I-Preeclampsia - ukuzinakekela

Abesifazane abakhulelwe abane-preeclampsia banengcindezi ephezulu yegazi kanye nezimpawu zokulimala kwesibindi noma izinso. Ukulimala kwezinso kuholela ekubeni khona kwamaprotheni emchameni. I-Preeclampsia eyenzeka kwabesifazane ngemuva kweviki lama-20 lokukhulelwa. Kungaba mnene noma kube nzima. I-Preeclampsia ivame ukuxazululwa ngemuva kokuzalwa kwengane kanye ne-placenta ilethwayo. Kodwa-ke, ingaqhubeka noma iqale ngemuva kokubeletha, imvamisa kungakapheli amahora angama-48. Lokhu kubizwa nge-postpartum preeclampsia.

Izinqumo zokwelashwa zenziwa ngokuya ngeminyaka yokukhulelwa kanye nobukhulu be-preeclampsia.

Uma usudlule amasonto angama-37 futhi kutholakale ukuthi une-preeclampsia, umhlinzeki wakho wezokunakekelwa kwempilo cishe uzokweluleka ukuthi ubelethe kusenesikhathi. Lokhu kungabandakanya ukuthola imishanguzo yokuqala (ukubanga) ukubeletha noma ukuletha ingane ngokulethwa ngokuhlinzwa (isigaba se-C).

Uma ungaphansi kwamasonto angama-37 ukhulelwe, inhloso ukukhulisa ukukhulelwa kwakho inqobo nje uma kuphephile. Ukwenza kanjalo kuvumela ingane yakho ukuthi ikhule isikhathi eside ngaphakathi kuwe.

• Ukuthi kufanele uhanjiswe ngokushesha kangakanani kuncike ekutheni umfutho wegazi ophakeme uphakeme kangakanani, izimpawu zesibindi noma izinkinga zezinso, kanye nesimo sengane.
• Uma i-preeclampsia yakho inzima, kungadingeka ukuthi uhlale esibhedlela ukuze ubhekwe ngeso lokhozi. Uma i-preeclampsia ihlala inzima, ungadinga ukulethwa.
• Uma i-preeclampsia yakho imnene, ungakwazi ukuhlala ekhaya ekuphumuleni kombhede. Uzodinga ukuhlolwa nokuhlolwa kaningi. Ubukhulu be-preeclampsia bungashintsha ngokushesha, ngakho-ke uzodinga ukulandelelwa ngokucophelela okukhulu.

Ukuphumula kombhede ngokuphelele akusanconywa. Umhlinzeki wakho uzokuncomela ileveli yomsebenzi.

Uma usekhaya, umhlinzeki wakho uzokutshela ukuthi yiziphi izinguquko ongadinga ukuzenza ekudleni kwakho.

Ungadinga ukuthatha imithi ukwehlisa umfutho wegazi. Thatha le mithi ngendlela umhlinzeki wakho akutshela ngayo.

UNGAThathi amanye amavithamini, i-calcium, i-aspirin, noma eminye imithi ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Imvamisa, abesifazane abane-preeclampsia abazizwa begula noma bengenazo izimpawu. Noma kunjalo, wena nengane yakho ningaba sengozini. Ukuze uzivikele wena nengane yakho, kubalulekile ukuya kukho konke ukuvakasha kwakho ngaphambi kokubeletha. Uma ubona noma yiziphi izimpawu ze-preeclampsia (ezibalwe ngezansi), tshela umhlinzeki wakho khona manjalo.

Kunezingozi kini nobabili nengane yakho uma uba ne-preeclampsia:

• Umama angalimala ngezinso, ahlaselwe yisifo sohlangothi, ashaywe unhlangothi, noma aphume esibindini.
• Kunobungozi obukhulu bokuthi i-placenta ikhishwe esibelethweni (abruption) kanye nokuzala ingane ishonile.
• Ingane ingahluleka ukukhula kahle (umkhawulo wokukhula).

Ngenkathi usekhaya, umhlinzeki wakho angakucela ukuthi:

• Linganisa umfutho wegazi lakho
• Hlola umchamo wakho ukuthola amaprotheni
• Bheka ukuthi uphuza okungakanani uketshezi
• Hlola isisindo sakho
• Bheka ukuthi ingane yakho ihamba futhi ikhahlele kangaki

Umhlinzeki wakho uzokufundisa ukuthi ungazenza kanjani lezi zinto.

Uzodinga ukuvakashelwa njalo nomhlinzeki wakho ukuze uqiniseke ukuthi wena nengane yakho nenza kahle. Ngokuqinisekile uzoba:

• Ukuvakasha nomhlinzeki wakho kanye ngesonto noma ngaphezulu
• Ama-Ultrasounds wokuqapha usayizi nokuhamba kwengane yakho kanye nenani loketshezi oluzungeze ingane yakho
• Ukuhlolwa okungacindezeli ukuhlola isimo sengane yakho
• Ukuhlolwa kwegazi noma umchamo

Izimpawu nezimpawu ze-preeclampsia zivame ukuphela kungakapheli amasonto ayisithupha ngemuva kokubeletha. Kodwa-ke, umfutho wegazi ophezulu kwesinye isikhathi uba kubi ezinsukwini ezimbalwa zokuqala ngemuva kokubeletha. Usengcupheni ye-preeclampsia kuze kube amasonto ayisithupha ngemuva kokubeletha. Le postrartum preeclampsia inengozi enkulu yokufa. Kubalulekile ukuqhubeka uziqaphele ngalesi sikhathi. Uma ubona noma yiziphi izimpawu ze-preeclampsia, ngaphambi noma ngemuva kokubeletha, xhumana nomhlinzeki wakho khona manjalo.

Shayela umhlinzeki wakho ngokushesha uma:

• Yiba nokuvuvukala ezandleni zakho, ebusweni, noma emehlweni (i-edema).
• Ngokungazelelwe ukhuluphele ngaphezu kosuku olungu-1 noma 2, noma uzuza ngaphezu kwamakhilogremu amabili (1 kilogram) ngesonto.
• Yiba nekhanda elingapheli noma elibi kakhulu.
• Awuchami kaningi.
• Yiba nesicanucanu nokuhlanza.
• Yiba nezinguquko zombono, njengokuthi awukwazi ukubona isikhathi esifushane, bheka amalambu akhanyayo noma amabala, kuyazwela ekukhanyeni, noma ube nombono ofiphele.
• Zizwe ulula noma uqulekile.
• Yiba nobuhlungu esiswini sakho ngaphansi kwezimbambo zakho, kaningi ohlangothini lwesokunene.
• Yiba nobuhlungu ehlombe lakho lokunene.
• Unenkinga yokuphefumula.
• Bruise kalula.

I-toxemia - ukuzinakekela; PIH - ukuzinakekela; Umfutho wegazi ophezulu okhulelwe - ukuzinakekela

I-American College of Obstetricians kanye neGynecologists; Task Force on Hypertension in Pregnancy. Umfutho wegazi ophakeme lapho ukhulelwe. Umbiko we-American College of Obstetricians and Gynecologists ’Task Force on hypertension in pregnancy. Isikhubekiso seGynecol. 2013; 122 (5): 1122-1131. I-PMID: 24150027 www.ncbi.nlm.nih.gov/pubmed/24150027.

UMarkham KB, uFunai EF. Umfutho wegazi ophathelene nokukhulelwa. Ku: Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, ama-eds. ICreasy neResnik's Maternal-Fetal Medicine: Izimiso kanye Nokuzijwayeza. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 48.

Sibai BM. I-Preeclampsia nokuphazamiseka kwe-hypertensive. Ku: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 31.

• Ukucindezela Kwegazi Elikhulu Ekukhulelweni