Ukuqiniswa Kwegazi Esikhathini Sokukhulelwa Yini? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqiniswa kwegazi esikhathini sokukhulelwa yinkinga enzima yokukhulelwa evame ukuqala ngemva kwamasonto angu-20 okukhulelwa. Kubangela ukuphakama kwegazi kanye nezimpawu zomonakalo kwamanye amalungu, ikakhulukazi isibindi kanye nezinkondlo.

Lesi simo sihlukanisa cishe amaphesenti angu-5-8 okukhulelwa emhlabeni jikelele. Nakuba kuzwakala kuyesabekayo, izindaba ezinhle ukuthi ngokubeka iliso okufanele nokunakekelwa, abesifazane abaningi abane-preeclampsia baqhubeka beba nezingane eziphilile futhi baphile ngokuphelele ngemva kokubeletha.

Ukuqiniswa Kwegazi Esikhathini Sokukhulelwa Yini?

Ukuqiniswa kwegazi esikhathini sokukhulelwa kwenzeka lapho igazi lakho liphakama kakhulu ngesikhathi sokukhulelwa, ngokuvamile kuhambisana neprotheni emathisini akho. Cabanga ngakho njengesistimu yomzimba wakho ecindezelwe ngesikhathi sokukhulelwa, okubangela ukuthi imithambo yakho yegazi icindezeleke futhi ingasebenzi kahle njengoba kufanele.

Lesi simo singaba silula noma esinzima. Ukuqiniswa kwegazi okuncane kungase kubangele kuphela ukuphakama kancane kwegazi, kuyilapho izinga elikhulu lingathinta amalungu amaningi futhi libe nezingozi ezinkulu kuwe nengane yakho.

Okwenza ukuqiniswa kwegazi esikhathini sokukhulelwa kukhathazeke kakhulu ukuthi kungakhula ngokuthula. Abesifazane abaningi bazizwa bephilile ngisho noma igazi labo liphakama, kungakho ukubheka njalo ngesikhathi sokukhulelwa kubalulekile kangaka.

Ziyini Izimpawu Zokuqiniswa Kwegazi Esikhathini Sokukhulelwa?

Into enzima mayelana nokuqiniswa kwegazi esikhathini sokukhulelwa ukuthi izimpawu zokuqala zingaba zimbi noma zididaniswe kalula nokungakhululeki okuvamile kokukhulelwa. Noma kunjalo, ukuqaphela lezi zimpawu ngokushesha kungenza umehluko omkhulu ekunakekelweni kwakho.

Nazi izimpawu ezibalulekile okufanele uzibheke:

• Bhega eliphakeme legazi (140/90 mmHg noma ngaphezulu ngezikhathi ezimbili)
• Iprotheni emanzini akho (itholakele ngesikhathi sokuvakasha okujwayelekile kokukhulelwa)
• Izinhlungu zikhanda ezinzima ezingaphenduli ekwelapheni okujwayelekile
• Ukushintsha kokubona njengokuphazamiseka, ukukhanya okukhanya, noma ukubona amachaphaza
• Ubuhlungu besisu oluphezulu, ikakhulukazi ngaphansi kwamaphaphu ngakwesokudla
• Ukuzuza isisindo ngokungazelelwe (ngaphezulu kwamapounds ama-2 ngesonto)
• Ukukhula ebusweni nasezandleni (ngaphezu kokukhula okujwayelekile kokukhulelwa)
• Ukuphefumula nokugabha ngesigamu sesibili sokukhulelwa
• Ukunciphisa ukuthamba noma umchamo omnyama kakhulu

Abanye abesifazane bahlangabezana nalokho okuthiwa yi- "preeclampsia ethule," lapho igazi liphakamisa khona ngaphandle kwemizwa ecacile. Kungakho umhlinzeki wakho wezempilo ahlola igazi lakho kanye nomchamo kuyo yonke imivakashi yokukhulelwa.

Uma uqaphela izinhlungu zikhanda ezinzima, ukushintsha kokubona, noma ubuhlungu besisu oluphezulu, xhumana nomhlinzeki wakho wezempilo ngokushesha. Lokhu kungaba izimpawu zokuthi i-preeclampsia iyakhula kakhulu.

Imiphi Imikhakha Ye-Preeclampsia?

I-Preeclampsia ayisiyona nje isimo esisodwa kepha empeleni ihlanganisa izifo eziningana ezihlobene. Ukuqonda lezi zinhlobo ezahlukene kungakusiza ukuba uxhumane kangcono neqembu lakho lezempilo ngesimo sakho esithile.

Izinhlobo eziyinhloko zihlanganisa:

• Ukuqina okulinganiselwe kwe-preeclampsia: Izinga lokucindezeleka kwegazi phakathi kuka-140/90 no-160/110 mmHg kanye neprotheni emanzini kodwa azikho izimpawu ezinzima
• Ukuqina okukhulu kwe-preeclampsia: Izinga lokucindezeleka kwegazi ngaphezu kuka-160/110 mmHg noma ukuphakama okulinganiselwe ngezimpawu ezinzima njengokuzwa kwekhanda noma ukushintsha kokubona
• I-Preeclampsia enezici ezinzima: Ihlanganisa izinkinga ezihlasela isibindi, izinso, amaphaphu, noma ukuqina kwegazi
• I-HELLP syndrome: Uhlobo olunzima oluhilela ukuwohloka kwamaseli egazi ebomvu, ukwanda kwama-enzyme esibindini, nokunciphisa inani le-platelet
• I-Eclampsia: Lapho i-preeclampsia ithuthuka ibe yiziboshwa
• I-Preeclampsia ngemuva kokubeletha: Ivela ngemuva kokubeletha, ngokuvamile phakathi kwamahora angu-48 kodwa ingase ivela ngemuva kwamasonto angu-6 kamuva

Uhlobo ngalunye ludinga amazinga ahlukene okuqapha nokuphatha. Umhlinzeki wakho wezinsizakalo zezempilo uzonquma ukuthi yiluphi uhlobo olulokhu unalo ngokusekelwe ekufundeni kwakho kokucindezeleka kwegazi, ukuhlolwa kwelebhu, kanye nezimpawu.

Yini ebangela i-Preeclampsia?

Imbangela eqondile ye-preeclampsia isalokhu ingaziwa, kodwa abacwaningi bakholelwa ukuthi iqala ngezinkinga zendlela i-placenta ehluka ngayo futhi ixhumeke nemiphunga yakho yegazi. Lokhu akuyona into oyenzile okungalungile noma obungayivimba.

Nanku lokho esikukholelwayo okuyenzeka emzimbeni wakho:

• Izinkinga ze-Placenta: Imiphunga yegazi enikeza i-placenta yakho ayikhulumi kahle, okuholela ekunciphiseni kwegazi.
• Impendulo yesistimu yokuvimba: Umzimba wakho ungase ube nomphumela kwi-placenta njengokungathi yinto engaphandle.
• Izici ze-genetic: Amanye ama-jini angenza abanye abesifazane babe sengozini enkulu.
• Ukusebenza okungalungile kwemiphunga yegazi: Ukugqoka kwemiphunga yegazi yakho akusebenzi kahle, kubangela ukuba ibe mncinci.
• Ukungahambelani kwamahomoni: Ukushintsha kwamahomoni aqondisa ukucindezeleka kwegazi nokusebenza kwemiphunga yegazi.
• Ukuvuvukala: Ukuphendula okwandayo kokuvuvukala kulo lonke umzimba wakho.

Ezinye izimbangela ezingavamile zihlanganisa izimo zezokwelapha ezingaphansi njengokugula okungapheli kwesibindi, izifo zokuvimba komzimba, noma izifo zokugqoka kwegazi. Lezi zimo zingandisa ukuvuvukala futhi zithinte indlela imiphunga yegazi yakho esebenza ngayo ngesikhathi sokukhulelwa.

Kubalulekile ukuqonda ukuthi i-preeclampsia ayibangelwa ukucindezeleka, ukusebenza kakhulu, noma noma yini oyidlile. Nakuba izici zesitayela sokuphila zingase zidlale indima encane, izimbangela eziyinhloko yizinqubo ze-biological ongenakuzilawula.

Nini Okufanele Ubone Udokotela Nge-Preeclampsia?

Uma ukhulelwe, kufanele uxhumane nodokotela wakho ngokushesha uma uhlushwa yizikhathi zikhanda ezinzima, ukushintsha kokubona, noma ubuhlungu obukhulu esiswini. Lezi zimpawu zingabonisa ukuthi i-preeclampsia iyakhula futhi idinga ukunakekelwa ngokushesha.

Shaya udokotela wakho ngokushesha uma uqaphela:

• Izikhathi zikhanda ezinzima ezingaphuli ngokuphumula noma i-acetaminophen.
• Ukubona okungacace, ukubona amabala, noma ukulahlekelwa kokubona okwesikhashana.
• Ubuhlungu obukhulu esiswini sakho esiphezulu noma ehlombe.
• Ukuvuvukala okungazelelwe, okunzima ebusweni, ezandleni, noma ezinyaweni.
• Ubunzima bokuqeda umoya noma ukuphefumula okufushane.
• Ukuphefumula nokugabha ngemuva kwamasonto angu-20 okukhulelwa.
• Ukuncipha kokunyakaza kwengane.

Ungalindi ukuthi izimpawu ziyothuthuka zodwa. I-Preeclampsia ingathuthuka ngokushesha, futhi ukungenelela kwasekuqaleni kungavimbela izinkinga ezinkulu kuwe nengane yakho.

Ngisho noma uzizwa ukhulu, gcina zonke izikhathi zakho zokuhlola ukukhulelwa. Umhlinzeki wakho wezinsizakalo zezempilo angathola ukwanda kokucindezeleka kwegazi neprotheni emanzini akho ngaphambi kokuthi uqaphele noma yiziphi izimpawu.

Iyini Izingozi Ze-Preeclampsia?

Nakuba noma iyiphi owesifazane okhulelwe angaba ne-preeclampsia, izici ezithile zingandisa amathuba akho. Ukuqonda lezi zici zingozi kusiza iqembu lakho lezinsizakalo zezempilo ukuba likuqaphe eduze, kodwa khumbula ukuthi ukuba nezici zingozi akusho ukuthi uzoba naleli simo.

Izici ezivame kakhulu zingozi zihlanganisa:

• Ukukhulelwa kokuqala: Ingozi yakho iphakeme kakhulu ngengane yakho yokuqala
• Ubudala: Ukuba eneminyaka engaphansi kuka-20 noma engaphezu kuka-35
• I-Preeclampsia yangaphambili: Ukuba nayo ekukhulelweni kwangaphambili
• Umlando womndeni: Umama noma udade owaba ne-preeclampsia
• Ukukhulelwa okuningi: Ukuphatha amawele, amathathu, noma ngaphezulu
• Ukucindezeleka kwegazi okuphezulu okuqhubekayo: Ukuba ne-hypertension ngaphambi kokukhulelwa
• I-Diabetes: Uhlobo 1, uhlobo 2, noma i-diabetes yokukhulelwa
• Ubuhlungu bexinu: Izinkinga zexinu eziqhubekayo
• Ukukhuluphala: Ukuba ne-BMI engaphezu kuka-30 ngaphambi kokukhulelwa
• Izimo ze-autoimmune: Njengoba yi-lupus noma i-rheumatoid arthritis

Ezinye izici zingozi ezingavamile zihlanganisa ukuba nomlingani omusha (ubaba ohlukile wezinto eziphilayo ekuthathweni kwangaphambili), ukukhulelwa nge-IVF, nokuhlushwa yizifo ezithile zokugqwala kwegazi.

Uma unezici eziningi zingozi, umhlinzeki wakho wezinsizakalo zezempilo angase akukhuthaze i-aspirin enesilinganiso esincane eqala cishe emasontweni angu-12 okukhulelwa. Lokhu kungenelela okulula kunganciphisa kakhulu ingozi yakho yokuthuthukisa i-preeclampsia.

Ziyini Izinkinga Ezingase Zivele Ngokuqunjelwa Kwe-Preeclampsia?

Nakuba abesifazane abaningi abane-preeclampsia beba nemiphumela enempilo, kubalulekile ukuqonda izinkinga ezingase zivele ukuze ukwazi ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze uzivimbele. Ukutholakala kwangaphambi kwesikhathi nokuphathwa okuhle kunciphisa kakhulu lezi zingqinamba.

Izinkinga kuwe zingafaka:

• Eclampsia: Ukuhlushwa okuyingozi okungabulala
• I-HELLP syndrome: Isimo esibi esithinta isibindi sakho, igazi, nenani le-platelet
• Isifo sobuchopho: Ngenxa yokucindezela kwegazi okuphezulu kakhulu
• Izinkinga zesibindi: Kubandakanya ukuqhekeka kwesibindi ezimweni ezinkulu
• Ukwehluleka kwesibindi: Ukusuka ekuhambeni kwegazi okuncishisiwe ezinso zakho
• I-Pulmonary edema: Ukubutha kwamanzi emaphashini akho
• Izinkinga zokugandeka kwegazi: Izinkinga ezikhona ekukwazi kwegazi lakho ukugandeka kahle

Izinkinga engane yakho zingafaka:

• Ukuzalwa kwangaphambi kwesikhathi: Ukulethwa ngaphambi kwamasonto angu-37
• Ukuzalwa isisindo esincane: Ngenxa yokuhamba kwegazi okuncishisiwe nge-placenta
• Ukwahlukaniswa kwe-placenta: I-placenta ehlukana nesisu ngaphambi kwesikhathi
• Izinkinga zokuphefumula: Ukusuka ekuzalweni ngaphambi kwesikhathi

Ezimweni ezingavamile, i-preeclampsia ingabangela izinkinga zempilo zesikhathi eside kuwe, kubandakanya ingozi enkulu yesifo senhliziyo nesifo sobuchopho kamuva ekuphileni. Noma kunjalo, ngokubeka iliso okuhle ngesikhathi sokukhulelwa nokukhathalela okulandelayo ngemva kwalokho, iningi lalezi zingqinamba lingaphathwa kahle.

Izindaba ezinhle ukuthi ukuzalwa kwengane yakho ne-placenta kuyaphilisa i-preeclampsia. Iningi lezingqinamba lingavikeleka ngokubeka iliso ngokucophelela nokungenela ngesikhathi esifanele yiqembu lakho lokunakekelwa kwezempilo.

Kungenzeka Kanjani Ukuphepha I-Preeclampsia?

Nakuba ungakwazi ukuvimbela ngokuphelele i-preeclampsia, kunezinyathelo ongazithatha ukuze unciphise ingozi yakho. Iqhinga eliphumelelayo kakhulu lokuvimbela ukusebenzisana eduze nodokotela wakho kusukela ekuqaleni kokukhulelwa kwakho.

Nanku okungasiza ekuqedeni ingozi yakho:

• I-aspirin enesilinganiso esincane: Uma unesingozi enkulu, udokotela wakho angakuncoma i-81mg ye-aspirin nsuku zonke kusukela cishe emavikini angu-12
• Izithasiselo zekhalsiyam: Uma ukudla kwakho kunokhalsiyam oluphansi, izithasiselo zingasiza
• Ukukhathalelwa kokukhulelwa: Ukuya kuyo yonke imiqhudelwano ehlelwe ukuze kutholakale ukutholakala kwangaphambi kwesikhathi
• Isisindo esinempilo: Ukugcina isisindo esinempilo ngaphambi kokukhulelwa uma kungenzeka
• Ukulawula izimo ezingapheli: Ukulawula isifo sikashukela, igazi eliphezulu, noma isifo sezinso ngaphambi kokukhulelwa
• Ukulawula ukucindezeleka: Nakuba ukucindezeleka kungayikubangela i-preeclampsia, ukulawula kusekela impilo yonke

Abanye abesifazane bathola ukuthi ukuzivocavoca okuthambile, ukulala okwanele, nokudla okuqondene kubasiza bazizwe bekhulu ngesikhathi sokukhulelwa, nakuba lokhu kungakuvimbeli ngokuqondile i-preeclampsia.

Uma ube ne-preeclampsia ekukhulelweni kwangaphambili, udokotela wakho angakuncoma ukuqapha okwengeziwe noma imithi yokukhulelwa kwesikhathi esizayo. Ingozi yokubuyela ihlukahlukene, kepha abesifazane abaningi baqhubeka beba ne mimathandazo evamile.

I-Preeclampsia Ihlonishwa Kanjani?

Ukuhlonishwa kwe-preeclampsia kuhilela ukuhlolwa okuningi okuzokwenziwa yisikhungo sakho sezempilo ngesikhathi sokuvakasha kwakho okujwayelekile kokukhulelwa. Ukuxilongwa kuvame ukwenziwa uma unegazi eliphezulu kanye nezinye izimpawu ezinkulu.

Udokotela wakho uzohlola lokhu:

• Ukuqina kwegazi: Ukulinganiswa okubili okungu-140/90 mmHg noma ngaphezulu, okuthathiwe ngokwahlukaniswa kwamahora angu-4 okungenani
• Iprotheni yomchamo: Ukusebenzisa isampula yomchamo ukuhlola ukukhishwa kwe-protheni evela emphinjeni yakho
• Izivivinyo zegazi: Ukuhlola ukusebenza kwesibindi, ukusebenza kwempintshi, kanye nokuqina kwamapulethi
• Ukuhlaziywa kwezimpawu: Ukubuza ngezihlungu zikhanda, ukushintsha kokubona, nobuhlungu besisu
• Ukuhlolwa komzimba: Ukuhlola ukukhuluphala nezinye izimpawu
• Ukulandelela i-fetus: Ama-ultrasounds ukuhlola ukukhula komntwana wakho kanye namanqanaba e-amniotic fluid

Ngezinye izikhathi udokotela wakho angase ayalele ukuhlolwa okuengeziwe njengokuqoqwa komchamo wehora le-24 ukuze alinganise iprotheni ngokuqondile, noma izivivinyo zegazi ezikhethekile ukuhlola i-HELLP syndrome.

Ukuxilongwa ngezinye izikhathi kungaba inselele ngoba ukuqina kwegazi kungaguquguquka, futhi iprotheni emchameni ingaba nezinye izimbangela. Umhlinzeki wakho wezempilo angase afune ukukulandelela eduze izinsuku eziningi ukuze aqinisekise ukuxilongwa.

Iyini Ukwelashwa kwe-Preeclampsia?

Ukuphathwa kwe-preeclampsia kuncike ekuthini isimo sakho sibukhali kangakanani nokuthi ukhule kangakanani ekukhulelweni kwakho. Ukwelashwa okuyisombululo ukulethwa komntwana wakho ne-placenta, kodwa isikhathi sibalulekile ukuze kuqondaniswe impilo yakho nokuthuthuka komntwana wakho.

Nge-preeclampsia ephansi, ukwelashwa kungafaka:

• Ukulandelela eduze: Izivivinyo zokukhulelwa ezivame kakhulu kanye nokuhlolwa kokucindezela kwegazi
• Ukuphumula embhedeni: Nakuba lokhu kungenjalo esikhathini samanje
• Ukulandelela i-fetus: Ama-ultrasounds ajwayelekile kanye nezivivinyo ezingaphuli umoya
• Imithi yokucindezela kwegazi: Uma ukuqina kwegazi kwakho kuphakama kakhulu
• Ama-Corticosteroids: Ukusizakala ukukhula kwamaphaphu omntwana wakho uma ukulethwa okusheshayo kunokwenzeka

Nge-preeclampsia ebukhali, ukwelashwa kuvame ukufaka:

• Ukungeniswa esibhedlela: Ukuqapha eduze wena ne-baby yakho
• I-magnesium sulfate: Ukuvimbela ukuhlushwa yizigwegwe
• Imithi yegazi: Ukuncipha kokufunda okuphezulu kakhulu
• Ukulungiselela ukulethwa: Kuye kucelwe ngokuvamile kungakhathaliseki iminyaka yokukhulelwa
• Ukuqapha okuqine kakhulu: Ukuhlolwa okuqhubekayo kwesimo sakho

Uma usondele osukwini lwakho lokukhulelwa (emva kwamasonto angu-37), udokotela wakho cishe uzokuncoma ukulethwa. Uma usenesikhathi eside sokukhulelwa, isinqumo siyabakhona, siqala ngengozi ye-preeclampsia kanye nengozi yokuzalwa kwangaphambi kwesikhathi.

Ezimweni ezingavamile lapho i-preeclampsia iyingozi kakhulu, ukulethwa okusheshayo kungadingeka ngisho noma i-baby yakho isengumntwana omncane. Iqembu lakho lokunakekelwa kwezempilo lizokucacisela zonke izinketho futhi likusize ukuqonda indlela engcono kakhulu yokwenza izinto esimweni sakho.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Se-Preeclampsia?

Uma udokotela wakho eqinisekisa ukuthi i-preeclampsia yakho ilula futhi ungaqapha ekhaya, kunezinto ezithile ozodinga ukuzenza ukuze uzivikele wena ne-baby yakho. Ukuphathwa ekhaya kudinga ukunakekelwa okucophelelayo kwemizimba kanye nokubambelela ngokuqinile emiyalweni yomhlinzeki wakho wezempilo.

Uhlelo lwakho lokunakekelwa ekhaya lungafaka:

• Ukubhekwa kwengcindezi yegazi nsuku zonke: Ukusebenzisa ibhulukudi lokulinganisa ingcindezi yegazi ekhaya nokugcina irekhodi
• Ukubhekwa kwesisindo nsuku zonke: Ukubheka ukwanda okungazelelwe kwesisindo (ngaphezu kwamapounds ama-2 ngesonto)
• Ukubhekwa kwezimpawu: Ukubheka izikhathi zokukhathala, ukushintsha kombono, nobuhlungu besisu
• Ukuhlolwa kwamathumbu: Abanye odokotela banikeza ama-strips okuhlola amaprotheni ekhaya
• Ukubala izikhafu: Ukulandelela ukunyakaza komntwana wakho nsuku zonke
• Ukuphumula: Ukuthola ukulala okwanele nokuqeda imisebenzi enzima
• Ukulandela imithi: Ukuthatha noma iyiphi imithi yegazi eliphezulu elayelwe ngokuqondile njengoba kuqondiswe

Kumele uxhumane nodokotela wakho ngokushesha uma ukufunda kwakho kwegazi eliphezulu kuhlala kuphezulu, uthuthukisa izimpawu ezinkulu, noma uqaphela ukunciphisa ukunyakaza kwesisu.

Abesifazane abaningi bayazibuza ngokunciphisa ukudla nemisebenzi. Nakuba ayikho i-diet ekhethekile ye-preeclampsia, ukudla ukudla okulinganiselayo okuneprotheni eyanele nokuvimbela i-sodium kungasiza. Ukuzivocavoca okulula njengokuhamba kuvame ukuba kuhle ngaphandle uma udokotela wakho ekunqabela ngokuqondile.

Khumbula ukuthi ukubhekwa ekhaya kufanele kuphela kumacala alula. Uma isimo sakho sibuhlungu, ungadinga ukungena esibhedlela ukuze uthole ukubhekwa okukhulu kakhulu nokuphathwa.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ukulungiselela kahle imihlangano yakho kungasiza ukuqinisekisa ukuthi uthola okuningi ngesikhathi sakho nodokotela wakho. Ukulungiselela okuhle kusiza nodokotela wakho ukwenza izinqumo ezinhle kakhulu ngokunakekelwa kwakho.

Ngaphambi komhlangano wakho, buza le mininingwane:

• Idayari yemizimba: Bhala noma iyiphi imikhakha, ukushintsha kokubona, ukukhula, noma ezinye izimpawu ngezinsuku nezikhathi
• Irekhodi lokucindezela kwegazi: Uma uqapha ekhaya, letha izilinganiso zakho
• Amarekhodi wesisindo: Qaphela noma yikuphi ukushintsha okungazelelwe kwesisindo
• Uhlu lwemithi: Faka yonke imithi yokwelapha kanye nemithi engaphezu kokukhawulelwa
• Uhlu lwemibuzo: Bhala konke ofuna ukubuza
• Umbhalo womndeni: Ulwazi mayelana ne-preeclampsia noma ukucindezeleka kwegazi eliphezulu kubalandeli bomndeni

Imibuzo emihle yokubuza udokotela wakho ihlanganisa:

• I-preeclampsia yami iyingozi kangakanani?
• Kufanele ngiqhubeke ngiqapha kangakanani?
• Yiziphi izimpawu engingazilinda?
• Kufanele ngikubize nini noma ngiye esibhedlela?
• Iyini uhlelo lokubeletha?
• Lokhu kuyomthinta kanjani ingane yami?
• Ziyini izinketho zami zokulawula ubuhlungu ngesikhathi sokubeletha?
• Ngingaba ne-preeclampsia ekuthwaleni kwami ​​okuzayo?

Cabanga ukuthi ulethe umuntu osekela naye emihlanganweni. Bangakusiza ukuba ukhumbule ulwazi futhi ubuze imibuzo ongazi khumbula. Ukuba nomuntu lapho futhi kunikeza ukwesekwa ngokomzwelo ngesikhathi esingaba yisikhathi esicindezelayo.

Iyini i-Key Takeaway Mayelana ne-Preeclampsia?

Into ebaluleke kakhulu okumele uyikhumbule mayelana ne-preeclampsia ukuthi ngenkathi kuyisimo esinzima, ilawuleka ngokunakekelwa komtholampilo okufanele. Abesifazane abaningi abane-preeclampsia baqhubeka beba nezingane eziphilile futhi benze ukuphulukiswa okugcwele ngemuva kokubeletha.

Ukutholakala kwangaphambi kwesikhathi kwenza umehluko. Kungakho ukuba khona kuyo yonke imihla yokunakekelwa kwangaphambi kokubeletha kubaluleke kakhulu, ngisho noma uzizwa uphilile ngokuphelele. Umhlinzeki wakho wezempilo angabona ukucindezeleka kwegazi okuqhubekayo nezinye izimpawu zezexwayiso ngaphambi kokuthi uqaphele noma iyiphi imizimba.

Tshemba izimpendulo zakho futhi ungangabazi ukuthintana nodokotela wakho uma kukhona okungalungile. Izinhlungu ezinzima zekhanda, ukushintsha kokubona, nobuhlungu obukhulu besisu akuvamile ngesikhathi sokukhulelwa futhi kudinga ukunakekelwa kwezokwelapha ngokushesha.

Khumbula ukuthi i-preeclampsia akuyona iphutha lakho. Ayibangelwa yikho konke okwenzile noma awukwenzanga. Gxila ekusebenzeni neqembu lakho lezokunakekelwa kwezempilo, ulandela izincomo zabo, futhi unakekele wena ngalesi sikhathi esinzima.

Imibuzo Evame Ukubuzwa Mayelana ne-Preeclampsia

M1: Ingabe i-preeclampsia ingaphinde ibe khona ekuthwaleni kwengane esikhathini esizayo?

Uma uke waba ne-preeclampsia ngaphambili, unethuba elikhulayo lokuyithola futhi, kodwa akuqinisekile. Izinga lokubuyela liyahluka kuye ngezinto eziningi, kufaka phakathi ukuthi i-preeclampsia yakho yangaphambili yayinzima kangakanani nokuthi yenzeke nini ngesikhathi sokukhulelwa.

Abesifazane ababe ne-preeclampsia enzima noma bayithole ekuqaleni kokukhulelwa banethuba elikhulu lokubuyela. Noma kunjalo, abesifazane abaningi ababe ne-preeclampsia ekuthwaleni kwabo kokuqala bayaya ekuthwaleni kwabo okulandelayo okujwayelekile ngokuphelele.

Udokotela wakho cishe uzokuncoma ukulandelela eduze ekuthwaleni kwengane esikhathini esizayo, mhlawumbe kufaka phakathi i-aspirin enesilinganiso esincane kanye nokuvakasha okuvamile kokukhulelwa. Ukuthwala kwengane ngakunye kuhlukile, ngakho ukuba ne-preeclampsia kanye akusikho ukuthi uzoyithola futhi.

M2: Ingabe ngizoba nezinkinga zempilo zesikhathi eside ngemuva kwe-preeclampsia?

Abesifazane abaningi bayaphola ngokuphelele e-preeclampsia ngemuva kokubeletha, ngezinga lokucindezela kwegazi elibuyela ejwayelekile phakathi kwamasonto ambalwa kuya ezinyangeni. Noma kunjalo, ukuba ne-preeclampsia kukhuphula kancane ingozi yakho yesikhathi eside yesifo senhliziyo nesifo sobuchopho kamuva ekuphileni.

Lolu thuba olukhulu kusho ukuthi kubalulekile ukuqhubeka nokulandelwa yidokotela wakho ngemuva kokukhulelwa. Ungase uzuze ekushintsheni kwendlela yokuphila njengokuhlala unesisindo esifanele, ukuzivocavoca njalo, nokuphatha ukucindezeleka.

Izindaba ezinhle ukuthi ukwazi lo mngcipheko kukuvumela wena neqembu lakho lokunakekelwa kwezempilo ukuba nithathe izinyathelo zokuvikela. Abesifazane abaningi bathola ukuthi okuhlangenwe nakho kwabo nge-preeclampsia kubakhuthaza ukuba banakekele kangcono impilo yabo yonke.

UMbuzo 3: Ngingancelisa yini uma ngina-preeclampsia?

Yebo, ungancelisa ngokuqinisekile ngemuva kokuba ne-preeclampsia. Eqinisweni, ukuncelisa kungasiza ukuba uxinzelelo lwakho lwegazi lubuyele ezingeni elijwayelekile ngokushesha ngemuva kokubeletha.

Imithi eminingi esetshenziswa ekwelapheni uxinzelelo lwegazi oluphezulu ngemuva kokubeletha iyahambisana nokuncibisa. Umhlinzeki wakho wezinsizakalo zezempilo uzokhetha imithi ephephile ngengane yakho uma udinga ukwelashwa okuqhubekayo.

Uma uthatha i-magnesium sulfate ngemuva nje kokubeletha, ungase uzizwe ukhathele noma ubuthakathaka ekuqaleni, kodwa lokhu ngeke kuchaphazele ikhono lakho lokuncibisa uma imithi isimiswe.

UMbuzo 4: I-preeclampsia ithuthuka ngokushesha kangakanani?

I-Preeclampsia ingathuthuka kancane kancane emakhelweni noma ngokushesha ngezinsuku. Abesifazane abathile banegazi elikhuphukayo kancane eliqapha emakhelweni amaningana, kanti abanye bangaba nezimpawu ezinzima phakathi kwamahora angu-24-48.

Lolu daba olungenakuqagqagqwa yilokho okwenza ukuvakashela rhoqo ngaphambi kokubeletha kubaluleke kakhulu, ikakhulukazi ekhatrini yesithathu. Umhlinzeki wakho wezinsizakalo zezempilo angaqapha izindlela zoxinzelelo lwakho lwegazi nezinye izimpawu ukuze abambe i-preeclampsia ngokushesha.

Ezimweni ezingavamile, i-preeclampsia ingathuthuka ngokuzumayo, yingakho ukwazi izimpawu zokuqapha nokufuna ukunakekelwa kwezokwelapha ngokushesha ngezimpawu ezinzima kubalulekile.

UMbuzo 5: Kwenzekani engane yami uma ngina-preeclampsia?

Nakuba i-preeclampsia ingaba nezingozi engane yakho, izingane eziningi ezelwe kumama ane-preeclampsia zinempilo. Ukukhathazeka okukhulu kuhlobene nokuncipha kokugeleza kwegazi nge-placenta, okungachaphazela ukukhula kwengane yakho nokuhlinzekwa komoya.

Iqem lakho lezempilo lizobheka ingane yakho ngokucophelela ngokusebenzisa i-ultrasounds nezivivinyo ezingekho ezingeni lokucindezela njalo. Uma ingane yakho ibonisa izimpawu zokucindezeleka noma ingakhula kahle, ukuzalwa ngokushesha kungase kunconywe.

Izingane ezibelethwe ngaphambi kwesikhathi ngenxa ye-preeclampsia zingadinga ukunakekelwa okwengeziwe kuyunithi yokunakekelwa okuqaphayo kwabakhulelwe, kodwa iningi liqhubeka likhula ngokujwayelekile. Iqem lakho lezempilo lizozama kakhulu ukulinganisa ingozi ye-preeclampsia nezingozi zokubeletha ngaphambi kwesikhathi ukuze linike ingane yakho umphumela omuhle kakhulu.