Okufanele Ukwazi NgePreeclampsia Ngemuva Kokuzalwa

-Delile

• I-Postpartum preeclampsia vs. preeclampsia
• Ziyini izimpawu?
• Yini ebangela i-postpartum preeclampsia?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Kunjani ukululama?
• Yiziphi izinkinga ezingaba khona?
• Ingabe kukhona okungenziwa ukukuvimbela?
• Ukudla okudlela endlini

I-Postpartum preeclampsia vs. preeclampsia

I-Preeclampsia ne-postpartum preeclampsia yizifo ze-hypertensive ezihlobene nokukhulelwa. Isifo se-hypertensive yisinye esidala umfutho wegazi ophezulu.

I-Preeclampsia yenzeka ngesikhathi sokukhulelwa. Kusho ukuthi umfutho wegazi lakho uku-140/90 noma ngaphezulu. Unokuvuvukala namaprotheni emchameni wakho. Ngemuva kokulethwa, izimpawu ze-preeclampsia ziyaphela njengoba umfutho wegazi lakho uzinza.

I-Postpartum preeclampsia yenzeka ngemuva nje kokubeletha, noma ngabe ubenomfutho wegazi ophezulu ngesikhathi ukhulelwe. Ngaphandle kwengcindezi ephezulu yegazi, izimpawu zingafaka ikhanda, ubuhlungu besisu, nesicanucanu.

I-Postpartum preeclampsia ayivamile. Ukuba nalesi simo kungakwelula ukutakula kwakho ekubelethweni, kepha kunezindlela zokwelashwa ezisebenzayo zokubuyisa ingcindezi yegazi lakho. Uma ungelashwa, lesi simo singaholela ezinkingeni ezinkulu.

Funda kabanzi ukuze ufunde kabanzi mayelana nokuhlonza nokwelapha i-postpartum preeclampsia.

Ziyini izimpawu?

Kungenzeka uchithe isikhathi esithile ufunda ngalokho ongakulindela ngesikhathi sokukhulelwa nokubeletha. Kodwa nomzimba wakho uyashintsha ngemuva kokubeletha, futhi kusenezinye izingozi zezempilo.

I-Postpartum preeclampsia ingenye yengozi enjalo. Ungayithuthukisa noma ngabe awunayo i-preeclampsia noma umfutho wegazi ophezulu ngesikhathi ukhulelwe.

I-Postpartum preeclampsia ivame ukukhula kungakapheli amahora angama-48 ibelethile. Kwabesifazane abathile, kungathatha isikhathi esingamasonto ayisithupha ukukhula. Izimpawu nezimpawu zingafaka:

• umfutho wegazi ophezulu (umfutho wegazi ophakeme)
• amaprotheni amaningi emchameni (proteinuria)
• ubuhlungu obukhulu bekhanda noma i-migraine
• ukungaboni kahle, ukubona amabala, noma ukuzwela okukhanyayo
• ubuhlungu esiswini esingenhla kwesokudla
• ukuvuvukala kobuso, izitho, izandla nezinyawo
• isicanucanu noma ukuhlanza
• ukuncipha ukuchama
• ukuzuza ngokushesha kwesisindo

IPostpartum preeclampsia yisimo sochungechunge kakhulu esingathuthuka ngokushesha. Uma unezinye zalezi zimpawu, shayela udokotela wakho ngokushesha. Uma ungakwazi ukufinyelela kudokotela wakho, iya egumbini lezimo eziphuthumayo eliseduzane.

Yini ebangela i-postpartum preeclampsia?

Izimbangela ze-postpartum preeclampsia azaziwa, kepha kunezici ezithile zobungozi ezingakhuphula ubungozi bakho. Ezinye zazo zifaka:

• umfutho wegazi ophakeme ongalawuleki ngaphambi kokukhulelwa
• umfutho wegazi ophakeme ngesikhathi ukhulelwe kakhulu (i-gestational hypertension)
• umlando womndeni we-postpartum preeclampsia
• ukuba ngaphansi kweminyaka engama-20 noma ngaphezulu kwengama-40 uma usunengane
• ukukhuluphala ngokweqile
• ukuba neziphindaphindo, njengamawele noma amawele amathathu
• thayipha 1 noma thayipha 2 sikashukela

Kutholakala kanjani?

Uma uba ne-postpartum preeclampsia ngesikhathi uhlala esibhedlela, cishe ngeke ukhishwe kuze kube yilapho isixazulula. Uma usuvele ukhishiwe, kungadingeka ukuthi ubuyele ukuyoxilongwa nokwelashwa.

Ukuze ufinyelele ukuxilongwa, udokotela wakho angenza noma yikuphi okulandelayo:

• ukuqapha ukucindezelwa kwegazi
• ukuhlolwa kwegazi kokubalwa kweplatelet nokuhlola ukusebenza kwesibindi nezinso
• i-urinalysis ukuhlola amazinga wamaprotheni

Ilashwa kanjani?

Udokotela wakho uzokunika imithi yokwelapha i-postpartum preeclampsia. Ngokuya ngecala lakho elithile, le mithi ingafaka:

• imithi yokwehlisa umfutho wegazi
• imishanguzo yokulwa nokubanjwa, njenge-magnesium sulfate
• izinciphisi zegazi (ama-anticoagulants) ukusiza ukuvimbela amahlule egazi

Ngokuvamile kuphephile ukuthatha le mithi lapho uncelisa, kodwa kubalulekile ukuxoxa ngalokhu nodokotela wakho.

Kunjani ukululama?

Udokotela wakho uzosebenzela ukuthola umuthi ofanele wokulawula umfutho wegazi, okuzosiza ekunciphiseni izimpawu. Lokhu kungathatha noma yikuphi ukusuka ezinsukwini ezimbalwa kuye emavikini ambalwa.

Ngaphezu kokululama kusuka kwi-postpartum preeclampsia, uzophinde ululame ekubelethweni uqobo. Lokhu kungafaka izinguquko zomzimba nezingokomzwelo ezifana:

• ukukhathala
• ukukhishwa kwesitho sangasese sowesifazane noma ukuqobhoza
• ukuqunjelwa
• amabele amathenda
• izingono ezibuhlungu uma uncelisa
• uzizwa uluhlaza okwesibhakabhaka noma ukhala, noma ukushintsha kwemizwelo
• izinkinga zokulala nokudla
• ubuhlungu besisu noma ukungaphatheki kahle uma uke wabeletha ngokuhlinzwa
• ukungakhululeki ngenxa yama-hemorrhoids noma i-episiotomy

Kungase kudingeke uhlale esibhedlela isikhathi eside noma uthole ukuphumula kombhede okuningi kunokunye. Ukuzinakekela wena nengane yakho esanda kuzalwa kungaba yinselele ngalesi sikhathi. Zama ukwenza okulandelayo:

• Ncika kosondele ukuze uthole usizo uze ululame ngokuphelele. Cindezela ubunzima besimo sakho. Bazise uma uzizwa ukhungathekile futhi ucacise ngohlobo losizo oludingayo.
• Gcina wonke ama-aphoyintimenti akho wokulandelela. Kubalulekile kuwe nasenganeni yakho.
• Buza ngezimpawu nezimpawu ezikhomba isimo esiphuthumayo.
• Uma ukwazi, qasha umzanyana ukuze ukwazi ukuthola ukuphumula.
• Ungabuyeli emsebenzini udokotela wakho aze athi kuphephile ukwenza njalo.
• Yenza ukutakula kwakho kube yinto eza kuqala kakhulu. Lokho kusho ukuyeka imisebenzi engabalulekile ukuze ugxile ekutholeni amandla akho.

Udokotela wakho uzokhuluma nawe ngalokho okuphephile ukukwenza nokuthi ungazinakekela kanjani kangcono. Buza imibuzo bese ulandela lezi zincomo ngokucophelela. Qiniseka ukuthi ubika noma yiziphi izimpawu ezintsha noma eziba zimbi ngokushesha.

Tshela udokotela wakho uma uzizwa ukhungathekile noma unezimpawu zokukhathazeka noma zokudangala.

Yiziphi izinkinga ezingaba khona?

Umbono wokululama ngokugcwele muhle uma isimo sesitholakele futhi selashwa.

Ngaphandle kokwelashwa okusheshayo, i-postpartum preeclampsia ingaholela ezinkingeni ezinkulu, ngisho nezisongela impilo. Ezinye zazo yilezi:

• unhlangothi
• uketshezi oluningi emaphashini (i-pulmonary edema)
• uvimbe umthambo wegazi ngenxa yegazi (i-thromboembolism)
• postpartum eclampsia, ethinta ukusebenza kobuchopho futhi iphumele ekuqulekeni. Lokhu kungadala ukulimala okungapheli emehlweni, isibindi, izinso, nobuchopho.
• I-HELLP syndrome, emele i-hemolysis, ama-enzyme aphakeme esibindi, kanye nenani eliphansi leplatelet. I-Hemolysis ukubhujiswa kwamangqamuzana abomvu egazi.

Ingabe kukhona okungenziwa ukukuvimbela?

Ngoba imbangela ayaziwa, akunakwenzeka ukuvimbela i-postpartum preeclampsia. Uma uke waba nalesi simo ngaphambili noma unomlando we-high blood pressure, udokotela wakho angenza izincomo ezithile zokulawula ukucindezelwa kwegazi ngesikhathi sokukhulelwa kwakho okulandelayo.

Qiniseka ukuthi umfutho wegazi lakho uyahlolwa ngemuva kokuba usuthole umntwana. Lokhu ngeke kuvimbele i-preeclampsia, kepha ukutholwa kusenesikhathi kungakuqala ekwelashweni futhi kusize ukugwema izinkinga ezinkulu.

Ukudla okudlela endlini

I-Postpartum preeclampsia yisimo esisongela impilo. Ngokwelashwa, umbono muhle kakhulu.

Yize kungokwemvelo ukugxila enganeni yakho entsha, kubalulekile nokunaka impilo yakho. Uma unezimpawu ze-postpartum preeclampsia, bheka udokotela wakho ngokushesha. Kuyinto enhle kakhulu ongayenzela wena nengane yakho.