Ukucindezela Kwegazi Elikhulu Ekukhulelweni

-Delile

• Isifinyezo
• Kuyini umfutho wegazi ophakeme ekukhulelweni?
• Yini ebangela i-preeclampsia?
• Ngubani osengozini ye-preeclampsia?
• Iziphi izinkinga ezingabangelwa yi-preeclampsia?
• Ziyini izimpawu ze-preeclampsia?
• Ixilongwa kanjani i-preeclampsia?
• Yiziphi izindlela zokwelapha i-preeclampsia?

Isifinyezo

Kuyini umfutho wegazi ophakeme ekukhulelweni?

Umfutho wegazi ungamandla egazi lakho acindezela izindonga zemithambo yakho njengoba inhliziyo yakho iphampa igazi. Umfutho wegazi ophakeme, noma umfutho wegazi ophakeme, kulapho la mandla alwa nezindonga zakho zemithambo ephezulu kakhulu. Kunezinhlobo ezahlukahlukene zomfutho wegazi ophakeme ekukhulelweni:

• Umfutho wegazi ophezulu wokukhulelwa umfutho wegazi ophakeme owukhulayo ngenkathi ukhulelwe. Kuqala ngemuva kokuba unamasonto angama-20 ukhulelwe. Imvamisa awunazo ezinye izimpawu. Ezimweni eziningi, akukulimazi wena noma ingane yakho, futhi kuhamba kungakapheli amasonto ayi-12 ngemuva kokubeletha. Kepha kuyakhuphula ubungozi be-high blood pressure ngokuzayo. Kwesinye isikhathi kungaba nzima, okungaholela ekusindisweni kokuzalwa okuphansi noma ekuzalweni kwangaphambi kokubeletha. Abanye besifazane abane-hypertension yokukhulelwa bayaqhubeka nokuthuthukisa i-preeclampsia.
• Umfutho wegazi ophezulu umfutho wegazi ophakeme oqale ngaphambi kwesonto lama-20 ukhulelwe noma ngaphambi kokuba ukhulelwe. Abanye besifazane kungenzeka ukuthi babenaso isikhathi eside ngaphambi kokukhulelwa kodwa babengazi kuze kube yilapho behlolwa umfutho wegazi labo lapho bevakashele ngaphambi kokubeletha. Kwesinye isikhathi umfutho ophakeme wegazi ophakeme ungaholela nase-preeclampsia.
• Preeclampsia ukwanda okungazelelwe kwengcindezi yegazi ngemuva kweviki lama-20 lokukhulelwa. Imvamisa kwenzeka ku-trimester yokugcina. Ezimweni ezingavamile, izimpawu zingahle ziqale kuze kube ngemuva kokubeletha. Lokhu kubizwa nge-postpartum preeclampsia. IPreeclampsia ifaka nezimpawu zokulimala kwezinye izitho zakho, njengesibindi noma izinso. Izimpawu zingafaka amaprotheni emchameni nomfutho wegazi ophakeme kakhulu. I-Preeclampsia ingaba yingozi noma isongele impilo yakho nobabili nengane yakho.

Yini ebangela i-preeclampsia?

Imbangela ye-preeclampsia ayikaziwa.

Ngubani osengozini ye-preeclampsia?

Usengozini enkulu ye-preeclampsia uma

• Ngibe nomfutho wegazi ophakeme noma isifo sezinso esingapheli ngaphambi kokukhulelwa
• Ubenomfutho wegazi ophakeme noma i-preeclampsia ekukhulelweni kwangaphambilini
• Yiba nokukhuluphala
• Bangaphezu kweminyaka engama-40
• Ukhulelwe izingane ezingaphezu kweyodwa
• Ingabe ama-African American
• Yiba nomlando womndeni we-preeclampsia
• Yiba nezimo ezithile zezempilo, ezinjengesifo sikashukela, i-lupus, noma i-thrombophilia (isifo esiphakamisa ubungozi bamahlule egazi)
• Kusetshenziswa ukukhuleliswa kwe-vitro, ukunikela ngeqanda, noma ukususelwa kwabaxhasi

Iziphi izinkinga ezingabangelwa yi-preeclampsia?

I-Preeclampsia ingadala

• Ukuphazamiseka kweplacental, lapho i-placenta ihlukana khona nesibeletho
• Ukukhula okungekuhle kombungu, okubangelwa ukungabi nezakhamzimba nomoya-mpilo
• Ukuzalwa kwangaphambi kokubeletha
• Ingane enesisindo esiphansi sokuzalwa
• Ukubeletha
• Ukulimala kwezinso zakho, isibindi, ubuchopho, nezinye izitho zomzimba nezegazi
• Ingozi ephezulu yesifo senhliziyo kuwe
• I-Eclampsia, eyenzeka lapho i-preeclampsia inzima ngokwanele ukuthi ingathinta ukusebenza kobuchopho, idale ukuquleka noma ikhoma
• I-HELLP syndrome, eyenzeka lapho owesifazane one-preeclampsia noma i-eclampsia enomonakalo esibindini nasemangqamuzaneni egazi. Akuvamile, kodwa kubi kakhulu.

Ziyini izimpawu ze-preeclampsia?

Izimpawu ezingaba khona ze-preeclampsia zifaka phakathi

• Umfutho wegazi ophezulu
• Amaprotheni amaningi kakhulu kumchamo wakho (obizwa nge- proteinuria)
• Ukuvuvukala ebusweni nasezandleni zakho. Izinyawo zakho nazo zingavuvukala, kepha abesifazane abaningi bavuvukele izinyawo ngesikhathi sokukhulelwa. Ngakho-ke izinyawo ezivuvukele ngokwazo kungenzeka zingabi uphawu lwenkinga.
• Ubuhlungu bekhanda obungapheli
• Izinkinga zombono, kufaka phakathi ukungaboni kahle noma ukubona izindawo
• Ubuhlungu esiswini sakho sangakwesokudla
• Ukuphefumula kanzima

I-Eclampsia nayo ingadala ukuquleka, isicanucanu kanye / noma ukugabha, nokukhipha umchamo ophansi. Uma uqhubeka nokuthuthukisa i-HELLP syndrome, ungahle ube nokopha noma ukulimaza kalula, ukukhathala ngokweqile, nokuhluleka kwesibindi.

Ixilongwa kanjani i-preeclampsia?

Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola umfutho wegazi nomchamo wakho ekuvakasheni ngakunye kokubeletha. Uma ukufundwa kwengcindezi yegazi kuphezulu (140/90 noma ngaphezulu), ikakhulukazi ngemuva kweviki lama-20 lokukhulelwa, umhlinzeki wakho uzofuna ukwenza ezinye izivivinyo. Zingafaka ukuhlolwa kwegazi okunye ukuhlolwa kwelebhu ukubheka amaprotheni angeziwe emchameni kanye nezinye izimpawu.

Yiziphi izindlela zokwelapha i-preeclampsia?

Ukubeletha ingane kungaphulukisa i-preeclampsia. Lapho wenza isinqumo mayelana nokwelashwa, umhlinzeki wakho ucabangela izinto eziningana. Kubandakanya ukuthi kunzima kangakanani, ukhulelwe amasonto amangaki, nokuthi izingozi ezingaba khona kuwe nasenganeni yakho ziyini:

• Uma unamasonto angaphezu kwama-37 ukhulelwe, umhlinzeki wakho uzofuna ukuletha ingane.
• Uma ungaphansi kwamasonto angama-37 ukhulelwe, umhlinzeki wakho wezokunakekelwa kwempilo uzokuqapha eduze wena nengane yakho. Lokhu kufaka ukuhlolwa kwegazi nomchamo kwakho. Ukuqapha ingane kuvame ukufaka i-ultrasound, ukuqapha izinga lokushaya kwenhliziyo, nokubheka ukukhula kwengane. Ungahle udinge ukuthatha imithi, ukulawula umfutho wegazi lakho nokuvikela ukuquleka. Abanye besifazane nabo bathola imijovo ye-steroid, ukusiza amaphaphu engane ukuba akhule ngokushesha. Uma i-preeclampsia inzima, umhlinzeki wakho angafuna ukuthi uhambise ingane kusenesikhathi.

Izimpawu zivame ukuphela kungakapheli amasonto ayisithupha wokulethwa. Ezimweni ezingavamile, izimpawu zingase zingapheli, noma zingase ziqale kuze kube ngemva kokubeletha (postpartum preeclampsia). Lokhu kungaba kubi kakhulu, futhi kudinga ukwelashwa ngokushesha.