Siyini isifo se-HELLP, izimpawu nokwelashwa

-Delile

• Izimpawu ze-HELLP Syndrome
• Ubani owayene-HELLP Syndrome angaphinde akhulelwe?
• Ukuxilongwa kwe-HELLP Syndrome
• Injani impatho

I-HELLP syndrome yisimo esenzeka lapho ukhulelwe futhi sibonakala nge-hemolysis, ehambelana nokubhujiswa kwamangqamuzana abomvu egazi, ukushintshwa kwama-enzyme wesibindi nokuncipha kwenani lama-platelet, okungabeka umama nengane engcupheni.

Lesi sifo ngokuvamile sihlobene ne-pre-eclampsia noma i-eclampsia enamandla, engavimba ukuxilongwa futhi ibambezele ukuqala kokwelashwa.

Kubalulekile ukuthi i-HELLP Syndrome ikhonjwe futhi yelashwe ngokushesha okukhulu ukugwema izinkinga ezifana nokuhluleka kwezinso, izinkinga zesibindi, i-acute edema edema noma ukufa kowesifazane okhulelwe noma wengane, isibonelo.

I-HELLP syndrome iyelapheka uma ikhonjwa futhi yelashwa ngokushesha ngokusho kwesincomo sodokotela ababelethayo, futhi kungadingeka, ezimweni ezinzima kakhulu lapho impilo yowesifazane isengcupheni khona, ukukhipha isisu.

Izimpawu ze-HELLP Syndrome

Izimpawu ze-HELLP Syndrome ziyahlukahluka futhi zivame ukuvela phakathi kwamasonto angama-28 nama-36 okukhulelwa, yize zingavela nakuthathu wesibili wokukhulelwa noma, ngisho nangemva kokubeletha, kube yizona eziyinhloko:

• Ubuhlungu obuseduze nomlomo wesisu;
• Ikhanda;
• Izinguquko embonweni;
• Umfutho wegazi ophakeme;
• Ukugula okuvamile;
• Isicanucanu nokuhlanza;
• Ukuba khona kwamaprotheni emchameni;
• I-jaundice, lapho isikhumba namehlo eba nombala ophuzi ngokwengeziwe.

Owesifazane okhulelwe okhombisa izimpawu nezimpawu ze-HELLP Syndrome kufanele axhumane nodokotela wabakhulelwe ngokushesha noma aye egumbini lezimo eziphuthumayo, ikakhulukazi uma ehlushwa i-pre-eclampsia, isifo sikashukela, i-lupus noma izinkinga zenhliziyo noma zezinso.

Ubani owayene-HELLP Syndrome angaphinde akhulelwe?

Uma owesifazane ene-HELLP Syndrome kanti ukwelashwa kwenziwe ngendlela efanele, ukukhulelwa kungenzeka ngendlela ejwayelekile, hhayi ngoba izinga lokuphindaphinda kwalesi sifo liphansi impela.

Yize mancane amathuba okuthi aphinde ahlaselwe yilesi sifo, kubalulekile ukuthi owesifazane okhulelwe abhekwe ngamehlo abukhali ngudokotela obelethayo ukugwema ukuba nezinguquko ngesikhathi sokukhulelwa.

Ukuxilongwa kwe-HELLP Syndrome

Ukuxilongwa kwe-HELLP Syndrome kwenziwa ngudokotela obelethisa ngokuya ngezimpawu ezethulwe ngowesifazane okhulelwe kanye nomphumela wokuhlolwa kwelabhorethri, okufana nokubalwa kwegazi, lapho kuhlolwa khona izici zamaseli abomvu egazi, ukwakheka nobungako bawo, ngaphezu kwalokho ukubheka inani lama-platelet. Funda ukuthi ungasiqonda kanjani isibalo segazi.

Ngaphezu kwalokho, udokotela uncoma ukwenza izivivinyo ezihlola ama-enzyme wesibindi, nawo aguqulwa ku-HELLP syndrome, njenge-LDH, i-bilirubin, i-TGO ne-TGP, ngokwesibonelo. Bona ukuthi yiziphi izivivinyo ezihlola isibindi.

Injani impatho

Ukwelashwa kwe-HELLP Syndrome kwenziwa ngowesifazane ongeniswe egumbini labagula kakhulu ukuze udokotela obelethayo akwazi ukuhlola njalo ukuvela kokukhulelwa futhi akhombise isikhathi esingcono nomzila wokubeletha, uma lokhu kungenzeka.

Ukwelashwa kwe-HELLP Syndrome kuncike ebudaleni besifazane bokukhulelwa, futhi kujwayelekile ukuthi ngemuva kwamasonto angama-34, ukubeletha kuyenziwa kusenesikhathi ukugwema ukufa kowesifazane nokuhlupheka kwengane, okudluliselwa ngokushesha ophikweni lwe-Therapy Unit Neonatal olunzulu ukuze kugwenywe izinkinga.

Lapho owesifazane okhulelwe engaphansi kwamasonto angama-34 ubudala, ama-steroids angajova emisipheni, njenge-betamethasone, ukuthuthukisa amaphaphu engane ukuze ukubelethwa kuthuthuke. Kodwa-ke, lapho owesifazane okhulelwe engaphansi kwamasonto angama-24 ekhulelwe, lolu hlobo lokwelashwa lungahle lungasebenzi, futhi kuyadingeka ukuqeda ukukhulelwa. Qonda kabanzi mayelana nokwelashwa kwe-HELLP Syndrome.