Ngaba ukhulelwe? Ngoko ke, masiqaphele le preeclampsia?

Ukuba ulindele umntwana kule mihla, okokuqala, ndiyakuhalalisela! Eli lixesha elikhethekileyo kakhulu. Nangona kunjalo, ngenxa yotshintsho emzimbeni wakho, ngamanye amaxesha iingxaki zempilo ezincinci zinokuvela. Yiyo loo nto abantu abaninzi bethetha ngayo kwaye kufuneka balumke kancinci . I-Preeclampsia yimeko abantu abaninzi abathetha ngayo, kwaye kulungile ukungoyiki? Masithethe ngale nto ngokweenkcukacha, ngokungathi sixelela umhlobo.

Yintoni i-preeclampsia, ntombi?

Ngamafutshane, i-preeclampsia yimeko enzima yoxinzelelo lwegazi eyenzeka ngexesha lokukhulelwa. Ibonakala kakhulu ngoxinzelelo lwegazi oluphezulu (iHypertension) , oko kuthetha ukuba uxinzelelo lwegazi lwakho luyanda. Kunye noku, kukho ukunyuka kwenqanaba leproteni kumchamo wakho (iProteinuria) . Oku kudla ngokuvela emva kweeveki ezingama-20 zokukhulelwa.

Khawucinge nje, le meko inokuchaphazela nezinye izitho zomzimba wakho. Ingonakalisa izitho ezibalulekileyo njengezintso nesibindi, ichaphazele ingqondo, kwaye ibangele nezinye izifo ezinzulu. Ekubeni oku kunokuba yingozi kuwe nakumntwana wakho ongekazalwa, ugqirha wakho uya kuxhalaba kakhulu ngale nto kwaye uya kukucebisa ukuba uqalise unyango olufunekayo ngokukhawuleza.

Ixhaphake kangakanani le meko?

Enyanisweni, le meko ibizwa ngokuba yi-preeclampsia yimeko eyenzeka xa ukhulelwe. Kwihlabathi liphela, le meko ichaphazela ipesenti ethile yoomama abakhulelweyo. Ngokwezibalo kwamanye amazwe, i-preeclampsia ikwangunobangela wenani elikhulu lokuzala ngaphambi kwexesha , oko kukuthi, abantwana abazelwe ngaphambi kweeveki ezingama-37 zokukhulelwa.

Ngaba i-preeclampsia yingxamiseko?

Ewe, sithandwa sam, oku kungaba yingxamiseko. Ukuba une-preeclampsia, uxinzelelo lwakho lwegazi ludla ngokuba ngaphezulu kwe-140/90 mmHg. Kwakhona, ukubakho kweproteni kumchamo kubonisa ukuba izintso zakho ziyachaphazeleka. Le meko ibeka uxinzelelo olukhulu entliziyweni yakho nakwamanye amalungu omzimba. Ingachaphazela ukuhanjiswa kwegazi kwi-placenta , yonakalise isibindi kunye nezintso, kwaye ibangele ulwelo oluqokelelene emiphungeni (pulmonary edema). Ke ngoko, kubalulekile ukufuna unyango ngokukhawuleza ukuze uphephe iingxaki ezinokuba yingozi ebomini.

Zithini iimpawu zoku? Uzibona njani?

Abantu abaninzi basenokungabi nazo iimpawu ekuqaleni xa bene-preeclampsia. Idla ngokufumaneka kwikliniki yakho, xa ugqirha wakho okanye umbelekisi ekuhlola. Nangona kunjalo, abanye abantu bayaba nazo iimpawu.

Ezinye zeempawu zokuqala ze-preeclampsia zezi:

• Igazi elonyukayo
• Iiproteni kumchamo
• Ukugcinwa kwamanzi - Oku kunokubangela ukutyeba nokudumba.

Ezinye iimpawu ezibonakalayo:

• Intloko ebuhlungu - Ngamanye amaxesha unokufumana intloko ebuhlungu kakhulu.
• Umbono ofipheleyo okanye uvakalelo lokukhanya
• Amabala amnyama avela embonweni wakho
• Intlungu yesisu kwicala eliphezulu lasekunene
• Ukudumba kwezandla, amaqatha, nobuso (i-Edema)
• Ukuqhawukelwa ngumphefumlo

Amaxesha amaninzi, awuzazi ukuba une-preeclampsia de ugqirha wakho ahlole uxinzelelo lwakho lwegazi aze enze uvavanyo lomchamo kwikliniki yangaphambi kokubeleka. Yiyo loo nto kubaluleke kakhulu ukugcina onke amadinga akho kwaye uxelele ugqirha wakho ngazo naziphi na iimpawu onazo.

I-preeclampsia enzima ingabonisa iimpawu ezifana nezi:

• Uxinzelelo lwegazi oluphezulu - Oku kuthetha ukuba uxinzelelo lwegazi lunyuka luye kwi-160/110 mmHg okanye ngaphezulu.
• Ukungasebenzi kakuhle kwezintso okanye kwesibindi.
• Ukudumba kwepulmonary.
• Ukwehla kwenani leeplatelet egazini (i-Thrombocytopenia).
• Umchamo awuphumi kakhulu okanye awuphumi kwaphela.

Ukuba i-preeclampsia yakho inzima, ugqirha wakho unokufuna ukukungenisa esibhedlele ukuze ajongwe ngakumbi. Kwezinye iimeko, unokufuna ukubeleka umntwana wakho kwangethuba.

Kutheni i-preeclampsia isenzeka?

Akukho mntu waziyo ngokwenene isizathu soku, kodwa abanye abaphandi bakholelwa ukuba kusenokwenzeka ukuba kungenxa yengxaki yokuhanjiswa kwegazi kwi-placenta.

Ngaba uxinzelelo lubangela i-preeclampsia?

Nangona uxinzelelo lunokuchaphazela uxinzelelo lwegazi, alungonobangela othe ngqo we-preeclampsia. Nangona kunjalo, nangona uxinzelelo oluthile ngexesha lokukhulelwa lungenakuthintelwa, kungcono ukuziphepha iimeko ezixinzelelekileyo nokufunda ukuzilawula.

Ngubani osengozini enkulu yokuphuhlisa oku?

Oogqirha abaqinisekanga ukuba kutheni abanye abantu beyibangela. Nangona kunjalo, bachonge ezinye izinto ezibangela umngcipheko woyibangela. Le ngozi ihlelwa njengomngcipheko ophezulu okanye umngcipheko ophakathi .

Izinto ezonyusa umngcipheko wokufumana i-preeclampsia:

• Izimo ezazikho ngaphambili ezifana noxinzelelo lwegazi oluphezulu, isifo sezintso, okanye isifo seswekile .
• Ukukhulelwa kwamawele, amawele amathathu, okanye abantwana abangaphezulu .
• Ukuba neemeko zokuzikhusela komzimba ezifana ne -lupus .
• Ukuba ne -preeclampsia kukukhulelwa kwangaphambili .

Izinto ezibangela umngcipheko wokufumana i-preeclampsia ziquka:

• Ukukhulelwa okokuqala.
• Ukuba mkhulu kakhulu .
• Ukuba uneminyaka engaphezu kwama-35 ubudala.
• Ukuba nembali yosapho ene-preeclampsia .
• Ukuba ube neengxaki ezifana nokuzalwa unobunzima obuphantsi ekukhulelweni kwangaphambili.

Oku kuqala nini ngexesha lokukhulelwa?

I-Preeclampsia idla ngokuvela emva kweeveki ezingama-20 zokukhulelwa. Ihlala ibonakala kwi-trimester yesithathu, oko kukuthi, emva kweeveki ezingama-27. Ukuba iyenzeka ngaphambi kweeveki ezingama-34 zokukhulelwa, ibizwa ngokuba yi -preeclampsia yasekuqaleni .

I-postpartum preeclampsia inokwenzeka nasemva kokubeleka . Oku kwenzeka kwiintsuku ezimbalwa ukuya kwiveki emva kokuba umntwana ezelwe.

Ziziphi iingxaki ezinokubakho ngenxa ye-preeclampsia?

Ukuba ayinyangwa, i-preeclampsia ingabulala wena nosana lwakho olungekazalwa. Inokubangela umonakalo omkhulu kwizintso nakwisibindi, kwaye inokuphazamisa nokusebenza kwengqondo.

Ukuba ukhulelwe, ezinye zeengxaki ezinkulu ze-preeclampsia zezi:

• Ukuxhuzula
• I-Eclampsia - Le yimeko apho i-preeclampsia iba nzima khona ize ikhokelele esibhedlele.
• I-Coma
• Istroke

I-Preeclampsia inokubangela imeko ebizwa ngokuba yi -HELLP syndrome (i-HELLP syndrome - i-Hemolysis, ii-enzymes zesibindi eziphezulu kunye ne-Low Platelet count) . Oku kwenzeka xa i-preeclampsia yonakalisa isibindi sakho kunye neeseli ezibomvu zegazi kwaye iphazamisa inkqubo yokuqunjelwa kwegazi.

Iingxaki eziphambili ezinokwenzeka kumntwana osesiswini zezi:

• Ukuzalwa ngaphambi kwexesha
• Ubunzima obuphantsi bokuzalwa
• Ukuqhawuka kwe-placenta

Abantu abane-preeclampsia, ingakumbi abo bafumana le meko kwangethuba xa bekhulelwe, basengozini enkulu yokufumana ezi meko zilandelayo kamva ebomini :

• Isifo sezintso
• Isifo sentliziyo
• Istroke
• Ukuphinda kwe-preeclampsia kukukhulelwa okuzayo.

Ungathetha nogqirha wakho wosapho uze uthathe amanyathelo afunekayo ukunciphisa ezi ngozi.

Oogqirha bayixilonga njani le nto?

Amaxesha amaninzi, oogqirha baxilonga i-preeclampsiaIindibano zesiqhelo zokukhulelwa. Ezi ziindibano ezibanjwa rhoqo ngexesha lokukhulelwa kwakho. Zijonga izinto ezifana nokutyeba kwakho kunye noxinzelelo lwegazi.

Ukuba ugqirha wakho urhanela ukuba une-preeclampsia, angenza oku kulandelayo:

• Uvavanyo lwegazi olongezelelweyo lunokufuneka ukuze kuhlolwe ukusebenza kwezintso nesibindi.
• Usenokucelwa ukuba wenze uvavanyo lokuqokelelwa komchamo oluthatha iiyure ezingama-24 ukuze ubone ukuba ingakanani na iproteni (iproteinuria) emchameni.
• Uvavanyo lwe-ultrasound kunye nolunye uvavanyo olujonga imeko yomntwana (ukubeka iliso kwi-fetal monitoring) lunokwenziwa, ukujonga ukukhula komntwana kunye nobungakanani bolwelo lwe-amniotic .

I-Preeclampsia inokuba ncinci okanye ibe qatha . I-preeclampsia encinci ithetha ukuba unoxinzelelo lwegazi oluphezulu kunye neproteni egqithisileyo kumchamo wakho.

I-preeclampsia eqatha yimeko eneempawu ze-preeclampsia encinci kunye nezinye:

• Iimpawu zomonakalo kwizintso okanye kwisibindi (ziboniswe kuvavanyo lwegazi).
• Inani eliphantsi leeplatelet.
• Ulwelo oluzalisa imiphunga.
• Intloko ebuhlungu kunye nesiyezi.
• Ukuphazamiseka kokubona okanye ukubona amachaphaza phambi kwamehlo.

Inyangwa njani i-preeclampsia?

Ugqirha wakho uza kukucebisa ngonyango olufanelekileyo lwe-preeclampsia. Unyango ludla ngokuxhomekeka ekubeni i-preeclampsia yakho inzima kangakanani kwaye ukuba sele ukhulelwe kangakanani . Ugqirha wakho uza kuzama ukugcina ukukhulelwa kwakho kuqhubeka ixesha elide kangangoko kunokwenzeka - kodwa kuphela ukuba i-preeclampsia ayisongeli ubomi.

Umzekelo, ukuba usondele ekubelekeni (malunga neeveki ezingama-37), ugqirha wakho uhlala ecebisa ukuba ubeleke kwangethuba . Ungabeleka ngesisu, kodwa ngamanye amaxesha utyando lwe-C-section lolona khetho lukhuselekileyo. Ugqirha wakho unokukunika amayeza okulawula uxinzelelo lwakho lwegazi kunye nokunceda imiphunga yomntwana wakho ikhule de ubeleke. Ngamanye amaxesha, kukhuselekile ukuzala umntwana wakho kwangethuba kunokwandisa ixesha lokukhulelwa kwakho.

Ukuba i-preeclampsia iyenzeka kwasekuqaleni kokukhulelwa, ugqirha wakho uya kukujonga ngokusondeleyo kulo lonke ixesha lokukhulelwa kwakho.Bafuna ukwandisa ixesha lokukhulelwa kangangoko kunokwenzeka ukuze umntwana akhule aze akhule. Kuya kufuneka uye kwikliniki yangaphambi kokubeleka rhoqo, wenze uvavanyo lwe-ultrasound, uvavanyo lomchamo, kunye novavanyo lwegazi. Usenokuba nokuhlolwa kwe-BP ekhaya. Ukuba i-preeclampsia iba mandundu okanye iba mandundu, ugqirha uya kukuxelela ukuba ubelethe umntwana.

Ukuba ufunyaniswe une-preeclampsia enzima, ungagcinwa esibhedlele ukuze ujongwe de kube umntwana wakho ezelwe.

Ngexesha lokubeleka nokubeleka, ugqirha wakho angakunika iyeza elibizwa ngokuba yi-magnesium sulfate ukuthintela i-eclampsia (isifo esibangelwa yi-preeclampsia).

Ngaba ikho indlela epheleleyo yokunyanga oku?

Hayi. Unyango olulodwa lwe-preeclampsia kukubeletha. Nangona kunjalo, ugqirha wakho uza kukujonga iiveki ezimbalwa emva kokuba ubelethe umntwana ukuze abone ukuba iimpawu zakho ziyaphela na.

Yintoni esinokuyenza ukunciphisa umngcipheko we-preeclampsia?

Ukuba unezinto ezinokubangela i-preeclampsia, kukho izinto ezininzi onokuzenza ukunciphisa umngcipheko wakho ngaphambi nangexesha lokukhulelwa. Ezi ziquka:

• Ukuba utyebile kakhulu, yehlisa umzimba (ngaphambi kokuba utyebe ngexesha lokukhulelwa).
• Ukuba sele une-high blood pressure okanye isifo seswekile, lawula uxinzelelo lwakho lwegazi kunye neswekile egazini.
• Hlala usenza umthambo rhoqo .
• Ukulala ngokwaneleyo .
• Yitya ukutya okunempilo, okungenatyuwa ingako kwaye uphephe i-caffeine.

Ngaba i-preeclampsia ingathintelwa?

Ukusela i-aspirin yosana yonke imihla kuye kwafunyaniswa ukuba kunciphisa umngcipheko wokuba ne-preeclampsia (malunga ne-15%). Ukuba unezinto ezinokubangela i-preeclampsia, ugqirha wakho unokucebisa ukuba uqale i-aspirin kwasekuqaleni kokukhulelwa kwakho (malunga neeveki ezili-12). Nangona kunjalo, kungcono ukuba ungaze uqale i-aspirin ngaphandle kwengcebiso kagqirha wakho.

Ngaba kunokwenzeka ukuba nomntwana oqhelekileyo one-preeclampsia?

Ewe, ungabeleka ngesisu nokuba une-preeclampsia. Kodwa ugqirha wakho uya kugqiba ngokwemeko yakho neyomntwana wakho.

Ngaba umntwana angaphila xa kuvela i-preeclampsia?

Ewe. I-Preeclampsia inokubangela ukuzalwa kwangaphambi kwexesha , nto leyo ethetha ukuba umntwana uzalwa kwangethuba. Iintsana ezisandul’ ukuzalwa ngaphambi kwexesha zisengozini enkulu yeengxaki zempilo, ezifana nokuzalwa zinobunzima obuphantsi kunye nobunzima bokuphefumla. Nangona kunjalo, uninzi lweentsana lusempilweni.

Ngaba i-preeclampsia iba ngcono emva kokuba nomntwana?

I-Preeclampsia ngokuqhelekileyoIhlala iphucuka kwiintsuku ezimbalwa ukuya kwiiveki ezimbalwa emva kokubeleka. Ngamanye amaxesha, uxinzelelo lwakho lwegazi lunokuhlala luphezulu kangangeeveki ezimbalwa emva kokubeleka, kwaye unokufuna ukuthatha amayeza alo. Ugqirha wakho angakunceda ulawule uxinzelelo lwakho lwegazi emva kokukhulelwa.

Ndifanele ndibonane nogqirha wam nini?

Ntombi yam, i-preeclampsia yimeko enokubangela ukufa ngexesha lokukhulelwa. Ukuba unyangwa le meko, kubaluleke kakhulu ukuya kuzo zonke iintlanganiso zakho zasekliniki, uvavanyo lwegazi, kunye novavanyo lomchamo rhoqo. Ukuba unemibuzo okanye iinkxalabo malunga neempawu zakho, bonana nogqirha wakho wokukhulelwa ngoko nangoko.

Ukuba ukhulelwe kwaye unezinye zezi mpawu, yiya esibhedlele esikufutshane ngokukhawuleza:

• Iimpawu zokuxhuzula , ezinje ngokuxhuzula nokungcangcazela.
• Ukuqhawukelwa ngumphefumlo.
• Intlungu ebukhali esiswini sakho (ingakumbi kwicala lasekunene).
• Umbono ofipheleyo.
• Intloko ebuhlungu engasayi kuphela.
• Amabala amnyama embonweni wakho angasukiyo.

Ndingayibuza yiphi imibuzo ugqirha?

Ukuba ugqirha wakho ukuxelela ukuba une-preeclampsia, kuyinto eqhelekileyo ukuba kuvele imibuzo emininzi engqondweni. Nazi ezinye zemibuzo eqhelekileyo onokuyibuza ugqirha wakho:

• Ngaba kufuneka ndithathe amayeza?
• Ngaba kufuneka ndinciphise imisebenzi yam yemihla ngemihla?
• Zeziphi iinguqu endifanele ndizenze kwizinto endizityayo nendiziselayo?
• Impilo yam iza kuhlolwa kangaphi ngexesha lokukhulelwa?
• Ngaba kuya kufuneka ndibelekise umntwana kwangethuba?
• Ungayilawula njani kakuhle i-preeclampsia?

Ziziphi iimpawu ezintathu eziphambili ze-preeclampsia?

Ixesha elininzi, ugqirha wakho ngulowo ubona iimpawu ze-preeclampsia kwikliniki yangaphambi kokubeleka.

Iimpawu zokuqala zihlala zilandelayo:

• Igazi elonyukayo.
• Iiproteni kumchamo.
• Ukugcinwa kwamanzi okanye ukudumba emzimbeni.

Yintoni umahluko phakathi kwePreeclampsia kunye ne-Eclampsia?

I-Eclampsia yimeko apho ukuxhuzula kwenzeka ngenxa ye-preeclampsia enzima. Ithathwa njengengxaki ye-preeclampsia. Nangona kunjalo, ngamanye amaxesha i-eclampsia inokwenzeka ngaphandle kwezinye iimpawu ze-preeclampsia.

Yintoni i-Postpartum Preeclampsia?

I-preeclampsia yasemva kokubelekaOku kuthetha ukuba uba ne-preeclampsia emva kokuba umntwana wakho ezelwe. Oku kwenzeka kwiintsuku ezimbalwa emva kokuzalwa, kodwa kusenokwenzeka nakwiiveki ezimbalwa kamva.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Ntombi, i-preeclampsia yimeko enzima abantu abaninzi abangazi nokuba banayo. Yiyo loo nto kubaluleke kakhulu ukuya kuzo zonke iintlanganiso zakho zokukhulelwa kwaye ukhululeke kugqirha wakho malunga nazo naziphi na iimpawu ozifumanayo ngexesha lokukhulelwa kwakho.

Wakuba ufunyenwe unale meko, ugqirha wakho uza kujonga ukukhulelwa kwakho ngokusondeleyo. Kwiimeko ezinzima, banokucebisa ukuba ubelethe umntwana ngokukhawuleza. Injongo yabo ephambili kukugcina wena nomntwana wakho nikhuselekile kwaye nisempilweni.

Okokugqibela, oomama abaninzi abane-preeclampsia bazala abantwana abasempilweni. Kwakhona, imeko idla ngokuphela ngokupheleleyo kwiiveki ezimbalwa emva kokuba umntwana ezelwe. Ngoko ke, musa ukoyika kwaye ulandele imiyalelo kagqirha wakho ngononophelo!

I- Preeclampsia, Ukukhulelwa, Uxinzelelo lwegazi, I-Proteinuria, I-Eclampsia, Ukubeleka, Impilo kaMama