I-Hyperemesis Gravidarum
Uma ucabanga ngezimpawu zokukhulelwa, enye yemicabango ejwayelekile kuyoba yokugula ekuseni . Kodwa-ke, cishe owesifazane kwabayishumi nabesifazane abakhulelwe unyaka ngamunye bayothola uhlobo olubi kakhulu lwe-Hyperemesis Gravidarum, okuyinto ngencazelo ukulahlekelwa okungenani u-5% wesisindo somzimba wonke. Abaningi balaba besifazane bayangeniswa esibhedlela ukwelashwa, futhi akucaci ukuthi bangaki ababikiwe futhi baphathwa njengeziguli.
Ucwaningo lwamuva lubonisa ukuthi uma abesifazane begula kakhulu ngokwanele ukuba bangene esibhedlela, njengesixazululo se-hyperemesis, cishe kungenzeka ukuba nentombazane kunomfana. Abangu-56% omama ababethelwe esibhedlela lapho bekhulelwe babenamantombazane, uma kuqhathaniswa nabangu-44% ababenabantwana. Ukwakhiwa kwezibhedlela ezikhathini ezilandelayo zokukhulelwa akubonisanga lokhu kulungiswa.
Ungase uzibuze ukuthi kunqunywe kanjani ukuthi isicashunwe sakho siwela kulesi sigaba. Ngokuvamile, uma abesifazane bezwa i-hyperemesis gravidarum, uzobona ukulahlekelwa kwesisindo sika-5% noma ngaphezulu, ukuhlanza okungenakwenzeka, ukuvinjelwa okungenakulinganiswa, ukulimala kwe-retinal, kanye nokulimala okungase kube nokuqothulwa kwesibindi.
Ngaphandle kokuhlanza nesicathulo, umama angase abe nezinzwa ezibucayi kakhulu, ukunambitheka okubi emlonyeni, ukuthuthumela, ukulukhuni ukufunda (kusukela ekuphelelweni kwamanzi nokushintshwa kweso), futhi kubambezele ukuthumba kwesisu. Ezinye izinkinga azivamile, kodwa kuye kwaphawula ukuthi kunenkinga yokwanda kwezinkinga zesibindi ngesikhathi sokukhulelwa nangemva kokukhulelwa.
Ukwelashwa kungafaka okulandelayo:
- I-hydration ngokushesha ngokusebenzisa ukufinyelela kwe-IV
- I-Psychotherapy
- Hypnosis
- Ama-Sea Bands (ama-Acupressure bands) & I-Acupuncture
- Imithi (ihluka futhi ingase ibe neminye imiphumela engadingeki)
- I-Tube Feedings
- Ukudla Okuphelele Komzali (TPN)
Uma imithi ixoxwa kukhona eziningana ezingasetshenziswa.
Ngezinye izikhathi ama-antihistamine alula asetshenziswa. I-Vitamin B6 ibuye ibonise inzuzo enkulu kwabesifazane abaphethwe yi-hyperemesis. Kukhona futhi ama-herbal nezinye izilungiselelo eziye zazanywa ngokuphumelela okuhlukile, njenge-ginger oluyimpuphu.
Isinqumo sokusebenzisa imithi singaba nzima, futhi akusona isinqumo okufanele senziwe kalula. Kodwa-ke, uma izinzuzo zomuthi zingase zibe ngaphezu kwezingozi ezingase zenzeke kumama noma umntwana, njengoba kwezinye izimo ze-hyperemesis ezingazange zamukele ezinye izindlela zokwelashwa, imithi ingaba ukwelashwa okufanele.
Isizathu salokhu asiyazi kahle, kodwa kukholakala ukuthi sihlobene namahomoni wokukhulelwa.
- I-Gonadotropin ye-Chorionic yabantu (hCG): Lokhu kuvame ukusola ngoba ukukhula kwe-hCG kuvame ukufana nokuqala kwe-hyperemesis
- I-progesterone: Le hormone ibuyisela emuva imisipha ebushelelezi, engakwazi ukubambezela noma ukumisa i-peristalsis.
- I-Estrogen: Njengoba lokhu kungakwandisa ukuzwela kwakho okwenziwe ngendlela eveziwe kungase kwandise ukuhlukunyezwa nokuhlanza.
- I-Cortisol: Lokhu kuphakama, kodwa kungenxa yokucindezeleka noma i-hyperemesis?
- I-Prostaglandins: Lokhu kunganciphisa i-cortisol ne-progesterone yomama, futhi kuthinte iphethini ye-hyperemesis.
Ngokujabulisayo amacala amaningi azophelelwa yisikhathi ngamasonto angu-17, kepha emasontweni angama-35 cishe abantu abangu-5% basabika izinkinga. Olunye ucwaningo lwase-Australia lubonise ukuthi abesifazane abangu-20% babenenkinga ngesikhathi.
Ngokuvamile, lezi zingane azihlupheki. Nakuba kunzima ukuhlukanisa imiphumela ye-hyperemesis kanye nokwehla kwesisindo somzimba kanye nokungalingani kwe-electrolyte. Kukhona isizathu sokukhathazeka lapho imithi ethile isetshenziselwa ukulawula ukuhlanza. Ngakho-ke qiniseka ukuthi udokotela wakho usekhona nezincwadi kanye nokwelashwa kwe-hyperemesis. Umsebenzi wokuqala kanye nesisindo sokuzalwa esiphansi yizinto ezimbili ezikhathazayo ezinganeni ezithwele omama abane-hyperemesis.
Kwakuvame ukukholelwa ukuthi lokhu kwakungokomqondo kuphela nokuthi umama wayezama ukwenqaba ukukhulelwa nganoma yisiphi isizathu. Isayensi manje isitshengise ukuthi kunezinto eziningi ezingaphezu kwe-hyperemesis kunesimo sengqondo. Abesifazane abathola lokhu akuhlupheki ngokomzimba kodwa ngokwengqondo. Ukucindezeleka nokucindezeleka kokugula futhi okungenzeka kubekwe esibhedlela kunezimo eziningi ezingqondweni nasemzimbeni owesifazane. Lokhu kuyiqiniso ikakhulukazi ngoba abesifazane cishe banenkolelo yokuthi ukukhulelwa kuyakuba yisikhathi esijabulisayo ekuphileni kwabo. Ukusekelwa okuvela kwezinye izindawo zokuphila kwabo kubalulekile ekwelapheni i-hyperemesis.
> Umthombo:
> Izibilini: Ukulungiswa Okujwayelekile Nezinkinga. IGabbe, S, Niebyl, J, Simpson, JL. Uhlelo lwesihlanu.