Yintoni i-HELLP syndrome, iimpawu kunye nonyango

Umxholo

• Iimpawu ze-HELLP Syndrome
• Ngubani owayene-HELLP Syndrome onokuphinda akhulelwe?
• Ukuchongwa kwe-HELLP Syndrome
• Unjani unyango

I-HELLP syndrome yimeko eyenzeka xa ukhulelwe kwaye ibonakaliswa yi-hemolysis, ehambelana nokutshatyalaliswa kweeseli ezibomvu zegazi, ukuguqulwa kwee-enzyme zesibindi kunye nokuhla kwenani leeplatelets, ezinokuthi zibeke umama nosana emngciphekweni.

Esi sifo sihlala sihambelana ne-pre-eclampsia okanye i-eclampsia, enokuthi ithintele ukuxilongwa kunye nokulibazisa ukuqala konyango.

Kubalulekile ukuba i-HELLP Syndrome ichongwe kwaye inyangwe ngokukhawuleza ukunqanda iingxaki ezinje ngokusilela kwezintso, iingxaki zesibindi, i-edema ye-lung edema okanye ukusweleka komfazi okhulelweyo okanye usana, umzekelo.

Isifo se-HELLP siyanyangeka ukuba sichongiwe sanyangwa ngokukhawuleza ngokwengcebiso yengcali yokubelekisa, kwaye kunokuba yimfuneko, kwiimeko ezinzima kakhulu apho ubomi bomfazi busemngciphekweni wokuphelisa ukukhulelwa.

Iimpawu ze-HELLP Syndrome

Iimpawu ze-HELLP Syndrome ziyahluka kwaye zihlala zibonakala phakathi kweeveki ezingama-28 ukuya kwezingama-36 zokukhulelwa, nangona zinokubonakala nakwikota yesibini yokukhulelwa okanye, kwithuba lasemva kokubeleka, zezona ziphambili:

• Iintlungu kufutshane nomlomo wesisu;
• Intloko ebuhlungu;
• Utshintsho kumbono;
• Igazi elonyukayo;
• Ukugula ngokubanzi;
• Isicaphucaphu nokugabha;
• Ubukho beprotein kumchamo;
• I-jaundice, apho ulusu kunye namehlo ziba tyheli ngakumbi ngombala.

Umfazi okhulelweyo obonakalisa iimpawu ze-HELLP Syndrome kufuneka akhawuleze abonane nengcali yokubelekisa okanye aye kwigumbi likaxakeka, ngakumbi ukuba unengxaki ye-pre-eclampsia, isifo seswekile, ilupus okanye ingxaki yentliziyo okanye yezintso.

Ngubani owayene-HELLP Syndrome onokuphinda akhulelwe?

Ukuba owasetyhini une-HELLP Syndrome kwaye unyango lwenziwe ngokuchanekileyo, ukukhulelwa kunokwenzeka ngokwesiqhelo, hayi ubuncinci kuba inqanaba lokuphindaphinda kwesi sifo liphantsi kakhulu.

Nangona mancinci amathuba okuba iphinde ikhule i-syndrome, kubalulekile ukuba owasetyhini okhulelweyo ajongwe ngononophelo ngugqirha obelekisayo ukuthintela ukuba neenguqu ngexesha lokukhulelwa.

Ukuchongwa kwe-HELLP Syndrome

Ukuchongwa kwe-HELLP Syndrome kwenziwa ngugqirha obelekisayo esekwe kwiimpawu ezinikwe ngumfazi okhulelweyo kunye neziphumo zovavanyo lwelabhoratri, ezinje ngokubalwa kwegazi, apho kujongwa khona iimpawu zeeseli ezibomvu zegazi, imilo kunye nobungakanani, ukongeza ukujonga inani leeplatelet. Funda indlela yokuqonda ubalo lwegazi.

Ukongeza, ugqirha ucebisa ukuba kwenziwe uvavanyo oluvavanya ii-enzyme zesibindi, eziguqulweyo kwi-HELLP syndrome, njenge-LDH, i-bilirubin, i-TGO kunye ne-TGP, umzekelo. Jonga ukuba zeziphi iimvavanyo ezivavanya isibindi.

Unjani unyango

Unyango lwe-HELLP Syndrome lwenziwa ngowasetyhini owamkelweyo kwiCandelo loKhathalelo oluKhulu ukuze ugqirha obelekisayo akwazi ukuvavanya rhoqo ukumila kokukhulelwa kwaye abonise elona xesha lililo kunye nendlela yokuhanjiswa, ukuba oku kunokwenzeka.

Unyango lwe-HELLP Syndrome luxhomekeke kwiminyaka yobufazi yomfazi, kwaye kuqhelekile ukuba emva kweeveki ezingama-34, ukubeleka kukhawuleziswa ukuthintela ukusweleka komfazi kunye nokubandezeleka kosana, ethi idluliselwe kwangoko kwiyunithi yonyango ye-Neonatal.

Xa umfazi okhulelweyo engaphantsi kweeveki ezingama-34 ubudala, ii-steroids zinokujojowe kwisihlunu, njenge-betamethasone, ukukhulisa imiphunga yomntwana ukuze ukuhanjiswa kuhambele phambili. Nangona kunjalo, xa umfazi okhulelweyo engaphantsi kweeveki ezingama-24 ekhulelwe, olu hlobo lonyango lunokungasebenzi, kwaye kufuneka kupheliswe ukukhulelwa. Qonda ngakumbi malunga nonyango lwe-HELLP Syndrome.