I-Preeclampsia: Izingozi Zokukhulelwa Kwesibili

-Delile

• Ukubuka konke
• I-Preeclampsia ekukhulelweni kwangaphambilini
• Ngubani osengozini ye-preeclampsia?
• Ngingakwazi yini ukuletha ingane yami uma ngine-preeclampsia?
• Ukwelashwa kwe-preeclampsia
• Ungayivimbela kanjani i-preeclampsia
• Umbono

Ukubuka konke

I-Preeclampsia yisimo esivame ukuvela ngesikhathi sokukhulelwa, kepha kungenzeka ngemuva kokubeletha kwezinye izimo. Kubanga umfutho wegazi ophakeme kanye nokwehluleka komzimba.

Ngokuvamile kwenzeka ngemuva kwesonto lama-20 lokukhulelwa futhi kungenzeka kwabesifazane ababengenawo umfutho wegazi ophakeme ngaphambi kokukhulelwa. Kungaholela ezinkingeni ezinkulu nawe nengane yakho ezingabulala ngezinye izikhathi.

Uma ishiywe ingalashwa kunina, i-preeclampsia ingaholela ekuhlulekeni kwesibindi noma izinso kanye nezinkinga ezingaba khona zenhliziyo ngokuzayo. Kungaholela nasesimweni esibizwa nge-eclampsia, esingadala ukuquleka kunina. Umphumela onzima kakhulu ukushaywa unhlangothi, okungaholela ekulimaleni unomphela kobuchopho noma ngisho nasekufeni komama.

Enganeni yakho, kungabavimbela ekutholeni igazi elanele, kunikeze ingane yakho umoya-mpilo omncane nokudla, okuholele ekukhuleni okuhamba kancane esibelethweni, isisindo esiphansi sokuzalwa, ukuzalwa ngaphambi kwesikhathi, kanye nokuzala okungajwayelekile kokuzalwa.

I-Preeclampsia ekukhulelweni kwangaphambilini

Uma ngabe une-preeclampsia ekukhulelweni kwangaphambilini, usengozini enkulu yokuyithuthukisa ekukhulelweni okuzayo. Izinga lobungozi bakho lincike ebucayi besifo esedlule kanye nesikhathi lapho usithuthukise khona ekukhulelweni kwakho kokuqala. Ngokuvamile, lapho uyihlakulela ekuqaleni kokukhulelwa, iba nzima kakhulu futhi kungenzeka ukuthi uyiphinde uyihlakulele.

Esinye isimo esingathuthukiswa ekukhulelweni sibizwa ngokuthi yi-HELLP syndrome, emele i-hemolysis, ama-enzyme aphakeme esibindi, kanye nenani eliphansi lamaplatelet. Ithinta amangqamuzana akho abomvu egazi, ukuthi igazi lakho ligaxeka kanjani, nokuthi isibindi sakho sisebenza kanjani. I-HELLP ihlobene ne-preeclampsia futhi cishe amaphesenti ama-4 kuye kwayi-12 wabesifazane abatholakala ukuthi bane-preeclampsia bathuthukisa i-HELLP.

I-HELLP syndrome nayo ingadala izinkinga ekukhulelweni, futhi uma ubune-HELLP ekukhulelweni kwangaphambilini, kungakhathalekile ukuthi isikhathi siqala nini, unengozi enkulu yokuyithuthukisa ekukhulelweni okuzayo.

Ngubani osengozini ye-preeclampsia?

Izimbangela ze-preeclampsia aziwa, kepha izici eziningana ngaphezu kokuba nomlando we-preeclampsia zingakubeka engcupheni enkulu yokuthola lokhu, kufaka phakathi:

• ukuba nomfutho wegazi ophakeme noma isifo sezinso ngaphambi kokukhulelwa
• umlando womndeni we-preeclampsia noma umfutho wegazi ophakeme
• ngaphansi kweminyaka engama-20 nangaphezulu kwengu-40
• ukuba namawele noma ukuphindaphindeka
• ukuthola umntwana ngokuhlukana ngeminyaka engaphezu kwengu-10
• ukukhuluphala noma ukuba nenkomba yomzimba (BMI) engaphezu kwama-30

Izimpawu ze-preeclampsia zifaka:

• ikhanda
• ukungaboni kahle noma ukulahleka kombono
• isicanucanu noma ukuhlanza
• ubuhlungu besisu
• ukuphelelwa umoya
• ukuchama ngamanani amancane futhi akuvamile
• ukuvuvukala ebusweni

Ukuthola i-preeclampsia, udokotela wakho kungenzeka ahlole umfutho wegazi lakho futhi enze ukuhlolwa kwegazi nomchamo.

Ngingakwazi yini ukuletha ingane yami uma ngine-preeclampsia?

Yize i-preeclampsia ingaholela ezinkingeni ezinkulu ngesikhathi sokukhulelwa, usengakwazi ukuletha ingane yakho.

Ngoba kucatshangwa ukuthi i-preeclampsia ibangelwa yizinkinga ezakhiwe ukukhulelwa uqobo, ukulethwa kwengane ne-placenta kuyindlela yokwelashwa enconywayo yokumisa ukuqhubeka kwesifo nokuholele ekuxazululeni.

Udokotela wakho uzoxoxa ngesikhathi sokubeletha ngokuya ngobukhulu besifo sakho kanye nobudala bokukhulelwa kwengane yakho. Iningi leziguli linokuxazululwa komfutho wegazi ophakeme kungakapheli izinsuku kuya emasontweni.

Kunesinye isimo esibizwa nge-postpartum preeclampsia esenzeka ngemuva kokubeletha, izimpawu zaso ezifana ne-preeclampsia. Bona udokotela wakho ngokushesha uma uhlangabezana nezimpawu ze-preeclampsia ngemuva kokubeletha, ngoba kungaholela ezinkingeni ezinkulu.

Ukwelashwa kwe-preeclampsia

Uma uba ne-preeclampsia futhi, wena nengane yakho nizobhekwa njalo. Ukwelashwa kuzogxila ekubambezeleni ukuqhubeka kwesifo, nokubambezela ukulethwa kwengane yakho ize ikhule esibelethweni sakho isikhathi esanele ukunciphisa ubungozi bokulethwa ngaphambi kwesikhathi.

Udokotela wakho angakuqapha eduze, noma ungalaliswa esibhedlela ngokuqapha kanye nokwelashwa okuthile. Lokhu kuzoya ngobukhulu besifo, isikhathi sokukhulelwa kwengane yakho, kanye nezincomo zikadokotela wakho.

Imithi esetshenziselwa ukwelapha i-preeclampsia ifaka:

• imithi yokwehlisa umfutho wegazi
• corticosteroids, ukusiza amaphaphu engane yakho akhule ngokugcwele
• imishanguzo yokulwa nokuqothuka

Ungayivimbela kanjani i-preeclampsia

Uma i-preeclampsia itholakala kusenesikhathi, wena nengane yakho niyokwelashwa futhi nilawulwe ngomphumela omuhle kakhulu. Okulandelayo kunganciphisa amathuba akho okuthuthukisa i-preeclampsia ekukhulelweni kwesibili:

• Ngemuva kokukhulelwa kwakho kokuqala nangaphambi kwesibili, cela udokotela wakho ukuthi enze ukuhlolwa okuphelele kwengcindezi yegazi lakho nokusebenza kwezinso.
• Uma wena noma isihlobo esiseduze sike saba namahlule emithanjeni noma emaphashini ngaphambili, buza udokotela wakho ngokukuhlolela ukuvala ukungajwayelekile, noma i-thrombophilias. Lokhu kukhubazeka kofuzo kungakhuphula ubungozi bakho be-preeclampsia kanye namahlule egazi le-placental.
• Uma ukhuluphele, cabanga ngokunciphisa umzimba. Ukwehlisa isisindo kunganciphisa ubungozi bokuphinda uthole i-preeclampsia futhi.
• Uma unesifo sikashukela esincike ku-insulin, qiniseka ukuthi uzinzisa futhi ulawule izinga likashukela egazini ngaphambi kokuba ukhulelwe futhi usakhulelwe ukunciphisa ingozi yokuba ne-preeclampsia futhi.
• Uma une-high blood pressure, khuluma nodokotela wakho mayelana nokuyilawula kahle ngaphambi kokukhulelwa.

Ukuvimbela i-preeclampsia ekukhulelweni kwesibili, udokotela wakho angakutusa ukuthi uthathe umthamo ophansi we-aspirin sekwedlule i-trimester yakho yokuqala, phakathi kwama-milligram angama-60 kuya kwangu-81.

Indlela engcono yokwenza ngcono imiphumela yokukhulelwa kwakho ukubona udokotela wakho njalo, ukuqala ukunakekelwa kokubeletha ekuqaleni kokukhulelwa kwakho, futhi ugcine konke ukuvakashelwa kwakho kokubeletha okuhleliwe. Ngokunokwenzeka, udokotela wakho uzothola ukuhlolwa okuyisisekelo kwegazi nomchamo ngesikhathi sokuvakasha kwakho kokuqala.

Kukho konke ukukhulelwa kwakho, lezi zivivinyo zingaphindwa ukuze zisize ekutholeni i-preeclampsia ngaphambi kwesikhathi. Uzodinga ukubona udokotela wakho kaningi ukuqapha ukukhulelwa kwakho.

Umbono

I-Preeclampsia yisimo esibi esingaholela ezinkingeni ezinzima kubo bobabili umama nengane. Kungaholela ezinkingeni zezinso, isibindi, inhliziyo, nobuchopho kumama futhi kungadala ukukhula kancane esibelethweni, ukuzalwa ngaphambi kwesikhathi, kanye nesisindo sokuzalwa esiphansi enganeni yakho.

Ukuba nayo ngesikhathi sokukhulelwa kwakho kokuqala kuzokwandisa amathuba akho okuba nayo ngesikhathi sokukhulelwa kwakho kwesibili nokulandelayo.

Indlela engcono kakhulu yokwelapha i-preeclampsia ukuyikhomba nokuyixilonga kusenesikhathi nokuqapha wena nengane yakho eduze ngesikhathi ukhulelwe.

Imithi iyatholakala ukunciphisa umfutho wegazi nokuphatha izimpawu zesifo, kepha ekugcineni, ukulethwa kwengane yakho kunconyelwe ukumisa ukuqhubeka kwe-preeclampsia futhi kuholele ekuxazululeni.

Abanye besifazane baba ne-postpartum preeclampsia ngemuva kokubeletha. Kufanele ufune usizo lwezempilo ngokushesha uma lokhu kwenzeka kuwe.