Preeclampsia: yintoni, iimpawu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• 1. I-preeclampsia enobulali
• 2. I-pre-eclampsia enzima
• Unyango lwenziwa njani
• Iingxaki ezinokubakho zepreeclampsia

I-Preeclampsia yingxaki enkulu yokukhulelwa ebonakala ngathi iyenzeka ngenxa yeengxaki kuphuhliso lwemithambo, ekhokelela kwi-spasms kwimithambo yegazi, utshintsho kumandla okujija kwegazi kunye nokuhla kwegazi.

Iimpawu zayo zinokubonakalisa ngexesha lokukhulelwa, ngakumbi emva kweveki yama-20 yokukhulelwa, xa uhanjiswa okanye emva kokuhanjiswa kwaye kubandakanya uxinzelelo lwegazi oluphezulu, ngaphezulu kwe-140 x 90 mmHg, ubukho beeproteni kumchamo kunye nokudumba komzimba ngenxa yokugcina ulwelo .

Ezinye zeemeko ezonyusa umngcipheko wokuba ne-pre-eclampsia zibandakanya xa umntu obhinqileyo ekhulelwa okokuqala, engaphezulu kweminyaka engama-35 okanye engaphantsi kwe-17, uneswekile, etyebe kakhulu, ukhulelwe amawele okanye unembali yesifo sezintso, uxinzelelo lwegazi okanye pre-eclampsia yangaphambili.

Iimpawu eziphambili

Iimpawu ze-pre-eclampsia zingahluka ngohlobo:

1. I-preeclampsia enobulali

Kwi-pre-eclampsia encinci, iimpawu kunye neempawu zihlala zibandakanya:

• Uxinzelelo lwegazi olingana ne-140 x 90 mmHg;
• Ubukho beeproteni kumchamo;
• Ukudumba kunye nokuzuza ubunzima ngesiquphe, njenge-2 ukuya kwi-3 kg kwintsuku ezi-1 okanye ezi-2.

Kubukho ubuncinci beempawu, owasetyhini okhulelweyo kufuneka aye kwigumbi likaxakeka okanye esibhedlele ayokulinganisa uxinzelelo lwegazi kwaye enze uvavanyo lwegazi kunye nomchamo, ukubona ukuba unayo i-pre-eclampsia.

2. I-pre-eclampsia enzima

Kwi-pre-eclampsia enzima, ukongeza ekudumbeni nasekufumaneni ubunzima, eminye imiqondiso inokuvela, efana:

• Uxinzelelo lwegazi olungaphezulu kwe-160 x 110 mmHg;
• Intloko eyomeleleyo rhoqo;
• Iintlungu kwicala lasekunene lesisu;
• Nciphisa inani lomchamo kunye nomnqweno wokuchama;
• Utshintsho kumbono, njengokufiphala okanye umbono omnyama;
• Ukutshisa imvakalelo esiswini.

Ukuba umfazi okhulelweyo unezi mpawu, kufuneka aye kwangoko esibhedlele.

Unyango lwenziwa njani

Unyango lwe-pre-eclampsia lufuna ukuqinisekisa ukhuseleko lukamama nosana, kwaye ludla ngokwahluka ngokobungqongqo besifo kunye nobude bokukhulelwa. Kwimeko ye-pre-eclampsia ethambileyo, ugqirha obelekisayo ucebisa ukuba owasetyhini makahlale ekhaya alandele ukutya okunetyuwa encinci kunye nokonyuka kokutya amanzi ukuya kwi-2 ukuya kwi-3 yeelitha ngosuku. Ukongeza, ukuphumla kufuneka kulandelwe ngokungqongqo kwaye ngakumbi kwicala lasekhohlo, ukwenzela ukwandisa ukujikeleza kwegazi kwizintso kunye nesibeleko.

Ngexesha lonyango, kubalulekile ukuba owasetyhini okhulelweyo alawule uxinzelelo lwegazi kwaye abe novavanyo lomchamo oqhelekileyo, ukuthintela i-preeclampsia ekubeni mandundu.

Kwimeko ye-pre-eclampsia enzima, unyango luhlala lwenziwa ngokwamkelwa esibhedlele. Umfazi okhulelweyo kufuneka alaliswe esibhedlele ukuze afumane iziyobisi ezichaphazela uxinzelelo lomthambo kwaye agcine impilo yakhe kunye nomntwana phantsi kweliso elibukhali. Ngokwexesha lokukhulelwa komntwana, ugqirha unokucebisa ukuba kuncitshiswe abasebenzi ukuba banyange i-preeclampsia.

Iingxaki ezinokubakho zepreeclampsia

Ezinye zeengxaki ezinokubangelwa yi-pre-eclampsia zezi:

• Eclampsia: yimeko enzima ngakumbi kune-pre-eclampsia, apho kukho iziqendu eziphindaphindiweyo zokuxhuzula, zilandelwe yikhoma, ezinokubulala xa zinganyangwa kwangoko. Funda indlela yokuchonga nokunyanga kunye ne-eclampsia;
• IHELLP Syndrome: enye ingxaki ebonakaliswa, ukongeza kwiimpawu ze-eclampsia, ubukho bentshabalalo yeeseli zegazi, kunye ne-anemia, iihemoglobins ezingaphantsi kwe-10.5% kunye nokwehla kweeplatelet ezingaphantsi kwe-100,000 / mm3, ukongeza kwii-enzyme zesibindi eziphakamileyo, kunye ne-TGO ngaphezulu kwe-70U Inkqubo kaL. Fumana ezinye iinkcukacha malunga nesi sifo;
• Ukopha: zenzeka ngenxa yentshabalalo kunye nokwehla kwenani leeplatelet, kunye nomngcipheko wokunqanda amandla;
• I-edema yemiphunga: imeko apho kukho ingqokelela yolwelo emiphungeni;
• Ukungaphumeleli kwesibindi kunye nezintso: inokuphinda ibuye umva;
• Ukuzalwa komntwana kuqala: imeko enokuthi, ukuba inobuzaza kwaye ngaphandle kophuhliso olufanelekileyo lwamalungu ayo, inokushiya i-sequelae kwaye iyonakalise imisebenzi yayo.

Ezi ngxaki zinokuthintelwa ukuba umntu okhulelweyo wenza inkathalo ngaphambi kokubeleka ngexesha lokukhulelwa, nanjengoko esi sifo sinokubonwa ekuqaleni kwaye unyango lunokwenziwa ngokukhawuleza.

Umfazi owayene pre-eclampsia unokuphinda akhulelwe, kubalulekile ukuba ukhathalelo lwangaphambi kokubeleka lwenziwe ngokungqongqo, ngokwemiyalelo yengcali yokubeleka.