Umbhali: Laura McKinney
Umhla Wokudalwa: 6 Utshazimpuzi 2021
Hlaziya Umhla: 18 Eyenkanga 2024
Anonim
Preeclampsia & eclampsia - causes, symptoms, diagnosis, treatment, pathology
Ividiyo: Preeclampsia & eclampsia - causes, symptoms, diagnosis, treatment, pathology

Umxholo

Yintoni i-eclampsia?

I-Eclampsia yingxaki enkulu ye-preeclampsia. Yimeko enqabileyo kodwa enzulu apho uxinzelelo lwegazi oluphezulu lubangela ukuxhuzula ngexesha lokukhulelwa.

Ukuxhuzula ngamaxesha okuphazamiseka kwengqondo okunokubangela iziqendu zokujonga, ukunciphisa ukuphaphama, kunye nokuxhuzula (ukungcangcazela ngogonyamelo).I-Eclampsia ichaphazela malunga no-1 kwabasetyhini abangama-200 abane-preeclampsia. Unokuphuhlisa i-eclampsia nokuba awunayo imbali yokuxhuzula.

Ziintoni iimpawu zeclampsia?

Ngenxa yokuba i-preeclampsia ingakhokelela kwi-eclampsia, unokuba neempawu zazo zombini iimeko. Nangona kunjalo, ezinye zeempawu zakho zinokubangelwa zezinye iimeko, ezinje ngesifo sezintso okanye isifo seswekile. Kubalulekile ukuxelela ugqirha wakho malunga nayiphi na imeko onayo ukuze bakwazi ukulawula ezinye izizathu ezinokubakho.

Ezi zilandelayo ziimpawu eziqhelekileyo zepreeclampsia:

  • uxinzelelo lwegazi oluphakamileyo
  • ukudumba ebusweni okanye ezandleni
  • intloko ebuhlungu
  • ukutyeba kakhulu
  • isicaphucaphu nokugabha
  • iingxaki zombono, kubandakanya iziqendu zokuphulukana nombono okanye umbono ongenantsingiselo
  • ubunzima bokuchama
  • iintlungu esiswini, ngakumbi kwisisu esisekunene

Izigulana ezine-eclampsia zinokuba neempawu ezifanayo nezo zichazwe apha ngasentla, okanye zisenokubakho ngaphandle kweempawu ngaphambi kokuqala kwe-eclampsia. Ezi zilandelayo ziimpawu eziqhelekileyo ze-eclampsia:


  • ukuxhuzula
  • ukulahleka kwengqondo
  • ukuphazamiseka

Yintoni ebangela i-eclampsia?

I-Eclampsia ihlala ilandela i-preeclampsia, ebonakaliswa luxinzelelo lwegazi oluphezulu olwenzeka ekukhulelweni kwaye, kunqabile, emva kokubeleka. Ezinye iziphumo zinokubakho njengeprotein kumchamo. Ukuba i-preeclampsia yakho iya isiba mbi kwaye ichaphazele ingqondo yakho, ibangele ukuxhuzula, uphuhlise i-eclampsia.

Oogqirha abazi ngokuqinisekileyo ukuba yintoni ebangela i-preeclampsia, kodwa kucingelwa ukuba kubangelwa kukwakheka okungaqhelekanga kunye nomsebenzi we-placenta. Banokuchaza ukuba iimpawu zepreeclampsia zingakhokelela njani kwi-eclampsia.

Igazi elonyukayo

IPreeclampsia kuxa uxinzelelo lwegazi, okanye amandla egazi ngokuchasene neendonga zemithambo yakho, iba phezulu ngokwaneleyo ukonakalisa imithambo yakho kunye neminye imithambo yegazi. Ukonakala kwimithambo yakho kunokuthintela ukuhamba kwegazi. Inokuvelisa ukudumba kwimithambo yegazi kwingqondo yakho nakumntwana wakho okhulayo. Ukuba ukuphuma kwegazi okungaqhelekanga kwiinqanawa kuphazamisa amandla akho okusebenza kwengqondo, ukuxhuzula kunokwenzeka.


IProteinuria

I-Preeclampsia ichaphazela ukusebenza kwezintso. Iiprotheyini kumchamo wakho, ekwabizwa ngokuba yi-proteinuria, luphawu oluqhelekileyo lwemeko. Qho xa une-aphoyintimenti kagqirha, umchamo wakho unokuvavanywa kwiprotein.

Ngokwesiqhelo, izintso zakho zicoca inkunkuma egazini lakho kwaye zenze umchamo kwezi nkunkuma. Nangona kunjalo, izintso zizama ukugcina izondlo egazini, ezinje ngeprotein, ukuze zisasazwe kwakhona emzimbeni wakho. Ukuba izihluzo zezintso, ezibizwa ngokuba yi-glomeruli, zonakele, iprotheni inokuvuza kwaye ikhuphe kumchamo wakho.

Ngubani osemngciphekweni we-eclampsia?

Ukuba unayo okanye unayo i-preeclampsia, unokuba semngciphekweni we-eclampsia.

Eminye imingcipheko yokuphuhlisa i-eclampsia ngexesha lokukhulelwa kubandakanya:

  • ukukhulelwa okanye uxinzelelo lwegazi (uxinzelelo lwegazi oluphezulu)
  • ungaphezulu kweminyaka engama-35 okanye ungaphantsi kweminyaka engama-20
  • ukukhulelwa ngamawele okanye kathathu
  • ukukhulelwa okokuqala
  • isifo seswekile okanye enye imeko echaphazela imithambo yegazi yakho
  • isifo sezintso

I-Eclampsia kunye nosana lwakho

I-Preeclampsia kunye ne-eclampsia zichaphazela i-placenta, eyilungu elihambisa ioksijini kunye nezakhamzimba ezisuka kwigazi likamama lisiya emntwaneni. Xa uxinzelelo lwegazi oluphezulu lucutha ukuhamba kwegazi kwimithambo, i-placenta ayinakho ukusebenza ngokufanelekileyo. Oku kunokubangela ukuba umntwana wakho azalwe enesisindo sokuzalwa esisezantsi okanye ezinye iingxaki zempilo.


Iingxaki nge-placenta zihlala zifuna ukuhanjiswa kwangaphambi kwexesha kwimpilo kunye nokhuseleko lomntwana. Kwiimeko ezinqabileyo, ezi meko zibangela ukuzalwa komntwana oswelekileyo.

I-eclampsia ifunyaniswa njani?

Ukuba sele unayo i-preeclampsia diagnostic okanye unembali yayo, ugqirha uya kuyalela iimvavanyo ukumisela ukuba i-preeclampsia yakho iphinde yenzeka kwakhona okanye isiba mandundu. Ukuba awunayo i-preeclampsia, ugqirha wakho uya ku-odola uvavanyo lwe-preeclampsia kunye nabanye ukufumanisa ukuba kutheni uxhuzula. Olu vavanyo lunokubandakanya:

Uvavanyo lwegazi

Ugqirha wakho unoku-odola iintlobo ezininzi zovavanyo lwegazi ukuvavanya imeko yakho. Olu vavanyo lubandakanya ubalo olupheleleyo lwegazi, olulinganisa ukuba zingaphi iiseli ezibomvu zegazi onalo kwigazi lakho, kunye nokubala kweplatelet ukubona ukuba igazi lakho lijiye kangakanani. Uvavanyo lwegazi luya kunceda ukuvavanya ukusebenza kwezintso kunye nesibindi.

Uvavanyo lwe-Creatinine

I-Creatinine yimveliso yenkunkuma eyenziwe yimisipha. Izintso zakho kufuneka zicoca uninzi lwe-creatinine egazini lakho, kodwa ukuba i-glomeruli yonakala, i-creatinine egqithisileyo iya kuhlala egazini. Ukuba ne-creatinine eninzi egazini lakho kunokubonisa i-preeclampsia, kodwa akusoloko kunjalo.

Uvavanyo lomchamo

Ugqirha wakho unoku-odola uvavanyo lomchamo ukujonga ubukho beprotein kunye nenqanaba lokukhutshwa kwayo.

Luthini unyango lwe-eclampsia?

Ukuhambisa usana lwakho kunye ne-placenta lunyango olucetyiswayo lwe-preeclampsia kunye ne-eclampsia. Ugqirha wakho uyakuthathela ingqalelo ubukrakra besifo kunye nokuba ukhule kangakanani umntwana wakho xa ucebisa ixesha lokuhanjiswa.

Ukuba ugqirha wakho ukuxilonga nge-preeclampsia emnene, banokuyijonga imeko yakho bakunyange ngamayeza okuthintela ukuba ingabi yi-eclampsia. Amayeza kunye nokubeka iliso kuya kunceda ukugcina uxinzelelo lwegazi lwakho kuluhlu olukhuselekileyo de umntwana abe sele ekhule ngokwaneleyo ukuba anganikezela.

Ukuba uhlakulela i-preeclampsia okanye i-eclampsia, ugqirha unokuhambisa umntwana wakho kwangethuba. Isicwangciso sakho sokunyamekela siya kuxhomekeka ekubeni ubude kangakanani ekukhulelweni kwakho kunye nobukhulu besifo sakho. Uya kudinga ukulaliswa esibhedlele ukuze uhlolwe de ube uhambisa umntwana wakho.

Amayeza

Amayeza okuthintela ukuxhuzula, abizwa ngokuba ziziyobisi ze-anticonvulsants, kunokuba yimfuneko. Unokufuna amayeza ukunciphisa uxinzelelo lwegazi ukuba unoxinzelelo oluphezulu lwegazi. Unokufumana ii-steroids, ezinokunceda umphunga womntwana wakho ukuba ukhule ngaphambi kokuhanjiswa.

Ithini imbono yexesha elide?

Iimpawu zakho kufuneka zisombulule kwiintsuku ukuya kwiiveki emva kokuba unomntwana wakho. Oko kwathiwa, uya kuba nethuba elikhulu kwimicimbi yoxinzelelo lwegazi ekukhulelweni kwakho okulandelayo kwaye kunokwenzeka. Kubalulekile ukuba ulandele uxilongo lwegazi kunye nemviwo emva kokubeleka emva kokubeleka umntwana wakho ukuqinisekisa ukuba isifo siyasombulula.

Ukuba iingxaki zenzeka ngexesha lokukhulelwa, unokuba nonyango olungxamisekileyo njengokuphazamiseka kweplacenta. Ukuphazamiseka kweplacental yimeko ebangela ukuba i-placenta ikhuphe kwisibeleko. Oku kufuna ukuhanjiswa ngokukhawuleza kwe-cesarean ukugcina usana.

Usana lusenokugula kakhulu okanye lusenokufa. Iingxaki kumama zinokuba nzima kakhulu, kubandakanya ukubetha kwentliziyo okanye ukubanjwa kwentliziyo.

Nangona kunjalo, ukufumana unyango olufanelekileyo lwe-preeclampsia kunokuthintela ukuqhubela phambili kwesi sifo kwifomu ebukhali njenge-eclampsia. Yiya kutyelelo lwakho lwangaphambi kokubeleka njengoko ugqirha wakho ekucebisile ukuba uxinzelelo lwegazi, igazi kunye nomchamo wakho ubekwe esweni. Qinisekisa ukuba uthethe nogqirha wakho malunga naziphi na iimpawu onazo, ngokunjalo.

Sicebisa Ukuba Ubone

Estrogen

Estrogen

I-E trogen yonyu a umngcipheko wokuba ube nomhlaza kwi-endometrium (umhlaza welayini ye ibeleko [i ibeleko]). Ngokude uthatha i-e trogen, umngcipheko wokuba uya kuba nomhlaza kwi-endometrium. Ukuba aw...
ILisinopril kunye neHydrochlorothiazide

ILisinopril kunye neHydrochlorothiazide

Mu a ukuthatha i-li inopril kunye ne-hydrochlorothiazide ukuba ukhulelwe. Ukuba ukhulelwa ngelixa uthatha i-li inopril kunye ne-hydrochlorothiazide, t alela umnxeba kwangoko. I-Li inopril kunye ne-hyd...