Okuqukethwe
Izifo eziningana zokukhulelwa ezihilelekile
Encwadini yesayensi yangomhla zingama-29 kuNdasa, 2021, odokotela nabacwaningi abangamalungu e-"American Heart Association" bafuna ukuvinjelwa okungcono kwezingozi zenhliziyo nemithambo yegazi ngemva kokukhulelwa.
Babala futhi Izinkinga eziyisithupha zokukhulelwa kanye nama-pathologies akhulisa ubungozi bokuhlushwa yizinkinga zenhliziyo kamuva, okuyilezi: i-arterial hypertension (noma i-pre-eclampsia), isifo sikashukela sokukhulelwa, ukubeletha ngaphambi kwesikhathi, ukubeletha kwengane encane ngokuphathelene neminyaka yayo yokukhulelwa, ukuzalwa eshonile, noma i-placental abruption.
« Imiphumela emibi yokukhulelwa ihlotshaniswa nomfutho wegazi ophakeme, isifo sikashukela, i-cholesterol, isifo senhliziyo, okuhlanganisa ukuhlaselwa yinhliziyo nokushaywa unhlangothi, isikhathi eside ngemva kokukhulelwa Kuphawula uDkt Nisha Parikh, umbhali ohlanganyele walolu shicilelo. “ La ukuvimbela noma ukwelashwa kusenesikhathi kwezici eziyingozi ingavimbela isifo senhliziyo, ngakho-ke, imiphumela emibi yokukhulelwa ingaba iwindi elibalulekile lokuvimbela izifo zenhliziyo, uma abesifazane kanye nochwepheshe babo bezempilo besebenzisa ulwazi futhi balusebenzise. Ungeze.
Isifo sikashukela sokukhulelwa, umfutho wegazi ophakeme: izinga lengozi yenhliziyo ehloliwe
Lapha, ithimba libuyekeze izincwadi zesayensi ezihlobanisa izinkinga zokukhulelwa nesifo senhliziyo, okubenze bakwazi ukucacisa ngemininingwane yezinga lobungozi ngokusho kwezinkinga:
- I-Hypertension ngesikhathi sokukhulelwa ingakhuphula ingozi yesifo senhliziyo ngama-67% kamuva, kanye nengozi yokushaywa unhlangothi ngama-83%;
- i-pre-eclampsia, okungukuthi, umfutho wegazi ophezulu ohambisana nezibonakaliso ze-hepatic noma izinso, ixhunywe engozini enkulu ye-2,7 yesifo senhliziyo esilandelayo;
- isifo sikashukela sokukhulelwa, esavela ngesikhathi sokukhulelwa, sandisa ingozi yenhliziyo nemithambo yegazi ngama-68%, futhi sandisa ingozi yokuba nesifo sikashukela sohlobo lwe-10 ngemva kokukhulelwa ngo-2;
- ukubeletha ngaphambi kwesikhathi kwandisa ngokuphindwe kabili ingozi yowesifazane yokuba nesifo senhliziyo nemithambo yegazi;
- ukuqubuka kwe-placenta kuhlotshaniswa nokwanda kwengozi yenhliziyo nemithambo yegazi ngama-82%;
- kanye nokubeletha, okuwukufa komntwana ngaphambi kokubeletha, ngakho-ke ukubeletha umntwana oshonile, kuhambisana nokuphindaphinda kabili kwengozi yenhliziyo.
Isidingo sokulandelela okungcono ngaphambi, ngesikhathi nangemva kokukhulelwa
Ababhali basho lokhoukudla okunempilo nokulinganisela, lo ukuvivinya umzimba njalo, amaphethini okulala enempilo futhi ibele kungasiza ukunciphisa ingozi yenhliziyo nemithambo yegazi kwabesifazane ngemva kokukhulelwa okuyinkimbinkimbi. Bakholelwa nokuthi sekuyisikhathi sokuqalisa ukuvimbela okungcono komama bakusasa nabasanda kuzalwa.
Ngakho basikisela ukusetha ukwesekwa okungcono kwezokwelapha ngesikhathi sangemva kokubeletha, ngezinye izikhathi okubizwa ngokuthi “i-4th trimester”, ukuhlola izici eziyingozi zesifo senhliziyo nemithambo yegazi, nokunikeza abesifazane iseluleko sokuvimbela. Nabo bayafisa ukushintshana okwengeziwe phakathi kodokotela bezifo zabesifazane-odokotela bokubelethisa kanye nodokotela abajwayelekile ekulandeleni ukwelashwa kweziguli, kanye nokusungulwa komlando wezenzakalo zezempilo zowesifazane ngamunye owake wakhulelwa, ukuze bonke ochwepheshe bezempilo baqaphele okwandulela isiguli kanye nezici eziyingozi.