Ukukhulelwa kanye nempilo kamamaJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 7 min

Ingabe nawe uhlanza kakhulu ngesikhathi sokukhulelwa? Ake sixoxe ngale Hyperemesis Gravidarum!

Creator: Dr. Priya Sammani
Published: 2026-07-16T13:39:21.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Kuvamile ukuthi omama abaningi babe nokucasuka kwasekuseni kanye nesicanucanu ngesikhathi sokukhulelwa. Kodwa ngezinye izikhathi lesi simo singaba sibi kakhulu. Uma uhlanza kakhulu okwenza ungakwazi ukudla noma ukuphuza, okubangela ukuthi wehlise isisindo, futhi okubangela ukuthi uphelelwe amanzi emzimbeni, sikubiza ngokuthi i-Hyperemesis Gravidarum . Lesi yisimo esihlukile nesinzima kakhulu kune-'Morning Sickness' evamile. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?

Uyini umehluko phakathi 'kokugula kwasekuseni' kanye ne-Hyperemesis Gravidarum?

Ubuwazi ukuthi kubantu abaningi, cishe u-80% wabesifazane abakhulelwe, ukucasuka kwasekuseni, ngezinye izikhathi ukuhlanza kanye noma kabili ngesikhathi sokukhulelwa, kuyinto evamile. Akubangeli ukuphelelwa amanzi emzimbeni noma ukwehla kwesisindo. Ungadla ukudla nokuphuza ingxenye enkulu yosuku. Ezimweni eziningi, lokhu kuncipha cishe ngamasonto ayi-12, okuwukuphela kwe-trimester yokuqala. Kodwa-ke, i-hyperemesis gravidarum yisimo esibi kakhulu. Cabanga ngokuhlanza izikhathi eziningana ngosuku. Lokhu kungabangela ukwehla kwesisindo nokuphelelwa amanzi emzimbeni. Lezi zimpawu zingahlala isikhathi eside kunokucasuka kwasekuseni. Ngezinye izikhathi, uma uphelelwe amanzi emzimbeni, kungadingeka ukuthi ulaliswe esibhedlela ukuze uthole uketshezi lwe-IV . Ngakho-ke, kubalulekile ukuqonda umehluko phakathi kwalokhu okubili.

Ziyini izimpawu ze-Hyperemesis Gravidarum?

Lesi simo sivame ukuqala ku-trimester yokuqala yokukhulelwa, cishe amasonto ayi-6. Lezi zimpawu zingahlala amasonto, izinyanga, noma kuze kube yilapho umntwana ezalwa. Lokhu kungenza kube nzima ukwenza imisebenzi yakho evamile. Izimpawu ezivame kakhulu yilezi:

Isicanucanu esinzima .
Ukuhlanza izikhathi ezingaphezu kwezintathu ngosuku.
Ukulahlekelwa ngaphezu kuka-5% wesisindo somzimba wakho ngaphambi kokukhulelwa.
Ukungakwazi ukugcina ukudla noma isiphuzo.
Ukuphelelwa amanzi emzimbeni.
Ukuzizwa unesizungu , uzizwa ukhululekile.
Ukuphuma komchamo okuncane kunokujwayelekile.
Ukuzizwa ukhathele kakhulu .
Mhlawumbe ukuquleka.
Ikhanda elibuhlungu.

Ngaphezu kwalokhu, kunezinye izimpawu ezingavamile kakhulu:

Umfutho wegazi ophansi .
Isilinganiso senhliziyo esisheshayo.
Isikhumba esomile.
Ukudideka.
Ukuphuzi kwesikhumba (i-Jaundice) okubangelwa ukulimala kwesibindi.
Izimo ezingavamile kakhulu njenge-Wernicke-Korsakoff syndrome.

Kungani i-Hyperemesis Gravidarum yenzeka?

Odokotela abasazi kahle ukuthi yini ebangela lokhu. Kodwa kucatshangwa ukuthi amazinga aphezulu ama-hormone emzimbeni ngesikhathi sokukhulelwa yiwona abangela lokhu. Ngokukhethekile, i-hormone ebizwa nge -HCG (Human Chorionic Gonadotropin) ikhiqizwa ngumzimba wakho uma ukhulelwa. Lokhu kukhiqizwa ngokushesha kakhulu nangobuningi obukhulu. Leli zinga le-HCG lifinyelela cishe emavikini ayi-10 okukhulelwa. Yilapho abantu abaningi beba nezimpawu ezimbi kakhulu. Futhi, elinye i-hormone eyanda ngesikhathi sokukhulelwa, ebizwa nge -estrogen, kucatshangwa ukuthi lihilelekile kulesi sicanucanu nokuhlanza.

Ubani osengozini enkulu yalesi simo?

Abanye abantu banamathuba amaningi okuthola i-hyperemesis gravidarum (HG). Izici eziyingozi zifaka:

Uma uke waba ne-HG ekukhulelweni kwangaphambilini.
Uma ukhulelwe amawele, amawele amathathu, noma ngaphezulu (ukukhulelwa okuningi).
Uma lokhu kungukukhulelwa kwakho kokuqala.
Uma kukhona umuntu emndenini wakho, njengomama wakho noma udadewenu, oke waba nokucasuka okukhulu kwasekuseni noma i-HG (umlando womndeni webhayoloji).
Uma uthambekele ekuhlaselweni ukugula okubangelwa ukuhamba noma ikhanda elibuhlungu ngesikhathi usohambweni.
Uma unesifo esibizwa ngokuthi i-Gestational Trophoblastic Disease (GTD) , okuyisifo lapho amangqamuzana esibelethweni ekhula ngendlela engavamile.

Yiziphi izinkinga ezingaba khona ngenxa ye-Hyperemesis Gravidarum?

Eqinisweni, imbangela yezinkinga eziningi ezibangelwa yilesi simo se-HG ukuntuleka kwezakhamzimba noketshezi oludingwa ngumzimba, okungukuthi, ukungondleki kahle . Uma uqhubeka nokuhlanza, umzimba awutholi amavithamini nezakhamzimba ozidingayo ngendlela efanele. Lokhu kungaholela ezimweni ezifana nokuzalwa ngaphambi kwesikhathi noma isisindo esiphansi sokuzalwa . Futhi, ukuhlanza ngokweqile kungabangela ukopha emphinjeni wakho futhi kubangele eminye imiphumela emibi. Ngakho-ke, kubaluleke kakhulu ukunakekela lokhu. Ungakhathazeki, uma uthola ukwelashwa ngokushesha, lokhu kungalawulwa ngezinga elikhulu.

Odokotela bakuthola kanjani i-Hyperemesis Gravidarum?

Uma ubona udokotela, bazokubuza ngezimpawu zakho kanye nanoma yiziphi izimo zempilo oye waba nazo ngaphambilini. Bazobe sebekuhlola. Bazohlola ikakhulukazi isisindo sakho futhi babone ukuthi ulahlekelwe isisindo kakhulu yini. Bangase futhi benze ukuhlolwa kwegazi nomchamo ukuze bahlole ukuthi awusenawo yini amanzi emzimbeni. Bangase futhi bahlole ukuthi ukhulelwe yini umntwana oyedwa noma ngaphezulu, noma uma unezimpawu ze-GTD (Gestational Trophoblastic Disease), isimo esake sakhulunywa ngaso ngaphambilini.Kungenziwa ne-ultrasound. Ngezinye izikhathi, udokotela uzohlola futhi ukuze abone ukuthi ukuhlanza kubangelwa yini esinye isifo sesisu.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho, ngakho-ke kubalulekile ukuxoxa ngazo zonke lezi zindlela zokwelapha nomhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha. Ungakhathazeki, kuvame ukuba nezindlela zokwelapha ezinhle zalesi simo.
Uma izimpawu zingembi kangako...
Ngezinye izikhathi izinto ezinjengalezi zingasiza:
Izinguquko endleleni yokuphila: Abanye abantu basebenzisa ama-acupressure bands ukuze banciphise isicanucanu. Abanye abantu bathola impumuzo ezintweni ezifana nokuhlafuna amaphilisi ejinja noma ukuphuza itiye lejinja.
Izinguquko ekudleni: Yidla ukudla okuncane njalo emahoreni amabili esikhundleni sokudla ukudla okukhulu. Futhi, yidla ukudla okunamafutha amancane, okuthambile, futhi okulula ukukugaya (isib. ama-crackers, isinkwa, amazambane athosiwe, ilayisi). Ucwaningo lubonise ukuthi ukudla okunamafutha amaningi kungandisa isicanucanu ngesikhathi sokukhulelwa. Ngakho-ke, udokotela wakho angakutshela ukuthi ugweme ukudla okunamafutha amaningi nokuthambile.
Imithi yokucanuzela: Eminye imithi etholakala ngaphandle kwemithi kadokotela (OTC) ingasiza ekunciphiseni isicanucanu. I-Pyridoxine (ivithamini B6) kanye ne-doxylamine (isib. i-Unisom®) yizona ezisetshenziswa kakhulu. Uma lokhu kungasizi, udokotela wakho angase akunike i-antihistamine efana ne -diphenhydramine (isib. i-Benadryl®) . Kodwa khumbula, ungathathi noma yimuphi umuthi wokucanuzela noma ukuhlanza ngaphandle kokukhuluma nodokotela wakho. Kuphephile ukuthatha umuthi kadokotela.
Ukugwema izinto ezikwenza uzizwe unesicanucanu: Ungase uthole ukuthi amaphunga athile nezinto ezifana nokugibela izimoto zikwenza uzizwe unesicanucanu. Zama ukuzigcina kude nalezo zinto ngangokunokwenzeka.
Uma izimpawu zimbi kakhulu...
Uma uhlanza kakhulu futhi uphelelwe amanzi emzimbeni, kungadingeka ukuthi ulaliswe esibhedlela. Nazi ezinye izindlela zokwelapha izimo ezincane ze-hyperemesis gravidarum:
Imithi kadokotela: Kunezinhlobo eziningana zemithi engasiza ekunciphiseni isicanucanu nokuhlanza. Udokotela angase aqale anikeze inhlanganisela ye-doxylamine ne-vitamin B6. Kodwa-ke, imithi enamandla ingadingeka. Imithi evame kakhulu enikezwa isicanucanu nokuhlanza yi -promethazine ne -metoclopramide . I-OndansetronLona omunye umuthi ongasiza ngesicanucanu nokuhlanza. Eminye yale mithi inganikezwa ngemithambo yegazi (IV), njengomjovo, noma njenge-rectal suppository uma ungakwazi ukuyithatha ngomlomo.
Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Udokotela uzokunika uketshezi kanye nezakhamzimba nge-IV efakwe emthanjeni engalweni yakho. Lokhu kungadinga ukuhlala esibhedlela.
Ukondla ngepayipi: Udokotela ukunika ukudla okunomsoco ngepayipi eligoqekayo elifakwa ngekhala noma esiswini sakho. Uzovame ukungeniswa esibhedlela ukuze uthole lolu hlobo lokwelashwa.
Ukudla Okuphelele Kwabazali (TPN): Ezimweni ezimbi kakhulu ze-hyperemesis gravidarum, kungadingeka unikezwe izakhamzimba ngemithambo yegazi (IV), ugweme ngokuphelele uhlelo lwakho lokugaya ukudla. Lokhu kuvumela uhlelo lwakho lokugaya ukudla ukuthi luphulukise ngaphandle kokusebenza.
Khumbula, kubalulekile ukukhuluma nodokotela wakho ngezingozi zokuthatha imithi ethile ye-HG ngesikhathi sokukhulelwa. Ngaleyo ndlela, ungathola ukwelashwa okuphephile kakhulu kuwe nakumntwana wakho.
Ingabe lesi simo sizoba ngcono?
Yebo, kungaba ngcono. Ngezinye izikhathi izimpawu zakho zingase ziphele ngemva kwenyanga yokuqala. Futhi, abanye abantu bangase babe nalezi zimpawu phakathi nokukhulelwa kwabo. Kodwa abantu abaningi bathi ubukhali bezimpawu buyehla kancane kancane ngokuhamba kwesikhathi. Izindaba ezinhle ukuthi lokhu kuvame ukuphela ngokuphelele ngemva kokuzalwa komntwana. Ngakho cabanga ngakho bese unquma.
Ingabe i-Hyperemesis Gravidarum ingavinjelwa?
Ngeshwa, lokhu akunakuvinjelwa. Ukwazi ukuthi usengozini yalesi simo kuyinto engcono kakhulu ongayenza ukuze uzilungiselele. Uma lokhu kwenzeka kuwe ekukhulelweni kwangaphambilini, kuwumqondo omuhle ukukhuluma nodokotela wakho bese uthola iseluleko ngaphambi kokuba ukhulelwe futhi.
Lokhu kungaba namuphi umphumela enganeni?
Uma udokotela wakho eqapha ukukhulelwa kwakho eduze futhi uthatha ukwelashwa okufanele, i-HG ngokuvamile ayithinti ingane yakho. Kodwa-ke, akuvamile kakhulu, uma wehlisa isisindo esiningi noma uphelelwa amanzi emzimbeni, ingane yakho ingazalwa inesisindo esincane sokuzalwa. Yingakho kubalulekile ukuthola ukwelashwa ngokushesha okukhulu.
Ingabe ikhona imiphumela yesikhathi eside yalokhu?
Iningi labantu alinazo imiphumela yesikhathi eside evela ku-hyperemesis gravidarum ngemva kokuthola umntwana. Nakuba kunengozi enkulu yokuthi lesi simo siphinde sivele ekukhulelweni okulandelayo, akufanele ube nezimpawu ngemva kokuzalwa komntwana. Iningi lomama abathola ukwelashwa nge-HG liyaqhubeka nokubeletha izingane ezinempilo.
Ingabe i-Hyperemesis Gravidarum iyisimo sokukhulelwa esiyingozi kakhulu?
Yebo, ezimweni eziningi udokotela wakho uzobheka ukukhulelwa kwakho njengobungozi obukhulu. Lokhu kusho ukuthi udokotela wakho uzokuqapha ukukhulelwa kwakho eduze ukuze aqinisekise ukuthi azikho izinkinga. Kuzodingeka uye kohlolwa njalo futhi ulandele imiyalelo kadokotela wakho.
Yini engcono kakhulu engingayenza uma ngine-Hyperemesis Gravidarum?
Into engcono kakhulu ongayenza ukufuna ukwelashwa kudokotela wakho. Udokotela wakho kuphela ongelapha izimpawu ezinzima ze-HG, njengokuphelelwa amanzi emzimbeni. Landela iseluleko sikadokotela wakho ngezinto ongazenza ekhaya ukuze akusize uzizwe ungcono. Isibonelo:
Yidla ukudla okuncane njalo emahoreni ambalwa.
Yidla ukudla okunongwe, okungenawo amafutha, futhi okulula ukugayeka. Gwema ukudla okunamafutha amaningi.
Sebenzisa ama-acupressure bands, i-vitamin B6, kanye/noma i-ginger ukusiza ngesicanucanu (buza udokotela wakho ngaphambi kokusebenzisa lokhu).
Gwema izinto ezikhulisa isicanucanu, njengokugibela izimoto.
Into ebaluleke kakhulu ukuthi, ungalwi nalokhu wedwa. Cela usizo emndenini nakubangani bakho. Kubaluleke kakhulu futhi ukuhlala uqinile engqondweni.
Kufanele ngimbone nini udokotela?
Ukuhlanza okukhulu noma ukungakwazi ukwehlisa noma yini akuyona into engavamile ngesikhathi sokukhulelwa. Kungadinga usizo lwezokwelapha. Bheka umhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha ngokushesha uma unezinye zalezi zimpawu:
Uma unesicanucanu esihlala usuku lonke futhi sibi kakhulu kangangokuthi awukwazi ukudla.
Uma uhlanza izikhathi ezingaphezu kwezintathu ngosuku izinsuku eziningana.
Uma wehlisa isisindo.
Uma uzizwa unesiyezi, uphelelwa amandla, noma udidekile.
Uma ungachami, noma uma umchamo wakho umnyama kakhulu ngombala.
Okokugcina, izinto okudingeka uzikhumbule
I-Hyperemesis gravidarum uhlobo olubi kakhulu lokucasuka kwasekuseni okwenzeka ngesikhathi sokukhulelwa. Kungabangela ukuhlanza izikhathi eziningana ngosuku. Ezimweni ezimbi kakhulu, kungaholela ekuphelelweni amanzi emzimbeni kanye nokuzalwa ngaphambi kwesikhathi.
Kodwa ungakhathazeki, ngokwelashwa okufanele, abantu abaningi bangathola impumuzo kulezi zimpawu futhi bathole ukudla okunomsoco abakudingayo ngesikhathi sokukhulelwa.
Uma ubhekene nesicanucanu esikhulu ngesikhathi sokukhulelwa, noma uhlanza izikhathi eziningana ngosuku, qiniseka ukuthi ukhuluma nodokotela wakho. Angakusiza ukuthola impumuzo futhi akusize wena nomntanakho nithole ukudla okunomsoco abakudingayo. Ngisho noma lesi isikhathi esinzima, khumbula ukuthi uzodlula kulokhu. Sikufisela inhlanhla!

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ukukhulelwa kanye nempilo kamamaJulayi 16, 2026
Ingabe nawe uhlanza kakhulu ngesikhathi sokukhulelwa? Ake sixoxe ngale Hyperemesis Gravidarum!
Dr. Priya SammaniMedical Verification
⏱ 7 min read
📋Table of Contents
1. Uyini umehluko phakathi 'kokugula kwasekuseni' kanye ne-Hyperemesis Gravidarum?
2. Ziyini izimpawu ze-Hyperemesis Gravidarum?
3. Kungani i-Hyperemesis Gravidarum yenzeka?
4. Ubani osengozini enkulu yalesi simo?
5. Yiziphi izinkinga ezingaba khona ngenxa ye-Hyperemesis Gravidarum?
6. Odokotela bakuthola kanjani i-Hyperemesis Gravidarum?
7. Yiziphi izindlela zokwelapha lokhu?
8. Uma izimpawu zingembi kangako...
9. Uma izimpawu zimbi kakhulu...
10. Ingabe lesi simo sizoba ngcono?
11. Ingabe i-Hyperemesis Gravidarum ingavinjelwa?
12. Lokhu kungaba namuphi umphumela enganeni?
13. Ingabe ikhona imiphumela yesikhathi eside yalokhu?
14. Ingabe i-Hyperemesis Gravidarum iyisimo sokukhulelwa esiyingozi kakhulu?
15. Yini engcono kakhulu engingayenza uma ngine-Hyperemesis Gravidarum?
16. Kufanele ngimbone nini udokotela?
17. Okokugcina, izinto okudingeka uzikhumbule
Kuvamile ukuthi omama abaningi babe nokucasuka kwasekuseni kanye nesicanucanu ngesikhathi sokukhulelwa. Kodwa ngezinye izikhathi lesi simo singaba sibi kakhulu. Uma uhlanza kakhulu okwenza ungakwazi ukudla noma ukuphuza, okubangela ukuthi wehlise isisindo, futhi okubangela ukuthi uphelelwe amanzi emzimbeni, sikubiza ngokuthi i-Hyperemesis Gravidarum . Lesi yisimo esihlukile nesinzima kakhulu kune-'Morning Sickness' evamile. Ngakho-ke, ake sixoxe ngalokhu ngokuningiliziwe, akunjalo?
Uyini umehluko phakathi 'kokugula kwasekuseni' kanye ne-Hyperemesis Gravidarum?
Ubuwazi ukuthi kubantu abaningi, cishe u-80% wabesifazane abakhulelwe, ukucasuka kwasekuseni, ngezinye izikhathi ukuhlanza kanye noma kabili ngesikhathi sokukhulelwa, kuyinto evamile. Akubangeli ukuphelelwa amanzi emzimbeni noma ukwehla kwesisindo. Ungadla ukudla nokuphuza ingxenye enkulu yosuku. Ezimweni eziningi, lokhu kuncipha cishe ngamasonto ayi-12, okuwukuphela kwe-trimester yokuqala. Kodwa-ke, i-hyperemesis gravidarum yisimo esibi kakhulu. Cabanga ngokuhlanza izikhathi eziningana ngosuku. Lokhu kungabangela ukwehla kwesisindo nokuphelelwa amanzi emzimbeni. Lezi zimpawu zingahlala isikhathi eside kunokucasuka kwasekuseni. Ngezinye izikhathi, uma uphelelwe amanzi emzimbeni, kungadingeka ukuthi ulaliswe esibhedlela ukuze uthole uketshezi lwe-IV . Ngakho-ke, kubalulekile ukuqonda umehluko phakathi kwalokhu okubili.
Ziyini izimpawu ze-Hyperemesis Gravidarum?
Lesi simo sivame ukuqala ku-trimester yokuqala yokukhulelwa, cishe amasonto ayi-6. Lezi zimpawu zingahlala amasonto, izinyanga, noma kuze kube yilapho umntwana ezalwa. Lokhu kungenza kube nzima ukwenza imisebenzi yakho evamile. Izimpawu ezivame kakhulu yilezi:
Isicanucanu esinzima .
Ukuhlanza izikhathi ezingaphezu kwezintathu ngosuku.
Ukulahlekelwa ngaphezu kuka-5% wesisindo somzimba wakho ngaphambi kokukhulelwa.
Ukungakwazi ukugcina ukudla noma isiphuzo.
Ukuphelelwa amanzi emzimbeni.
Ukuzizwa unesizungu , uzizwa ukhululekile.
Ukuphuma komchamo okuncane kunokujwayelekile.
Ukuzizwa ukhathele kakhulu .
Mhlawumbe ukuquleka.
Ikhanda elibuhlungu.
Ngaphezu kwalokhu, kunezinye izimpawu ezingavamile kakhulu:
Umfutho wegazi ophansi .
Isilinganiso senhliziyo esisheshayo.
Isikhumba esomile.
Ukudideka.
Ukuphuzi kwesikhumba (i-Jaundice) okubangelwa ukulimala kwesibindi.
Izimo ezingavamile kakhulu njenge-Wernicke-Korsakoff syndrome.
Kungani i-Hyperemesis Gravidarum yenzeka?
Odokotela abasazi kahle ukuthi yini ebangela lokhu. Kodwa kucatshangwa ukuthi amazinga aphezulu ama-hormone emzimbeni ngesikhathi sokukhulelwa yiwona abangela lokhu. Ngokukhethekile, i-hormone ebizwa nge -HCG (Human Chorionic Gonadotropin) ikhiqizwa ngumzimba wakho uma ukhulelwa. Lokhu kukhiqizwa ngokushesha kakhulu nangobuningi obukhulu. Leli zinga le-HCG lifinyelela cishe emavikini ayi-10 okukhulelwa. Yilapho abantu abaningi beba nezimpawu ezimbi kakhulu. Futhi, elinye i-hormone eyanda ngesikhathi sokukhulelwa, ebizwa nge -estrogen, kucatshangwa ukuthi lihilelekile kulesi sicanucanu nokuhlanza.
Ubani osengozini enkulu yalesi simo?
Abanye abantu banamathuba amaningi okuthola i-hyperemesis gravidarum (HG). Izici eziyingozi zifaka:
Uma uke waba ne-HG ekukhulelweni kwangaphambilini.
Uma ukhulelwe amawele, amawele amathathu, noma ngaphezulu (ukukhulelwa okuningi).
Uma lokhu kungukukhulelwa kwakho kokuqala.
Uma kukhona umuntu emndenini wakho, njengomama wakho noma udadewenu, oke waba nokucasuka okukhulu kwasekuseni noma i-HG (umlando womndeni webhayoloji).
Uma uthambekele ekuhlaselweni ukugula okubangelwa ukuhamba noma ikhanda elibuhlungu ngesikhathi usohambweni.
Uma unesifo esibizwa ngokuthi i-Gestational Trophoblastic Disease (GTD) , okuyisifo lapho amangqamuzana esibelethweni ekhula ngendlela engavamile.
Yiziphi izinkinga ezingaba khona ngenxa ye-Hyperemesis Gravidarum?
Eqinisweni, imbangela yezinkinga eziningi ezibangelwa yilesi simo se-HG ukuntuleka kwezakhamzimba noketshezi oludingwa ngumzimba, okungukuthi, ukungondleki kahle . Uma uqhubeka nokuhlanza, umzimba awutholi amavithamini nezakhamzimba ozidingayo ngendlela efanele. Lokhu kungaholela ezimweni ezifana nokuzalwa ngaphambi kwesikhathi noma isisindo esiphansi sokuzalwa . Futhi, ukuhlanza ngokweqile kungabangela ukopha emphinjeni wakho futhi kubangele eminye imiphumela emibi. Ngakho-ke, kubaluleke kakhulu ukunakekela lokhu. Ungakhathazeki, uma uthola ukwelashwa ngokushesha, lokhu kungalawulwa ngezinga elikhulu.
Odokotela bakuthola kanjani i-Hyperemesis Gravidarum?
Uma ubona udokotela, bazokubuza ngezimpawu zakho kanye nanoma yiziphi izimo zempilo oye waba nazo ngaphambilini. Bazobe sebekuhlola. Bazohlola ikakhulukazi isisindo sakho futhi babone ukuthi ulahlekelwe isisindo kakhulu yini. Bangase futhi benze ukuhlolwa kwegazi nomchamo ukuze bahlole ukuthi awusenawo yini amanzi emzimbeni. Bangase futhi bahlole ukuthi ukhulelwe yini umntwana oyedwa noma ngaphezulu, noma uma unezimpawu ze-GTD (Gestational Trophoblastic Disease), isimo esake sakhulunywa ngaso ngaphambilini.Kungenziwa ne-ultrasound. Ngezinye izikhathi, udokotela uzohlola futhi ukuze abone ukuthi ukuhlanza kubangelwa yini esinye isifo sesisu.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike ebunzimeni bezimpawu zakho, ngakho-ke kubalulekile ukuxoxa ngazo zonke lezi zindlela zokwelapha nomhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha. Ungakhathazeki, kuvame ukuba nezindlela zokwelapha ezinhle zalesi simo.
Uma izimpawu zingembi kangako...
Ngezinye izikhathi izinto ezinjengalezi zingasiza:
Izinguquko endleleni yokuphila: Abanye abantu basebenzisa ama-acupressure bands ukuze banciphise isicanucanu. Abanye abantu bathola impumuzo ezintweni ezifana nokuhlafuna amaphilisi ejinja noma ukuphuza itiye lejinja.
Izinguquko ekudleni: Yidla ukudla okuncane njalo emahoreni amabili esikhundleni sokudla ukudla okukhulu. Futhi, yidla ukudla okunamafutha amancane, okuthambile, futhi okulula ukukugaya (isib. ama-crackers, isinkwa, amazambane athosiwe, ilayisi). Ucwaningo lubonise ukuthi ukudla okunamafutha amaningi kungandisa isicanucanu ngesikhathi sokukhulelwa. Ngakho-ke, udokotela wakho angakutshela ukuthi ugweme ukudla okunamafutha amaningi nokuthambile.
Imithi yokucanuzela: Eminye imithi etholakala ngaphandle kwemithi kadokotela (OTC) ingasiza ekunciphiseni isicanucanu. I-Pyridoxine (ivithamini B6) kanye ne-doxylamine (isib. i-Unisom®) yizona ezisetshenziswa kakhulu. Uma lokhu kungasizi, udokotela wakho angase akunike i-antihistamine efana ne -diphenhydramine (isib. i-Benadryl®) . Kodwa khumbula, ungathathi noma yimuphi umuthi wokucanuzela noma ukuhlanza ngaphandle kokukhuluma nodokotela wakho. Kuphephile ukuthatha umuthi kadokotela.
Ukugwema izinto ezikwenza uzizwe unesicanucanu: Ungase uthole ukuthi amaphunga athile nezinto ezifana nokugibela izimoto zikwenza uzizwe unesicanucanu. Zama ukuzigcina kude nalezo zinto ngangokunokwenzeka.
Uma izimpawu zimbi kakhulu...
Uma uhlanza kakhulu futhi uphelelwe amanzi emzimbeni, kungadingeka ukuthi ulaliswe esibhedlela. Nazi ezinye izindlela zokwelapha izimo ezincane ze-hyperemesis gravidarum:
Imithi kadokotela: Kunezinhlobo eziningana zemithi engasiza ekunciphiseni isicanucanu nokuhlanza. Udokotela angase aqale anikeze inhlanganisela ye-doxylamine ne-vitamin B6. Kodwa-ke, imithi enamandla ingadingeka. Imithi evame kakhulu enikezwa isicanucanu nokuhlanza yi -promethazine ne -metoclopramide . I-OndansetronLona omunye umuthi ongasiza ngesicanucanu nokuhlanza. Eminye yale mithi inganikezwa ngemithambo yegazi (IV), njengomjovo, noma njenge-rectal suppository uma ungakwazi ukuyithatha ngomlomo.
Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Udokotela uzokunika uketshezi kanye nezakhamzimba nge-IV efakwe emthanjeni engalweni yakho. Lokhu kungadinga ukuhlala esibhedlela.
Ukondla ngepayipi: Udokotela ukunika ukudla okunomsoco ngepayipi eligoqekayo elifakwa ngekhala noma esiswini sakho. Uzovame ukungeniswa esibhedlela ukuze uthole lolu hlobo lokwelashwa.
Ukudla Okuphelele Kwabazali (TPN): Ezimweni ezimbi kakhulu ze-hyperemesis gravidarum, kungadingeka unikezwe izakhamzimba ngemithambo yegazi (IV), ugweme ngokuphelele uhlelo lwakho lokugaya ukudla. Lokhu kuvumela uhlelo lwakho lokugaya ukudla ukuthi luphulukise ngaphandle kokusebenza.
Khumbula, kubalulekile ukukhuluma nodokotela wakho ngezingozi zokuthatha imithi ethile ye-HG ngesikhathi sokukhulelwa. Ngaleyo ndlela, ungathola ukwelashwa okuphephile kakhulu kuwe nakumntwana wakho.
Ingabe lesi simo sizoba ngcono?
Yebo, kungaba ngcono. Ngezinye izikhathi izimpawu zakho zingase ziphele ngemva kwenyanga yokuqala. Futhi, abanye abantu bangase babe nalezi zimpawu phakathi nokukhulelwa kwabo. Kodwa abantu abaningi bathi ubukhali bezimpawu buyehla kancane kancane ngokuhamba kwesikhathi. Izindaba ezinhle ukuthi lokhu kuvame ukuphela ngokuphelele ngemva kokuzalwa komntwana. Ngakho cabanga ngakho bese unquma.
Ingabe i-Hyperemesis Gravidarum ingavinjelwa?
Ngeshwa, lokhu akunakuvinjelwa. Ukwazi ukuthi usengozini yalesi simo kuyinto engcono kakhulu ongayenza ukuze uzilungiselele. Uma lokhu kwenzeka kuwe ekukhulelweni kwangaphambilini, kuwumqondo omuhle ukukhuluma nodokotela wakho bese uthola iseluleko ngaphambi kokuba ukhulelwe futhi.
Lokhu kungaba namuphi umphumela enganeni?
Uma udokotela wakho eqapha ukukhulelwa kwakho eduze futhi uthatha ukwelashwa okufanele, i-HG ngokuvamile ayithinti ingane yakho. Kodwa-ke, akuvamile kakhulu, uma wehlisa isisindo esiningi noma uphelelwa amanzi emzimbeni, ingane yakho ingazalwa inesisindo esincane sokuzalwa. Yingakho kubalulekile ukuthola ukwelashwa ngokushesha okukhulu.
Ingabe ikhona imiphumela yesikhathi eside yalokhu?
Iningi labantu alinazo imiphumela yesikhathi eside evela ku-hyperemesis gravidarum ngemva kokuthola umntwana. Nakuba kunengozi enkulu yokuthi lesi simo siphinde sivele ekukhulelweni okulandelayo, akufanele ube nezimpawu ngemva kokuzalwa komntwana. Iningi lomama abathola ukwelashwa nge-HG liyaqhubeka nokubeletha izingane ezinempilo.
Ingabe i-Hyperemesis Gravidarum iyisimo sokukhulelwa esiyingozi kakhulu?
Yebo, ezimweni eziningi udokotela wakho uzobheka ukukhulelwa kwakho njengobungozi obukhulu. Lokhu kusho ukuthi udokotela wakho uzokuqapha ukukhulelwa kwakho eduze ukuze aqinisekise ukuthi azikho izinkinga. Kuzodingeka uye kohlolwa njalo futhi ulandele imiyalelo kadokotela wakho.
Yini engcono kakhulu engingayenza uma ngine-Hyperemesis Gravidarum?
Into engcono kakhulu ongayenza ukufuna ukwelashwa kudokotela wakho. Udokotela wakho kuphela ongelapha izimpawu ezinzima ze-HG, njengokuphelelwa amanzi emzimbeni. Landela iseluleko sikadokotela wakho ngezinto ongazenza ekhaya ukuze akusize uzizwe ungcono. Isibonelo:
Yidla ukudla okuncane njalo emahoreni ambalwa.
Yidla ukudla okunongwe, okungenawo amafutha, futhi okulula ukugayeka. Gwema ukudla okunamafutha amaningi.
Sebenzisa ama-acupressure bands, i-vitamin B6, kanye/noma i-ginger ukusiza ngesicanucanu (buza udokotela wakho ngaphambi kokusebenzisa lokhu).
Gwema izinto ezikhulisa isicanucanu, njengokugibela izimoto.
Into ebaluleke kakhulu ukuthi, ungalwi nalokhu wedwa. Cela usizo emndenini nakubangani bakho. Kubaluleke kakhulu futhi ukuhlala uqinile engqondweni.
Kufanele ngimbone nini udokotela?
Ukuhlanza okukhulu noma ukungakwazi ukwehlisa noma yini akuyona into engavamile ngesikhathi sokukhulelwa. Kungadinga usizo lwezokwelapha. Bheka umhlinzeki wakho wokunakekelwa kwangaphambi kokubeletha ngokushesha uma unezinye zalezi zimpawu:
Uma unesicanucanu esihlala usuku lonke futhi sibi kakhulu kangangokuthi awukwazi ukudla.
Uma uhlanza izikhathi ezingaphezu kwezintathu ngosuku izinsuku eziningana.
Uma wehlisa isisindo.
Uma uzizwa unesiyezi, uphelelwa amandla, noma udidekile.
Uma ungachami, noma uma umchamo wakho umnyama kakhulu ngombala.
Okokugcina, izinto okudingeka uzikhumbule
I-Hyperemesis gravidarum uhlobo olubi kakhulu lokucasuka kwasekuseni okwenzeka ngesikhathi sokukhulelwa. Kungabangela ukuhlanza izikhathi eziningana ngosuku. Ezimweni ezimbi kakhulu, kungaholela ekuphelelweni amanzi emzimbeni kanye nokuzalwa ngaphambi kwesikhathi.
Kodwa ungakhathazeki, ngokwelashwa okufanele, abantu abaningi bangathola impumuzo kulezi zimpawu futhi bathole ukudla okunomsoco abakudingayo ngesikhathi sokukhulelwa.
Uma ubhekene nesicanucanu esikhulu ngesikhathi sokukhulelwa, noma uhlanza izikhathi eziningana ngosuku, qiniseka ukuthi ukhuluma nodokotela wakho. Angakusiza ukuthola impumuzo futhi akusize wena nomntanakho nithole ukudla okunomsoco abakudingayo. Ngisho noma lesi isikhathi esinzima, khumbula ukuthi uzodlula kulokhu. Sikufisela inhlanhla!
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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