I-Preeclampsia: Umngcipheko weSibini wokukhulelwa

Umxholo

• Ushwankathelo
• I-Preeclampsia ekukhulelweni kwangaphambili
• Ngubani osemngciphekweni wepreeclampsia?
• Ndingakwazi ukuhambisa usana lwam ukuba ndinepreeclampsia?
• Unyango lwepreeclampsia
• Ungayikhusela njani i-preeclampsia
• Imbonakalo

Ushwankathelo

I-Preeclampsia yimeko exhaphakileyo ekukhulelweni, kodwa inokwenzeka emva kokubeleka kwezinye iimeko. Kubangela uxinzelelo lwegazi oluphezulu kunye nokusilela komzimba.

Ngokuqhelekileyo kwenzeka emva kweveki ye-20 yokukhulelwa kwaye kunokwenzeka kubantu basetyhini ababengenalo uxinzelelo lwegazi oluphezulu ngaphambi kokukhulelwa. Ingakhokelela kwiingxaki ezinzulu kunye nawe kunye nosana lwakho ngamanye amaxesha ezinokubulala.

Ukuba ishiywe inganyangwa kunyoko, i-preeclampsia inokukhokelela ekusileleni kwesibindi okanye kwezintso kunye neengxaki ezinokubakho kwi-cardiovascular future. Ingakhokelela kwimeko ebizwa ngokuba yi-eclampsia, enokubangela ukuxhuzula kunina. Esona siphumo siqatha sesifo sokufa icala, esingakhokelela ekonakaleni okungapheliyo kwengqondo okanye ekufeni komama.

Ngomntwana wakho, inokubathintela ekufumaneni igazi elaneleyo, inike umntwana wakho ioksijini encinci kunye nokutya, okukhokelela ekukhuleni kancinci kwisibeleko, ubunzima bokuzalwa obuncinci, ukuzalwa ngaphambi kwexesha, kunye nokuzala akufane kuzalwe.

I-Preeclampsia ekukhulelweni kwangaphambili

Ukuba unayo i-preeclampsia ekukhulelweni kwangaphambili, usemngciphekweni omkhulu wokukuhlakulela ekukhulelweni okuzayo. Iqondo lakho lomngcipheko lixhomekeke kubukrakra besifo esidlulileyo kunye nexesha owakhula ngalo ekukhulelweni kwakho kokuqala. Ngokubanzi, kwangoko uyakuhlakulela ekukhulelweni, kokukhona kusiba nzima ngakumbi kwaye kunokwenzeka ukuba uphinde uyihlakulele.

Enye imeko enokuphuhliswa xa ukhulelwe ibizwa ngokuba yi-HELLP syndrome, emele i-hemolysis, i-enzyme zesibindi eziphakanyisiweyo kunye nenani eliphantsi leplatelet. Ichaphazela iiseli zakho ezibomvu zegazi, indlela igazi eligcina ngayo, kunye nendlela isibindi sakho esisebenza ngayo. I-HELLP inxulumene ne-preeclampsia kwaye malunga neepesenti ezi-4 ukuya kwezili-12 zabasetyhini abafunyaniswe ukuba bane-preeclampsia bakhulisa i-HELLP.

I-HELLP syndrome nayo inokubangela iingxaki ekukhulelweni, kwaye ukuba ubune-HELLP ekukhulelweni kwangaphambili, ngaphandle kwexesha lokuqalisa, usengozini enkulu yokuphuhlisa ukukhulelwa okuzayo.

Ngubani osemngciphekweni wepreeclampsia?

Izizathu zepreeclampsia aziwa, kodwa izinto ezininzi ukongeza ekubeni nembali ye-preeclampsia inokubeka emngciphekweni omkhulu wayo, kubandakanya:

• ukuba noxinzelelo lwegazi okanye isifo sezintso ngaphambi kokukhulelwa
• Imbali yosapho ye-preeclampsia okanye uxinzelelo lwegazi
• ungaphantsi kweminyaka engama-20 nangaphezulu kwama-40
• ukuba namawele okanye ukuphindaphindwa
• ukuba nomntwana ngaphezu kweminyaka eli-10 bohlukene
• ukutyeba kakhulu okanye ukuba nesalathiso sobunzima bomzimba (BMI) ngaphezulu kwama-30

Iimpawu zepreeclampsia zibandakanya:

• intloko ebuhlungu
• ukungaboni kakuhle okanye ukulahleka kombono
• isicaphucaphu okanye ukugabha
• intlungu zesisu
• ukuqhawukelwa ngumphefumlo
• ukuchama ngesixa esincinci kwaye rhoqo
• ukudumba ebusweni

Ukuchonga i-preeclampsia, ugqirha wakho uya kujonga uxinzelelo lwegazi kwaye enze uvavanyo lwegazi kunye nomchamo.

Ndingakwazi ukuhambisa usana lwam ukuba ndinepreeclampsia?

Nangona i-preeclampsia ingakhokelela kwimicimbi enzima ngexesha lokukhulelwa, usenakho ukuhambisa umntwana wakho.

Ngenxa yokuba i-preeclampsia icingelwa ukuba ibangelwa ziingxaki eziphulelwe kukukhulelwa uqobo, ukuhanjiswa kosana kunye ne-placenta lunyango olucetyiswayo lokumisa ukuqhubela phambili kwesi sifo kwaye kukhokelele kwisisombululo.

Ugqirha wakho uya kuxoxa malunga nexesha lokuhanjiswa ngokubhekisele kubukrakra besifo sakho kunye nobudala bokukhulelwa komntwana wakho. Uninzi lwezigulana zinesisombululo soxinzelelo oluphezulu lwegazi kwiintsuku ukuya kwiiveki.

Kukho enye imeko ebizwa ngokuba yi-postpartum preeclampsia eyenzeka emva kokubeleka, iimpawu zayo zifana ne-preeclampsia. Yiya kugqirha ngokukhawuleza ukuba ufumana naziphi na iimpawu ze-preeclampsia emva kokubeleka, njengoko kunokukhokelela kwimicimbi enzulu.

Unyango lwepreeclampsia

Ukuba uphinde uphuhlise i-preeclampsia kwakhona, wena kunye nosana lwakho niza kujongwa rhoqo. Unyango luya kugxila ekulibaziseni ukuqhubela phambili kwesifo, kunye nokucothisa ukuhanjiswa kosana lwakho lude lube lukhule esibelekweni sakho ixesha elide ngokwaneleyo ukunciphisa umngcipheko wokuhanjiswa kwangaphambi kwexesha.

Ugqirha wakho unokukujonga ngokusondeleyo, okanye unokulaliswa esibhedlele ukongamela kunye nonyango oluthile. Oku kuya kuxhomekeka kubukrakra besifo, ubudala bokukhulelwa komntwana wakho, kunye nengcebiso kagqirha wakho.

Amayeza asetyenziselwa ukunyanga i-preeclampsia aquka:

• amayeza okunciphisa uxinzelelo lwegazi
• corticosteroids, ukunceda imiphunga yomntwana wakho ukuba ikhule ngokupheleleyo
• amayeza anticonvulsant ukuthintela ukubanjwa

Ungayikhusela njani i-preeclampsia

Ukuba i-preeclampsia ifunyenwe kwangethuba, wena nosana lwakho niyakunyangwa kwaye nilawulwe ngezona ziphumo zingcono. Oku kulandelayo kunokunciphisa amathuba okuphuhlisa i-preeclampsia ekukhulelweni kwesibini:

• Emva kokukhulelwa kwakho kokuqala nangaphambi kweyesibini, cela ugqirha wakho ukuba enze uvavanyo olupheleleyo lwexinzelelo lwegazi kunye nokusebenza kwezintso.
• Ukuba wena okanye isalamane esisondeleyo besinemithambo yegazi emithanjeni okanye yemiphunga ngaphambili, cela ugqirha wakho malunga nokukuvavanya ngokuqunjelwa kokungaqhelekanga, okanye i-thrombophilias. Ezi ziphene zemfuza zinokunyusa umngcipheko we-preeclampsia kunye ne-placental blood clots.
• Ukuba utyebile, cinga ukunciphisa umzimba.Ukunciphisa ubunzima kunokunciphisa umngcipheko wokuphinda ufumane i-preeclampsia kwakhona.
• Ukuba unesifo seswekile esixhomekeke kwi-insulin, qiniseka ukuzinzisa kunye nokulawula inqanaba leswekile yegazi ngaphambi kokuba ukhulelwe nasekuqaleni kokukhulelwa ukunciphisa umngcipheko wokuphinda ufumane i-preeclampsia kwakhona.
• Ukuba unoxinzelelo oluphezulu lwegazi, thetha nogqirha wakho malunga nokulawulwa kakuhle ngaphambi kokukhulelwa.

Ukuthintela i-preeclampsia ekukhulelweni kwesibini, ugqirha wakho unokucebisa ukuba uthathe idosi ephantsi ye-aspirin kade kwi-trimester yakho yokuqala, phakathi kwe-60 kunye ne-81 milligrams.

Indlela efanelekileyo yokuphucula umphumo wokukhulelwa kwakho kukubona ugqirha wakho rhoqo, ukuqala ngononophelo lwangaphambi kokubeleka ekukhulelweni kwakho, kwaye ugcine lonke utyelelo lwakho lwangaphambi kokubeleka. Ngokunokwenzeka, ugqirha wakho uya kufumana uvavanyo olusisiseko lwegazi kunye nomchamo ngexesha lotyelelo lwakho lokuqala.

Ngalo lonke ixesha lokukhulelwa kwakho, olu vavanyo lunokuphindwa ukunceda ekufumaneni kwangaphambili i-preeclampsia. Uya kudinga ukubona ugqirha wakho rhoqo ukubeka esweni ukukhulelwa kwakho.

Imbonakalo

I-Preeclampsia yimeko enokubangela iingxaki ezinkulu kubo bobabini umama nosana. Ingakhokelela kwizintso, isibindi, intliziyo, kunye nengxaki kumama kwaye inokubangela ukukhula kancinci esibelekweni, ukuzalwa ngaphambi kwexesha, kunye nobunzima bokuzalwa komntwana wakho.

Ukuba nayo ngexesha lokukhulelwa kwakho kokuqala kuyonyusa amathuba akho okuba unayo ngexesha lokukhulelwa kwakho kwesibini kunye nokulandelayo.

Eyona ndlela yokunyanga i-preeclampsia kukuchonga kwaye uyixilonge kwangoko kangangoko kunye nokubeka esweni wena kunye nosana lwakho lonke ixesha lokukhulelwa kwakho.

Amayeza ayafumaneka ukunciphisa uxinzelelo lwegazi kunye nokulawula iimpawu zesi sifo, kodwa ekugqibeleni, ukuhanjiswa komntwana wakho kuyacetyiswa ukuba kuyekwe ukuqhubela phambili kwepreeclampsia kwaye kukhokelele kwisisombululo.

Abanye abantu basetyhini bakhula emva kokubeleka preeclampsia emva kokubeleka. Kuya kufuneka ufune unyango kwangoko ukuba oku kuyenzeka kuwe.