IPreeclampsia-ukuzikhathalela

Abafazi abakhulelweyo abane-preeclampsia banexinzelelo lwegazi kunye neempawu zesibindi okanye sezintso. Umonakalo wezintso ubangela ubukho beprotini kumchamo. I-Preeclampsia eyenzeka kubafazi emva kweveki yama-20 yokukhulelwa. Ingaba nobulali okanye bunzima. I-Preeclampsia ihlala isombulula emva kokuba umntwana ezelwe kwaye i-placenta ihanjiswa. Nangona kunjalo, inokuqhubeka okanye iqale nasemva kokuhanjiswa, ubukhulu becala kwiiyure ezingama-48. Oku kubizwa ngokuba yi-postpartum preeclampsia.

Izigqibo zonyango zenziwa ngokusekwe kwisigaba sokukhulelwa kunye nobukrakra bepreeclampsia.

Ukuba udlulileyo kwiiveki ezingama-37 kwaye ufumene ukuba une-preeclampsia, umboneleli wakho wokhathalelo lwempilo uya kukucebisa ukuba uhambise kwangoko. Oku kunokubandakanya ukufumana amayeza ukuqala (ukukhuthaza) ukubeleka okanye ukuhambisa umntwana ngokuhambisa okokhuselo (icandelo le-C).

Ukuba ungaphantsi kweeveki ezingama-37 ukhulelwe, injongo kukwandisa ukukhulelwa kwakho okoko kukhuselekile. Ukwenza njalo kuvumela umntwana wakho ukuba akhule ixesha elide ngaphakathi kuwe.

• Ukukhawuleza kufuneka uhanjiswe kuxhomekeke ekubeni liphezulu kangakanani uxinzelelo lwegazi, iimpawu zesibindi okanye iingxaki zezintso, kunye nemeko yosana.
• Ukuba i-preeclampsia yakho inzima, kuya kufuneka uhlale esibhedlele ukuze ubekwe esweni. Ukuba i-preeclampsia ihlala inzima, unokufuna ukuhanjiswa.
• Ukuba i-preeclampsia yakho ithambile, unokukwazi ukuhlala ekhaya uphumle ebhedini. Kuya kufuneka uhlolwe rhoqo kunye neemvavanyo. Ubunzima be-preeclampsia bunokutshintsha ngokukhawuleza, ke kuya kufuneka ulandele ngononophelo olukhulu.

Ukuphumla kokulala ngokugqibeleleyo akusacetyiswa. Umboneleli wakho uya kukucebisa ngenqanaba lomsebenzi.

Xa usekhaya, umboneleli wakho uya kukuxelela ukuba loluphi utshintsho onokulufuna ekudleni kwakho.

Kuya kufuneka uthathe amayeza ukunciphisa uxinzelelo lwegazi. Thatha la mayeza ngendlela athi umboneleli wakho akuxelele ngayo.

MUSA ukuthatha naziphi na iivithamini, calcium, aspirin, okanye amanye amayeza ngaphandle kokuthetha nomboneleli wakho kuqala.

Rhoqo, abasetyhini abane-preeclampsia abaziva begula okanye ababi nazimpawu. Sekunjalo, wena nomntwana wakho nisenokuba sengozini. Ukuzikhusela kunye nosana lwakho, kubalulekile ukuba uye kuzo zonke utyelelo lwakho lwaphambi kokubeleka. Ukuba uqaphela naziphi na iimpawu zepreeclampsia (ezidweliswe ngezantsi), xelela umboneleli wakho kwangoko.

Kukho umngcipheko kuwe nakumntwana wakho ukuba uphuhlisa i-preeclampsia:

• Umama unokonzakala kwezintso, ukuxhuzula, ukubetha, okanye ukopha esibindini.
• Kukho umngcipheko ophezulu wokufumana i-placenta kwisibeleko (ukuphazamiseka) kunye nokuzalwa komntwana oswelekileyo.
• Usana lusenokungakhuli kakuhle (isithintelo sokukhula).

Ngelixa usekhaya, umboneleli wakho unokucela ukuba:

• Linganisa uxinzelelo lwegazi
• Jonga iprotheni yakho kumchamo wakho
• Jonga ukuba usela kangakanani ulwelo
• Jonga ubunzima bakho
• Jonga ukuba usana lwakho luhamba kangakanani kwaye lukhabe kangakanani

Umboneleli wakho uya kukufundisa ukuba ungazenza njani ezi zinto.

Uya kudinga ukutyelelwa rhoqo nomboneleli wakho ukuqinisekisa ukuba wena nosana lwakho niqhuba kakuhle. Uya kuba nayo:

• Ukutyelela umboneleli wakho kube kanye ngeveki okanye nangaphezulu
• I-Ultrasounds yokujonga ubungakanani kunye nokuhamba kosana lwakho kunye nenani leencindi ezijikeleze umntwana wakho
• Uvavanyo lokungabikho koxinzelelo ukujonga imeko yosana lwakho
• Uvavanyo lwegazi okanye umchamo

Iimpawu kunye neempawu zepreeclampsia zihlala zihamba kwiiveki ezi-6 emva kokubeleka. Nangona kunjalo, uxinzelelo lwegazi oluphezulu ngamanye amaxesha luba mandundu kwiintsuku zokuqala emva kokubeleka. Usesichengeni se-preeclampsia ukuya kuthi ga kwiiveki ezi-6 emva kokubeleka. Le postpartum preeclampsia inomngcipheko ophezulu wokufa. Kubalulekile ukuqhubeka nokubeka iliso ngeli xesha. Ukuba uqaphela naziphi na iimpawu zepreeclampsia, ngaphambi okanye emva kokubeleka, nxibelelana nomboneleli wakho kwangoko.

Fowunela umboneleli wakho ngoko nangoko ukuba:

• Ukudumba ezandleni, ebusweni, okanye emehlweni (edema).
• Ngequbuliso uzuze ubunzima ngaphezulu kwentsuku ezi-1 okanye ezi-2, okanye uzuze ngaphezulu kweekhilogram ezimbini (1 kilogram) ngeveki.
• Unentloko engapheliyo okanye ibe yimbi.
• Awuchami rhoqo.
• Yiba nesicaphucaphu nokugabha.
• Yiba notshintsho kumbono, njengokuba ungaboni ixesha elifutshane, jonga izibane ezidanyazayo okanye amabala, zithande ukukhanya, okanye umbono omfiliba.
• Zive ngathi zincinci kwaye zityhafile.
• Yiba neentlungu esiswini sakho ngaphantsi kweembambo zakho, rhoqo kwicala lasekunene.
• Yiba neentlungu ehlombe lakho lasekunene.
• Unengxaki yokuphefumla.
• Ukuqhekeka ngokulula.

I-toxemia - ukuzinyamekela; PIH - ukuzikhathalela; Uxinzelelo lwexinzelelo lokukhulelwa olwenziwe kukukhulelwa-ukuzikhathalela

Ikholeji yaseMelika yoNyango kunye neeGynecologists; Umsebenzi kwi-Hypertension xa ukhulelwe. Uxinzelelo lwegazi xa ukhulelwe. Ingxelo yeAmerican College of Obstetricians kunye neGynecologists 'Task Force kuxinzelelo lwegazi xa ukhulelwe. IGynecol ebambekayo. Ngo-2013; 122 (5): 1122-1131. IINKCUKACHA: 24150027 www.ncbi.nlm.nih.gov/pubmed/24150027.

UMarkham KB, uFunai EF. Uxinzelelo lwexinzelelo lokukhulelwa. Ku: Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; I-2014: isahluko 48.

Sibai BM. I-Preeclampsia kunye nokuphazamiseka koxinzelelo lwegazi. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, ii-eds. I-Obstetrics: Ukukhulelwa okuqhelekileyo kunye neengxaki. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 31.

• Uxinzelelo lwegazi oluphezulu ekukhulelweni