Ukuchonga nokuLawula i-Preeclampsia
I-Preeclampsia yinkxalabo yokukhulelwa echaphazela uxinzelelo lwegazi kunye nezinye iinkqubo zesebe. Ngokukodwa, imeko ye-preeclampsia ifumaneka xa uxinzelelo lwegazi oluphezulu kunye neproteinuria (iiprotheyini kumchamo) kufumaneka kumfazi okhulelweyo ongekho ngaphezu kweveki ezingama-20. Oku kubaluleka okubalulekileyo, kuba abafazi abaphethe uxinzelelo lwegazi ngaphambi kokukhulelwa ngamanye amaxesha banokuhlangabezana neemfuno zekliniki ze-preeclampsia, kodwa kufuneka baphathwe ngokwemiqathango eyahlukeneyo yezikhokelo.
Iimpawu kunye neempawu ze-Preeclampsia
Kwiimeko ezininzi, ukwanda ngokukhawuleza kwexinzelelo lwegazi kuyisimboli sokuqala se-preeclampsia. Ngaphantsi kaninzi, uxinzelelo lwegazi luya kunyuka buthathaka. Kwimeko nayiphi na imeko, xa uxinzelelo lwegazi lufikelela okanye luba ngaphezu kwe-140/90 mm Hg kunye nomboneleli wezempilo uye wabonisa ukuba kukho utshintsho ubuncinane kwiihlandlo ezimbini, ubuncinci beeyure ezine ngaphandle, ukuxilongwa kwe-preeclampsia kukhankanywa.
Ukongezelela, iprotheni eyimfuneko emcinini, efunyenwe ngexesha lokucoca umchamo oluyingxenye yenkqubo yokunakekelwa kokubeleka, kunokubonisa iingxaki zeengtso ezihlala zihamba nexinzelelo legazi eliphezulu kwi-preeclampsia.
Ezinye iimpawu kunye neempawu ze-preeclampsia ziquka:
- Iintloko ezinzulu
- Ukutshintsha kwimbono, kubandakanywa ukulahleka kwembono kweso sikhashana, umbono obonakalayo okanye uvelwano olukhanyayo
- Ubuhlungu besisu esiswini
- Isihlunu okanye ukuhlanza
- Ukwenyuka komchamo
- Amanqanaba amaninzi eeplatelet egazini (thrombocytopenia)
- Umsebenzi onesibindi sesibindi
- Ukuqhawukelwa ngumphefumlo
- Ukufumana ubunzima obunokukhawuleza kunye nokuvuvukala (okuqhelekileyo nokukhulelwa ngokuqhelekileyo)
Ngubani Osemngciphekweni we-Preeclampsia?
Ngaphandle kokukhulelwa, okuyiyona mngcipheko omkhulu we-preeclampsia kuba oko kwenzeka kuphela kubafazi abakhulelweyo, ezinye izinto zingakufaka ingozi enkulu yokuphuhlisa imeko.
Ezi ziquka:
- Imbali yangaphambili ye-preeclampsia (nokuba wena okanye isihlobo segazi)
- Ukukhulelwa kokuqala
- Ukuba uneminyaka engama-40 okanye ngaphezulu
- Ukuphelela
- Ukuthatha ukukhulelwa okubanzi
- Ukukhulelwa kwesithuba ngaphantsi kweminyaka emibini okanye ngaphezulu kweminyaka eyi-10 ngaphandle
- Ukuba neemeko ezithile ngaphambi kokuba ukhulelwe, njengengcinezelo ephezulu yegazi, i-migraine intloko, isifo sikashukela, isifo sesifo, okanye i-lupus
UkuPhatha i-Preeclampsia
Ukuba ingahambelwanga, i-preeclampsia ingakhokelela kwiinkathazo ezibi kakhulu kumama nomntwana. Kwezinye iimeko, inokuba yingozi. Ukuphela kwonyango kwimeko ukuhanjiswa kwengane, emele umngeni oyingqamle kubaboneleli bezempilo kunye nabasetyhini njengoko bebalinganisela izibonelelo zokuhanjiswa kwangethuba kunye nobungozi bokuqala kokungcoliseka .
Abafazi abane-preeclampsia babhekene nobungozi obuninzi bokubanjelwa , ukuphazamiseka kwamaplazi kunye nokushaya. Ukuba kusekuqaleni kokukhulelwa ukukhusela ngokukhuselekileyo ukuhanjiswa, ukubeka esweni impilo kamama kunye nosana kunokubandakanya ukunyuka kwamaxesha okuhlolwa kokubeleka, ukuhlolwa kwegazi, ukunyuka kwegazi kunye neemvavanyo zokungabikho komntwana.
Ezinye izicwangciso zingasetyenziselwa ukunceda ukulawula uxinzelelo lwegazi xa kusencinane kakhulu ukukhusela ngokusemthethweni abasebenzi. Ezi ziquka:
- Imishanguzo ekhuselekileyo yokunciphisa uxinzelelo lwegazi.
- I-Corticosteroids kokubili iphucula umsebenzi wesibindi kunye neplatelet kumama kwaye inokunceda ukuphucula imiphunga yomntwana ukulungiselela ukuhanjiswa kwangethuba.
- Imithi ye-Anticonvulsant yokuthintela ukuthintela.
- Ukulala ikhefu
- Bhedlele
Imithombo:
Cunningham, FG., Lindheimer, MD. Uxinzelelo lwengqondo ekukhulelweni. I-New England Journal of Medicine, 326 (14): 927-32.
Ingxelo yeqela elisebenzayo kwixinzelelo eliphezulu legazi xa ukhulelwa. Amaziko eZiko lezeMpilo, eWashington, DC 2000.