I-Preeclampsia: oonobangela, iimpawu, umngcipheko, iingxaki, ukufumanisa isifo kunye nonyango

Amagama Aphezulu Ebantwaneni

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Umhla Wokuzalwa:

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I-Preeclampsia sisifo esichazwa luxinzelelo lwegazi kunye nokuchithwa okungaphezulu kweprotein kumchamo. Yinto eqhelekileyo kwezonyango ngexesha lokukhulelwa elinxulunyaniswa nokugula okuphezulu koomama kunye nokufa kunye nokuthintelwa kokukhula komntwana ngaphakathi. [1] .

IPreeclampsia yenzeka malunga neepesenti ezimbini ukuya kwezisibhozo zokukhulelwa kwihlabathi liphela [Mbini] . Ngokwe-National Health Portal yase-India, i-preeclampsia ichaphazela i-8 ukuya kwi-10 ipesenti yabasetyhini abakhulelweyo. Esi sifo sinokubeka umngcipheko kwimpilo kamama nosana.

Oonobangela bePreeclampsia

Oyena nobangela we-preeclampsia awuqondwa ncam. I-Preeclampsia inokwenzeka ngenxa yotshintsho olungaqhelekanga kwi-placenta, ilungu elondla umbungu ngexesha lokukhulelwa. Imithambo yegazi ethumela igazi kwi-placenta iba mxinwa okanye ayisebenzi ngokufanelekileyo kwaye isabele ngokwahlukileyo kwiimpawu zehomoni, ngaloo ndlela kuthintela ukuhamba kwegazi ukuya kwi-placenta.

Ukungaqheleki kwepascenta kunxulunyaniswe nemfuza ethile kunye nokuphazamiseka kwenkqubo yomzimba yokuzikhusela [3] .

I-Preeclampsia yenzeka emva kweeveki ezingama-20 zokukhulelwa. Nangona kunjalo, kwezinye iimeko, inokwenzeka kwangaphambili [4] .

Iimpawu zePreeclampsia

Ngokwe-American Pregnancy Association, iimpawu zepreeclampsia zibandakanya oku kulandelayo: [5]

• Igazi elonyukayo

• Ukugcinwa kwamanzi

• Ukugqithisa kweprotein kumchamo

• Intloko ebuhlungu

• Umbono omfiliba

• Ayikwazi ukunyamezela ukukhanya okuqaqambileyo

• Ukuqhawukelwa ngumphefumlo

• Ukudinwa

• Isihlunu nokugabha

• Ubuhlungu kwisisu esingasekunene

• Ukuchama manqaphanqapha

Imiba yomngcipheko wePreeclampsia

• Isifo sezintso

• Uxinzelelo lwegazi olungapheliyo

• Isifo seswekile seswekile

• Ukukhulelwa okuninzi

• Wayekhe wanayo i-preeclampsia ngaphambili

• Isifo seantibospholipid antibody syndrome

• Ukungabinanto

• Inkqubo ye-lupus erythematosus

• Ukuphakama okuphezulu

• Imbali yosapho yesifo sentliziyo

• Ukutyeba kakhulu [6]

Imbali yosapho ye-preeclampsia kwisihlobo sokuqala

• Ukukhulelwa emva kweminyaka engama-40 [7]

Iingxaki zePreeclampsia

Iingxaki zepreeclampsia zenzeka kwiipesenti ezintathu zokukhulelwa [8] . Oku kubandakanya:

• Uthintelo lokukhula kosana olungekazalwa

• Ukuzalwa ngaphambi kwexesha

• Ukugqabhuka komoya

• Isifo sikaHELLP

• I-Eclampsia

• Isifo sentliziyo

• Iingxaki zomzimba [9]

Xa ufuna ukubona ugqirha

Qinisekisa ukuba undwendwela ugqirha wakho wezifo zabasetyhini rhoqo ukuze kubekwe esweni uxinzelelo lwegazi. Ukuba ufumana naziphi na kwezi mpawu zikhankanywe ngasentla qhagamshelana nogqirha wakho ngoko nangoko.

Ukuchongwa kwePreeclampsia

Ugqirha uya kwenza uvavanyo lomzimba kwaye abuze ukubakho koxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa kwangaphambili ukuba bekukho. Emva koko kuya kugqitywa ngembali yezonyango ngugqirha ukuchonga iimeko zonyango ezinokunyusa umngcipheko wepreeclampsia.

Ukuba ugqirha ukrokrela i-preeclampsia, ezinye iimvavanyo ezinje ngegazi, uhlalutyo lomchamo kunye novavanyo lwe-fetus ultrasound luya kwenziwa.

Iikhrayitheriya zokuqonda isifo sepreeclampsia zezi:

Uxinzelelo lwegazi oluqhubekayo lwe-140 mm Hg okanye ngaphezulu, okanye uxinzelelo lwegazi lwe-diastolic ye-90 mm Hg okanye ngaphezulu emva kweeveki ezingama-20 zokukhulelwa kuthathwa njengokungaqhelekanga. [10] .

• Iiproteni kumchamo wakho (proteinuria).

• Ukuba neentloko ezibuhlungu.

• Ukuphazamiseka okubonakalayo.

Unyango lwePreeclampsia

Ukuhanjiswa kuhlala kuphela konyango lwe-preeclampsia ngokuxhomekeke kwixesha lokuhanjiswa kunye nobuzaza bemeko yoomama neyomntwana. Ukungeniswa kwabasebenzi kunokunciphisa umngcipheko wokufa okuphezulu kunye nokugula.

Ukubeka iliso kwi-Hemodynamic, neurological, kunye nelabhoratri kuyafuneka emva kokubeleka kwizigulana ezine-preeclampsia eqatha. Ukubeka iliso elebhu kufuneka kwenziwe yonke imihla ngalo lonke usuku kwiiyure ezingama-72 zokuqala emva kokubeleka.

Amachiza oxinzelelo lwegazi asetyenziselwa ukunciphisa uxinzelelo lwegazi kwi-preeclampsia ekhulelweyo enzima.

Amayeza e-Corticosteroid anokunceda ekunyangeni i-preeclampsia, kuxhomekeke kubudala bokuzala [Shumi elinanye] .

Uthintelo lwePreeclampsia

Ngokwe-American Pregnancy Association, kukho ezinye iindlela ezinokukunceda ukukhusela i-preeclampsia [12] .

• Sebenzisa ityuwa encinci kwizidlo zakho.

• Phumla ngokwaneleyo.

• Sela iiglasi zamanzi ezintandathu ukuya kwezisibhozo ngosuku.

Yenza umthambo yonke imihla

• Musa ukutya ukutya okuqhotsiweyo okanye okungekho mpilweni

• Musa ukusela utywala

• Kuphephe ukusela iziselo ezine- caffeine.

• Gcina umlenze wakho uphakamile amaxesha ngamaxesha kuyo yonke imini.

Ii-FAQ eziqhelekileyo

Q. I-preeclampsia iluchaphazela njani usana olungekazalwa?

UKUYA . I-Preeclampsia inokuthintela i-placenta ekufumaneni igazi elaneleyo kwaye ukuba ayifumani gazi laneleyo, umntwana uya kufumana izixa ezantsi zeoksijini kunye nokutya, okukhokelela kubunzima bokuzalwa obuphantsi.

Q. Ngaba i-preeclampsia inokuza ngesiquphe?

UKUYA . IPreeclampsia inokukhula kancinci kancinci kwaye ngamanye amaxesha inokukhula ngaphandle kweempawu.

Q. Ngaba uxinzelelo lubangela preeclampsia?

UKUYA. Uxinzelelo lwengqondo lunokuchaphazela ngokuthe ngqo okanye ngokungathanga ngqo ukukhulelwa kwaye kunokukhokelela kwi-preeclampsia.

Umbuzo: Ngaba umntwana angabulawa yipreeclampsia?

UKUYA. I-Preeclampsia ukuba ayifumanekanga ngexesha inokubangela ukusweleka koomama kunye neentsana.

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