Ekuhambeleni ngakunye kokubeletha, umama ozobe ekhulelwe kufanele ahlole umchamo ukuze abheke ushukela nama-albumin. Amaprotheni ezokuthutha enziwe yisibindi, ama-albhamu ngokuvamile awekho emchameni. I-Albuminuria, ebizwa nangokuthi i-proteinuria, ibhekisela ekubeni khona okungavamile kwe-albumin emchameni.

Inhloso yokufuna i-albhamuin emchameni ukuhlola i-pre-eclampsia (noma i-toxemia yokukhulelwa), inkinga yokukhulelwa ngenxa yokungasebenzi kahle kweplasenta. Kungenzeka noma ngasiphi isikhathi, kepha kuvame ukuvela ku-trimester yokugcina. Khona-ke ibonakaliswa yi-hypertension (umfutho wegazi we-systolic omkhulu kune-140 mmHg kanye nomfutho wegazi we-diastolic omkhulu kune-90 mmHg, noma "14/9") kanye ne-proteinuria (ukuhlushwa kwamaprotheni emcinini omkhulu kune-300 mg ngamahora angu-24) (1). Ukukhuphuka komfutho wegazi kuholela ezingeni eliphansi lokushintshaniswa kwegazi ku-placenta. Ngesikhathi esifanayo, lo mfutho wegazi ophezulu ushintsha izinso ezingasadlali indima yayo yokuhlunga ngendlela efanele futhi ivumela amaprotheni ukuba adlule emchamweni.

Ngakho-ke kuwukubona i-pre-eclampsia kusenesikhathi ukuthi ukuhlolwa komchamo kanye nokuhlolwa komfutho wegazi kwenziwe ngendlela ehlelekile ekuboniseni ngakunye kwangaphambi kokubeletha.

Izimpawu ezithile zomtholampilo zingase futhi zivele lapho i-pre-eclampsia isithuthukile: ikhanda, ubuhlungu besisu, ukuphazamiseka okubukwayo (hypersensitivity to light, amachashaza noma ukukhanya phambi kwamehlo), ukuhlanza, ukudideka futhi ngezinye izikhathi ukuvuvuka okukhulu, okuhambisana nokuvuvukala okukhulu. ukuzuza kwesisindo kungazelelwe. Ukuvela kwalezi zimpawu kufanele kushukumise ukubonisana ngokushesha.

I-Pre-eclampsia yisimo esiyingozi kumama nengane. Ezimweni ezingu-10% (2), kungase kubangele izinkinga ezinkulu kumama: iqoqo le-placenta eliholela ekopheni okudinga ukubeletha okuphuthumayo, i-eclampsia (isimo sokudlikizela nokulahlekelwa ukwazi), ukopha kobuchopho, i-syndrome HELL.

Njengoba ukushintshana ezingeni le-placenta kungasenzeki kahle, ukukhula okuhle kwengane kungasongelwa, kanye nokubambezeleka kokukhula esibelethweni (IUGR) njalo.

Njengoba i-proteinuria isivele iwuphawu lokungathí sina, umama ozozalwa uzolaliswa esibhedlela ukuze azuze ekulandeleni okuvamile ngokuhlaziywa komchamo, ukuhlolwa komfutho wegazi kanye nokuhlolwa kwegazi ukuze kuhlolwe ukuvela kwe-pre-eclampsia. Umthelela wesifo emntwaneni ubuye uhlolwe njalo ngokuqapha, ama-doppler nama-ultrasounds.

Ngaphandle kokuphumula nokuqapha, akukho ukwelashwa kwe-preeclampsia. Nakuba izidakamizwa ze-hypotensive zehlisa umfutho wegazi futhi zonga isikhathi, ayelaphi i-preeclampsia. Uma kwenzeka kuba ne-pre-eclampsia enzima, umama nosana lwakhe besengozini, kuyobe sekudingekile ukuba umntwana abelethe ngokushesha.