Yokukhulelwa ndikhulelwe - yintoni na? Yokukhulelwa Pregnant: Iimpawu, Unobangela Treatment

Namphi na ugqirha uza kukuxelela ukuba ngexesha lokukhulelwa ezahlukeneyo iimeko kungenzeka kwizigulane kwezinye iimeko ebengathetha malunga kwezifo. Iyodwa ixabisa pre-eclampsia ngexesha lokukhulelwa, iimpawu, izizathu kunye nonyango apho oogqirha kodwa ukufunda. Kodwa into esiyaziyo ngoku, lets intetho malunga ezinye iingozi zempilo kumama nomntwana. Ngaba kuvuswa baze esehlisa uxinzelelo, nokudumba ukuvela, kodwa musani ukubaphatha oku olova - konke oku kungakhokelela nemiphumela emibi kakhulu ngaphandle unyango olufanelekileyo. Ngoko ke, yintoni na?

yokukhulelwa okhulelweyo

Xa inkqubo ephethe umntwana umzimba yomfazi ivavanywa ngokutsha okubalulekileyo kunye overload. Akusoloko ngexesha elifanayo uyakwazi ukugcina impilo, ngoko into yonke ngumama okhulelweyo kwaye ifuna esweni rhoqo koogqirha. Sekunjalo, ukuze ekugqibeleni senze imeko efana pre-eclampsia in abafazi abakhulelweyo. Yintoni na?

Kunokuba luboniswe ngeendlela ezininzi, umfazi akakwazi va waziva ucinga ukuba ukhulelwe wayo ngokupheleleyo eqhelekileyo. Oogqirha abaninzi bayibiza yokukhulelwa, esebenzisa igama elithi "yokukhulelwa" kuphela ngokunxulumene imeko kunokuba etsolo luphawulwa inani iimpawu. Kodwa yonke iqala nge imiqondiso ngokwanelisayo kwezinye.

izizathu

Ukuba ugqirha ecacileyo kakhulu ukuba pre-eclampsia ngexesha lokukhulelwa, kutheni kwenzeka, kuba kunzima ukutsho. Kukho izinto ezithile umngcipheko ezinokuthi kwandisa amathuba livela, kodwa azisoloko ukusebenza. Nokuba umfazi kumelana lo mhlola, olandelayo kukhulelwa yokuqala - akukho. Oogqirha bathi sizathu ephezulu ipesenti kwamafutha omzimba, waphula umthetho ukusebenza kakuhle kwenkqubo sentliziyo, kwakunye ngokunciphisa mpilweni. Kodwa ke ngaphandle konke oku, akukho siqinisekiso sokuba kukho ingxaki efanayo akayi kuvuka.

Hi ndlela leyi, pre-eclampsia ibonakala ngoko nangoko emva kokuzalwa, ngoko kusenokwenzeka ukuba ukungasebenzi ngumtyholwa hormone okanye iinkqubo ezininzi. Kuyo nayiphi na imeko, ukuba ngonaphakade ngexesha lokukhulelwa wabonisa iimpawu pre-eclampsia, xa uhlela elilandelayo kukuba nokubonisana neengcali eziliqela, phakathi eya kuba segazi, i endocrinologist, yaye, ke, i obstetrician-ugqirha.

Ezenzekayo nekhondo

Umfazi eziliqela iimpawu ezingemnandi ukuba tufwile phambi kokuba uqale ezinzulu pre-eclampsia in abafazi abakhulelweyo. Yintoni na?

Okokuqala, lo uxinzelelo lwegazi banyukele ixabiso sezingeni eliphezulu. ukungavakali oko, ingakumbi xa umama okhulelweyo sityeshele Utyelelo kugqirha rhoqo, yaye aluthathi umlinganiselo lomzobo ngokuzimeleyo.

Okwesibini, ukufukuka kakhulu, ukusuka apho ukubaleka phantse akunakwenzeka. Sharp ubunzima inzuzo, imilenze enzima kwaye idumbile ekupheleni kosuku - eli itoti ngandlel 'ithile kuthathwa into eqhelekileyo ukuba ukukhulelwa, unga zama ukuyeka ukutya okunempilo kunye nokuqaliswa juice yokudla cranberry. Kodwa, ukuba la manyathelo musa ukunceda, kwaye imeko kuphela iya isiba mandundu, idityaniswe kunye noxinzelelo oluphezulu, iyavakala ukuthetha yokukhulelwa - ebizwa ngokuba toxicosis kwisiqingatha sesibini yokukhulelwa.

Uphawu wesithathu ukuba eze preeklamsiya wobulali kungekudala abasetyhini abakhulelweyo, - ubukho iiprothini kwisampulu umchamo. Oku kuthetha ukuba izintso ayachaphazeleka kanobom, abakwazi ukumelana umthwalo aze aqalise nakanjani. Kwimeko nangakumbi ukukhathaza sifo kuvela kunye neminye imiqondiso eziyingozi kakhulu, esizibonakalisa yokukhulelwa xa abafazi abakhulelweyo.

iimpawu

Emva kokuba ukubonakala nokudumba, leyo, ngokuzenzekelayo, ukungavakali, kodwa kuba nefuthe elibonakalayo ekukhuleni kosana olungekazalwa, kwakunye iiprothini uhlalutyo umchamo lo, ezinye iimpawu progression yokukhulelwa kungenzeka ngokukhawuleza. Kusenokubakho inciphe imveliso umchamo, ngakumbi ukugcinwa ulwelo emzimbeni. Kulo mzekelo, ibhinqa banokuziva iintlungu esiswini, isiyezi, ukugabha, isicaphucaphu. Ke ikhaliphe zingatshintsha ngenxa nokudumba lobuchopho.

Kufuneka kuqondwe ukuba imbekiselo ngexesha ugqirha uza kunceda zicezele zonke ezi les. Ngoku Kukho isicwangciso unyango kunye kwimeko kakhulu inhibition ubuninzi phambili kwesifo. Amaxesha amaninzi akakwazi ukuba abambe kakhulu ukukhulelwa kwaye maxa wambi ndithi umntwana ukuba bakubiza ngokukhuselekileyo rodorazreshivshis usebenzisa oogqirha.

degrees

Yokukhulelwa abasetyhini abakhulelweyo bahluka ubungqongqo ikhondo yayo, kunye nemfuneko amanyathelo akhawulezileyo. Ngokwemveli, kukho amathathu, kwaye ukuba Ndiyaqhubekeka imimiselo ka 120/80 loxinzelelo, ke zezi zilandelayo:

• Nobulali pre-eclampsia in abafazi abakhulelweyo. Kusenokubakho iindumbisa kancinane, kwaye ixabiso uxinzelelo lwegazi liphuma akukho ngaphezulu kwe 150/90. Kukho utshintsho kuhlalutyo zengqo- igazi, iiprothini umchamo - hayi ngaphezulu kwe-1 gram ilitha nganye.
• Nobulali pre-eclampsia in abafazi abakhulelweyo. Ingcinezelo kwi 170/110, ngenxa yale ebuhlungu. Izinga iiprothini umchamo ukuba grams-5 ilitha nganye. Utshintsho kwi zegazi lwamajoni urea egazini.
• Ezimandundu pre-eclampsia in abafazi abakhulelweyo. Izalathisi ingedluli manani angentla. Imbonakalo nezenkqubela iimpawu ezongezelelweyo: iintlungu esiswini, isiyezi, isicaphucaphu, ukungaboni.

Ingozi siyifumana yokuba pre-eclampsia singaqhubela ngokukhawuleza. Ngoko ke, nkqu ngexesha elinye-ukunyuka koxinzelelo ukuya amaxabiso ngokwaneleyo aphezulu abe namkhusane nondwendwelo engaqhelekanga ukuya kugqirha, kwaye kwiimeko ezinzima - ubize inqwelo yezigulana. Ukuba ukhumbule igama "yokukhulelwa abafazi abakhulelweyo", oko kukuthi, oogqirha ukuqonda ngokwabo. Kuyimfuneko kuphela ukuba ukukhumbula ukuba oogqirha nje ayikwazi ukunceda ukuba uza kufika emva kwexesha.

ekuxilongweni

Xa yokwamkela ngamnye ugqirha lwenziwa womlinganiselo uxinzelelo lwegazi nezinobunzima. Ukongeza, ukuba waqhuba uvavanyo lomchamo ubukho iiprothini kuyo. Ukuba kukho ukuthambekela yokuba ukuba kuya kuba pre-eclampsia ngexesha lokukhulelwa, siptomy okanye engathembi, iyavakala ukuphumeza rhoqo inani leemvavanyo ezongezelelweyo.

Okokuqala, kungenxa uvavanyo igazi ngamachiza ezinto eziphilayo. It ikuvumela ukuba ukuchonga umsebenzi enqanda zesibindi uze utshintshe inqanaba labo. Okwesibini, luvavanyo igazi hemostasis, okt igazi ekunqandeni. Olu vavanyo kunceda ukuchonga imiba efana egazi. A Uhlalutyo wesithathu, nto leyo inceda ukulawula imeko abakhulelweyo - igazi amanqanaba creatinine kunye urea. It ikuvumela ukuba ukuhlola umsebenzi nezintso.

Njengomgaqo, olwenziwa esibhedlele kunye iimvavanyo ezilula kwaye ongenantandabuzo - umzekelo, uhlalutyo kwi ilahleko yemihla ngemihla protein okanye isampula Zimnitsky, ebonisa ukusebenza kwenkqubo excretory.

unyango pre-eclampsia

Xa abafazi abakhulelweyo, ukususela kwinqanaba umbono koogqirha, kukho ethile mnye ezinkulu - abakwazi zingasetyenziswa uninzi iziyobisi. Kakade ke, lo yokugcina amayeza ukugcina karhulumente ngaphezulu okanye ngaphantsi zozinzo yokukhulelwa libanzi impela, kodwa azisoloko kakuhle, ngenxa yokuba wonke umzimba ngokukhethekileyo ngayo zabo. Nzima le meko, yaye le meko singaqhubela ngeenxa zonke kwiveki wamashumi ukukhulelwa, kwaye kulo mzekelo, amathuba self-ekukhuliseni phantse namnye.

Ngokuqhelekileyo, uthomalaliso dibaniso ikhutshwa phandle, olujonge ukuthoba uxinzelelo lwegazi kunye nomthamo ulwelo kwemfuneko emzimbeni, ngokunjalo nokuphucula igazi kwemali olungekazalwa. Xa isambuku ixesha ungaluqalanga unyango lwe pre-eclampsia xa abasetyhini abakhulelweyo ukuphelisa iingxaki eyanele ukuba ekhuselekileyo kweeseli xesha. Kodwa practice, lo mfazi Russian ukubandezeleka wegazi, abaninzi mhlawumbi abayi kuvunyelwa ukuba self-delivery ngenxa yezizathu zempilo, ukuze kulo mzekelo kufuneka ukulungiselela ngengqondo kuba uqhaqho.

Imiphumo ukuba unina

Eclampsia kunokwenzeka ukuba ngoyaba elide pre-eclampsia in abafazi abakhulelweyo. Yintoni na, yaye yintoni olwenze le meko? Le ingxaki kuyingozi kakhulu ezinokuthi ezisongela nje impilo, kodwa ubomi mfazi.

Ukuphuhlisa HELLP-syndrome, ngamanye waphawula umonakalo kwesibindi, ukutshatyalaliswa iiseli ezibomvu zegazi zegazi count kunciphisa. Siye unditsho, nkqu isiqaqa kwenzeke. Maxa wambi lelibulalayo. Nangona kunjalo, esi sifo sihlasela kuphela unina.

Imiphumo for kwimveku

Nefuthe elibi kwi umntwana iqala kude ngexesha uxinzelelo oluphezulu lwegazi. Izikhephe constrict, zaphazanyiswa igazi lokuhamba ngumkhaya, umntwana akafumani ioksijini kunye nezondlo. Isiqhamo lukhula ngakumbi, kusenokubakho ukuphazamiseka kwi CTG nasebudeni ultrasound. Ukuba yokukhulelwa yaqala ngxexesha kwangoko ngokwaneleyo, kusenokubakho belula, ukuphazamiseka ukopha, kunye nezinye neentsilelo. Ngoko ke musa Xabisa unyango.