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.
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. |
Hei hi eng symptoms nge ni?
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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