Into omele uyazi NgePreeclampsia Emva kokuzalwa

Umxholo

• I-Postpartum preeclampsia vs. preeclampsia
• Ziintoni iimpawu?
• Yintoni ebangela i-postpartum preeclampsia?
• Kufunyaniswa njani?
• Inyangwa njani?
• Kunjani ukuchacha?
• Zeziphi iingxaki ezinokubakho?
• Ngaba ikhona into enokwenziwa ukuyithintela?
• Yise kude

I-Postpartum preeclampsia vs. preeclampsia

I-Preeclampsia kunye ne-postpartum preeclampsia ziingxaki zexinzelelo ezihambelana nokukhulelwa. Ingxaki yoxinzelelo lwegazi ibangela uxinzelelo lwegazi oluphezulu.

I-Preeclampsia yenzeka ngexesha lokukhulelwa. Kuthetha ukuba uxinzelelo lwegazi lwakho uku okanye ngaphezulu kwe-140/90. Unokudumba kunye neeproteni kumchamo wakho. Emva kokuhanjiswa, iimpawu zepreeclampsia ziyahamba njengoko uxinzelelo lwegazi luzinzile.

I-Postpartum preeclampsia yenzeka kwakamsinya emva kokubeleka, nokuba ubunayo uxinzelelo lwegazi xa ukhulelwe. Ukongeza koxinzelelo lwegazi oluphezulu, iimpawu zinokubandakanya intloko ebuhlungu, iintlungu zesisu, kunye isicaphucaphu.

I-Postpartum preeclampsia inqabile. Ukuba nale meko kunokwandisa ukubuyiswa kwakho ekuzaleni, kodwa kukho unyango olusebenzayo ukuze uxinzelelo lwegazi lubuyele phantsi kolawulo. Ukushiya kunganyangwa, le meko inokukhokelela kwiingxaki ezinkulu.

Funda ukuze ufunde ngakumbi malunga nokuchonga nokunyanga ipreeclampsia yasemva kokubeleka.

Ziintoni iimpawu?

Usenokuba uchithe ixesha elithile ufunda malunga nezinto onokuzilindela ngexesha lokukhulelwa nasekuhanjisweni. Kodwa umzimba wakho uyatshintsha nasemva kokubeleka, kwaye kusekho iingozi ezithile empilweni.

I-Postpartum preeclampsia yenye yengozi enjalo. Ungayihlakulela nokuba awunayo i-preeclampsia okanye uxinzelelo lwegazi xa ukhulelwe.

I-Postpartum preeclampsia ihlala ikhula ngaphakathi kweeyure ezingama-48 zokubeleka. Kwabafazi abathile, kungathatha iiveki ezintandathu ukukhula. Iimpawu kunye neempawu zingabandakanya:

• uxinzelelo lwegazi (uxinzelelo lwegazi)
• ukugqithisa kweprotheni kumchamo (proteinuria)
• intloko ebuhlungu okanye migraine
• ukungaboni kakuhle, ukubona amabala, okanye ubuntununtunu bokukhanya
• iintlungu kwisisu esisekunene
• ukudumba kobuso, imilenze, izandla neenyawo
• isicaphucaphu okanye ukugabha
• ukuncipha kokuchama
• ukukhawuleza ukutyeba

I-Postpartum preeclampsia yimeko eluluhlu kakhulu enokuqhubela phambili ngokukhawuleza. Ukuba unayo enye yezi mpawu, biza ugqirha wakho ngoko nangoko. Ukuba awukwazi ukufikelela kugqirha wakho, yiya kwigumbi lezongxamiseko elikufutshane.

Yintoni ebangela i-postpartum preeclampsia?

Oonobangela be-postpartum preeclampsia abaziwa, kodwa kukho izinto ezithile zomngcipheko ezinokunyusa umngcipheko wakho. Ezinye zezi ziquka:

• uxinzelelo lwegazi olungalawulekiyo ngaphambi kokuba ukhulelwe
• uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa kwakho kutshanje (uxinzelelo lwexinzelelo)
• Imbali yosapho ye-preeclampsia yasemva kokubeleka
• ungaphantsi kweminyaka engama-20 okanye ngaphezulu kwengama-40 xa unomntwana
• ukutyeba kakhulu
• ukuphindaphindwa, njengamawele okanye amawele amathathu
• uhlobo 1 okanye uhlobo 2 seswekile

Kufunyaniswa njani?

Ukuba uhlakulela i-postpartum preeclampsia ngexesha lokuhlala kwakho esibhedlele, awunakukhululwa de igqibe. Ukuba sele ukhutshiwe, kungafuneka ubuye uzokuxilongwa nokunyangwa.

Ukufikelela kwisifo, ugqirha wakho unokwenza oku kulandelayo:

• uxinzelelo lwegazi
• iimvavanyo zegazi ngokubalwa kweplatelet kunye nokujonga ukusebenza kwesibindi kunye nezintso
• urinalysis ukujonga amanqanaba eprotheni

Inyangwa njani?

Ugqirha wakho uya kukuyalela amayeza anyange ipreeclampsia yasemva kokubeleka. Ngokuxhomekeke kwimeko yakho ethile, la mayeza angabandakanya:

• amayeza ukunciphisa uxinzelelo lwegazi
• amayeza okulwa nokuthimba, njenge-magnesium sulfate
• izicoci gazi (iianticoagulants) ukunceda ukuthintela amahlwili egazi

Kukhuselekile ngokubanzi ukuthatha la mayeza xa uncancisa, kodwa kubalulekile ukuxoxa ngale nto nogqirha wakho.

Kunjani ukuchacha?

Ugqirha wakho uza kusebenza ukufumana amayeza afanelekileyo okufumana uxinzelelo lwegazi, oluya kunceda ukunciphisa iimpawu. Oku kungathatha naphina ukusuka kwiintsuku ezimbalwa ukuya kwiiveki ezininzi.

Ukongeza ekufumaneni kwakhona emva kokubeleka preeclampsia, uyakube uphinde uchache ekuzaleni uqobo. Oku kunokubandakanya utshintsho lomzimba kunye neemvakalelo ezinje:

• ukudinwa
• Ukukhutshwa kwilungu lobufazi okanye ukubamba
• ukuqhina
• amabele athambileyo
• iingono ezibuhlungu xa uncancisa
• Ukuziva uluhlaza okwesibhakabhaka okanye ulila, okanye ukutshintsha kwemozulu
• iingxaki zokulala nokutya
• iintlungu zesisu okanye ukungonwabi ukuba uye wanikezela ngoqhaqho
• kabi ngenxa hemorrhoids okanye episiotomy

Kuya kufuneka uhlale esibhedlele ixesha elide okanye ufumane indawo yokulala engaphezulu kunokuba ubuya kwenza ngenye indlela. Ukuzikhathalela wena nosana lwakho olusandul 'ukuzalwa kunokuba ngumceli mngeni ngeli xesha. Zama ukwenza oku kulandelayo:

• Yayama ngabantu obathandayo ngoncedo de uchache ngokupheleleyo. Gxininisa ubunzulu bemeko yakho. Bazise xa uziva ukhathazekile kwaye uchaze malunga nohlobo loncedo olifunayo.
• Gcina lonke usuku lwakho olulandelayo. Kubalulekile kuwe nakumntwana wakho.
• Buza malunga neempawu kunye neempawu ezibonisa imeko yongxamiseko.
• Ukuba unako, qesha umntu ogcina umntwana ukuze ufumane ukuphumla.
• Musa ukubuyela emsebenzini de ugqirha wakho athi kukhuselekile ukwenza njalo.
• Yenza ukubuyiswa kwakho kube yeyona nto iphambili. Oko kuthetha ukuyeka imisebenzi engabalulekanga ukuze ugxile ekubuyiseni amandla akho.

Ugqirha wakho uya kuthetha nawe malunga nokukhuselekileyo ukukwenza kunye nendlela yokuzikhathalela kakuhle. Buza imibuzo kwaye ulandele ezi ngcebiso ngononophelo. Qiniseka ukuba uxela naziphi na iimpawu ezintsha okanye eziba mandundu kwangoko.

Tshela ugqirha wakho ukuba uziva ukhathazekile okanye uneempawu zoxinzelelo okanye zokudakumba.

Zeziphi iingxaki ezinokubakho?

Imbonakalo yokubuyisela ngokupheleleyo kwimeko entle xa imeko ifunyenwe kwaye inyangwa.

Ngaphandle konyango olukhawulezileyo, i-postpartum preeclampsia inokukhokelela kwiingxaki ezinzulu, nezisongela ubomi. Ezinye zazo zezi:

• ukubetha
• ulwelo olugqithisileyo kwimiphunga (i-edema yemiphunga)
• umthambo wegazi othintelweyo ngenxa yegazi (thromboembolism)
• I-postpartum eclampsia, echaphazela ukusebenza kwengqondo kunye neziphumo zokubanjwa. Oku kunokubangela umonakalo ongapheliyo emehlweni, kwisibindi, kwizintso nakwingqondo.
• I-HELLP syndrome, emele i-hemolysis, ii-enzymes eziphakamileyo zesibindi kunye nenani eliphantsi leplatelet. I-Hemolysis kukutshatyalaliswa kweeseli ezibomvu zegazi.

Ngaba ikhona into enokwenziwa ukuyithintela?

Ngenxa yokuba isizathu asiyazi, akunakwenzeka ukukhusela i-postpartum preeclampsia. Ukuba ubukhe wanayo imeko ngaphambili okanye unembali yoxinzelelo lwegazi oluphezulu, ugqirha wakho unokwenza izindululo zokulawula uxinzelelo lwegazi ngexesha lokukhulelwa kwakho okulandelayo.

Qinisekisa ukuba uxinzelelo lwegazi lukhangelwe emva kokuba ubenomntwana. Oku akuyi kuthintela i-preeclampsia, kodwa ukufumanisa kwangoko kunokukuqalisa kunyango kwaye kuncede ukunqanda iingxaki ezinzulu.

Yise kude

I-Postpartum preeclampsia yimeko esongela ubomi. Ngonyango, imbonakalo intle kakhulu.

Nangona kungokwemvelo ukugxila kumntwana wakho omtsha, kubaluleke kakhulu ukuba uqaphele impilo yakho. Ukuba uneempawu zasemva kokubeleka preeclampsia, bona ugqirha ngoko nangoko. Yeyona nto unokuyenza kunye nosana lwakho.