Naute i beisei a nih chuan nau neih chungchang hi i hre tam tawh ngei ang. A tlangpuiin naute hi khawvelah a rawn lut hmasa a, chutah chuan umbilical cord leh placenta te chu a lo chhuak leh thin. Mahse, naute a chhuah hma hian umbilical cord hi vagina atanga a chhuak hi a tlem hle. Hei hi damdawi lam chuan umbilical cord prolapse kan tih chu a ni . Hei hi a hlauhawm deuh thei a, mahse hei hi hriat a pawimawh hle.
A awlsam zawngin, hei hian eng nge a awmzia?
Ngaihtuah teh, umbilical cord hi nausen pum chhunga nunna kawngkhar a ni. He tube ang chi hian naute chu placenta nen a thlunzawm a ni. A chhunga thisen kalna kawngte hian naute chu oxygen tamna thisen leh eitur tha tak tak a pe a. Naute taksa atanga bawlhhlawh a paih chhuak bawk.
Chuvangin, ``Umbilical Cord Prolapse`` ah chuan naute birth canal a luh hmaa cervix a inhawng chuan umbilical cord chu vagina chhungah a slip lut thin. Chutiang a nih chuan umbilical cord chu naute taksa leh i pelvic bones inkarah a tang a ni. Miin tui pipe a ke a pen a, tui a luang chhuak tawh lo ang maiin han ngaihtuah teh.
Chutianga umbilical cord an clamp chuan naute hnena thisen kal chu a titawp a ni. Chumi awmzia chu nausen oxygen a dawn zat chu a tlahniam thut tihna a ni. Hei hi naute tan emergency hlauhawm tak a ni.
Chutiang a lo thlen chuan naute nunna atana chhiatna thlen thei tur ven nan naute chu a rang thei ang bera hrin tur a ni . Hetiang dinhmun hi a tlem hle. Nau piang 1,000 zinga pakhat vel ah a awm thin. Amaherawhchu, hei hi a pawizia avang hian kan hriat chian a pawimawh hle.
Tu nge hlauhawm ber?
Naupai harsatna thenkhat nei nu te hian he ``Umbilical Cord Prolapse`` hi an vei tam zawk a ni.Eng nge a nih i en ang u.
| Risk Factor a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Nausen pum chhunga fa mal emaw a aia tam emaw neih | Nausen pum chhungah hmun a tam zawk avangin nausen hmasa ber a pian hnuah umbilical cord hian chhukna tur hmun a nei thei a ni. |
| Hun hmaa nau neih | Naute a pian hma chuan naute lu chu pelvis-ah a awm tha lo a, chuvangin umbilical cord chhungah a tlu lut thei a ni. |
| Pianpui-a rihna hniam | Naute chu a te a nih avangin serh bulah hmun a tam zawk a, umbilical cord pawh a chhuk thei a ni. |
| Breech presentation neih a ni | Naute lu aiah a hnute emaw ke emaw a hnuai lam a nih chuan chutiang hmunte chuan serh chu a khar tha lo hle. Chu gap atang chuan umbilical cord chu a rawn chhuk thei a ni. Zirchianna pakhatah chuan hetiang hi 36.5% a awm chhan a ni tih a tarlang. |
| Amniotic fluid (Polyhydramnios) tihpun a ni. | Naute chhehvela tui a pun lutuk chuan tui bawm a chhe vek avangin umbilical cord chu tui nen a lo chhuk nghal vat thei a ni. |
| Membrane a hun hmaa a rupture | Kar 37 hmaa tui a chhe chuan naute lu chu a la chhuk kim lo a, umbilical cord tan hmun a siamsak a ni. |
Chu bâkah, he hlauhawmna hi damdawi lam thil ṭhenkhatah pawh a awm thei bawk . Entirnan, doctor-in tui bag a tihchhiat (amniotomy)-ah chuan naute lu chu a awmna tur dik taka a awm loh chuan hetiang hlauhawmna hi a awm a ni.
Engtin nge doctor-te hian hei hi an hriat chhuah?
He natna hi damdawi lam enfiahnaah hmuhchhuah a ni. I vagina chhunga hrui hrual ang chi thil i hre mai thei. A nih loh leh, doctor emaw, nurse emaw-in a enfiah che chuan i hre mai thei bawk.
Amaherawhchu, a tam zawkah chuan hei hi naute lungphun inthlak danglamna atanga hriatchhuah a ni. Naute heart rate chu a pangngai lo takin a tlahniam nghal a. Hei hi a chhan chu, umbilical cord an clamp hian naute thisen kal a tlahniam a, chu chuan naute chu a stress a, heart rate a thlak danglam thin. Hei hi 67% case-a chhinchhiahna hmasa ber a ni.
In lamah hetiang thil hi a thleng a nih chuan engtin nge i tih ang?
In lama i awm a, i tui a chhe a, i vagina atanga hrui chhuak ang maia i hriat chuan emergency a ni .
- Ambulance call nghal rawh. Hun khawhral suh.
- Ambulance a lo thlen hma chuan thil pawimawh tak pakhat i tih theih a awm. I khup leh kut chu leiah dah la, i rilru chu lei hnaih thei ang berah dah la, i hnute chu chawi sang rawh. Hetiang dinhmun hian umbilical cord-a gravity force a tihziaawm a, chu chuan a chunga pressure a tihziaawm a ni. Hei hian naute oxygen a hmuh hun rei zawk nan a pui a ni.
Engtin nge enkawl a nih?
Vagina atanga umbilical cord a lo chhuak tih i hriat chuan naute chu a rang thei ang bera hrin mai tur a ni. Mithiamte chuan hei hi hriatchhuah a nih atanga minute 30 chhungin naute hi a piang tur a ni an ti.
- Emergency cesarean section: A tam zawkah chuan nau neih tirh lama nu pakhatah hetiang dinhmun hi a lo awm a nih chuan emergency cesarean section (C-section) tih nghal a ni.
- Vaginal delivery: Entirnan, nu pakhatin full term a hnaih tawh chuan cesarean section atana inbuatsaih ngai lovin vaginal hmanga nau neih theih a ni thei. Chutiang a nih chuan doctor-te chuan hmanraw chak ber an thlang ang.
Surgery atana an inbuatsaih lai hian damdawi ina medical staff te hian thil engemaw zat an ti thin.
- Khup atanga rilru thlenga awm i ni.
- Doctor emaw, mi trained emaw chuan an kut chu vagina chhungah dahin, naute lu hnuai lam chu zawi zawiin a chawi sang ang a, chu chuan umbilical cord a tang lo ang. Hei hi surgery tan hma loh chuan tih a ni.
- A châng chuan i bladder chu saline solution-in a khat a, chu chuan naute lu chu a ti sang a, umbilical cord-a pressure a tiziaawm bawk.
Enkawlna tihkhawtlai second tin hian naute nunna emaw, thluak tihchhiatna emaw a tipung tih hre reng ang che. Hetiang thil hi damdawi in pawnah a thleng a nih chuan naute tana harsatna awm thei chu damdawi ina thleng aiin a let 18 velin a tam zawk a ni. Chuvangin risk a awm emaw, nau neih tan a nih chuan damdawi inah kal nghal tur kan ti a ni.
Hei hi ven dan tur a awm em?
Hei hi mi tam takin an zawh thin a ni. A chhanna dik tak chu a ni lo. Hei hi ven dan tur a awm lo.Tin, hei hi a thleng dawn em tih pawh sawi lawk theih a ni lo. Naupai lai hian umbilical cord hi a kal kual nasa hle a, chuvang chuan scan hmang pawhin hetiang hi a thleng dawn nge dawn lo tih hriat theih a ni lo. Hei hi risk factor nei lo tan pawh a thleng thei.
Mahse, a chunga kan sawi tak risk factors te hi i neih chuan (entir nan, i naute chu breech position-ah a awm a nih chuan) i doctor chuan nau neih i hnaih hma loh chuan damdawi inah awm turin a fuih thei che a ni. Hetiang hian emergency a awm chuan medical staff te chuan an chhang nghal thei a ni. Chuvang chuan doctor thupek zawm a pawimawh.
Take-Home Thuchah a ni
- Umbilical Cord Prolapse hi a awm lo hle a, mahse medical emergency hlauhawm tak a ni.
- Hetah hian hlauhawm ber chu naute oxygen supply chu a umbilical cord pinched vangin a titawp a ni.
- I tui a chhiat hnua i hnute atanga hrui ang chi thil lo chhuak i hriat chuan emergency-ah ngai la, damdawi inah kal nghal la, ambulance pawh ko nghal rawh.
- In lama hetiang dinhmun hi i tawk a nih chuan i khup leh kut chu leiah dah nghal a, i hnute chu sang taka dah (knee-chest position) hmangin umbilical cord-a pressure i tihziaawm thei a ni.
- Hei hi ven lawk theih ni lo mah se, `(breech presentation)` ang chi risk factors i neih chuan i doctor nen inbia la, nau neih dan tur him ber tur chu rel rawh. Damdawi lam thurawn zawm a pawimawh hle.
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