Ukuhlonza nokuphatha i-Preeclampsia
I-preeclampsia iyinkimbinkimbi yokukhulelwa okuthinta ukucindezeleka kwegazi nezinye izinhlelo zesezi. Ngokuqondile, isimo se-preeclampsia sitholwa uma ukucindezeleka kwegazi eliphezulu kanye neproteinuria (amaprotheni emcinini) kutholakala ngowesifazane okhulelwe ongaphezu kwamasonto angama-20 ukubeletha. Lokhu kubaluleke kakhulu, ngoba abesifazane abenegazi eliphezulu ngaphambi kokuba bakhulelwe bangase bahlangabezane nemigomo yokutholwa kwe-preeclampsia, kodwa kufanele baphathwe ngokulandela isethi yezinhlahlandlela ezahlukene.
Izimpawu Nezibonakaliso Ze-Preeclampsia
Ezimweni eziningi, ukwanda okungazelelwe komfutho wegazi kuyisibonakaliso sokuqala se-preeclampsia. Ngaphansi kaningi, ukucindezeleka kwegazi kuzokhula kancane kodwa kancane kancane. Kunoma yikuphi, uma ukucindezeleka kwegazi kufinyelela noma kudlula u-140/90 mm Hg futhi umhlinzeki wezokunakekelwa kwezempilo uye waqopha lokhu kuguquka okungenani izikhathi ezimbili, okwehlukaniswe amahora amane ngaphandle, okusolakala ukuthi ukuhlolwa kwe-preeclampsia.
Ngaphezu kwalokho, amaprotheni okweqile emcinini, etholakala ngesikhathi sokuhlolwa komchamo okuyingxenye evamile yokunakekelwa kokubeletha, kungabonakalisa izinkinga zezinso ezivame ukuhambisana nomfutho wegazi ophezulu ku-preeclampsia.
Ezinye izibonakaliso nezimpawu ze-preeclampsia zihlanganisa:
- Inhloko ekhanda
- Izinguquko embonweni, kufaka phakathi ukulahleka kwesikhashana kwombono, umbono obonakalayo noma ukuzwela okukhanya
- Ubuhlungu besisu obuphezulu
- Ukudabuka noma ukuhlanza
- Ukunciphisa umkhiqizo we-urine
- Ukunciphisa amazinga weplatelets egazini (thrombocytopenia)
- Umsebenzi wesibindi ongaphelele
- Ukuphelelwa umoya
- Ukutholakala kwesisindo ngokungazelelwe nokuvuvukala (okubuye kuvame ukukhulelwa okuvamile)
Ubani Osemngciphekweni We-Preeclampsia?
Ngaphandle kokukhulelwa, okuyinto engozini enkulu ye-preeclampsia njengoba kwenzeka kuphela kubafazi abakhulelwe, ezinye izici zingase zikubeke engozini enkulu yokuthuthukisa isimo.
Lokhu kufaka:
- Umlando odlule we-preeclampsia (noma wena noma isihlobo segazi)
- Ukukhulelwa kokuqala
- Uneminyaka engu-40 noma ngaphezulu
- Ukuba okhuluphele
- Ukuthatha ukukhulelwa okuningi
- Ukukhulelwa kwe-spacing kungaphansi kweminyaka emibili noma ngaphezulu kweminyaka engama-10
- Ukuba nezimo ezithile ngaphambi kokuba ukhulelwe, njengokucindezela kwegazi eliphezulu, ikhanda le-migraine s, isifo sikashukela, isifo sezinso noma i-lupus
Ukwelapha i-Preeclampsia
Uma ingaphathwa kabi, i-preeclampsia ingaholela ezinkingeni ezinkulu kakhulu zomama nomntwana. Kwezinye izimo, kungaba nokubulala. Isifo kuphela salesi simo ukulethwa kwengane, emele inselele eyingqayizivele kubahlinzeki nabanakekeli bezempilo njengoba belinganisela izinzuzo zokulethwa kokuqala kanye nezingozi zokungabi nesikhathi sokuqala .
Abesifazane abane-preeclampsia babhekene nobungozi obuningi bokubanjwa, ukuphazamiseka kwamapayipi kanye nokushaya. Uma kusencane kakhulu ekukhulelweni ukuze kuqhutshwe ukulethwa kwezidingo, ukuqapha ngokucophelela impilo kamama nengane kungabandakanya imvamisa eyengeziwe yokuhlolwa kokubeletha , ukuhlolwa kwegazi, ukuhlolwa kwegazi kanye nokuhlolwa kwe-nonstress.
Amanye amasu angasetshenziselwa ukulawula ukucindezelwa kwegazi uma kusencane kakhulu ukufaka umsebenzi ngokuphepha. Lokhu kufaka:
- Imishanguzo yokulwa ne-antihypertensive yokuncipha kwengcindezi yegazi.
- I-Corticosteroids kokubili ithuthukisa umsebenzi wesibindi nesiplatele kumama futhi usize ukuthuthukisa amaphaphu wengane ukulungiselela ukulethwa kokuqala.
- Imithi ye-Anticonvulsant yokuvimbela ukuwayeka.
- Ukuphumula kombhede
- Isibhedlela
Imithombo:
Cunningham, FG., Lindheimer, MD. I-Hypertension in Ukukhulelwa. I-New England Journal of Medicine, 326 (14): 927-32.
Umbiko weqembu lokusebenza ngokucindezela kwegazi eliphezulu ekukhulelwe. I-Institutes National Health, Washington, DC 2000.