Izindaba ezithembayo zokuvimbela i-preeclampsia kumama omama amaningi
Ucwaningo lwakamuva luletha izindaba ezinhle mayelana ne- preeclampsia , isimo sokukhulelwa esithinta okwesithathu samamama amaningi. Abacwaningi baye baqaphela amaprotheni amabili akhiqizwa yi-placenta okungenzeka ibe nesibopho sokuthuthukisa isimo. Ngenxa yalokhu kutholakala, odokotela bazokwazi ukubikezela futhi mhlawumbe baphathe lesi sifo.
Ngo-2003, abacwaningi eBet Israel Deaconess Medical Centre basebenzisa i-gene expression expression profiling ukukhomba izakhi zofuzo emangqamuzaneni angama-placental abesifazane abakhulelwe abaveza izinga eliphezulu lamaprotheni. Ukuxilongwa kwala maprotheni kunciphisa imithwalo yegazi, kukhulisa umfutho wegazi lomama futhi kuphazamise ukulethwa kwegazi kanye nezakhi zomzimba ku-placenta.
Sibutsetelo
Ukuqaphela isakhi kwakusho ukuthi odokotela bazokwazi kangcono ukuxilonga lesi simo futhi bathuthukise ukwelashwa okuphumelelayo ukuyivimbela. Esikhathini esedlule, ukuxilongwa kuxhomeke ekubonisweni okungaqondile; ngenkathi izimpawu ziboniswa, ukugeleza kwegazi kuya e-placenta kungenzeka sekuye kwahlulwa ngamaphesenti angama-50.
Iyini i-Preeclampsia?
Omama abakhulelwe izimpande basengozini enkulu kakhulu ye-preeclampsia, eyaziwa nangokuthi i-Toxemia noma Ukukhulelwa Kwengqondo Okubangelwa I-Hypertension (PIH). Nakuba kulinganiselwa ukuthi phakathi kuka-5 no-10% wokukhulelwa kwe-singleton kuthinteka yilo mkhuba, oyedwa kuwo wonke omama abathathu abaphindaphindiwe uzoveza izimpawu ngesikhathi ekhulelwe.
Izimpawu
Izimpawu zivame ukukhula ngemva kweviki leshumi nambili lokukhulelwa futhi zivame ukutholakala ngesikhathi sokuhlolwa kwesimiso. Zihlanganisa ukugcinwa kwamanzi, ukukhukhumeza ezandleni noma ezinyaweni, ukucindezela kwegazi okwedlulele, amaprotheni emcimbini noma ukuzuza kwesisindo samasonto angaphezulu kwamakhilogremu amabili. Izimpawu ezinzima zihlanganisa: ukukhathazeka noma ukudideka, izinguquko esimweni sengqondo somama, isicanucanu noma ukuhlanza, ikhanda, ukukhathala, ubuhlungu besisu, noma ukuphefumula.
Thintana nodokotela noma umnakekeli wakho ngokushesha uma ubona lezi zimpawu ngesikhathi ukhulelwe ngamawele, kathathu noma ngaphezulu.
Ukwelapha
Ekugcineni, indlela yodwa yokwelapha "preeclampsia" ukuletha abantwana. Odokotela kumele balinganise umthelela empilweni kamama ngokumelene nesimo samawele, ama-triplets noma ama-multiples. Kwezinye izimo, lesi simo singalawulwa ngokulinganisela ukuziphatha komama: ukwandisa ukungena kwamanzi, ukunciphisa uketshezi kasawoti, noma ukubeka umkhuba wokuphumula kombhede ngenkathi uhlangothini lwakhe lwesobunxele ukukhawulela ukucindezelwa emithonjeni emikhulu yegazi. Abanakekeli bayo nabo bazodinga ukuvakashelwa kwamahhovisi amaningi ukuze baqaphe ukucindezeleka kwegazi kanye namazinga omzimba wamaprotheni.
Ezimweni ezimbi kakhulu, kungase kudingeke ukuthi izibhedlela ziphumule ngokuphelele. Imithi efana ne- magnesium sulfate noma i-hydralazine ingasetshenziswa, nakuba imiphumela emibi yalezi zidakamizwa ingabangela izinkinga ezengeziwe zezokwelapha. Ezimweni ezinzima kunazo zonke, umsebenzi uzokwenziwa noma isigaba c sizokwenziwa.
Imiphumela Yempilo kumama
Lapho abantwana bekhululwa, izimpawu kufanele zithinte futhi impilo kamama ngeke isengozini. Kodwa-ke, abesifazane basengozini yokuthuthukisa i-eclampsia kuze kube amasonto ayisithupha emva kokubeletha izingane zabo; odokotela bazoqhubeka nokuqapha ukucindezelwa kwegazi phakathi nalesi sikhathi sokuhamba kwesikhathi.
Uma kushiywe kungahlosiwe, preeclampsia ingalimaza izinso zikamama, isibindi nobuchopho. I-Preeclampsia inesibopho samaphesenti angu-16 okufa okuhlobene nokukhulelwa e-United States unyaka ngamunye; I-preeclampsia engasetshenzisiwe iqhubekela eclampsia, eyesibili imbangela ehamba phambili yokufa komama e-United States.
Impact kwabantwana
Ngenxa yokuthi "ukwelashwa" kwe-preeclampsia ukulethwa kwezinsana, zisengozini enkulu yokuzalwa ngaphambi kwesikhathi. Ngenkathi umthelela wokungabi nesikhathi sokuqala ubonisa izinkinga ezihlukahlukene, ukuhlala ku-utero kunezingozi zakho siqu. Uma igazi ligeleza ku-placenta livinjelwe, ama-fetus athola i-oksijini encane kanye nezakhi.
Lokhu kungaveza izingane nge-IUGR (Ukunciphisa Ukukhula Kwe-Intrauterine), izisindo zokuzalwa ezincane noma ngisho nokubeletha.
Indlela Yokuvimbela Izinkinga
Ukuhlola njalo nodokotela noma umbelethisi wakho kuyadingeka. Umnakekeli wakho kufanele aqaphe ngokucophelela ukucindezela kwegazi, inzuzo yesisindo, kanye nokukhishwa komchamo. Vumela udokotela wakho wazi uma unomlando we-preeclampsia emndenini wakho - kufaka phakathi ukukhulelwa kwakho kwangaphambili. Abesifazane abanesifo somfutho wegazi ophezulu, ukukhuluphala ngokweqile, isifo sikashukela noma isifo sezinso basengozini enkulu, futhi.
Sethemba ukuthi lolu lwazi olusha mayelana nombangela we-preeclampsia luzohlinzeka umphakathi wezokwelapha ngamathuluzi okunciphisa umthelela wesimo. Abacwaningi bathi ukutholakala c kufanele kuhlinzekwe "ukuphumelela okumangalisayo," okuyizindaba ezinhle kubomama beziphindaphinda abasengozini enkulu yalesi sifo ngenkathi bekhulelwe ngamawele, kathathu noma ngaphezulu.
Thatha i-Preeclampsia Poll.