I-pre-eclampsia yabesifazane abakhulelwe

I-Edema kwabesifazane abakhulelwe - into ejwayelekile kakhulu. Lesi simo sibangelwa ukwephulwa kwenqubo yokukhipha uketshezi emzimbeni futhi kuyimfanelo yabesifazane abakhulelwe. Kodwa-ke, umuntu kufanele aqaphele ngokucophelela ukukhukhumeza, uma izandla, izinyawo, ubuso zivuvukala, ikakhulukazi ngokumelene nesizinda sezinsizwa nokucindezelwa kwegazi eliphezulu. Uma unezimpawu ezinjalo, udinga ukubonana nodokotela, njengoba kungabonisa ukuthuthukiswa kwe-gestosis. I-complication ye-preeclampsia ne-eclampsia yi-preeclampsia.

I-pre-eclampsia yabesifazane abakhulelwe, izimpawu zazo, ngaphezu kokuzikhukhumeza: ukucindezelwa kwegazi eliphezulu kanye nokuthola amaprotheni emcimbini, kutholakala kaningi emkhakheni wesibili wokukhulelwa, ngezinye izikhathi ezikhathini zangaphambili.

Ngaphandle kwalezo zimpawu, kunezibonakaliso ze-pre-eclampsia:

• ukwanda okusheshayo kwesisindo, ngenxa yokwephulwa kwemisebenzi yezitho ezinomthwalo wokususa uketshezi emzimbeni;
• ubuhlungu esiswini sangaphezulu;
• izinsizwa ezinzima, isizungu ngokwemvelo yokwanda kwengcindezi yegazi, izinkinga zombono - isimo "senkungu ebusweni";
• ukunciphisa ngezikhathi zokuvuthwa kanye nomthamo womchamo;
• isicanucanu nokuhlanza.

Uma kubonakala lezi zibonakaliso, kubalulekile ukuphuthuma usizo lwezokwelapha kanye nesikhathi esizayo sokusiza pre-eclampsia.

Ukunakekelwa okuphuthumayo kwe-pre-eclampsia ngaphambi kokufika kwe-ambulensi:

1. lapho usongelwa ukuxubana, wabeka isiguli ekamelweni elimnyama, ungafaki umsindo, ufake umcamelo ngaphansi kwekhanda lakhe;
2. faka phakathi kwamazinyo i-spoon noma induku ukuze isiguli singalumali ulimi lwakhe ngesikhathi sezinwele, qinisekisa ukuqinisekisa ukuthi le nto ayihambanga futhi ingangeni emoyeni;
3. ngokungafihleki isikhathi eside (i-apnea) ukwenza ukuphefumula okufakelwayo;
4. Ncishisa ukucindezeleka kwegazi ngokungahambisani noma nge-intramuscularly nge-drug antihypertensive etholakalayo (Relanium, Sedusen noma abanye).

Izinkinga ze-gestosis

I-pre-eclampsia ngesikhathi sokukhulelwa isongela izinkinga ngesimo sokukhubazeka kwesibindi, amazinga akhulayo we-enzymes enesibindi kanye nezinga eliphansi lamaplatelet (ukuphazamiseka kwegazi coagulation). Ingozi yomntwana ukwephulwa kwegazi ku-placenta, okuzophazamisa ukuthuthukiswa kwe-fetus.

I-pre-eclampsia yabesifazane abakhulelwe ingaholela ekubelethweni ngaphambi kwesikhathi, okuvame ukuhambisana ne-fetal pathologies njenge-cerebral palsy, isithuthwane, nokukhubazeka kokuzwa nokuzwa.

Kokubili kokukhulelwa nokukhushukela kuyingozi kakhulu ukwanda kwe-preeclampsia ku-eclampsia, okuhambisana nokukhushulwa okukhudlwana kwegazi, kuze kube sekuqaleni kokudumala. I-Eclampsia yisilinganiso esibi kakhulu se-preeclampsia esenzeka lapho ukwelashwa okungakapheli noma ukuntuleka kokwelashwa okwanele. Izibonakaliso zalo, ngaphezu kwezibonakaliso ezinkulu zangaphambi kwe-eclampsia, ziyaduduza, mhlawumbe i-coma kanye nomphumela obulalayo womama nesisu. I-preeclampsia enamandla ingakhula kokubili ngesikhathi sokukhulelwa, ngesikhathi sokubeletha futhi ekugcineni.

Ukwelashwa kwe-preeclampsia yezinga ezihlukahlukene

I-preeclampsia ne-eclampsia ziphathwa ngendlela eyodwa kuphela - ukuzalwa kwengane. Ngesimo esibi se-pre-eclampsia, ukwelashwa kungadinga ukulethwa okusheshayo, kungakhathaliseki ubude besikhathi, ngoba kungaholela ekufeni komama okhulelwe uma bephuzile.

I-Preeclampsia yezinga eliphakathi uma kwenzeka usongo lokubeletha ngaphambi kokubeletha uphathwa esibhedlela ngokwemithi ngokulawula igazi legazi, i-ultrasound kanye ne-cardiotocography ye-fetus ukuze ikhulise ukukhulelwa. Uma isikhathi siseduze nokubeletha futhi ukucindezeleka kwegazi akuqinisekisiwe, ukubeletha kuzogqugquzela noma kwenziwe isigaba se-cearean.

I-preeclampsia elula igcinwa esibhedlela ngenomsebenzi olinganiselwe wemoto. Ukukhanya kubhekwa njengesimo lapho ukucindezela komzimba ku-140 kuya ku-90 mm Hg, inani elincane lamaprotheni emcinini.

Ukuvimbela i-preeclampsia

Ukuvakashelwa njalo kudokotela, ukulawula isisindo, ukucindezeleka kwegazi, ukuvuthwa kwegazi njalo yizinto eziyinhloko zokuvimbela i-gestosis. Okubaluleke ngokukhethekile ukuvimbela u-preeclampsia ne-eclampsia kwabesifazane abanesifo sikashukela, i-kidney pathologies, ukwedlula ngokweqile, abaye babhekana nalesi simo, ngoba lesi sigaba seziguli sinomthelela ekuthuthukiseni i-gestosis yabesifazane abakhulelwe.