Nu ni tur i nih angin nau neih chungchangah hian tlem chuan i hlauthawng a, i hre duh mai thei , a dik em? Nau neih laia thil thleng thei chungchang sawiin ‘torn’ leh ‘stitched’ tih ang chi thumal i hre tawh mai thei. Hei hi a takah chuan nu tam takin an tawn thin a ni a, mahse sawiho tak tak a ni lo. Chuvangin vawiinah hian he thu hi friendly takin kan sawipui ang che u kan ti a. Nau neih laiin perineal tear, a nih loh leh damdawi lama kan sawi thin `(Perineal Tear)` kan sawi a ni.
Engvangin nge heng mittui hi a lo awm tak tak?
A awlsam zawngin, nau neih hi thilsiam mak tak a ni. I taksa hian i naute chhuahna tur kawng a buatsaih a, i vagina chhehvel vun leh tissue te chu a tithianghlim a, a tizau zawk bawk. Hei hi naute lu chu engmah tichhe lova a chhuah theih nan a ni.
Mahse a chang chuan a bik takin nau neih hi tlem a rang lutuk a nih chuan he vun hian a tih tur angin a insiam rei thei lo. Chutah chuan vagina chhehvel tissue chu a chhe thei a ni. Hei hi a hluar hle a, nu tam takah a thleng thin.
A châng chuan, doctor-te chuan a mittui tlakna thunun tûr emaw, naute hrin thuai tûrin emaw, serh inhawng lian zâwk tûrin incision tê tê an siam ang. Hei hi `` episiotomy '' kan ti a. Hei hi mittui tla nasa vanga thisen chhuak control nan emaw, emergency a awm chuan naute chhanchhuah thuai nan emaw tih a ni.
Buhfai chi 4 lian ber berte chu engte nge ni?
Heng crack te hi a thuk leh chhiat dan a zirin chi paliah then a ni. Kawngpui hrual te tak te atanga khur lian takah kal ang maiin han ngaihtuah teh. Heng chi hrang hrangte hi chiang takin i hrethiam ang u.
| Degree of tear a ni | Hmun chhia te | Thil hriat tur |
|---|---|---|
| Degree hmasa ber a ni | Vagina leh anus inkar vun leh a hnuaia tissue chauh. Mittui chunglam tak a ni. | I zun laiin kang emaw, na emaw tlem i nei thei. A tam zawkah chuan stitches hi a ngai lo a, mahse a chang chuan pakhat emaw pahnih emaw a ngai thin. Kar tlemte hnuah a dam vek ang. |
| Second-degree a ni | Vun bakah hian vagina vel muscle te pawh a chhia a, hei hi stage hmasa aiin a thuk zawk a ni. | Hei hi piansualna chi khat a ni ber. Stitch a mamawh ngei ang. Heng stitch te hi rei vak lo hnuah anmahni chauhin an dissolve ang. Kar tlemte hnuah an dam leh ang. |
| Third-degree a ni | Mittui hi hnute (anus) chhehvel thau (anal sphincter) thlengin a inzar pharh a ni. | Hei hi dinhmun pawi tak a ni. Stitch hmanga siamthat a ngai ngei ang. A dam theih nan kar tlemte aia rei a ngai thei. Mi thenkhat chuan sex hman laiin bowel incontinence leh natna te ang chi complication an nei thei. |
| Degree palina a ni | Hei hi a na ber chi a ni. Mittui hi hnute chhehvel ruh (muscles) kaltlangin rectum chhung lam bang thlengin a inzar pharh a ni. | Hei hian surgical room-ah specialist-in a siam that chi hrang hrang a mamawh a ni. A dam theih nan hun a duh rei zawk. Stage thum ang bawkin harsatna a awm theihna a sang zawk. |
Eng thil nge mittui tlak theihna tipung?
Thil engemaw tak chuan hetiang mittui tlakna hi a tipung thei a ni. Mahse, heng thilte i neih hian mittui tlakna i nei dawn tihna erawh a ni hauh lo. Hengte hi risk factor chauh a ni.
- I naute hmasa ber i neih chuan : Nau neih hmasak ber lai hian a hlauhawmna a sang zawk a, a chhan chu tissue te chu a inzawm tlat loh vang a ni.
- Naute a thau lutuk chuan: Naute lian tak a lo chhuah chuan tissue-ah pressure a tam zawk.
- Nau neih a rang lutuk chuan: Tissue te hian contract hun an nei tlem hle.
- Naute lakchhuah nan instrument i hman chuan: `(Forc EPS``(forceps)`` emaw ``(Vacuum)`` emaw hmanga hman a ngai a nih chuan.
- Naute dinhmun: Naute hmai lam hawia a awm laiin breech presentation.
- Nu a upa zawk a nih chuan.
- Asian hmeichhia nih: Zirchianna atanga a lan dan chuan Asian hmeichhiate hi an tissue awm dan avang hian an hlauhawmna a sang deuh hlek a ni.
- Episiotomy: A tear chhunzawm zel theihna a awm a, a bik takin midline episiotomy a nih chuan.
He swelling avang hian eng complication nge awm thei?
A pawimawh ber chu heng harsatna tam tak hi damdawi lam enkawlna leh thurawn mumal tak hmanga ven emaw, enkawl emaw theih a ni.
Stage khatna leh pahnihna hian harsatna lian tham a thlen fo lo , mahse stage thum leh pali na tak chuan harsatna engemaw zat a thlen thei.
- Thisen chhuah: Mittui tlak lai leh a chhuah hnuah.
- Infection: Suture hmun fai taka vawn loh chuan infection a awm thei.
- Natna: A bik takin kar hmasa lamah.
- Sex hman laia natna: Mi thenkhat chuan an dam hnuah pawh he harsatna hi an tawk thei.
- Urinary incontinence: A duh loh zawnga zun chhuah, khuh emaw, nuih emaw lai ang chi.
- Bowel incontinence: Hei hi riltam na tak nen a inzawm thei.
- Dam tlai: Stitch a chhe leh ang chi thil avang hian damna a tlai thei.
Engtin nge enkawl a nih a, eng nge i tih ang?
Enkawlna chu eng ang mittui nge i neih tih ah a innghat. First-degree tear chuan stitches a mamawh lo mai thei. Mahse, second-, third-, leh fourth-degree tears te hian siamthat nan stitches an mamawh ngei ang.
A tha ber chu he procedure atana hman tur stitches te hi hun kal zelah a dissolve thin hi a ni . Chuvangin an lak chhuah tir tur chuan damdawi inah i kir leh a ngai tawh lo. Heng stitches te hi kar 6 chhungin an inthiar tlangpui.
Mittui atanga natna chu kar hnih vel hnuah a reh tlangpui . Doctor chuan painkiller a pe ang che.
I lam atanga thil tih tur
- Faina: Stitch dahna hmun chu fai leh vawt taka dah tur a ni. Toilet i hman zawhah tui lum hmangin silfai fo la, puan thianghlim hmangin pat dry la, chutah chuan pat dry rawh.
- Hahchawl:A theih ang angin chawlh hahdam rawh. Hmun khatah rei tak awm suh.
- Diet: Constipation ven nan fiber tamna ei tur, greens, thlai leh thei chi hrang hrang ei tur a ni a, tui tam tak in tur a ni.
- Damdawi lam thurawn: Doctor thupek dik takin zawm rawh.
Heng symptoms te hi i neih chuan doctor pan nghal rawh:
- Khawsik i neih chuan.
- Suture site atanga rimchhia emaw, pus ang chi tui lo chhuak emaw a awm chuan.
- Painkiller ei chung pawha natna a zual zel chuan.
- Stitch dahna hmun chu a hring a, a sen a, a na hle a nih chuan.
Sex hman laiin natna i tuar chhunzawm zel a nih chuan, chumi chungchang chu i doctor hnenah sawi zak leh hlau suh. I tih theih tur thil a awm.
Take-Home Thuchah a ni
- Nau neih laiin vaginal bleeding hi a tam hle. Zahpui tur leh hlauh tur a ni lo.
- Kangmei tam zawk (stage khatna leh pahnihna) hi enkawl leh enkawl dan dik a nih chuan a dam vek a ni.
- Hri kai loh nan hmun fai taka vawn thatna kawngah fimkhur hle a pawimawh hle.
- Natna nasa tak i neih chuan, natna hrik kai chhinchhiahna (khawsik, rimchhia), emaw, bladder/bowel control lama harsatna i neih chuan tihkhawtlai lohvin doctor pan tur a ni.
- Dam leh hnua harsatna awm reng reng reng, a bik takin inpawl laia natna awm thei te chu i doctor nen zalen takin sawipui rawh. A chinfel dan tur dik zawng chu i dikna a ni.
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