I-pre-eclampsia yisimo lapho abesifazane abakhulelwe benomshanguzo wegazi ophezulu ngesikhathi eside, behambisana ne-protein ephakeme emanzini. Ngaphezu kwalokho, iziguli ezitholakalayo zibhekene nokuvuvukala kwemiphetho. Ngokuvamile preeclampsia ne-eclampsia kwenzeka ekupheleni kwesibili noma ekuqaleni kwe-trimester yesithathu, okungukuthi, engxenyeni yesibili yokukhulelwa, kodwa kungase kuphawulwe ngaphambili.
I-Eclampsia yabesifazane abakhulelwe iyisigaba sokugcina se-preeclampsia, ifomu layo elibi kunazo zonke elenzeka uma kungekho ukwelashwa kwekhwalithi efika ngesikhathi. Izimpawu ze-eclampsia zihlanganisa konke okukwenzeka nge-pre-eclampsia, futhi ukuphazamiseka kungase kwenzeke. I-Eclampsia ngesikhathi sokukhulelwa kuyingozi kumama nomntwana, ngoba kungabangela ukufa noma kokubili. Kunezimo ze-postpartum eclampsia.
Izimbangela ze-preeclampsia ne-eclampsia yabesifazane abakhulelwe
Ososayensi okwamanje abazange bafinyelele embonweni ovamile mayelana nokuthi iyini imbangela yalezi zifo. Kunemibono engaba ngu-30 yokuvela kwe-eclampsia, kuhlanganise nemvelo yemvelo ye-eclampsia.
Noma kunjalo, ezinye izici zibhekwa njengento evusa amadlingozi:
- inani elinamafutha amaningi emzimbeni kamama noma ukukhuluphala;
- ukudla okunempilo;
- ukugeleza kwegazi okubuthakathaka esibelethweni;
- ukukhulelwa kakhulu;
- ubudala bomama iminyaka engaphezu kwengu-40;
- isifo sofuba esingapheli;
- amacala e-pre-eclampsia ngaphambili;
- izakhi zofuzo;
- ukukhulelwa okuningi;
- ukutholakala kwesifo sezinso, isifo sikashukela, isifo se-rheumatoid noma i-lupus erythematosus.
Izimpawu eziyinhloko ze-preeclampsia
Ngaphezu kokushisa komfutho wegazi, i-edema yezandla nezinyawo, iphrotheni emcinini, izimpawu ze-pre-eclampsia yizi:
- ukugcinwa kwamanzi emzimbeni;
- ukwanda okusheshayo kwesisindo somzimba;
- ubuhlungu besisu;
- ikhanda elibi ngenxa yomshoshaphansi wegazi;
- kwehla emthamo womchamo;
- ukuguqulwa kwama-reflexes;
- isiyezi esivamile;
- ukucabangela okukhulu nokuhlanza okuningi.
Imiphumela ye-eclampsia, umphumela wayo emntwaneni
I-pre-eclampsia isongela le fetus ngokuphulwa kwegazi ngaphakathi kwe-placenta, ngenxa yokuthi ingane ingathola izinkinga ezinkulu zokuthuthukiswa futhi izalwe engathuthuki. Kufanele kuqaphele ukuthi i-pre-eclampsia ingenye yezimbangela ezibalulekile zokubeletha ngaphambi kokubeletha kanye nezinsana ezinzulu zokuzalwa kwezinsana njenge-epilepsy, i-cerebral palsy, ukuzwa kanye nokukhubazeka kombono.
I-Eclampsia yabesifazane abakhulelwe - ukwelashwa
Indlela kuphela yokuphatha i-eclampsia ukuzala usana. Kuphela ngezinga eliphansi kakhulu lesi sifo, elihambisana ne-protein encane emcimbini kanye nomfutho wegazi kuya ku-140/90, i-thérapie evunyelwe ngendlela yokuvimbela umsebenzi wesifazane okhulelwe. Kodwa ngengozi yokusebenza ngaphambi kosuku, pre-eclampsia idinga ukwelashwa okuqondile. Ngokuvamile, nge-eclampsia, i-calcium gluconate nokuphumula kombhede kunqunywe.
Ukuvimbela i-eclampsia kuhlanganisa:
- ukulawulwa kokungenwa kwamanzi;
- ukusetshenziswa kwamagnesia ukuvimbela ukugwinya nokuphakama kwengcindezi yegazi;
- Ukusebenzisa i-hydralazine nezinye izidakamizwa uma zifakwa e-hypertension.
Nge-eclampsia, ehambisana nama-cramps, kudingeka ukunakekelwa okuphuthumayo okuphuthumayo. Owesifazane okhulelwe e-trimester yokugcina ene-severe eclampsia udinga ukuzalwa okuphuthumayo. Ukwehlisa ezimweni ezinjalo kubhekene nomphumela obulalayo.
Emva kokuthola i-eclampsia ekukhulelwe kokuqala, ukwelashwa nokuhlolwa okuphelele kwenziwa. Ezikhathini eziningi, ngokuphathwa ngendlela efanele, umama nesisu kuthuthukiswa. Odokotela bazama njalo ukubambelela kuze kube yisikhathi lapho kuzokwenzeka khona ukuqhuba isigaba se-cearean.