Ukukhulelwa yisikhathi esihle kakhulu nesinethemba empilweni yabo bonke omama. Kodwa kubaluleke kakhulu ukuthi siqaphele futhi sinakekele ezinye zezinkinga zempilo kanye nezinguquko ezenzeka emizimbeni yethu ngalesi sikhathi. Namuhla sikhuluma nge- 'Preeclampsia ', isimo esingaba khona ngesikhathi sokukhulelwa, kodwa abantu abaningi abangasazi, kodwa okudingeka sisazi ngaso ngempela.
Iyini ngempela i-preeclampsia?
Kalula nje, i-preeclampsia yisimo ngesikhathi sokukhulelwa lapho uba nomfutho wegazi ophakeme, amaprotheni amaningi emchameni wakho, kanye nokuvuvukala ezandleni zakho, ezinyaweni nasemilenzeni. Ngaphambilini yayibizwa ngokuthi 'i-toxemia.'
Lesi simo singasukela kwesincane kuya kwesisongela impilo. Sivame kakhulu ekukhulelweni kwangemva kwamasonto angu-34. Kodwa-ke, ngezinye izikhathi singase senzeke ngaphambi kwesikhathi noma ngisho nangemva kokuzalwa komntwana .
Into ebaluleke kakhulu ukuthi ikhambi elihlala njalo le-preeclampsia ukubeletha umntwana. Ngisho nangemva kokuzalwa komntwana, lezi zimpawu ngezinye izikhathi zingahlala amasonto ayisithupha noma ngaphezulu.
Ngokuqaphela lokhu kusenesikhathi, ukuqaphela izimpawu, ukuxoxa ngakho njalo nodokotela wakho, nokuya emitholampilo, unganciphisa kakhulu imiphumela yesikhathi eside kuwe nakumntwana wakho.
I-Preeclampsia yangemva kokubeletha
Lesi yisimo esingavamile. Lokhu kungenzeka uma umfutho wegazi lakho ukhuphuka ngemva kokubeletha umntwana wakho futhi uneprotheni emchameni wakho. Lokhu kuvame ukwenzeka zingakapheli amahora angu-48 ubelethile, kodwa kungenzeka futhi kuze kube amasonto ayisithupha noma ngisho kamuva. Lokhu kudinga ukunakekelwa kwezokwelapha okusheshayo, noma kungaholela ezimweni ezibucayi kakhulu njengokuxhuzula.
Umehluko phakathi kwe-Preeclampsia ne-Eclampsia
Uma i-preeclampsia ingalawulwa kahle, ingaba yisimo esibi kakhulu esibizwa ngokuthi i-eclampsia . Yilapho umama eba nesifo sokuwa kanye nezimpawu ze-preeclampsia. Lokhu kuyingozi kakhulu kumama nakumntwana, futhi ezimweni ezingavamile, kungaholela ngisho nasekufeni.
Qaphela lezi zimpawu.
Ngaphezu komfutho wegazi ophakeme (ongaphezu kuka-140/90 mmHg), iphrotheni emchameni, kanye nokuvuvukala (i-edema), lezi zimpawu ezilandelayo zingabonakala naku-preeclampsia. Uma unesinye noma ngaphezulu kwalezi , yazisa udokotela wakho ngokushesha:.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukwanda kwesisindo ngokuzumayo | Ukwanda kwesisindo ngokuzumayo ngenxa yokugcina uketshezi phakathi nosuku olulodwa noma ezimbili. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu elinzima ngisho nemithi yokwelapha izinhlungu evamile engenakuliqeda. |
| Izinguquko embonweni | Ukubona izibani phambi kwamehlo, ukubona amachashazi amnyama entanta, umbono ofiphele. |
| Ubuhlungu besisu | Ubuhlungu, ikakhulukazi engxenyeni engenhla kwesokudla yesisu (okuhlobene nesibindi). |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula ngenxa yoketshezi emaphashini. |
| Ukuhlanza kanye nesicanucanu | Ukucanuzela okukhulu nokuhlanza. |
| Ukuncipha kokuchama | Ukwehla noma ukumiswa kokukhishwa komchamo ngenxa yokulimala kwezinso. |
Kodwa khumbula, ngezinye izikhathi i-preeclampsia ingaba khona ngaphandle kwezimpawu . Yingakho kubaluleke kakhulu ukuya emtholampilo wakho wokubeletha ukuze uhlolwe umfutho wegazi lakho futhi uhlolwe umchamo wakho.
Yiziphi izimbangela zalesi simo?
Odokotela abakaqiniseki ukuthi iyini imbangela eqondile, kodwa bakholelwa ukuthi i-placenta ayisebenzi kahle . Ukwehla kokugeleza kwegazi esibelethweni nakho kungaba nendima. Izici zofuzo nazo zidlala indima.
Yiziphi izinto ezandisa ingozi ye-preeclampsia?
Abanye abantu basengozini enkulu yokuthola lesi simo. Ake sibheke ukuthi siyini.
| Izinga lobungozi | Izici zengozi |
|---|---|
| Izici eziyingozi kakhulu |
|
| Izici zobungozi eziphakathi nendawo |
|
Izinkinga ezingaba khona ze-preeclampsia
Lesi simo singanciphisa inani legazi elifinyelela ku-placenta, okusho ukuthi umntwana akatholi umoya-mpilo nezakhamzimba azidingayo.
- Ukuvinjelwa kokukhula kombungu: Umntwana angase anciphise isisindo.
- Ukuzalwa ngaphambi kwesikhathi:Ingane ingase izalwe ngaphambi kwesikhathi. Uma lokhu kwenzeka, ingane ingase ibe nezinkinga ezifana nokuphefumula, ubunzima bokuncelisa, kanye nokukhubazeka kokufunda.
- Ukuphazamiseka kwe-placenta: Ukuhlukana okungazelelwe kwe-placenta odongeni lwesibeletho.
- I-HELLP syndrome: Lesi yisimo esibucayi kakhulu, esiphuthumayo esibangela ukulimala kwesibindi kanye nenani eliphansi lama-platelet egazini.
- I-Eclampsia: Njengoba kushiwo ngaphambili, ukuxhuzula.
- Ukulimala kwezinye izitho zomzimba: Izinso, isibindi, amaphaphu, inhliziyo, kanye nobuchopho kungalimaza.
- Ingozi yesikhathi esizayo yesifo senhliziyo: Umama oke waba ne-preeclampsia angase abe nengozi eyengeziwe kancane yokuba nesifo senhliziyo esikhathini esizayo.
I-HELLP syndrome iyisimo esiphuthumayo sezokwelapha. Uma unezimpawu ezifana nokungaboni kahle, ubuhlungu besifuba noma besisu, ikhanda elibuhlungu, ukukhathala, noma ukopha kwezinsini, hamba ngokushesha esibhedlela .
Iphathwa kanjani?
Njengoba ngishilo ngaphambili, ikhambi elihlala njalo kuphela le-preeclampsia ukubeletha umntwana.
Udokotela wakho uzonquma ukuthi isikhathi esingcono kakhulu sokubeletha ingane yakho sisekelwe ekukhuleni kwengane yakho, ukuthi ingane yakho ibekwe kanjani esibelethweni, kanye nobunzima be-preeclampsia yakho.
- Uma umntwana ekhula kahle (ngemva kwamasonto angu-37): Udokotela angase anqume ukuqalisa ukubeletha futhi abelethe umntwana ngendlela evamile noma enze ukuhlinzwa.
- Uma ingane ingakagcwali: Uma isimo singesibi kakhulu, ungagcinwa esibhedlela futhi uqashwe ngokucophelela kuze kube yilapho ingane isikhulile kancane. Phakathi nalesi sikhathi, ungenza okulandelayo:
- Bazokunikeza umuthi wokwehlisa umfutho wegazi lakho.
- Imithi efana ne-magnesium sulfate ingase inikezwe ukuvimbela ukuquleka.
- Kuzonikezwa imijovo ye-steroid ukusiza amaphaphu engane akhule ngokushesha.
- Kuhlolwa igazi nomchamo njalo.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Umlayezo Wokuya Nawe Ekhaya
- I-Preeclampsia yisimo esibi esihambisana nomfutho wegazi ophezulu ngesikhathi sokukhulelwa.
- Lesi simo singaba khona ngaphandle kwezimpawu. Ngakho-ke, kubalulekile ukuya emtholampilo ngosuku oluhleliwe bese uhlolwa umfutho wegazi nomchamo wakho.
- Uma uzwa izimpawu ezifana nekhanda elibuhlungu kakhulu, ukubona okufiphele, noma ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu sakho , tshela udokotela wakho ngokushesha noma uye esibhedlela.
- Ukuphela kokwelashwa okuhlala njalo kwalokhu ukubeletha umntwana.
- Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kunganciphisa ingozi engaba khona kumama kanye nomntwana. Ungakhathazeki, udokotela wakho uzokunikeza ukwelashwa okungcono kakhulu okudingayo.
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