Isicaphucaphu nokuhlanza kusasa ngexesha lokukhulelwa ziqhelekile koomama abaninzi. Ngothando sikubiza ngokuba yi-'Morning Sickness'. Kodwa ngamanye amaxesha le meko inokuba nzima ngakumbi. Namhlanje siza kuthetha ngemeko apho ungakwazi ukugcina nantoni na iphantsi, uhlanza amaxesha amaninzi ngemini, kwaye umzimba wakho uncipha. Ngokwezonyango, sibiza oku nge-Hyperemesis Gravidarum (HG) . Oku kwahlukile kakhulu kwiMorning Sickness eqhelekileyo kwaye kufuna unyango.
Ingaba oku kukugula kwasekuseni okuqhelekileyo? Okanye yiHyperemesis Gravidarum? Masibone umahluko.
Oomama abaninzi bacinga ukuba oku kukungakhathali kwasekuseni. Kodwa kukho umahluko ocacileyo phakathi kwezi zimbini. Khawuthelekelele, umhlobo wakho uyacaphuka kusasa, nawe uyacaphuka. Kodwa ukuba kubi kangangokuba awukwazi ukutya nantoni na okanye ukusela amanzi imini yonke, oko akulunganga.
Ngamafutshane, malunga nama-80% abafazi abakhulelweyo banesicaphucaphu sasekuseni. Oku kunokubangela isicaphucaphu kwaye ngamanye amaxesha ukuhlanza kube kanye okanye kabini ngemini. Kodwa badla ngokuyeka ukutya nokusela. Le meko idla ngokuphela ekupheleni kwekota yokuqala.
Kodwa iHyperemesis Gravidarum (HG) yimeko eyahlukileyo ngokupheleleyo nenzima ngakumbi. Kule meko, ukuhlanza kuba yinto enganyamezelekiyo. Oku kukhokelela ekunciphiseni ubunzima nasekuphelelweni ngamanzi emzimbeni. Le meko inokuqhubeka ngaphaya kwekota yokuqala, kwaye mhlawumbi de umntwana azalwe.
Makhe sijonge le theyibhile ukuze siqonde umahluko ngcono.
| Uphawu | Isifo Esiqhelekileyo Sasekuseni | I-Hyperemesis Gravidarum (HG) |
|---|---|---|
| Uhlobo lokuhlanza | Kanye okanye kabini ngemini, akukubi kangako. | Ngaphezu kwezihlandlo ezithathu ngemini, ngokugqithisileyo nangokuqhubekayo. |
| Ukutya kunye nokungenisa ulwelo | Amaxesha amaninzi, ukutya kunye nolwelo kunokugcinwa emzimbeni. | Ndihlanza kakhulu kangangokuba andikwazi ukugcina nantoni na endiyityayo okanye endiyiselayo. |
| Ubunzima bomzimba | Akuyi kubakho ukwehla kobunzima. Mhlawumbi nokunyuka kancinci kobunzima. | Ukulahlekelwa ngaphezu kwe-5% yobunzima bakho ngaphambi kokukhulelwa. |
| Ukuphelelwa ngamanzi emzimbeni | Akwenzeki. | Kwenzeka rhoqo kwaye kunokukhokelela esibhedlele. |
| Umda wexesha | Idla ngokuphela kwiiveki ezili-12-14. | Ihlala iiveki, iinyanga, kwaye ngamanye amaxesha ide ifike ekuzalweni. |
Zithini iimpawu zeHyperemesis Gravidarum?
Le meko idla ngokuqala malunga neeveki ezi-6 zokukhulelwa. Ezi mpawu zinokukwenza ungakhululeki kangangokuba ungakwazi ukwenza imisebenzi yakho yemihla ngemihla.
Iimpawu ezibonakalayo kakhulu
- Ukucaphuka okukhulu: Ukuziva ucaphukile okuhlala imini yonke kwaye kubuhlungu kangangokuba awukwazi kwenza nto.
- Ukuhlanza ngaphezu kwezihlandlo ezithathu ngemini: Oku akuqhelekanga, kodwa kuhlanza rhoqo.
- Ukunciphisa umzimba: Ukunciphisa umzimba ngaphezu kwe-5% yobunzima bakho bangaphambi kokukhulelwa. Umzekelo, ukuba ubunzima bakho buyi-60 kg, uza kulahlekelwa ngaphezu kwe-3 kg.
- Ukungakwazi ukugcina ukutya nokusela kuphantsi: Imeko apho ukuhlanza kuphinde kwenzeke nokuba sele usele amanzi amancinci.
- Ukuphelelwa ngamanzi emzimbeni: Ukulahleka kwamanzi aneleyo emzimbeni. Oku kubangela ukuba umlomo nemilebe yome, ubungakanani bomchamo oveliswayo buyancipha, kwaye umchamo uba mthubi omnyama.
- Ukuba nesiyezi kunye nokuba nentloko ekhaphukhaphu: Ukuziva unentloko ekhaphukhaphu kangangokuba awukwazi nokuma, kwaye uzive unesiyezi.
- Ukudinwa kakhulu: Ukuziva udiniwe kakhulu nokuba ulapho nje.
- Ukuquleka: Ngamanye amaxesha ungalahlekelwa zingqondo uze uwe.
- Intloko ebuhlungu: Intloko ebuhlungu engapheliyo.
Iimpawu ezinzima azibonakali rhoqo
- Uxinzelelo lwegazi oluphantsi
- Isantya sentliziyo esikhawulezayo
- Ulusu olomileyo
- Ukudideka
- I-jaundice (ukutyheli kolusu) ngenxa yomonakalo wesibindi
- Isifo sikaWernicke-Korsakoff: Sisifo esibi kakhulu esichaphazela ingqondo ngenxa yokunqongophala kwevithamini B1 (Thiamine).
Kutheni le meko isenzeka?
Isizathu esichanekileyo soku asikafunyanwa, kodwa into ebangela ukuba kube nzima kukuba kungenxa yotshintsho lwehomoni oluyenzeka emzimbeni ngexesha lokukhulelwa.
Ngamafutshane, xa sikhulelwe umntwana, iihomoni zomzimba wethu zitshintsha kakhulu. Omnye wabadlali abaphambili apha yihomoni ebizwa ngokuba yi -HCG (i-human chorionic gonadotropin) . Le homoni iveliswa ngumzimba ngexesha lokukhulelwa, kwaye iyanda ngokukhawuleza kakhulu nangobuninzi. Amanqanaba e-HCG afikelela kwincopho malunga neeveki ezili-10 zokukhulelwa. Kulapho oomama abaninzi befumana khona iimpawu eziqatha kakhulu. Ke ngoko, kukholelwa ukuba kukho unxibelelwano oluqinileyo phakathi kwale homoni ye-HCG kunye ne-HG.
Ukongeza, i-hormone ye -estrogen, eyandayo ngexesha lokukhulelwa, inokuba negalelo kwesi sicaphucaphu nokuhlanza.
Eyona nto ibalulekileyo kukuba, oku akulotyala lakho. Akubangelwa yinto oyityayo okanye oyiselayo, okanye yiyo nantoni na oyenzayo. Oku kubangelwa yinkqubo yebhayoloji eyenzeka emzimbeni.
Ngubani osengozini enkulu yokuba nale meko?
Abanye abantu banamathuba amaninzi okufumana iHyperemesis Gravidarum kunabanye. Ezi zinto zinobungozi ziquka:
- Ukuba ne-HG kukukhulelwa kwangaphambili: Ukuba ubunale meko ngelixa ubunomntwana ngaphambili, kusenokwenzeka ukuba uphinde ube nayo ngexesha lokukhulelwa kwakho okulandelayo.
- Ukuba namawele okanye abantwana abaninzi: Okukhona uneentsana ezininzi, kokukhona amanqanaba akho e-HCG ephezulu. Ke ngoko, umngcipheko uphezulu koomama abakhulelwe amawele okanye abantwana abathathu.
- Lo ngukukhulelwa kwakho kokuqala.
- Ukuba umntu kusapho (umama, udade) unesicaphucaphu esibi sasekuseni okanye i-HG: Oku kunokuba nefuthe elithile kwimfuza.
- Ukuba neemeko ezinje nge-migraines okanye i-motion sickness.
- Ukuba nesifo esibizwa ngokuba yiGestational Trophoblastic Disease (GTD), esikukukhula okungaqhelekanga kweeseli esibelekweni.
Zithini iindlela zonyango zoku?
Unyango luxhomekeke kubukhali beempawu zakho. Eyona nto ibalulekileyo kukuthetha nogqirha wakho ngale nto uze ukhethe unyango olukulungeleyo. Kukho izinto onokuzenza ekhaya, kunye nonyango olufuna ukulaliswa esibhedlele.
| Indlela yonyango | Inkcazo |
|---|---|
| Ngeempawu ezibuthathaka (yintoni enokwenziwa ekhaya) | |
| Utshintsho kwindlela yokutya | Yitya ukutya okuncinci rhoqo (umz. rhoqo emva kweeyure ezimbini) endaweni yokutya ukutya okukhulu. Yitya ukutya okuthambileyo nokomileyo okufana nee-crackers, isonka, irayisi kunye neetapile ezibilisiweyo. Kuphephe ukutya okunamafutha nokuneziqholo. |
| Utshintsho kwindlela yokuphila | Ukunxiba i-acupressure wristband ukunciphisa isicaphucaphu. Ukuhlafuna iipilisi zejinja okanye ukusela iti yejinja. Ukuzikhwebula kwizinto ezikwenza ube nesicaphucaphu (ivumba elithile, ukukhwela iimoto). |
| Amayeza anikwa iingcebiso zonyango | Ugqirha wakho unokucebisa amayeza anjengeVithamin B6 (Pyridoxine) kunye neDoxylamine. Musa ukuthenga naliphi na iyeza kwikhemesti ngaphandle kokubonisana nogqirha nangasiphi na isizathu. |
| Ngeempawu ezinzima (unyango lwasesibhedlele) | |
| Ukunika ulwelo ngomthambo (IV Fluids) | Ukuba uphelelwe ngamanzi emzimbeni, uza kunikwa ulwelo kunye nezondlo ngetyuwa. Oku kuya kufuna ukuba uhlale esibhedlele. |
| Amayeza acetyiswayo | Amayeza anamandla afana nePromethazine, iMetoclopramide, kunye ne-Ondansetron anikwa ukulawula ukuhlanza. Ukuba awukwazi ukuginya iipilisi, ungathatha inaliti okanye iisuppositories. |
| Ukondla ngetyhubhu | Ukuba awukwazi ukutya konke konke, izondlo zifumaneka ngetyhubhu encinci efakwe ngempumlo okanye esiswini esiswini. |
| Isondlo esipheleleyo se-parenteral (TPN) | Kwiimeko ezinzima kakhulu, zonke izondlo ezifunekayo zithunyelwa ngqo emzimbeni ngomthambo, ziwuphumza ngaphandle kokufaka naluphi na uxinzelelo kwinkqubo yokugaya ukutya. |
Ingaba le meko iza kuhlala ixesha elingakanani? Ngaba iza kumchaphazela umntwana?
Oku kusenokukoyikisa, kwaye kufanelekile. Kodwa iindaba ezimnandi zezokuba ngonyango olufanelekileyo, wena nomntwana wakho ninokuphila kakuhle.
- Ubude bexesha: Abanye abantu bafumana ukwehla kweempawu emva kwekota yokuqala. Abanye banokuba nale meko phantse ngexesha lokukhulelwa. Kodwa emva kokuba umntwana ezelwe, phantse zonke ezi mpawu ziyanyamalala ngokupheleleyo.
- Iziphumo kumntwana: Ukuba uthatha unyango olufunekayo phantsi kweliso likagqirha, ngokuqhelekileyo akukho mpembelelo kumntwana. Nangona kunjalo, ukuba iimeko ezifana nokulahlekelwa bubunzima obuqatha ngumama okanye ukuphelelwa ngamanzi emzimbeni kakhulu azinyangwa, umntwana usenokungazalwa enobunzima obuphantsi okanye azalwe ngaphambi kwexesha.
- Ukukhulelwa okunomngcipheko ophezulu: Ukuba une-HG, oogqirha baya kukujonga ukukhulelwa kwakho njengomngcipheko ophezulu. Oko akuthethi ukuba kukho into ekufuneka uyixhalabele, kodwa kuthetha ukuba wena nomntwana wakho niza kuhlolwa ngononophelo nangakumbi rhoqo .
Xa ngokuqinisekileyo kufuneka ubone ugqirha
Musa ukuhlala ekhaya uze uhlupheke, ucinga ukuba ukuhlanza kakhulu "kuyinto eqhelekileyo" ngexesha lokukhulelwa. Ukuba unezi mpawu, bonana nogqirha wakho ngoko nangoko.
Khumbula, xa unyango luqala ngokukhawuleza, kokukhona unokuthintelwa ngcono ukuba imeko ingabi mandundu.
- Ukuba awukwazi ukutya nantoni na ngenxa yesicaphucaphu esihlala imini yonke.
- Ukuba uqhubeka nokuhlanza ngaphezu kwezihlandlo ezithathu ngemini kangangeentsuku ezininzi.
- Ukuba uziva ngathi umzimba wakho uyancipha .
- Ukuba uziva unesiyezi , unentloko ebuhlungu, okanye ubuthathaka .
- Ukuba ubungakanani bomchamo owudlulayo bunciphile kakhulu, okanye ukuba umchamo wakho ujika ube nombala otyheli/orenji omnyama.
Ngexesha elinje, unokufuna ukungeniswa kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele kwaye unikwe ityuwa kunye namayeza afunekayo.
Umyalezo Wokuya Ekhaya
- I-Hyperemesis Gravidarum (HG) ayisiyonto nje eqhelekileyo yokuguliswa kusasa. Yimeko enzima yezempilo efuna unyango.
- Ukuba uhlanza kakhulu kangangokuba awukwazi ukugcina ukutya okanye isiselo siphantsi, ukuba uncipha umzimba, okanye ukuba unesiyezi , musa ukubandezeleka wedwa kwaye ubone ugqirha wakho ngoko nangoko.
- Le meko ayilotyala lakho. Ibangelwa kukutshintsha kweehomoni emzimbeni.
- Kukho unyango olusebenzayo kakhulu koku. Le meko ingalawulwa kakuhle ngolwelo olufakwa kwimithambo yegazi (ityuwa) kunye namayeza.
- Ngonyango olufanelekileyo kunye nolawulo olufanelekileyo, nawe ungazala umntwana ophilileyo. Ngoko ke ungoyiki, fumana uncedo olufunayo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho