I-Preeclampsia: kuyini, izimpawu eziyinhloko nokwelashwa

-Delile

• Izimpawu eziyinhloko
• 1. I-preeclampsia emaphakathi
• 2. I-pre-eclampsia enamandla
• Yelashwa kanjani
• Izinkinga ezingenzeka ze-preeclampsia

I-Preeclampsia iyinkinga enkulu yokukhulelwa ebonakala yenzeka ngenxa yezinkinga ekwakhiweni kwemithambo yemithambo, okuholela ekuqaqanjelweni yimithambo yegazi, ukuguquka kwekhono lokuvala igazi nokuncipha kokujikeleza kwegazi.

Izimpawu zayo zingabonakala ngesikhathi sokukhulelwa, ikakhulukazi ngemuva kweviki lama-20 lokukhulelwa, ngesikhathi sokubeletha noma ngemuva kokubeletha futhi kufaka umfutho wegazi ophakeme, omkhulu kune-140 x 90 mmHg, ukutholakala kwamaprotheni emchameni nokuvuvukala komzimba ngenxa yokugcina uketshezi .

Ezinye zezimo ezandisa ubungozi bokuthola i-pre-eclampsia zifaka phakathi lapho owesifazane ekhulelwa okokuqala, engaphezulu kweminyaka engama-35 noma engaphansi kwengu-17, enesifo sikashukela, ekhuluphele, ekhulelwe amawele noma enomlando wesifo sezinso, umfutho wegazi ophezulu noma pre-eclampsia yangaphambilini.

Izimpawu eziyinhloko

Izimpawu ze-pre-eclampsia zingahluka ngohlobo:

1. I-preeclampsia emaphakathi

Ku-pre-eclampsia emnene, izimpawu nezimpawu zivame ukufaka:

• Umfutho wegazi olingana no-140 x 90 mmHg;
• Ubukhona bamaprotheni emchameni;
• Ukuvuvukala nokuzuza kwesisindo okungazelelwe, okufana no-2 kuya ku-3 kg ngosuku olungu-1 noma 2.

Lapho kukhona okungenani esisodwa sezimpawu, owesifazane okhulelwe kufanele aye egumbini labezimo eziphuthumayo noma esibhedlela ayolinganisa umfutho wegazi futhi enze ukuhlolwa kwegazi nomchamo, ukubona ukuthi une-pre-eclampsia noma cha.

2. I-pre-eclampsia enamandla

Kwi-pre-eclampsia enamandla, ngaphezu kokuvuvukala nokuzuza kwesisindo, ezinye izimpawu zingavela, njenge:

• Umfutho wegazi omkhulu kuno-160 x 110 mmHg;
• Ikhanda elinamandla futhi njalo;
• Ubuhlungu ohlangothini lwesokunene sesisu;
• Nciphisa inani lomchamo nesifiso sokuchama;
• Izinguquko kumbono, njengokufiphala noma umbono omnyama;
• Ukuzwa okushisayo esiswini.

Uma owesifazane okhulelwe enalezi zimpawu, kufanele aye esibhedlela ngokushesha.

Yelashwa kanjani

Ukwelashwa kwe-pre-eclampsia kuhlose ukuqinisekisa ukuphepha kukamama nengane, futhi kuvame ukwehluka ngokobukhulu besifo nobude besikhathi sokukhulelwa. Endabeni ye-pre-eclampsia emnene, udokotela obelethisa ngokuvamile uncoma ukuthi owesifazane ahlale ekhaya futhi alandele ukudla okunosawoti omncane futhi ngokwanda kokutholwa kwamanzi kube cishe amalitha amabili kuya kwamathathu ngosuku. Ngaphezu kwalokho, ukuphumula kufanele kulandelwe ngokuqinile futhi okungcono ohlangothini lwesobunxele, ukuze kwandiswe ukujikeleza kwegazi kuya ezinso nasesizalweni.

Ngesikhathi sokwelashwa, kubalulekile ukuthi owesifazane okhulelwe alawule umfutho wegazi futhi ahlolwe njalo ngomchamo, ukuvimbela i-preeclampsia ukuthi ingabi kubi kakhulu.

Endabeni ye-pre-eclampsia enamandla, ukwelashwa kuvame ukwenziwa ngokwamukelwa esibhedlela. Owesifazane okhulelwe udinga ukulaliswa esibhedlela ukuze athole imishanguzo yokulwa nomfutho wegazi ophakeme ngomthambo futhi agcine yena kanye nempilo yengane beqashwe ngeso lokhozi. Ngokwesikhathi sokukhulelwa kwengane, udokotela angancoma ukuthi kuncishiswe abasebenzi ukuze belaphe i-preeclampsia.

Izinkinga ezingenzeka ze-preeclampsia

Ezinye zezinkinga ezingabangelwa yi-pre-eclampsia yilezi:

• I-Eclampsia: kuyisimo esibi kakhulu kune-pre-eclampsia, lapho kunezigameko eziphindaphindwayo zokuquleka, kulandelwe ikhoma, okungaba yingozi uma kungalashwa ngokushesha. Funda ukuthi ungabona kanjani futhi welaphe kanjani i-eclampsia;
• I-HELLP Syndrome: esinye inkinga esibonakala, ngaphezu kwezimpawu ze-eclampsia, ukuba khona kokubhujiswa kwamangqamuzana egazi, nge-anemia, ama-hemoglobins angaphansi kwe-10.5% kanye nokwehla kwama-platelet angaphansi kuka-100,000 / mm3, ngaphezu kwama-enzyme wesibindi aphakeme, ne-TGO engaphezulu kuka-70U / UL. Thola imininingwane eminingi ngalesi sifo;
• Ukopha: zenzeka ngenxa yokucekelwa phansi nokwehla kwenani lama-platelet, kanye namandla we-clotting umthamo owehlisiwe;
• I-edema yamaphaphu enamandla: isimo lapho kunokuqoqwa kuketshezi emaphashini;
• Ukwehluleka kwesibindi nezinso: lokho kungaze kuphenduke;
• Ukukhulelwa kwengane kuqala: isimo okuthi, uma sibucayi futhi ngaphandle kokuthuthuka okufanele kwezitho zaso, singashiya i-sequelae futhi sonakalise imisebenzi yaso.

Lezi zinkinga zingagwenywa uma owesifazane okhulelwe enza ukunakekelwa kokubeletha ngesikhathi sokukhulelwa, njengoba lesi sifo singabonakala ekuqaleni futhi ukwelashwa kungenziwa ngokushesha okukhulu.

Owesifazane obene-pre-eclampsia angaphinda futhi akhulelwe, futhi kubalulekile ukuthi ukunakekelwa ngaphambi kokubeletha kwenziwe ngokuqinile, ngokwemiyalo kadokotela wokubelethisa.