Nu nih beisei tan chuan nau neih hi in nunah thil danglam tak leh hlauhawm deuh a ni thei. Engkim a kal thain i ngai a nih pawhin, a chang chuan beisei loh thil buaithlak tak tak a lo awm thei a ni. Chutiang natna pakhat, nau neih laiin lo awm thei, mahse sawi tam loh, mahse hriat hlawh tak chu Shoulder Dystocia .
Shoulder Dystocia hi eng nge ni tak tak?
A awlsam zawngin, hei hi naute vaginal delivery laiin naute a chhuah laiin naute ke ruh pakhat emaw, pahnih emaw chu nu pelvic bones-a a tlakbuak hian a ni. Vawikhat naute lu a lo chhuah chuan a kekawrte a lo innghah chuan a taksa pum chhuah chu a harsa ta hle a ni.
Ngaihtuah teh, naute chu chhuahna kawngah a tang a nih chuan naute oxygen a hmuh zat chu a tlahniam thei a ni. Tin, kekawrte a tlakbuak chuan a chhunga nerve tlan, a bik takin brachial plexus te chu a chhe thei bawk. Mahse he thu hi hre hlau suh u, a chhan chu hetiang hunah hian doctor leh damdawi ina thawktute hian rang tak leh thiam takin an che thin a, a tam zawkah chuan naute chu him takin engmah tichhe lovin an la chhuak thin.
Hetiang dinhmun thlen thei risk factors te hi engte nge ni?
Hetiang dinhmun hi chiang taka sawi theih ni lo mah se, hetiang thil thleng theihna tipungtu risk factor thenkhat a awm. Eng nge an nih i han thlir teh ang.
| Risk Factor a ni | Hrilhfiahna awlsam tak |
|---|---|
| Zunthlum vei | Pre-existing diabetes i nei tawh a ni. |
| Naupai laia zunthlum vei | Naupai laia zunthlum vei. |
| Taksa rih lutuk | A thau lutuk tih a chiang hle. |
| Pelvic size a ni | I taksa size a tlem emaw, i pelvic opening a te emaw a ni. |
| Naute chu a lian chho zel a. | Naupai lai scan-ah chuan naute rih zawng emaw, a lian zawng emaw chu a pangngai aia sang a ni tih a lang. |
| Tun hmaa thil tawn tawh | Nau neih hmasak lai khan hetiang bawk hian shoulder impingement i nei tawh mai thei. |
Doctor-te hian engtin nge Shoulder Dystocia hi an enkawl?
Hetiang hunah hian doctor leh damdawi ina thawktute chuan an ngaihtuah thuai a, naute emaw, nu emaw tichhe lovin naute chhuah tir turin thiam takin an thawk thin. Chumi atan chuan hmanraw hrang hrang hman a ni. Heng hmanrua te hi natna nasat dan azirin a danglam thin.
Mild cases te pawh a awm
A hmasain, hmanraw awlsam tlemte chu enchhin a ni. Doctor assistant chuan nu pum chu zawi zawiin a hmet a, chu chu pelvic bone chunglam chiah a ni. Hei hian naute kekawrte chu tlem a ti tla a, a tang tawhna atang chuan a zalen ta a ni.
Chutih rual chuan McRoberts Maneuver an tih thil pakhat an ti bawk. Hemiah hian assistant pahnih chuan nu ke chu an la a, khup thlengin an ben a, a pum chhungah an nawr a. Hei hian nu pelvic bones awmna chu tlem a tidanglam a, naute chhuah theihna a tipung a ni.
A tlem berah chuan
A chunga kan sawite hian hna a thawh loh chuan Doctor chuan nu hnute chhungah a kut a thun lut ang a, naute hnungzang chunga kut awm chu zawi zawiin chhuah tir a tum ang. Hei hian kekawrte tightness a tihziaawm bakah naute lakchhuah a awlsam phah bawk ang.
Thil tih dan dang chu Woods-a Screw Maneuver . Hei hian doctor chuan naute chu a rotate a, a ke ruh nghet tak chu chhuah zalen tumin a bei thin. Rubin Maneuver pawh chutiang bawk chu a ni. Doctor chuan pawn lam atanga pum a hmet lai hian naute kekawrte chu a vagina chhung atangin pressure tlem a pe a, naute chu a chhuah zalen theih nan rotate a tum a ni.
Engtik lai pawhin naute chu tihzauh a ngai nia i hriat chuan doctorVaginal opening bulah hian cut te tak te siam i tum mai thei. Hei hi episiotomy an ti a .
Natna khirh takah chuan
A nasat ber lai chuan naute hrin dan dang a awm loh chuan naute ruh (clavicle) chu tumruh taka tihchhiat a ngai mai thei. Hei hi hlauhawm tak angin a lang thei a, mahse naute nunna chhanchhuahna atana a tawp ber atan tih a ni. A hnuah ruh chu a dam nghal vat thin.
Chu chuan a hlawhtlin loh chuan doctor chuan cephalic replacement tih ang chi procedure a hmang thei a ni. Hei hian naute lu chu nausen pum chhungah nawr leh a, umbilical cord kaltlanga thisen kal dan tur siam that a, cesarean section (c-section) tih nghal a huam a ni. Hei hi naute oxygen hloh tlem nan tih a ni.
Nu leh naute tan eng hlauhawmna nge awm?
Chutiang harsatnaah chuan nu leh naute tan pawh harsatna engemaw chen a awm theihna a awm.
- Naute tana hlauhawmna : Naute kekawrte chu a hrual thei a, chu chuan a ke ruh emaw, a kut ruh emaw a tichhe thei a ni. A chang chuan nerve chhiatna hian kut paralysis ang chi natna khirh tak a thlen thei a, mahse hei hi a tlem hle.
- Nu tana hlauhawmna: Nu hian serh, hnute leh serh (vagina) te chu a ti na thei a, a tikehsawm thei bawk. A tlem hle a, thisen chhuak nasa tak a awm thei a, chu chu damdawi lam pan vat ngai a ni.
Hetiang ang harsatna a awm chuan medical team hian nang leh i naute hi nasa takin an enkawl ang a, chuvangin a tul lovah hlau suh.
Shoulder Dystocia hi a veng thei ang em?
Dik tak chuan he dinhmun hi 100% a ven theih a ni lo a, a chhan chu beisei loh taka thil thleng a nih vang a ni.
Mahse, i doctor chuan i naupai chhung zawngin uluk takin a enkawl ang che , chuvangin risk factors a awm chuan an hre lawk ang. Entirnan, naupai hmaa hetiang thil tawn i neih tawh chuan i doctor chuan a bia che a, planned cesarean section (planned c-section) neihpui turin a fuih thei che a ni Hei hian nangmah emaw i naute emaw tan pawh hlauhawmna awm lovin him takin i naute i hrinsak thei dawn a ni.
Take-Home Thuchah a ni
- Shoulder Dystocia chu naute nau neih laiin nu pelvic bones-a a ke ruh a tlakbuak hian a ni.
- Diabetes, nu rihna sang, leh naute lian leh te ang chi thilte hian a hlauhawmna a tipung thei a ni.
- Hei hi pumpelh kim theih ni lo mah se, doctor-te chuan he natna hi enkawl dan bik an nei a ni.
- A tam zawkah chuan medical team thiam tak takte inrawlhna hmangin he natna hi nu emaw naute emaw tan harsatna awm lovin a hneh thei a ni.
- Hemi chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen inhawng takin sawi rawh.
💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh