Hyperemesis Gravidarum
Xa ucinga ngempawu zokukhulelwa, enye yeengcamango eziqhelekileyo ziya kuba zezifo zokusa . Nangona kunjalo, malunga no-1 kwabangama-300 abafazi abakhulelweyo ngamnye ngonyaka baya kufumana uhlobo olubi kakhulu olubizwa ngokuba yi-Hyperemesis Gravidarum, echaza ngentsikelelo yokulahleka okungenani ama-5% obunzima bomzimba. Abaninzi balaba bafazi bayangeniswa esibhedlele unyango, kwaye akucaci ukuba bangaphi abantu abangabonakaliswa kwaye baphathwa njengezifo.
Uphononongo olutshanje lubonisa ukuba ukuba abafazi banesifo esinzima ngokwaneleyo sokubhedlelelwa esibhedlele, njengengxaki ye-hyperemesis, ngoko ke unako ukufumana intombazana kunomfana. Ama-56% oomama ababhedlele esibhedlele ekukhulelweni kokuqala babenemantombazana , xa kuthelekiswa ne-44% abanamakhwenkwe. Ukubhedlelelwa kwezibhedlele kwizigaba ezilandelayo zokukhulelwa akuzange kubonise olu lungiso.
Usenokuzibuza ukuba kuqinisekiswe njani ukuba i-nausea yakho iwela kuloluhlu. Ngokuqhelekileyo, xa abafazi bafumana i-hyperemesis gravidarum, uya kubona ukulahleka kwesisindo se-5% okanye ngaphezulu, ukuhlanza okungenakungenakwenzeka, ukunyanzeliswa kwesondlo, ukubola kwesifo somzimba, kunye nokulimala kwesibindi.
Ngaphandle kokuhlanza kunye neentlanzi, umama unokuva neentlungu ezibuhlungu kakhulu, umonakalo ombi emlonyeni, ukuphazamiseka, ukulufunda ukufunda (ukusuka kwamanzi kunye nokutshintsha kwiso), kwaye ukulibazisa ukukhupha isisu. Ezinye iinkathazo aziqabile, nangona kunjalo, kuye kwaphawula ukuba kukho ukunyuka kweengxaki zeengqungquthela zengqondo ngexesha kunye nangemva kokukhulelwa.
Unyango lunokuquka oku kulandelayo:
- Ukufikelela ngokukhawuleza ngokufikelela kwe-IV
- Psychotherapy
- Hypnosis
- Amanxweme oLwandle (ama-acupressure bands) kunye ne-Acupuncture
- Amachiza (ahluka kwaye anokufumana ezinye iziphumo ezingathandekiyo)
- Tube Feedings
- Isisondlo sabazali bonke (TPN)
Xa kuthethwa ngamachiza kukho ezininzi ezinokusetyenziswa.
Maxa wambi i-antihistamines elula isetyenziswa. I-Vitamin B6 ibuye ibonise inzuzo enkulu kubafazi abaswele kwi-hyperemesis. Kukho izilwanyana kunye nezinye izilungiselelo eziye zazanywa ngokuphumelelayo, njengeginger.
Isigqibo sokusebenzisa amayeza sinokuba nzima, kwaye akusisigqibo esimele senziwe lula. Nangona kunjalo, xa iinzuzo zonyango zingaphezulu kweengozi zonyango kumama okanye kwintsana, njengakwiimeko ezithile ze-hyperemesis ezingaphenduli kwezinye iyeza, amayeza anokuba yonyango olufanelekileyo.
Isizathu salokhu asiyazi ngokuchanekileyo, kodwa kukholelwa ukuba sihambelana namahomoni okukhulelwa.
- I-Gonadotropin yeCririonic (hCG) yeCririonic (i-hCG): Ngokuqhelekileyo kubangelwa ukuba ukunyuka kwe-hCG kudla ngokufana nokuqala kwe-hyperemesis
- Iprogesterone: Le hormone ibuyisela kwakhona imisipha edibeneyo, enokulibazisa okanye yokumisa i-peristalsis.
- I-Estrogen: Njengoko le nto inokwandisa ububele bakho obunobungqina obuye kwaxelwa ukuba kunokwenzeka ukwandisa isicuphoso kunye nokuhlanza.
- I-Cortisol: Oku kuphakama, kodwa ngaba ngenxa yokuxinwa okanye i-hyperemesis?
- Iprostaglandins: Oku kunokukunqanda i-cortisol kunye ne-progesterone yomama, kwaye ifuthe umzekelo we-hyperemesis.
Ngombulelo uninzi lweziganeko ziya kunqumla ngeeveki ezingama-17, nangona kwiiveki ezingama-35 malunga ne-5% yabemi basengxela iingxaki. Olunye uphando lwase-Australia lubonise ukuba i-20% yabasetyhini bafumana iingxaki ngexesha.
Ngokuqhelekileyo, ezi ntwana azihluphekanga. Nangona kunzima ukuhlukana nemiphumo ye-hyperemesis kunye nokunciphisa ubunzima bokunciphisa nokulingana kwe-electrolyte. Kukho isizathu sokuxhalabisa xa amayeza athile asetyenziswa ukulawula ukuhlanza. Ngoko ke qiniseka ukuba ugqirha wakho ukhoyo kunye neencwadi kunye nophando lwe-hyperemesis. Umsebenzi wokuqala kunye nesisindo sokuzalwa esincinane kukukhathazeka okubini kwiintsana ezithwele oomama abane-hyperemesis.
Kwakukholelwa ukuba le nto yayingumqondo kwaye umama wayezama ukukhanyela ukukhulelwa ngesizathu esithile. INzululwazi ngoku ibonise ukuba kukho okungakumbi kwi-hyperemesis kunesimo sengqondo. Abasetyhini abanamava abahluphekanga kuphela ngokomzimba kodwa ngengqondo. Uxinzelelo kunye nobunzima bokugula kunye nabangasesezibhedlele banempembelelo engqondweni nangokwenyama kumfazi. Oku kuyinyani ngokunyanisekileyo kuba besifa mhlawumbi banenkolelo yokuba ukukhulelwa kuya kuba lixesha elivuyo ebomini babo. Inkxaso evela kwezinye iindawo zobomi babo ibalulekile ekwenzeni unyango lwe-hyperemesis.
> Umthombo:
> I-Obstetrics: Iziqhelo eziqhelekileyo kunye neengxaki. Gabbe, S, Niebyl, J, Simpson, JL. Uhlobo lwesihlanu.