Uvuyo lokwamkela umntwana omtsha ekhaya alunakuchazwa, akunjalo? Nangona ingqalelo yomntu wonke igxile kumntwana wakho nakunyana wakho, kubalulekile kuwe njengomama omtsha ukuba ukhathalele impilo yakho. Kaloku, ukuzala yinkqubo enkulu, kwaye kuthatha ixesha elithile ukuba umzimba wakho uphile. Ngeli xesha, ngamanye amaxesha sinokuhlangabezana neemeko zempilo ezingalindelekanga, kodwa ezinzulu kakhulu. Yiyo loo nto i-Postpartum Preeclampsia.
Ngamafutshane, yintoni i-postpartum preeclampsia?
I-postpartum preeclampsia yimeko enzima, kodwa engaqhelekanga, yoxinzelelo lwegazi oluphezulu oluvela koomama emva kokubeleka. Idla ngokuvela kwiiyure zokuqala ezingama-48 zokubeleka. Nangona kunjalo, ngamanye amaxesha inokuvela emva kweeveki ezintandathu emva kokubeleka. Iyingozi kuba inokukhokelela kwiingxaki ezinzima ezifana nestroke kunye nokuxhuzula ukuba ayifunyaniswanga kwaye inyangwe kwangethuba.
Ngoku usenokuba ucinga ukuba, oku akufani na ne-preeclampsia? Hayi, ezi zimbini zahlukile kancinci. I-Preeclampsia yimeko eyenzeka ngexesha lokukhulelwa. Kodwa i-prepartum preeclampsia yenzeka kuphela emva kokuba umntwana ezelwe. Okumangalisayo kukuba nomama ongazange abe ne-preeclampsia ebomini bakhe kwaye ongazange abe neengxaki ngexesha lokukhulelwa unokufumana le meko.
Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza ukuba ufumana naziphi na kwezi mpawu. Okukhona ufunyaniswa unesifo kwaye unyangwa ngokukhawuleza, kokukhona amathuba akho okuchacha ngokupheleleyo esanda.
Ngubani osengozini enkulu yokuba nale meko?
Nangona le meko inokuvela nakubani na, kukho izinto ezithile ezinokunyusa umngcipheko wakho. Kubalulekile ukuthetha nogqirha wakho ngale nto.
| Into Engumngcipheko | Ingcaciso elula |
|---|---|
| Ukutyeba kakhulu | Ukuba ubunzima bomzimba wakho buphezulu kakhulu kunobuqhelekileyo. |
| Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa | Ukuba uxinzelelo lwakho lwegazi beluphezulu ngelixa ubukhulelwe umntwana wakho. |
| Imbali yosapho okanye yobuqu | Ukuba wena okanye umntu kusapho lwakho (umama, udadewenu) ukhe waba ne-preeclampsia okanye i-postpartum preeclampsia ngaphambili. |
| Ubudala | Ukuba ungaphantsi kweminyaka engama-20 okanye ngaphezulu kweminyaka engama-40 ubudala. |
| Amawele | Ukuba ulindele amawele okanye abantwana abaninzi. |
| Ezinye iimeko zonyango | Ukuba unezifo ezifana nesifo seswekile (uhlobo 1 okanye uhlobo 2 lweswekile) okanye izifo ezihlasela umzimba (umz. iLupus). |
Siyibona njani le nto? Zithini iimpawu zayo?
Ngenxa yokudinwa komzimba wakho emva kokuba nomntwana, unokucinga ukuba ezinye iimpawu ziqhelekile uze ungaziboni. Ngoko ke, qwalasela ezi mpawu.
| Uphawu | Ivakalelwa njani le nto? |
|---|---|
| Igazi elonyukayo | Uxinzelelo lwegazi luyi-140/90 mmHg nangaphezulu. Oku kunzima ukukubona ekhaya. |
| Intloko ebuhlungu kakhulu | Akufani nentloko eqhelekileyo, yintlungu enganyamezelekiyo neqatha. Isenokungapheli nokuba kukho amayeza okudambisa iintlungu. |
| Utshintsho lombono | Amehlo akho asenokubonakala engacacanga, unokuba nobunzima bokujonga ukukhanya, kwaye usenokuba ngathi kukho amachaphaza okanye imigca ehambahamba phambi kwamehlo akho. |
| Ukudumba komzimba | Ukudumba, ingakumbi ubuso, izandla, imilenze kunye neenyawo. |
| Intlungu yesisu | Intlungu esiswini esingaphezulu, ngokuqhelekileyo phantsi kweembambo kwicala lasekunene. |
| Isicaphucaphu nokuhlanza | Isicaphucaphu nokuhlanza ngaphandle kwesizathu esicacileyo. |
| Ukuncipha kokuchama | Ukwehla okukhulu komthamo womchamo okhutshwayo ngosuku. |
| Ubunzima bokuphefumla | Ubunzima bokuphefumla, ukuziva ubunzima esifubeni. |
Ukuba unezinye zezi mpawu emva kokuba nomntwana, musa ukucinga nje ukuba, "Mhlawumbi oku kukuzilolonga nje okuqhelekileyo." Fowunela ugqirha wakho ngoko nangoko, okanye uye kwiSebe leNgxamiseko (ETU) kwisibhedlele esikufutshane nawe.
Kutheni oku kusenzeka? Yintoni unobangela?
Enyanisweni, oogqirha abakayazi eyona nto ibangela i-postpartum preeclampsia. Kodwa bayazi ukuba izinto ezinobungozi esizixubushe ngaphambili zidlala indima. Yiyo loo nto kubalulekile ukuya kunyango lwakho lokukhulelwa kunye nokuhlolwa emva kokuzalwa rhoqo. Yabelana ngembali yakho epheleleyo yezonyango nogqirha wakho. Ungathandabuzi ukubaxelela nantoni na engaqhelekanga, nokuba incinci kangakanani na.
Ugqirha angakuqinisekisa njani oku?
Xa usiya esibhedlele, ukuba ugqirha urhanela ukuba kukho le meko, uza kwenza uvavanyo oluninzi.
- Ukulinganisa uxinzelelo lwegazi: Into yokuqala ekufuneka uyenze kukujonga uxinzelelo lwakho lwegazi.
- Uvavanyo lwegazi: Kuza kuthathwa isampulu yegazi lakho ukuze kuhlolwe ukubala kweeplatelet zakho kunye nokuba isibindi sakho kunye nezintso zakho zisebenza kakuhle kangakanani.
- Uhlalutyo lomchamo: Kuthathwa isampulu yomchamo ize ivavanywe iproteni. Kule meko, iproteni isenokuba ikhona kumchamo. Oku kubizwa ngokuba yiproteinuria .
- Iskeni yobuchopho: Ukuba ukhe waxhuzula , ungenza i-CT okanye i-MRI scan ukuze kubonwe ukuba akukho monakalo engqondweni na.
Iphathwa njani?
Ngenxa yokuba esi sisifo esinzulu, uza kunyangwa esibhedlele. Kukho iindlela ezahlukeneyo zonyango eziphambili.
- Amayeza oxinzelelo lwegazi: Amayeza anikwa ukuze ahlise uxinzelelo lwakho lwegazi oluphezulu luye kwinqanaba elikhuselekileyo.
- Amayeza okulwa nokuxhuzula : Eyona ngozi inkulu kule meko kukuxhuzula . Ukuthintela oku, amayeza anjenge -magnesium sulfate anikwa ngemithambo yegazi.
- Izinto ezithintela ukugabha kwegazi: Ekubeni kukho umngcipheko wokuba igazi ligabhe kwimithambo yegazi, kunokunikwa izinto ezinciphisa igazi ukuze kuncitshiswe umngcipheko.
Ukuba ungumama oncancisayo, qiniseka ukuba uxelela ugqirha wakho kunye nabongikazi. Baya kuqinisekisa ukuba amayeza owanika umntwana wakho akhuselekile na kwaye bacwangcise unyango lwakho ngokufanelekileyo.
Zeziphi izinto ezinzulu ezinokwenzeka ukuba azinyangwa?
Ungoyiki ukufunda eli candelo. Oku kukufundisa. Kuba kuphela xa uqonda ukuba esi sifo sibi kangakanani apho ungayi kuzityeshela iimpawu.
- Ukonakala okungapheliyo kwamalungu omzimba abalulekileyo afana nengqondo, isibindi kunye nezintso.
- Ukuxhuzula .
- Ukudumba kwemithambo yegazi .
- Istroke .
- Ukwakheka kwamahlwili egazi kwimithambo yegazi.
- Ukwenzeka kwemeko embi kakhulu, esongela ubomi ebizwa ngokuba yi -HELLP syndrome .
- Nangona kunqabile, ukufa kunokwenzeka.
Yiyo loo nto sisoloko sisithi ukuba unamathandabuzo malunga neempawu zakho, bonana nogqirha ngokukhawuleza.
Kuza kuthatha ixesha elingakanani ukuphiliswa? Ngaba ingaphinda ikhule kwakhona?
Kungathatha iintsuku okanye iiveki ezimbalwa ukuba uxinzelelo lwakho lwegazi lubuyele kwinqanaba elikhuselekileyo xa usebenzisa amayeza. Xa uxinzelelo lwakho luphantsi kolawulo, umngcipheko wakho wezinye iingxaki uyancipha.
Akulula ukuchacha kwisifo esinje ngelixa unyamekela umntwana. Kuya kufuneka uhlale esibhedlele iintsuku ezimbalwa. Phumla kangangoko unako ngeli xesha. Nika ingqalelo kwimpilo yakho. Ungathandabuzi ukucela uncedo kumyeni wakho ekhaya. Nokuba sele uphumile esibhedlele, yiya ekliniki yonke imihla ugqirha akuxelele ukuba uze kuyo.
Ukuba ukhe waba ne-prepartum preeclampsia kanye, usemngciphekweni wokufumana le meko (i-preeclampsia okanye i-postpartum preeclampsia) ekukhulelweni kwakho okulandelayo. Ngoko ke, ukuba ukhulelwa kwakhona, kubaluleke kakhulu ukuxelela ugqirha wakho ukuze akwazi ukukujonga ngokusondeleyo kulo lonke ixesha lokukhulelwa kwakho.
Umyalezo Wokuya Ekhaya
- I-preeclampsia emva kokubeletha yimeko embi kakhulu ebandakanya uxinzelelo lwegazi oluphezulu oluvela emva kokubeleka. Ingakhula nakubantu abangazange babe noxinzelelo lwegazi oluphezulu ngaphambili.
- Khumbula iimpawu eziphambili zentloko ebuhlungu kakhulu, ukubona okufipheleyo, ukudumba kobuso, izandla, neenyawo, iintlungu zesisu, kunye nobunzima bokuphefumla .
- Musa ukuzityeshela ezi mpawu “njengokudinwa okuqhelekileyo emva kokuzalwa.” Ezi ziimpawu ezilumkisayo.
- Ukuba ufumana naziphi na kwezi mpawu, fowunela ugqirha wakho ngoko nangoko . Ukuba unengxaki yokuphefumla okanye unesithuthwane , yiya kwiSebe lezeMpilo eziNgxamisekileyo lesibhedlele (ETU) ngoko nangoko.
- Nangona le meko ingenakuthintelwa, inokunyangeka ngokupheleleyo ukuba ifunyaniswe kwangethuba kwaye inyangwe ngokufanelekileyo. Ubomi bakho nempilo yakho zibaluleke kakhulu kuwe, nakumntwana wakho.
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