I-Eclampsia yisimo esibi kakhulu esivame ukuchazwa njenge-seizures noma i-coma esigulini nezinye izinkomba zokukhulelwa komfutho okhulelwe. I-Eclampsia yake yacatshangwa ukuthi iyisikhathi sokuphela kwesandulela-phambili se-preeclampsia, kodwa lokhu akusasekho. Esikhundleni salokho, manje sekuqaphele ukuthi ezinye iziguli zingahlakulela i-eclampsia-noma "izimpawu zobumnandi" -kuqondile, ngaphandle kokuqala ukuthuthukisa noma yiziphi izimpawu ngaphandle kwegazi eliphezulu.
Izimpawu
Naphezu kwalolu shintsho ngendlela i-eclampsia ebukwa ngayo, kusengavamile ukukhuluma ngesimo ngokwe- preeclampsia , yingakho incazelo esemthethweni isakhuluma ngokuthinteka noma ukucubungula "esimweni se-preeclampsia." Leli gama elithile eliphelelwe yisikhathi libhekisela ngempela izibonakaliso ezihlukahlukene-kanye nesimo sokwehlukana-okungase kuhlanganise:
- Amaphrotheni kumchamo
- Umfutho wegazi ophakeme (> 140 mmHg systolic noma> 90 mmHg diastolic)
- Ubuhlungu besisu
- Ukunciphisa umkhiqizo we-urine
- Izimpawu "zokucindezeleka komntwana," okusho ukuthi umntwana unenkinga
- Inani le-platelet ephansi yegazi
Lezi zimpawu ezengeziwe ziyisizinda lapho kutholakala khona ukuhlonza i-eclampsia, kodwa akudingeki ukuba kuhlolwe. Lapho kukhona ukucindezeleka kwegazi eliphezulu, ukuqubuka noma i-coma yizimpawu ezicacile ze-eclampsia kanye nesifo kuphela esidingekayo sokuxilongwa. Noma yikuphi owesifazane okhulelwe onomfutho wegazi ophezulu onokuqothulwa okungenakucatshangelwa kwezinye izizathu angatholakala nge-eclampsia.
I-Eclampsia Ejwayelekile Kanjani?
Nakuba i-eclampsia yisimo esibi kakhulu esingasongela impilo yomama nomntwana, kungavamile kakhulu ezweni laseNtshonalanga. Idatha ukuthi bangaki abesifazane abahlukunyezwa yi-eclampsia bakhombisa ukuthi le nkinga ithinta abesifazane abangaba ngu-5 kuzo zonke izinkulungwane eziyishumi ezibelethayo, noma cishe ingxenye eyodwa kweyeshumi kwephesenti eyodwa yabesifazane abakhulelwe.
Cishe ingxenye yesihlanu yazo zonke izimo zenzeka phakathi kwamaviki angu-20 no-31 okukhulelwa; cishe okwesithathu kwenzeka ngesikhathi sokubeletha noma amahora angu-48 ngaphambili. I-Eclampsia iyingqayizivele kakhulu ngaphambi kweviki lama-20 lokukhulelwa, futhi amacala aphakama ngalesi sikhathi ngokuvamile ayesibonakaliso sesinye isifo esiyinkimbinkimbi, njengokukhulelwa kwe- molar noma inkinga yemetaboli.
I-Eclampsia ivame kakhulu kubesifazane abasha (abasebasha) kanye nalabo asebekhulile kuneminyaka engama-35. Kungakhathaliseki ubudala, i-eclampsia ivame kakhulu kubantu besifazane abangakaze babelethe. Idatha ibonisa ukuthi nakuba amaqembu amancane abonakala engengozi eyengeziwe, lokhu cishe kuyimpumelelo yezici zezenhlalo, njengokufinyelela ekunakekelweni kwezempilo, kunokuba kube nomphumela weqiniso wezinto eziphilayo.
Imithombo:
> Ukushintshashintsha kwe-geographic in the incest of hypertension in pregnancy. I-World Health Organization Isifundo Sezinhlangano Zomhlaba Wonke Wokubambisana Nezifo Ezibangelwa Ukukhulelwa Kwesifo Segazi. Journal American of Obstetrics and Gynecology 1988; 158: 80.
> Sibai, BM. Ukuxilongwa, ukuvimbela, nokuphathwa kwe-eclampsia. I-Obstetrics and Gynecology 2005; 105: 402.
> Sibai, BM, McCubbin, JH, Anderson, GD, et al. I-Eclampsia. I. Ukubhekwa kwamacala angu-67 amasha. I-Obstetrics and Gynecology 1981; 58: 609.
> Imibiko yokusebenzisana neqembu eliphezulu ephakeme yegazi ekukhulelweni. I-Institutes National Health, Washington, DC 2000.