Ndiqinisekile ukuba uvile la magama amaxesha amaninzi kunokuba ukhumbula ngoku, kodwa mhlawumbi awuzange wazi ngokuqinisekileyo. Umahluko okhoyo phakathi kwexesha elinye nelinye, ungakhathazeki kuba yinto eqhelekileyo. Namhlanje ndifuna ukukunceda uchaze ezi zifo zimbini ukuze ukusukela namhlanje uzokwazi ukubona ukuba yintoni na isifo ngasinye.
Into onokuyazi kukuba omabini la magama ayenzeka okanye angenzeka ngexesha lokukhulelwa kwaye kuxhomekeke kwinqanaba, inokubeka umama nosana emngciphekweni wokufa. Ke akukho zimbini kwezi zifo ekufuneka zithathwe njengesiqhulo, zizifo ezibini ezibi kakhulu.
Yintoni i-preeclampsia?
IPreeclampsia ngu ubukho bexinzelelo lwegazi oluphezulu kunye neprotein kumchamo onokuqala ukukhula emva kweveki ye-20 yokukhulelwa. Ekuphela kwendlela yokunyanga ukoyisa esi sifo kukuzala umntwana, kodwa ukuba oku kufuneka kwenzeke ngokukhawuleza, umntwana kuyakufuneka ukuba abe kwisifukamisi ngokuphumla okupheleleyo nolawulo olucokisekileyo lwezonyango. Umsebenzi uza kunyanzeliswa kangangoko kunokwenzeka. Ukusuka kwi-preeclampsia inokuqhubela phambili ukuya kwi-eclampsia, Ngokubekwa ngaphambili phambi kwekota, sele iqondiwe ukuba ingahamba ngaphambili.
Yintoni i-eclampsia?
I-Eclampsia yi Isiganeko sokubanjwa ngumfazi okhulelweyo, into enokuthi yenzeke emva kweveki ye-20 yokukhulelwa. Njengakwi-pre-eclampsia, umsebenzi kufuneka unyanzelwe kuba bobabini umama nosana basemngciphekweni wokufa.
Akukho ndlela yokuzikhusela kwezi zifo, kodwa kubaluleke kakhulu ukuba bonke abantu basetyhini bangenelwe lonke ulawulo lwangaphambi kokubeleka, oluya kuthi luvumele ukuxilongwa kwangethuba kunye nonyango ukuzama ukuthintela (nangona kufanele ukuba kubonakale kuyakwenza okufanayo) pre-eclampsia, ukunqanda i-eclampsia ingenzeki.
Kodwa apha ngezantsi ndifuna ukunika inkcukacha ethe kratya malunga nokuba sesiphi na kwezi zifo ngoba ziyinto ekufuneka abantu basetyhini bayithathe ngokungathí sina.
Iimpawu kunye neempawu zePreeclampsia
Oogqirha bayayigxininisa into yokuba abasetyhini abakhulelweyo kufuneka bahlale bephaphile kwaye betsalela umnxeba kwangoko kuyo nayiphi na imeko kaxakeka okanye naziphi na iimpawu ezingaqhelekanga abazibonayo. Into ebonakala ingaqhelekanga kuthi akufuneki yenziwe ibe yinto eqhelekileyo, Kuya kufuneka ubize ugqirha ngoko nangoko kwezi mpawu zilandelayo ze-pre-eclampsia:
- Ukudumba ngesiquphe wezandla, ubuso neenyawo
- Intlungu ebuhlungu kwingingqi ephezulu yesisu
- Intloko ebuhlungu engapheliyo nokuba ugqirha wakho ukumisele amayeza eentlungu ezikhuselekileyo xa ukhulelwe.
- Umbono ogqwethekileyo okanye ukubonakala kwamabala amnyama embonweni
- Ukuqhaqha
Ukuba ufumanisa ukuba unganayo i-pre-eclampsia kwinqanaba lokuqala, kuya kufuneka uye kwagqirha wakho kwangoko ukuze inyangwe ngendlela eyiyo kuba ukuba ifunyenwe kwangethuba inokuthintelwa ukuze ingahambi ngaphezulu.
Iimpawu kunye neempawu zeclampsia
Iimpawu ze-eclampsia zezi ukuxhuzula. Ezinye iimpawu kunye neempawu zingaphezulu okanye ngaphantsi ziyafana ne-pre-eclampsia, nangona inokwahluka ngokuxhomekeka kwinqanaba lokuzibandakanya. Nalu uluhlu lweempawu ezinokuvela kubasetyhini abakhulelweyo abane-pre-eclampsia kunye ne-eclampsia:
- Ukunyusa uxinzelelo lwegazi oluphezulu
- Ukwanda kwenani leprotheni kumchamo
- Intlungu yesisu
- Ukungaboni kakuhle
- Isicaphucaphu nokugabha
- Ukuqaqanjelwa yimisipha
- Ukuphulukana nokungazi
Oonobangela be-preeclampsia
Oonobangela ngqo be-pre-eclampsia kunye ne-eclampsia abaziwa, kodwa kukho izinto ezithile ezinokubangela okanye zibangele, kubandakanya:
- La Ukujikeleza kwegazi okungalunganga malunga nesibeleko
- Imithambo yegazi eyonakeleyo
- Ukutya okungonelanga kwesondlo
- Iingxaki zenkqubo yomzimba yokuzikhusela
Oonobangela be-eclampsia
I-Eclampsia iphawulwe ngokwenzeka kokubanjwa, kwaye inezinto ezifanayo ne-preeclampsia, nangona ezinye izinto zibandakanya:
- La Ukunyanya
- Oomama abane-preeclampsia
- Ilifa
- Isondlo esibi
- Inkqubo ye-nervous system eneengxaki
- Iingxaki ze-Neurological
Izinto ezinobungozi kuzo zombini izifo
I-Preeclampsia kunye ne-eclampsia zinokuhlasela Abasetyhini abakhulelweyo besebancinci okanye ngaphezulu kweminyaka engama-40. Nangona kunokubakho ezinye izinto ezinobungozi ezinje:
- Imfuza
- Ukukhulelwa kokuqala
- Amaqabane amatsha ekukhulelweni konke
- Ukukhulelwa okuninzi
- Ukutyeba kakhulu
- Iswekile kunye neswekile yokukhulelwa
- Ixesha elide phakathi kokukhulelwa kunye nomnye
- Umngcipheko wokukhula kwe-eclampsia uphezulu kubafazi abangenanto (ngaphandle kokukhulelwa kwangaphambili) kunabo sele benabantwana.
- Ukutyeba kakhulu
Ngaba i-preeclampsia kunye ne-eclampsia zinokunyangwa?
Njengazo zonke izifo, olona nyango lulungileyo okanye unyango lwezifo uthintelo. Kungenxa yoko le nto unyango lwe-pre-eclampsia lujolise ikakhulu ekuthinteleni ukukhula kwe-eclampsia. Kuyimfuneko ke ngoko ukuba umntwana azalwe ngokukhawuleza ukusindisa ubomi bakhe nokuba kunyanzelekile ukuba abekhona kwi-incubator ixesha elide. Nangona kunjalo, ukuba umfazi okhulelweyo unesivumelwano esinye okanye esinye kwisigaba sokuqala sokukhulelwa, ukuhambisa umntwana kwangoko kunokuba lolona khetho lufanelekileyo.
Ukuba i-pre-eclampsia ithambile, ugqirha unokuyalela amayeza ukunciphisa uxinzelelo lwegazi, kwaye ukuphumla kwebhedi kuyacetyiswa. Umfazi okhulelweyo unokuhlala esibhedlele evunyelwe ukuba angakwazi ukwenza uhlolo olupheleleyo lwexinzelelo lwegazi kunye nokuba nakho ukuqinisekisa ukuba omithiyo kunye nosana lwakhe bangaphandle kwengozi.
Ukuba i-preeclampsia inzima kakhulu kwaye umntwana akanako ukuziswa, emva koko amisele i-corticosteroids kumfazi okhulelweyo ukwenzela ukuba umsebenzi weeplatelets uphucule kwaye ukukhulelwa kwakho kube nempumelelo.
Kwimeko ye-eclampsia, ihlala inyangwa nge-magnesium sulphate ebonakala ngathi iyasebenza, kwaye ikhuselekile nakumama nosana. Ukuba amayeza ayasilela ukuzisa uxinzelelo lwegazi kwaye umntwana uxinzelelekile emntwaneni, kuya kufuneka ukuba kukhawuleziswe ukubeleka, kodwa ukuba iimeko azilunganga ukwenza oko kwaye nemiphunga yomntwana ayikakhuli ngokwaneleyo, umama okhulelweyo kuya kufuneka ukumiselwa i-steroids ukuphucula imeko yakho.
Kwimeko apho kungekho kuphucuka, iya kuba yindima kagqirha ukufumana esona sisombululo silungileyo kwityala elithile. Kodwa ukuba uziva ungaqhelekanga okanye unazo naziphi na iimpawu ezingaqhelekanga, unganqikazi ngomzuzwana ukuya kugqirha.
Molo, ndineminyaka engama-21 ubudala kwaye ndinombuzo, ndiyathemba kwaye ungawuphendula ngokukhawuleza.
Ndinenkwenkwana eneenyanga ezisi-8 ubudala ngexesha lokukhulelwa kwam kwafunyaniswa ukuba ndine-preeclampsia kwaye inyani yandoyikisa kakhulu, enkosi uThixo ihambe kakuhle kodwa ngoku inkxalabo yam yenye, andinaso isixhobo endizikhathalela ngaso Iipilisi kodwa ndinenyanga emithi ndikhulelwe kukho umngcipheko kum ndiyathemba kwaye ungandinceda enkosi
ndiphendule ngokukhawuleza
Molo, ndineminyaka engama-28 ubudala, ndinomntwana wam wokuqala ndineminyaka engama-25 ubudala kwaye wandinika ipreeclampsia kwinyanga ephelileyo, enkosi kuThixo ndahamba kakuhle kwiminyaka emibini eyadlulayo ndikhulelwe kwakhona kwaye ndaphinda ndafikelwa yi-pre-eclampsia kwakhona kodwa le yokumitha ndilahlekelwe ngumntwana wam kuba yandinika Xa ndandineenyanga ezintlanu ndikhulelwe kwaye umntwana wayengekafiki kwaye ndandiza kufa, ngoku ndiphinde ndamitha kwaye inyani andazi ukuba ndenzeni ndinenyanga kwaye ngenxa yokusilela kwindlela yam yokucwangcisa, ndiyoyika kakhulu mna nosana lwam
Umfazi wam wayene pre-eclampsia ekhulelwe kwaye okwangoku ukhathalelo olunzulu kuba imiphunga yakhe inzima kwaye kuthatha ixesha ukuphola
Molo, ndineminyaka engama-40 ubudala, ukukhulelwa kwam okokuqala ndineminyaka engama-37 ndibonisa i-pre-eclampsia phantse iinyanga ezisi-7 zokumitha, ngelishwa ndanyanzelwa ukuba ndisebenze ngaphambi kwexesha, usana lwam lwazalwa kodwa emva kweentsuku ezi-5 wasweleka ngenxa yosulelo. Ndanikwa kakhulu, nangona kunjalo, ukuya kwiminyaka emi-3 ndachacha kakhulu, mna nomyeni wam siphinde saba nexhala lokukhulelwa kodwa sinoloyiko lokufihla into efanayo. Ngaba ndingakhulelwa, ngaba i-preeclampsia ingenzeka, okanye ngaba ndiyakugweba ukukhulelwa?
Molo, ndineminyaka engama-26 ubudala, ndathatha usana lwam iminyaka emi-6, yandinika ipreeclampsia ngexa lokukhulelwa kwam, ukuze ndisebenze kakuhle phakathi kweenyanga eziyi-6-8 zokukhulelwa kwaye kwafuneka bangenelele. Umbuzo wam ngulo, ngaba akunakwenzeka ukuba ndimithe kwakhona ??? Kuba ndizamile kakuhle, andinandlela yocwangcisa kodwa ndifuna ukumitha kodwa ukuza kuthi ga ngoku andikaphumeleli. kungenzeka ukuba ibiyinyumba ???? Ndingenza ntoni ukuze ndikhulelwe ngaphandle kokuphumla kakhulu?
abasetyhini abashiye izimvo zabo: Ndikunika ingcebiso, nxibelelana nazo zonke iinkxalabo zakho kunye neengcali zokubelekisa kunye / okanye ugqirha wamazinyo! Lo mbandela ubuthathaka kakhulu ukuba ulinde impendulo kubantu abangayazi ngokupheleleyo imbali yabo yezonyango.
MOLWENI UMNTWANA WAM WOKUQALA KWIMINYAKA ENGAMA-33 NDINEMINYAKA EYI-8 NESIQHINGA WANDINIKA I-PALALISIS EBONAKALAYO YOBUSEBENZI NGENXA YOKUSETYENZISWA KOBUSO NGENXA YENKQUBO EPHAKAMILEYO YETUBE PRECLANCIA ECLANCIA UMNTWANA WAYESELE EQEDELELE. NGOKU I-CHUBBY YINYANGA ENYE kwaye ndine-3 ATRAZOS KANYE UKUBA NDIKHULELWE INKXALABO YAM NDINGAYIPHINDE INGXAKI EFANAYO OKANYE ENGABI YINTONI UKHATHALELO Q KUFUNEKA NDIBE NAYE YINTONI UBUNGOZI ENDIBASEBENZAYO YONKE IMIHLA KUSUKELA NGO-8: 6 KUSE KU-XNUMX: XNUMX INDLELA OKUFANELEKILEYO KODWA NDINIKE INKQUBO YOKUZIPHATHA NDIYABULELA NGOKUKHULULEKILEYO
Molweni ndineminyaka engama-23 ubudala kwaye ndilindele umntwana wam wesibini, ekukhulelweni kwam kokuqala bendingenalo naluphi na uhlobo lwengxaki kodwa kokukhulelwa ndiye ndaqaphela ukuba oko ndangena kwiveki ye-30 izandla neenyawo zam zidumbile kakhulu, ndijongile Ukuxhalaba kodwa ndiyifumana ngokuchanekileyo, ndinexhala kuba bandixelela ukuba inokuba yi-pre-eclampsia.Ukuba ungandikhokela, ndiyabulela.
Ndiphulukene nokukhulelwa kathathu ngamaxesha ahlukeneyo okumitha kwezi meko zintathu bandinika ukuxilongwa okungafaniyo, isifo esinye se-hellp, i-preeclampsia kunye ne-lupus, ngaphandle kwayo yonke into eyenzekileyo kum, ndifuna ukuzama kwakhona, thetha nogqirha wam, kuba ndineminyaka elishumi elinesihlanu okokoko ndilahlekelwe kokugqibela. (39) kwaye uphendule ngelithi akandicebisi ukuba ndikhulelwe kuba inokuba ngumngcipheko omkhulu.
Inyaniso iyingozi, umfazi wam wahlushwa yi-eclampsia, waxhuzula waphosa iprotein emchameni, wayemfanyekisiwe okwexeshana iintsuku ezi-3, ngethamsanqa wayezinyaswe ngabantu ababenolwazi kakhulu ngeli tyala, into endinokukuxelela yona kukuba banako ukukhulelwa ixesha elide njengoko kufuneka baye kwi-gyneologist esebenzayo kwaye bathathe onke amanyathelo okukhulelwa, akukho tyuwa ekutyeni, basele amanzi amaninzi, abanalutshintsho ekukhulelweni kwalo naluphi na uhlobo kwaye balinde phakathi komntwana ngamnye ubuncinci iminyaka emi-6 ukuya kwesi-7, namhlanje ndinabantwana abathathu nomfazi wam ecaleni kwam.
Ndine pre-eclampsia eqatha, unyana wam wazalwa kwaye kwaba nzima ngakumbi kum, inyani kukuba ndandine Hellp syndrome kunye ne hemolytic uremic syndrome, bathi ndilapha ngokungummangaliso, ndingathanda ukwazi ukuba baninzi na abantu abasindileyo kwi-hemolytic uremic syndrome, ndingathanda ukwazi ubungqina.
Molo, ndingathanda ukwazi ukuba ndingaphinda ndikhulelwe kwakhona kuba nosana lwam lwesibini kwiveki ye-34 yokukhulelwa ndandine-preeclampsia kunye ne-hellp III syndrome kwaye ndandijongeka kakubi ndide ndikwinkathalo enkulu (ICU). Ndineminyaka engama-26 ubudala kwaye ndingathanda ukuba umntu othile andincede ngalo mbuzo.
Ndicinga ukuba lo mbandela ubaluleke kakhulu kuba ndinezinto ezininzi ezixhalabisayo malunga nawo, kuba nam ndifumene i-eclamcia, ndilahlekelwe lusana lwam kwaye ndiyoyika ukuphinda ndikhulelwe kwaye andazi ukuba ndenze ntoni kuba sendikufutshane namashumi amane, ukuba unako ndincede ndicela undiphendule