Kusvotwa nekurutsa mangwanani panguva yekuzvitakura zvakajairika kuna vanaamai vazhinji. Tinozvidaidza nerudo kuti 'Kurwara Kwemangwanani'. Asi dzimwe nguva chirwere ichi chinogona kutowedzera kuipa. Nhasi tichataura nezvechirwere chausingakwanise kudzikamisa chero chinhu, unorutsa kakawanda pazuva, uye muviri wako unodzikira huremu. Mukurapa, tinodana ichi kuti Hyperemesis Gravidarum (HG) . Izvi zvakasiyana zvikuru neKurwara Kwemangwanani kwakajairika uye zvinoda kurapwa.
Uku kurwara kwemangwanani kwakajairika here? Kana kuti Hyperemesis Gravidarum? Ngatizivei musiyano.
Vanaamai vazhinji vanofunga kuti iyi ingori nyaya yekunzwa kuda kurutsa mangwanani. Asi pane musiyano wakajeka pakati pezviviri izvi. Fungidzira, shamwari yako inonzwa kuda kurutsa mangwanani, uye iwe unonzwa kuda kurutsawo. Asi kana zvakanyanya zvekuti haugone kudya chero chinhu kana kunwa mvura zuva rese, hazvina kujairika.
Zvichitaurwa zviri nyore, vanhu vanosvika 80% vane pamuviri vanonzwa kuda kurutsa mangwanani. Izvi zvinogona kukonzera kuda kurutsa uye dzimwe nguva kurutsa kamwe chete kana kaviri pazuva. Asi vanowanzo gara vachidya nekunwa. Dambudziko iri rinowanzo pera panopera mwedzi mitatu yekutanga yekuzvitakura.
Asi Hyperemesis Gravidarum (HG) chirwere chakasiyana zvachose uye chakanyanya kuoma. Panyaya iyi, kurutsa kunova kusingatsungiririki. Izvi zvinoita kuti munhu adzikire uremu uye apere mvura mumuviri. Chirwere ichi chinogona kuramba chichienderera mberi kupfuura trimester yekutanga, uye pamwe kusvika mwana azvarwa.
Ngatitarisei tafura iyi kuti tinzwisise musiyano uyu zviri nani.
| Hunhu | Kurwara Kwemangwanani Kwakajairika | Hyperemesis Gravidarum (HG) |
|---|---|---|
| Hunhu hwekurutsa | Sekunge kamwe chete kana kaviri pazuva, hazvina kuipa zvakanyanya. | Kupfuura katatu pazuva, zvakanyanya uye nguva dzose. |
| Chikafu uye kunwa mvura | Kazhinji, chikafu nemvura zvinogona kuchengetwa mumuviri. | Ndiri kurutsa zvakanyanya zvekuti handigoni kurega chero chandinodya kana kunwa. |
| Kurema kwemuviri | Hakuzove nekudzikira kwehuremu. Pamwe kutowedzera huremu zvishoma. | Kuderedza huremu hwako hunopfuura 5% usati wabata pamuviri. |
| Kushaya mvura mumuviri | Hazviitike. | Zvinowanzoitika uye zvinogona kutoita kuti munhu agare muchipatara. |
| Muganho wenguva | Kazhinji zvinodzikira panosvika mavhiki gumi nemaviri kusvika gumi nemana. | Zvinotora mavhiki, mwedzi, uye dzimwe nguva kutosvika pakusununguka. |
Ndezvipi zviratidzo zveHyperemesis Gravidarum?
Dambudziko iri rinowanzotanga panosvika mavhiki matanhatu ekuzvitakura. Zviratidzo izvi zvinogona kukukanganisa zvekuti haugone kuita mabasa ako ezuva nezuva.
Zvinhu zvinonyanya kuonekwa
- Kusvotwa zvakanyanya: Kunzwa kuda kurutsa kunotora zuva rese uye kwakanyanya zvekuti haugone kuita chero chinhu.
- Kurutsa kanopfuura katatu pazuva: Izvi hazvisi zvakajairika, asi kurutsa nguva dzose.
- Kudzikira kwehuremu: Kudzikira kwehuremu hwako hunopfuura 5% usati wabata pamuviri. Semuenzaniso, kana uchirema 60 kg, uchadzikira kwehuremu hunopfuura 3 kg.
- Kusakwanisa kuchengetedza chikafu nechinwiwa zvishoma: Chirwere chekuti munhu anorutsa zvakare kunyangwe mushure mekunwa mvura shoma.
- Kushaya mvura mumuviri: Kurasikirwa nemvura yakakwana mumuviri. Izvi zvinoita kuti muromo nemiromo zviome, huwandu hweweti inogadzirwa hunoderera, uye weti inova yero yakasviba.
- Dzungu uye musoro wakareruka: Kunzwa musoro wakareruka zvekuti haugone kana kumira, uye kunzwa dzungu.
- Kuneta kwakanyanya: Kunzwa kuneta zvakanyanya kunyangwe uripo chete.
- Kufenda: Dzimwe nguva unogona kurasikirwa nepfungwa wobva wadonha.
- Musoro: Musoro unogara uchirwadza.
Kashoma kuona zviratidzo zvakakomba
- Kuderera kweropa
- Kurova kwemoyo nekukurumidza
- Ganda rakaoma
- Kuvhiringidzika
- Jaundice (ruvara rweyero rweganda) nekuda kwekukuvara kwechiropa
- Wernicke-Korsakoff syndrome: Chirwere chakakomba chinokanganisa uropi nekuda kwekushomeka kwevhitamini B1 (Thiamine).
Sei mamiriro ezvinhu aya achiitika?
Chikonzero chaicho cheizvi hachisati chawanikwa, asi fungidziro huru ndeyekuti imhaka yekuchinja kwemahormone kunoitika mumuviri panguva yekuzvitakura.
Zvichitaurwa zviri nyore, patinobata pamuviri wemwana, mahormone emuviri wedu anochinja zvakanyanya. Imwe yeanonyanya kukosha pano ihormone inonzi HCG (human chorionic gonadotropin) . Iyi hormone inogadzirwa nemuviri panguva yekuzvitakura, uye inowedzera nekukurumidza uye yakawanda. HCG levels inosvika mavhiki gumi ekuzvitakura. Apa ndipo apo vanaamai vazhinji vanowana zviratidzo zvakakomba. Saka, zvinofungidzirwa kuti pane hukama hwakasimba pakati peiyi hormone yeHCG neHG.
Pamusoro pezvo, hormone inonzi estrogen, iyo inowedzera panguva yekuzvitakura, inogonawo kukonzera kuda kurutsa uku.
Chinonyanya kukosha ndechekuti, iyi haisi mhosva yako. Hazvikonzerwi nechero chaunodya kana kunwa, kana nechero chaunoita. Izvi zvinokonzerwa nemaitiro emuviri anoitika mumuviri.
Ndiani ari panjodzi huru yechirwere ichi?
Vamwe vanhu vane mukana mukuru wekuwana Hyperemesis Gravidarum kupfuura vamwe. Izvi zvinosanganisira:
- Kuva neHG mupamuviri wakambovamba: Kana wakambova nedambudziko iri pawakanga uchibereka mwana kare, une mukana wekuva naro zvakare panguva yekuzvitakura kwako kunotevera.
- Kuva nevana mapatya kana kupfuura: Kana uine vana vakawanda, huwandu hwemahormone eHCG hunowedzera. Nokudaro, njodzi yacho yakakura kune vanaamai vari kutarisira mapatya kana vatatu.
- Iyi ndiyo mimba yako yekutanga.
- Kana mumwe munhu mumhuri (amai, hanzvadzi) aine chirwere chemangwanani chakanyanya kana HG: Izvi zvinogona kunge zvine chekuita nemajini.
- Kuva nezvirwere zvakaita semigraine kana kufamba-famba.
- Kuva nechirwere chinonzi Gestational Trophoblastic Disease (GTD), icho chiri kukura kusingawanzoitiki kwemasero muchibereko.
Ndezvipi zvinorapwa izvi?
Kurapwa kunoenderana nekuoma kwezviratidzo zvako. Chinhu chakakosha kutaura nachiremba wako nezveizvi wosarudza kurapwa kwakakunakira. Pane zvinhu zvaunogona kuita uri kumba, pamwe chete nemishonga inoda kuti ugare muchipatara.
| Nzira yekurapa | Tsananguro |
|---|---|
| Kune zviratidzo zvishoma (zvingaitwe kumba) | |
| Kuchinja mukudya | Idyai zvikafu zvidiki, kakawanda (semuenzaniso, maawa maviri ega ega) pane kudya zvikafu zvakawanda. Idyai zvikafu zvisina kusimba, zvakaoma zvakaita semacrackers, chingwa, mupunga, nembatatisi dzakabikwa. Dzivisai zvikafu zvine mafuta uye zvine spice. |
| Kuchinja kwemararamiro | Kupfeka bhande reruoko re acupressure kuderedza kuda kurutsa. Kutsenga mapiritsi e ginger kana kunwa tii ye ginger. Kusaita zvinhu zvinokunetsa (kunhuwa kumwe, kufamba nemota). |
| Mishonga inobva pakupa mazano ekurapa | Chiremba wako anogona kukurudzira mishonga yakaita seVitamin B6 (Pyridoxine) neDoxylamine. Usatenge mishonga kubva ku pharmacy usina kubvunza chiremba chero chikonzero chipi zvacho. |
| Kune zviratidzo zvakakomba (kurapwa kuchipatara) | |
| Kupa mvura kuburikidza netsinga (IV Fluids) | Kana usina mvura yakakwana mumuviri, uchapihwa mvura nezvinovaka muviri kuburikidza nemunyu. Izvi zvinoda kugara muchipatara. |
| Mishonga inokurudzirwa | Mishonga yakasimba yakaita sePromethazine, Metoclopramide, uye Ondansetron inopiwa kudzora kurutsa. Kana usingakwanise kumedza mapiritsi, unogona kunwa majekiseni kana masuppositories. |
| Kudyisa machubhu | Kana usingakwanise kudya zvachose, kudya kunopihwa kuburikidza nechubhu diki inopinzwa nepamhino kana mudumbu mudumbu. |
| Kudya kwakakwana kwevabereki (TPN) | Muzviitiko zvakakomba, kudya kwese kunodiwa kunoendeswa zvakananga mumuviri kuburikidza netsinga, zvichiita kuti ugare kwenguva refu pasina kuomesa kugaya chikafu. |
Dambudziko iri richagara kwenguva yakareba sei? Richakanganisa mwana here?
Izvi zvinogona kukutyisa, uye zvakakodzera. Asi mashoko akanaka ndeekuti kana ukarapwa zvakanaka, iwe nemwana wako munogona kuva mutano.
- Nguva: Vamwe vanhu vanowana kudzikira kwezviratidzo mushure memwedzi mitatu yekutanga yekuzvitakura. Vamwe vanogona kunge vaine chirwere ichi panguva yekuzvitakura. Asi mushure mekuzvarwa kwemwana, zviratidzo izvi zvinenge zvese zvinopera zvachose.
- Mhedzisiro pamwana: Kana ukatora mushonga unodiwa uchitarisirwa nachiremba, kazhinji hapana chinokanganisa pamwana. Zvisinei, kana zvirwere zvakaita sekurasikirwa nehuremu zvakanyanya kuna amai kana kupera mvura mumuviri zvakanyanya zvikarapwa, mwana anogona kuzvarwa asina huremu hwakakwana kana kuzvarwa nguva isati yakwana.
- Kubata pamuviri kune njodzi huru: Kana uine HG, vanachiremba vachaona pamuviri wako sepanjodzi huru. Izvi hazvirevi kuti pane chekunetseka nazvo, asi zvinoreva kuti iwe nemwana wako muchatariswa zvakanyanya uye kakawanda .
Kana uchifanira kuona chiremba zvechokwadi
Usangogara pamba wotambura, uchifunga kuti kurutsa kwakanyanya "kwakajairika" panguva yekuzvitakura. Kana uine zviratidzo izvi, enda kuna chiremba wako nekukasika.
Yeuka, kana kurapwa kukatanga nekukurumidza, ndipo paunokwanisa kudzivirira kuti chirwere chacho chisanyanya kuipa.
- Kana usingakwanise kudya chero chinhu nekuda kwekuda kurutsa kunotora zuva rese.
- Kana ukaramba uchirutsa kanopfuura katatu pazuva kwemazuva akati wandei.
- Kana uchinzwa sekuti muviri wako uri kudzikira uremu .
- Kana uchinzwa dzungu , musoro wakaneta, kana kuti kupera simba .
- Kana huwandu hweweti yawakabuda nayo hwakaderera zvakanyanya, kana kuti weti yako ikaita ruvara rweyero/orenji.
Panguva yakaita seiyi, ungangoda kugamuchirwa kuEmergency Treatment Unit (ETU) yechipatara wopiwa munyu nemishonga inodiwa.
Mharidzo Yekuenda Nayo Kumba
- Hyperemesis Gravidarum (HG) haisi nyaya yemangwanani chete, asi chirwere chakakomba chinoda kurapwa.
- Kana uchirutsa zvakanyanya zvekuti haugone kuramba uchidya kana kunwa, kana uri kudzikira uremu, kana kuti uine dzungu , usazvidya moyo wega uye enda kuna chiremba wako nekukasika.
- Dambudziko iri harisi mhosva yako. Rinokonzerwa nekuchinja kwemahormone mumuviri.
- Kune mishonga inoshanda zvikuru yekurapa izvi. Dambudziko iri rinogona kudzorwa zvakanaka nekushandisa mvura yemutsinga (saline) nemishonga.
- Nekurapwa kwakakodzera uye kutarisirwa, iwewo unogona kubereka mwana ane hutano. Saka usatya, tsvaga rubatsiro rwaunoda.
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