Lesi sikhathi lapho ulindele khona umntwana yisikhathi esihle kakhulu empilweni yakho. Ngesikhathi esifanayo, udinga ukuqaphela kakhulu impilo yakho neyengane yakho phakathi nalesi sikhathi. Mhlawumbe udokotela wakho ukutshelile ngegama elithi "Pre-eclampsia", noma umane nje ufuna ukwazi ngalo. Ungakhathazeki, lokhu kulungiselela kuwukuqonda nje lesi simo. Ake sixoxe ngakho konke.
Kalula nje, yini i-pre-eclampsia kanye ne-eclampsia?
I-Pre-eclampsia kanye ne-Eclampsia yizimo ezimbili ezihlotshaniswa nomfutho wegazi ophezulu ngesikhathi sokukhulelwa. Kalula nje, i-pre-eclampsia yilapho umfutho wegazi wakho ukhuphuka ngesikhathi sokukhulelwa bese uqala ukudlula amaprotheni emchameni wakho . Ukuvuvukala, okungahlanganisa ukuvuvukala kwezandla nezinyawo, kanye nokuvuvukala kobuso (i-edema), nakho kungaba uphawu lwalokhu .
Njengoba amagama esikisela, lezi zimo ezimbili zihlobene. Uma i-pre-eclampsia ingalawulwa kahle, ingaba yisimo esibi kakhulu esibizwa ngokuthi i-eclampsia . I-Eclampsia yilapho owesifazane okhulelwe eba nesifo sokuwa kanye ne-pre-eclampsia.
Zombili lezi zimo zivame ukwenzeka engxenyeni yesibili yokukhulelwa, ngemva kwamasonto angama-20 . Kodwa-ke, akuvamile kakhulu, ukuthi zivele ngokushesha ngemva kokubeletha noma ngisho nangaphambi kwamasonto angama-20.
Ubani osengozini enkulu yalesi simo?
Kunezici ezithile eziyingozi ezingaholela ku-pre-eclampsia. Hlola ukuthi unayo yini eyodwa noma ngaphezulu kwalezi. Kodwa khumbula, akuwona wonke umuntu onalezi zici ozoba ne-pre-eclampsia. Futhi kungenzeka kumuntu ongenazo lezi zici.
| Isici sengozi | Incazelo |
|---|---|
| Ukukhulelwa kokuqala | Uma kungumntwana wakho wokuqala, ingozi iphakeme kancane. |
| Umlando womndeni | Uma umama noma udadewenu wayene-pre-eclampsia ngesikhathi sokukhulelwa. |
| Ukukhulelwa okuningi | Uma kunezingane ezingaphezu kweyodwa esibelethweni, njengamawele noma amawele amathathu. |
| Ubudala | Uma usemusha (ikakhulukazi ongaphansi kweminyaka engama-20) noma uneminyaka engaphezu kwengama-40 ubudala. |
| Izimo zezokwelapha ezikhona | Uma uke waba nezifo ezifana nomfutho wegazi ophakeme, isifo sezinso, noma isifo sikashukela ngaphambi kokukhulelwa. |
| Ezinye izinto | Uma ubhema, ukhuluphele ngokweqile (ukhuluphele ngokweqile), noma uhlushwa ukungondleki kahle. |
Sizibona kanjani izimpawu zalokhu?
Ngisho noma umfutho wegazi wakho ungakhuphuka ngesikhathi sokukhulelwa, ungase ungawuboni umehluko omkhulu kuze kube yilapho ufinyelela amazinga ayingozi. Yingakho kubalulekile ukuya emtholampilo njalo ngenyanga ukuze uhlolwe umfutho wakho . Kodwa-ke, kubalulekile futhi ukuqaphela lezi zimpawu.
Cabanga ngakho, siyazi ukuthi ukuvuvukala emilenzeni yakho kuyinto evamile ngesikhathi sokukhulelwa. Kodwa uma ubuso bakho nezandla zakho zivuvukala ngokuzumayo, kungaba uphawu lwe-Pre- Eclampsia .
Naka izimpawu ezikuthebula elingezansi.
| Isibonakaliso | Yile ndlela ozizwa ngayo. |
|---|---|
| Ukwanda kwesisindo ngokuzumayo | Ukwanda kwesisindo ngamakhilogremu angu-1-2 noma ngaphezulu esikhathini esifushane, njengesonto. |
| Ukuvuvukala kwezandla noma ubuso | Ngaphezu kokuvuvukala kwemilenze, ukuvuvukala kwezandla noma ubuso. |
| Ikhanda elibuhlungu | Akuyona ikhanda elivamile, kodwa ikhanda elibuhlungu elingapheli. |
| Izinguquko zombono | Umbono ofiphele, ukubona okuphindwe kabili, ukubona izinto ezibukeka njengezibani ezikhanya phambi kwamehlo. |
| Ubuhlungu besisu | Ubuhlungu, ikakhulukazi ohlangothini oluphezulu kwesokudla lwesisu (lapho isibindi sikhona). |
| Ezinye izici | Isiyezi, ukukhala ezindlebeni, isicanucanu, ukuhlanza, ukwehla kokukhishwa komchamo. |
Kungani lesi simo siyingozi?
Ukucindezeleka kwegazi okuqhubekayo ngesikhathi sokukhulelwa kuyingozi kuwe nakumntwana wakho.
- Indlela okuthinta ngayo ingane: Umfutho wegazi ophezulu ungavimbela i-placenta ukuthi ithole igazi elanele. Lokhu kungancisha ingane umoya-mpilo nezakhamzimba ezidingayo. Lokhu kungaholela ekuzalweni okunesisindo esiphansi kanye nezinye izinkinga zempilo .
- Indlela okukuthinta ngayo: Njengoba umfutho wegazi uqhubeka nokwenyuka, izinso zakho zingase zingabi namandla anele . Igazi lakho lingase lishintshe nendlela elibunjwe ngayo. Isibonelo, amangqamuzana abomvu egazi angabhujiswa, okubangela i-anemia, ukusebenza kwesibindi kungaphazamiseka, kanye nenani lama-platelet, asiza ukujiya kwegazi, lingancipha. Uma ama-platelet ephansi, ungase wophe igazi ngokungalawuleki ngesikhathi sokubeletha noma ngokuzenzakalelayo.
Uma lesi simo siba sibi kakhulu, ungase ube nesifo sokuwa. Lokhu kubizwa ngokuthi i-Eclampsia . Lokhu kusongela impilo yomama nengane.Isimo esiphuthumayo. Ngesikhathi sokuwa, wena nomntwana wakho nincishwa umoya-mpilo. Okuyingozi nakakhulu ukuthi ukucindezeleka okuphezulu kungabangela ukuthi i-placenta ihlukane nodonga lwesibeletho (i-abruptio placentae). Lokhu kungabangela ukopha okukhulu ngisho nokufa kumama nomntwana.
Odokotela bakuthola kanjani lokhu futhi bakwelaphe kanjani?
Njalo uma uya emtholampilo, udokotela uzokala umfutho wegazi lakho. Uma umfutho wegazi wakho uphakeme kakhulu kunojwayelekile futhi ukuhlolwa komchamo kuthola amaprotheni, uzotholakala ukuthi une-pre-eclampsia.
Ngaphezu kwalokho, udokotela wakho uzoyala ukuhlolwa kwegazi nomchamo okuningana. Lokhu kuzohlola ukuthi izinso zakho nesibindi sakho zisebenza kahle yini, nokuthi unazo yini ezinye izinkinga zegazi (njengama-platelet aphansi). Kungadingeka futhi ukuthi ube nokuhlolwa okuvamile okufana nokuskena kwe-ultrasound, ukuhlolwa okungenangcindezi, noma amaphrofayili e-biophysical ukuhlola inhlalakahle yengane yakho.
Yiziphi izindlela zokwelapha?
Ukuphela kwendlela yokwelapha ngokuphelele i-pre-eclampsia kanye ne-eclampsia ukubeletha umntwana kanye ne-placenta .
- Uma usuku lwakho lokuzalwa selusondele: Uma usuku lwakho lokuzalwa selusondele, udokotela wakho angase anqume ukukubangela ukubeletha futhi abelethe ingane yakho kusenesikhathi.
- Uma usakhulelwe: Uma lokhu kwenzeka kusenesikhathi kakhulu ukuba ingane yakho ibelethwe ngokuphephile, udokotela wakho uzozama ukukunika isikhathi ngokukwelapha kuze kube yilapho ingane yakho isikhulile kancane. Ungase welulekwe ukuthi uphumule embhedeni . Ukulala ngohlangothi lwakho lwesobunxele, ikakhulukazi, kungasiza ekunciphiseni ingcindezi emithanjeni yegazi ebalulekile futhi kuthuthukise ukugeleza kwegazi ezinso kanye ne-placenta. Imithi inganikezwa futhi ukulawula ingcindezi yakho yegazi.
- Ukulaliswa esibhedlela: Iningi lomama abane-pre-eclampsia lilaliswa esibhedlela. Uma bengathunyelwa ekhaya, kuzodingeka bahlole umfutho wegazi labo nsuku zonke ekhaya noma bacele umhlengikazi ukuba azobahlola. Uma isimo sibi kakhulu, nakanjani uzolaliswa esibhedlela futhi unikezwe usawoti kanye nemithi ngemithambo yegazi. I-Magnesium Sulfate ivame ukunikezwa ukuvimbela ukuquleka.
- Ukubeletha: Uma umfutho wegazi wakho uphezulu kakhulu ukuba ungawulawula, uma unesithuthwane, noma uma kuphephile ukubeletha ingane yakho, udokotela wakho uzokubeletha ingane yakho. Ukubeletha ngokuhlinzwa akudingeki ngaso sonke isikhathi. Ezimweni eziningi, imithi yobuhlungu inganikezwa ukusiza ngobuhlungu. Kodwa-ke, kwezinye izimo ezikhethekile, kungase kudingeke ukubeletha ngokuhlinzwa.
Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, yazisa udokotela wakho ngokushesha noma uye emnyangweni wezimo eziphuthumayo esibhedlela esiseduze (i-ETU) . Ungazinaki lezi ngoba zivamile.
| Isibonakaliso sesixwayiso | Okufanele ngikwenze |
|---|---|
| Funa iseluleko sezokwelapha ngokushesha: | |
| Uma ubona ukukhuluphala okungazelelwe, ukuvuvukala ezandleni zakho noma ebusweni. | Shayela udokotela wakho noma uye esibhedlela ngokushesha. |
| Uma uphathwa yikhanda elibuhlungu kakhulu. | |
| Uma kukhona ushintsho embonweni (ukufiphala, ukubona okuphindwe kabili). | |
| Uma unezinhlungu zesisu ezinzima. | |
| Uma kukhona ukopha kwesitho sangasese sowesifazane. | |
| Uma ubona isiyezi, ukuhlanza, noma ukuncipha kokuchama. | |
| Uma unesifo sokuwa noma ungazi lutho. | Lesi yisimo esiphuthumayo. Myise e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha. |
Umlayezo Wokuya Nawe Ekhaya
- Qiniseka ukuthi uyaya emtholampilo ngesikhathi sokukhulelwa.Kubaluleke kakhulu ukuhlola umfutho wegazi nomchamo wakho ukuze ubone ukuthi unamaprotheni yini njalo.
- Hlala uqaphele izimpawu eziyisixwayiso , ikakhulukazi ukuvuvukala okungazelelwe, ikhanda elibuhlungu kakhulu, kanye nokungaboni kahle.
- Uma unemibuzo noma izimpawu, tshela udokotela wakho ngokushesha . Ungacabangi nje ukuthi, "Lokhu kumele kube yinto evamile."
- I-pre-eclampsia akuyona into okufanele uyesabe, kodwa kuyinto okufanele uyikhathalele . Lesi simo singaphathwa kahle ngokuqashwa okufanele kwezokwelapha.
- Umgomo omkhulu umama onempilo kanye nomntwana onempilo. Odokotela bazokwenza konke okudingekayo ngalokho. Nawe kufanele ukusekele lokho.
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