I-preeclampsia iyinkimbinkimbi yokukhulelwa lapho umfutho wegazi wesifazane uphakeme futhi amaprotheni atholakala emcinini wakhe. Isizathu asiziwa, nakuba kunezici eziyingozi ezibhalwe kahle.
Izingozi Zezingozi
Izingozi zokuthuthukisa i-preeclampsia zifaka:
- Umlando we-high blood pressure ngaphambi kokukhulelwa
- Kudala kuka-40 noma ngaphansi kuka-18
- Ukukhuluphala
- Isifo sikashukela
- Ukukhulelwa kokuqala
- Ukukhulelwa okuningi (amawele noma ngaphezulu)
- Ubuzwe base-Afrika baseMelika
- Ezinye izimo ezingapheli, njenge-lupus
Izinkinga
I-preeclampsia yinkinga eyingozi. Abesifazane abasengozini yokwelashwa kwezempilo isikhathi eside, okubandakanya ukucindezelwa kwegazi esikhathini esizayo empilweni, preeclampsia yinto eyaziwayo engozini yokuzalwa komntwana. Kubuye kube nomthelela ekutheni eziningi zokudiliva ngaphambi kwesikhathi. Ukungaboni, i-preeclampsia ingaba i-eclampsia, engaba yingozi kokubili umama nengane.
I-preeclampsia ekhululekile ingase ibuye ibe yi-HELLP Syndrome, emele ukuhoxiswa kwe- H , ama-enzyme e- E aphakanyisiwe, nokubalwa kwe-latephe count. Uma kungenjalo "ukuphulukiswa" ngokulethwa, i-HELLP Syndrome ingabangela ukubola kwamanzi (i-bleeding), i-pulema ye-pulema (uketshezi emaphashini), ukwehluleka kwezinso, ukwehluleka kwesibindi, noma ukufa komuntu wesifazane. I-HELLP Syndrome ingabangela nokuphazamiseka kwamapayipi .
Ukucindezelwa Kwegazi Eliphakeme Ngokumelene ne-Preeclampsia
Kungenzeka ukuthi ube nomfutho wegazi ophezulu ekukhulelwe futhi ungenayo i-preeclampsia.
Abanye besifazane bane-hypertension engavamile ngaphambi kokukhulelwa. Abanye besifazane nabo bahlakulela ukucindezeleka kwegazi ngokunciphisa ngesikhathi sokukhulelwa ngaphandle kokuthola ezinye izimpawu ze-preeclampsia (lokhu kubizwa ngokuthi Ukukhulelwa Kwengqondo Okubangelwa Ukukhulelwa). Kodwa-ke, kuzo zombili lezi zimo, owesifazane usengozini enkulu yokuthuthukisa i-preeclampsia futhi kufanele ihlolwe kakhulu.
Izimpawu
Izimpawu ze-preeclampsia ezingase zenzeke zibandakanya:
- Umfutho wegazi ophezulu
- Amaphrotheni kumchamo
- Ikhanda, ngokuvamile lilukhuni
- Ukuvuvukala, ikakhulukazi kwezandla, izinyawo, noma ubuso
- Ubuhlungu be-epigastric, noma ubuhlungu esikhungweni esiphakeme noma kwesokudla phezulu kwesisu
- Izinguquko ezibonakalayo, njengamabala phambi kwamehlo noma izibani ezikhanyayo
- Ukuthola isisindo ngokungazelelwe
- I-nausea nokuhlanza
- Ukunciphisa umkhiqizo we-urine
- Ama-enzyme yesibindi angavamile
- Amaplatelet aphansi
Uma unezinye izimpawu ze-preeclampsia, kufanele uhlolwe udokotela noma umbelethisi. Umshwalense wegazi uzohlolwa, futhi ukuhlolwa kwelebhu eziningana kuzokwenziwa. Kuzodingeka unike isampula yomchamo futhi igazi elilodwa lizodonswa.
Abesifazane abaningi abazizwa begula kuqala nge-preeclampsia. Lesi esinye sezizathu ezibaluleke kakhulu ukuthola ukunakekelwa kokubeletha okuvamile. Umfutho wegazi wakho uzohlolwa lapho uvakashela khona, kanye nomchamo wakho weprotheyini. Ukuthola preeclampsia kusenesikhathi kungasho umehluko phakathi kokuphila nokufa ngawe noma ingane yakho.
Ukwelapha
Ukwelapha kuphela kwe-preeclampsia ukulethwa. Uma usuvele usesikhathini esigcwele, udokotela wakho cishe uzotusa ukukhishwa kwemisebenzi . Uma ungaphezu kwamaviki angu-37, udokotela wakho kuzodingeka athole ukuthi i-preeclampsia yakho ilukhuni kanjani ukukhetha uhlelo oluhle lokuphulukisa.
Kungenzeka ukunciphisa ingozi ye-eclampsia (ukunqoba) ngokunikeza i-magnesium sulfate nge-IV. Lokhu kungukulungisa okwesikhashana nje kuphela, futhi ngokuvamile kuvame ukusetshenziselwa ukugcina owesifazane evikelekile ekuqotheni kwe-eclamptic isikhathi eside ngokwanele ukunikeza izijovo ze-steroid ukuvuthisa amaphaphu omntwana ekulungiselela ukulethwa. Ngokuvamile ama-steroids anikezwa phakathi kwamasonto angu-24 kuya kwangu-34 ubudala.
Xhumana nokulahlekelwa kokukhulelwa
I-Preeclampsia ihlotshaniswa nokuzalwa komzimba kodwa futhi iyisibonakaliso esivamile sokunciphisa abasebenzi ngaphambi kwesikhathi (ngaphambi kwamasonto angu-37). Ukwelashwa kokuqala kuqhubeka kuyingxenye yezimbangela zokufa ezinganeni.
Imithombo:
Cunningham, F., Gant, N., et al. Williams Obstetrics, Edition 21. 2001.
Izikhungo Zempilo Zesizwe "HELLP Syndrome" I-US National Library of Medicine.
I-Institutes National Health "Preeclampsia" I-US National Library of Medicine.