I-Eclampsia

I-Eclampsia ukuqala okusha kokuquleka noma ikhoma kowesifazane okhulelwe one-preeclampsia. Lokhu kubanjwa akuhlobene nesimo sobuchopho esivele sikhona.

Imbangela ngqo ye-eclampsia ayaziwa. Izici ezingadlala indima zifaka:

• Izinkinga zomthambo wegazi
• Izici zobuchopho nezinzwa (zezinzwa)
• Ukudla
• Izakhi zofuzo

U-Eclampsia ulandela isimo esibizwa nge-preeclampsia. Lokhu kuyinkinga yokukhulelwa lapho owesifazane ene-high blood pressure nokunye okutholakele.

Iningi labesifazane abane-preeclampsia abaqhubeki nokuquleka. Kunzima ukubikezela ukuthi yibaphi abesifazane abazokwenza. Abesifazane abasengozini enkulu yokuquleka kaningi bane-preeclampsia enamandla ngokuthola okufana nalokhu:

• Ukuhlolwa kwegazi okungajwayelekile
• Ukuphathwa ikhanda
• Umfutho wegazi ophakeme kakhulu
• Umbono uyashintsha
• Ubuhlungu besisu

Amathuba akho okuthola i-preeclampsia akhula lapho:

• Uneminyaka engama-35 noma ngaphezulu.
• UngumAfrika waseMelika.
• Lokhu ukukhulelwa kwakho kokuqala.
• Unesifo sikashukela, umfutho wegazi ophakeme, noma isifo sezinso.
• Uba nengane engaphezu kweyodwa (njengamawele noma amawele amathathu).
• Ungumuntu osemusha.
• Ukhuluphele ngokweqile.
• Unomlando womndeni we-preeclampsia.
• Unezinkinga ze-autoimmune.
• Uthole ukukhulelwa kwe-in vitro.

Izimpawu ze-eclampsia zifaka:

• Ukuquleka
• Ukudinwa okukhulu
• Ukuquleka

Iningi labesifazane lizoba nalezi zimpawu ze-preeclampsia ngaphambi kokuquleka:

• Ukuphathwa ikhanda
• Isicanucanu nokuhlanza
• Ubuhlungu besisu
• Ukuvuvukala kwezandla nobuso
• Izinkinga zombono, njengokulahleka kombono, ukungaboni kahle, ukubona kabili, noma izindawo ezingekho emkhakheni wokubuka

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba ukubheka izimbangela zokuquleka. Umfutho wegazi kanye nezinga lokuphefumula kwakho kuzohlolwa njalo.

Ukuhlolwa kwegazi nomchamo kungenziwa ukubheka:

• Izici zokuvala igazi
• I-Creatinine
• I-Hematocrit
• Uric acid
• Umsebenzi wesibindi
• Ukubalwa kweplatelet
• Amaprotheni emchameni
• Izinga le-hemoglobin

Ukwelashwa okuyinhloko ukuvimbela i-preeclampsia enamandla ukuthi iqhubekele phambili ku-eclampsia ukubeletha ingane. Ukuvumela ukukhulelwa kuqhubeke kungaba yingozi kuwe nasenganeni.

Unganikezwa umuthi ukuvikela ukuquleka. Le mithi ibizwa ngama-anticonvulsants.

Umhlinzeki wakho angakunikeza umuthi wokwehlisa umfutho wegazi ophakeme. Uma umfutho wegazi lakho uhlala uphakeme, ukulethwa kungadingeka, noma ngabe ingakabikho ngaphambi kokuba ingane ifike.

Abesifazane abane-eclampsia noma i-preeclampsia basengozini enkulu yokuthi:

• Ukwehlukaniswa kwe-placenta (placenta abruptio)
• Ukulethwa ngaphambi kwesikhathi okuholela ezinkingeni enganeni
• Izinkinga zokuvala igazi
• Unhlangothi
• Ukufa kwezinsana

Shayela umhlinzeki wakho noma uye egumbini labezimo eziphuthumayo uma unezimpawu ze-eclampsia noma i-preeclampsia. Izimpawu zezimo eziphuthumayo zifaka ukuquleka noma ukuncipha kokuqwashisa.

Funa ukunakekelwa kwezokwelapha ngokushesha uma unokunye kwalokhu okulandelayo:

• Ukuphuma kwegazi elibomvu ngokukhanyayo
• Ukunyakaza okuncane noma ukungabikho nhlobo enganeni
• Ikhanda elibuhlungu
• Ubuhlungu obukhulu endaweni ephezulu yesisu
• Ukulahleka kombono
• Isicanucanu noma ukuhlanza

Ukuthola ukunakekelwa kwezempilo phakathi nokukhulelwa kwakho konke kubalulekile ekuvimbeleni izinkinga. Lokhu kuvumela izinkinga ezifana ne-preeclampsia ukuthi zitholwe futhi zilashwe kusenesikhathi.

Ukuthola ukwelashwa kwe-preeclampsia kungavimbela i-eclampsia.

Ukukhulelwa - eclampsia; Preeclampsia - eclampsia; Umfutho wegazi ophakeme - eclampsia; Ukudlikiza - eclampsia; Umfutho wegazi ophezulu - eclampsia

• Preeclampsia

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 pubmed.ncbi.nlm.nih.gov/24150027/.

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I-Salhi BA, i-Nagrani S. Izinkinga ezinzima zokukhulelwa. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 178.

Sibai BM. I-Preeclampsia nokuphazamiseka kwe-hypertensive. Ku: Landon MB, Galan HL, Jauniaux ERM, et al, ama-eds. Ama-Obstetrics: Ukukhulelwa Okujwayelekile Nenkinga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 38.