Postpartum eclampsia: yintoni, kutheni isenzeka kunye nonyango

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• Kutheni le nto i-postpartum eclampsia yenzeka
• Ngaba i-postpartum eclampsia ishiya i-sequelae?

I-Postpartum eclampsia yimeko enqabileyo enokuthi yenzeke kwiiyure zokuqala ezingama-48 emva kokubeleka. Kuqhelekile kwabasetyhini abaye bafumanisa ukuba bane-pre-eclampsia ngexesha lokukhulelwa, kodwa inokubonakala nakwabasetyhini abaneempawu ezithandayo esi sifo, njengokutyeba kakhulu, uxinzelelo lwegazi oluphezulu, isifo seswekile, ubudala obungaphezulu kwama-40 okanye ngaphantsi kweminyaka eli-18 ubudala.

I-Eclampsia ihlala ibonakala emva kweeveki ezingama-20 zokukhulelwa, xa kuziswa okanye kubeleka. Umntu obhinqileyo ofunyaniswe ene-eclampsia nangaliphi na ixesha ngexa lokukhulelwa okanye emva kokukhulelwa kufuneka ahlale esibhedlele kude kubonakale iimpawu zokuphucula imeko. Kungenxa yokuba i-eclampsia, ukuba ayinyangwa kakuhle kwaye ibekwe iliso, inokukhula ibe sisiqaqa ize ibulale.

Ngokubanzi, unyango lwenziwa ngamayeza, ikakhulu nge-magnesium sulfate, eyanciphisa ukuxhuzula kunye nokuthintela isiqaqa.

Iimpawu eziphambili

I-Postpartum eclampsia ihlala ibonakalisa kakhulu ipreeclampsia. Iimpawu eziphambili ze-postpartum eclampsia zezi:

• Ukufa;
• Intloko ebuhlungu;
• Intlungu zesisu;
• Umbono ongenangqondo;
• Ukuxhuzula;
• Igazi elonyukayo;
• Ukutyeba kwakho;
• Ukudumba kwezandla neenyawo;
• Ubukho beeproteni kumchamo;
• Ukukhala ezindlebeni;
• Ukuhlanza.

I-Preeclampsia yimeko enokuvela ngexesha lokukhulelwa kwaye ibonakaliswa luxinzelelo lwegazi oluphezulu xa ukhulelwe, ngaphezulu kwe-140 x 90 mmHg, ubukho beprotein kumchamo kunye nokudumba ngenxa yokugcinwa kolwelo. Ukuba i-pre-eclampsia ayinyangwa ngokuchanekileyo, inokuqhubela phambili kweyona meko imbi kakhulu, eyi-eclampsia. Ukuqonda ngcono ukuba yintoni i-pre-eclampsia nokuba kutheni isenzeka.

Unyango lwenziwa njani

Unyango lwe-postpartum eclampsia lujolise ekunyangeni iimpawu, ke kuyacetyiswa ukuba kusetyenziswe i-magnesium sulphate, elawula ukuxhuzula kunye nokuthintela isiqaqa, i-antihypertensives, ukunciphisa uxinzelelo lwegazi, kwaye ngamanye amaxesha i-aspirin yokuphelisa iintlungu, ihlala inengcebiso yezonyango.

Ukongeza, kubalulekile ukujonga ukutya, ukunqanda ubuninzi beetyuwa kunye nokutya okunamafutha, ukuze uxinzelelo lungonyuki kwakhona, umntu makasele amanzi amaninzi kwaye aphumle ngokwengcebiso kagqirha. Bona ngakumbi malunga nonyango lwe-eclampsia.

Kutheni le nto i-postpartum eclampsia yenzeka

Izinto eziphambili ezithanda ukuqala kokubeleka emva kokubeleka yile:

• Ukutyeba kakhulu;
• Isifo seswekile;
• Uxinzelelo lwegazi;
• Ukutya okungafanelekanga okanye ukungondleki;
• Ukukhulelwa amawele;
• Ukukhulelwa kokuqala;
• Amatyala eclampsia okanye pre-eclampsia kusapho;
• Ubudala obungaphezu kwama-40 nangaphantsi kwe-18;
• Isifo sezintso ezingapheliyo;
• Izifo ezizimela ngokuzenzekelayo, ezinjenge lupus.

Zonke ezi zizathu zinokuthintelwa, oko ke kunciphise amathuba okubeleka emva kokubeleka, kunye nendlela yokuphila esempilweni kunye nonyango olufanelekileyo.

Ngaba i-postpartum eclampsia ishiya i-sequelae?

Ngokwesiqhelo, xa i-eclampsia ichongwa kwangoko kwaye unyango luqala kwangoko emva koko, akukho sequelae. Kodwa, ukuba unyango alonelanga, owasetyhini unokufumana iziqendu eziphindaphindiweyo zokubanjwa, ezinokuhlala malunga nomzuzu, ukonakala okungagungqiyo kumalungu abalulekileyo, anjengesibindi, izintso kunye nengqondo, kwaye angaqhubela phambili isiqaqa, esinokuba obulalayo kumfazi.

I-Postpartum eclampsia ayingozi umntwana, kodwa ngumama kuphela. Usana lusemngciphekweni xa, ngexesha lokukhulelwa, umfazi afunyaniswe ene-eclampsia okanye i-pre-eclampsia, ukuhanjiswa kwangoko kuyeyona ndlela yonyango kunye nokuthintela ezinye iingxaki, njenge-HELLP syndrome, umzekelo. Kule syndrome kunokubakho iingxaki esibindini, kwizintso okanye ekufumaneni amanzi emiphungeni. Yazi ukuba yintoni, iimpawu eziphambili kunye nendlela yokunyanga i-HELLP Syndrome.