I-Hyperemesis gravidarum

I-Hyperemesis gravidarum yeqile kakhulu, isicanucanu esiphikelelayo nokuhlanza ngesikhathi sokukhulelwa. Kungaholela ekuphelelweni ngamanzi emzimbeni, ekwehliseni isisindo, kanye nokungalingani kwe-electrolyte. Ukugula kwasekuseni kuyisicanucanu esincane nokuhlanza okwenzeka ekukhulelweni kokuqala.

Abesifazane abaningi banesicanucanu noma ukuhlanza (ukugula kwasekuseni), ikakhulukazi ezinyangeni ezintathu zokuqala zokukhulelwa. Isizathu esiqondile sokuhlanza isicanucanu nokuhlanza ngesikhathi sokukhulelwa asaziwa. Kodwa-ke, kukholakala ukuthi kudalwa ukukhuphuka kwezinga legazi lehomoni ebizwa nge-chorionic gonadotropin (HCG). I-HCG ikhishwa yi-placenta. Ukugula okuncane kwasekuseni kuvamile. I-Hyperemesis gravidarium ayijwayelekile futhi inzima kakhulu.

Abesifazane abane-hyperemesis gravidarum banesicanucanu esikhulu nokuhlanza ngesikhathi sokukhulelwa. Kungadala ukwehla kwesisindo esingaphezu kuka-5% wesisindo somzimba. Isimo singenzeka kunoma yikuphi ukukhulelwa, kepha mancane amathuba okuthi ukhulelwe amawele (noma izingane ezingaphezulu), noma uma unemvukuzane ye-hydatidiform. Abesifazane basengozini enkulu ye-hyperemesis uma ngabe bebe nenkinga ekukhulelweni kwangaphambilini noma bathambekele ekuguleni okunyakaza.

Ukugula kwasekuseni kungadala ukuncipha kokudla, isicanucanu esezingeni eliphansi, noma ukugabha. Lokhu kwehlukile kuma-hyperemesis eqiniso ngoba abantu basakwazi ukudla nokuphuza uketshezi kwesinye isikhathi.

Izimpawu ze-hyperemesis gravidarum zinzima kakhulu. Zingafaka:

• Isicanucanu esinamandla, esiphikelelayo nokuhlanza ngesikhathi sokukhulelwa
• Ukukhahlela ngaphezulu kokujwayelekile
• Ukwehla kwesisindo
• Izimpawu zokuphelelwa amanzi emzimbeni njengomchamo omnyama, isikhumba esomile, ubuthakathaka, ikhanda elikhanyayo noma ukuquleka
• Ukuqunjelwa
• Ukwehluleka ukuthatha amanani anele oketshezi noma okunomsoco

Umhlinzeki wakho wokunakekelwa kwezempilo uzokwenza ukuhlolwa komzimba. Umfutho wegazi wakho ungaba phansi. I-pulse yakho ingaba phezulu.

Ukuhlolwa okulandelayo kwelabhorethri kuzokwenziwa ukubheka izimpawu zokonakala:

• Qedela ukubalwa kwegazi
• Ama-electrolyte
• Amaketoni omchamo
• Ukwehla kwesisindo

Umhlinzeki wakho angadinga ukwenza izivivinyo ukuze aqiniseke ukuthi awunazo izinkinga zesibindi nezesisu.

Kuzokwenziwa i-ultrasound yokukhulelwa ukubona ukuthi ngabe uphethe amawele noma izingane eziningi. I-Ultrasound ibuye ihlole imvukuzane ye-hydatidiform.

Ukugula kwasekuseni kuvame ukulawulwa ngokugwema ukudla okubangela inkinga nokuphuza uketshezi oluningi lapho izimpawu ziyeka ukuze zihlale zinamanzi.

Uma isicanucanu nokuhlanza kukubangela ukuba uphelelwe amanzi emzimbeni, uzothola uketshezi nge-IV. Unganikezwa futhi umuthi wokulwa nesicanucanu. Uma isicanucanu nokuhlanza kukhulu kangangokuba wena nengane yakho ningaba sengozini, niyolaliswa esibhedlela ukuze nelashwa. Uma ungeke ukwazi ukudla okwanele ukuthola izakhi zomzimba wena nengane yakho enizidingayo, ungathola izakhamzimba ezengeziwe nge-IV noma ngepayipi elibekwe esiswini sakho.

Ukusiza ukuphatha izimpawu ekhaya, zama lawa macebiso.

Gwema izimbangela. Ungaqaphela ukuthi izinto ezithile zingadala isicanucanu nokuhlanza. Lokhu kungafaka:

• Imisindo ethile nemisindo, ngisho nomsakazo noma i-TV
• Amalambu akhanyayo noma acwayizayo
• Umuthi wokuxubha
• Iphunga elifana namakha nemikhiqizo yokugeza nokuzilungisa
• Ingcindezi esiswini sakho (gqoka izingubo ezingakulungele)
• Ukuhamba ngemoto
• Ukugeza

Yidla uphuze uma ukwazi. Zisebenzise izikhathi ozizwa ungcono ngazo ukudla nokuphuza. Yidla ukudla okuncane, okuvamile. Zama ukudla okomile, okwehlisayo njengama-crackers noma amazambane. Zama ukudla noma yikuphi ukudla okukukhangayo. Bona ukuthi ungakwazi yini ukubekezelela ama-smoothies anomsoco ngezithelo noma imifino.

Khuphula uketshezi ngezikhathi zosuku lapho uzizwa ungenaso isicanucanu. I-Seltzer, i-ginger ale, noma ezinye iziphuzo ezikhazimulayo zingasiza. Ungazama futhi ukusebenzisa izengezo ezinomthamo ophansi we-ginger noma amabhande esihlakaleni se-acupressure ukunciphisa izimpawu.

I-Vitamin B6 (engekho ngaphezu kwe-100 mg nsuku zonke) ikhonjisiwe yokwehlisa isicanucanu ekukhulelweni kokuqala. Buza umhlinzeki wakho ukuthi ngabe le vithamini ingakusiza yini. Omunye umuthi obizwa nge-doxylamine (Unisom) ukhonjiswe ukuthi uyasebenza kakhulu futhi uphephile uma uhlanganiswa neVitamin B6 yesicanucanu ekukhulelweni. Ungathenga lo muthi ngaphandle kwemithi kadokotela.

Ukugula kwasekuseni kumnene, kepha kuyaphikelela. Ingaqala phakathi kwamasonto amane kuya kwayisishiyagalombili okukhulelwa. Imuka masonto ayi-16 kuya kwayi-18 okukhulelwa. Ukucanuzela kwenhliziyo nokuhlanza nakho kungaqala phakathi kwamasonto amane kuya kwayisishiyagalombili okukhulelwa futhi kuvame ukuphela ngamasonto e-14 kuye kwayi-16. Abanye besifazane bazoqhubeka nokuba nesicanucanu nokuhlanza kukho konke ukukhulelwa kwabo. Ngokukhonjwa okufanele kwezimpawu nokulandelwa ngokucophelela, izinkinga ezinkulu ezinganeni noma kumama akuvamile.

Ukuhlanza okukhulu kuyingozi ngoba kuholela ekuphelelweni amanzi emzimbeni nasekukhuluphaleni emzimbeni ngesikhathi sokukhulelwa. Imvamisa, owesifazane angopha egazini noma kwezinye izinkinga ezinkulu ngenxa yokuphalaza okungapheli.

Isimo singenza kube nzima ukuqhubeka nokusebenza noma ukuzinakekela. Kungadala ukukhathazeka nokudangala kwabanye besifazane okuhlala isikhathi eside ngemuva kokukhulelwa.

Shayela umhlinzeki wakho uma ukhulelwe futhi unesicanucanu esikhulu nokuhlanza noma uma unezinye zalezi zimpawu ezilandelayo:

• Izimpawu zokuphela kwamanzi emzimbeni
• Ayikwazi ukubekezelela noma yikuphi uketshezi ngaphezu kwamahora ayi-12
• Inwele elikhanyayo noma isiyezi
• Igazi emhlanzweni
• Ubuhlungu besisu
• Ukwehla kwesisindo esingaphezu kuka-5 lb

Isicanucanu - hyperemesis; Ukuhlanza - i-hyperemesis; Ukugula kwasekuseni - i-hyperemesis; Ukukhulelwa - i-hyperemesis

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