Ukwelashwa kwe-HELLP Syndrome

-Delile

• 1. Abesifazane abakhulelwe abangaphezu kwamasonto angama-34
• 2. Abesifazane abakhulelwe abangaphansi kwamasonto angama-34
• Ukwelashwa kwe-Corticosteroid ukukhuthaza ingane
• Izimpawu zokwenza ngcono ku-HELLP syndrome
• Izimpawu zokwanda kwesifo se-HELLP

Ukwelashwa okungcono kakhulu kwe-HELLP Syndrome ukubangela ukubeletha kusenesikhathi lapho ingane isivele inamaphaphu akhule kahle, imvamisa ngemuva kwamasonto angama-34, noma ukusheshisa ukukhula kwayo ukuze ukulethwa kuthuthuke, ezimeni zokuba nesikhathi sokukhulelwa isikhathi esingaphansi kwamasonto angama-34.

Imvamisa, izimpawu ze-HELLP syndrome zithuthuka ezinsukwini ezi-2 ukuya kwezi-3 ngemuva kokubeletha, kepha uma ingane ingakakhuli ngokwanele, udokotela obelethayo angancoma ukulaliswa esibhedlela ukuze kugcinwe kuqashwe njalo futhi kuhlolwe impilo yowesifazane okhulelwe nengane, kulawulwa izimpawu umuthi ngqo emthanjeni, kuze kube yisikhathi lapho kungenzeka khona ukulethwa.

Njengesimo esiphuthumayo, i-HELLP syndrome kufanele ihlolwe ngokushesha ngangokunokwenzeka esibhedlela, ngokushesha nje lapho kuqala izimpawu zokusola ezinjengekhanda elibi kakhulu, ukushintsha kombono nokugula okuvamile. Bona ukuthi yiziphi zonke izimpawu ezivamile zale nkinga.

1. Abesifazane abakhulelwe abangaphezu kwamasonto angama-34

Ngalesi sikhathi sokukhulelwa, ingane ivame ukukhula ngokwanele ukudala ukubeletha futhi ivumele ukuthi iqhubeke ikhule ngokuphepha ngaphandle kwesibeletho. Ngakho-ke, kulezi zimo, i-HELLP syndrome ivame ukwelashwa ngokulethwa ngaphambi kwesikhathi.

Yize izimpawu ziyathuthuka ezinsukwini ezi-2 noma ezi-3 zokuqala ngemuva kokubeletha, owesifazane okhulelwe nengane bangadinga ukuhlala esibhedlela isikhathi eside bebhekiwe ukuqinisekisa ukuthi azikho izinkinga.

Uma ingane izalwe ngaphambi kwamasonto angama-37, kujwayelekile ukuthi ingeniswe esibhedlela ukuze kufakwe amaphaphu nezinye izitho zomzimba ngendlela efanele.

2. Abesifazane abakhulelwe abangaphansi kwamasonto angama-34

Lapho owesifazane okhulelwe engaphansi kwamasonto angama-34 ubudala, noma lapho ingane ingenakho ukukhula okwanele kwamaphaphu ukuze ibelethe ingane, udokotela uvame ukuncoma ukulaliswa esibhedlela ukuze kuhlolwe njalo owesifazane okhulelwe futhi aqale ukwelashwa nge:

• Ukuphumula ngokuphelele embhedeni;
• Ukumpontshelwa igazi, ukwelapha i-anemia ebangelwa yi-syndrome;
• Imithi yomfutho wegazi ophakeme, enqunywe ngudokotela obelethisayo;
• Ukungeniswa kwe-magnesium sulfate, ukuvimbela ukuquleka ngenxa yomfutho wegazi ophakeme.

Kodwa-ke, lapho izimpawu ze-HELLP Syndrome ziba zimbi noma iminyaka yokukhulelwa ingaphansi kwamasonto angama-24, udokotela obelethisayo angancoma ukukhipha isisu ukugwema izinkinga ezinkulu kowesifazane okhulelwe, njengokuhluleka okukhulu kwezinso noma i-acute lung edema, engaba yingozi empilweni .

Ukwelashwa kwe-Corticosteroid ukukhuthaza ingane

Ngaphezu kwalokhu kunakekelwa ngesikhathi sokulaliswa esibhedlela, udokotela obelethayo angakweluleka ukuthi uthathe ukwelashwa kwe-corticosteroid ukukhuthaza ukukhula kwamaphaphu engane futhi uvumele ukubeletha kwenzeke ngaphambi kwesikhathi. Lokhu kwelashwa kwenziwa ngokuphathwa kwe-corticoid, imvamisa i-dexamethasone, ngqo emthanjeni.

Yize iphumelele kakhulu ezimweni eziningana, lokhu kwelashwa kuyimpikiswano enkulu ngakho-ke, uma kungakhombisi imiphumela, kungashiywa ngudokotela.

Izimpawu zokwenza ngcono ku-HELLP syndrome

Izimpawu zokuthuthuka kwe-HELLP Syndrome ukusimamiswa kwengcindezi yegazi ngamanani afana nalawo owesifazane ayenawo ngaphambi kokukhulelwa, kanye nokwehliswa ikhanda nokuhlanza.

Esikhathini sokubeletha se-HELLP Syndrome owesifazane okhulelwe uzozwa ngcono ezinsukwini ezi-2 kuye kwezi-3, kepha kufanele aqhubeke nokuhlolwa ngudokotela obelethayo noma udokotela ojwayelekile, okungenani kanye ngesonto, ngenyanga yokuqala.

Izimpawu zokwanda kwesifo se-HELLP

Izimpawu zokuba bucayi kwesifo se-HELLP syndrome zivela lapho ukwelashwa kungaqalwa ngesikhathi noma lapho umzimba wowesifazane okhulelwe engakwazi ukumelana nokukhuphuka kwengcindezi yegazi futhi kubandakanya ubunzima ekuphefumuleni, ekopheni nokwehla kwenani lomchamo.