Nu ni tur i nih chuan i rilruah zawhna lian ber leh sensitive ber pakhat chu, ‘Ka naute hian a na em?’ tih hi a ni mai thei, hei hi thupui thuk tak a ni. Damdawi lam chhungah pawh hemi chungchangah hian ngaihdan hrang hrang a awm a. Doctor leh scientist thenkhat chuan naute hian kar 24 (thla 6) an tlin hma chuan natna an nei lo niin an sawi. Mahse mi dangte chuan kar 12 (thla 3) atang pawhin natna an nei thei niin an sawi. Chuti a nih chuan eng nge thleng tak tak? Hemi chungchang hi i hriatthiam theih tur awlsam takin sawi ila.
Hemi chungchangah hian ngaihdan hrang hrang eng nge awm?
He zawhna hi direct-a chhanna pek a har khawp mai, a chhan chu nausen pum chhunga awm chu, "A na em?" Chuvangin zirchiangtute chuan naute taksa than dan, a bik takin thluak leh nervous system hmasawnna te zirchian a ngai a, chuta tang chuan thutlukna engemaw zat an siam a ngai ta a ni.
Tun hma chuan kum 1980 chho thleng khan doctor-te chuan nausen piang thar pawhin natna an hre thei lo niin an ngai a. A chhan chu an thluak a lo thanglian kim loh vang a ni. Mahse tunah chuan chu ngaihdan chu a danglam vek tawh.
Tunah chuan scientist-te chuan `nociception` tih concept an sawi ta a ni.A awlsam zawngin sawi ila, chhiatna hriat theihna hi a ni . Natna nen chuan a danglam deuh. A chhan chu awareness a mamawh loh vang a ni. Mahse tunah chuan he `nociception hian naute taksaah a thlen thin stress response hian a thluak hmasawnna a nghawng thei tih pawm a ni ta.
Khawvela damdawi lam pawl lar tak tak, entirnan, American leh British College of Obstetricians and Gynecologists (ACOG, RCOG) te chuan naute hian kar 24-25 thleng natna a nei thei lo niin an ngai a ni Amaherawhchu, ngaihdan inkalhin a awm. Ngaihdan pahnihte hi chiang takin han thlir ila.
| Thudik lo 1: Natna hi kar 24 hnuah chauh hriat a ni | Thudik lo 2: Kar 12 atang pawhin natna hi hriat theih a ni |
|---|---|
| Kar 24 hnuah chuan thluaka hriatrengna leh ngaihtuahna lama mawhphurtu ber cortex leh thluaka natna ang chi hriatna phurtu thalamus inkarah hian inzawmna pawimawh tak a lo piang a ni. | Pain perception atan hian cortex hi a tul tak tak em tih erawh a chiang lo. Natna hi thluak hmun pawimawh dang hmanga hriat theih a ni. |
| Naute kar 28 hnuai lam chuan natna thlentu thilte chu a chhang let niin lang mah se, a tam zawkah chuan reflex emaw hormonal response emaw chauh a ni. Natna tak tak a ni lo. | Kar 7 atang hian vun chung lamah natna receptor hi a lo piang tan a, kar 12-15 chhungin thluak nen an inzawm leh thin. |
| Thil hlauhawm lo khawih leh thil hrehawm tak thliar hrangtu neural connection te hi naupai tlai lamah a lo piang chhuak thin. | Thluak hmun thenkhat, thalamus leh thluak stem, hriatna lama inrawlh te chu first trimester atang hian an lo thang tan thin. |
Ngaihtuah teh, he inhnialna hi a buaithlak zual hle a, chu chu medical science hmasawnna avang hian naute chu kar 22-23 vel atanga lo piang pawh ni se, a nung reng thei tawh a ni. Tunah chuan doctor-te chuan hetiang naupai kum hniam taka piangte hian natna an nei tih an pawm ta a ni.
He thu hian engtin nge thu tlûkna dangte a nghawng?
He nausen natna chungchang hian khawvel hmun hrang hrangah nau pai dan leh nausen surgery chungchangah nghawng a nei nghal vek a ni.
Nau pai chungchanga thutlukna siam
He ‘fetal distress’ hi ram tam takah nau pai hi dan anga pawm theihna hun bituk atan hman a ni tawh a ni. Ram thenkhat chuan he thil avang hian naupai kar engemaw zat hnuah nau pai khap a ni.
Mahse data kan en chuan khawvela nau pai tam zawk hi naupai tirh lamah a thleng thin. Entirnan, United States-a CDC data atanga a lan dan chuan nau pai 93% aia tam chu kar 13 hmain a thleng thin . Kar 21 hnuah 1% aia tlem lo a awm. Heng hun bituk chungchangah hian scientist-te inhnialna hi a la kal zel a ni.
Fetal Surgery tih a ni
A châng chuan nausen pum chhunga a la awm laiin piansualna ṭhenkhat enkawl nan operation neih a ngai ṭhin. Hei hi `fetal surgery` kan tih chu a ni.
Hetiang surgery neih lai hian doctor-te hian natna hi an ngaihtuah em? Ni e, a dik ngei ang.
Vawi tam tak chu heng surgery neih chhunga nu hnena anesthesia pek hian nausen chu a paltlang a, naute a nghawng thin. Mahse scientist thenkhat chuan hei ringawt hian nautein a hriat theih natna emaw, nawrna emaw chu a ti bo vek lo niin an sawi.
Chuvangin,Second trimester hnua (kar 13 hnuah) surgery tihnaah chuan doctor-te chuan naute chu natna tidamtu damdawi direct-in an pe tlangpui. Naute chu operation neih chhunga a awm reng theih nan damdawi an pe bawk. Hei hi a chhan ber chu, surgery avanga stress reaction chak tak hian naute thluak leh nervous system hmasawnna a nghawng tha lo tur ven nan a ni.
Hetianga naute hnena anesthesia direct pek hi nu leh naute tan pawh a him nia ngaih a ni . Side effects hi a tlem hle.
Take-Home Thuchah a ni
- Nausen pum chhunga naute hian engtikah nge natna a neih tih chungchangah hian damdawi lamah hian inremna chiang tak a la awm lo . Ṭhenkhatin kar 24 hnuah an sawi laiin, ṭhenkhat chuan kar 12 hnuah pawh a ni thei an ti.
- He inhnialna awm chhan ber chu natna hriat theih nan thluak peng engte nge siam chhuah a ngai tih hriat chian loh vang a ni.
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Nociceptionchu chhiatna hriat theihna a ni. Hriatthiamna mamawh lo mah se, pressure a siam hian naute thanlenna a nghawng thei a ni. - Naute chu nausen zai a nih chuan doctor-te chuan naute chunga pressure tihziaawmna tur leh a thanlenna tichhe thei tur tih tlem nan painkiller an hmang ngei ang.
- Hei hi thupui buaithlak leh sensitive tak a ni. Hemi chungchangah hian zawhna leh ngaihtuahna i neih chuan i doctor nen zalen taka inbiakna neih a tha ber.
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