Naupai laiin Placental Abruption a awm em? (Placental Abruption) - Hlau suh, hei hi i fimkhur ang u

Nu hmangaihna nei tak, naute phurtu i nih chuan, he hun chhung hian i rilruah zawhna engzat nge, beiseina, leh hlauhna tlemte pawh i neih? A pangngai hle mai. I fate chu khawvela a lo kal hma loh chuan engkim lakah humhim i duh a ni. Chuvangin, nutrition atanga oxygen thlengin naute hnena thlentu ‘placenta’ chungchang hi i hre tawh ngei ang. He placenta hi naute nunna thisen ang a ni. Mahse a tlem hle a, he placenta hi naute pian hmain uterine wall atang hian a inthen thei a ni. Chu chu damdawi lamah chuan placental abruption kan tih chu a ni. He hming hi hlauhawm tak angin lang mah se, hemi chungchang hi dik taka hriattir a pawimawh hle.

A awlsam zawngin, placental abruption tih hi eng nge ni?

Ngaihtuah teh, i nausen pum chhungah naute a awm a. Placenta hi taksa peng bik a ni a, uterine wall-ah a inzawm tlat a ni. Naute hi he placenta nen hian umbilical cord hmangin a inzawm a ni. Naute hian i ei leh in a\angin nutrition a dawng a, i thawh chhuah boruak a\angin oxygen a dawng a, heng zawng zawng hi he placenta kaltlangin a dawng a ni. Tin, he placenta hian naute taksaa bawlhhlawh lo chhuakte chu a paih chhuak bawk. Naute hnena engkim pe chhuaktu ‘supply service’ ang a ni.

A tlangpuiin nausen pian hnuah nausen (placenta) hi nausen (uterus) atang hian a inthen thin. Mahse, Placental Abruption tih dinhmunah chuan naupai laiin, nausen pian hmain, nausen chu nausen pum (uterine wall) atang hian a inthen vek emaw, a then emaw a inthen ta a ni. Hei hi nang leh i naute tan pawh a hlauhawm thei hle. Vanneihthlak takin hei hi a tam vak lo. Hmeichhe naupai 100 (1%) zinga pakhat velin a nghawng a ni.

Engtin nge he dinhmun hi kan hriat theih? Eng nge a lan chhuah dan?

Hetiang dinhmun hi naupai kar 20 hnuah a lang tam ber , a bik takin third trimester-ah. A châng chuan zawi zawiin a thleng thei a, a nih loh leh a thleng thut thei bawk.

A hnuaia table-ah hian heng symptom chi hnih hi ngun zawkin han thlir ila.

Hetiang thil thleng thei tur risk factors te chu engte nge ni?

Hei hi a chhan chiang tak hmuh a harsa fo a, mahse thil thenkhat chuan a hlauhawmna a tipung tih hmuhchhuah a ni.

• Naupai hmasa lama hetiang dinhmun hi neih: Naupai hmasa lama hetiang dinhmun hi i neih tawh chuan a lo awm leh theihna chance 10% vel a awm. Chuvangin i doctor hrilh a pawimawh hle.
• Meizial zuk: Hmeichhia naupai hmaa zu in thinte tan chuan he hlauhawmna hi a sang zawk. Zirna thenkhatah chuan kum khatah meizuk kum khatah 40% velin a pung tih an sawi.
• Zu leh ruihhlo: Naupai laia zu in leh cocaine ang chi ruihhlo hman hian nasa takin a tipung a ni.
• Thisen sang: Naupai hmaa thisen sang i nei emaw, naupai laiin a lo awm a nih chuan, i doctor nen thawhhona tha tak neih a pawimawh hle.
• Amniotic fluid harsatna: Naute humhimtu amniotic fluid awmna sac chu a hun hmaa a chhe emaw, tui a leak emaw chuan he hlauhawmna hi a pung thei a ni.
• Kum: He hlauhawmna hi nu kum 35 chunglam tan a sang deuh a, a bik takin kum 40 chunglam tan chuan a sang deuh hlek a ni.
• Naupang pakhat aia tam phurh:Naute tam tak, twins ang chi an awm chuan nausen hmasa ber a pian hnuah leh naute pahnihna a pian hmain placenta chu a inthen thei a ni.
• Abdominal Trauma: Leiah i tlu nghal a, khawi emaw laiah i pum i tawk a, i pum chhungah hliam i tuar a, chu chu car accident ang chi hi han mitthla teh. Heng thilte hian nausen (placenta) pawh a tithen thei bawk. Chuvangin himna hi ngaihtuah fo ang che.

Engtin nge doctor hian hei hi a hriatchhuah a, a enkawl?

A chunga kan sawi tak symptoms te hi i neih chuan, a bik takin thisen chhuah emaw, pum na emaw i neih chuan damdawi in emaw i doctor emaw pan nghal tur a ni . Doctor in a enfiah ang che.

• I nausen pum chhunga natna leh natna te enfiah nan taksa enfiahna (physical exam) neih a ni ang.
• Thisen test eng emaw zat neih a ni.
• Ultrasound scan hmangin nausen pum chhung leh nausen (placenta) dinhmun en a tum a. Mahse, he scan hian placental abruption a lantir ngai lo tih hre reng ang che.

Enkawlnate chu engte nge ni?

Kan hriatthiam hmasak tur chu placenta previa chu uterine wall ah a inzawm leh thei lo tih hi a ni . Chuvangin, enkawlna chu i naupai kum (kar khatah), placenta previa zau zawng, leh nang leh i naute hriselnaah a innghat a ni.

• Naupai kar 34 hnuai lam i nih chuan: Nausen hnute (placental abruption) a nasat loh a, naute thinlung thawk dan pangngai a nih chuan damdawi inah enfiah turin dah i ni ang. Thisen chhuah a reh chuan i haw thei mai thei. Tin, naute hi a hun hmaa piang a nih theih avangin naute lung a lo thanglian thuai theih nan steroid pek i ni thei bawk.
• Naupai kar 34 aia upa i nih chuan: Thisen chhuah tlem a nih chuan vaginal delivery i nei thei mai thei. Mahse, chu natna chu a nasat em em a, chu chu i emaw i naute emaw nunna a hlauhawm tihna a nih chuan emergency cesarean section (C-section) i neih a ngai mai thei . Thisen pek a ngai mai thei bawk.

Hei hian eng harsatna nge a thlen theih?

Hei hi dinhmun pawi tak a ni. Placenta hmun tlemte chauh a inthen chuan harsatna lian tak a ni lo mai thei. Mahse a tam zawk a inthen chuan nu leh naute pawh a nghawng thei a ni.

Nu chunga nghawng a neih theih dan

• Shock-a kal emaw, thisen chhuak nasa tak avanga thisen pek ngai emaw.
• Thisen zam (blood clotting system) lama harsatna awm.
• Kidney emaw, taksa peng dang emaw a fail.
• A tlem hle a, nu nunna hi a hlauhawm hle.

Naute chunga nghawng a neih theih dan

• Nau piang hma: Nausen kar 37 hmaa piang.
• Hmasawnna lama harsatna: A hun hmaa piang hian naute chu a hnu lama hriselna lama harsatna nei thei dinhmunah a dah a ni.
• Stillbirth: Nausen naupai kar 20 hnua nu pum chhunga thihna.

Heng thute hi hriat a hlauhawm hle tih chu a dik a ni. Mahse anmahni laka inven nan kan hre chiang hle. Heng harsatna tam tak hi a lan chhuah veleh hmalak vat chuan ven theih a ni.