Unyango lwe-HELLP Syndrome

Umxholo

• 1. Abafazi abakhulelweyo ngaphezulu kweeveki ezingama-34
• 2. Abafazi abakhulelweyo abangaphantsi kweeveki ezingama-34
• Unyango lweCorticosteroid lokukhuthaza usana
• Iimpawu zokuphucula kwi-HELLP syndrome
• Iimpawu zokuba mandundu kwesifo seHELLP

Olona nyango lulungileyo lwe-HELLP Syndrome kukubangela ukuhanjiswa kwangoko xa umntwana sele enemiphunga ekhule kakuhle, ngesiqhelo emva kweeveki ezingama-34, okanye ukukhawulezisa ukukhula kwayo ukuze ukuhambisa kuhambele phambili, kwimeko yobudala bokukhulelwa ngaphantsi kweeveki ezingama-34.

Ngokwesiqhelo, iimpawu zesifo sika-HELLP ziphucula iintsuku ezi-2 ukuya kwezi-3 emva kokubeleka, kodwa ukuba umntwana akakakhuli ngokwaneleyo, ugqirha obelekisayo unokucebisa ngokulaliswa esibhedlele ukuze kugcinwe kugadwe kwaye kuvavanywa impilo yomfazi okhulelweyo kunye nosana, kulawula iimpawu kunye amayeza ngqo emthanjeni, kude kube lixesha lokuhanjiswa kunokwenzeka.

Njengemeko yongxamiseko, isifo se-HELLP kufuneka sivavanywe ngokukhawuleza esibhedlele, kwakamsinya nje emva kokuba iimpawu zokuqala zokurhanelwa njengentloko ebuhlungu, ukutshintsha kombono kunye nokubonakala ngokubanzi. Jonga ukuba zithini zonke iimpawu eziqhelekileyo zengxaki.

1. Abafazi abakhulelweyo ngaphezulu kweeveki ezingama-34

Ngeli xesha lokukhulelwa, umntwana uhlala ekhule ngokwaneleyo ukubangela ukuhanjiswa kunye nokuvumela ukuba kuqhubeke ukukhula ngokukhuselekileyo ngaphandle kwesibeleko. Ke, kwezi meko, isifo se-HELLP sihlala siphathwa ngokuhanjiswa kwangoko.

Nangona iimpawu ziphucuka kwiintsuku ezimbini okanye ezi-3 zokuqala emva kokubeleka, umfazi okhulelweyo kunye nosana kungafuneka bahlale esibhedlele ixesha elide phantsi koqwalaselo ukuqinisekisa ukuba akukho zingxaki.

Ukuba umntwana wazalwa ngaphambi kweeveki ezingama-37, kuqhelekile ukuba angeniswe kwisifukamisi sasesibhedlele de kuphume imiphunga namanye amalungu.

2. Abafazi abakhulelweyo abangaphantsi kweeveki ezingama-34

Xa umfazi okhulelweyo engaphantsi kweeveki ezingama-34 ubudala, okanye xa umntwana engenako ukukhula okwaneleyo kwemiphunga yokuhambisa umntwana, ugqirha uhlala ecebisa ukuba kulaliswe esibhedlele ukuze kwenziwe uvavanyo rhoqo lomfazi okhulelweyo kwaye aqale unyango:

• Ukuphumla ngokupheleleyo ebhedini;
• Igazi, ukunyanga i-anemia ebangelwa sisifo;
• Amayeza oxinzelelo lwegazi, amiselwe ngugqirha obelekisayo;
• Ukungenisa i-magnesium sulphate, ukuthintela ukuxhuzula ngenxa yoxinzelelo lwegazi.

Nangona kunjalo, xa iimpawu ze-HELLP Syndrome ziba mandundu okanye ubudala bokukhulelwa bungaphantsi kweeveki ezingama-24, ugqirha obelekisayo unokucebisa ngokukhupha isisu ukuthintela iingxaki ezinzulu kumfazi okhulelweyo, njengokungaphumeleli kwezintso kakhulu okanye i-edema yamaphaphu ebuhlungu. .

Unyango lweCorticosteroid lokukhuthaza usana

Ukongeza kule nkathalo ngexesha lokulaliswa esibhedlele, ugqirha obelekisayo unokukucebisa ukuba uthathe unyango lwe-corticosteroid ukukhuthaza ukukhula kwemiphunga yomntwana kwaye uvumele ukuziswa kwenzeke kwangoko. Olu nyango lwenziwa ngokulawulwa kwe-corticoid, ihlala i-dexamethasone, ngqo emthanjeni.

Nangona iphumelele kakhulu kwiimeko ezininzi, olu nyango luyaphikisana kwaye, ke, ukuba alubonisi ziphumo, lunokulahlwa ngugqirha.

Iimpawu zokuphucula kwi-HELLP syndrome

Iimpawu zokuphuculwa kwe-HELLP Syndrome kukuzinza koxinzelelo lwegazi kumaxabiso afanayo nalawo abenowesifazane ngaphambi kokuba akhulelwe, kunye nokunciphisa iintloko kunye nokugabha.

Kwixesha lasemva kokubeleka le-HELLP Syndrome owasetyhini okhulelweyo uyakuva ukuphucuka malunga neentsuku ezi-2 ukuya kwezi-3, kodwa kufuneka aqhubeke nokuvavanywa ngugqirha wokubelekisa okanye ugqirha jikelele, ubuncinci kube kanye ngeveki, kwinyanga yokuqala.

Iimpawu zokuba mandundu kwesifo seHELLP

Iimpawu zokuba mandundu kwesifo se-HELLP sibonakala xa unyango lungaqalwa ngexesha okanye xa umzimba womfazi okhulelweyo ungakwazi ukumelana nokunyuka koxinzelelo lwegazi kwaye kubandakanya ubunzima ekuphefumlweni, ukopha kunye nokwehla kwenani lomchamo.