I-Preeclampsia iyinkinga ehlobene nokukhulelwa okungaba yingozi kokubili owesifazane okhulelwe nengane yakhe engakazalwa. Isiyaluyalu asivamile kakhulu, sithinta amaphesenti angu-5 ukuya kwangu-8 azo zonke ukukhulelwa. Noma kunjalo, ingaqhubekela phambili ngokushesha, futhi iholele ezinkingeni ezinkulu ngisho nokufa kokubili umama nengane yakhe engakazalwa.
Ayikho ukwelashwa kwe-preeclampsia: Ukuphela kokwelashwa ukubeletha umntwana.
Ngakho-ke, isimo esibi kakhulu kanti futhi ekuqaleni kwenzeka ngesikhathi sokukhulelwa, kunzima kakhulu ukuphatha. Ukulinganisa izidingo zokubeletha okuqhubekayo kwengane kanye nezingozi isifo esibhekene nawo kokubili umama nengane kuyinselelo yabesifazane abanesimo kanye nodokotela wabo.
Izici eziyinhloko ze-preeclampsia ziphakeme kakhulu kwegazi, amaprotheni emcimbini kanye nokuvuvukala kwemiphetho. Iziguli zingase zibone ukutholakala kwesisindo ngokuzumayo, ikhanda kanye nezinguquko embonweni, kepha abesifazane abaningi abanaso izimpawu nhlobo.
I-Preeclampsia Enamandla Nesisindo Esikhulu
Ngokuvamile, i-preeclampsia ihlukaniswe ngokuqina kwayo, futhi ukuhlukanisa phakathi kwe-preeclampsia emincane futhi ebalulekile kubalulekile ngoba amasu okuphatha ahluke kakhulu.
I- preeclampsia emfushane iyatholakala lapho:
- Ukukhulelwa kunamasonto angama-20
- Ukucindezeleka kwegazi kunaphezulu kwama-systolic angu-140 noma i-diastolic engu-90
- I-0.3g yamaprotheni iqoqiwe kwisampula yamahora angu-24 noma iphikisana ne-1+ amaprotheni isilinganiso kumcibisholo womchamo
- Azikho ezinye izibonakaliso zezinkinga nomama noma umntwana
I-preeclampsia eyinkinga yinkinga enkulu kakhulu. Ukuxilongwa kwe-preeclampsia ejulile kudinga izici eziyisisekelo ze-preeclampsia kanye nokunye okubonisa izinkinga ezengeziwe noma umama noma umntwana. Ngakho-ke, okunye okufundwayo okulandelayo kudingekile ukuxilongwa kwe-preeclampsia eqinile:
- Izimpawu zezinkinga zesistimu ezisemkhatsini (ikhanda elibuhlungu, umbono obonakalayo, ushintshe isimo sengqondo)
- Izimpawu zezinkinga zesibindi (ukucabangela isinkwa kanye / noma ukuhlanza ngezihlungu zesisu)
- Okungenani kabili izilinganiso ezijwayelekile ze-enzyme ezithile zesibindi ekuhlolweni kwegazi
- Umfutho wegazi ophezulu kakhulu (ngaphezulu kuka-160 systolic noma i-diastolic engu-110)
- I-Thrombocytopenia (inani leplatelet eliphansi)
- Ikhulu kunamaprotheni ama-5g esampula yamahora angu-24
- Umkhiqizo ophansi kakhulu we-urine (ngaphansi kuka-500mL emahoreni angu-24)
- Izimpawu zezinkinga zokuphefumula (i-edema yamapulmasi, i-bluish tint esikhumbeni)
- Ukunciphisa ukukhula komntwana wesibindi
- Isibungu
Ezinye izinkinga zokucindezeleka kwegazi ngesikhathi sokukhulelwa
I-preeclampsia ingenye yezinkinga eziningi ezihlobene nomfutho wegazi ophezulu ngesikhathi sokukhulelwa, kubandakanya:
- I-hypertension yama-gestational, ephethe ukucindezelwa kwegazi eliphezulu ngesikhathi sokukhulelwa kepha hhayi amaprotheni amaningi ngokweqile emcinini noma izimpawu zokulimala kwezinye izitho. Kodwa-ke, abanye besifazane abanesifo somfutho wokugulisa umzimba bazoqhubeka nokuthuthukisa i-preeclampsia.
- Isifo somfutho wegazi ophezulu, umfutho wegazi ophezulu owawubhalwe ngaphambi kokukhulelwa noma okwenzeka ngaphambi kwamasonto angu-20 ukubeletha.
- I-hypertension engapheli ne-preeclampsia ephezulu, etholakala kwabesifazane ababenesifo sengculaza esingapheli ngaphambi kokukhulelwa bese bahlakulela ukukhuphuka kwengcindezi yabo yegazi kanye namaprotheni emcinini noma ezinye izimpawu ze-preeclampsia ngesikhathi sokukhulelwa.
> Imithombo:
> Ukuxilongwa nokuphathwa kwe-Preeclampsia ne-Eclampsia. Ikhomishana YaseMelika Yezinambuzane Nezazi ZamaGynecologists. I-ACOG Practice Bulletin # 33, Januwari 2002.