I naute he khawvela a lo kal hnua i hlimna chu tawngkam hmanga sawi chhuah theih a ni lo, a dik em? Mahse he hlimna rual hian nu i nihna anga i taksa inthlak danglamna hi kan hriat chian a ngai a ni. Naute neih hnuah eng emaw chen thisen chhuah hi thil pangngai a ni . Mahse chu thisen chhuahna chu thunun theih loh khawpa a pun chuan dinhmun hlauhawm tak a ni thei. Chutiang huna harsatna awm thei ber pakhat chu Uterine Atony a ni. Vawiin hian he thu hi, hlau lovin, awlsam takin sawi ila.
Baby's due date (EDD)
Calculate the due date based on the last menstrual period
Uterine Atony chu eng nge ni?
A awlsam zawngin, i naupai chhung zawng, thla 9 chhung hian i naute hian a mamawh ei leh in leh oxygen zawng zawng chu i nausen pum chhunga thisen kalna kaltlangin a dawng vek a ni. Naute a pian hnuah, nausen (placenta) a pian chuan heng thisen kalna kawngte hi a inhawng a.
A tlangpuiin naute a pian veleh nausen pum chhunga thau te chu a inzawm khawm nasa hle a, heng thisen kalna kawng inhawngte hi a khar a, thisen chhuah chu a titawp ta a ni. I kut hmanga tui pipe i hrual a, tui a luang chhuak tawh lo ang maiin ngaihtuah rawh.
Mahse, Uterine Atony an tih dinhmunah chuan nausen pum ruhte chu beisei angin a inzawm khawm lo. An loose a, "lazy" an ni ta (chu chu atony chu a ni). Tichuan, chu thisen kalna kawng inhawngte chu thunun theih lohvin thisen a chhuak tan ta a ni.
Hei hi vaginal birth emaw cesarean section emaw lai pawhin a thleng thei. Nau pai hnuah pawh a thleng thei bawk. Hei hi natna khirh tak a ni a , emergency medical treatment a ngai tih i hre reng tur a ni .
Hetiang natna vei theihna tipungtu thilte chu engte nge ni?
Hetiang dinhmun hi mi zawng zawngah a awm lo. Mahse, mi thenkhat chu thil engemaw avangin risk sang zawkah an awm thei. Chuvangin i doctor hian heng risk factors te hi a hre reng thin.
| Risk Factor a ni | A awlsam zawngin sawifiah a ni |
|---|---|
| Hna rei tak leh harsa tak a ni | Hun rei tak nau pai leh nau neih harsat hnuah nausen pum ruhte chu a chau thei hle. |
| Uterine contraction tam lutuk | Naute hi a rit lutuk (e.g., kg 4 aia tam), twin a nih chuan, emaw, nausen pum chhungah amniotic fluid (tui) tam tak a awm chuan (polyhydramnios) chuan nausen chu a inzawm tlat thei a ni. |
| Artificial taka pangpar siam | Naute a pian hian oxytocin ang damdawi pek a, hun rei tak chhung nau neih tir a nih chuan. |
| Fibroids a awm thin | Nausen pum chhunga fibroid awm hian nausen pum chu a inzawm tha thei lo. |
| Hri kai theihna dinhmun | Naute chhehvela membrane-a natna hrik (chorioamnionitis) a awm. |
| Thau lutuk | Thau lutuk hi risk factor a ni bawk. |
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Hetiang natna lan chhuahna ber leh hlauhawm ber chu nau neih hnua thisen chhuah tam lutuk ( Postpartum Hemorrhage ) thunun theih loh hi a ni
Nau neih hnua thisen tlem chhuah chu thil pangngai ni mah se, thisen chhuak chu a tam lutuk nia i hriat emaw, i pad hman mek chu hun rei lote chhungin a hnim vek a nih chuan, darkar khat ang chi emaw, thisen zam lian tak tak i paltlang a nih chuan, a pangngaiah ngai ngai suh. I doctor emaw nursing staff emaw hnenah hriattir nghal rawh.
Taksa atanga thisen tam lutuk a chhuah chuan symptom dang pawh a lang thei bawk.
- Thisen sang hniam (Hypotension) .
- Heart rate a sang chho zel
- Taksa chu a vawt a, a hring bawk
- Luak chhuak tih hriatna, mitmeng chu a sen vek
- Zun chhuah a tlahniam
- A nasat ber lai pawhin hriatna hloh
Engtin nge doctor hian hei hi a hriat chian?
I doctor chu.He natna hi nausen pum (uterus) enfiahna atanga hriat chhuah a ni ber.
Nau neih pangngai hnuah doctor chuan i pum chungah a kut a nghat ang a, i nausen pum a enfiah ang. Cesarean section i neih chuan he examination hi operation tawp lamah tih thin a ni. A tlangpuiin, nau neih hnuah i nausen chu a lo tlem tur a ni a, lungpui ang maia khauh takin i awm tur a ni . Mahse, uterine atony a awm chuan uterus hi a lian hle a, khawih pawhin a nem hle .
He thisen chhuah tam lutuk hi chhan dang a awm leh awm loh a enfiah bawk ang. Entir nan:
- Cervix emaw vagina emaw ah hliam emaw, mittui tlak emaw a awm em?
- Nausen pum chhung hmun thenkhat chu nausen pum chhungah a la awm em (retained placenta)?
Doctor chuan heng zawng zawng hi a enfiah hnuah uterine atony dinhmun hi a nemnghet vek a ni.
Hei hi eng enkawlna nge ni?
Hei hi emergency a nih avangin enkawl tan nghal tur a ni. A tum ber chu thisen chhuah chu a rang thei ang bera tihtawp a ni. Chutih lai chuan i taksaa tui bo tawhte thlak nan saline pek i ni ang a, a tul chuan oxygen pek i ni bawk ang. Thisen tlakchhamna tam tak a awm chuan thisen pek a ngai mai thei.
Enkawl dan chi hrang hrang a awm a.
| Enkawl dan tur | Eng thil nge thleng? |
|---|---|
| Damdawi Inenkawlna | |
| Oxytocin (Pitocin) hmanga siam a ni. | Nausen pum (uterus contract) puitu hormone a ni. Hei hi saline nen thisenah pek thin a ni. |
| Damdawi dang (e.g. Methylergonovine, Prostaglandins) te hi a tha hle. | Hengte hi nausen pum (uterus contract) chak zawk nana pek thin damdawi te an ni. Ṭhenkhat chu injection angin pek a ni a, ṭhenkhat chu pill angin pek a ni a, chu chu vagina emaw rectum-ah emaw dah a ni. |
| Surgical & Thil dang tih dan tur | |
| Uterine Packing/Balloon hmanga siam a ni | Nausen pum chhungah hian gauze roll emaw balloon bik emaw dah a ni a, chu chuan thisen kalna kawng chu a chhung atangin a clamp a, thisen chhuah chu a titawp a ni. |
| Uterine Artery (Uterine Artery) te chu a inzawm tlat a ni | Hei hi surgery tenau tak a ni. Nausen pum chhunga thisen petu thisen kalna kawngpui ber chu an inbun a, thisen chhuah chu a titawp a ni. |
| Hysterectomy tih a ni | If nothing else can stop the bleeding, as a last resort , i nunna chhanhim nan i nausen pum chu lak chhuah vek a ngai mai thei. Hei hi operation lian tak a ni. |
Hysterectomy hi nunna chhanhim thei thil dang awm lohna hmunah chauh tih a ni a, chuvangin a tul lovah hlau suh.
Take-Home Thuchah a ni
- Uterine atony hi nau neih hnua uterine muscle te a inzawm tha lo a, thisen chhuah tam lutuk a awm thin. Hei hi medical emergency a ni a, enkawl vat a ngai a ni.
- Nau i pai hnua thisen chhuak tam lutuk nia rinhlelhna i neih chuan (pad chu a hnim nghal vat a, thisen zam lian tak tak a kal tlang a) doctor emaw nurse emaw hnenah hrilh nghal rawh. Tihkhawtlai suh.
- Hetiang dinhmun hi risk factor engemaw zat awm mahse, tu pawhah a awm thei a, chuvangin damdawi inah trained staff awmnaah nau neih a pawimawh hle.
- Hemi atan hian enkawlna tha tak tak a awm a. Doctor-te chuan thisen chhuah tihtawp nan hmanraw hrang hrang an hmang a, damdawi atanga surgery thlengin an hmang thin.
- Nau neih hma leh nau neih hnuah pawh i taksa chungchanga zawhna emaw, ngaihtuahna emaw i neih apiang chu i doctor nen zalen takin sawipui rawh.
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