I-Eclampsia ekukhulelweni: kuyini, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• I-Postpartum eclampsia
• Ziyini izimbangela nokuthi ungazivimbela kanjani
• Yelashwa kanjani
• 1. Ukuphathwa kwe-magnesium sulfate
• 2. Ukuphumula
• 3. Ukungeniswa kokubeletha
• Izinkinga ezingenzeka

I-Eclampsia iyinkinga enkulu yokukhulelwa, ebonakala ngeziqubu eziphindaphindwayo zokuquleka, kulandele ikhoma, okungaba yingozi uma kungalashwa ngokushesha. Lesi sifo sivame kakhulu ezinyangeni ezi-3 zokugcina zokukhulelwa, kepha-ke, singazibonakalisa kunoma yisiphi isikhathi ngemuva kweviki lama-20 lokukhulelwa, ngesikhathi sokubeletha noma, nangemva kokubeletha.

I-Eclampsia ukubonakaliswa okungathi sína kwe-pre-eclampsia, edala umfutho wegazi ophakeme, ongaphezu kuka-140 x 90 mmHg, ubukhona bamaprotheni emchameni nokuvuvukala komzimba ngenxa yokugcina uketshezi, kepha yize lezi zifo zihlobene, hhayi bonke abesifazane abane pre-eclampsia isifo siqhubekela eclampsia. Thola ukuthi ungayibona kanjani i-pre-eclampsia nokuthi ingaba nzima nini.

Izimpawu eziyinhloko

Izimpawu ze-eclampsia zifaka:

• Ukudlikizela;
• Ikhanda elibuhlungu;
• Umfutho wegazi ophakeme;
• Ukuthola isisindo ngokushesha ngenxa yokugcina uketshezi;
• Ukuvuvukala kwezandla nezinyawo;
• Ukulahleka kwamaprotheni ngomchamo;
• Ukukhala ezindlebeni;
• Ubuhlungu obukhulu besisu;
• Ukuhlanza;
• Umbono uyashintsha.

Ukuquleka e-eclampsia kuvame ukusabalala futhi kuhlala cishe umzuzu owodwa futhi kungaqhubekela phambili ku-coma.

I-Postpartum eclampsia

I-Eclampsia nayo ingavela ngemuva kokubeletha kwengane, ikakhulukazi kwabesifazane ababene-pre-eclampsia ngesikhathi sokukhulelwa, ngakho-ke kubalulekile ukugcina ukuhlolwa ngisho nangemva kokubeletha, ukuze kutholakale noma yiziphi izimpawu zokuwohloka, futhi kufanele ukhishwe esibhedlela kuphela ngemuva kokujwayelekile kwengcindezi nokwenza ngcono izimpawu. Thola ukuthi yiziphi izimpawu eziyinhloko nokuthi kwenzeka kanjani emva kokubeletha eclampsia.

Ziyini izimbangela nokuthi ungazivimbela kanjani

Izimbangela ze-eclampsia zihlobene nokufakwa nokuthuthuka kwemithambo yegazi ku-placenta, njengoba ukungatholakali kwegazi ku-placenta kubangela ukuthi ikhiqize izinto okuthi uma ziwela ekusakazeni kwegazi, ziguqule umfutho wegazi futhi zidale ukulimala kwezinso .

Izici ezinobungozi bokukhula kwe-eclampsia kungaba:

• Ukukhulelwa kwabesifazane abangaphezu kweminyaka engama-40 noma ngaphansi kwengu-18;
• Umlando womndeni we-eclampsia;
• Ukukhulelwa amawele;
• Abesifazane abane-hypertension;
• Ukukhuluphala;
• Isifo sikashukela;
• Isifo sezinso esingapheliyo;
• Abesifazane abakhulelwe abanezifo ezizimele, njenge-lupus.

Indlela yokuvimbela i-eclampsia ukulawula umfutho wegazi ngesikhathi sokukhulelwa nokwenza izivivinyo ezidingekayo ngaphambi kokubeletha ukuthola noma yiziphi izinguquko ezibonisa lesi sifo kusenesikhathi.

Yelashwa kanjani

I-Eclampsia, ngokungafani nomfutho wegazi ophakeme ovamile, ayiphenduli kuma-diuretics noma ekudleni kasawoti ophansi, ngakho ukwelashwa kuvame ukufaka:

1. Ukuphathwa kwe-magnesium sulfate

Ukuphathwa kwe-magnesium sulphate emthanjeni ukwelashwa okuvame kakhulu ezimweni ze-eclampsia, esebenza ngokulawula ukuquleka nokuwela ku-coma. Ukwelashwa kufanele kwenziwe ngemuva kokulaliswa esibhedlela kanye ne-magnesium sulfate kufanele ihlinzekwe uchwepheshe wezokunakekelwa kwezempilo ngqo emthanjeni.

2. Ukuphumula

Ngesikhathi sokulaliswa esibhedlela, owesifazane okhulelwe kufanele aphumule ngangokunokwenzeka, mhlawumbe elele ohlangothini lwesobunxele, ukuze athuthukise ukugeleza kwegazi kuya enganeni.

3. Ukungeniswa kokubeletha

Ukubeletha ukuphela kwendlela yokwelapha i-eclampsia, kepha ukwenziwa kungabambezeleka ngemithi ukuze ingane ikhule ngangokunokwenzeka.

Ngakho-ke, ngesikhathi sokwelashwa, ukuhlolwa kwempilo kufanele kwenziwe nsuku zonke, njalo emahoreni ayisithupha ukulawula ukuvela kwe-eclampsia, futhi uma kungekho ngcono, ukulethwa kufanele kwenziwe ngokushesha okukhulu, ukuxazulula ukudlikizela okubangelwe yi-eclampsia.

Yize i-eclampsia ivame ukuba ngcono ngemuva kokubeletha, izinkinga zingavela ezinsukwini ezilandelayo, ngakho-ke owesifazane kufanele aqashwe ngeso lokhozi futhi lapho ebona izimpawu ze-eclampsia, ukulaliswa esibhedlela kungahlala ezinsukwini ezimbalwa kuye emavikini, kuya ngobukhulu benkinga kanye nezinkinga ezingaba khona.

Izinkinga ezingenzeka

I-Eclampsia ingadala izinkinga ezithile, ikakhulukazi uma ingalashwa ngokushesha ngokushesha lapho itholakala. Enye yezinkinga ezinkulu yi-HELLP syndrome, ebonakala ngokushintsha okukhulu kokujikeleza kwegazi, lapho kukhona khona ukubhujiswa kwamaseli abomvu egazi, ukwehla kwama-platelet nokulimala kwamangqamuzana wesibindi, okwenza ukwanda kwama-enzyme wesibindi nama-bilirubins egazini isivivinyo. Funda kabanzi mayelana nokuthi iyini nokuthi ungayelapha kanjani i-HELLP syndrome.

Ezinye izinkinga ezingaba khona ukwehla kokugeleza kwegazi kuya ebuchosheni, kubangele ukulimala kwemizwa, kanye nokugcina uketshezi emaphashini, ubunzima bokuphefumula nokwehluleka kwezinso noma kwesibindi.

Ngaphezu kwalokho, izingane nazo zingathinteka, ngokukhubazeka ekukhuleni kwazo noma isidingo sokulindela ukulethwa. Kwezinye izimo, ingane kungenzeka ingakakhuli ngokuphelele, futhi kungaba nezinkinga, njengokuphefumula kanzima, okudinga ukuqashwa ngudokotela wezingane futhi, kwezinye izimo, ukwamukelwa e-ICU ukuqinisekisa ukunakekelwa okungcono.