Ukuba ungumama okhulelweyo, ugqirha wakho uza kujonga uxinzelelo lwegazi kunye neproteni yomchamo wakho rhoqo xa undwendwela ekliniki, akunjalo? Oku akusiyo nje inkqubo yokujonga rhoqo. Oku kwenzelwa ukujonga i-preeclampsia, imeko enzulu kakhulu enokwenzeka ngexesha lokukhulelwa. Kubalulekile ukuqaphela le meko ukuze wena nomntwana wakho nikhuseleke.
Ngamafutshane, yintoni i-preeclampsia?
I-Preeclampsia yimeko eyenzeka ngexesha lokukhulelwa kwaye ibonakaliswa luxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu) kunye ne-proteinuria . Ihlala isenzeka emva kweeveki ezingama-20 zokukhulelwa.
Oku akukokunyuka nje koxinzelelo lwegazi. I-Preeclampsia inokuchaphazela nezinye izitho zomzimba wakho, njengezintso zakho nesibindi. Ngamanye amaxesha inokubangela nomonakalo wengqondo. Oku kuyingozi kakhulu kuwe nakumntwana wakho. Ngenxa yale ngozi, ugqirha wakho uya kuba nexhala kakhulu ngale meko kwaye uya kuqala unyango kwangoko nje ukuba ifunyanwe.
Ingaba le yimeko engxamisekileyo?
Ewe, i-preeclampsia inokuba yingxamiseko. Ukuba uxinzelelo lwakho lwegazi luphezulu kune-140/90 mmHg kwaye uneproteni kumchamo wakho, ibeka uxinzelelo olukhulu entliziyweni yakho nakwamanye amalungu omzimba. Oku kunokukhokelela kwiingxaki ezinkulu. Kunokunciphisa ukuhamba kwegazi ukuya kwi-placenta, enika umntwana wakho igazi, yonakalise isibindi sakho kunye nezintso, kwaye ibangele ulwelo luzalise imiphunga yakho. Ke ngoko , unyango olukhawulezileyo lubalulekile ukuthintela iingxaki ezisongela ubomi.
Zithini iimpawu ze-preeclampsia?
Ixesesha elininzi, oomama abaninzi abazi ukuba bane-preeclampsia. Bafumanisa kuphela xa besiya kugqirha baze bahlolwe uxinzelelo lwegazi nomchamo. Kodwa abanye abantu banokuba neempawu. Ukuba unayo nayiphi na kwezi mpawu, ungalibali ukuxelela ugqirha wakho.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu eziqhelekileyo zesigaba sokuqala |
|
| Iimpawu ezenzeka xa imeko inzima (Severe Preeclampsia) |
|
Ukuba unezi mpawu zinzima, ugqirha wakho unokugqiba ekubeni akugcine esibhedlele ukuze ajongwe ngokusondeleyo. Kwezinye iimeko, umntwana unokufuna ukubelekwa kwangethuba.
Yintoni ebangela i-preeclampsia? Ngubani osengozini enkulu?
Isizathu esichanekileyo sale meko asikaziwa okwangoku, kodwa abaphandi bakholelwa ukuba isenokuba ibangelwa yingxaki yokuhanjiswa kwegazi kwi-placenta. Nangona uxinzelelo lunokunyusa uxinzelelo lwegazi, alungonobangela othe ngqo we-preeclampsia.
Nangona kunjalo, abanye abantu basengozini enkulu yokuba nale meko. Masibone ukuba bangoobani.
| Inqanaba lomngcipheko | Izinto ezonyusa umngcipheko |
|---|---|
| Abo basengozini enkulu |
|
| Abo basengozini ephakathi |
|
Ziziphi iingxaki ezinokubakho ngenxa ye-preeclampsia?
Ukuba le meko ayinyangwanga kakuhle, inokuba yingozi kumama nakumntwana. Ngoko ke, akufuneki ithathwe lula.
Iingxaki ezinokubakho kumama:
- Ukuxhuzula: Oku kubizwa ngokuba yi-Eclampsia.
- I-Coma
- Istroke
- I-HELLP syndrome: Oku kwenzeka xa i-preeclampsia yonakalisa isibindi kunye neeseli ezibomvu zegazi, nto leyo ebangela iingxaki zokujiya kwegazi.
Iingxaki ezinokwenzeka kumntwana:
- Ukuzalwa kwangaphambi kwexesha: Ukuzalwa komntwana ngaphambi komhla wokuzalwa.
- Ubunzima obuphantsi bokuzalwa
- Ukuqhawuka kwe-placenta
Ukongeza, oomama abafumana i-preeclampsia ngexesha lokukhulelwa basengozini enkulu yokufumana izifo ezifana nesifo sezintso, isifo sentliziyo, kunye nestroke kamva ebomini.
Inyangwa njani i-preeclampsia?
Unyango olulodwa noluhlala luhleli lwe-preeclampsia kukuzala umntwana. Nangona kunjalo, kubalulekile ukugcina umntwana esibelekweni ixesha elide kangangoko kunokwenzeka. Ke ngoko, ugqirha wakho uya kumisela unyango olufanelekileyo ngokusekelwe kwimeko yakho kunye nenqanaba lokukhulelwa.
- Ukuba sele usondele kwixesha elipheleleyo (iiveki ezingama-37): Ugqirha wakho unokucebisa ukuba ubeleke kwangethuba. Nangona ukuzala kwilungu lobufazi kunokwenzeka, ngamanye amaxesha ukuhlinzwa (utyando lwe-C) kunokuba lolona lukhuselekileyo.
- Ukuba ukwinqanaba lokuqala lokukhulelwa: Ugqirha wakho uza kukujonga ngokusondeleyo. Baza kuzama ukunika umntwana ixesha elininzi kangangoko kunokwenzeka ukuze akhule. Kuya kufuneka uze ekliniki rhoqo, wenze iiskeni, kwaye wenze uvavanyo lwegazi nomchamo. Ungacelwa ukuba ujonge uxinzelelo lwakho lwegazi ekhaya. Ukuba imeko iba mandundu, kunokucetyiswa ukuba ubelethe umntwana.
- Ngexesha lokubeleka: Usenokunikwa iyeza elibizwa ngokuba yiMagnesium Sulfate ukuthintela i-eclampsia ebangelwa yi-preeclampsia.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha ngokuchanekileyo.
Ngaba ingozi ingancitshiswa kwaye ithintelwe?
Ukuba usemngciphekweni wokuba ne-preeclampsia, kukho izinto ezininzi onokuzenza ngaphambi nangexesha lokukhulelwa ukuze unciphise umngcipheko wakho.
- Ukulawula ubunzima: Ukuba utyebile kakhulu (utyebile kakhulu) ngaphambi kokukhulelwa, yehlisa ubunzima bakho.
- Ulawulo loxinzelelo lwegazi kunye neswekile: Ukuba sele une-high blood pressure okanye isifo seswekile, zilawule kakuhle.
- Ukuzilolonga: Zilolonge yonke imihla.
- Lala: Lala ngokwaneleyo.
- Ukutya: Yitya ukutya okunempilo, okungenatyuwa ingako kwaye uphephe iziselo ezine-caffeine.
Kwabo baneengozi ezithile, ugqirha wakho unokucebisa ukuba bathathe i-aspirin yosana yonke imihla emva kweeveki ezili-12 zokukhulelwa. Nangona kunjalo, ungaze uqale ukuthatha eli yeza ngaphandle kokubonisana nogqirha wakho.
Ufanele uye nini esibhedlele ngoko nangoko?
I-Preeclampsia yimeko esongela ubomi. Ngoko ke, ukuba unezinye zeempawu ezilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Ukuba uziva ngathi unesithuthwane (njengokungcangcazela, ukungcangcazela)
- Ubunzima obukhulu bokuphefumla
- Intlungu ebuhlungu kwicala eliphezulu lasekunene lesisu
- Ukufiphala kombono ngequbuliso
- Intloko ebuhlungu enganyamezelekiyo nengapheliyo
- Umbono oqhubekayo wamachaphaza amnyama ahamba phambi kwamehlo
Umyalezo Wokuya Ekhaya
- I-Preeclampsia yimeko enzima ngexesha lokukhulelwa enxulunyaniswa noxinzelelo lwegazi oluphezulu kunye neproteni kumchamo.
- Eyona ndlela ilungileyo yokubona oku ngokukhawuleza kukuya nakweyiphi na ikliniki kwaye uvavanywe njengoko ugqirha wakho ekucebisile.
- Hlala uqaphela iimpawu ezifana neentloko ezibuhlungu, utshintsho lombono, kunye nentlungu yesisu. Musa ukuzityeshela.
- Nangona unyango loku kuphela kukubeleka umntwana, oogqirha baya kwenza konke okusemandleni abo ukukhusela wena nomntwana.
- Le meko isenokuqhubeka iintsuku ezimbalwa okanye iiveki emva kokuba umntwana ezelwe. Ngoko ke qhubeka ulandela imiyalelo kagqirha wakho.
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