Incazelo jikelele yalesi sifo
I-Eclampsia yisifo esivela ku-trimester yesithathu yokukhulelwa noma emahoreni angama-24 okuqala ngemuva kokubeletha. Ngalesi sikhathi, kubonakala ukukhuphuka okuphezulu kakhulu kwengcindezi yegazi, izinga elibulalayo kumama nengane (uma kwenzeka i-eclampsia yangaphambi kokubeletha). Kuyindlela enzima kakhulu futhi eyinkimbinkimbi ye-gestosis (toxicosis).
I-Eclampsia ivela ezinhlotsheni ezintathu ezifana nalezi:
- 1 ejwayelekile - ejwayelekile ye-hypersthenics ekhulelwe, ngesikhathi se-eclampsia yalolu hlobo, ukuvuvukala okukhulu kongqimba olungaphansi kwesikhumba, izicubu ezithambile ezithweni zangaphakathi ziyavela, kukhona ukwanda kwengcindezi yokungasebenzi, umfutho wegazi ophakeme kanye ne-albinuria enamandla (amaprotheni akhishwe emchameni);
- 2 i-atypical - ivela kwabesifazane abanesimo sengqondo esingazinzile, esingokomzwelo ngesikhathi sokubeletha isikhathi eside; phakathi nenkambo, kukhona ukuvuvukala kobuchopho, ukukhuphuka kwengcindezi engasebenzi, kuhambisana nomfutho wegazi ophakeme futhi olinganiselayo (i-edema yengqimba engaphansi kwesikhumba, izicubu zomzimba, i-albinuria ayibonwa);
- 3 i-uremic - isisekelo saleli fomu i-nephritis, eyayingaphambi kokukhulelwa noma ithuthukiswe kakade ngesikhathi sokukhulelwa; ikakhulukazi abesifazane abanokwakheka komzimba we-asthenic bahlupheka; ngesikhathi se-eclampsia yalolu hlobo, kuqoqwa uketshezi oluningi esifubeni, esiswini, futhi uketshezi nakho kunganqwabelana esinyeni se-fetus (ngenkathi ingekho enye i-edema).
Izimpawu ezijwayelekile ze-eclampsia:
- ukuzuza kwesisindo esisheshayo (ngenxa yokugcina uketshezi emzimbeni);
- Ukudlikizela imvelo ejwayelekile neyendawo;
- ukuquleka kubonisa izimpawu ezifana nomfutho wegazi ophakeme (140 kuya ku-90 mm Hg), ikhanda elibuhlungu, ubuhlungu besisu, ukungaboni kahle;
- isikhathi sokuquleka okukodwa silingana nemizuzu emi-2, equkethe izigaba ezi-4: i-preconvulsive, isigaba sokuquleka kohlobo lwe-tonic, bese isigaba sokuquleka kwe-clonic nesigaba sesine - isigaba "sokuxazululwa kokuthathwa";
- i-cyanosis;
- ukulahlekelwa ukwazi;
- isiyezi, isicanucanu esinzima nokuhlanza;
- i-proteinuria;
- ukuvuvukala;
- umfutho wegazi ophakeme;
- I-thrombocytopenia, ukwehluleka kwezinso, ukukhubazeka kwesibindi kungase kuthuthuke.
Izimbangela ze-eclampsia:
- 1 iminyaka yokukhulelwa kokuqala (kuze kufike eminyakeni engu-18 noma ngemuva kweminyaka engama-40);
- 2 ukutholakala kwesifo se-trophoblastic, izifo, izinkinga zezinso;
- 3 i-eclampsia emndenini nasekukhulelweni kwangaphambilini;
- 4 ukungagcini inhlanzeko nemiyalelo yezokwelapha ngesikhathi sokukhulelwa;
- 5 isisindo esiningi;
- 6 isikhathi eside phakathi kokubeletha (iminyaka engaphezu kwengu-10);
- 7 ukukhulelwa okuningi;
- 8 isifo sikashukela;
- 9 umfutho wegazi ophakeme.
Ukuze uhlolisise i-eclampsia ngesikhathi, kufanele:
- ukwenza ukuqapha okuqhubekayo kokushintshwa kwengcindezi yegazi nesisindo;
- yenza ukuhlolwa komchamo (bheka izinga lamaprotheni), igazi (ngokuba khona kwe-heestasis, i-creatinine, i-uric acid ne-urea);
- ukuqapha izinga lama-enzyme wesibindi usebenzisa ukuhlolwa kwegazi kwamakhemikhali.
Ukudla okunempilo kwe-eclampsia
Ngesikhathi sokuqunjelwa, kufanele kube nokudla kwendlala, uma isiguli siqaphela, khona-ke singanikezwa ijusi yezithelo noma itiye elimnandi. Ngemuva kwezinsuku ezingama-3-4 ngemuva kokuqedwa kokubanjwa kwe-eclampsia, ukulethwa kuboniswa. Udinga ukunamathela ezimisweni zokudla okunomsoco ezilandelayo:
- umthamo kasawoti wetafula akufanele udlule amagremu angu-5 ngosuku;
- uketshezi olufakiwe akufanele lube ngaphezu kwamalitha ayi-0,8;
- umzimba kufanele uthole inani elidingekayo lamaprotheni (lokhu kungenxa yokulahleka kwawo okukhulu);
- ukuze ujwayeze imetabolism, kubalulekile ukwenza izinsuku zokuzila ngale ndlela: usuku lwe-curd (ngosuku udinga ukudla u-0,5-0,6 kg we-cottage shizi kanye no-100 amagremu kakhilimu omuncu kuma-reception e-6) (phuza amalitha angu-1,5 we-compote ngosuku, mayelana nengilazi ngemva kwamahora angu-2), i-apula (idla ama-appleauce izikhathi ezingu-5-6 ngosuku kusuka kuma-apula avuthiwe, ehlutshiwe futhi egodini, ungakwazi ukwengeza inani elincane likashukela).
Ngemuva kosuku lokuzila ukudla, kufanele kube nosuku olubizwa ngokuthi “uhhafu” (lokhu kusho ukuthi imithamo yokudla okuvamile okudliwayo ihlukaniswe phakathi). Uma izinsuku zokuzila zinzima kowesifazane okhulelwe, ungangeza ama-cracker ambalwa noma izingcezu ezimbalwa zesinkwa esomile.
Zonke izinsuku zokuzila kufanele zigcinwe ngezikhathi zamasonto onke.
Imithi yendabuko ye-eclampsia
Nge-eclampsia, isiguli sidinga ukwelashwa kweziguli, ukunakekelwa okungapheli nokuqondiswa, ukuphumula okuphelele, kuyadingeka ukuqeda konke okungahle kwenzeke (okubonakalayo, ukuthinta, ukuzwa, ukukhanya).
Imithi yendabuko ingasetshenziselwa i-toxicosis ne-gestosis ngesikhathi sokukhulelwa.
Ukudla okuyingozi nokulimazayo kwe-eclampsia
- okunosawoti, okufakwe emanzini anosawoti, okunamafutha, okuthosiwe;
- izitsha ezibabayo nezinongo;
- imikhiqizo eqediwe kancane, ukudla okusheshayo, ukudla okusheshayo;
- iziphuzo ezidakayo nezine-carbonated;
- amaswidi ezitolo, ukhilimu wamakhekhe;
- amafutha we-trans;
- okunye ukudla okungaphili.
Lolu hlu lwemikhiqizo luthinta kabi ukusebenza kwesibindi nezinso, lunomthelela ekuveleni kwamahlule egazi, ukuvinjelwa kwemithambo yegazi, okubangela ukwanda okukhulu komfutho wegazi.
Qaphela!
Abaphathi abanacala nganoma yimuphi umzamo wokusebenzisa imininingwane oyinikiwe, futhi akuqinisekisi ukuthi ngeke ikulimaze wena uqobo. Izinto zokwakha azinakusetshenziselwa ukunquma ukwelashwa nokwenza ukuxilongwa. Njalo thintana nodokotela wakho onguchwepheshe!