Qonda ukuthi kungani amafutha asesibindi ngesikhathi sokukhulelwa ebucayi

-Delile

• Izimpawu
• Ukuxilongwa
• Ukwelashwa
• Izici zobungozi

I-hepatic steatosis ebucayi yokukhulelwa, okuwukuvela kwamafutha esibindini sowesifazane okhulelwe, kuyinkinga engajwayelekile futhi ebucayi evame ukuvela kuthathu yesithathu yokukhulelwa futhi eletha ingozi enkulu yokuphila komama nengane.

Le nkinga ivame ukwenzeka ikakhulu ekukhulelweni kokuqala, kepha futhi ingenzeka nakwabesifazane asebevele benezingane, ngisho nangaphandle komlando wezinkinga ekukhulelweni kwangaphambilini.

Izimpawu

Isibindi steatosis ekukhulelweni kuvame ukuvela phakathi kweviki lama-28 nelama-40 lokukhulelwa, kubangele izimpawu zokuqala zesicanucanu, ukuhlanza nokuqaqamba komzimba, okulandelwa ubuhlungu besisu, ikhanda elibuhlungu, izinsini ezophayo nokuphelelwa amanzi emzimbeni.

Ngemuva kwesonto lokuqala lokuqala kwalesi simo, kuvela uphawu lwe-jaundice, okuyilapho isikhumba namehlo eba phuzi. Ngaphezu kwalokho, kwezinye izimo owesifazane okhulelwe angase futhi abe nomfutho wegazi ophakeme nokuvuvukala emzimbeni.

Kodwa-ke, njengoba zonke lezi zimpawu zivame ukwenzeka ezifweni eziningana, kunzima ukuthola ukuthi kunamafutha asesibindi kwesibindi, okwandisa amathuba okuba inkinga ibe yimbi ngokwengeziwe.

Ukuxilongwa

Ukuxilongwa kwale nkinga kunzima futhi kuvame ukwenziwa ngokuhlonza izimpawu, ukuhlolwa kwegazi kanye nokuhlolwa kwesibindi, okuhlola ubukhona bamafutha kulesi sitho.

Kodwa-ke, lapho kungenzeki ukwenza i-biopsy ngenxa yempilo ebucayi yowesifazane okhulelwe, izivivinyo ezinjenge-ultrasound kanye ne-computed tomography zingasiza ekuboneni inkinga, kepha azinikezi imiphumela ethembekile njalo.

Ukwelashwa

Lapho nje kutholakala isifo esibucayi se-hepatic steatosis sokukhulelwa, owesifazane kufanele angeniswe ukuthi aqale ukwelashwa kwalesi sifo, okwenziwa ngokuqeda ukukhulelwa ngokulethwa okujwayelekile noma ngokuhlinzwa, kuye ngobukhulu becala.

Uma elashwa kahle, owesifazane uba ngcono phakathi kwezinsuku eziyisithupha kuya kwezingu-20 ngemuva kokubeletha, kepha uma inkinga ingaziwa futhi yelashwa kusenesikhathi, izinkinga ezinjenge-acute pancreatitis, ukuquleka, ukuvuvukala esiswini, i-edema yamaphaphu, isifo sikashukela insipidus, ukopha kwamathumbu noma isisu kanye ne-hypoglycemia.

Ezimweni ezinzima kakhulu, ukwehluleka kwesibindi okunamandla nakho kungavela ngaphambi noma ngemuva kokubeletha, okuyilapho isibindi siyeka ukusebenza, kuphazamisa ukusebenza kwezinye izitho nokwandisa ubungozi bokufa. Ezimweni ezinjalo, kungadingeka ukuthi kube nokufakelwa kwesibindi ngemuva kokubeletha, uma isitho siqhubeka sikhombisa ukuthuthuka.

Izici zobungozi

Isibindi steatosis singavela noma ngabe ukhulelwe kahle, kepha ezinye izinto zandisa ubungozi bokuthola le nkinga, efana nale:

• Ukukhulelwa kokuqala;
• Pre eclampsia;
• Umbungu wesilisa;
• Ukukhulelwa amawele.

Kubalulekile ukuthi abesifazane abakhulelwe abanezi zinto ezinobungozi bazi noma yiziphi izinguquko ezizwakala ku-trimester yokugcina yokukhulelwa, ngaphezu kokwenza ukunakekelwa kokubeletha nokulandelela okwanele ukulawula i-pre-eclampsia.

Ngaphezu kwalokho, abesifazane abake baba ne-steatosis yesibindi kufanele babhekwe kaningi ekukhulelweni okulandelayo, njengoba benomnotho owandisiwe wokuphinda bavuselele le nkinga.

Ukuvimbela izinkinga ngesikhathi sokukhulelwa, bheka:

• Izimpawu ze-preeclampsia
• Izandla ezilumayo ekukhulelweni zingaba zimbi
• I-HELLP syndrome