I-Eclampsia yimeko ebalulekileyo kakhulu echazwa ngokugqithisileyo njenge-seizures okanye i-coma kwisigulane nezinye izibonakaliso zokukhulelwa komzimba. I-Eclampsia yayicatshangelwa ukuba yinto yokugqibela yokuqhubela phambili phambili kwe-preeclampsia, kodwa oku akusona kunjalo. Kunoko, ngoku kuyaqaphela ukuba ezinye izigulane zinokuphuhlisa i-eclampsia-okanye "iimpawu zokukhanya" -kuchanekileyo, ngaphandle kokuqala ukuphuhlisa nayiphina impawu ngaphandle kokunyuka kwengcinezelo yegazi.
Iimpawu
Nangona kukho utshintsho kwindlela i-eclampsia ibonwa ngayo, kusekho ukuthetha ngokumalunga nemeko ngokwe- preeclampsia , yintoni isizathu esiseburhulumenteni sisathetha ngokuthintela okanye ku-coma "kwisimo se-preeclampsia". iimpawu ezahlukeneyo-kunye ne-character-seies-engabandakanya:
- Iiprotheyini kumchamo
- Ukuphakanyiswa kwegazi (> 140 mmHg systolic okanye> 90 mmHg diastolic)
- Intlungu zesisu
- Ukwenyuka komchamo
- Iimpawu zengxaki "yobunzima bomntwana," oko kukuthi iinkcazo zokuthi umntwana unenkinga
- Inani elincinci le-platelet yegazi
Lezi zimpawu ezongezelelweyo ziyimvelaphi apho i-eclampsia ixilongwa ngayo, kodwa ayifuni ukuxilongwa. Ngaphambi koxinzelelo lwegazi oluphezulu, ukuxhatshazwa okanye i-coma kukubonakalisa iimpawu ze-eclampsia kwaye kuphela uphawu olufunekayo lokuxilongwa. Naliphi na umfazi okhulelweyo ophethe uxinzelelo lwegazi okhunjulwayo ongenakucingelwa ngenye yezizathu unokufunyanwa nge-eclampsia.
Ziyafana Njani Ne-Eclampsia?
Nangona i-eclampsia yimeko enzulu kakhulu engasongela ubomi bomama kunye nosana, akunakwenzeka kwilizwe leNtshona. Idatha malunga nabaninzi abasetyhini abane-eclampsia babonisa ukuba ingxaki ichaphazela malunga nabesifazane aba-5 kuzo zonke i-10,000 abazalayo, okanye malunga nesiqingatha sesinye kwishumi kwisinye sepesenti sabo bonke abafazi abakhulelweyo.
Phantse i-5 yazo zonke iimeko zenzeka phakathi kweeveki ezingama-20 neye-31 zokukhulelwa; malunga nesithathu kwisithuba ngexesha lobasebenzi okanye iiyure ezingama-48 zangaphambili. I-Eclampsia inqabile kakhulu ngaphambi kweveki ye-20 yokukhulelwa, kunye neemeko eziza kuvela ngeli xesha zibonakaliswe ngenye into eyimfuneko yokukhulelwa , njengokukhulelwa kwe- molar okanye ingxaki ye-metabolic.
I-Eclampsia ixhaphake kakhulu kubasetyhini abaselula (abaselula) kunye nabangaphantsi kweminyaka engama-35. Kungakhathaliseki ubudala, i-eclampsia ixhaphake kakhulu kubasetyhini abangakaze bazalwe. Idatha ibonisa ukuba ngelixa amaqela amancinci abonakala engengozini eyongeziweyo, oku kubakho umphumo wezinto zentlalo, ezifana nokufikeleleka kunonophelo lwempilo, kunokuba yinyani yezinto eziphilayo.
Imithombo:
> Ukuhlukahluka kweendawo kwiimeko zezixinzelelo zengqondo ekukhulelweni. I-World Health Organization Isifundo soBumbiswano lwaMazwe ngamazwe lweengxaki ze-Hypertensive of Pregnancy. I-American Journal ye-Obstetrics ne-Gynecology ka-1988; 158: 80.
> Sibai, BM. Ukuxilongwa, ukuthintela, kunye nokulawulwa kwe-eclampsia. I-Obstetrics kunye neGynecology 2005; 105: 402.
> Sibai, BM, McCubbin, JH, Anderson, GD, et al. Eclampsia. I. Ukujonga kwiimeko ezingama-67 zakutshanje. I-Obstetrics ne-Gynecology 1981; 58: 609.
> Iingxelo zeqela elisebenza kwixinzelelo eliphezulu legazi xa ukhulelwa. Amaziko eZiko lezeMpilo, eWashington, DC 2000.