IHyperemesis gravidarum
I-Hyperemesis gravidarum igqithile, isicaphucaphu esiqhubekayo kunye nokugabha ngexesha lokukhulelwa. Ingakhokelela ekuphelelweni ngumzimba, ukunciphisa umzimba, kunye nokungalingani kwe-electrolyte. Ukugula kwasekuseni isicaphucaphu kunye nokugabha okwenzeka ekukhulelweni kwasekuqaleni.
Uninzi lwabasetyhini banesicaphucaphu okanye ukugabha (ukugula kwasekuseni), ngakumbi kwiinyanga ezintathu zokuqala zokukhulelwa. Oyena nobangela wesicaphucaphu nokugabha ngexesha lokukhulelwa awaziwa. Nangona kunjalo, kukholelwa ukuba ibangelwa kukunyuka ngokukhawuleza kwenqanaba lehomoni ebizwa ngokuba yi-chorionic gonadotropin (HCG). I-HCG ikhutshwa yiplacenta. Ukugula kwasekuseni kuqhelekile. I-Hyperemesis gravidarium ayiqhelekanga kwaye inzima kakhulu.
Abasetyhini abane-hyperemesis gravidarum banesicaphucaphu kunye nokugabha ngexesha lokukhulelwa. Ingabangela ukwehla kobunzima obungaphezulu kwe-5% yobunzima bomzimba. Imeko inokwenzeka nakuphi na ukukhulelwa, kodwa kunokwenzeka kancinci ukuba ukhulelwe amawele (okanye iintsana ezininzi), okanye ukuba une-hydatidiform mole. Abasetyhini basemngciphekweni omkhulu we-hyperemesis ukuba babenengxaki ekukhulelweni kwangaphambili okanye banomdla wokugula.
Ukugula kwasekuseni kunokubangela ukuncipha kokutya, isicaphucaphu esisezantsi, okanye ukugabha. Oku kwahlukile kwi-hyperemesis eyinyani kuba abantu bahlala bekwazi ukutya nokusela iziselo ngamanye amaxesha.
Iimpawu zehyperemesis gravidarum zinzima kakhulu. Banokubandakanya:
- Kakhulu, isicaphucaphu esiqhubekayo kunye nokugabha ngexesha lokukhulelwa
- Ukukhahlela ngaphezulu kakhulu kunesiqhelo
- Ukuhla ukusinda
- Iimpawu zokuphelelwa ngamanzi emzimbeni ezinjengomchamo omnyama, ulusu olomileyo, ubuthathaka, intloko ebuthathaka okanye ukuphelelwa ngamandla
- Ukuqunjelwa
- Ukungakwazi ukuthatha izixa ezaneleyo zolwelo okanye isondlo
Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba. Uxinzelelo lwegazi lunokuba sezantsi. Ukubetha kwakho kungaba phezulu.
Olu vavanyo lulandelayo lwelebhu luya kwenziwa ukukhangela iimpawu zokoma:
- Gcwalisa ubalo lwegazi
- Ii-Electrolyte
- Iiketoni zomchamo
- Ukuhla ukusinda
Umboneleli wakho unokufuna ukuqhuba iimvavanyo ukuze aqiniseke ukuba awunayo ingxaki yesibindi kunye nesisu.
Ukukhulelwa kwe-ultrasound kuya kwenziwa ukuze ubone ukuba uphethe amawele okanye abantwana abangaphezulu. I-Ultrasound iphinde ihlole i-hydatidiform mole.
Ukugula kwasekuseni kuhlala kulawulwa ngokunqanda ukutya okubangela ingxaki kunye nokusela ulwelo oluninzi xa iimpawu ziyekelela ukuze zihlale zine-hydrated.
Ukuba isicaphucaphu nokugabha kukubangela ukuba uphelelwe ngamanzi emzimbeni, uya kufumana ulwelo nge-IV. Unokunikwa iyeza lokuthintela isicaphucaphu. Ukuba isicaphucaphu nokugabha kukhulu kangangokuba wena nosana lwakho nisenokuba sengozini, niya kulaliswa esibhedlele ukuze nifumane unyango. Ukuba awukwazi ukutya ngokwaneleyo ukufumana izondlo wena nosana lwakho nizifuna, unokufumana izakhamzimba ezongezelelekileyo nokuba kungena nge-IV okanye ityhubhu efakwe esiswini sakho.
Ukunceda ukulawula iimpawu ekhaya, zama ezi ngcebiso.
Gwema izinto ezibangela. Unokuqaphela ukuba izinto ezithile zinokubangela isicaphucaphu kunye nokugabha. Oku kunokubandakanya:
- Ingxolo ethile kunye nezandi, nkqu nonomathotholo okanye iTV
- Izibane ezikhanyayo okanye ezikhanyayo
- Intlama yamazinyo
- Ivumba elinjengesiqholo nesiqholo esimnandi sokuhlamba kunye nokuzilungisa
- Uxinzelelo esiswini sakho (nxiba iimpahla ezingakulungelanga)
- Ukukhwela emotweni
- Ukuhlamba
Yitya usele xa unako. Thatha ithuba lamaxesha oziva ungcono ngokutya kunye nokusela. Yitya ukutya okuncinci rhoqo. Zama ukutya okomileyo, okuqhekezayo njengokuqhekeza okanye iitapile. Zama ukutya nakuphi na ukutya okutsalayo. Jonga ukuba ungazinyamezela na ii-smoothies ezinesondlo kunye neziqhamo okanye imifuno.
Yandisa ulwelo ngamaxesha emini xa uziva ungonwabanga. I-Seltzer, i-ginger ale, okanye ezinye iziselo ezibengezelayo zinokunceda. Unokuzama ukusebenzisa i-ginger yedosi ephantsi okanye ii-acupressure brist bands ukunciphisa iimpawu.
I-Vitamin B6 (engekho ngaphezulu kwe-100 mg mihla le) ibonakalisiwe ukunciphisa isicaphucaphu ekukhulelweni kwasekuqaleni. Buza umboneleli wakho ukuba ngaba le vithamini inokukunceda. Elinye iyeza elibizwa ngokuba yi-doxylamine (Unisom) libonakalisiwe ukuba lisebenza kakhulu kwaye likhuselekile xa lidityaniswe neVitamin B6 yesicaphucaphu xa ukhulelwe. Ungalithenga iyeza ngaphandle kokumiselwa.
Ukugula kwasekuseni kubumnene, kodwa kuyaqhubeka. Inokuqala phakathi kweeveki ezi-4 ukuya kwezi-8 zokukhulelwa. Ihlala iiveki ezili-16 ukuya kwezi-18 zokukhulelwa. Isicaphucaphu esiqatha nokugabha kungaqala phakathi kweeveki ezi-4 ukuya kwezi-8 zokukhulelwa kwaye zihlala zihamba ngeveki ye-14 ukuya kweye-16. Abanye abantu basetyhini baya kuqhubeka benesicaphucaphu nokugabha konke ukukhulelwa kwabo. Ngokuchongwa okufanelekileyo kweempawu kunye nokulandela ngononophelo, iingxaki ezinzulu zosana okanye umama zinqabile.
Ukugabha okungathethekiyo kuyingozi kuba kukhokelela ekuphelelweni ngamanzi emzimbeni nasekufumaneni ubunzima bomzimba ngexesha lokukhulelwa. Ngokuqhelekileyo, umfazi unokuba negazi kwi-esophagus okanye ezinye iingxaki ezinzulu ezivela ekuhlanzeni rhoqo.
Le meko inokwenza kube nzima ukuqhubeka nokusebenza okanye ukuzikhathalela. Inokubangela unxunguphalo kunye noxinzelelo kwabanye abantu basetyhini abahlala emva kokukhulelwa.
Biza umnikezeli wakho ukuba ukhulelwe kwaye unesicaphucaphu esiqatha nokugabha okanye ukuba unayo enye yezi mpawu zilandelayo:
- Iimpawu zokuphelelwa ngamanzi emzimbeni
- Ayikwazi ukumelana naluphi na ulwelo ngaphezulu kweeyure ezili-12
- Ubumhlophe obukhanyayo okanye isiyezi
- Igazi emhlanzweni
- Intlungu zesisu
- Ukwehla kobunzima obungaphezulu kwe-5 lb
Isicaphucaphu - hyperemesis; Ukuphalaza - i-hyperemesis; Ukugula kwasekuseni-i-hyperemesis; Ukukhulelwa-i-hyperemesis
ICappell MS. Ukuphazamiseka kwamathumbu ngexesha lokukhulelwa. 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 48.
UGordon A, Uthando A. Isicaphucaphu kunye nokugabha ngexesha lokukhulelwa. Ku: Rakel D, ed. Unyango oluHlanganisayo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 54.
UKelly TF, ugcina iTJ. Isifo sesisu xa ukhulelwe. Ku: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Isilivere RM, ii-eds. I-Creasy kunye neResnik's Maternal-Fetal Medicine: Imigaqo kunye nokuziqhelanisa. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 63.
Malagelada JR, Malagelada C. Isicaphucaphu kunye nokugabha. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 15.
I-Salhi BA, i-Nagrani S.Iingxaki ezinzima zokukhulelwa. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 178.