Phakathi kwezibonakaliso zokuqala zokukhulelwa, okuvame kakhulu ukuthi i-toxicosis. Cishe amaphesenti angama-90 omama abalindelekile abhekene nokuhlushwa okukhulu nokuhlanza ngesikhathi sokubeletha kokuqala. Ezimweni eziningi, lezi zimpawu aziyingozi futhi zidlulisela amasonto ambalwa.
Ukuvuthwa ngesikhathi sokukhulelwa - izimbangela
Akukatholakali ukusungula izici ezivusa into echazwe kulesi sihloko. Ngokusobala, ukuhlanza ku- toxicosis yabesifazane abakhulelwe kuyisimo esithile esithinta umzimba ngokushintsha kweziningana ezenzeka kuwo ngemuva kokukhulelwe. Ukuqubuka kwesisu nokuphuma kwesisu kubhekwa izimpawu ezivamile ezingadingi ukungenelela kwezokwelapha.
Ukwehluleka kwabesifazane abakhulelwe kufanele bahlukanise nezifo zendlela yokugaya ukudla, enezibonakaliso ezifanayo. Ngezinye izikhathi kucatshangelwa ukubonakaliswa kwemitholampilo ngenxa yokukhushulwa kwezifo ezingapheliyo:
- isibindi;
- uhlaka;
- amathumbu;
- isisu;
- isophagus.
Ukuvuthwa ngesikhathi sokukhulelwa esemncane
Emva kokukhulelwe emzimbeni, abesifazane baqala ukuguquka kwe-immunological, hormonal kanye ne-vascular. Ochwepheshe bakhombisa ukuthi ngenxa yabo futhi kukhona ukuhlanza ngesikhathi sokukhulelwa. Enye inkolelo ukuhluleka okwesikhashana ekusebenzeni kwesimiso sezinzwa, esizibonakalisa ngesimiso sokuncibilikisa, ukuphuza ngokweqile, ukushaya inhliziyo nokunye izimpawu ezingathandeki. Kukhona kungenzeka ukuthi ukuhlanza kwabesifazane abakhulelwe ngokwemibandela yokuqala kuhlotshaniswa nokukhululwa kwe-gonadotropin ye-chorionic. Ukuphumelela kwaleli hormone lokuhlushwa okukhulu kuhambisana nesikhathi sokwenzeka kwe-toxicosis.
Ukuvuthwa ngesikhathi sokukhulelwa ngezikhathi zakamuva
Ezimweni eziningi, inkinga echazwe yedwa iphela ngokwesonto lama - 20 lokubeletha . Ngokuvamile kukhona ukuhlanza okuqhubekayo ekukhulelweni, ukuqhubekela phambili ezinhlobonhlobo. Lesi simo asithathwa njengodokotela njengokwelapha, kodwa kudinga isimo sengqondo sokunakekelwa kowesifazane emsebenzini womuthi wakhe wamathumbu. Ukuvota emithathu yokukhulelwa kungabonisa ukuphindaphinda kwezifo ezingapheli zokugaya ukudla. Uma isikhathi singalungisi ukudla, ngemuva kokuzalwa kwengane inkinga yezifo ezinjalo izoba yingozi kakhulu.
Ukuvuthwa kwe-bile ngesikhathi sokukhulelwa
I-toxicosis kumama ozayo kwenzeka ikakhulukazi ekuseni, ngokushesha emva kokuvusa, lapho konke ukudla sekuvele kugcwele. Uma kungekho lutho esiswini, ukuhlanza kwe-bile ngesikhathi sokukhulelwa ezinyangeni zakuqala kuyaqondakala futhi kuvamile. Njengoba kunikezwe isicashulo samanje kanye nesifiso esibi kwabesifazane ngokusuka kwalezi zimpawu ezingathandeki, isimiso sokugaya umzimba asinaso lutho lokuphuma. Ezimweni ezingavamile, ukugcinwa kwesibindi sezifo zesifo samathumbu, kodwa ezimweni ezinjalo, kunezinye izimpawu ezithile.
Ukushaya ngegazi ngesikhathi sokukhulelwa
Uma izixuku ezithuthukisiwe ziba nokungcola okubomvu noma okubomvu, imbangela ingase ibe isitsha esiqhekekile esiqwini. Ukuvuthwa ngegazi ku-toxicosis kwabesifazane abakhulelwe kuyinto evamile futhi engeyona eyingozi kakhulu, uma nje umvuthwandaba we-fluid biological ugcinwa njalo. Ukukhathazeka kuyadingeka uma kunegazi elikhulu noma seluthole i-tinge emnyama. Ukuvuthwa ngesikhathi sokukhulelwa nge-inclusions echazwe kubonisa ukuphuma kwegazi esiswini. Lokhu kuyisibonakaliso sesilonda esikhulayo, igastritis enamandla noma isifo se-isibindi sesibindi.
Uhudo nokuhlanza ekukhulelweni
I-diarrhea ingenzeka phakathi nesonto le-18-23 lokubeletha ngenxa yokwanda kwesibeletho nokucindezela kwayo emathunjini. Uma ukuhlanza nokuhuda kumfazi okhulelwe akuhambisani nezinye izimpawu ezimbi (umkhuhlane, ubuhlungu, colic), zibhekwa njengezinto ezijwayelekile. Kwezinye izimo, kufanele uxhumane nesifo se-gastroenterologist. Isifo sohudo kanye nesiphithiphithi ngokuhambisana nezibonakaliso ezihambisana nezifo zingakhuluma ngezinkinga ezilandelayo:
- uketshezi kokudla;
- ukudla okungalungile;
- i-gastritis ;
- i-enterocolitis;
- ukutheleleka emathunjini;
- ukuhlasela kwe-helminthic;
- i-pancreatitis;
- i-cholecystitis;
- ukuvuvukala kwesithasiselo.
Ubunzima bokuhlanza abesifazane abakhulelwe
Kunezinhlobo ezintathu zezifundo ze-syndrome echazwe:
- Ukuhlanza okulula nokucabangela. Ukuzwa okungajabulisi kwenzeka ekuseni noma ngokushesha ngemva kokudla. Ukususwa kokuqukethwe kwesisu kwenzeka izikhathi ezingaba ngu-5 ngosuku. Ukudla komama wesikhathi esizayo nomzwelo wehla, isisindo singawa ngu-2-3 kg.
- Ukuhlanza okukhulu ngesikhathi sokukhulelwa. I-degree ejwayelekile ye-pathology ibonakala ngokuphindaphindiwe kokuhlasela kuze kube izikhathi ezingu-10-11 ngosuku, okwenzeka ekuseni nangemva kokudla ngakunye. Isimo somuntu wesifazane sibuhlungu kakhulu, ukucindezeleka kwegazi kunciphisa, futhi izinga lokushaywa kwegazi liyakhula.
- Ukuhlanza okungenakulinganiswa kwabesifazane abakhulelwe. I-toxicosis enzima kuyimvelo eyingozi kakhulu kokubili umama ozayo nomntwana. Ukuhlaselwa kwenzeka izikhathi ezingaphezu kwezingama-20 ngosuku, umsebenzi wezinyosi awuphephile, isisindo nomfutho wegazi sehla ngokushesha. Abanye besifazane bathola ukushisa komzimba okwandisiwe nokwanda kwenhliziyo. Isikhumba sishaya futhi soma ngenxa yokuphelelwa amandla kwamanzi, iphunga elimnandi elivela emlonyeni lizwakala, ukuvimbela ukuphendula kubonakala. Ngezinye izikhathi lesi simo sibonisa ukuphazanyiswa kokufakelwa kwesisu.
Ukuvuthwa ngesikhathi sokukhulelwa - yini okufanele uyenze?
Izinga elikhanyayo nelisemkhatsini yenkinga okucatshangelwayo ayidingi ukwelashwa okhethekile kanye nokusetshenziswa kwemithi. Ukwelashwa kokuhlanza abesifazane abakhulelwe ezimweni ezinjalo kubandakanya izinyathelo ezijwayelekile zokunciphisa isimo somama ozayo. Zihlanganisa ukulungiswa kokudla nokudla, ukuqiniswa kwesimo sengqondo sabesifazane nokubuyiselwa kwamanzi okusawoti emanzini emzimbeni.
Ukunciphisa abesifazane abakhulelweyo - izincomo zomtholampilo
Umgomo oyinhloko wezokwelapha ochazwe ngokuthi i-syndrome yi-normalization yokusebenza kwesisu nokuvimbela ukuphelelwa amandla kwamanzi. Uma ukuhlanza ngesikhathi sokukhulelwa kuyinto emnene noma elinganisiwe, ochwepheshe batusa lokhu okulandelayo:
- Masinyane emva kokuvusa, into yokudla nokuphuza. Ama-biscuits afanelekile noma ama-biscuits, ama-2-3 sips wamanzi abilisiwe. Kuyinto efiselekayo ukuba "nidle ukudla kwasekuseni" lapho uhlala embhedeni. Vuka kangcono emva kwemizuzu engu-15-30.
- Phakathi nosuku, uphuze amanzi ahlanzekile phakathi kokudla.
- Kunezinxenye ezincane futhi ngokuvamile. Akufanele uvumele umuzwa wendlala noma ukudla ngokweqile.
- Khetha ukudla okunomsoco, okunomsoco nokufudumele. Izitsha zokuqala zilula ukugaya futhi kuncane ukuvusa isicashu. Kuyinto efiselekayo ukushiya ngokuphelele ukupheka, ukubhema nokudla okunamafutha.
- Phakathi kwesidlo sokuphuza itiye elimnandi. Abanye besifazane basizwa ukuqeda isicanucanu ngokufaka ilamula, i-orange noma i-mandarin emanzini.
Uma ukuhlanza kunzima ngesikhathi ukhulelwe, kufanele uxhumane nodokotela ukuze uthuthukise ukwelashwa okuphumelelayo kodwa okuphephile. Umphumela othobekile yi-pyridoxine noma i-vitamin B6. Ukwamukelwa kwe-10 mg kuphela (1 isikhathi ngosuku) kwalesi sitho kunciphisa izigameko nokucindezeleka kokuhlaselwa isicashunwa ngu-70%. Ukusebenza kwalo kuthuthukiswa ngokuhambisana ne-diclectin (doxylamine).
Amathebulethi avela ekuhlanzeni kwabesifazane abakhulelwe
Imithi ekhethekile ingabekwa udokotela kuphela, ngoba ukuthatha iningi lemithi ngesikhathi sokukhulelwa kuvunyelwe. I-nausea nokuhlanza ngesikhathi sokukhulelwa imiswa ngezindlela ezinjalo:
- Bendixtin;
- Ukukhishwa okusha;
- I-Lenotan.
Ama-anti-histamines nawo anomphumela omuhle. Ukwengeza, banciphisa ukushaya kwenhliziyo. Uma ukuhlanza nokuzondeka ngesikhathi sokukhulelwa kungenzeki ngokumelene nesizinda sokwelashwa, udokotela angancoma ukwelashwa okuqondile:
- Ondansetron;
- Promethazine;
- Meclosin;
- I-Diphenhydramine;
- I-Metoclopramide.