Uxinzelelo lwegazi oluphezulu ekukhulelweni

Umxholo

• Isishwankathelo
• Yintoni uxinzelelo lwegazi oluphezulu xa ukhulelwe?
• Yintoni ebangela i-preeclampsia?
• Ngubani osemngciphekweni wepreeclampsia?
• Zeziphi iingxaki ezinokubangelwa yipreeclampsia?
• Ziintoni iimpawu zepreeclampsia?
• Ichongwa njani i-preeclampsia?
• Luthini unyango lwepreeclampsia?

Isishwankathelo

Yintoni uxinzelelo lwegazi oluphezulu xa ukhulelwe?

Uxinzelelo lwegazi ligazi lakho elityhalela kwiindonga zemithambo yakho njengoko intliziyo yakho impompa igazi. Uxinzelelo lwegazi oluphezulu, okanye uxinzelelo lwegazi, kuxa la mandla ngokuchasene neendonga zakho zemithambo ephezulu kakhulu. Kukho iintlobo ezahlukeneyo zoxinzelelo lwegazi xa ukhulelwe:

• Uxinzelelo lwexinzelelo lomzimba uxinzelelo lwegazi oluphuculweyo ngelixa ukhulelwe. Iqala emva kokuba ukhulelwe iiveki ezingama-20. Ngokuqhelekileyo awunayo enye impawu. Kwiimeko ezininzi, ayikukhathazi wena okanye usana lwakho, kwaye iyahamba kwiiveki ezili-12 emva kokubeleka. Kodwa iphakamisa umngcipheko wexinzelelo lwegazi kwixa elizayo. Ngamanye amaxesha kunokuba nzima, oku kunokukhokelela kwisisindo sokuzalwa esiphantsi okanye ukuzalwa kwangaphambi kokuzalwa. Abanye abantu basetyhini abanesifo soxinzelelo lwexinzelelo besifo se-preeclampsia.
• Uxinzelelo lwegazi uxinzelelo lwegazi oluqale ngaphambi kweveki ye-20 yokukhulelwa okanye ngaphambi kokuba ukhulelwe. Abanye basetyhini banokuba babenayo ixesha elide ngaphambi kokuba bakhulelwe kodwa babengazi de bafumane uxinzelelo lwegazi kuhlolo lwabo kutyelelo lwaphambi kokubeleka. Ngamanye amaxesha uxinzelelo lwegazi olungapheliyo kunokukhokelela kwi-preeclampsia.
• Preeclampsia kukunyuka ngequbuliso koxinzelelo lwegazi emva kweveki yama-20 yokukhulelwa. Oku kwenzeka rhoqo kwikota yokugqibela. Kwiimeko ezinqabileyo, iimpawu azinakuqala de kube semva kokuhanjiswa. Oku kubizwa ngokuba yi-postpartum preeclampsia. IPreeclampsia ikwabandakanya neempawu zomonakalo kwamanye amalungu omzimba wakho, njengesibindi sakho okanye izintso. Iimpawu zingabandakanya iprotheni kumchamo kunye noxinzelelo lwegazi oluphezulu. I-Preeclampsia inokuba yingozi okanye isongele ubomi kuwe nakumntwana wakho.

Yintoni ebangela i-preeclampsia?

Unobangela we preeclampsia awaziwa.

Ngubani osemngciphekweni wepreeclampsia?

Unomngcipheko ophezulu we-preeclampsia ukuba

• Wayenoxinzelelo oluphezulu lwegazi okanye isifo esinganyangekiyo sezintso ngaphambi kokukhulelwa
• Ngaba uxinzelelo lwegazi oluphezulu okanye i-preeclampsia ekukhulelweni kwangaphambili
• Unobunzima
• Ngaphezulu kweminyaka engama-40
• Ukhulelwe ngaphezu komntwana omnye
• Ngaba baseMelika baseMelika
• Unembali yosapho ye-preeclampsia
• Yiba neemeko ezithile zempilo, ezinje ngeswekile, i-lupus, okanye i-thrombophilia (isifo esonyusa umngcipheko wamahlwili egazi)
• Isetyenziswe kwisichumiso se-vitro, umnikelo weqanda, okanye ukusasaza abaxhasi

Zeziphi iingxaki ezinokubangelwa yipreeclampsia?

IPreeclampsia inokubangela

• Ukuphazamiseka kweplacental, apho i-placenta yahlulahlula isibeleko
• Ukukhula kakubi komntwana, kubangelwa kukungabikho kwezondlo kunye neoksijini
• Ukuzalwa kwangaphambi kokuzalwa
• Umntwana ozelwe enesisindo esiphantsi
• Ukuzalwa kwakhona
• Ukonakala kwizintso zakho, isibindi, ingqondo, kunye namanye amalungu kunye neenkqubo zegazi
• Umngcipheko ophezulu wesifo sentliziyo kuwe
• I-Eclampsia, eyenzekayo xa i-preeclampsia inzima ngokwaneleyo ukuba inokuchaphazela ukusebenza kwengqondo, ibangele ukuxhuzula okanye isiqaqa
• I-HELLP syndrome, eyenzeka xa owasetyhini one-preeclampsia okanye i-eclampsia onomonakalo kwisibindi nakwiiseli zegazi. Inqabile, kodwa inzulu kakhulu.

Ziintoni iimpawu zepreeclampsia?

Iimpawu ezinokubakho zepreeclampsia zibandakanya

• Igazi elonyukayo
• Iiprotheyini ezininzi kumchamo wakho (obizwa ngokuba yi-proteinuria)
• Ukudumba ebusweni nasezandleni. Iinyawo zakho zinokudumba, kodwa uninzi lwabasetyhini ludumbile iinyawo ngexesha lokukhulelwa. Ke ukudumba kweenyawo kukodwa akunakuba luphawu lwengxaki.
• Intloko engapheliyo
• Iingxaki zombono, kubandakanya ukungaboni kakuhle okanye ukubona amabala
• Intlungu kwisisu sakho sasekunene
• Ingxaki yokuphefumla

I-Eclampsia inokubangela ukuxhuzula, isicaphucaphu kunye / okanye ukugabha, kunye nokuphuma komchamo osezantsi. Ukuba uqhubeka nokuphuhlisa i-HELLP syndrome, unokuba nokopha okanye utyumke ngokulula, ukudinwa kakhulu, kunye nokusilela kwesibindi.

Ichongwa njani i-preeclampsia?

Umboneleli wakho wezempilo uyakujonga uxinzelelo lwegazi kunye nomchamo kutyelelo ngalunye lwaphambi kokubeleka. Ukuba uxinzelelo lwakho lwegazi luphezulu (140/90 okanye ngaphezulu), ngakumbi emva kweveki yama-20 yokukhulelwa, umboneleli wakho uya kufuna ukuqhuba iimvavanyo ezithile. Banokubandakanya ukuvavanywa kwegazi kolunye uvavanyo lweelebhu ukujonga iiprotheyini ezongezelelweyo kumchamo kunye nezinye iimpawu.

Luthini unyango lwepreeclampsia?

Ukuhambisa umntwana kunokunyanga i-preeclampsia ngokufuthi. Xa usenza isigqibo malunga nonyango, umboneleli wakho uthathela ingqalelo izinto ezininzi. Babandakanya ukuba nzima kangakanani, zingaphi iiveki ukhulelwe, kwaye zeziphi iingozi ezinokubakho kuwe nakumntwana wakho:

• Ukuba ungaphezulu kweeveki ezingama-37 ukhulelwe, umboneleli wakho uya kufuna ukuhambisa umntwana.
• Ukuba ungaphantsi kweeveki ezingama-37 ukhulelwe, umboneleli wakho wezempilo uya kukujonga ngononophelo wena kunye nosana lwakho. Oku kubandakanya uvavanyo lwegazi kunye nomchamo kuwe. Ukubeka iliso kumntwana kuhlala kubandakanya i-ultrasound, ukubeka esweni ukubetha kwentliziyo, kunye nokujonga ukukhula komntwana. Kuya kufuneka uthathe amayeza, ukulawula uxinzelelo lwegazi kunye nokukhusela ukuxhuzula. Abanye abantu basetyhini bafumana inaliti ye-steroid, ukunceda imiphunga yomntwana ukuba ikhule ngokukhawuleza. Ukuba i-preeclampsia inzima, umboneleli unokufuna ukuba uhambise umntwana kwangoko.

Iimpawu zihlala ziphela kwiiveki ezi-6 zokuhanjiswa. Kwiimeko ezinqabileyo, iimpawu zinokungahambi, okanye zisenokungaqali de kube semva kokuhanjiswa (postpartum preeclampsia). Oku kunokuba nzima kakhulu, kwaye kufuneka iphathwe ngokukhawuleza.