Ukutholakala Kwe-Preeclampsia Ngemva Kokubeletha: Izimpawu, Izimbangela, Nokwelashwa

I-Preeclampsia evela ngemva kokubeletha yisimo esinzima esivelela ngemva kokubeletha, siphawulwa yi-blood pressure ephezulu kakhulu ne-protein emanzini. Nakuba abantu abaningi behlanganisa i-preeclampsia nokubeletha, lesi simo singavelela okokuqala ezinsukwini noma emavikeni ngemva kokubeletha, ngisho noma ukukhulelwa kwakho kwakujwayelekile ngokuphelele.

Lesi simo sithinta cishe owesifazane oyedwa kwaba-200 abasha abazali futhi sidinga ukunakekelwa kwezokwelapha ngokushesha. Izindaba ezinhle ukuthi ngokubona ngokushesha nokuphathwa okuqondile, i-preeclampsia evela ngemva kokubeletha ingaphathwa kahle, ikunikeze ithuba lokugxila ekululameni nasekuhlanganiseni nomntwana wakho.

Iyini i-preeclampsia evela ngemva kokubeletha?

I-Preeclampsia evela ngemva kokubeletha yi-blood pressure ephezulu evela ngemva kokubeletha, ngokuvamile phakathi kwamahora angu-48 okuqala kodwa ngezinye izikhathi kuze kube amasonto ayisithupha kamuva. Ukufunda kwe-blood pressure yakho kuzoba yi-140/90 mmHg noma ngaphezulu ngezikhathi ezimbili ezahlukene, futhi uzoba ne-protein emanzini akho noma ezinye izimpawu ezikhathazayo.

Cabanga ngezitho zakho zegazi njengepayipi lokubhukuda eliye lahlala lincane kakhulu, likhuthaza inhliziyo yakho ukuba iqhubeke kanzima ukuze ikhiphe igazi. Lolu cindezelo olwengeziwe lungacindezela izitho zakho, ikakhulukazi izinso zakho, isibindi sakho, nengqondo yakho. Ngokungafani ne-preeclampsia ehlobene nokubeletha ehlala iphela ngokubeletha, i-preeclampsia evela ngemva kokubeletha ivelela ngemva kokuzalwa komntwana wakho.

Lesi simo singavelela ngisho noma ube nokubeletha okuhle ngokuphelele nge-blood pressure evamile kulo lonke isikhathi. Lokhu kuvame ukumangaza omama abasha abacabanga ukuthi ukubeletha kuphawula ukuphela kokukhathazeka kwezempilo ehlobene nokubeletha.

Ziyini izimpawu ze-preeclampsia evela ngemva kokubeletha?

Izimpawu ze-preeclampsia evela ngemva kokubeletha zingazizwa zikhulu, ikakhulukazi uma usuqala ukululama ekuphileni nomntwana omusha. Kubalulekile ukubona lezi zibonakaliso zokuqala, njengoba zibonisa ukuthi umzimba wakho udinga ukunakekelwa kwezokwelapha ngokushesha.

Izimpawu ezivamile kakhulu zihlanganisa:

• Izinhlungu ezinzima ezingaphenduli ezinye izidakamizwa zobuhlungu
• Ukushintsha kokubona, njengokubona okuphazamisekile, ukubona amabala, noma ukulahlekelwa kokubona okwesikhashana
• Ubuhlungu besisu oluphezulu, ikakhulukazi ngaphansi kwezibilini ngakwesokudla
• Ukuphefumula nomhlane okuhlukile kunokungakhululeki okuvamile ngemva kokubeletha
• Ukuzuza isisindo ngokushesha okungaphezu kwamapounds angu-2 ngosuku
• Ukukhula ebusweni nasezandleni, ngaphezu kokukhula okuvamile ngemva kokubeletha
• Ukunciphisa ukungcola noma ukukhiqiza amanzi ambalwa kakhulu

Abanye abesifazane bahlangabezana nezimpawu ezingavamile kodwa ezinobuhlungu ngokufanayo. Lezi zingaba ukuphefumula okunzima, ubuhlungu esifubeni, noma ukuzizwa udida noma uthukuthele. Ungaphawula futhi ukuthi izinto zakho zizizwa zinolaka kakhulu kunokuvamile.

Ingxenye enzima ukuthi eziningi zalezi zimpawu zingazizwa njengezinselele zokululama okuvamile ngemva kokubeletha. Kodwa-ke, umehluko oyinhloko yinkani kanye nokuhlanganiswa. Uma uhlangabezana nezinye zalezi zimpawu ndawonye, noma uma noma iyiphi impumu yodwa izizwa inamandla, sekufanele ufuna ukunakekelwa kwezokwelapha ngokushesha.

Ziyini izimbangela ze-preeclampsia evela ngemva kokubeletha?

Imbangela eqondile ye-preeclampsia evela ngemva kokubeletha ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ihilela izinkinga ngomsebenzi wezitho zegazi eziqhubeka noma ezivela ngemva kokubeletha. Umzimba wakho uya ngezinguquko ezinkulu ngesikhathi sokubeletha nokubeletha, futhi ngezinye izikhathi lezi zinhlelo azibuyi njengoba kulindelekile.

Izici eziningana zingase zinikeze lesi simo. Ukuba ne-preeclampsia ngesikhathi sokubeletha kukwandisa ingozi yakho, nakuba lesi simo singase sibuye sivela kwabesifazane ababe nokubeletha okujwayelekile ngokuphelele. Isistimu yakho yokuzikhusela ingase ibe nomthamo, njengoba isalungisa ngemva kokukhulelwa lapho isadingi ukulungisa umntwana okhulayo.

Ukushintsha kwamahomoni ngemva kokubeletha kungase futhi kuqalise izinkinga zezitho zegazi. Ukwehla okukhulu kwamahomoni okukhulelwa, kuhlanganiswe noxinzelelo lomzimba lokubeletha, kungase kudlulisele uhlelo lwakho lwe-cardiovascular. Ngaphezu kwalokho, uma ube nokuthambekela okungaphansi kwe-blood pressure ephezulu okuye kwagcinwa ukukhulelwa, kungase kuvele ngemva kokubeletha.

Ezinye izimbangela ezingavamile zihlanganisa isifo sezinsuku esivelela ngemva kokubeletha, izimo ze-autoimmune eziqhuma ngemva kokukhulelwa, noma ukusabela kwemithi ethile esetshenziswa ngesikhathi somsebenzi nokubeletha.

Kufanele ubone nini udokotela nge-preeclampsia evela ngemva kokubeletha?

Kufanele uxhumane nodokotela wakho ngokushesha uma uhlangabezana nanoma yikuphi ukuhlanganiswa kwezimpawu okukhulunywe ngazo ngaphambili, ikakhulukazi izinhlungu ezinzima, ukushintsha kokubona, noma ubuhlungu besisu oluphezulu. Ungalindi ukubona uma izimpawu ziphulukana zodwa, njengoba i-preeclampsia evela ngemva kokubeletha ingathuthuka ngokushesha.

Shaya izinsiza eziphuthumayo noma uye ekamelweni eliphatha izimo eziphuthumayo uma unezimpawu ezinzima njengobhlungu esifubeni, ukuphefumula okunzima, ukuhlwitha, noma ukudideka okukhulu. Lokhu kungase kubonise ukuthi lesi simo sithinta inhliziyo yakho, amaphaphu akho, noma ingqondo yakho, sidinga ukusebenta ngokushesha.

Kubalulekile futhi ukufuna ukunakekelwa uma unezimpawu ezilula eziqhubeka noma eziyanda amahora amaningana. Abaningi omama abasha bayazingabaza ukufuna usizo ngoba abafuni ukubonakala bexakekile kakhulu, kodwa abahlinzeki bezempilo bangathanda kakhulu ukukuhlola futhi bathole konke kulungile kunokulahlekelwa yisimo esinzima.

Themba intukuthelo yakho njengumama omusha. Uma kukhona okubonakala kungalungile noma okuhlukile kunalokho okulindelekile ngesikhathi sokululama okuvamile, kuhlale kufanele ukufuna ukuhlolwa kwezokwelapha.

Ziyini izici ezingozi ze-preeclampsia evela ngemva kokubeletha?

Ukuqonda izici zakho ezingozi kungakusiza wena neqembu lakho lokunakekelwa kwezokwelapha ukuba niqaphele izibonakaliso ze-preeclampsia evela ngemva kokubeletha. Ukuba nezici ezingozi akusho ukuthi uzovelela ngokuqinisekile lesi simo, kodwa kusho ukuthi kufanele uqaphele kakhulu izimpawu ezingase zivele.

Izici ezingozi ezibaluleke kakhulu zihlanganisa:

• Ukuba ne-preeclampsia ngesikhathi sokubeletha, ngisho noma kwakulula
• Umlando we-blood pressure ephezulu ngaphambi kokukhulelwa
• Ukuba neminyaka engaphezu kwengu-35 ngesikhathi sokubeletha
• Ukuba nesifo sikashukela ngaphambi noma ngesikhathi sokubeletha
• Isifo sezinsuku noma ezinye izimo zezempilo ezingapheli
• Ukukhuluphala ngaphambi kokukhulelwa
• Umlando womndeni we-preeclampsia noma i-blood pressure ephezulu
• Ukubeletha okokuqala noma ukukhulelwa nomlingani omusha

Izici ezingavamile ezingozi zihlanganisa izimo ze-autoimmune njenge-lupus, izifo zokugqwala kwegazi, noma ukuba nabantwana abaningi. Abanye abesifazane baqala i-preeclampsia ngemva kokuphazamiseka ngesikhathi sokubeletha, njengokopha okukhulu noma ukutheleleka.

Kubalulekile ukuqaphela ukuthi abesifazane abaningi abaqala i-preeclampsia evela ngemva kokubeletha abanazo izici ezingozi ezicacile nhlobo. Yingakho omama abasha bonke kufanele baqaphele izimpawu, kungakhathaliseki umlando wabo wokukhulelwa noma isimo sezempilo.

Ziyini izinhlungu ezingase zivele ze-preeclampsia evela ngemva kokubeletha?

Nakuba i-preeclampsia evela ngemva kokubeletha ingaphathwa, ingabangela izinhlungu ezinkulu uma ingaphathwa ngokushesha. Ukuqonda lezi zinkinga ezingase zivele akusho ukukwethusa, kodwa kunokugcizelela ukuthi kungani ukwelashwa okusheshayo kubaluleke kangaka.

Ukukhathazeka okukhulu kakhulu kuhlanganisa:

• I-Eclampsia, ehilela ukuhlwitha okungase kube yingozi ebomini
• I-Stroke ebangelwa yi-blood pressure ephezulu kakhulu
• I-Pulmonary edema, lapho amanzi akha khona emaphaphwini akho
• I-HELLP syndrome, ethinta isibindi sakho nokugqwala kwegazi
• Ukonakala kwezinkukhu noma ukwehluleka
• Izinkinga zenhliziyo noma ukwehluleka kwenhliziyo

Ezinye izinhlungu zingase zithuthuke kancane kancane. Lezi zingase zihlanganise izinkinga zezinkukhu zesikhathi eside, i-blood pressure ephezulu ehlala iqhubeka edinga ukwelashwa okuqhubekayo, noma ukonakala kwesibindi okuthatha isikhathi sokululama. Kwezinye izimo ezingavamile, izinkinga zokugqwala kwegazi zingabangela ama-clots ayingozi ezinyaweni zakho noma emaphaphwini akho.

Izindaba ezikhuthazayo ukuthi ngokunakekelwa kwezokwelapha okuqondile, abesifazane abaningi balulama ngokuphelele kwi-preeclampsia evela ngemva kokubeletha ngaphandle kwemiphumela ehlala njalo. Ukubona ngokushesha nokuphathwa kunciphisa kakhulu ingozi yezinhlungu ezinkulu, yingakho ukuqaphela izimpawu kubaluleke kangaka.

I-Preeclampsia evela ngemva kokubeletha ihlonishwa kanjani?

Ukuhlola i-preeclampsia evela ngemva kokubeletha kuhilela ukuhlolwa okuhlukene okusisiza udokotela wakho ukuthi aqonde ukuthi kwenzekani emzimbeni wakho. Inqubo ngokuvamile iqala ngokulinganisa i-blood pressure yakho izikhathi eziningi ukuqinisekisa ukuthi iphakamile ngokungaguquki ngaphezu kwe-140/90 mmHg.

Umhlinzeki wakho wezempilo uzoqoqa isampula yomchamo ukuhlola i-protein, okubonisa ukuthi izinso zakho zithinteka yi-blood pressure ephezulu. Bazobhalela futhi ukuhlolwa kwegazi ukuhlola umsebenzi wezinkukhu zakho, ama-enzymes esibindi, nokubalwa kwamapuleti, okusisiza sazi ukuthi lesi simo sithinta kangakanani izitho zakho.

Ukuhlolwa okwengeziwe kungase kuhlanganise ukuhlola izinto zakho, njengoba izinto ezinamandla kakhulu zingase zibe yisibonakaliso se-preeclampsia ethinta uhlelo lwakho lwezinzwa. Udokotela wakho angase futhi ahlole amehlo akho ukubona ukushintsha kwezitho zegazi, okungase kubonise ukuthi ukujikeleza kwakho kuthinteka kanjani.

Kwezinye izimo, ungase udinga ukuhlolwa kwezithombe njenge-ultrasound yezinkukhu zakho noma i-echocardiogram ukuhlola umsebenzi wenhliziyo yakho. Lokhu kusiza iqembu lakho lezokwelapha ukuthi liqonde umthelela ophelele wesimo futhi lihlele ukwelashwa okuqondile.

Ukuphathwa kwe-preeclampsia evela ngemva kokubeletha kuyini?

Ukuphathwa kwe-preeclampsia evela ngemva kokubeletha kugxile ekulawuleni i-blood pressure yakho nasekuvimbeleni izinhlungu ngenkathi usekela inqubo yokululama yemvelo yomzimba wakho. Izindaba ezinhle ukuthi abesifazane abaningi bayaphendula kahle ekwelapheni futhi bangaqhubeka benakekela izingane zabo ngokusekelwa kwezokwelapha okuqondile.

Imithi ngokuvamile iyilokho okuqala ekwelapheni. Udokotela wakho uzobhala imithi ye-blood pressure ephephile uma uncelisa, njenge-nifedipine noma i-labetalol. Le mithi iyasiza ekuphumuleni izitho zakho zegazi nokunciphisa uxinzelelo enhliziyweni yakho nezinye izitho.

Uma isimo sakho sinzima, ungase udinga ukungena esibhedlela ukuze uqaphelwe eduze futhi uthole ukwelashwa okukhulu. Lokhu kungase kuhlanganise imithi ye-intravenous ukuze uqondise i-blood pressure yakho ngokushesha noma i-magnesium sulfate ukuvimbela ukuhlwitha. Ukunakekelwa esibhedlela kuqinisekisa ukuthi noma yiziphi izinhlungu zingase ziqondwe ngokushesha.

Kwezinye izimo ezilula, ungase ukwazi ukuphatha lesi simo ekhaya ngokulandelela okuvamile kwezokwelapha. Lokhu ngokuvamile kuhilela ukusebenzisa imithi ebhaliwe, ukuqapha i-blood pressure yakho ekhaya, nokuqapha ngokucophelela noma yiziphi izimpawu ezibi.

Iqembu lakho lezokwelapha lizoqondisa futhi noma yiziphi izinhlungu ezithile ezivela. Isibonelo, uma izinso zakho zithinteka, ungase udinga imithi eyengeziwe noma ukushintsha okwesikhashana kokudla ukuze usekele umsebenzi wezinkukhu.

Ungayiphatha kanjani i-preeclampsia evela ngemva kokubeletha ekhaya?

Ukuphatha i-preeclampsia evela ngemva kokubeletha ekhaya kudinga ukunakekelwa okucophelela emzimbeni wakho nokuxhumana eduze neqembu lakho lezokwelapha. Into ebaluleke kakhulu ongayenza ukusebenzisa imithi yakho ngokuqondile njengoba kubhaliwe, ngisho noma uqala ukuzizwa ukhulu.

Qapha izimpawu zakho nsuku zonke futhi ugcine ilog yendlela ozizwa ngayo. Qaphela noma yiziphi izinhlungu, ukushintsha kokubona, noma ukukhula okungavamile, futhi ungangabazi ukuxhumana nodokotela wakho uma kukhona okukukhathazayo. Abahlinzeki bezempilo abaningi bancoma ukuhlola i-blood pressure yakho ekhaya uma une-monitor ethembekile.

Ukuphumula kubalulekile ekululameni kwakho, nakuba lokhu kungase kube nzima ngomntwana omusha. Zama ukulala lapho umntwana wakho elele, futhi ungangabazi ukwamukela usizo oluvela emindenini nabangane ngemisebenzi yasekhaya. Umzimba wakho udinga amandla okuphulukisa nokulawula i-blood pressure yakho.

Hlala uthambile ngokuphuza amanzi amaningi, kodwa landela noma yikuphi ukunciphisa amanzi udokotela wakho akuhlinzeke ngakho. Nciphisa usawoti ekudleni kwakho, njengoba kungase kubi kakhulu i-blood pressure ephezulu. Gxila ekudleni okunomsoco okusekela ukululama, kuhlanganise izithelo eziningi, imifino, namaprotheni alula.

Ukunyakaza okulula njengokuhamba okufushane kungasiza ukujikeleza kwakho, kodwa gwema ukuzivocavoca okunzima kuze kube yilapho udokotela wakho ekukhulula. Okubaluleke kakhulu, themba intukuthelo yakho futhi ufuna ukunakekelwa ngokushesha uma uzizwa kukhona okungalungile.

Kufanele uzilungiselele kanjani i-appointment yakho nodokotela?

Ukulungiselela i-appointment yakho kusiza uqinisekise ukuthi uthola ukunakekelwa okuwusizo kakhulu nokuthi udokotela wakho uneyonke imininingwane edingekayo yokukwelapha ngokuphumelelayo. Qala ngokubhala zonke izimpawu zakho, kuhlanganise nokuthi zaqala nini nokuthi zinzima kangakanani ngesilinganiso sika-1 kuya ku-10.

Letha uhlu lwemithi yonke oyisebenzisayo njengamanje, kuhlanganise nanoma yiziphi izithasiselo noma imithi yokuthengwa ngaphandle kwesikripthi. Uma uncelisa, khuluma nodokotela wakho njengoba lokhu kuthinta ukuthi yiziphi izindlela zokwelapha eziphephile kuwe nengane yakho.

Bhala phansi noma yimiphi imibuzo onayo ngaphambi kwesikhathi, njengoba kulula ukukhohlwa ngezinto ezibalulekile uma uzizwa ungaphili kahle. Imibuzo evamile ingase ihlanganise ukuthi ukwelashwa kuzohlala isikhathi esingakanani, ukuthi kuphephile yini ukuncelisa, noma yiziphi izimpawu ezifanele zinikeze ukunakekelwa kwezokwelapha ngokushesha.

Uma kungenzeka, letha umuntu osekela ongakusiza ukuba umelele futhi ukhumbule imininingwane ebalulekile. Bangase futhi basize ekunakekeleni ingane yakho ngesikhathi se-appointment, bakuvumele ukuba ugxile ngokuphelele ekuxoxweni kwezempilo yakho.

Gcina irekhodi lokufunda kwe-blood pressure yakho uma ube uqapha ekhaya, futhi letha noma yimaphi amarekhodi ezempilo adlule ehlobene nokubeletha nokubeletha kwakho okungase kube yingxenye.

Iyini imbono ye-preeclampsia evela ngemva kokubeletha?

Umbono we-preeclampsia evela ngemva kokubeletha ngokuvamile uqondile kakhulu ngokwelashwa okuqondile. Abesifazane abaningi balulama ngokuphelele phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa, futhi lesi simo sihlala singabangeli izinkinga zezempilo zesikhathi eside lapho siphathwa kahle.

I-Blood pressure yakho izobheka ibuye ibuye ibe yinto evamile kancane kancane njengoba umzimba wakho uqhubeka ululama ekubeletheni nasekubeletheni. Abanye abesifazane badinga ukuqhubeka imithi ye-blood pressure amasonto ambalwa noma izinyanga ezimbalwa, ngenkathi abanye bengase bathole ukucindezela kwabo kuqondile ngokushesha.

Ukuba ne-preeclampsia evela ngemva kokubeletha kukwandisa ingozi yakho yokuthuthukisa i-blood pressure ephezulu noma i-preeclampsia ekubeletheni kwesikhathi esizayo. Kodwa-ke, lokhu akusho ukuthi awukwazi ukuba nabantwana abengeziwe ngokuphephile. Iqembu lakho lezokwelapha lingakuhlola eduze ekubeletheni okulandelayo futhi lithathe izinyathelo zokuvikela.

Isipiliyoni singazizwa sinzima, ikakhulukazi uma uzama ukuhlanganisa nokunakekela ingane entsha. Khumbula ukuthi ukufuna ukwelashwa kubonisa amandla nokuhlakanipha, futhi ukunakekela impilo yakho ingenye yezinto ezinhle ongayenza kokubili kuwe nomndeni wakho.

Imibuzo evamile ebuzwa nge-preeclampsia evela ngemva kokubeletha

Ngingancelisa yini uma ngine-preeclampsia evela ngemva kokubeletha?

Yebo, ngokuvamile ungaqhubeka uncelisa ngokuphephile nge-preeclampsia evela ngemva kokubeletha. Imithi eminingi ye-blood pressure ebhaliwe yalesi simo ihambisana nokuncelisa, nakuba udokotela wakho azokhetha imithi ethile ephephile kakhulu engane yakho. Hlala ukhuluma nodokotela wakho ngemithi yakho ukuqinisekisa ukuthi ilungile ngenkathi uncelisa.

I-Preeclampsia evela ngemva kokubeletha ihlala isikhathi esingakanani?

I-Preeclampsia evela ngemva kokubeletha ngokuvamile iphela phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa ngemva kokubeletha ngokwelashwa okuqondile. Abesifazane abaningi babona ukuthuthuka okukhulu ezimpawu zabo phakathi nesonto lokuqala lokwelashwa, nakuba i-blood pressure ingase ithathe isikhathi eside ukuze ibe yinto evamile ngokuphelele. Udokotela wakho uzoqapha intuthuko yakho futhi alungise ukwelashwa njengoba kudingeka ngesikhathi sokululama.

Ngingaphinde ngithole i-preeclampsia evela ngemva kokubeletha ekubeletheni kwesikhathi esizayo?

Ukuba ne-preeclampsia evela ngemva kokubeletha kukwandisa ingozi yakho yokuthuthukisa i-preeclampsia ekubeletheni kwesikhathi esizayo, kodwa akusho ukuthi kuzophinde kwenzeke futhi. Iqembu lakho lezokwelapha lingathatha izinyathelo zokuvikela ekubeletheni okulandelayo, njengokuqapha eduze futhi mhlawumbe ukubhala i-aspirin ephansi. Abesifazane abaningi baqhubeka beba nokubeletha okuhle ngemva kokuba behlangabezane ne-preeclampsia evela ngemva kokubeletha.

I-Preeclampsia evela ngemva kokubeletha iyingozi kakhulu kunani i-preeclampsia ngesikhathi sokubeletha?

I-Preeclampsia evela ngemva kokubeletha ingaba yingozi kakhulu njenge-preeclampsia ngesikhathi sokubeletha, kodwa akusho ukuthi iyingozi kakhulu. Umehluko oyinhloko ukuthi kungase kube nzima ukuyibona ngoba izimpawu zingase zibhekwe njengokululama okuvamile ngemva kokubeletha. Ngokubona ngokushesha nokuphathwa, imiphumela ngokuvamile ilungile kakhulu kokubili izimo.

I-Preeclampsia evela ngemva kokubeletha ingavikeleka yini?

Alukho uqinisiso oluqinisekisiwe lokuvimbela i-preeclampsia evela ngemva kokubeletha, kodwa unganciphisa ingozi yakho ngokuya kuwo wonke ama-appointment emva kokubeletha, uqaphe izimpawu zakho ngokucophelela, futhi ugcine indlela yokuphila enempilo. Uma ube ne-preeclampsia ngesikhathi sokubeletha noma unezinye izici ezingozi, udokotela wakho angase akukhuthaze ukuqapha eduze ngemva kokubeletha ukuze ubone noma yiziphi izinkinga ngokushesha.