Naupai laiin polyhydramnios chungchanga hriat tur awmte

Nu ni tur i nih chuan i pum chhunga i naute hualtu tui chungchang hi i hre tawh ngei ang. Damdawi lam hawi chuan hei hi ' amniotic fluid ' kan ti a. He tui hi i naute tan venhimna cushion ang mai a ni. He tui hi i naute venhimna atan, chawm tur leh a kal kual theih nan a pawimawh hle. Mahse a chang chuan, he tui hi a tlangpui aia tam a ni thei. Chu chu Polyhydramnios kan tih dinhmun chu a ni. He hming i hriat hian hlau suh. Vawiin hian chiang tak leh awlsam takin sawi ila.

A hmasain, he amniotic fluid hi eng nge ni?

A awlsam zawngin, i naute chu i nausen pum chhungah tuiin a khat sac-ah a awm a. He sac hi amniotic sac kan ti a. A chhunga tui chiang tak chu amniotic fluid an ti a. Hei hi i naute thanlenna atan a pawimawh hle. Naute chuan he tui hi a ei a, zun angin tuiah a dah leh thin. Hei hi fluid level a balance reng dan a ni.

He tui awm zat hi naupai chhung zawng hian a danglam thin. A vaiin kar 34 vel chhungin tui millilitre 800 vel a awm a ni. Mahse, nau neih a hnaih deuh deuh chuan kar 40 vel a nih chuan he zat hi a tlahniam a, millilitre 600 vel a ni. A châng chuan, he tui hi a pangngai aia tlem (Oligohydramnios) emaw, a pangngai aia tam (Polyhydramnios) emaw pawh a ni thei.

Chuti a nih chuan Polyhydramnios chu eng nge ni?

Polyhydramnios tih hi a hmaa kan sawi tawh ang khan nausen pum chhunga amniotic fluid awm tam lutuk hi a ni. Hei hian i nausen pum chu a tlangpui aia lianin a ti lian thei a ni. Hei hi naupai hun hnuhnung lamah a lang tam ber. Mahse, a chang chuan kar 16 hnuah pawh a lo awm thei.

Nausen pum chhunga tui a pun chhan hi eng nge ni?

A chhan dik tak hriat chian a harsa fo a, mahse doctor-te’n an hriat chhuah chhan tlangpui tlemte a awm.

Polyhydramnios i neih chuan eng symptom nge i neih theih ang?

Hun rei lote chhunga i pum chu a lian chho zel ang tih i hriat chuan polyhydramnios chhinchhiahna a ni thei. Hetiang dinhmun hi tui a lo pungkhawm a, chu chuan nausen pum leh a chhehvel taksa peng hrang hrangah pressure a siam a ni.

• Fluid tam lutuk tlem chauh a nih chuan (mild polyhydramnios): I natna lan chhuahna a awm lo mai thei.
• Fluid a tam lutuk chuan (Severe polyhydramnios): A hnuaia symptoms pakhat emaw a aia tam emaw i nei thei ang:
• A pum chu a khauh hle mai.
• Thâwk harsa.
• Chaw ei lama harsatna leh rilru natna.
• Ek khal .
• Kawngpui, ke leh ke a hring chhuak.
• Uterine natna emaw, a inzawm khawm emaw.
• Nausen (fetal malposition) a awm lo.
• Naute che vel hriatna tlahniam.

Hetiang dinhmun avang hian eng harsatna nge awm thei?

Naupai kar tir lamah (severe polyhydramnios) tui a tam lutuk chuan harsatna a awm thei. Hengte hi hriat chian a pawimawh a, mahse hengte hi mi zawng zawngah a thleng lo tih hre reng ang che.

• Nau piang hma: Kar 37 hmaa nau neih.
• Membrane rupture hma: Nau neih hmaa amniotic sac (water bag) rupture.
• Placental abruption: Naute pian hmain uterine wall atang hian placenta a inthen a.
• Umbilical cord prolapse: Naute pian hmain umbilical cord hi vagina chhungah a lut a.
• Baby growth spurt: Naute a lian chho zel.
• Cesarean section (C-section) neih a ngai.
• Thi nau piang: Hei hi thil thleng tlem tak a ni.
• Nau neih hnua thisen chhuak nasa tak.

Heng thute hi hre hlau suh. I doctor hian heng hlauhawmnate hi a hre chiang hle. Chuvang chuan nang leh i naute chu a enfiah fo ang a, enkawlna tha ber a pe ang che.

Engtin nge doctor hian he natna hi a hriat theih?

A chunga kan sawi takte hi i neih chuan i doctor chuan ultrasound scan a ti hmasa ang . Hei hian i pum chhunga tui awm zat a teh ang. Chumi atan chuan hmanraw pahnih hman a ni a, chungte chu:

1. AFI (Amniotic Fluid Index): I nausen pum chu section li-ah then la, section tin chhunga tui thuk ber teh la, a vaia dah khawm vek ang che. Sum chu centimetre 24-25 aia tam a nih chuan Polyhydramnios anga ngaih a ni.

2. MPV (Maximum Vertical Pocket): Hei hian nausen pum chhunga tui pocket thuk ber thuk zawng a teh a. He value hi centimetre 8 aia tam emaw a aia tam emaw a nih chuan Polyhydramnios a ni tih hmuhchhuah a ni bawk.

Tin, a chhan hriat nan test dang pawh tih theih a ni bawk:

• Thisen test: Nuin natna hrik emaw, zunthlum ang chi natna emaw a neih leh neih loh enfiah nan.
• Amniocentesis: Hei hi needle te tak te hmanga nausen pum atanga tui tlemte lak chhuah a, test a ni. Hei hian naute chhunga genetic problems ang chi thil chungchang information a pe thei a ni.

Hetiang dinhmun hi a hriat chian hnuah chuan i doctor chuan nang leh i naute chu a lo enkawl reng ang che. Chumi atan chuan nonstress test i tih a ngai ang .Test te chu fetal echocardiogram (naute thinlung thawk dan enfiah) leh biophysical profile (scan hmanga naute che vel, thawk dan leh tui level enfiah fo thin) te hi a ni.

Polyhydramnios hi eng enkawlna nge ni?

Thu lawmawm tak chu mild fluid retention tam zawk hi chu enkawlna engmah a ngai lo . Hun kal zelah condition chu a mah chauhin a reh ang . A chhan bulpui ber, zunthlum ang chi enkawl a nih pawhin a ṭha chho thei bawk.

Mahse, tui a tam lutuk (na tak) a, thawk harsatna, pum na, nau neih hmaa nau neih chhinchhiahna i neih chuan enkawlna i mamawh mai thei. Damdawi inah pawh dah a ngai mai thei.

Enkawl dan angin:

• Fluid lakchhuah: Amniocentesis ang bawkin nausen pum atanga tui tam lutuk lakchhuah nan needle hman a ni. Mahse, he procedure hian membrane te chu a hun hmaa a rupture theihna chance tlemte a keng tel avangin, i doctor chuan a tul tak tak a nih chauhvin a ti ang.
• Damdawi: Damdawi Indomethacin ang chi hi pek theih a ni. Chungte chuan naute zun a siam chhuah a ti tlem a, tui level a ti tlem bawk. Mahse, heng damdawi te hi naupai kar 31 hmaa pek thin a ni. Heng damdawi te hian naute thinlungah nghawng engemaw zat a neih theih avangin doctor chuan naute thinlung a enfiah fo ang.