Naute umbilical cord chungchang hengte hi i hria em?

Naupai hi nu nunah chuan hun duhawm leh sensitive ber a ni. Nau a pai ni atanga a naute pian thlengin nu chuan beiseina leh hlauhna a nei vek a. "Ka naute hi a tha em?", "Ei leh in tur a nei tha em?" Hetiang zawhna hi i rilruah pawh a lo chhuak thin a ni lawm ni? Chuvangin, he thuziak hi naute nunna kawngkhar ang maia nangmah leh i naute inzawmkhawmtu "umbilical cord" chungchanga zawhna leh rinhlelhna i neih apiang tihfel nan a ni.

A hmasain, he umbilical cord hi eng nge a nih chiang takin i hrethiam ang u?

A awlsam zawngin, umbilical cord hi tube bik a ni a, chu chuan i naute chu nausen pum chhunga nausen (placenta) nen a thlunzawm a ni. Hei hi i naute chu a pum chhunga a awm chhunga a mamawh zawng zawng, oxygen leh nutrition te pawh tiamin, a mamawh zawng zawng pe theitu nunna kawngkhar a ni. Naute 'supply line' ang mai a ni.

A tlangpuiin umbilical cord hrisel tak hian thisen kalna kawng chi thum a nei a.

• Two Arteries: Hengte hian naute taksa atanga thisen bawlhhlawh leh carbon dioxide awmna chu placenta-ah a phur kir leh thin.
• One Vein: Hei hi i taksa atanga thisen thianghlim, oxygen leh nutrient tam tak awmna chu naute taksaah a phurh chhuahna hmun a ni.

Umbilical cord pumpui hi jelly ang chi thil bik atanga siam a ni a, chu chuan heng nerve pathumte hi a venghim a ni. Hei hian umbilical cord chu a inzawm khawm loh nan leh awlsam taka a tihchhiat loh nan a venghim a ni.

Umbilic cord-a harsatna awm thei tlangpui chu engte nge ni?

A tam zawkah chuan naupai chhung zawng hian umbilical cord hian harsatna awm lovin a hna a thawk tha hle. Mahse, a tlem hle a, harsatna awm thei dinhmun thenkhat a awm thei. Hengte hi hriat lawk a pawimawh hle. Mahse hengte hi chhiar hlau suh. Tunah chuan heng dinhmun tam tak hi advanced scan hmangin a hmain hriat theih a ni tawh .

1. Umbilical Artery pakhat (SUA) .

Kan sawi tawh ang khan umbilical cord pangngaiah hian arteries pahnih leh vein pakhat a awm a. Mahse, a chang chuan artery a awm thei lo va, artery pakhat leh vein pakhat chauh a awm thei bawk. Hei hi `Single Umbilical Artery` (SUA) emaw `Two-vessel cord' emaw an ti a.

Hei hi i doctor chuan scan laiin awlsam takin a hre thei a, chu chu routine anomaly scan ang chi hi a ni. SUA vei naute thenkhat chuan hriselna lama harsatna tenau dang (thinlung emaw kal emaw a inthlak danglamna tenau te ang chi) an nei thei a, chuvangin i doctor chuan hei hi a ngaihven zawk thei a, test dang neih belh a ti thei bawk. Mahse a tam zawkah chuan harsatna dang a awm lo.Naupang hrisel tak a lo piang thin.

2. Vasa Previa a ni

Hei hi ngaihtuahawm deuh a ni a, mahse a awm lo hle. Heta thil thleng chu naute thisen kalna kawng (umbilical cord)-a awmte chu uterine wall-ah a inzawm tha lo va, chu ai chuan amniotic sac, cervix bulah a kal tlang zawk a ni.

Hei hi a hlauhawmna chu nau neih laiin i tui a chhe chuan heng thisen kalna kawngte hi a chhe thei a ni. Chutiang a nih chuan naute chu thisen a chhuak nasa thei a, a thi hial thei a ni.

Mahse a tha ber chu tunah chuan he natna hi ultrasound scan hmangin a hmain hriat theih a ni tawh. Hriatchhuah a nih chuan doctor-te chuan nau neih hmain cesarean delivery ruahman sa, a tlangpuiin kar 34-37 inkar vel an ti thei a, chu chuan him takin naute chu a hrin thei a ni. Chuvangin , i clinic-ah a hun taka kal a, i scans te a hun taka tihsak a pawimawh hle.

3. Nuchal Cord a ni

Hemi hi i hre tawh ngei ang. ‘Nuchal Cord’ tih hi nausen pum chhunga naute a inher kual vela vawi khat emaw, a aia tam emaw a kawr a khuh thin umbilical cord sawina atana hman a ni. Nu tam tak chuan he thu hi an hriat hian an hlauthawng thin.

A tam zawkah chuan hei hi a pawi lo. Umbilic cord-a jelly ang chi hian thisen kalna kawngte chu a compress loh nan a venghim a ni. Naute a che lai pawhin a lo undone thei bawk. Nau neih lai hian doctor emaw midwife emaw chuan hei hi a hre chiang ang a, naute a pian veleh uluk takin a la chhuak nghal mai ang. Thil thleng tlemte chauh, umbilical cord khauh taka khuh a nih avangin naute thinlung thawk a tlahniam a nih chuan doctor chuan naute chu rang taka hrin theihna turin hma a la ang.

4. Umbilical Cord Knots awm thin

Hei hi nausen pum chhunga a beih lai pawhin a thleng thei bawk. Umbilical cord-ah knot a siam thei a, pheikhawk hrui ang chiah a ni. Knot hi chi hnih a awm a:

• False Knots: Hengte hi knot tak tak an ni lo. Anni hi umbilical cord chhunga thisen kalna kawng te tak te, knot ang maia hring hring an ni. Chûngte chu a pawi lo.
• True Knots: Hei hi knot a lo awm tak tak hun a ni. Chûngte chu a hrual nasa hle fo a, hnute vêla lace awlsam tak an khih ang mai a ni. Chuvang chuan naute hnena thisen kal dan tur khapna a awm lo.

Mahse a tlem hle, 1% aia tlem lo chuan he knot hi a tight thei. Chutiang a nih chuan naute hian oxygen leh nutrients a hloh thei a ni. Doctor-te chuan naute thinlung thawk leh che vel chu an enfiah reng ang a, he hlauhawmna hi an enfiah reng ang.

Chuti a nih chuan, eng nge ka tih ang?

A pawimawh ber chu heng thilte hi chhiar a, a tul lova hlau lova, muang tak leh fing taka thil tih hi a ni. I naupai chhung zawngin i doctor leh chhungkaw health worker te chu an awm reng ang che.

• I clinic-ah a hun takah kal rawh. Test zawng zawng chu a hun takah tih vek rawh.
• I doctor-in a pek scan te kha la ngei ang che. A bik takin Anomaly Scan hi a pawimawh hle.
• I naute che vel danah danglamna nasa tak i hmuh chuan (e.g., a hma anga an che lo a nih chuan) i doctor emaw damdawi in emaw hriattir nghal rawh.
• Zawhna emaw, lungkhamna emaw i neih chuan i rilruah dah reng suh la, ngaihtuah buai lo la, doctor zawt zawk rawh.

Tunlai hian medical science hi a hmasawn hle tih hre reng ang che. Tunlai doctor-te chuan heng natna tam tak hi a hmain an hre thei a, a tul angin hma an la thei a, nu leh naute tan pawh harsatna awm lovin naute hrisel tak an nei thei a ni.