Iindaba ezixhambileyo zokukhusela i-Preeclampsia kuMama okhulelweyo weeNinzi
Uphando olutsha luzisa iindaba ezilungileyo malunga ne- preeclampsia , imeko yokukhulelwa echaphazela ukuya kweyesithathu yabamama abaninzi. Abaphandi baye bafumanisa iiprotheyini ezimbini eziveliswe yi-placenta enokuba noxanduva lokuphuhliswa kwimeko. Ngenxa yoko kufunyanwa, oogqirha baya kuba nokukwazi ukuqikelela kwaye mhlawumbi baphathe le ngxaki.
Ngo-2003, abaphandi eBoston yaseBheteli yakwa-Deaconess Medical Centre basebenzisa i-gene expression expression to identify the genetic cells of cells in pregnant women who produce a high level of protein. Ukuxinwa kwezi proteyini kunciphisa imithana yegazi, ukuphakamisa uxinzelelo lwegazi lomama kunye nokuphazamisa ukuhanjiswa kwegazi kunye nezondlo kwi-placenta.
Sibanzi
Ukuchonga i-gene kwakuthetha ukuba oogqirha baya kuba nokukwazi ukuxilonga ngokukhawuleza imeko kwaye bavelise unyango olufanelekileyo ukukhusela. Kwixesha elidlulileyo, ukuxilongwa kukuxhomekeka kwiimpawu ezingenakwenzeka; ngelixa iimpawu zaboniswa, ukuhamba kwegazi ukuya kwi-placenta kusenokuba sele kuncitshisiwe kuma-50%.
Yintoni i-Preeclampsia?
Oomama abakhulelweyo ngokuphindaphindiweyo basengozini enkulu ye-preeclampsia, eyaziwa ngokuba yi-Toxemia okanye Ukukhulelwa kwe-Hypertension (PIH). Ngoxa kuqikelelwa ukuba phakathi kwe-5 no-10% yokukhulelwa kwe-singleton kuthinteka yimeko, omnye kumama abathathu abaphindaphindiweyo uya kubonisa iimpawu ngexesha lokukhulelwa.
Iimpawu
Iimpawu zivame ukukhula emva kweveki yeshumi lokukhulelwa kwaye ziyabonakala ngexesha lokuhlola rhoqo. Ziquka ukugcinwa kwamanzi, ukukhukhuma ezandleni okanye ezinyaweni, uxinzelelo lwegazi oluphakamileyo, iiprotheyini kumchamo okanye ukufumana ubunzima beveki ezingaphezu kwamakhilogremu angama-2. Izimpawu ezinzima zibandakanya: ukuphazamiseka okanye ukudideka, utshintsho kwisimo sengqondo somama, isicupunu okanye ukuhlanza, iintloko, ukukhathala, iintlungu zesisu, okanye ukuphefumula okufutshane.
Xhumana nogqirha wakho okanye umgcini wezonxibelelwano ngokukhawuleza ukuba unamava xa ukhulelwe ngamawele, kathathu okanye ngaphezulu.
Unyango
Ekugqibeleni, indlela yokuphela "yokuphilisa" i-preeclampsia kukuzisa abantwana. Oogqirha kufuneka balinganise impembelelo kwimpilo kamama malunga nemeko yamawele, ama-triplets or multiples. Kwezinye iimeko, le meko ingalawulwa ngokumodarela ukuziphatha komama: ukwandisa ukuthambisa kwamanzi, ukunciphisa ityhula yakhe, okanye ukusetyenzwa kwindlela yokuphumla xa elele kwicala lakhe lesobunxele ukunciphisa uxinzelelo kwimithambo emikhulu yegazi. Abanakekeli bakhe baya kufuna ukuba bavakashele ii-ofisi rhoqo ukuze bajonge umxinzelelo wegazi kunye namanqanaba eprotein.
Kwiimeko ezinzima kakhulu, ukufelwa esibhedlele kungafuneka ukuba kuqinisekiswe ukuphumla kokulala okupheleleyo. Amachiza afana ne- magnesium sulfate okanye i-hydralazine inokulawulwa, nangona iziphumo zecala leziyobisi zingabangela ezinye iinkqubo zempilo. Kwiimeko ezinzima kakhulu, abasebenzi baya kukhutshwa okanye icandelo-c liya kwenziwa.
Iimiphumo zeMpilo kumaMama
Emva kokuba iintsana zihanjiswe, iimpawu kufuneka zinciphise kwaye impilo yomama ayiyi kuba yingozi. Nangona kunjalo, abasetyhini basengozini yokuphuhlisa i-eclampsia ukuya kwiiveki ezintandathu emva kokubelethwa kweintsana zabo; oogqirha baya kuqhubeka nokujonga uxinzelelo lwegazi ngexesha lexesha lokugqibela.
Ukuba ukushiywa kungakhange kuhlolwe, i-preeclampsia ingonakalisa iinjongo zomama, isibindi kunye nengqondo. I-Preeclampsia ixanduva lweepesenti ezilishumi elinesibhozo zokufa ezihlobene nokukhulelwa eMelika ngamnye ngonyaka; I-preeclampsia engakhange ilandelwe ivela kwi-eclampsia, yesibini imbangela ebangela ukufa kwabantwana baseMelika e-United States.
Impembelelo kwiintsana
Ngenxa yokuba "unyango" lwe-preeclampsia ukuhanjiswa kweentsana, zengozini yokwanda kokuzalwa kwangaphambi kokuzalwa. Nangona igalelo lokungcoliswa kwangaphambili liveza iintlobo ezahlukeneyo zeengxaki, ukuhlala kwi-utero kubeka izingozi zayo. Xa igazi liphuma kwi-placenta likhawulelwe, iifusus zithola i-oksijini encinci kunye nezondlo.
Oku kunokuvelisa iintsana kunye ne-IUGR (i-Intrauterine Growth Retardation), izisindo zokuzalwa ezincinane okanye ezinye zokuzalwa.
Indlela Yokukhusela Iingxaki
Ukuhlolisisa rhoqo ugqirha wakho okanye umbelethisi kuyimfuneko. Umnakekeli wakho kufuneka alandele ngokunyamekela uxinzelelo lwegazi, ukufumana ubunzima, kunye nokuvelisa umchamo. Yenza ugqirha wakho wazi ukuba unayo imbali ye-preeclampsia kwintsapho yakho-kuquka ukukhulelwa kwakho kwangaphambili. Abasetyhini abanesifo somfutho wegazi, ukukhuluphala, isifo sikashukela okanye isifo seengtso basengozini eyongeziweyo, ngokunjalo.
Ngethemba, le nkcazelo entsha malunga nesizathu se-preeclampsia iya kunika uluntu lwezonyango ngezixhobo zokunciphisa impembelelo yalo mqathango. Abaphandi bathi ukufumana c ould inikeze "ukuphumelela okumangalisayo," ezo ziindaba ezilungileyo kubomama abaninzi abaxakeke kakhulu kule ngxaki xa bekhulelwe ngamawele, kathathu okanye ngaphezulu.
Thatha i-Preeclampsia Poll.