Preeclampsia ukhulelwe - kuyini? Preeclampsia abakhulelwe: Izimpawu, Izimbangela Nezingozi Ukwelashwa

Noma yimuphi udokotela uzokutshela ukuthi ngesikhathi sokukhulelwa ezihlukahlukene izimo kungenzeka ezigulini kwezinye izimo ngabe wakhuluma izifo ezingathi sína kwababhemayo. Alone kuwufanele zangaphambi eclampsia ngesikhathi sokukhulelwa, izimpawu, izimbangela kanye nokwelashwa odokotela esisazokufunda. Kodwa ngisho esikwaziyo manje, lets inkulumo mayelana ezinye izingozi zezempilo kokubili umama nengane. Lingavuswa futhi kwehlisa ingcindezi, avele edema, kodwa musa aphathe lesi kancane - konke okuyizinto kungaholela kona kuletha imiphumela emibi kakhulu ngaphandle ukwelashwa okufanelekile. Ngakho, kuyini na?

preeclampsia abakhulelwe

Ngo inqubo ethwele ingane yomzimba wowesifazane asitholayo ukuhlelwa kabusha abalulekile futhi sindisa. Akukhona njalo ngesikhathi esifanayo ephethe ukuze ulondoloze impilo, ngakho-okuthile njalo umama okhulelwe futhi kudinga nokuqapha njalo odokotela. Noma kunjalo, kungase ekugcineni ebhekene nesimo ezifana pre-eclampsia kwabesifazane abakhulelwe. Kuyini lokhu?

It ungaboniswa ngezindlela eziningi, owesifazana angeze uzwe ukungakhululeki futhi uphethe ngokuthi ukukhulelwa salo ovamile. Odokotela abaningi ukuyibiza preeclampsia, esebenzisa igama elithi "preeclampsia" kuphela maqondana isimo kunalokho acute libhekene ngisho inani izimpawu. Kodwa-ke zonke iqala izimpawu sasivumela engalimazi.

izizathu

Uma udokotela kucacile kakhulu ukuthi pre-eclampsia ngesikhathi sokukhulelwa, kungani kwenzeka, kunzima ukusho. Kunezici ezithile ingozi ukuthi kungandisa amathuba lapho ivela khona, kodwa musa njalo ukusebenza. Uma owesifazane angase abhekane lesi simanga, olandelayo usanda kukhulelwa lokuqala - akukho. Odokotela bavame ukusho ukuthi isizathu high Iphesenti of fat umtimba, ukwephulwa wokusebenza kuhle kwe-uhlelo senhliziyo nemithambo yegazi, kanye nokudla okungenamsoco. Kodwa ngisho exclusion bonke lokhu, asikho isiqinisekiso sokuthi inkinga efanayo ngeke luvuke.

By the way, pre-eclampsia kungabonakala nasemkhakheni ngokushesha emva kokuzalwa, ngakho-ke kungenzeka ukuthi inkinga ibangelwa ukungasebenzi hormone noma izinhlelo eziningi. Kunoma yikuphi, uma kwakuke kwenzeke ngesikhathi sokukhulelwa izibonakaliso pre-eclampsia, uma uhlela olandelayo iwukuba uthintane ochwepheshe eziningana, phakathi letawuba eyisazi, i endocrinology, futhi-ke, i-Udokotela Wabesifazane.

Izehlo futhi Yiqiniso

Owesifazane has eziningana impela izimpawu ezingemnandi ukuthi kufanele wazise wakhe ngaphambi kokuthi uqale sina zangaphambi eclampsia kwabesifazane abakhulelwe. Kuyini lokhu?

Okokuqala, lokhu wegazi ifike value sezingeni eliphezulu. Ngeke wazizwa, ikakhulukazi uma umama okhulelwe sidebeselele udokotela njalo ekuhambeleni kwethu kokugcina futhi akakwenzi ulinganise sibalo ngokuzimela.

Okwesibili, bese kuba khona ukuvuvukala sina, kuyiphi indlela yokuphunyuka cishe kungenakwenzeka. Cijela kwesisindo imilenze esindayo futhi ivuvukele ekupheleni kosuku - lokhu kungakusiza ngezinga elithile abhekwe njengendoda mkhuba ovamile for the ukukhulelwa, ungazama ukuyeka ukudla okunempilo kanye nokwethulwa Ukudla cranberry juice. Nokho, uma lezi zinyathelo musa asize abantu, nesimo sokuba kuphela siya siba sibi kakhulu, kuhlangene umfutho ophakeme, kunengqondo ukukhuluma preeclampsia - okuthiwa toxicosis kwesigamu sokukhulelwa yesibili.

Isibonakaliso yesithathu maduze zifike preeklamsiya omnene kwabesifazane abakhulelwe, - khona amaprotheni ku isampula umchamo. Lokhu kusho ukuthi izinso kuthiwa kukulimaze, bamane akakwazi ukubhekana umthwalo futhi baqala ukuba afiphale. Endabeni ka okwengeziwe indiva avele lesi sifo nezinye izimpawu eziyingozi kakhudlwana, esizibonakalisa preeclampsia kwabesifazane abakhulelwe.

izimpawu

Ngemva ukubukeka edema, ngenhlanhla, akuzwakali, kodwa nomthelela embungwini, kanye amaprotheni ku ukuhlaziywa umchamo, nezinye izimpawu preeclampsia inchubekelembili kungenzeka ngokushesha impela. Kungase kube nokwehla umchamo okukhipha, eminye nokugcinwa uketshezi emzimbeni. Kulokhu, owesifazane angase abe nomuzwa ubuhlungu besisu, isiyezi, ukuhlanza, isicanucanu. Khona-ke ingqondo zingashintsha ngenxa edema palsy.

Kumele abaningi bayiqonda ngokuthi ibhekisele esifike ngesikhathi udokotela kuyosisiza sigweme zonke lezi kalula. manje Kukhona isu ukwelashwa futhi esimweni okwedlulele okusithiyayo esiphezulu ukuqhubekela phambili kwesifo. Ngokuvamile abakwazi kakhulu yelule sokukhulelwa futhi ngezinye izikhathi ngisho ukutshela ingane ukuba ezilibiza ngokuphepha rodorazreshivshis usebenzisa odokotela abahlinzayo.

degrees

Preeclampsia abesifazane abakhulelwe kuyehluka kobukhulu zawo, ulubone kanye nesidingo sokuthatha isinyathelo esiphuthumayo. Ngokuvamile, kuba abathathu, futhi uma sisilandela uqhubeke kusukela nemithetho ingcindezi 120/80, bungokulandelayo:

• Ezintsha zangaphambi eclampsia kwabesifazane abakhulelwe. Kungase kube ukuvuvukala kancane, futhi ukubaluleka blood pressure liphuma akukho ephakeme kuka 150/90. Kunezinguquko ekucubunguleni kwamakhemikhali kwegazi, amaprotheni ku umchamo - akukho kuka 1 igremu ilitha.
• Ezintsha zangaphambi eclampsia kwabesifazane abakhulelwe. Ingcindezi at 170/110, ngenxa yalesi ikhanda. Izinga amaprotheni ku umchamo ukuze 5 amagremu ilitha. Izinguquko Ezenzeka platelet count urea egazini.
• Sinzima zangaphambi eclampsia kwabesifazane abakhulelwe. Izinkomba idlule izibalo ngenhla. Vela futhi bathuthuke izimpawu ezengeziwe: ubuhlungu besisu, isiyezi, isicanucanu, angaboni kahle.

Ingozi iba yokuthi zangaphambi eclampsia kungase bathuthuke ngokushesha. Ngakho-ke, ngisho ukwanda kwesikhathi esisodwa ingcindezi nezimiso sezingeni eliphezulu angase abe nobuqili ukuvakashelwa engaphezu kwevamile udokotela, futhi ezimweni ezimbi kakhulu - shayela i-ambulense. Ngempela ukukhumbula igama "preeclampsia abesifazane abakhulelwe", kuyini, odokotela baziqonde bona ngokwabo. Kuyinto kudingekile kuphela ukukhumbula ukuthi odokotela nje akakwazi ukukusiza uma uzofika sekwephuzile.

ukuhlola

Ngezinye reception ngamunye ngesikhathi udokotela wezifo zabesifazane wenziwa blood pressure nesilinganiso nesisindo. Ngaphezu kwalokho, kwenziwa ukuhlolwa umchamo for khona amaprotheni kuwo. Uma kukhona kungenzeka yokuthi kuzoba zangaphambi eclampsia ngesikhathi sokukhulelwa, siptomy noma ukubazindlekela, kunengqondo njalo afeze eziningi ukuhlolwa eyengeziwe.

Okokuqala, kubalulekile ukuhlolwa igazi for oyisazi samakhemikhali ezinto eziphilayo. It ikuvumela ukuba abone umsebenzi enzyme isibindi futhi ushintshe izinga labo. Okwesibili, ukuhlolwa igazi for hemostasis, okungukuthi igazi ekunqandeni. Lokhu kuhlola kusiza ukuhlonza izinkinga ezifana amahlule. Uhlaziyo lwesithathu, esiza ukulawula isimo ukhulelwe - amazinga igazi creatinine kanye urea. It ikuvumela ukuba uhlole umsebenzi izinso.

Njengomthetho, kwenziwe esibhedlela kanye ukuhlolwa elula enembile - ngokwesibonelo, ukuhlaziywa kwi alahleka nsuku zonke amaprotheni noma lokuphuza Zimnitsky, okubonisa ukusebenza ohlelweni excretory.

ekwelapheni zangaphambi eclampsia

Kwabesifazane abakhulelwe, kusukela iphuzu Ngenxa odokotela, kukhona ethile eyodwa enkulu - abakwazi usetshenziselwe iningi izidakamizwa. Yiqiniso, i-arsenal kwemithi ukuze ulondoloze isimo ucishe esitebeleni preeclampsia ubanzi kakhulu, kodwa noma kunjalo akuzona njalo ngempumelelo, ngoba zonke umzimba uhlukile indlela esisabela ngayo. Saba nzima isimo, futhi ukuthi lesi simo senzeka kungase bathuthuke emhlabeni ngesonto lamashumi amabili yokukhulelwa, futhi kulesi simo, amathuba self-ukunothisa cishe ayikho.

Ngokuvamile, ukwelashwa wenziwa, okuhloswe ngazo ukwehlisa umfutho wegazi futhi umthamo uketshezi ngokweqile emzimbeni, kanye ukuthuthukisa igazi ligeleze umbungu. Esikhathini omningi isikhathi kuqalile ekwelapheni zangaphambi eclampsia kwabesifazane abakhulelwe ungakwazi ukuqeda izinkinga ku ezanele ephephile egqoke phandle isikhathi. Kodwa umkhuba, owesifazane Russian abaphethwe umfutho wegazi ophakeme, cishe ngeke bavunyelwe ukuzithiba ukulethwa ngezizathu zezokwelapha, ukuze kuleli cala kudingeka alungiselele ngokwenqondo isigaba cesarean.

Imiphumela kumama

Eclampsia zingenzeka uma indiva eside zangaphambi eclampsia kwabesifazane abakhulelwe. Kuyini, futhi yini ebonakala ngaphakathi lo sho? Lena inkinga kuyingozi kakhulu ukuthi zingayisongela hhayi kuphela empilweni, kodwa futhi ekuphileni sowesifazane.

Ukuthuthukisa HELLP-syndrome, isb waphawula ukulimala kwesibindi, ukubhujiswa amangqamuzana abomvu platelet count incipha. Bangaya Ukudlikizela, ngisho ikhoma zenzeka. Ngezinye izikhathi liyabulala. Nokho, lesi sifo sihlasela hhayi kuphela umama.

Phetho umbungu

Nomthelela omubi ingane iqala ngisho phakathi high blood pressure. Imikhumbi constrict, siyabhubha ukugeleza kwegazi e-placenta, ingane ongawamukeli mpilo nezakhi. Isithelo ikhula sibi, kungase kube thuthuva ku CTG futhi ngesikhathi ultrasound. Uma preeclampsia waqala esikhathini ngokwanele ekuqaleni, kungase kube ezacile, iziyaluyalu ukopha, nezinye ukwehluleka. Ngakho ningakwenqabi yokwelashwa.