Ingabe ukhulelwe? Ngakho-ke, ake siqaphele le preeclampsia?

Uma ulindele umntwana kulezi zinsuku, okokuqala, halala! Lesi yisikhathi esikhethekile kakhulu. Kodwa-ke, ngezinguquko emzimbeni wakho, ngezinye izikhathi kungavela nezinkinga ezincane zempilo. Yingakho abantu abaningi bekhuluma ngakho futhi kudingeka baqaphele kancane . I-Preeclampsia yisimo abantu abaningi abakhuluma ngaso, futhi kulungile ukungesabi? Ake sixoxe ngalokhu ngokuningiliziwe, njengokungathi sitshela umngane.

Kuyini i-preeclampsia, ndodakazi?

Kalula nje, i-preeclampsia yisimo esibi somfutho wegazi esenzeka ngesikhathi sokukhulelwa. Ibonakala kakhulu ngomfutho wegazi ophezulu (i-Hypertension) , okusho ukuthi umfutho wegazi wakho uyakhuphuka. Kanye nalokhu, kukhona ukwanda kwezinga leprotheyini emchameni wakho (i-Proteinuria) . Lokhu kuvame ukwenzeka ngemva kwamasonto angama-20 okukhulelwa.

Cabanga nje, lesi simo singathinta nezinye izitho zomzimba wakho. Singalimaza izitho ezibalulekile njengezinso nesibindi, sithinte ubuchopho, futhi sibangele ezinye izimo ezingathi sína. Njengoba lokhu kungaba yingozi kuwe nakumntwana wakho ongakazalwa, udokotela wakho uzokhathazeka kakhulu ngalokhu futhi uzokweluleka ukuthi uqale ukwelashwa okudingekayo ngokushesha okukhulu.

Sivame kangakanani lesi simo?

Eqinisweni, lesi simo esibizwa ngokuthi i-preeclampsia yisimo esihambisana nokukhulelwa. Emhlabeni wonke, lesi simo sithinta iphesenti elithile lomama abakhulelwe. Ngokwezibalo kwamanye amazwe, i-preeclampsia nayo ibangela inani elikhulu lokubeletha ngaphambi kwesikhathi , okungukuthi, izingane ezizalwa ngaphambi kwamasonto angu-37 okukhulelwa.

Ingabe i-preeclampsia iyisimo esiphuthumayo?

Yebo, sithandwa sami, lokhu kungaba yisimo esiphuthumayo. Uma une-preeclampsia, umfutho wegazi lakho uvame ukuba ngaphezu kuka-140/90 mmHg. Futhi, ukuba khona kwamaprotheni emchameni kubonisa ukuthi izinso zakho ziyathinteka. Lesi simo sibeka ingcindezi enkulu enhliziyweni yakho nakwezinye izitho zomzimba. Singathinta ukunikezwa kwegazi ku-placenta , silimaze isibindi nezinso, futhi sibangele uketshezi emaphashini (i-pulmonary edema). Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha ukuze ugweme izinkinga ezingaba yingozi empilweni.

Ziyini izimpawu zalokhu? Ukubona kanjani?

Abantu abaningi bangase bangabi nazimpawu ekuqaleni uma bene-preeclampsia. Ivame ukutholakala emtholampilo wakho, lapho udokotela wakho noma umbelethisi wakho ekuxilonga. Kodwa-ke, abanye abantu baba nezimpawu.

Ezinye zezimpawu zokuqala ze-preeclampsia yilezi:

• Umfutho wegazi ophakeme
• Amaprotheni emchameni
• Ukugcinwa kwamanzi - Lokhu kungabangela ukukhuluphala nokuvuvukala.

Ezinye izici ezibonakalayo:

• Ubuhlungu bekhanda - Ngezinye izikhathi ungase uphathwe yikhanda elibuhlungu kakhulu.
• Umbono ofiphele noma ukuzwela kokukhanya
• Amabala amnyama avela embonweni wakho
• Ubuhlungu besisu ohlangothini oluphezulu kwesokudla
• Ukuvuvukala kwezandla, amaqakala, nobuso (i-Edema)
• Ukuphelelwa umoya

Ngokuvamile, awazi ukuthi une-preeclampsia kuze kube yilapho udokotela wakho ehlola umfutho wegazi lakho futhi enza ukuhlolwa komchamo emtholampilo wangaphambi kokubeletha. Yingakho kubaluleke kakhulu ukugcina wonke ama-aphoyintimenti akho futhi utshele udokotela wakho nganoma yiziphi izimpawu ozizwayo.

I-preeclampsia enzima ingabonisa nezimpawu ezifana nalezi:

• Isimo esiphuthumayo somfutho wegazi ophezulu - Lokhu kusho ukuthi umfutho wegazi ukhuphukela ku-160/110 mmHg noma ngaphezulu.
• Ukungasebenzi kahle kwezinso noma kwesibindi.
• Ukuvuvukala kwamaphaphu.
• Ukwehla kwenani lamaplatelet egazini (i-Thrombocytopenia).
• Ukuphuma komchamo okuncane kakhulu noma akukho nhlobo.

Uma i-preeclampsia yakho inzima, udokotela wakho kungadingeka akungenise esibhedlela ukuze aqashwe kabanzi. Kwezinye izimo, kungadingeka ukuthi ubelethe ingane yakho kusenesikhathi.

Kungani kwenzeka i-preeclampsia?

Akekho owazi ngempela imbangela eqondile yalokhu, kodwa abanye abacwaningi bakholelwa ukuthi kungenzeka ukuthi kungenxa yenkinga yokugeleza kwegazi eliya ku-placenta.

Ingabe ukucindezeleka kubangela i-preeclampsia?

Nakuba ukucindezeleka kungathinta umfutho wegazi, akuyona imbangela eqondile ye-preeclampsia. Kodwa-ke, nakuba ukucindezeleka okuthile ngesikhathi sokukhulelwa kungenakuvinjelwa, kungcono ukugwema izimo ezicindezelayo nokufunda ukuzilawula.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Odokotela abaqiniseki kahle ukuthi kungani abanye abantu beyihlakulela. Kodwa-ke, bathole ezinye izinto eziyingozi ezandisa ingozi yokuyithola. Le ngozi ihlukaniswa njengengozi ephezulu noma ingozi emaphakathi .

Izici ezandisa ingozi yokuthola i-preeclampsia:

• Izimo ezazikhona ngaphambili njengomfutho wegazi ophakeme, isifo sezinso, noma isifo sikashukela .
• Ukukhulelwa kwamawele, amawele amathathu, noma izingane eziningi .
• Ukuba nezimo zokuzivikela komzimba njenge -lupus .
• Njengoba ngike ngaba ne -preeclampsia ekukhulelweni kwangaphambilini .

Izinto ezandisa ingozi yokuthola i-preeclampsia zifaka:

• Ukukhulelwa okokuqala.
• Ukukhuluphala ngokweqile .
• Ukuba neminyaka engaphezu kwengu-35 ubudala.
• Ukuba nomlando womndeni we-preeclampsia .
• Ukuba nezinkinga ezifana nokuzalwa unesisindo esiphansi ekukhulelweni kwangaphambilini.

Lokhu kuqala nini ngesikhathi sokukhulelwa?

I-Preeclampsia ivame ukwenzeka ngemva kwamasonto angama-20 okukhulelwa. Ivame ukubonakala ku-trimester yesithathu, okungukuthi, ngemva kwamasonto angama-27. Uma kwenzeka ngaphambi kwamasonto angama-34 okukhulelwa, ibizwa ngokuthi i-preeclampsia yokuqala kwasekuqaleni .

I-postpartum preeclampsia ingenzeka futhi ngemva kokubeletha . Lokhu kuvame ukwenzeka zingakapheli izinsuku ezimbalwa kuya esontweni ngemva kokuzalwa komntwana.

Yiziphi izinkinga ezingaba khona ngenxa ye-preeclampsia?

Uma ingelashwa, i-preeclampsia ingaba yingozi kuwe nakumntwana wakho ongakazalwa. Ingabangela umonakalo omkhulu ezinso nasesibindini, futhi ingaphazamisa nokusebenza kobuchopho.

Uma ukhulelwe, ezinye zezinkinga ezinkulu ze-preeclampsia yilezi:

• Ukuquleka
• I-Eclampsia - Lesi yisimo lapho i-preeclampsia iba nzima khona futhi iholele ekulalisweni esibhedlela.
• I-Coma
• Isifo sohlangothi

I-Preeclampsia ingadala nesimo esibizwa ngokuthi i-HELLP syndrome (i-HELLP syndrome - i-Hemolysis, ama-enzyme esibindi aphezulu kanye nenani lama-Platelet eliphansi) . Lokhu kwenzeka lapho i-preeclampsia ilimaza isibindi sakho kanye namaseli abomvu egazi futhi iphazamisa inqubo yokujiya kwegazi.

Izinkinga eziyinhloko ezingase zenzeke enganeni esibelethweni yilezi:

• Ukuzalwa ngaphambi kwesikhathi
• Isisindo esiphansi sokuzalwa
• Ukuqhekeka kwe-placenta

Abantu abane-preeclampsia, ikakhulukazi labo abathola lesi simo ekuqaleni kokukhulelwa, basengozini enkulu yokuthola lezi zimo ezilandelayo kamuva ekuphileni :

• Isifo sezinso
• Isifo senhliziyo
• Isifo sohlangothi
• Ukuphinda kwe-preeclampsia ekukhulelweni kwesikhathi esizayo.

Ungakhuluma nodokotela womndeni wakho bese uthatha izinyathelo ezidingekayo zokunciphisa lezi zingozi.

Odokotela bakuthola kanjani lokhu?

Ngokuvamile, odokotela baxilonga i-preeclampsiaAma-aphoyintimenti avamile ngaphambi kokubeletha. Lawa ama-aphoyintimenti aqhutshwa njalo phakathi nokukhulelwa kwakho. Ahlola izinto ezifana nokukhuluphala kwakho kanye nomfutho wegazi.

Uma udokotela wakho esola ukuthi une-preeclampsia, angenza okulandelayo:

• Kungase kudingeke ukuhlolwa kwegazi okwengeziwe ukuze kuhlolwe ukusebenza kwezinso nesibindi.
• Ungase ucelwe ukuthi wenze ukuhlolwa kokuqoqwa komchamo kwamahora angama-24 ukuze ubone ukuthi ingakanani iphrotheni (i-proteinuria) emchameni.
• Kungenziwa i-ultrasound kanye nezinye izivivinyo eziqapha isimo somntwana (ukuqapha ingane) ukuze kuhlolwe ukukhula komntwana kanye nenani loketshezi lwe-amniotic .

I-Preeclampsia ingaba mnene noma ibe nkulu . I-preeclampsia encane isho ukuthi unomfutho wegazi ophakeme kanye namaprotheni amaningi emchameni wakho.

I-preeclampsia enzima yisimo esinezimpawu ze-preeclampsia encane kanye nalokhu okulandelayo:

• Izimpawu zokulimala kwezinso noma kwesibindi (eziboniswe ekuhlolweni kwegazi).
• Inani eliphansi lamaplatelet.
• Uketshezi olugcwalisa amaphaphu.
• Ikhanda elibuhlungu kanye nesiyezi.
• Ukukhubazeka kokubona noma ukubona amachashazi phambi kwamehlo.

Iphathwa kanjani i-preeclampsia?

Udokotela wakho uzokweluleka ngokwelashwa okungcono kakhulu kwe-preeclampsia. Ukwelashwa kuvame ukuncika ekutheni i-preeclampsia yakho inzima kangakanani nokuthi usuhambe ibanga elingakanani ekukhulelweni kwakho . Udokotela wakho uzozama ukugcina ukukhulelwa kwakho kuqhubeka isikhathi eside ngangokunokwenzeka - kodwa kuphela uma i-preeclampsia ingasongeli impilo.

Isibonelo, uma ususondele ekubeletheni (cishe amasonto angu-37), udokotela wakho uvame ukusikisela ukubeletha kusenesikhathi . Ungabeletha ngesitho sangasese sowesifazane, kodwa ngezinye izikhathi ukuhlinzwa ngokuhlinzwa kokubeletha kuyindlela ephephile kakhulu. Udokotela wakho angakunika imithi yokulawula umfutho wegazi lakho nokusiza amaphaphu engane yakho akhule uze ubelethe. Ngezinye izikhathi, kuphephile ukubeletha ingane yakho kusenesikhathi kunokukhulisa isikhathi sokukhulelwa kwakho.

Uma i-preeclampsia iqala ekuqaleni kokukhulelwa, udokotela wakho uzokuqapha ngokucophelela phakathi nokukhulelwa kwakho.Bafuna ukwandisa isikhathi sokukhulelwa isikhathi eside ngangokunokwenzeka ukuze umntwana akhule futhi akhule. Kuzodingeka uye emtholampilo wangaphambi kokubeletha njalo, wenze ama-ultrasound, uhlolwe umchamo, kanye nokuhlolwa kwegazi. Ungase futhi uhlolwe i-BP ekhaya. Uma i-preeclampsia iba yimbi kakhulu noma iba nzima, udokotela uzokutshela ukuthi ubelethe umntwana.

Uma kutholakala ukuthi une-preeclampsia enzima, ungase ugcinwe esibhedlela ukuze uhlolwe kuze kube yilapho ingane yakho izalwa.

Ngesikhathi sokubeletha kanye nokubeletha, udokotela wakho angakunika umuthi obizwa ngokuthi i-magnesium sulfate ukuvimbela i-eclampsia (ukugula okubangelwa yi-preeclampsia).

Ingabe ikhona ikhambi eliphelele lalokhu?

Cha. Ukuphela kwendlela yokwelapha i-preeclampsia ukubeletha. Kodwa-ke, udokotela wakho uzokuqapha amasonto ambalwa ngemva kokubeletha ukuze abone ukuthi izimpawu zakho ziyaphela yini.

Yini esingayenza ukuze sinciphise ingozi ye-preeclampsia?

Uma unezici ezingabangela i-preeclampsia, kunezinto eziningana ongazenza ukuze unciphise ingozi yakho ngaphambi nangesikhathi sokukhulelwa. Lezi zifaka:

• Uma ukhuluphele kakhulu, yehlisa isisindo (ngaphambi kokuthola isisindo ngesikhathi sokukhulelwa).
• Uma usuvele unomfutho wegazi ophakeme noma isifo sikashukela, lawula umfutho wegazi lakho kanye noshukela egazini.
• Gcina isimiso sokuzivocavoca njalo .
• Ukulala ngokwanele .
• Yidla ukudla okunempilo, okungenawo usawoti omningi futhi ugweme i-caffeine.

Ingabe i-preeclampsia ingavinjelwa?

Ukuthatha i-aspirin yengane nsuku zonke kuye kwatholakala ukuthi kunciphisa ingozi yokuthola i-preeclampsia ngandlela thile (cishe ngo-15%). Uma unezici eziyingozi ze-preeclampsia, udokotela wakho angase akuncome ukuthi uqale i-aspirin ekuqaleni kokukhulelwa kwakho (cishe amasonto ayi-12). Kodwa-ke, kungcono ungalokothi uqale i-aspirin ngaphandle kweseluleko sikadokotela wakho.

Kungenzeka yini ukuba nomntwana ojwayelekile one-preeclampsia?

Yebo, ungabeletha ngesitho sangasese sowesifazane noma ngabe une-preeclampsia. Kodwa udokotela wakho uzonquma ngokusekelwe esimweni sakho nesomntwana wakho.

Ingabe ingane ingasinda uma kwenzeka i-preeclampsia?

Yebo. I-Preeclampsia ingabangela ukubeletha ngaphambi kwesikhathi , okusho ukuthi umntwana uzalwa ngaphambi kwesikhathi. Izingane ezizalwa ngaphambi kwesikhathi zisengozini enkulu yezinkinga zempilo, njengokuzalwa zinesisindo esiphansi kanye nobunzima bokuphefumula. Kodwa-ke, izingane eziningi ziphilile.

Ingabe i-preeclampsia iba ngcono ngemva kokuthola umntwana?

I-Preeclampsia ngokuvamileNgokuvamile kuba ngcono ezinsukwini ezimbalwa kuya emavikini ambalwa ngemva kokubeletha. Ngezinye izikhathi, umfutho wegazi wakho ungase uhlale uphezulu amasonto ambalwa ngemva kokubeletha, futhi kungadingeka ukuthi uphuze imithi yawo. Udokotela wakho angakusiza ukuthi ulawule umfutho wegazi wakho ngemva kokukhulelwa.

Ngingambona nini udokotela wami?

Ndodakazi ethandekayo, i-preeclampsia yisimo esingaba yingozi ngesikhathi sokukhulelwa. Uma welashwa lesi simo, kubaluleke kakhulu ukuya kuzo zonke izikhathi zakho zokubonana emtholampilo, ukuhlolwa kwegazi, kanye nokuhlolwa komchamo njalo. Uma unemibuzo noma ukukhathazeka ngezimpawu zakho, bonana nodokotela wakho wezifo zokubeletha ngokushesha.

Uma ukhulelwe futhi unezinye zalezi zimpawu, hamba esibhedlela esiseduze ngokushesha:

• Izimpawu zokuxhuzula , njengokuxhuzula nokuthuthumela.
• Ukuphelelwa umoya.
• Ubuhlungu obukhulu esiswini sakho (ikakhulukazi ohlangothini lwesokudla).
• Umbono ofiphele.
• Ikhanda elibuhlungu elingapheli.
• Amabala amnyama embonweni wakho angasuki.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma udokotela wakho ekutshela ukuthi une-preeclampsia, kuvamile ukuba kuvele imibuzo eminingi engqondweni. Nazi ezinye zemibuzo evamile ongayibuza udokotela wakho:

• Ingabe ngidinga ukuthatha umuthi?
• Ingabe ngidinga ukunciphisa imisebenzi yami yansuku zonke?
• Yiziphi izinguquko okufanele ngizenze kulokho engikudlayo nengikuphuzayo?
• Impilo yami izoqashwa kangaki ngesikhathi sokukhulelwa?
• Ingabe kuzodingeka ngibelethe umntwana kusenesikhathi?
• Indlela engcono kakhulu yokuphatha i-preeclampsia?

Yiziphi izimpawu ezintathu eziyinhloko ze-preeclampsia?

Esikhathini esiningi, udokotela wakho nguyena oqaphela izimpawu ze-preeclampsia emtholampilo wangaphambi kokubeletha.

Izimpawu zokuqala ngokuvamile ziyilezi:

• Umfutho wegazi ophezulu.
• Amaprotheni emchameni.
• Ukugcinwa kwamanzi noma ukuvuvukala emzimbeni.

Uyini umehluko phakathi kwe-Preeclampsia ne-Eclampsia?

I-Eclampsia yisimo lapho ukuquleka kwenzeka khona ngenxa ye-preeclampsia enzima. Kubhekwa njengenkinga ye-preeclampsia. Kodwa-ke, ngezinye izikhathi i-eclampsia ingenzeka ngaphandle kwezinye izimpawu ze-preeclampsia.

Kuyini i-Postpartum Preeclampsia?

I-preeclampsia yangemva kokubelethaLokhu kusho ukuthi uba ne-preeclampsia ngemva kokuzalwa komntwana wakho. Lokhu kuvame ukwenzeka ezinsukwini ezimbalwa ngemva kokubeletha, kodwa kungenzeka futhi ngemva kwamasonto ambalwa.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ndodakazi, i-preeclampsia yisimo esibi abantu abaningi abangazi nokuthi banaso. Yingakho kubaluleke kakhulu ukuya kuzo zonke izikhathi zakho zokubeletha futhi uvuleleke kudokotela wakho nganoma yiziphi izimpawu ozizwayo ngesikhathi sokukhulelwa kwakho.

Uma usuthole ukuthi unalesi simo, udokotela wakho uzoqapha ukukhulelwa kwakho eduze kakhulu. Ezimweni ezimbi kakhulu, bangase batuse ukuthi ubelethe umntwana ngokushesha okukhulu. Umgomo wabo oyinhloko ukugcina wena nomntwana wakho niphephile futhi niphilile.

Ekugcineni, omama abaningi abane-preeclampsia bazala izingane ezinempilo. Futhi, lesi simo sivame ukuphela ngokuphelele phakathi namasonto ambalwa ngemva kokuzalwa komntwana. Ngakho-ke, ungesabi futhi ulandele imiyalelo kadokotela wakho ngokucophelela!

I- Preeclampsia, Ukukhulelwa, Umfutho wegazi ophakeme, I-Proteinuria, I-Eclampsia, Ukubeletha, Impilo Yomama