Ese utwite? Noneho, reka tumenye iki kibazo cyo kurwara indwara yo mu nda (preeclampsia)?

Niba utegereje umwana muri iyi minsi, mbere ya byose, ndagushimiye! Iki ni igihe kidasanzwe cyane. Ariko, hamwe n'impinduka mu mubiri wawe, rimwe na rimwe hashobora kuvuka ibibazo byoroheje by'ubuzima. Niyo mpamvu abantu benshi babivugaho kandi bagomba kwitonda gato . Preeclampsia ni indwara abantu benshi bavugaho, kandi nta kibazo cyo kudatinya? Reka tubiganireho birambuye, nk'aho twabibwira inshuti.

Preeclampsia ni iki mukobwa?

Muri make, preeclampsia ni indwara ikomeye y'umuvuduko w'amaraso ibaho mu gihe cyo gutwita. Irangwa ahanini n'umuvuduko ukabije w'amaraso (Hypertension) , bivuze ko umuvuduko w'amaraso wiyongera. Hamwe n'ibi, hari ukwiyongera kwa poroteyine mu nkari zawe (Proteinuria) . Ibi bikunze kubaho nyuma y'ibyumweru 20 utwite.

Tekereza gato, iyi ndwara ishobora no kugira ingaruka ku zindi ngingo zo mu mubiri wawe. Ishobora kwangiza ingingo z'ingenzi nk'impyiko n'umwijima, ikagira ingaruka ku bwonko, ndetse igatera izindi ndwara zikomeye. Kubera ko ibi bishobora guteza akaga kuri wowe no ku mwana wawe uri mu nda, muganga wawe azaguhangayikishwa cyane n'ibi kandi azakugira inama yo gutangira kuvurwa vuba bishoboka.

Iki kibazo gikunze kugaragara gute?

Mu by’ukuri, iyi ndwara yitwa preeclampsia ni indwara iterwa no gutwita. Ku isi yose, iyi ndwara igira ingaruka ku kigero runaka cy’ababyeyi batwite. Dukurikije imibare yo mu bihugu bimwe na bimwe, preeclampsia inatera umubare munini w’abana babyara imburagihe , ni ukuvuga abana bavutse mbere y’ibyumweru 37 batwite.

Ese preeclampsia ni ikibazo cyihutirwa?

Yego, mukundwa, ibi bishobora kuba byihutirwa. Niba ufite preeclampsia, umuvuduko w'amaraso yawe uba uri hejuru ya 140/90 mmHg. Nanone, kuba hariho poroteyine mu nkari bigaragaza ko impyiko zawe zirimo kugira ingaruka. Iyi ndwara ishyira umuvuduko mwinshi ku mutima wawe no ku zindi ngingo. Ishobora kugira ingaruka ku buryo amaraso agera kuri placenta , ikangiza umwijima n'impyiko, ndetse igatera amazi kwirundanya mu bihaha (pulmonary edema). Kubwibyo, ni ngombwa kwihutira kwivuza kugira ngo wirinde ingorane zishobora gushyira ubuzima mu kaga.

Ni ibihe bimenyetso by'ibi? Ubimenya ute?

Abantu benshi bashobora kutagira ibimenyetso mu ntangiriro iyo bafite preeclampsia. Akenshi ikunze kuboneka kwa muganga wawe, iyo muganga wawe cyangwa umubyaza agusuzumye. Ariko, hari abantu bagaragaza ibimenyetso.

Bimwe mu bimenyetso bya mbere bya preeclampsia ni ibi bikurikira:

• Umuvuduko ukabije w'amaraso
• Poroteyine mu nkari
• Kubika amazi - Ibi bishobora gutera kwiyongera ibiro no kubyimba.

Ibindi bintu bigaragara:

• Kuribwa umutwe - Hari igihe ushobora kurwara umutwe cyane.
• Kubona nabi cyangwa kumva urumuri
• Uduce twijimye tugaragara mu iyerekwa ryawe
• Ububabare bwo mu nda bwo hejuru iburyo
• Kubyimba amaboko, utuguru n'isura (Edema)
• Guhumeka nabi

Akenshi, ntuba uzi ko ufite preeclampsia kugeza igihe muganga wawe asuzumye umuvuduko w'amaraso yawe akanagukorera ikizamini cy'inkari ku ivuriro rishinzwe kubyara. Niyo mpamvu ari ngombwa cyane kubahiriza gahunda zawe zose no kubwira muganga wawe ibimenyetso byose ufite.

Preeclampsia ikomeye ishobora kandi kugaragaza ibimenyetso nk'ibi:

• Guhahamuka kw'umuvuduko ukabije w'amaraso - Ibi bivuze ko umuvuduko w'amaraso uzamuka ukagera kuri 160/110 mmHg cyangwa urenga.
• Kugabanuka k'imikorere y'impyiko cyangwa umwijima.
• Kubyimba kw'ibihaha.
• Kugabanuka kw'umubare wa platelet mu maraso (Trombocytopenia).
• Inkari nke cyane cyangwa ntazo zisohoka.

Niba preeclampsia yawe ikomeye, muganga wawe ashobora kukwakira mu bitaro kugira ngo akurikiranwe. Hari igihe ushobora kubyara umwana hakiri kare.

Kuki habaho preeclampsia?

Nta muntu uzi neza impamvu nyayo y’ibi, ariko bamwe mu bashakashatsi bemeza ko bishobora kuba biterwa n’ikibazo cy’amaraso anyura mu nyababyeyi.

Ese stress itera preeclampsia?

Nubwo stress ishobora kugira ingaruka ku muvuduko w'amaraso, si yo mpamvu itaziguye itera preeclampsia. Nyamara, nubwo hari stress mu gihe cyo gutwita idashobora kwirindwa, ni byiza kwirinda ibintu bihangayikisha no kwiga kubyifatamo.

Ni nde uri mu kaga gakomeye ko kugira ibi?

Abaganga ntibazi neza impamvu bamwe bayirwara. Ariko, basanze hari ibintu bimwe na bimwe byongera ibyago byo kuyirwara. Iyi ngaruka ishyirwa mu byiciro by'ibyago byinshi cyangwa ibyago biri hagati .

Ibintu byongera ibyago byo kurwara preeclampsia:

• Indwara zari zisanzweho nko kurwara umuvuduko ukabije w'amaraso, indwara z'impyiko, cyangwa diyabete .
• Gutwita impanga, impanga eshatu, cyangwa abana benshi .
• Kugira indwara ziterwa n'ubwiyongere bw'umubiri nka lupus .
• Kuba naragize preeclampsia mu gihe nari ntwite mbere .

Ibintu byongera ibyago byo kurwara preeclampsia birimo:

• Gutwita ku nshuro ya mbere.
• Kuba ufite umubyibuho ukabije .
• Kuba afite imyaka irenga 35.
• Kugira amateka yo mu muryango ku ndwara ya preeclampsia .
• Kuba yarahuye n'ingorane nko kubyara umwana ufite ibiro bike mu gihe cyo gutwita mbere.

Ibi bitangira ryari mu gihe cyo gutwita?

Preeclampsia ikunze kubaho nyuma y'ibyumweru 20 byo gutwita. Ikunze kugaragara mu gihembwe cya gatatu, ni ukuvuga nyuma y'ibyumweru 27. Iyo ibaye mbere y'ibyumweru 34 byo gutwita, byitwa preeclampsia yo gutangira hakiri kare .

Indwara yo kubyara nyuma yo kubyara ishobora no kubaho nyuma yo kubyara . Ibi bikunze kubaho mu minsi mike cyangwa icyumweru kimwe nyuma y'uko umwana avutse.

Ni izihe ngorane zishobora guterwa no kuba umuntu afite preeclampsia?

Iyo itavuwe, preeclampsia ishobora kwica wowe n'umwana wawe uri mu nda. Ishobora kwangiza cyane impyiko n'umwijima, ndetse ishobora no kubangamira imikorere y'ubwonko.

Niba utwite, zimwe mu ngorane zikomeye ziterwa na preeclampsia ni izi:

• Indwara zo mu mutwe
• Eclampsia - Iyi ni indwara ituma preeclampsia irushaho kuba mbi bigatuma umuntu ajyanwa mu bitaro.
• Koma
• Igisebe cy'imitsi

Preeclampsia ishobora kandi gutera indwara yitwa HELLP syndrome (syndrome ya HELLP - Hemolysis, enzymes z'umwijima ziyongera hamwe n'umubare muto wa platelet) . Ibi bibaho iyo preeclampsia yangije umwijima wawe n'uturemangingo dutukura tw'amaraso kandi ikabangamira inzira yo kuvura amaraso.

Ingorane nyamukuru zishobora kugaragara ku mwana uri mu nda ni izi:

• Kubyara igihe kitageze
• Kubyara umwana ufite ibiro bike
• Gucika kw'inyuma y'umurambo

Abantu bafite ikibazo cyo kubyimba mu nda, cyane cyane abagitangira gutwita, baba bafite ibyago byinshi byo kurwara ibi bikurikira mu buzima bwabo :

• Indwara y'impyiko
• Indwara z'umutima
• Igisebe cy'imitsi
• Kugaruka kwa preeclampsia mu gihe cyo gutwita.

Ushobora kuvugana na muganga w'umuryango wawe ugafata ingamba zikenewe kugira ngo ugabanye izi ngaruka.

Abaganga bapima iki kibazo gute?

Akenshi, abaganga basuzuma preeclampsiaGahunda zo gusama mbere yo kubyara. Izi ni gahunda zikorwa buri gihe mu gihe cyose utwite. Zisuzuma ibintu nko kwiyongera ibiro n'umuvuduko w'amaraso.

Niba umuganga wawe akeka ko afite preeclampsia, ashobora gukora ibi bikurikira:

• Hashobora gutangwa andi maraso kugira ngo harebwe imikorere y'impyiko n'umwijima.
• Ushobora gusabwa gukora ikizamini cyo gukusanya inkari mu masaha 24 kugira ngo urebe ingano ya poroteyine (proteinuria) iri mu nkari.
• Isuzuma rya ultrasound n'ibindi bizamini bigenzura imiterere y'umwana (gukurikirana umwana uri mu nda) bishobora gukorwa, kugira ngo harebwe imikurire y'umwana n'ingano y'amazi yo mu nda .

Preeclampsia ishobora kuba yoroshye cyangwa ikomeye . Preeclampsia yoroheje bivuze ko ufite umuvuduko ukabije w'amaraso na poroteyine nyinshi mu nkari zawe.

Preeclampsia ikomeye ni indwara ifite ibimenyetso bya preeclampsia yoroheje hamwe n'ibi bikurikira:

• Ibimenyetso by'impyiko cyangwa umwijima byangiritse (bigaragazwa mu bipimo by'amaraso).
• Umubare muto wa platelet.
• Amazi yuzura ibihaha.
• Kuribwa umutwe no kuzungera.
• Kutabona neza cyangwa kubona utudomo imbere y'amaso.

Preeclampsia ivurwa ite?

Muganga wawe azakugira inama ku buryo bwiza bwo kuvura preeclampsia. Ubusanzwe uburyo bwo kuvura buterwa n'uburemere bwa preeclampsia yawe n'igihe utwite . Muganga wawe azagerageza gukomeza gutwita kwawe igihe kirekire gishoboka - ariko gusa iyo preeclampsia idashyira ubuzima mu kaga.

Urugero, niba uri hafi kubyara (hafi ibyumweru 37), muganga wawe akunze kukugira inama yo kubyara hakiri kare . Ushobora kubyara mu gitsina, ariko rimwe na rimwe kubagwa mu kibuno ni bwo buryo bwiza kandi bwizewe. Muganga wawe ashobora kuguha imiti yo kugenzura umuvuduko w'amaraso no gufasha ibihaha by'umwana wawe gukura kugeza igihe ubyariye. Hari igihe biba byiza kubyara umwana wawe hakiri kare kuruta kongera igihe cyo gutwita.

Iyo preeclampsia ibaye mu ntangiriro z'inda, muganga wawe azagukurikiranira hafi mu gihe cyose utwite.Barashaka kongera igihe cyo gutwita kugira ngo umwana ashobore gukura no gukura. Ugomba kujya kwa muganga utaratwita buri gihe, gupimwa ultrasound, gupimwa inkari, no gupimwa amaraso. Ushobora kandi gupimwa umuvuduko w'amaraso mu rugo. Iyo preeclampsia irushijeho gukomera cyangwa ikarushaho gukomera, muganga azakubwira kubyara umwana.

Niba usanzwe ufite preeclampsia ikomeye, ushobora kuguma mu bitaro kugira ngo ukurikiranwe kugeza igihe umwana wawe azavuka.

Mu gihe cyo kubyara no kubyara, muganga wawe ashobora kuguha umuti witwa magnesium sulfate kugira ngo wirinde indwara iterwa na preeclampsia.

Ese hari umuti wuzuye w'ibi?

Oya. Umuti rukumbi wa preeclampsia ni ukubyara. Ariko, muganga wawe azagukurikirana mu byumweru bike nyuma yo kubyara kugira ngo arebe niba ibimenyetso byawe bishize.

Ni iki twakora kugira ngo tugabanye ibyago byo kurwara preeclampsia?

Niba ufite ibintu bishobora gutuma urwara preeclampsia, hari ibintu byinshi ushobora gukora kugira ngo ugabanye ibyago byo kurwara mbere no mu gihe utwite. Muri ibi harimo:

• Niba ufite umubyibuho ukabije, gabanya ibiro (mbere yo kwiyongera ibiro mu gihe utwite).
• Niba usanzwe ufite umuvuduko ukabije w'amaraso cyangwa diyabete, genzura umuvuduko w'amaraso n'isukari mu maraso.
• Komeza gukora imyitozo ngororamubiri buri gihe .
• Gusinzira bihagije .
• Kurya indyo yuzuye kandi irimo umunyu muke kandi wirinde kafeyine.

Ese preeclampsia ishobora kwirindwa?

Gufata aspirine umwana buri munsi byagaragaye ko bigabanya ibyago byo kurwara preeclampsia (hafi 15%). Niba ufite ibintu bishobora gutera preeclampsia, muganga wawe ashobora kukugira inama yo gutangira aspirine mu ntangiriro z'inda yawe (hafi ibyumweru 12). Ariko, ni byiza kutajya utangira aspirine utabanje kugirwa inama na muganga.

Ese birashoboka kubyara umwana usanzwe ufite preeclampsia?

Yego, ushobora kubyara mu gitsina nubwo waba ufite preeclampsia. Ariko muganga wawe ni we uzagufata icyemezo akurikije uko wowe n'umwana wawe bameze.

Ese umwana ashobora kubaho iyo preeclampsia ibaye?

Yego. Preeclampsia ishobora gutera kubyara igihe kitageze , bivuze ko umwana avuka hakiri kare. Abana bavutse igihe kitageze baba bafite ibyago byinshi byo kugira ibibazo by'ubuzima, nko kuvukana ibiro bike no guhumeka nabi. Ariko, abana benshi baba bafite ubuzima bwiza.

Ese preeclampsia irushaho koroha nyuma yo kubyara umwana?

Preeclampsia ubusanzweUbusanzwe birushaho koroha mu minsi mike cyangwa ibyumweru bike nyuma yo kubyara. Hari igihe umuvuduko w'amaraso ushobora kuguma hejuru mu byumweru bike nyuma yo kubyara, kandi ushobora gukenera gufata imiti yo kuwukoresha. Muganga wawe ashobora kugufasha gucunga umuvuduko w'amaraso nyuma yo gutwita.

Ni ryari ngomba kubonana na muganga wanjye?

Mukobwa wanjye, preeclampsia ni indwara ishobora kwica umuntu mu gihe utwite. Niba urimo kuvurwa iyi ndwara, ni ngombwa cyane kujya kwa muganga, gupimwa amaraso no gupimwa inkari buri gihe. Niba ufite ikibazo cyangwa impungenge ku bimenyetso byawe, hita ubonana na muganga w’ababyaza.

Niba utwite kandi ufite kimwe muri ibi bimenyetso, jya ku bitaro biri hafi yawe vuba:

• Ibimenyetso by'igicuri , nko kuribwa mu nda no kunyeganyega.
• Guhumeka nabi.
• Ububabare bukabije mu nda yawe (cyane cyane ku ruhande rw'iburyo).
• Kureba nabi.
• Umutwe ukabije utazigera ushira.
• Uduce twijimye mu maso yawe tudashira.

Ni ibihe bibazo ngomba kubaza muganga?

Iyo umuganga wawe akubwiye ko ufite preeclampsia, ni ibisanzwe ko ibibazo byinshi biza mu mutwe. Dore bimwe mu bibazo bisanzwe ushobora kubaza umuganga wawe:

• Ese ngomba gufata umuti?
• Ese ngomba kugabanya ibikorwa byanjye bya buri munsi?
• Ni izihe mpinduka ngomba gukora mu byo ndya n'ibyo nnywa?
• Ni kangahe ubuzima bwanjye buzakurikiranwa mu gihe cyo gutwita?
• Ese ngomba kubyara umwana hakiri kare?
• Ni gute wakwitwara neza mu gihe cy'ihungabana ry'umubiri (preeclampsia)?

Ni ibihe bimenyetso bitatu by'ingenzi bya preeclampsia?

Akenshi, muganga wawe ni we ubona ibimenyetso bya preeclampsia ku ivuriro rishinzwe kubyara.

Ibimenyetso by'ibanze akenshi ni ibi bikurikira:

• Umuvuduko w'amaraso ukabije.
• Poroteyine mu nkari.
• Kubika amazi cyangwa kubyimba mu mubiri.

Ni irihe tandukaniro riri hagati ya Preeclampsia na Eclampsia?

Eclampsia ni indwara iterwa no gucika intege bitewe no kuba umuntu afite ikibazo gikomeye cyo kubura ingano y'amaraso. Ifatwa nk'ikibazo cya preeclampsia. Ariko rimwe na rimwe, eclampsia ishobora kubaho nta kindi kimenyetso cy'uko umuntu afite ikibazo cyo kubura ingano y'amaraso.

Preeclampsia yo mu gihe cyo kubyara ni iki?

Preeclampsia nyuma yo kubyaraIbi bivuze ko urwara preeclampsia nyuma yo kuvuka k'umwana wawe. Ibi bikunze kubaho mu minsi mike nyuma yo kubyara, ariko bishobora no kubaho nyuma y'ibyumweru bike.

Ibintu by'ingenzi cyane ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Mukobwa wanjye, preeclampsia ni indwara ikomeye abantu benshi batazi ko bayirwaye. Niyo mpamvu ari ngombwa cyane kwitabira gahunda zawe zose zo kubyara no kuvugana na muganga wawe ku bimenyetso byose ubona mu gihe utwite.

Iyo umaze gupimwa iyi ndwara, muganga wawe azagukurikiranira hafi cyane utwite. Mu bihe bikomeye, bashobora kukugira inama yo kubyara umwana vuba bishoboka. Intego yabo nyamukuru ni ukugukingira wowe n'umwana wawe mu mutekano no mu buzima bwiza.

Amaherezo, ababyeyi benshi bafite ikibazo cyo kubura amaraso babyara abana bazima. Nanone, iyo ndwara ikunze kurangira burundu mu byumweru bike umwana avutse. Rero, ntugatinye kandi ukurikize amabwiriza ya muganga witonze!

Preeclampsia , Gutwita, Umuvuduko ukabije w'amaraso, Poroteyine mu muyoboro w'amaraso, Eclampsia, Kubyara, Ubuzima bw'Umubyeyi