I-gestosis yisifo esibi kakhulu, izimpawu zazo ezitholakala kuphela kwabesifazane abakhulelwe. Lesi sifo sithinta owesithathu kwabesifazane abathwele umntwana, futhi ngokuvamile lesi sifo sidlula ngokwodwa ezinsukwini ezimbalwa ngemva kokuzalwa. Lesi simo sibizwa nangokuthi i-toxicosis, engase isheshe noma sekwephuzile. Ngokuvamile, lesi sifo sibangelwa ukuqina okunamandla ngesikhathi sokukhulelwa, ngoba cishe bonke abesifazane "esimweni esithakazelisayo" abakwazi ukuziphikisa ngokwabo ngokudla. Esikhathini sokuqala nangaphambi kokuphela kwesigamu sesibili, owesifazane okhulelwe angazizwa kahle, ngoba ukugcwala kwakhe akubonakali kakhulu. Kodwa uma leli gama lifika ku-trimester yesithathu, umama ozayo angabizwa nge-kolobok.
Ukugcwalisa ngokweqile akugcini nje ngokulimaza isibalo, kodwa futhi kusongela ukuthi abesifazane abaningi ngesisindo esiningi bangase babe negestosis. Kodwa ngenxa yabaningi besifazane abakhulelwe, izimpawu zalesi sifo azikhulumi nganoma yini, futhi ziyaqhubeka zihlala ngesigqi esihle ngabo. Njengomthetho, izimpawu ze-gestosis zivela kakade ku-trimester yesithathu, lapho umzimba wesifazane unenkinga enkulu yezinguquko, ngenxa yalokho okubhekene nokuvuvukala komzimba wonke.
I-edema enjalo ibonakala ngenxa yokwakheka kwezinto ezise-placenta, ezikwazi ukwenza izimbobo ezitsheni. Lokhu kuholela ekuphumeni kwe-plasma futhi kusetshenziselwa uketshezi ngegazi emzimbeni, okubangela ukubukeka kwe-edema. Kodwa izibonakaliso ezinjalo zokuqala ze-gestosis zingabonakali ngokushesha, njengabanye besifazane angeke babonakale ekuqaleni, kuyilapho kwezinye zithuthuka kakhulu. Ukuze kunqume isimo esiphelele sabesifazane abakhulelwe, odokotela bawahlola ngesikhathi sokuhlolwa okuhleliwe.
Izimpawu ze-gestosis engxenyeni yesibili yokukhulelwa
Ukukhulelwa ngesikhathi sokukhulelwa ngokuvamile kubonakala ngasekupheleni, okubonakalayo kuboniswa yizimpawu ezilandelayo:
- Ukwanda kwengcindezi yegazi ngaphezulu kuka 140/90 mm Hg. Lokhu kungakwazi futhi akukwazi, kepha ukuhlukunyezwa okuhambisana nalokhu, ikhanda kanye nemibono ephazamisayo kubonisa ukuthi ushintsho lubi nakakhulu.
- Ukubonakala kwamaprotheni emcimbini, okutholakala odokotela lapho beqeda ukuhlolwa ngaphambi kokuhlolwa okuhleliwe. Lesi simo sibonisa ukwephulwa kwezinso, ngaphandle kweyiphi i-gestosis engabonakali.
- Ukuqhaqhazela okukhulu okungahle kwenzeke ezimweni ezinzima ze-gestosis.
- I-Detachment ye-placenta .
- Ukuthuthukiswa okudambisiwe nokufa kwe-fetus.
Emaphesenti angama-90 amacala, lesi sifo siqala ngemva kwamasonto angama-34 okukhulelwa futhi sivame kakhulu kubantu besifazane abakhulu. Futhi, ingozi ye-gestosis ikhuphuka ngokukhulelwa okuphindaphindiwe kanye nokubeletha kwengane engaphansi kweminyaka engamashumi amabili noma ngaphezulu kuneminyaka engamashumi amathathu nanhlanu. Ngezinye izikhathi kungase kube nesigaba sokuqala sesi sifo, lapho sibonakala ngesikhathi semasonto angamashumi amabili. Kulokhu, i-gestosis inzima kakhulu, futhi izibonakaliso zokuqala zesifo ziyacaca ngokucacile.
Izimbangela ze-gestosis esedlule
Izimbangela zalesi sifo aziqinisekisiwe ngokugcwele. Kodwa kwaziwa ngokucacile ukuthi i-placenta idlala indima enkulu ekuthuthukiseni i-gestosis, i-pathology yokuthuthukiswa okuyinto echaphazela kakhulu ukunikezwa kwegazi kwesibeletho. Futhi ukwandisa ukugeleza kwegazi esibelethweni, i-placenta ibangela indlela ekhuthaza ukuphakama kwengcindezi, okuholela ekunciphiseni izitsha. Kodwa kuyaziwa ukuthi imithwalo yegazi encane ayithinte kabi ukusebenza kobuchopho nezinso, ngoba igazi elanele linikezwa lezi zitho. Ngaphezu kwalokho, lapho uketshezi olufaka igazi, luba lukhuni futhi lufake ama-blood clots, okuholela ekuvinjweni kwemithanjeni.
Yingakho, uma owesifazane okhulelwe enezibonakaliso ze-gestosis esedlule, ngokushesha uselethwe ukwelashwa okwanele ukuze kulondolozwe i-fetus kanye nenhlalakahle evamile yomama olindele.