Imeko Eyingozi Ngexesha Lokukhulelwa: Masifunde Nge-Eclampsia | Nirogi Lanka

Ukuba okwangoku ukhulelwe, kusenokwenzeka ukuba ugxile kakhulu kwimpilo yakho nakwimpilo yomntwana wakho. Nangona ukukhulelwa luhambo oluhle, ngamanye amaxesha lunokuhambisana neengxaki ezingalindelekanga. I-Eclampsia yenye yeengxaki ezingaqhelekanga kodwa ezinokuba yingozi. Masithathe ixesha ukuqonda ukuba yintoni, akunjalo?

Yintoni i-Eclampsia? Kwaye inxulumene njani ne-Preeclampsia?

Okokuqala, masichaze iPreeclampsia . Ngamazwi alula, yimeko ethile yokukhulelwa—eyenzeka emva kweeveki ezingama-20—ebonakaliswa luxinzelelo lwegazi oluphezulu kunye neproteni kumchamo wakho .

Ukuba i-preeclampsia ayilawulwa okanye iyaqhubeka, inokuguquka ibe yi -Eclampsia . I-Eclampsia yenzeka xa umntu one-preeclampsia efumana ukuxhuzula okanye ukuxhuzula . Ukuxhuzula kukuphazamiseka kombane okungaqhelekanga ngequbuliso engqondweni okunokubangela ukungcangcazela okunganyanzelekanga, ukulahlekelwa zingqondo, okanye ukudideka.

Okubaluleke kakhulu, nceda wazi ukuba ayinguye wonke umntu one-preeclampsia ofumana i-eclampsia. Iyenzeka kwiimeko ezingaphantsi kwe-3%. Nangona kunjalo, yimeko ebalulekileyo yezonyango efuna ukungenelela kwezonyango ngokukhawuleza .

Kwiimeko ezininzi, oogqirha bayayilawula ngempumelelo i-preeclampsia ngaphambi kokuba ifikelele kwinqanaba le-eclampsia. Yiyo loo nto ukuya rhoqo kwi-aphoyintimenti yakho yokukhulelwa kubalulekile. Unyango oluqinisekileyo kuzo zombini ezi meko kukuzalwa komntwana.

Ngubani osengozini enkulu yokufumana i-Eclampsia?

Eyona nto iphambili ebangela i-eclampsia kukuba ne-preeclampsia. Nangona kunjalo, kukho ezinye izinto ezininzi ezinokunyusa umngcipheko wakho:

• Ulindele amawele okanye abantwana abaninzi .
• Unemeko yokuzikhusela komzimba apho amajoni akho omzimba ahlasela iiseli zakho ngempazamo (umz., iLupus).
• Utya ukutya okungenampilo okanye uphila nokutyeba kakhulu (i-Body Mass Index/BMI engama-30 nangaphezulu).
• Unesifo seswekile esele sikhona ( iDiabetes Mellitus) , uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) , okanye isifo sezintso .
• Uneminyaka engaphantsi kwe-17 okanye ngaphezulu kwe-35 ubudala.
• Lo ngukukhulelwa kwakho kokuqala .
• Ilungu losapho (njengomama okanye udadewenu) okanye wena ngokwakho unembali ye-preeclampsia okanye i-eclampsia.

Nangona kunjalo, kubalulekile ukukhumbula ukuba i-eclampsia isenokubakho nokuba awunazo ezi zinto ziyingozi.

Ziziphi iimpawu ezilumkisayo ze-Eclampsia?

Amaxesha amaninzi, i-eclampsia ilandelwa ziimpawu ezilumkisayo. Ukwazi ezi mpawu kubalulekile ukuze ufumane uncedo lwezonyango ngokukhawuleza:

• Intloko ebuhlungu nengapheliyo engaphenduliyo kwiindlela eziqhelekileyo zokunciphisa iintlungu .
• Ukuphefumla nzima okanye ukuphefumla nzima.
• Isicaphucaphu okanye ukuhlanza .
• Ubunzima bokuchama okanye ukwehla okukhulu kokuchama.
• Intlungu yesisu , ingakumbi kwicala eliphezulu lasekunene (kufutshane nesibindi).
• Umbono ofipheleyo , ukubona kabini, ukulahlekelwa umbono , okanye ukubona ukukhanya okukhanyayo.
• Ukudumba ngequbuliso ezandleni, ebusweni, okanye emaqatheni.

Ukuba ufumana naziphi na kwezi mpawu, kufuneka ufune unyango olungxamisekileyo ngoko nangoko .

Ziziphi iimpawu eziphambili ze-Eclampsia?

Iimpawu eziphambili nezicacileyo ze-eclampsia ziquka:

• Ukuxhuzula : Ukungcangcazela okungenanjongo, ukuqaqamba kwemisipha okunesingqi, okanye ukuqina umhlathi.
• Ukuphazamiseka kwengqondo okanye ukudideka okukhulu : Ukuziva udidekile okanye uphazamisekile engqondweni.
• Ukulahlekelwa yingqondo .

Yintoni ebangela i-Eclampsia?

Njengoko kuxoxiwe, i-eclampsia idla ngokubangelwa kukwanda kwe -preeclampsia . Uxinzelelo lwegazi oluphezulu oluhambelana ne-preeclampsia lubeka uxinzelelo olukhulu kwimithambo yegazi yakho, ingakumbi leyo isebuchotsheni. Oku kunokukhokelela ekudumbeni kwengqondo, okubangela ukuxhuzula.

Ukongeza, kukholelwa ukuba i-genetics kunye nezinto zokutya nazo zidlala indima.

Ifunyaniswa njani i-Eclampsia?

Ugqirha wakho wotyando uza kuxilonga i-eclampsia, emva kokuba enesithuthwane. Banokwenza oku kulandelayo:

• Uvavanyo lomzimba : Ukuvavanya impilo yakho iyonke kunye neempawu zeklinikhi.
• Ukujonga Uxinzelelo Lwegazi Rhoqo : Ukuchonga ukunyuka kwe-hypertension.
• Uvavanyo lweGazi : Ukujonga iingxaki kwiiseli ezibomvu zegazi, iiplatelets (ezibalulekileyo ekuqiniseni ukujiya kwegazi), kunye nokusebenza kwesibindi.
• Uvavanyo lomchamo : Ukujonga amanqanaba aphezulu eeproteni.
• Uvavanyo lweCreatinine : Ukuvavanya ukusebenza kwezintso ngokulinganisa ukuhluzwa kwenkunkuma.

Ugqirha wakho uza kujonga impilo yomntwana wakho ngokusondeleyo esebenzisa ii-ultrasound ukujonga ukubetha kwentliziyo, intshukumo, ukukhula, kunye nemeko ye-placenta.

Inyangwa njani i-Eclampsia?

Unyango olungcono noluqinisekileyo lwe-eclampsia kukuzala umntwana , njengoko imeko iphela xa ukukhulelwa kugqityiwe.

• Ukuba ungaphezulu okanye ungaphezulu kweeveki ezingama-37 , oogqirha baya kuzama ukukubangela ukuba ubeleke.
• Ukuba nobabini nomntwana nizinzile, ukuzala kuyenzeka. Nangona kunjalo, kwiimeko ezininzi, kufuneka utyando lwe-C-section olungxamisekileyo ukuqinisekisa ukhuseleko lomama nomntwana.

Ukuba ugqirha wakho ugqiba kwelokuba kufuneka ulibazise ukuzala ukuze umntwana wakho akhule ixesha elingakumbi, unokukunika amayeza alandelayo:

• Amayeza okulwa nokuxhuzula : La asetyenziselwa ukuthintela okanye ukunqanda ukuxhuzula. Olona nyango luqhelekileyo yiMagnesium sulfate , enikwa njenge-intravenous (IV) infusion.
• Amayeza okulwa noxinzelelo lwegazi : La asetyenziselwa ukulawula nokunciphisa uxinzelelo lwegazi oluphezulu.
• IiCorticosteroids : Ukuba kufuneka ubeleke ngaphambi kwexesha, la mayeza anceda ekukhawuleziseni ukukhula kunye namandla emiphunga yomntwana wakho.

Ziziphi ezinye iingxaki ezinokuvela kwi-Eclampsia?

Ngenxa yokuba i-eclampsia yimeko enzima yezempilo, inokukhokelela kwiingxaki ezahlukeneyo kuwe nakumntwana wakho.

Iingxaki ezinokubakho kumama:

• Ukuqhawuka kwe-placenta : Yimeko engxamisekileyo esongela ubomi apho i-placenta yahlukana nodonga lwesibeleko ngaphambi kokuzalwa.
• Ukuzala kwangaphambi kwexesha .
• Iingxaki zokuqunjelwa kwegazi .
• Istroke .
• Ukungasebenzi kakuhle kwezintso .
• Umonakalo wesibindi .
• Ukufa koomama (Nangona kunqabile kakhulu, kunokuthintelwa ngoncedo lwezonyango olukhawulezileyo).

I-eclampsia ichaphazela njani umntwana?

Nangona uninzi lweentsana lungenazo iingxaki zempilo ezihlala ixesha elide ngenxa ye-eclampsia, le meko inokuchaphazela ngqo i-placenta—ilungu elibalulekileyo elinika umntwana wakho ioksijini, igazi, kunye nezondlo. Ukuba ukusebenza kakuhle kwe-placenta kuyaphazamiseka, umntwana wakho unokujongana nemingcipheko elandelayo:

• Ukuqhawuka kwe-placenta .
• Ukuzalwa kwengane ifile (kunqabile kakhulu).
• Amathuba okuba utyando lwe-C-section lunyuke kakhulu .
• Ukuzalwa ngaphambi kwexesha .
• Ubunzima obuphantsi bokuzalwa .
• Ukuthintelwa kokukhula .

Ingancitshiswa njani ingozi ye-Eclampsia?

Nangona ungenakusoloko ukuthintela oku, ungathatha amanyathelo okunciphisa umngcipheko wakho:

• Ulawulo olufanelekileyo lwe-preeclampsia lelona nyathelo libalulekileyo.
• Yiya kuzo zonke iintlanganiso zokukhulelwa : Ungaphoswa zezi zifundo. Zivumela ugqirha wakho ukuba ajonge uxinzelelo lwegazi rhoqo aze ajonge umchamo wakho ukuba unamanqanaba eeproteni.
• Gcina indlela yokuphila esempilweni : Yitya ukutya okunesondlo kwaye wenze umthambo njengoko ugqirha wakho ekucebisa.
• Ukuba usemngciphekweni omkhulu we-preeclampsia (umz., imbali ye-preeclampsia kukukhulelwa kwangaphambili okanye uxinzelelo lwegazi olungapheliyo), ugqirha wakho unokucebisa i-Aspirin yedosi ephantsi ukuqala kwi-trimester yokuqala . Uphando lubonisa ukuba oku kunokunciphisa umngcipheko wokuba ne-preeclampsia. Soloko ulandela iingcebiso ezithile zikagqirha wakho ngaphambi kokuba uqalise naliphi na iyeza elitsha.

Ngaba kunokwenzeka ukuba uphile emva kwe-Eclampsia?

Ewe, uninzi lwabasetyhini luyachacha ngokupheleleyo emva kokubeleka. Nangona kunjalo, ngexesha lokuchacha kwakho, khumbula oku kulandelayo:

• Yitya ukutya okunesondlo nokunokulinganisela .
• Hlala usebenza njengoko ugqirha wakho ekucebisile.
• Qinisekisa ukuba uphumla ngokwaneleyo .
• Yiya kuzo zonke iintlanganiso emva kokubeleka ngaphandle kokusilela.
• Lawula uxinzelelo kangangoko unako.
• Sela onke amayeza ngendlela omiselwe ngayo .
• Jonga uxinzelelo lwakho lwegazi yonke imihla ubuncinane iiveki ezimbini emva kokubeleka.

I-Eclampsia ayisoloko ibulala; ngonyango olufike ngexesha, uninzi lwezigulane luyaphila ngokupheleleyo. Hlala unolwazi, landela iingcebiso zonyango, kwaye ubeke phambili ukhuseleko lwakho.

Ndingaqhagamshelana nini nogqirha ngoko nangoko?

Ukuba ufumana naziphi na kwezi mpawu zintsha zilandelayo ngexesha lokukhulelwa, funa unyango olungxamisekileyo okanye undwendwele isibhedlele esikufutshane ngoko nangoko:

• Nakuphi na ukuxhuzula – le yingxamiseko yezonyango!
• Intloko ebuhlungu nengapheliyo.
• Ukopha kwamalungu esini.
• Ukuphazamiseka kokubona, okufana nokungaboni kakuhle, ukubona kabini, okanye ukubona izibane ezikhanyayo/ii-aura.
• Intlungu ebuhlungu esiswini (ingakumbi kwicala eliphezulu lasekunene).
• Ukuhlanza rhoqo, okungapheliyo.
• Ukuncipha okanye ukungabikho kwentshukumo yomntwana ongekazalwa.

Khumbula, nangona i-eclampsia ingaqhelekanga, yingxaki eyingozi yokukhulelwa. Ulawulo olusebenzayo lwe-preeclampsia yeyona ndlela ilungileyo yokuthintela i-eclampsia. Ngokuya kuvavanyo lwakho lwangaphambi kokukhulelwa kunye nokujonga uxinzelelo lwegazi, iiproteni kumchamo, kunye nezinye iimpawu zokulumkisa, unokunceda ugqirha wakho wokubelekisa ukuba abambe iingxaki kwangethuba. Ukuba ufumana ukudideka, iintloko ezibuhlungu, utshintsho lombono, okanye ukungcangcazela kwemisipha, yazisa ugqirha wakho wokubelekisa ngoko nangoko.

Umyalezo obalulekileyo oya nawo ekhaya

Ukushwankathela, nazi iingongoma ezibalulekileyo ekufuneka uzikhumbule:

• I-Eclampsia yingxaki enzima ye-preeclampsia enokubangela ukuxhuzula kwaye inokuba yingozi ebomini .
• Lumka kakhulumalunga neempawu ezinje ngoxinzelelo lwegazi oluphezulu, iiproteni kumchamo, iintloko ezibuhlungu kakhulu, utshintsho lombono, iintlungu zesisu, kunye nokudumba ngequbuliso.
• Ungaze ulibale ngamadinga akho okukhulelwa. Ukulandela ishedyuli yovavanyo lukagqirha wakho yeyona ndlela ilungileyo yokugcina wena nomntwana wakho nikhuselekile.
• Ukuba ubona naziphi na iimpawu ezilumkisayo, funa uncedo lwezonyango ngoko nangoko. Ukufunyaniswa kwangoko kukhokelela kwiziphumo ezingcono kunye neengxaki ezimbalwa.
• Ukuhanjiswa lunyango oluqinisekileyo lwe-eclampsia, nangona amayeza esetyenziselwa ukuzinzisa imeko yakho kwangaphambili.
• Uninzi lwabantu luyaphola ngokupheleleyo kwi-eclampsia. Musa ukuhlala ngoloyiko, kodwa hlala ulumkile kwaye ulandele ngokungqongqo imiyalelo yeklinikhi kagqirha wakho.

Ndikunqwenelela uhambo olusempilweni wena nomntwana wakho ukusuka eNirogi Lanka!