Isimo Esiyingozi Ngesikhathi Sokukhulelwa: Ake Sifunde Nge-Eclampsia

Isimo Esiyingozi Ngesikhathi Sokukhulelwa: Ake Sifunde Nge-Eclampsia | Nirogi Lanka

Physician Reviewed — Not Medical Advice

Uma ukhulelwe njengamanje, cishe ugxile kakhulu empilweni yakho kanye nempilo yengane yakho. Nakuba ukukhulelwa kuyindlela enhle, ngezinye izikhathi kungahambisana nezinkinga ezingalindelekile. I-Eclampsia ingenye yezinkinga ezingavamile kodwa ezingaba yingozi. Ake sizinike isikhathi sokuqonda ukuthi iyini, akunjalo?

Iyini i-Eclampsia? Futhi ihlobene kanjani ne-Preeclampsia?

Okokuqala, ake sichaze i-Preeclampsia . Kalula nje, yisimo esithinta ukukhulelwa—esivame ukwenzeka ngemva kwamasonto angu-20—esibonakala ngomfutho wegazi ophakeme kanye namaprotheni emchameni wakho .

Uma i-preeclampsia ingaphathwa noma iqhubeka, ingaguquka ibe yi -Eclampsia . I-Eclampsia yenzeka lapho umuntu one-preeclampsia eba nokuquleka noma ukuxhuzula . Ukuquleka ukuphazamiseka kukagesi okungazelelwe, okungajwayelekile ebuchosheni okungabangela ukuthuthumela okungahlosiwe, ukulahlekelwa ukwazi, noma ukudideka.

Okubaluleke kakhulu, sicela wazi ukuthi akuwona wonke umuntu one-preeclampsia othola i-eclampsia. Kwenzeka ngaphansi kwama-3% ezimo. Kodwa-ke, kuyisimo esibucayi sezokwelapha esidinga ukungenelela kwezokwelapha okuphuthumayo .

Ezimweni eziningi, odokotela baphatha ngempumelelo i-preeclampsia ngaphambi kokuba ifike esigabeni se-eclampsia. Yingakho ukuba khona njalo emihlanganweni yakho yokubeletha kubalulekile. Ukwelashwa okuqinisekile kuzo zombili izimo ukubeletha umntwana.

Ubani osengozini enkulu yokuthola i-Eclampsia?

Isici esiyinhloko sengozi ye-eclampsia ukuba ne-preeclampsia. Kodwa-ke, kunezinye izici eziningana ezingandisa ingozi yakho:

  • Ukhulelwe amawele noma izingane eziningi .
  • Unesimo sokuzivikela komzimba lapho amasosha omzimba wakho ehlasela khona amaseli akho ngephutha (isib. i-Lupus).
  • Udla ukudla okungenampilo noma uphila nokukhuluphala ngokweqile (i-Body Mass Index/BMI engama-30 noma ngaphezulu).
  • Unesifo sikashukela esivele sikhona ( i-Diabetes Mellitus) , umfutho wegazi ophakeme (umfutho wegazi ophakeme) , noma isifo sezinso .
  • Uneminyaka engaphansi kwengu-17 noma ngaphezulu kweminyaka engu-35 ubudala.
  • Lokhu ukukhulelwa kwakho kokuqala .
  • Ilungu lomndeni (njengomama wakho noma udadewenu) noma wena ngokwakho unomlando we-preeclampsia noma i-eclampsia.

Kodwa-ke, kubalulekile ukukhumbula ukuthi i-eclampsia ingase ivele ngisho noma ungenayo kulezi zinto eziyingozi.

Yiziphi izimpawu eziyisixwayiso ze-Eclampsia?

Ngokuvamile, i-eclampsia ilandelwa izimpawu eziyisixwayiso. Ukuqaphela lezi zimpawu kubalulekile ukuze uthole usizo lwezokwelapha ngokushesha:

  • Ikhanda elibuhlungu elibi nelihlala njalo elingaphenduli emithini ejwayelekile yokuqeda ubuhlungu .
  • Ukuphefumula kanzima noma ubunzima bokuphefumula.
  • Ukucanuzela noma ukuhlanza .
  • Ubunzima bokuchama noma ukwehla okukhulu kokuvama kokuchama.
  • Ubuhlungu besisu , ikakhulukazi ohlangothini oluphezulu kwesokudla (eduze kwesibindi).
  • Ukubona okufiphele , ukubona okubili, ukulahlekelwa umbono , noma ukubona ukukhanya.
  • Ukuvuvukala okungazelelwe ezandleni, ebusweni, noma emaqakaleni.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha .

Yiziphi izimpawu eziyinhloko ze-Eclampsia?

Izimpawu eziyinhloko nezicacile kakhulu ze-eclampsia zifaka:

  • Ukuquleka : Ukuthuthumela okungenasidingo, ukuqaqamba kwemisipha okunesigqi, noma ukugoqa umhlathi.
  • Ukuphazamiseka kwengqondo okukhulu noma ukudideka : Ukuzizwa udidekile noma uphazamisekile engqondweni.
  • Ukulahlekelwa ingqondo .

Yini ebangela i-Eclampsia?

Njengoba kuxoxiwe, i-eclampsia ivame ukubangelwa ukuba kubi kwe -preeclampsia . Umfutho wegazi ophezulu ohambisana ne-preeclampsia ucindezela kakhulu imithambo yegazi yakho, ikakhulukazi leyo esebuchosheni. Lokhu kungaholela ekuvuvukeni ebuchosheni, okubangela ukuxhuzula.

Ngaphezu kwalokho, izakhi zofuzo kanye nezici zokudla okunempilo nazo kukholakala ukuthi zidlala indima.

Itholakala kanjani i-Eclampsia?

Udokotela wakho Wezifo Zokubeletha uzoxilonga i-eclampsia, ngokuvamile ngemva kokuquleka. Angenza okulandelayo:

  • Ukuhlolwa Komzimba : Ukuhlola impilo yakho iyonke kanye nezimpawu zomtholampilo.
  • Ukuqapha Umfutho Wegazi Okuvamile : Ukuze kutholakale ukunyuka komfutho wegazi.
  • Ukuhlolwa Kwegazi : Ukuhlola ukungasebenzi kahle kwamangqamuzana abomvu egazi, ama-platelet (abalulekile ekujiyeni kwegazi), kanye nokusebenza kwesibindi.
  • Ukuhlolwa komchamo : Ukuhlola amazinga aphezulu eprotheni.
  • Ukuhlolwa kwe-Creatinine : Ukuhlola ukusebenza kwezinso ngokulinganisa ukuhluzwa komkhiqizo ongcolile.

Udokotela wakho uzophinde aqaphe impilo yengane yakho esebenzisa ama-ultrasound ukuhlola ukushaya kwenhliziyo, ukunyakaza, ukukhula, kanye nesimo se-placenta.

Iphathwa kanjani i-Eclampsia?

Ukwelashwa okungcono kakhulu nokuwukuphela kwakho okuqinisekile kwe-eclampsia ukubeletha umntwana , njengoba lesi simo siphela lapho ukukhulelwa sekuphelile.

  • Uma usuneviki lama-37 noma udlulile , odokotela ngokuvamile bazozama ukukubangela ukubeletha.
  • Uma nobabili nizinzile kanye nengane, kungenzeka ukuthi nibelethe ngesitho sangasese sowesifazane . Kodwa-ke, ezimweni eziningi, kudingeka ukuhlinzwa kwe-C-section okuphuthumayo ukuqinisekisa ukuphepha komama nomntwana.

Uma udokotela wakho enquma ukuthi udinga ukulibazisa ukubeletha ukuze unike ingane yakho isikhathi esengeziwe sokukhula, angase akunike imithi elandelayo:

  • Imithi yokulwa nokuxhuzula : Le mithi isetshenziselwa ukuvimbela noma ukuvimba ukuxhuzula. Ukwelashwa okuvame kakhulu yi -Magnesium sulfate , enikezwa njengokufakwa kwe-intravenous (IV).
  • Imithi yokwehlisa umfutho wegazi : Le mithi isetshenziselwa ukulawula nokwehlisa umfutho wegazi ophakeme.
  • Ama-Corticosteroids : Uma kudingeka ukubeletha ngaphambi kwesikhathi, le mithi isiza ukusheshisa ukukhula namandla amaphaphu engane yakho.

Yiziphi ezinye izinkinga ezingavela ngenxa ye-Eclampsia?

Ngenxa yokuthi i-eclampsia iyisimo esibucayi sezokwelapha, ingaholela ezinkingeni ezahlukahlukene kuwe nakumntwana wakho.

Izinkinga ezingaba khona kumama:

  • Ukuphazamiseka kwe-placenta : Isimo esiphuthumayo esisongela ukuphila lapho i-placenta ihlukana nodonga lwesibeletho ngaphambi kokuzalwa.
  • Ukubeletha ngaphambi kwesikhathi .
  • Izinkinga zokujiya kwegazi .
  • Isifo sohlangothi .
  • Ukwehluleka kwezinso .
  • Ukulimala kwesibindi .
  • Ukufa komama (Nakuba kungavamile kakhulu, kungavinjelwa ngokungenelela kwezokwelapha okusheshayo).

I-eclampsia iyithinta kanjani ingane?

Nakuba iningi lezinsana lingahlushwa yizinkinga zempilo zesikhathi eside ngenxa ye-eclampsia, lesi simo singathinta ngqo i-placenta—isitho esibalulekile esinikeza ingane yakho umoya-mpilo, igazi, kanye nezakhamzimba. Uma ukusebenza kwe-placenta kuphazamiseka, ingane yakho ingabhekana nezingozi ezilandelayo:

  • Ukuphazamiseka kwe-placenta .
  • Ukuzalwa kwengane ifile (okungavamile kakhulu).
  • Amathuba okuhlinzwa ngokuhlinzwa okuphuthumayo ayanda .
  • Ukuzalwa ngaphambi kwesikhathi .
  • Isisindo esiphansi sokuzalwa .
  • Ukuvinjelwa kokukhula .

Ingancishiswa kanjani ingozi ye-Eclampsia?

Nakuba ungenakukwazi ukukuvimbela njalo, ungathatha izinyathelo zokunciphisa ingozi yakho:

  • Ukuphathwa kahle kwe-preeclampsia kuyisinyathelo esibaluleke kakhulu.
  • Yiba khona kuzo zonke izikhathi zokuhlolwa ngaphambi kokubeletha : Ungaphuthelwa yilokhu kuhlolwa. Kuvumela udokotela wakho ukuthi aqaphe njalo umfutho wegazi lakho futhi ahlole umchamo wakho ukuze abone amazinga amaprotheni.
  • Londoloza indlela yokuphila enempilo : Yidla ukudla okunempilo futhi uhlanganyele emisebenzini yomzimba njengoba kunconywa udokotela wakho.
  • Uma usengozini enkulu yokuthola i-preeclampsia (isb., umlando we-preeclampsia ekukhulelweni kwangaphambilini noma umfutho wegazi ophakeme ongapheli), udokotela wakho angancoma i-Aspirin ephansi kusukela ku-trimester yokuqala . Ucwaningo lubonisa ukuthi lokhu kunganciphisa ingozi yokuthola i-preeclampsia. Njalo landela iseluleko sikadokotela wakho ngaphambi kokuqala noma yimuphi umuthi omusha.

Ingabe kungenzeka ukuthi ululame ngenxa ye-Eclampsia?

Yebo, iningi labesifazane liyalulama ngokuphelele ngemva kokubeletha. Kodwa-ke, phakathi nesikhathi sakho sokululama, khumbula okulandelayo:

  • Yidla ukudla okunempilo nokulinganiselayo .
  • Hlala usebenza njengoba utshelwa udokotela wakho.
  • Qiniseka ukuthi uthola ukuphumula okwanele .
  • Yiba khona kuzo zonke izikhathi zokubonana ngemva kokubeletha ngaphandle kokwehluleka.
  • Lawula ukucindezeleka ngangokunokwenzeka.
  • Thatha yonke imithi njengoba nje uyalelwe .
  • Qapha umfutho wegazi lakho nsuku zonke okungenani amasonto amabili ngemva kokubeletha.

I-Eclampsia ayibulali ngaso sonke isikhathi; ngokwelashwa ngesikhathi esifanele, iziguli eziningi ziyalulama ngokugcwele. Hlala unolwazi, landela iseluleko sezokwelapha, futhi ubeke phambili ukuphepha kwakho.

Kufanele ngixhumane nodokotela ngokushesha nini?

Uma uhlangabezana nanoma yiziphi izimpawu ezintsha ezilandelayo ngesikhathi sokukhulelwa, funa usizo lwezokwelapha oluphuthumayo noma uvakashele isibhedlela esiseduze ngokushesha:

  • Noma yikuphi ukuquleka - lokhu kuyisimo esiphuthumayo sezokwelapha!
  • Ikhanda elibuhlungu elingapheli nelinzima.
  • Ukopha kwangasese.
  • Ukuphazamiseka kokubona, njengokubona okufiphele, ukubona okukabili, noma ukubona izibani/ama-aura akhanyayo.
  • Ubuhlungu obukhulu besisu (ikakhulukazi ohlangothini oluphezulu kwesokudla).
  • Ukuhlanza njalo nokungapheli.
  • Ukunyakaza kombungu okunciphayo noma okungekho.

Khumbula, yize i-eclampsia ingavamile, iyinkinga eyingozi yokukhulelwa. Ukuphathwa kwe-preeclampsia ngendlela efanele kuyindlela engcono kakhulu yokuvimbela i-eclampsia. Ngokuya ekuhlolweni kwakho kwangaphambi kokubeletha kanye nokuqapha umfutho wegazi, amaprotheni emchameni, kanye nezinye izimpawu eziyisixwayiso, ungasiza udokotela wakho wezifo zokubelethisa ukuthi abambe izinkinga kusenesikhathi. Uma uhlangabezana nokudideka, ikhanda elibuhlungu kakhulu, izinguquko zombono, noma ukuthuthumela kwemisipha, yazisa udokotela wakho wezifo zokubelethisa ngokushesha.

Umyalezo Oyisihluthulelo Ohamba Nawo Ekhaya

Ngamafuphi, nanka amaphuzu abaluleke kakhulu okufanele uwakhumbule:

  • I-Eclampsia iyinkinga enkulu ye-preeclampsia engabangela ukuquleka futhi ingaba yingozi empilweni .
  • Qaphela kakhulumayelana nezimpawu ezifana nomfutho wegazi ophakeme, amaprotheni emchameni, ikhanda elibuhlungu kakhulu, izinguquko zombono, ubuhlungu besisu, kanye nokuvuvukala okungazelelwe.
  • Ungalokothi weqe ama-aphoyintimenti akho ngaphambi kokubeletha. Ukulandela isimiso sokuhlolwa kukadokotela wakho kuyindlela engcono kakhulu yokugcina wena nomntwana wakho niphephile.
  • Uma ubona noma yiziphi izimpawu eziyisixwayiso, funa usizo lwezokwelapha ngokushesha. Ukutholwa kusenesikhathi kuholela emiphumeleni engcono kanye nezinkinga ezimbalwa.
  • Ukulethwa kuyindlela yokwelapha i-eclampsia, yize imithi isetshenziswa ukuqinisa isimo sakho ngaphambi kwesikhathi.
  • Iningi labantu liyalulama ngokuphelele kwi-eclampsia. Ungahlali ngokwesaba, kodwa qaphela futhi ulandele ngokuqinile isiqondiso sezokwelapha sikadokotela wakho.

Ngikufisela wena nomntanakho uhambo olunempilo oluvela eNirogi Lanka!