatna a neih | Naute thinlung hnathawh harsatna avanga zun tam lutuk. |
| Naupai laiin natna hrik kai | Infection thenkhat, parvovirus B19 te hian nauteah thisen tlakchham (anemia) leh tui (fluid retention) a thlen thei a ni. |
| Genetic condition dangte pawh a awm | Naute kal (kidney) tichhe thei genetic condition awm lo tak tak, Bartter Syndrome ang chi te. |
Engtin nge he dinhmun hi kan hriat theih ang?
Polyhydramnios hi ultrasound scan hmanga hriat theih a ni ber . I routine clinical examination-ah emaw, symptom dang scan-naah emaw hmuhchhuah a ni thei.
A châng chuan, i naupai (belly) chu i naupai theih nâna a lo ṭhang chak lutuk a nih chuan, emaw, i naute chu a che tlem zawk nia i hriat chuan, i doctor chuan hei hi a ringhlel thei a, scan turin a refer thei che a ni.
Scan neih chhung hian technician emaw doctor emaw chuan nausen pum chhunga tui pocket awmte chu a teh a, tui awm zawng zawng chu a chhut chhuak thin. Naute hian piansualna a neih leh neih loh hriatna atan pawh scan hi a pawimawh hle.
Eng symptom nge i neih theih ang?
Mild fluid buildup i neih chuan symptoms i hmu lo mai thei. Mahse, tui a tam chhoh zêl chuan, i rilru hahna engemaw chen i nei ṭan thei a ni .
A pawimawh ber chu heng symptoms te hi naupai laia harsatna pangngai nen inzawm tir loh hi a ni. Thil danglam bik i hriat chuan doctor hnenah hrilh nghal rawh.
Hengte hi a tlangpuiin a lan chhuah dan chu a ni:
- Thâwk harsa : Nausen pum a lian a, i lung a press avangin thawk harsa i ti thei.
- Pum natna leh rit: Pum a lian em avangin rit leh hahdam loh hriatna a awm thin.
- Nausen pum hi a nih tur aia lian zawk a ni: Entirnan, kar 32 vel ni mahse, kar 36 chhunga pum ang mai a ni.
- Premature labor pains: Nau neih hun hmaa nau neih tan.
- Taksa hnuai lam a hring: Ke leh ke ruh ang chi hmunah a hring.
Hei hian eng harsatna nge a thlen theih?
Polyhydramnios a nasat chuan naupai leh nau neih laiin harsatna a awm thei a ni. Hengte hi mi zawng zawngah a thleng lo tih hre reng la, mahse a hlauhawmna hriat a pawimawh.
| Complication awm thei | A sawifiahna awlsam tak |
|---|---|
| Nausen piansualna (fetus) a awm | Polyhydramnios vei naute 20% vel chuan piansualna chi khat (a bik takin thinlung lam) an nei thei. |
| Hun hmaa nau neih | Naupai lai (uterus) a inzawm lutuk avanga nau neih hma. |
| Tui bawm a rup hma deuh | Pressure sang lutuk avanga amniotic sac a rupture hma. |
| Nausen hnute (placental abruption) a awm | Tui a chhe hnua uterine a inzawm nghal vat avangin placenta chu uterine wall atang hian a inthlak danglam thin. |
| Umbilical cord a tlakchhiat | Tui a chhiat chuan umbilical cord leh fluid chu naute lu hmaah vagina chhungah a lut a. Hei hi emergency a ni. |
| Naute chu dinhmun dik lo takah a awm | Tui tam lutuk avang hian naute hian nausen pum chhungah hmun a nei tam lutuk a. Chuvangin, nau neihna tur hmun dik takah ( head down) aiin a sir lamah a mu thei. |
| Cesarean section (C-section) neih a ngai a ni. | A chunga kan sawi tak harsatnate hian nau neih pangngai chu a ti harsa a, cesarean section a ngai bawk. |
| Nau neih hnua thisen chhuak nasa tak | Nau neih hnua thisen chhuak tam lutuk, tui tam lutuk avanga uterus muscles a overstretched vang. |
Hei hi eng enkawlna nge ni?
I enkawl dan chu i natna nasat dan te, i naupai lai te, leh a chhan danah a innghat ang.
- Mild cases: Fluid hi tlem chauh a tihpun chuan enkawlna engmah a ngai lo fo. Mahse, i doctor chuan nang leh i naute chu ngun zawkin a enkawl ang che. Clinic-ah hian a hma aia tam lo kal turin an ti ang che a, scan pawh an ti fo ang.
- Nasat dan: Tui a tam lutuk a, harsatna i neih chuan enkawl a ngai mai thei.
- A chhan Enkawl: Hetiang natna thlentu hi gestational diabetes a nih chuan, uluk taka enkawl chuan fluid volume control-na kawngah a pui thei a ni.
- Amnioreduction: Nausen pum atanga tui tam lutuk lakchhuah nan needle te tak te hman a ni. Hei hi amniocentesis test nen a inang hle. Hei hi vawi tam tak tih a ngai mai thei.
- Damdawi: Nausen zun a chhuah tlemna damdawi (`Indomethacin`) hi a chang chuan pek thin a ni. Mahse, naupai kar 31 hnuah chuan hei hi a tha lo.
- Nau neih hma: Harsatna a tam a, naute lung a lo thang lian a nih chuan doctor chuan nau neih hun tur aia hma deuh deuhin a rel thei a ni.
- Continuous monitoring: Heng zawng zawng rual hian naute thinlung thawk dan leh a than dan pawh enfiah fo thin a ni. Naute thinlunga harsatna awm nia rinhlelhna a awm chuan `Fetal Echocardiogram` ang chi special scan pawh tih theih a ni.
Hydramnios i neih chuan eng nge i tih ang?
He dinhmun hi i hriat hnuah i nunphung leh ruahmannaah hian inthlak danglamna tenau engemaw zat i siam a ngai dawn a ni.
- Chawlh tam zawk rawh: I taksa chu a theih ang anga tihbuai loh tum ang che. I ke chawi sang chungin chawlh hahdam rawh. A theih chuan maternity leave la hmasa zawk ang che.
- Naute lo thlen hma turin inbuatsaih rawh: Naute lo thlen hun tur chu i nghak thei ang tih ring suh. Naute mamawh thil, thawmhnaw, diaper leh crib te chu buatsaih lawk rawh.
- Emergency plan siam rawh: I pasal, chhungte, leh doctor nen in tui a chhe hma chuan engtin nge i tih tur tih leh damdawi in pan dan tur chungchang sawipui rawh.
- I harsatna (thâwk harsa, natna) i neih apiang chu doctor hnenah hrilh rawh . A tihziaawm theih dan tur a fuih ang che.
Take-Home Thuchah a ni
- Polyhydramnios chu nausen pum chhunga naute hual veltu amniotic fluid a punna a ni.
- A tam zawkah chuan a chhan chiang tak hmuh tur a awm lo a, mahse gestational diabetes ang chi thilte pawhin hmun a chang thei bawk.
- He natna hi ultrasound scan hmanga hriat theih a ni.
- Mild fluid buildup hi enkawl a ngai lo tlangpui a, mahse doctor-in uluk taka enkawl a pawimawh hle.
- A nasat chuan enkawlnaah chuan tui paih chhuah te, damdawi pek te, naute nau neih hma te a tel a ni.
- A pawimawh ber chu a tul lova hlauh loh te, doctor nena inbiak reng reng te, a thupek dik taka zawm te hi a ni.Rinhlelhna emaw, harsatna emaw a neih chuan sawipui rawh.











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