Placenta Accreta - Hemi chungchang hi kan sawi dawn em ni?

Naupai hi nu nunah hian hun duhawm ber leh mawhphurhna nei ber a ni. Hetih hun chhung hian i taksa chhunga thil thleng leh i naute hriselna chungchang tlema hlauhna leh hriat duhna i neih hi thil pangngai tak a ni. Vawiin hian mi tam takin an hriat ngai loh, mahse nu naupai zawng zawngte hriat chian a pawimawh em em, dinhmun bik kan sawi dawn a ni. Chu chu Placenta Accreta a ni . Ngaihtuah buai suh, engkim hi awlsam tak leh chiang takin kan sawi dawn a ni.

A hmasain, he placenta hi eng nge ni?

A awlsam zawngin, naupai lai hian naute leh i naute inkar kawngpui (bridge) chu nausen (placenta) a ni. Nausen pum chhunga tissue bik lo piang chhuak a ni. He placenta hmang hian naute hian i taksa mamawh thisen, oxygen leh nutrient zawng zawng a dawng vek a ni. He placenta hmang hian naute bawlhhlawh te pawh a paih chhuak thin bawk.

Thil thleng tlangpui chu naute a pian hnuah nausen chu a mah chauhin nausen pum (uterine wall) atang hian a inthlak danglam thin. Hei hi "placenta delivery" kan ti bawk.

Chuti a nih chuan, he natna khirh tak Placenta Accreta an tih hi eng nge ni?

Placenta Accreta chu nausen pum chu uterine wall-ah thuk lutuk leh nghet lutuka a inzawm chuan a ni a, chu chu thil pangngai a ni lo. A tlangpuiin nausen (placenta) hi nausen pum chhunga lining te tak te (endometrium)-ah chauh a inzawm thin. Mahse, chutiang a nih chuan, nausen chu a thuk zâwk thei a, uterine muscle thlengin a inzawm thei a ni .

Hetianga nghet taka a inzawm chuan naute pian hnuah awlsam takin placenta a chhuak thei lo. I lak chhuah tum chuan thisen nasa tak a chhuah thei a ni. Hei hi hetah hian harsatna lian ber leh hlauhawm ber a ni.

Placenta Accreta hi chi hnih a awm a, chungte chu:

He dinhmun hi chi thum ah then a ni a, chu chu placenta chu uterine wall-a a innghahna thuk dan azirin a ni. Hei hi dawhkan hmangin i hrethiam ang u.

Engvangin nge hetiang dinhmun hi a lo awm?

Kum sawmhnih kalta chhung khan he natna report hi a pung deuh hlek a ni. Hei hi a chhan ber chu cesarean section (C-section) tihpun a nih vang a ni tih hmuhchhuah a ni.

C-section hmangin naute hmasa i nei tawh ang tih han ngaihtuah teh. Chu surgery chuan uterine wall-ah hliam te tak te (scar tissue) a hnutchhiah a ni. Naupai leh hunah chuan embryo chu chu hliam chhungah emaw, a bulah emaw a dah chuan, chu hliam chungah chuan placenta chu a lo thang lian ang a, uterine tissue hrisel takah ni lovin. Scar tissue hi uterine tissue pangngai angin a inzawm lo a, chuvang chuan placenta hi a dik lo takin a thuk zawk a ni.

Risk factor dangte chu:

C-section bakah hian surgery dang emaw, nausen pum chhunga hliam awm thei dinhmun dang emaw pawhin he hlauhawmna hi a tipung thei bawk.

• Myomectomy: Nausen pum chhunga fibroid awmte paih chhuah nan operation tih a ni.
• Nausen pum chhunga surgery dang (e.g. Hysteroscopic surgery, Endometrial ablation) tih te.
• Placenta previa tih hming pu natna nei . Chumi awmzia chu nausen (placenta) chu nausen pum chhungah a awm hniam a, serh (cervix) a khuh tihna a ni. Placenta accreta vei zinga 80% vel pawhin he natna hi an nei ve bawk.
• Kum 35 chunglam a nih avangin.
• A hmain fa engemaw zat a lo hrin tawh bawk.

Engtin nge he natna hi i neih leh neih loh i hriat theih ang?

Placenta Accreta hi i naupai pangngaiah ultrasound scan laiin hmuhchhuah a ni fo thin.A scan a. A chunga kan sawi tak risk factors i neih chuan i doctor chuan hei hi a bik takin a ngaihven thei a, scan chu a ti thei bawk.

A châng chuan MRI scan hmangin placenta hi eng chen nge a thuk tih chiang takin hriat theih a ni. He information hi doctor ten nau neih dan tur ruahmanna siam nan a pawimawh hle.

Mahse hre reng ang che, a chang chuan scan atang hian 100% in a natna hi a nasat zia hriat a harsa thin. Nu thenkhat chu nau neih lai hian he natna hi an vei tih hmuhchhuah a ni.

Hei hi eng symptoms nge ni?

Heta mak tak mai chu Placenta Accreta natna lanchhuahna hmuh tur a awm lo fo thin. Hetiang dinhmun hi i taksa chhungah hian danglamna leh hrehawmna i hriat lohvin a lo awm thei a ni.

Mahse, Placenta Percreta ang chi natna khirh tak takah chuan placenta hian taksa peng dang a press a, chu chuan pelvic pain emaw, zun chhunga thisen tlem emaw a thlen thin.

Hei hian eng harsatna nge a thlen theih?

He natna chungchanga harsatna lian ber leh hlauhawm ber chu nau neih lai a ni. Placenta hi uterus atanga a inthen tlangpui loh avangin harsatna lian tak tak a awm thei a ni.

Naute chunga nghawng a neih theih dan

• Nau neih hma: Naute hi a nasat dan azirin naute chu a pian hun hma kar 3-6 hmain caesarean section hmanga nau neih a ngai mai thei.
• Nau piang hma lutuk avang hian naute hi NICU ( Neonatal Intensive Care Unit) ah enkawl a ngai nasa hle.
• Nuin thisen a chhuah nasa a nih chuan ruahmanna awm lova emergency cesarean section hmanga naute neih a ngai mai thei.

Nu chunga nghawng a neih theih dan

Hetiang dinhmunah hian a hlauhawm ber chu nu chungah a awm a ni.

• Hemorrhage: Thisen chhuak nasa tak, nunna atana hlauhawm thei a awm thei.
• Hysterectomy: Thil tam takah chuan thisen chhuah tam lutuk tihtawp theihna tur leh nu nunna chhanhim theihna awmchhun chu nausen piang ruala nausen pum chu paih chhuah vek hi a ni. Hei hi Cesarean Hysterectomy an ti a.

Engtin nge enkawl leh enkawl a nih?

Placenta Accreta i vei tih hmuhchhuah a nih chuan hlauthawng suh. I medical team chuan nang leh i naute venhimna tur ruahmanna tha ber an siam ang.

• C-section neih tum a ni:Nau neih tur hi ruahman lawk a ni a, a hun tur hma kar tlemteah C-section angin tih a ni.
• Cesarean Hysterectomy: A tam zawkah chuan naute a hrin hnuah nausen pum chu nausen (placenta) nen a chhuak vek thin. Hemi hnu hian fa i nei thei tawh lovang. Hei hi thil lungchhiatthlak tak ni mah se, nu nunna chhanhimna atana thil tul tak a ni tih hriatthiam a pawimawh.
• I medical team te nen inbia: I naute a pian hmain i doctor leh medical team te nen zawhna i neih apiang sawipui thin ang che. Operation hnua nau hnute pek chungchang leh i naute hnaih taka chelh theihna hun remchangte sawi rawh.

A \henah chuan nuin fa tam zawk neih a duh chuan doctor-te chuan nausen pum chhung hmun thenkhat chu nausen pum chhungah dah chhuah an tum mai thei. Mahse, hei hian natna kai leh a hnu lama operation neih theihna a keng tel a ni. Hemi chungchanga thutlukna tha ber chu i medical team te hian i dinhmun a zirin an siam thin.