Ukukhulelwa lixesha elikhethekileyo ebomini bakho xa ulindele ukuba ngumama. Kwangaxeshanye, kufuneka uyikhathalele kakhulu impilo yakho yomzimba ngeli xesha. Ngamanye amaxesha uve ngoxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa. Ngoko ke namhlanje siza kuthetha ngemeko ebaluleke kakhulu enxulumene nayo, i-preeclampsia . Ungoyiki, eyona nto ibalulekileyo kukwazi oku.
Ngamafutshane, i-preeclampsia iyenzeka xa ukhula uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (ngesiqhelo emva kweeveki ezingama-20) okanye kwiintsuku okanye kwiiveki emva kokubeleka. Ngamanye amaxesha inokuchaphazela amalungu anjengesibindi sakho kunye nezintso. Kodwa iindaba ezimnandi zezokuba uninzi loomama abanale meko bazala abantwana abasempilweni baze baphile ngokupheleleyo.
Zithini iimpawu zale meko?
Ngamanye amaxesha uxinzelelo lwakho lwegazi lunokunyuka kancinci kancinci, okanye lunokunyuka ngequbuliso ngaphandle kwesilumkiso . Okumangalisayo kukuba, abanye abantu basenokungabi nazo naziphi na iimpawu. Yiyo loo nto kubaluleke kakhulu ukuba uhlolwe uxinzelelo lwakho lwegazi rhoqo ngexesha lokukhulelwa, njengoko kuyalelwe ngugqirha wakho.
Iimpawu ze-preeclampsia zinokubonakala kwi-trimester yesibini. Ezinye zezi mpawu zinokubonakala nakwixesha lokukhulelwa okuqhelekileyo, ngoko ke kubalulekile ukwahlulahlula.
| Uphawu | Oko kufuneka sikwazi |
|---|---|
| Iiproteni ezininzi kumchamo (iProteinuria) | Olu luphawu lokuba izintso zichaphazelekile. Oku kunokubonwa ngovavanyo lomchamo olwenziwe ekliniki. |
| Intloko ebuhlungu engapheziyo nangona usela iintlungu zokuphelisa iintlungu | Yiba nexhala ukuba unentloko ebuhlungu eyahlukileyo kweyesiqhelo, ibuhlungu kakhulu, okanye ihlala ihleli. |
| Intlungu esiswini esingaphezulu okanye kwicala lasekunene | Oku kungaba luphawu lwengxaki yesibindi. |
| Ubunzima bokuphefumla | Ukuba uziva ngathi unengxaki yokuphefumla okanye unesifo sokuxhuzula, musa ukusityeshela. |
| Iingxaki zokubona (ukubona okufipheleyo, ukubona amachaphaza, ukuva ukukhanya) | Ezi zinokuba ziimpawu ezinzulu ze-preeclampsia. |
| Ukudumba kobuso nezandla | Kuqhelekile ukuba imilenze yakho idumbe kancinci ngexesha lokukhulelwa, kodwa ukuba ubuso nezandla zakho zidumba ngequbuliso, nikela ingqalelo. |
| Isicaphucaphu okanye ukuhlanza | Nangona ezi zinto ziqhelekile ekuqaleni kokukhulelwa, ukuba ziqala kwakhona kwisiqingatha sesibini sokukhulelwa, xelela ugqirha wakho. |
Okubaluleke kakhulu: Ukuba unenye okanye ngaphezulu kwezi mpawu, nceda uthethe nogqirha wakho. Musa ukulibazisa.
Ufanele uye nini esibhedlele (ETU) ngoko nangoko?
Kukho iimpawu ezithile, ukuba ziyavela, kufuneka uye kwiSebe leNgxamiseko (i-ETU) lesibhedlele esikufutshane ngoko nangoko.
- Ukuba kunzima kakhulu ukuphefumla
- Ukuba unentloko ebuhlungu engasayi kuphela
- Ukuba unentlungu eqatha esiswini esingaphezulu okanye kwicala lasekunene
- Ukuba umbono wakho awubonakali kakuhle, unokubona amabala edada phambi kwamehlo akho, okanye unotshintsho olukhulu embonweni wakho.
I-Preeclampsia yasekuqaleni
Oku kuthetha ukuba uba ne-preeclampsia ngaphambi kweeveki ezingama-34 zokukhulelwa. Khumbula, ukuba le meko ikhula kwangoko xa ukhulelwe, kokukhona umngcipheko weengxaki kuwe nakumntwana wakho uphezulu. Ngamanye amaxesha, unokufuneka ubelethe umntwana wakho ngaphambi kwexesha.
Uphando lufumanise ukuba iintsana ezizelwe ngoomama abafumana i-preeclampsia kwasebuntwaneni zisenokuba zincinci kunokuba bekulindelwe. Oku sikubiza ngokuba yi -Fetal Growth Restriction (FGR).Kanye njengokuba isityalo singakhuli kakuhle xa singafumani izondlo namanzi afanelekileyo, le meko inokubakho ngenxa yokuphazamiseka kokunikezelwa kwegazi kumntwana nge-placenta.
Lo mntwana unokuba neengxaki ezininzi kwinkqubo yemithambo-luvo , intliziyo nemiphunga, ukuphefumla, kunye negazi.
Inqaku le-Apgar elinikwa umntwana ekuzalweni lisenokuba liphantsi kancinci. Oku kulinganisa umbala wolusu lomntwana, isantya sentliziyo yakhe, ukusabela kwakhe, ithoni yemisipha yakhe, kunye nokuphefumla kwakhe. Nangona kunjalo, amanqaku aphantsi akuthethi ukuba umntwana usengxakini enkulu. Basenokufuna uncedo lwezonyango kwimizuzu embalwa yokuqala yobomi.
Abantu abafumana i-preeclampsia kwangethuba xa bekhulelwe banokufumana oku kulandelayo:
- Amanqanaba aphezulu eeprotheyini kumchamo: mhlawumbi aphindwe kabini.
- Imeko enzulu ngakumbi: Uxinzelelo lwegazi lunokuba phezulu kakhulu kwaye lusenokungaphenduli kunyango.
I-Preeclampsia emva kokubeleka
Ewe, uyivile kakuhle loo nto. Ngamanye amaxesha ezi mpawu zoxinzelelo lwegazi oluphezulu ziqala emva kokuba umntwana ezelwe. Ziqheleke kakhulu kwiveki yokuqala emva kokubeleka. Kodwa umngcipheko unokubakho kwangethuba kwiiveki ezi-6.
Iimpawu zifana kakhulu nezo zibonakaliswa ngexesha lokukhulelwa. Nangona kunjalo, oku akumchaphazeli umntwana. Kukho iingozi koomama abafumana uxinzelelo lwegazi oluphezulu emva kokubeleka, ezinje ngezi:
- Istroke: Ukuphazamiseka kokuhanjiswa kwegazi engqondweni.
- Ukudumba kweMiphunga: Oku kwenza kube nzima ukuphefumla.
- I-Thromboembolism: Ihlwili legazi lenza kwaye livale umthambo wegazi.
Ngoko ke, nokuba sele ufumene umntwana, lumka kakhulu kuzo naziphi na izinto ezingaqhelekanga emzimbeni wakho, ingakumbi iimpawu esizikhankanyileyo apha ngasentla. Ukuba uneengxaki, yazisa ugqirha wakho ngokukhawuleza.
Ngaba oku akunakuthintelwa?
Oogqirha abakaqiniseki ukuba ikho indlela yokuthintela i-preeclampsia nge-100% yexesha. Uphando oluthe kratya luyenziwa ngaloo nto. Nangona kunjalo, kunceda kakhulu ukuba sempilweni kangangoko kunokwenzeka ngaphambi kokuba ukhulelwe. Oko kuthetha ukutya ukutya okunempilo, ukuzilolonga, kunye nokungatshayi.
Ukuba uneengxaki zomngcipheko, ugqirha wakho unokucebisa oku kulandelayo, kuphela ngokwengcebiso yakho :
- I-aspirin:Emva kweeveki ezili-12 zokukhulelwa, ugqirha wakho unokucebisa ukuba uthathe i-aspirin enesilinganiselo esiphantsi (81mg) yonke imihla, kodwa kuphela ukuba kukho naziphi na kwezi ngozi zilandelayo:
- Ukuba ubune-preeclampsia kukukhulelwa kwangaphambili okanye ukuba kukho umntu kusapho lwakho owayenayo.
- Ukuba ukhulelwe amawele.
- Ukuba une-high blood pressure engapheliyo.
- Ukuba unesifo sezintso, isifo seswekile, okanye isifo sokuzikhusela komzimba.
- Izongezo zeCalcium: Ezi zinokunceda ekuthinteleni i-preeclampsia kubafazi abangafumani calcium eyaneleyo ngaphambi okanye ngexesha lokukhulelwa.
Umyalezo Wokuya Ekhaya
- I-Preeclampsia ayisiyonto yokoyika, kodwa ayiyonto yokungayinanzi. Ukuqonda yeyona ndlela ilungileyo yokuzikhusela.
- Yiya kwiikliniki zakho rhoqo. Hlola uxinzelelo lwegazi kunye nomchamo wakho ngalo lonke ixesha.
- Qaphela iimpawu ezilumkisayo ezifana neentloko ezibuhlungu kakhulu, utshintsho lombono, iintlungu zesisu esingentla, kunye nobunzima bokuphefumla.
- Ukuba unamathandabuzo okanye iimpawu, yazisa ugqirha wakho okanye umbelethisi wakho ngokukhawuleza. Ungaze ulibazise.
- Nyamekela umzimba wakho nasemva kokuba ufumene umntwana, kuba i-postpartum preeclampsia inokwenzeka.
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