Injabulo yokwamukela umntwana omusha ekhaya ayichazeki, akunjalo? Nakuba ukunaka kwawo wonke umuntu kugxile enganeni yakho nasendodaneni yakho, kubalulekile kuwe njengomama omusha ukunakekela impilo yakho. Phela, ukubeletha kuyinqubo enkulu, futhi kuthatha isikhathi esithile ukuba umzimba wakho ululame. Phakathi nalesi sikhathi, ngezinye izikhathi singabhekana nezimo zempilo ezingalindelekile, kodwa ezingathi sína kakhulu. Leyo yi-Postpartum Preeclampsia.
Kalula nje, iyini i-postpartum preeclampsia?
I-postpartum preeclampsia yisimo esibi kakhulu, kodwa esingajwayelekile, somfutho wegazi ophezulu esenzeka komama ngemva kokubeletha. Ngokuvamile kwenzeka emahoreni okuqala angu-48 okubeletha. Kodwa-ke, ngezinye izikhathi ingakhula kuze kube amasonto ayisithupha ngemva kokubeletha. Kuyingozi ngoba kungaholela ezinkingeni ezinkulu ezifana nesifo sohlangothi kanye nokuquleka uma kungatholakalanga futhi kwelashwe kusenesikhathi.
Manje ungase ucabange, lokhu akufani yini ne-preeclampsia? Cha, lezi ezimbili zihlukile kancane. I-Preeclampsia yisimo esenzeka ngesikhathi sokukhulelwa. Kodwa i-preeclampsia yangemva kokubeletha yenzeka kuphela ngemva kokuzalwa komntwana. Okumangazayo ukuthi ngisho nomama ongakaze abe ne-preeclampsia empilweni yakhe futhi ongazange abe nezinkinga ngesikhathi sokukhulelwa angahlakulela lesi simo.
Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu. Uma usheshe watholakala futhi welashwa, amathuba akho okululama ngokugcwele ayanda.
Ubani osengozini enkulu yalesi simo?
Nakuba lesi simo singakhula kunoma ubani, izici ezithile zingandisa ingozi yakho. Kubalulekile ukukhuluma nodokotela wakho ngalokhu.
| Isici Sengozi | Incazelo elula |
|---|---|
| Ukukhuluphala ngokweqile | Uma isisindo somzimba wakho siphezulu kakhulu kunesijwayelekile. |
| Umfutho wegazi ophezulu ngesikhathi sokukhulelwa | Uma umfutho wegazi lakho wawuphezulu ngesikhathi ukhulelwe. |
| Umlando womndeni noma womuntu siqu | Uma wena noma othile emndenini wakho (umama, udadewethu) wake waba ne-preeclampsia noma i-prepostpartum preeclampsia. |
| Ubudala | Uma ungaphansi kweminyaka engama-20 noma ngaphezulu kweminyaka engama-40 ubudala. |
| Amawele | Uma ulindele amawele noma izingane ezengeziwe. |
| Ezinye izimo zezokwelapha | Uma unezimo ezifana nesifo sikashukela (uhlobo 1 noma uhlobo 2 lwesifo sikashukela) noma izifo ezihlasela amasosha omzimba (isib. i-Lupus). |
Sikubona kanjani lokhu? Ziyini izimpawu?
Njengoba umzimba wakho ukhathele ngemva kokubeletha, ungase ucabange ukuthi ezinye izimpawu zivamile bese ungaziboni. Ngakho-ke, qaphela lezi zimpawu.
| Isibonakaliso | Kuzwakala kanjani lokhu? |
|---|---|
| Umfutho wegazi ophakeme | Umfutho wegazi u-140/90 mmHg noma ngaphezulu. Lokhu kunzima ukukubona ekhaya. |
| Ikhanda elibuhlungu kakhulu | Akufani nekhanda elivamile, ubuhlungu obungabekezeleleki nobunzima. Bungase bungapheli ngisho nangemithi yokwelapha izinhlungu. |
| Izinguquko zombono | Amehlo akho angase abonakale engacacile, ungase ube nobunzima bokubheka ukukhanya, futhi ungase uzizwe sengathi kunamachashazi noma imigqa entanta phambi kwamehlo akho. |
| Ukuvuvukala komzimba | Ukuvuvukala, ikakhulukazi kobuso, izandla, imilenze kanye nezinyawo. |
| Ubuhlungu besisu | Ubuhlungu esiswini esingaphezulu, ngokuvamile ngaphansi kwezimbambo ohlangothini lwesokudla. |
| Isicanucanu nokuhlanza | Isicanucanu nokuhlanza ngaphandle kwesizathu esicacile. |
| Ukuncipha kokuchama | Ukwehla okukhulu kwenani lomchamo okhishwa ngosuku. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, umuzwa wokusinda esifubeni. |
Uma unezinye zalezi zimpawu ngemva kokubeletha umntwana, ungacabangi nje ukuthi, "Lokhu mhlawumbe kuwukuzikhandla okuvamile." Shayela udokotela wakho ngokushesha, noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) esibhedlela esiseduze nawe.
Kungani lokhu kwenzeka? Iyini imbangela?
Eqinisweni, odokotela abakayazi imbangela eqondile ye-prepartum preeclampsia. Kodwa bayazi ukuthi izici eziyingozi esixoxe ngazo ekuqaleni zidlala indima. Yingakho kubalulekile ukuya ekunakekelweni kwakho kokubeletha kanye nokuhlolwa kwangemva kokubeletha njalo. Yabelana ngomlando wakho wezokwelapha ogcwele nodokotela wakho. Unganqikazi ukubatshela noma yini engavamile, kungakhathaliseki ukuthi incane kangakanani.
Udokotela angakuqinisekisa kanjani lokhu?
Uma uya esibhedlela, uma udokotela esola lesi simo, uzokwenza izivivinyo eziningana.
- Ukulinganisa umfutho wegazi: Into yokuqala okufanele uyenze ukuhlola umfutho wegazi lakho.
- Ukuhlolwa kwegazi: Kuzothathwa isampula yegazi lakho ukuze kuhlolwe inani lama-platelet akho nokuthi isibindi nezinso zakho zisebenza kahle kangakanani.
- Ukuhlolwa komchamo: Kuthathwa isampula yomchamo bese kuhlolwa iphrotheni. Kulesi simo, iphrotheni ingase ibe khona emchameni. Lokhu kubizwa ngokuthi i-proteinuria .
- Ukuskena kobuchopho: Uma uke waba nokuxhuzula , ungase uskenwe yi-CT noma i-MRI ukuze ubone ukuthi kukhona yini ukulimala kobuchopho.
Iphathwa kanjani?
Ngenxa yokuthi lesi yisimo esibucayi, uzokwelashwa esibhedlela. Kunezindlela eziningana zokwelapha eziyinhloko.
- Imithi yokucindezeleka kwegazi: Imithi inikezwa ukuze yehlise umfutho wegazi wakho ophakeme uye ezingeni eliphephile.
- Imithi yokulwa nokuquleka : Ingozi enkulu kulesi simo ukuquleka . Ukuvimbela lokhu, imithi efana ne -magnesium sulfate inikezwa ngemithambo yegazi.
- Ama-Anticoagulant: Njengoba kunengozi yokuthi igazi liqhekeke emithanjeni yegazi, kunganikezwa ama-blood thinner ukuze kuncishiswe le ngozi.
Uma ungumama oncelisayo, qiniseka ukuthi utshela udokotela wakho nabahlengikazi. Bazoqinisekisa ukuthi imithi oyinikezayo iphephile yini enganeni yakho futhi bahlele ukwelashwa kwakho ngokufanele.
Yiziphi izinto ezingathi sína ezingase zenzeke uma zingelashwa?
Ungesabi ukufunda lesi sigaba. Lokhu kwenzelwa ukukufundisa. Ngoba uma uqonda ukuthi lesi simo sibi kangakanani ngeke uzishaye indiva izimpawu.
- Ukulimala okungapheli kwezitho ezibalulekile njengobuchopho, isibindi nezinso.
- Ukuquleka .
- Ukuvuvukala kwamaphaphu .
- Isifo sohlangothi .
- Ukwakheka kwamahlule egazi emithanjeni yegazi.
- Ukwenzeka kwesimo esibi kakhulu, esisongela ukuphila esibizwa ngokuthi i-HELLP syndrome .
- Nakuba kungavamile, ukufa kungenzeka.
Yingakho sisho ngokuphindaphindiwe ukuthi uma unokungabaza ngezimpawu zakho, bona udokotela ngokushesha.
Kuzothatha isikhathi esingakanani ukuphola? Ingabe ingaphinde ikhule?
Kungathatha izinsuku noma amasonto ambalwa ukuthi umfutho wegazi lakho ubuyele ezingeni eliphephile ngemithi. Uma umfutho wegazi wakho usulawulwa, ingozi yakho yezinye izinkinga iyancipha.
Akulula ukululama ekuguleni okunje ngenkathi unakekela ingane. Kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ezengeziwe. Phumula ngangokunokwenzeka ngalesi sikhathi. Naka impilo yakho. Unganqikazi ukucela usizo kumyeni wakho ekhaya. Ngisho nangemva kokubuya ekhaya usuka esibhedlela, iya emtholampilo nsuku zonke udokotela akutshele ukuthi uze.
Uma uke waba ne-preeclampsia yangemva kokubeletha kanye, usengozini yokuthola lesi simo (i-preeclampsia noma i-postpartum preeclampsia) ekukhulelweni kwakho okulandelayo. Ngakho-ke, uma ukhulelwa futhi, kubaluleke kakhulu ukutshela udokotela wakho ukuze akwazi ukukuqapha eduze phakathi nokukhulelwa kwakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Preeclampsia yangemva kokubeletha yisimo esibi esithinta umfutho wegazi ophezulu esiqala ngemva kokubeletha. Singakhula ngisho nakubantu abangakaze babe nomfutho wegazi ophezulu ngaphambili.
- Khumbula izimpawu eziyinhloko zekhanda elibuhlungu kakhulu, ukubona okufiphele, ukuvuvukala kobuso, izandla nezinyawo, ubuhlungu besisu, kanye nobunzima bokuphefumula .
- Ungazinaki lezi zimpawu njengokukhathala okuvamile kwangemva kokubeletha. Lezi yizimpawu eziyisixwayiso.
- Uma uhlangabezana nanoma yiziphi zalezi zimpawu, shayela udokotela wakho ngokushesha . Uma unenkinga yokuphefumula noma unesithuthwane , hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
- Nakuba lesi simo singenakuvinjelwa, singelapheka ngokuphelele uma sitholakale kusenesikhathi futhi selashwa kahle. Impilo yakho kanye nempilo yakho kubaluleke kakhulu kuwe, kanye nasenganeni yakho.
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