Ukukhulelwa yisikhathi esikhethekile kakhulu empilweni yakho lapho ulindele ukuba ngumama. Ngesikhathi esifanayo, udinga ukunakekela impilo yakho yomzimba kahle phakathi nalesi sikhathi. Ngezinye izikhathi uzwa ngomfutho wegazi ophezulu ngesikhathi sokukhulelwa. Ngakho-ke namuhla sizokhuluma ngesimo esibaluleke kakhulu esihlobene naso, i-preeclampsia . Ungesabi, into ebaluleke kakhulu ukuqaphela lokhu.
Kalula nje, i-preeclampsia iwukuba ube nomfutho wegazi ophezulu ngesikhathi sokukhulelwa (ngokuvamile ngemva kwamasonto angu-20) noma ezinsukwini noma amasonto ngemva kokubeletha. Ngezinye izikhathi ingathinta izitho zomzimba ezifana nesibindi sakho nezinso. Kodwa izindaba ezinhle ukuthi omama abaningi abanalesi simo bazala izingane ezinempilo futhi balulame ngokugcwele.
Ziyini izimpawu zalesi simo?
Ngezinye izikhathi umfutho wegazi lakho ungakhuphuka kancane kancane, noma ungakhuphuka ngokuzumayo ngaphandle kwesixwayiso . Ngokumangalisayo, abanye abantu bangase bangabi nazimpawu. Yingakho kubaluleke kakhulu ukuthi uhlolwe umfutho wegazi lakho njalo ngesikhathi sokukhulelwa, njengoba kuyalelwe udokotela wakho.
Izimpawu ze-preeclampsia zingavela kusukela ku-trimester yesibili. Ezinye zalezi zimpawu zingabonakala nasesikhathini sokukhulelwa okuvamile, ngakho-ke kubalulekile ukuzihlukanisa.
| Isibonakaliso | Okudingeka sikwazi |
|---|---|
| Iphrotheni eningi kakhulu emchameni (i-Proteinuria) | Lokhu kuyisibonakaliso sokuthi izinso ziyathinteka. Lokhu kungatholakala ngokuhlolwa komchamo okwenziwe emtholampilo. |
| Ikhanda elibuhlungu elingaphezi naphezu kokuthatha imithi yokubulala izinhlungu | Khuthazeka uma unekhanda elihlukile kwekhanda elivamile, linzima, noma liqhubeka. |
| Ubuhlungu esiswini esingaphezulu noma ohlangothini lwesokudla | Lokhu kungaba uphawu lwenkinga yesibindi. |
| Ubunzima bokuphefumula | Uma uzizwa sengathi unenkinga yokuphefumula noma unesifo sokuwa, ungakushayi indiva. |
| Izinkinga zokubona (ukubona okufiphele, ukubona amachashazi, ukuzwela ukukhanya) | Lezi kungaba izimpawu ezinkulu ze-preeclampsia. |
| Ukuvuvukala kobuso nezandla | Kuvamile ukuthi imilenze yakho ivuvuke kancane ngesikhathi sokukhulelwa, kodwa uma ubuso bakho nezandla zakho kuvuvukala ngokuzumayo, qaphela. |
| Isicanucanu noma ukuhlanza | Nakuba lokhu kuvamile ekuqaleni kokukhulelwa, uma kuqala futhi engxenyeni yesibili, tshela udokotela wakho. |
Okubaluleke kakhulu: Uma unesinye noma ngaphezulu salezi zimpawu, sicela ukhulume nodokotela wakho. Ungakuhlehlisi.
Kufanele uye nini esibhedlela (ETU) ngokushesha?
Kunezimpawu ezithile, uma zivela, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Uma kunzima kakhulu ukuphefumula
- Uma unekhanda elibuhlungu elingapheli
- Uma unezinhlungu ezinkulu esiswini esingaphezulu noma ohlangothini lwesokudla
- Uma umbono wakho uba lufifi, ungase ubone amabala entanta phambi kwamehlo akho, noma ube noshintsho olukhulu embonweni wakho.
I-Preeclampsia Yokuqala Kwasekuqaleni
Lokhu kusho ukuthi uba ne-preeclampsia ngaphambi kwamasonto angu-34 okukhulelwa. Khumbula, uma lesi simo sisheshe sivele ngesikhathi sokukhulelwa, kulapho ingozi yezinkinga kuwe nakumntwana wakho iba nkulu khona. Ngezinye izikhathi, kungadingeka ukuthi ubelethe ingane yakho ngaphambi kwesikhathi.
Ucwaningo luthole ukuthi izingane ezizalwa omama abathola i-preeclampsia besebancane empilweni zingase zibe zincane kunalokho obekulindelwe. Lokhu sikubiza ngokuthi i-Fetal Growth Restriction (FGR).Njengoba nje isitshalo singakhuli kahle uma singatholi ukudla okunempilo namanzi afanele, lesi simo singabangelwa ukungasebenzi kahle kwegazi eliya enganeni nge-placenta.
Lo mntwana unamathuba amaningi okuba nezinkinga zesimiso sezinzwa , inhliziyo namaphaphu, ukuphefumula, kanye negazi.
Isilinganiso se-Apgar esinikezwa ingane ngesikhathi sokuzalwa singase sibe ngaphansi kancane. Lokhu kulinganisa umbala wesikhumba somntwana, ukushaya kwenhliziyo, ukusabela komzimba, ithoni yemisipha, kanye nokuphefumula. Kodwa-ke, isibalo esiphansi asisho njalo ukuthi ingane isenkingeni enkulu. Bangase badinge usizo lwezokwelapha emizuzwini embalwa yokuqala yokuphila.
Abantu abathola i-preeclampsia ekuqaleni kokukhulelwa bangase babe nalokhu okulandelayo:
- Amazinga aphezulu amaprotheni emchameni: kungenzeka aphindwe kabili.
- Isimo esibucayi kakhulu: Umfutho wegazi ungase ube phezulu kakhulu futhi ungase ungasabeli ekwelashweni.
I-Preeclampsia yangemva kokubeletha
Yebo, ukuzwile lokho kahle. Ngezinye izikhathi lezi zimpawu zomfutho wegazi ophakeme ziqala ngemva kokuzalwa komntwana. Zivame kakhulu phakathi nesonto lokuqala ngemva kokubeletha. Kodwa ingozi ingaba khona emavikini ayisithupha.
Izimpawu zifana kakhulu nalezo ezibonakala ngesikhathi sokukhulelwa. Kodwa-ke, lokhu akumthinti umntwana. Kunezingozi komama abathola umfutho wegazi ophezulu ngemva kokubeletha, njenge:
- Isifo sohlangothi: Ukuphazamiseka kokunikezwa kwegazi ebuchosheni.
- Ukuvuvukala Kwamaphaphu: Lokhu kwenza kube nzima ukuphefumula.
- I-Thromboembolism: Ihlule legazi liyakheka futhi livimbe umthambo wegazi.
Ngakho-ke, ngisho nangemva kokubeletha umntwana wakho, qaphela kakhulu nganoma yikuphi ukukhubazeka emzimbeni wakho, ikakhulukazi izimpawu esixoxe ngazo ngenhla. Uma unenkinga, yazisa udokotela wakho ngokushesha.
Lokhu akunakuvinjelwa?
Odokotela abakasho ngokuqinisekile ukuthi ikhona indlela yokuvimbela i-preeclampsia isikhathi esingu-100%. Ucwaningo olwengeziwe luyenziwa ngalokho. Kodwa-ke, kusiza kakhulu ukuba nempilo enhle ngangokunokwenzeka ngaphambi kokuba ukhulelwe. Lokho kusho ukudla ukudla okunempilo, ukuzivocavoca umzimba, nokungabhemi.
Uma unezici eziyingozi, udokotela wakho angase akuncome okulandelayo, kuphela uma uceliwe nguwe :
- I-aspirini:Ngemva kwamasonto ayi-12 okukhulelwa, udokotela wakho angase akuncome ukuthi uthathe i-aspirin ephansi (81mg) nsuku zonke, kodwa kuphela uma kukhona noma yiziphi izingozi ezilandelayo:
- Uma uke waba ne-preeclampsia ekukhulelweni kwangaphambilini noma uma othile emndenini wakho wayenayo.
- Uma ukhulelwe amawele.
- Uma unomfutho wegazi ophakeme oqhubekayo.
- Uma unesifo sezinso, isifo sikashukela, noma isifo sokuzivikela komzimba.
- Izithako ze-calcium: Lezi zingasiza ekuvimbeleni i-preeclampsia kwabesifazane abangatholi i-calcium eyanele ngaphambi noma ngesikhathi sokukhulelwa.
Umlayezo Wokuya Nawe Ekhaya
- I-Preeclampsia akuyona into okufanele uyesabe, kodwa futhi akuyona into okufanele uyishaye indiva. Ukuqwashisa kuyindlela engcono kakhulu yokuzivikela.
- Yiya emitholampilo yakho njalo. Hlola umfutho wegazi lakho kanye nomchamo wakho njalo.
- Qaphela izimpawu eziyisixwayiso ezifana nobuhlungu obukhulu bekhanda, izinguquko zombono, ubuhlungu besisu esingaphezulu, kanye nobunzima bokuphefumula.
- Uma unemibuzo noma izimpawu, yazisa udokotela wakho noma umbelethisi wakho ngokushesha. Ungalokothi ulibale.
- Nakekela umzimba wakho ngisho nangemva kokubeletha, njengoba i-preeclampsia yangemva kokubeletha ingenzeka.
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