I-Eclampsia ekukhulelweni: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• I-Postpartum eclampsia
• Zintoni izizathu kunye nendlela yokuthintela
• Unyango lwenziwa njani
• 1. Ulawulo lwe-magnesium sulphate
• 2. Phumla
• 3.Ukwenziwa kokubeleka
• Iingxaki ezinokwenzeka

I-Eclampsia yingxaki enkulu yokukhulelwa, ephawulwa ngeziqwengana eziphindaphindiweyo zokuxhuzula, kulandele ikhoma, enokubulala xa inganyangwa kwangoko. Esi sifo sixhaphake kakhulu kwiinyanga ezi-3 zokugqibela zokukhulelwa, nangona kunjalo, sinokuzibonakalisa kulo naliphi na ixesha emva kweveki yama-20 yokumitha, xa kuzalwa okanye, nasemva kokubeleka.

I-Eclampsia luphawu olubonakalayo lwe-pre-eclampsia, ebangela uxinzelelo lwegazi oluphezulu, ngaphezulu kwe-140 x 90 mmHg, ubukho beeproteni kumchamo kunye nokudumba komzimba ngenxa yokugcina amanzi, kodwa nangona ezi zifo zinxulumene, ayingabo bonke abantu pre-eclampsia isifo siqhubela phambili ukuya eclampsia. Fumanisa ukuba ungayichonga njani i-pre-eclampsia kwaye xa inokuba nzima.

Iimpawu eziphambili

Iimpawu ze-eclampsia zibandakanya:

• Ukuxhuzula;
• Intloko ebuhlungu;
• Uxinzelelo lwegazi;
• Ukutyeba ngokukhawuleza ngenxa yokugcina amanzi;
• Ukudumba kwezandla neenyawo;
• Ukuphulukana neprotein ngomchamo;
• Ukukhala ezindlebeni;
• Iintlungu ezinzima zesisu;
• Ukuphalaza;
• Umbono utshintsha.

Ukuxhuzula kwi-eclampsia kuhlala kuxhaphake kwaye kuhlala umzuzu omnye kwaye kunokuqhubela phambili ukuya kwi-coma.

I-Postpartum eclampsia

I-Eclampsia nayo inokuvela emva kokubeleka kosana, ngakumbi kwabasetyhini ababene-pre-eclampsia ngexesha lokukhulelwa, ke kubalulekile ukuba ugcine uvavanyo nasemva kokubeleka, ukuze kubonakale naziphi na iimpawu zokuba mandundu, kwaye kufuneka ukhululwe esibhedlele kuphela. emva kwesiqhelo koxinzelelo kunye nokuphuculwa kweempawu. Fumanisa ukuba zeziphi iimpawu eziphambili kunye nendlela eyenzeka ngayo emva kokubeleka.

Zintoni izizathu kunye nendlela yokuthintela

Oonobangela be-eclampsia banxulunyaniswa nokumiliselwa kunye nokukhula kwemithambo yegazi kwi-placenta, njengoko ukunqongophala kwegazi kwi-placenta kubangela ukuba ivelise izinto ezithi xa ziwela ekujikelezeni kwegazi, zitshintshe uxinzelelo lwegazi kwaye zibangele ukonakala kwezintso .

Imiba yomngcipheko wokuphuhlisa i-eclampsia inokuba:

• Ukukhulelwa kwabasetyhini ngaphezulu kwe-40 okanye phantsi kwe-18;
• Imbali yosapho ye-eclampsia;
• Ukukhulelwa amawele;
• Abasetyhini abanexinzelelo lwegazi;
• Ukutyeba kakhulu;
• Isifo seswekile;
• Isifo sezintso ezingapheliyo;
• Abafazi abakhulelweyo abanezifo ezizimele, ezifana ne-lupus.

Indlela yokuthintela i-eclampsia kukulawula uxinzelelo lwegazi xa ukhulelwe kwaye wenze iimviwo ezifanelekileyo ngaphambi kokubeleka ukuze ufumane naluphi na utshintsho olubonisa esi sifo kwangoko.

Unyango lwenziwa njani

I-Eclampsia, ngokungafaniyo noxinzelelo lwegazi oluqhelekileyo, ayiphenduli kwi-diuretics okanye ukutya okunetyuwa encinci, ke unyango luhlala lubandakanya:

1. Ulawulo lwe-magnesium sulphate

Ulawulo lwe-magnesium sulphate emthanjeni lolona nyango luxhaphake kakhulu kwimeko ye-eclampsia, esebenza ngokulawula ukuxhuzula nokuwela isiqaqa. Unyango kufuneka lwenziwe emva kokulaliswa esibhedlele kunye nemagnesium sulfate kufuneka ilawulwe ngugqirha kwezonyango ngqo emthanjeni.

2. Phumla

Ngexesha lokulaliswa esibhedlele, umfazi okhulelweyo kufuneka aphumle kangangoko kunokwenzeka, ngokukhethekileyo elele kwicala lasekhohlo, ukuze kuphuculwe ukuhamba kwegazi emntwaneni.

3.Ukwenziwa kokubeleka

Ukuzalwa komntwana kuphela kwendlela yokunyanga i-eclampsia, nangona kunjalo ukwenziwa kunokubambezeleka ngamayeza ukuze umntwana akhule kangangoko.

Yiyo loo nto, ngexesha lonyango, kufuneka kwenziwe uvavanyo lweklinikhi yonke imihla, rhoqo emva kweeyure ezi-6 ukulawula ukuvela kwe-eclampsia, kwaye ukuba akukho phuculo, ukuhanjiswa kufuneka kwenziwe ngokukhawuleza, ukuze kusonjululwe ukuxhuzula okubangelwe yi-eclampsia.

Nangona i-eclampsia ihlala iphucula emva kokubeleka, iingxaki zinokuvela kwezi ntsuku zilandelayo, ke lo mfazi kufuneka abekwe iliso ngokusondeleyo kwaye xa ebona iimpawu ze-eclampsia, ukulaliswa esibhedlele kunokuhlala kwiintsuku ezimbalwa ukuya kwiiveki, kuxhomekeke kubukhali bengxaki kunye nobunzima obunokubakho.

Iingxaki ezinokwenzeka

I-Eclampsia inokubangela ezinye iingxaki, ngakumbi xa inganyangwa ngokukhawuleza nje ukuba ichongwe. Enye yeengxaki eziphambili sisifo se-HELLP, esibonakala ngokutshintsha okukhulu kokuhamba kwegazi, apho kukho ukutshatyalaliswa kweeseli ezibomvu zegazi, ukunciphisa iiplatelets kunye nomonakalo kwiiseli zesibindi, kubangela ukwanda kwee-enzyme zesibindi kunye neebilirubins egazini. vavanyo. Funda ngakumbi malunga nokuba yintoni kunye nendlela yokunyanga i-HELLP syndrome.

Olunye uxinzelelo olunokubakho luyehla ukuhamba kwegazi ukuya kwingqondo, kubangela ukonakala kwemithambo-luvo, kunye nokugcinwa kwamanzi emiphungeni, ubunzima bokuphefumla kunye nezintso okanye ukusilela kwesibindi.

Ukongeza, iintsana nazo zinokuchaphazeleka, zikhubazeke ekukhuleni kwazo okanye isidingo sokulindela ukuhanjiswa. Ngamanye amaxesha, usana alunakukhula ngokupheleleyo, kwaye kusenokubakho iingxaki, ezinje ngokuphefumla nzima, kufuna ukubekwa esweni yi-neonatologist kwaye, kwezinye iimeko, ukwamkelwa kwi-ICU ukuqinisekisa ukhathalelo olungcono.