I-Preeclampsia yinkxalabo yokukhulelwa apho umxinzelelo wegazi wesifazane uphakanyisiwe kwaye iphrotheni ifumaneka kumchamo wakhe. Isizathu esingaziwa, nangona kukho izinto ezinobungozi obufanelekileyo.
Izinto zobungozi
Imiba yobungozi bokuphuhlisa i-preeclampsia iquka:
- Imbali yexinzelelo legazi eliphezulu ngaphambi kokukhulelwa
- Umdala ongaphezu kwama-40 okanye ngaphantsi kwe-18
- Ukunyanya
- Sikashukela
- Ukukhulelwa kokuqala
- Ukukhulelwa kwamaninzi (amawele okanye ngaphezulu)
- Ubuzwe baseMerika
- Ezinye izimo ezingapheliyo, ezifana ne-lupus
Iingxaki
I-Preeclampsia yimeko eyingozi. Abafazi abasemngciphekweni weengxaki zexesha elide zezempilo, kubandakanywa uxinzelelo lwegazi oluphezulu emva kokuphila, i-preeclampsia yinto eyaziwayo yobungozi bokuzalwa. Kwakhona kubangela ukuba kuninzi ukuthunyelwa kwangaphambili. Ukungathandabuzeki, i-preeclampsia ingaba yi-eclampsia, leyo ingaba yingozi kumama nomntwana.
I-preeclampsia ephezulu ibuye ibe yi-HELLP Syndrome, emele u- H , i- E i- Env Ukuba "aphilwanga" ngokunikezelwa, i-HELLP Syndrome ingabangela ukubola kwamanzi (i-bleeding exhaust), i-edema ye-pulmaya (umkhuhlane kwimiphunga), ukungaphumeleli kwezintso, ukungaphumeleli kwesibindi, okanye ukufa komfazi. I-HELLP Syndrome inokubangela ukuphazamiseka kwe-placental .
Uxinzelelo lwegazi oluphezulu kunye ne-Preeclampsia
Kunokwenzeka ukuba uxinzelelo lwegazi luphezulu ekukhulelwe kwaye lingenayo i-preeclampsia.
Amanye amabhinqa aneengcinezelo ezingapheliyo ngaphambi kokukhulelwa. Abanye besetyhini nabo bahlakulela ingcinezelo yegazi ngokunyanisekileyo ngexesha lokukhulelwa ngaphandle kokufumana ezinye iimpawu ze-preeclampsia (oku kuthiwa Ukukhulelwa Kwangenelela Uxinzelelo). Nangona kunjalo, kuzo zombini kwezi ziko, ibhinqa inomngcipheko omkhulu wokuphuhlisa i-preeclampsia kwaye kufuneka ihlolwe ngokukhawuleza.
Iimpawu
Iimpawu ze-preeclampsia ezingenzekayo ziquka:
- Igazi elonyukayo
- Iiprotheyini kumchamo
- Intloko, kaninzi inzima
- Ukuvuvukala, ingakumbi kwezandla, iinyawo, okanye ubuso
- Intlungu yesifo se-Epigastric, okanye intlungu ephakamileyo okanye kwindawo ephakamileyo yesisu
- Ukutshintsha okubonakalayo, njengamabala phambi kwamehlo okanye izibane ezikhanyayo
- Ukufumana ubunzima obunokukhawuleza
- Isihlunu kunye nokuhlanza
- Ukwenyuka komchamo
- Enzyme zesibindi ezingavamile
- Platelet ephantsi
Ukuba unayo nayiphi na impawu ye-preeclampsia, kufuneka uhlolwe ngugqirha okanye umbelethisi. Uxinzelelo lwegazi lwakho luya kuhlolwa, kwaye iimvavanyo zebhan eziliqela ziya kwenziwa. Uya kufuneka unike isampula yomchamo kwaye elinye igazi liya kutsalwa.
Abasetyhini abaninzi abaziva begula ngokuqala nge-preeclampsia. Enye yezizathu ezibaluleke kakhulu ukufumana unonophelo lwangaphantsi. Uxinzelelo lwegazi lwakho luya kujongwa kwintyelelo nganye, kunye nomchamo wakho weprotheni. Ukubona ukuqala kwe-preeclampsia kusenokuthi umahluko phakathi kokuphila nokufa ngenxa yakho okanye umntwana wakho.
Unyango
Ukuphela kwonyango lwe-preeclampsia ukuhanjiswa. Ukuba sele usufikelele kwixesha elipheleleyo, ugqirha wakho uya kunconywa ukuba uncome ukutyalwa kwabasebenzi . Ukuba ungaphaya kweeveki ezingama-37, ugqirha wakho uya kufuneka aqinisekise ukuba i-preeclampsia yakho inzima kangakanani ukukhetha isicwangciso sonyango esihle.
Kunokwenzeka ukunciphisa umngcipheko we-eclampsia (ukuthatha i-seizure) ngokunika i-magnesium sulfate nge-IV. Kodwa ukulungiswa kwesikhashana nje, kwaye ngokuqhelekileyo kusetyenziswa kuphela ukugcina ibhinqa ekhuselekile ekuthinjweni kwe-eclamptic kwanele ngokwaneleyo ukunika ii-injection ze-steroid ukukhula kwimiphunga yesisu ekulungiseleleni ukuhanjiswa. I-Steroids ibinikwa phakathi kweeyure ezingama-24 ne-34 ubudala.
Ukuqhagamshela kwiLing pregnancy
I-Preeclampsia ihambelana nokuzalwa komntwana kodwa isalathiso esivamile sokunciphisa abasebenzi ngaphambi kweveki ezingama-37. Ukuqhaqhaqhaqeka kuqhubeka kukukho kwezona zinto ezibangela ukufa kwiintsana.
Imithombo:
Cunningham, F., Gant, N., et al. U-Williams Obstetrics, u-21st Edition. 2001.
Iziko lezeMpilo zeSizwe "HELLP Syndrome" I-Library kaZwelonke yeMatriki ka-US.
Amaziko eZiko lezeMpilo "i-Preeclampsia" iThala leSizwe leMatriki ka-US.