Preeclampsia - kudzisamalira

Amayi oyembekezera omwe ali ndi preeclampsia ali ndi kuthamanga kwa magazi komanso zizindikilo za chiwindi kapena impso. Kuwonongeka kwa impso kumabweretsa kupezeka kwa mapuloteni mkodzo. Preeclampsia yomwe imapezeka mwa amayi pambuyo pa sabata la 20 la mimba. Itha kukhala yofatsa kapena yayikulu. Preeclampsia nthawi zambiri imatha pambuyo poti mwana abadwe komanso placenta atabadwa. Komabe, imatha kupitilirabe kapena kuyamba pambuyo pobereka, nthawi zambiri mkati mwa maola 48. Izi zimatchedwa postpartum preeclampsia.

Zosankha zamankhwala zimapangidwa kutengera msinkhu wa pakati komanso kukula kwa preeclampsia.

Ngati mwadutsa milungu 37 ndipo mwapezeka kuti muli ndi preeclampsia, wothandizira zaumoyo wanu angakulimbikitseni kuti mupereke msanga. Izi zitha kuphatikizira kulandira mankhwala kuti ayambitse (kuyambitsa) ntchito kapena kubereka mwana pobereka (C-gawo).

Ngati muli ndi pakati pamasabata osachepera 37, cholinga chake ndikuti mukhale ndi pakati bola mutakhala otetezeka. Kuchita izi kumalola mwana wanu kukula nthawi yayitali mkati mwanu.

• Kuthamangitsidwa kwanu mwachangu kumadalira kuthamanga kwa magazi, zizindikilo za chiwindi kapena impso, komanso momwe mwanayo alili.
• Ngati preeclampsia yanu ndi yovuta, mungafunike kukhala mchipatala kuti mumayang'anitsidwe bwino. Ngati preeclampsia ikadali yovuta, mungafunike kuti mukalandire.
• Ngati preeclampsia yanu ndi yofatsa, mutha kukhala kunyumba pogona. Muyenera kuyesedwa kangapo ndi mayeso. Kukula kwa preeclampsia kungasinthe mwachangu, chifukwa chake muyenera kutsatira mosamala kwambiri.

Kupuma kokwanira pabedi sikunakonzedwenso. Wothandizira anu amalangiza gawo lazomwe mungachite.

Mukakhala kunyumba, omwe akukuthandizani azikuuzani zosintha zomwe mungafune pazakudya zanu.

Mungafunike kumwa mankhwala kuti muchepetse kuthamanga kwa magazi. Tengani mankhwalawa momwe woperekayo angakuuzireni.

Musatenge mavitamini owonjezera, calcium, aspirin, kapena mankhwala ena osalankhula ndi omwe akukuthandizani kaye.

Nthawi zambiri, amayi omwe ali ndi preeclampsia samva kudwala kapena kukhala ndi zizindikilo zilizonse. Komabe, inu ndi mwana wanu mungakhale pangozi. Kuti mudziteteze nokha ndi mwana wanu, ndikofunikira kupita kumayendedwe anu onse asanabadwe. Mukawona zizindikiro zilizonse za preeclampsia (zomwe zili pansipa), uzani omwe akukuthandizani nthawi yomweyo.

Pali zoopsa kwa inu ndi mwana wanu ngati mukudwala preeclampsia:

• Mayi amatha kudwala impso, kukomoka, kudwala matenda opha ziwalo, kapena kutuluka magazi m'chiwindi.
• Pali chiopsezo chachikulu kuti placenta ituluke m'chiberekero (kuphulika) komanso kubereka mwana.
• Mwana atha kulephera kukula bwino (choletsa kukula).

Mukakhala kunyumba, omwe amakupatsani akhoza kukufunsani kuti:

• Pezani magazi anu
• Fufuzani mkodzo wanu ngati muli ndi mapuloteni
• Onetsetsani kuchuluka kwa madzi omwe mumamwa
• Onani kulemera kwanu
• Onetsetsani kuti mwana wanu amasuntha kangati ndikumenya

Wothandizira anu akuphunzitsani momwe mungachitire izi.

Muyenera kuyendera pafupipafupi ndi omwe amakupatsani kuti muwonetsetse kuti mukuyenda bwino ndi mwana wanu. Muyenera kukhala ndi:

• Kuyendera ndi omwe amakupatsani kamodzi pamlungu kapena kupitilira apo
• Zida zowunikira kukula kwa mayendedwe a mwana wanu komanso kuchuluka kwa madzimadzi ozungulira mwana wanu
• Kuyesa kosapanikizika kuti muwone momwe mwana wanu alili
• Kuyezetsa magazi kapena mkodzo

Zizindikiro za preeclampsia nthawi zambiri zimatha patatha milungu 6 kuchokera pakubereka. Komabe, kuthamanga kwa magazi nthawi zina kumangokulirakulira m'masiku ochepa oyamba atabereka. Muli pachiwopsezo cha preeclampsia mpaka milungu isanu ndi umodzi mutabereka. Postpartum preeclampsia ili pachiwopsezo chachikulu chofa. Ndikofunika kupitiriza kudziyang'anira panthawiyi. Mukawona zizindikiro zilizonse za preeclampsia, musanabadwe kapena mutabereka, funsani omwe akukuthandizani nthawi yomweyo.

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Khalani ndi kutupa m'manja, nkhope, kapena maso (edema).
• Mwadzidzidzi onenepa kuposa tsiku limodzi kapena awiri, kapena mumayamba kunenepa kuposa kilogalamu imodzi mu sabata.
• Khalani ndi mutu womwe sutha kapena kukulira.
• Simakodza nthawi zambiri.
• Khalani ndi mseru ndi kusanza.
• Khalani ndi masomphenya osintha, monga momwe simungathe kuwona kwakanthawi kochepa, kuwona nyali zowala kapena mawanga, kutengeka ndi kuwala, kapena kuwona masomphenya.
• Muzimva wopepuka kapena kukomoka.
• Khalani ndi ululu m'mimba mwanu pansi pa nthiti zanu, nthawi zambiri kumanja.
• Khalani ndi ululu paphewa lanu lamanja.
• Mukhale ndi vuto la kupuma.
• Lulani mosavuta.

Toxemia - kudzisamalira; PIH - kudzisamalira; Matenda ochititsa mimba - kudzisamalira

American College of Obstetricians ndi Gynecologists; Task Force on Hypertension in Mimba. Matenda oopsawa ali ndi pakati. Lipoti la American College of Obstetricians and Gynecologists 'Task Force on hypertension in pregnancy. Gynecol Woletsa. 2013; 122 (5): 1122-1131. PMID: 24150027 www.ncbi.nlm.nih.gov/pubmed/24150027. (Adasankhidwa)

Markham KB, Funai EF. Matenda oopsa okhudzana ndi mimba. Mu: Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2014: chap 48.

Sibai BM. Preeclampsia ndi matenda oopsa. Mu: Gabbe SG, Niebyl JR, Simpson JL, et al, olemba. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 31.

• Kuthamanga kwa Magazi Mimba