I-Postpartum eclampsia: kuyini, kungani kwenzeka nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yelashwa kanjani
• Kungani kwenzeka i-postpartum eclampsia
• Ingabe i-postpartum eclampsia ishiya i-sequelae?

I-Postpartum eclampsia yisimo esingajwayelekile esingavela ngaphakathi kwamahora okuqala angama-48 ngemuva kokubeletha. Kujwayelekile kwabesifazane okutholwe ukuthi bane-pre-eclampsia ngesikhathi sokukhulelwa, kepha futhi kungavela nakwabesifazane abanezimpawu ezithanda lesi sifo, njengokukhuluphala, umfutho wegazi ophakeme, isifo sikashukela, abaneminyaka engaphezu kwengama-40 noma ngaphansi kweminyaka engu-18.

I-Eclampsia ivame ukuvela ngemuva kokukhulelwa amasonto angama-20, lapho ibeletha noma ibeletha. Owesifazane otholwe ene-eclampsia nganoma yisiphi isikhathi ngesikhathi ekhulelwe noma ngemuva kokukhulelwa kufanele ahlale esibhedlela kuze kubonakale izimpawu zokwenza ngcono. Lokhu kungenxa yokuthi i-eclampsia, uma ingalashwa kahle futhi ingabhekwa, ingakhula ibe i-coma futhi ibulale.

Ngokuvamile, ukwelashwa kwenziwa ngemithi, ikakhulukazi nge-magnesium sulfate, enciphisa ukuquleka futhi ivimbele ikhoma.

Izimpawu eziyinhloko

I-Postpartum eclampsia imvamisa ukubonakaliswa okukhulu kwe-preeclampsia. Izimpawu eziyinhloko ze-postpartum eclampsia yilezi:

• Ukuquleka;
• Ikhanda;
• Ubuhlungu besisu;
• Ukubona okufiphele;
• Ukudlikizela;
• Umfutho wegazi ophakeme;
• Isisindo;
• Ukuvuvukala kwezandla nezinyawo;
• Ubukhona bamaprotheni emchameni;
• Ukukhala ezindlebeni;
• Ukuhlanza.

I-Preeclampsia yisimo esingavela ngesikhathi sokukhulelwa futhi sibonakala ngomfutho wegazi ophakeme lapho ukhulelwe, ongaphezu kuka-140 x 90 mmHg, ukuba khona kwamaprotheni emchameni nokuvuvukala ngenxa yokugcinwa koketshezi. Uma i-pre-eclampsia ingelashwa ngendlela efanele, ingaqhubekela esimweni esibucayi kakhulu, okuyi-eclampsia. Ukuqonda kangcono ukuthi yini i-pre-eclampsia nokuthi kungani kwenzeka.

Yelashwa kanjani

Ukwelashwa kwe-postpartum eclampsia kuhlose ukwelapha izimpawu, ngakho-ke kunconywa ukuthi kusetshenziswe i-magnesium sulfate, elawula ukuqubuka futhi igweme ikhoma, ama-antihypertensives, ukwehlisa umfutho wegazi, futhi kwesinye isikhathi i-aspirin yokuqeda izinhlungu, njalo ngeseluleko sezokwelapha.

Ngaphezu kwalokho, kubalulekile ukunaka indlela yokudla, ugweme inani eliphakeme likasawoti nokudla okunamafutha, ukuze ingcindezi ingakhuphuki futhi, umuntu kufanele aphuze amanzi amaningi futhi aphumule ngokwesincomo sikadokotela. Bona okuningi mayelana nokwelashwa kwe-eclampsia.

Kungani kwenzeka i-postpartum eclampsia

Izici eziyinhloko ezithanda ukuqala kwe-postpartum eclampsia yilezi:

• Ukukhuluphala;
• Isifo sikashukela;
• Umfutho wegazi ophezulu;
• Ukudla okungafanele noma ukungondleki kahle;
• Ukukhulelwa amawele;
• Ukukhulelwa kokuqala;
• Amacala e-eclampsia noma pre-eclampsia emndenini;
• Uneminyaka engaphezu kwengama-40 nangaphansi kwengu-18;
• Isifo sezinso esingapheliyo;
• Izifo ezizimele, njenge-lupus.

Zonke lezi zimbangela zingagwenywa, ngaleyo ndlela kuncishiswe amathuba okubeletha ngemuva kokubeletha, ngemikhuba yokuphila enempilo nokwelashwa okufanele.

Ingabe i-postpartum eclampsia ishiya i-sequelae?

Imvamisa, lapho i-eclampsia ikhonjwa ngokushesha futhi ukwelashwa kuqala ngokushesha ngemuva kwalokho, ayikho i-sequelae. Kepha, uma ukwelashwa kunganele, owesifazane angahle abe nezigameko eziphindiwe zokubanjwa, okungahlala cishe umzuzu, ukulimala unomphela ezithweni ezibalulekile, njengesibindi, izinso nobuchopho, futhi kungathuthuka ku-coma, okungaba iyabulala kowesifazane.

I-Postpartum eclampsia ayifaki engozini ingane, kuphela umama. Ingane isengozini lapho, ngesikhathi sokukhulelwa, owesifazane kutholakala ukuthi une-eclampsia noma i-pre-eclampsia, ngokulethwa ngokushesha kuyindlela engcono kakhulu yokwelashwa nokuvimbela ezinye izinkinga, njenge-HELLP syndrome, ngokwesibonelo. Kulesi sifo kungaba nezinkinga esibindini, ezinso noma ekuqongeleleni kwamanzi ephashini. Yazi ukuthi kuyini, izimpawu eziyinhloko nokuthi ungayelapha kanjani i-HELLP Syndrome.