I naute chu breech a ni em? (Breech Baby) - Hei hi eng nge a awmzia dik tak i zawng chhuak ang u

I naupai tawp i hnaih meuh chuan i naute chu tunah chuan a lian tawh hle. Chuvang chuan a hma angin a che velna tur hmun a nei tam lo. Hetih lai hian naute tam zawk chu lu hnuai lam dinhmunah an awm a, nau piang turin an inbuatsaih mek a ni. Nau neih lai hian birth canal lu-ah an lut hmasa thin. Mahse a chang chuan, naute lu chu a chung lam leh a hnuai lam leh a ke a hnuai lam a ni thei. Hei hi "breech baby " kan ti a. Hetianga naute neih hian hlauhawmna engemaw zat a nei a, chuvangin fimkhur zual a ngai a ni.

Naute chu breech position-a a awm hian eng nge a awmzia?

A awlsam zawngin, naute tam zawk hi an lu hnuai lam hawia piang an ni. He hna hi damdawi lamah chuan ``Vertex Presentation'' tia hriat a ni. Hei hi nau piang pangngai (vaginal) tan chuan dinhmun him ber leh awlsam ber a ni.

Mahse breech position-ah chuan naute hnuai lam emaw ke emaw chu birth canal lam hawi a ni. Tichuan, naute hnuai lam chu a rawn chhuak hmasa a, chumi hnuah taksa chu a rawn chhuak leh a, a tawpah chuan a lu chu a rawn chhuak leh ta a ni. Hei hi i obstetrician leh gynecologist tan chuan a harsa deuh. Tin, nau neih dan pangngai aiin nang leh naute tan pawh a hlauhawmna a sang deuh bawk.

Heng dinhmun pahnih bakah hian a chang chuan naute chu nausen pum chhungah a dinglam hawiin an mu thei bawk. Hei hi ``Transverse Lie'' an ti a. Chutiang hunah chuan cesarean section neih a ngai deuh ber.

Engvangin nge naute thenkhat chu hetiang hian an awm? A chhan engte nge ni?

A nihna takah chuan naute hi naupai kar tir lamah breech position-a awm hi thil awmze nei tak a ni. Mahse, kar 36-37-ah chuan naute 96% chauhvin an pianphungah an lu an thlak ang. An tih loh chuan za zela tlemte, 3%-4% vel chauh chu naupai tawp thlengin breech position-ah an awm ang.

Naute a inher loh chhan chiang tak hriat chian a harsa fo thin. Thil thleng mai mai pawh a ni thei. Mahse breech birth neih theihna tipungtu thil engemaw zat a awm.

Naute chu breech position-a a awm lai hian engtin nge i awm?

I naupai chhinchhiahna dang (e.g., luak chhuak, luak chhuak) te chu i naute chu breech position-ah a awm chuan a danglam dawn lo. Mahse, i naute ke chu i pum hnuai lam a kick tih i hre mai thei . I pum chunglam, i rib cage hnuai chiaha awm, zungpui khauh leh zungbun i nei thei bawk . Chu chu i naute lu a ni.

I doctor chuan i pum a hriat chuan naute dinhmun chu a hre chiang hle ang a, mahse hei hi ultrasound scan hmanga nemngheh a tha ber .

Naute hi a turn theih em? (Pawn lam atanga Cephalic Version - ECV) tih a ni.

Ni e, tih dan tur a awm. I naupai atanga kar 36 vel ah i doctor chuan `` External Cephalic Version (ECV)'' tih dan tur a rawn rawt thei ang. A awlsam zawngin sawi ila, hei hian doctor chuan i pum chungah a kut a dah a, uluk takin naute chu a herh kual a, a lu hnuai lam hawiin a bei a ni.

Hetiang i tih hian i rilru a hah deuh mai thei a, mahse naute tan chuan a him hle. A chang chuan i nausen pum tih hahdam nan damdawi i ei thei bawk. Hei hian naute hawitir a awlsam phah ang. Hei hi procedure a ni a, hlawhtlinna rate chu 50% vel a ni. Chumi awmzia chu a titu pahnih zinga pakhatin naute chu a tidanglam thei dawn tihna a ni. Hei hi a hlawhtlin chuan naute chu a pangngaia nau neih theihna hun i nei ang.

ECV hi hmanraw him tak ni mah se, harsatna (complication 200 zinga 1 vel) a awm tlem hle . Entirnan, nausen atanga thisen chhuak tlem a awm emaw, naute thinlung thawk mumal lo emaw a nih chuan emergency cesarean section neih a ngai mai thei. Chuvangin ECV hi emergency surgery atana mamawh zawng zawng awmna damdawi inah chauh tih a ni.

Naute chu breech a nih chuan engtin nge i hrin ang?

Hetih lai hian duhthlan tur pahnih i nei a. Pakhat chu cesarean section ruahman lawk a ni . A dang chu vaginal breech delivery neih tum a ni . Hei hi i doctor nen in sawiho hmasa tur a ni a, thutlukna siam tur a ni.

Vaginal delivery pangngai (Vaginal Breech Delivery) i neih chuan .

Hei hi nau neih pangngai nen a inang hle. Painkiller leh damdawi hman danah hian danglamna lian tham a awm lo. Mahse, he beihna hi engtik lai pawha emergency cesarean section tih theihna tur facility nei damdawi inah chauh tih a ni . A chhan chu, vaginal delivery ruahman ni mahse, breech naute zinga 40% vel chu last minute-ah emergency surgery an neih a ngai a ni. Tin, naute a pian hian naupang enkawltu (pediatrician) a awm ngei ang.

Mahse, a hnuaia thil thlengah hian i doctor chuan vaginal delivery tum lo turin a fuih thei ang:

• Naute ke pakhat emaw pahnih emaw chu a hnute (footling breech) aia hniam a nih chuan.
• Naute chu a tlangpui aia lian emaw, te zawk emaw a nih chuan.
• Naute lu chu hnunglam hawiin (hyperextension) a nih chuan.
• Nausen chu a hniam a nih chuan ``Placenta Previa`` an ti a.
• Naupai laiin harsatna dang i neih chuan, entirnan, ``Pre-eclampsia`` ang chi natna.

Naute chu cesarean section hmanga nau a nih chuan (Planned Cesarean Section) .

A tam zawkah chuan i doctor chuan kar 39-ah cesarean section ruahman lawk turin a fuih ang che. Chutih hunah chuan naute lung chu a lo thanglian vek tawh a ni. Nau neih tan hnua surgery tih ai chuan planned surgery hi naute tan a him zawk.

Chumi ni atan chuan surgery neih tur i nei ang u, mahse chu mi hma chuan riltam i nei tan ta a ni. Chutiang a nih chuan , damdawi inah i kal nghal a ngai a ni.Doctor in a enfiah ang che. A châng chuan, i nau neihnaah i hlat hle a, naute chu pian hnaih lutuk a nih chuan, chutih lai chuan nau neih pangngai chu caesarean section aiin a him zawk tih an rel thei a ni.

Operation ruahman chu naute tan chuan him mah se, nang, nu tan chuan hlauhawmna engemaw zat a awm . Chung zingah chuan:

• A tlangpui aia thisen chhuak
• Ke ah thisen a chhuak thin
• Surgery hmanga hliam natna
• Surgery neih laiin urinary system a chhiat
• Nakin lawka naupai turah cesarean section tih a ngai theihna chance a sang

Breech birth avanga hlauhawm bikte chu engte nge ni?

Naute taksa peng lian ber chu a lu a ni. Nau neih pangngai laiin lu a chhuak thei lo (lu a chhuak) chuan zai nghal a ngai mai thei. Mahse, breech delivery-ah chuan naute lu chu a taksa pum a chhuah hnuah a chhungah a innghat thei a ni . Hei hi dinhmun hlauhawm tak a ni.

Hetih lai hian naute umbilical cord chu a compress thei a, chu chuan naute thisen leh oxygen supply a titawp thei a ni . Hei hian minute tlemte chhungin thluak a tichhe thei a ni.

Thil dang chu, nau neih tan hmaa i tui a chhe chuan naute pian hmain umbilical cord a chhuak thei a ni. Hei pawh hi emergency a ni.

A tawp berah chuan breech position-a piang naute hi hip bone-a pianpui chhiatna (Developmental Dysplasia of the Hip - DDH) neih theihna chance a sang deuh hlek a ni. Hei hi hip ruh a inmil lo tihna a ni. Chuvangin, chutiang naute chu an pian atanga kar 4-6 hnuah an hip area ultrasound scan hmangin he natna hi an screen thin.