Uterine rupture hi hlauh tur a ni em? I chhui chiang ang u!

C-section i lo nei tawh a nih chuan tunah chuan i naupai leh tawh avangin i rilruah zawhna lian tak i nei mai thei. "Tun tum chu normal delivery ka nei thei dawn em ni?" "C-section atang hian complication a awm dawn em?" Hetiang zawhnate bakah hian "uterine rupture " tih thumal hi i hre tawh ngei ang. Chu thu i hriat chuan hlauhna i neih chu thil pangngai a ni. Mahse, lungngai suh. Vawiin hian kan sawi vek dawn a, awlsam takin leh i hriatthiam theih tur angin.

Uterine rupture hi eng nge ni tak tak?

A awlsam zawngin sawi ila, nausen pum chhungah hian uterus hi taksa peng nghet tak, bawm ang maia lian, i naute pum chhungah a thang lian a ni. A bangte hi taksa ruh (muscle) layer thum atanga siam a ni. I naute a lo seilian chhoh zel chuan nausen pum chu balloon ang maiin a zau chho zel a. Naute a pian hnuah chuan a hmaa a lian zawngah a tlahniam zauh zauh a.

Mahse cesarean section i neih chuan doctor chuan naute chu chhuah tir turin heng uterus muscle layer te hi a cut chhuak thin. Tichuan, a incision chu an sew up ta a ni. Mahse engtiang pawhin an sew up pawh nise, a scar lo awm chu uterus dang angin 100% in a chak lo. A chak lo deuh a ni.

I naupai leh chuan nau neih a kal zel chuan i uterus chu a contract na zual tan thin. Chutih lai chuan i uterus wall-a cesarean section hmasa scar atanga chak lohna hmun chu a chhe thei a, a puak thei bawk. Hei hi uterine rupture kan tih chu a ni. Hei hi nau neih laiin a thleng fo thin.

Hei hi eng nge a chhan ber?

Hei hi a risk factor lian ber leh pawimawh ber chu a hmaa cesarean section neih tawh hi a ni . Hetiang hlauhawmna hi cesarean section hnua vaginal nau neih tumnaah a sang hle (hei hi TOLAC - Trial of Labor After Cesarean kan ti a ni). Cearean section i tih tam poh leh i risk a sang zawk.

Mahse, chu chu a ni lo. Chhan dang engemaw zatin hei hi a nghawng thei bawk.

Cesarean section neih laiin incision a nghawng dan

He risk hi i cesarean section-a i uterus-a incision siam dan azirin a danglam bawk.

• Low Transverse: Hei hi tunlaia incision awm tam ber a ni a, "bikini cut" tia hriat bawk a ni a, nausen pum hnuai lam a horizontal-a siam a ni. Hei hian uterine rupture hlauhawmna a nei tlem ber .
• Low Vertical: Nausen pum hnuai lam a dinglam hawia incision siam. Hei hi horizontal incision aiin a risky zawk deuh.
• High Vertical (Classical): Hei hi nausen pum chunglam a vertical incision siam a ni. Hetiang chi incision hi siam a nih chuan doctor-te chuan nau neih leh tur chu planned cesarean section ni turin an rawt a ni.

Hei hi eng symptoms nge ni? Engtin nge i hriat chian?

Hei hi emergency a nih avangin a natna lan chhuah dan hriat a pawimawh. Mahse, a chang chuan symptom awm lovin a awm thei.

Hei hian eng hlauhawmna nge a neih?

Hei hi emergency situation a ni a, nu leh naute tan pawh nunna atana hlauhawm thei a ni.

Nu tana hlauhawmna: 1.1.

• Hemorrhage : Uterine rupture atanga thisen chhuak tam lutuk hian nunna a tichhe thei a ni.
• Hysterectomy: A chang chuan thisen chhuah chu tihtawp theih a nih loh chuan nu nunna chhanhim nan nausen pum chu lakchhuah vek a ngai mai thei.
• Peng dang chhiatna: A bul hnaia taksa peng hrang hrang, bladder ang chi te chu a chhiat phah thei a ni. Hei hian zai a ngai thei bawk.
• Thisen pek: Thisen hloh zat thlak tur chuan pawn lam atanga thisen pek a ngai a ni.

Naute tana hlauhawm thei turte:

• Hypoxia: Nausen pum a rupture chuan nausen thisen kalna chu a titawp a, chu chuan naute oxygen dawn zat a tihtlem phah a ni. Hei hian thluak a tichhe thei a, thihna hial a thlen thei bawk.
• Nau piang hma: Naute chu a pian thut a ngaih avangin naute chu a pian hma a ni thei.
• Nunna hloh: Lungchhiatthlak takin naute nunna chu a rang thei ang bera enkawl a nih loh chuan a hlauhawm hle.

Mahse, damdawi ina i thlen thuai a, emergency treatment i dawn chuan heng hlauhawm tam tak hi a tlem thei tih hre reng ang che .

Engtin nge enkawl a nih?

Uterine rupture rinhlelhna a awm huna tih tur awm chhun chu emergency C-section tih a, naute neih hi a ni. Hetah hian second khat pawh a bo thei lo.

1. Emergency surgery: Doctor chuan rang takin i pum chhungah incision (laparotomy) a siam ang a, naute chu a la chhuak ang. Hei hian naute chu a mamawh nunna chhanhim thei tur enkawlna a dawng thei dawn a ni.

2. Nausen pum siam that dan: Nausen a pian hnuah Doctor chuan nausen pum chhunga mittui tla chu siam that a tum ang.

3. Damdawi dang: Thisen chhuak tam lutuk a awm chuan a tihtawp nan damdawi pek a ni ang a, a tul chuan thisen pek a ni ang.

4. Hysterectomy: A tlem hle a, nausen pum siam that theih loh emaw, thisen chhuah tihtawp theih loh emaw chuan nu nunna chhanhim nan hysterectomy neih a ngai mai thei.

Hei hi ven dan tur a awm em?

Hei hi 100% a ven theih a ni lo, a chhan chu engtikah nge a thlen dawn tih chiang takin kan sawi thei lo. Mahse, a hlauhawmna tihziaawmna tur thil kan tih theih a awm.

• I doctor nen inbiakna neihpui rawh:Hei hi a pawimawh ber a ni. I cesarean section hmasa te, i incision chi hrang hrang te, i hriselna dinhmun te chu tlang takin sawipui la, tun ṭumah hian nau neih dan tur chungchangah thutlukna ṭha tak siam rawh.
• Naupai inkar hun remchang pe rawh: Naupai leh hmaa cesarean section hnu thla 18-24 tal nghah hian hliam chu a dam leh theih nan hun a pe a ni.
• Facilities tha tak nei hospital thlang rawh: I nau neihna tur hospital i thlan chuan darkar 24 chhung emergency cesarean section facility a neih ngei ngei tur a ni .
• Planned cesarean section: Risk factors sang tak i neih chuan (e.g., cesarean section hmasa tam tak, vertical incision) i doctor chuan nau neih tan hma ni khatah planned C-section neih a rawt thei ang.