Hyperemesis gravidarum

Hyperemesis gravidarum ndiyowopsa, imangokhala ndi mseru komanso kusanza panthawi yapakati. Zingayambitse kuchepa kwa madzi m'thupi, kuchepa thupi, ndi kusamvana kwa ma electrolyte. Matenda am'mawa ndi mseru wofatsa komanso kusanza komwe kumachitika pakubadwa koyambirira.

Amayi ambiri amakhala ndi mseru kapena kusanza (matenda am'mawa), makamaka m'miyezi itatu yoyambirira ya mimba. Zomwe zimayambitsa kusanza ndi kusanza panthawi yoyembekezera sizidziwika. Komabe, amakhulupirira kuti amayamba chifukwa cha kuchuluka kwa magazi kwamahomoni otchedwa chorionic gonadotropin (HCG). HCG imatulutsidwa ndi latuluka. Matenda ofatsa m'mawa amafala. Hyperemesis gravidarium sichizolowereka komanso chovuta kwambiri.

Azimayi omwe ali ndi hyperemesis gravidarum amakhala ndi mseru komanso kusanza kwambiri panthawi yapakati. Itha kupangitsa kuti muchepetse thupi kuposa 5% ya thupi. Vutoli limatha kuchitika m'mimba iliyonse, koma ndizotheka pang'ono ngati muli ndi pakati pa mapasa (kapena ana ambiri), kapena ngati muli ndi mole ya hydatidiform. Azimayi ali pachiwopsezo chachikulu chotenga hyperemesis ngati adakhalapo ndi vuto m'mimba zam'mbuyomu kapena amakhala ndi vuto loyenda.

Matenda am'mawa amatha kuyambitsa njala, kuchepa mseru, kapena kusanza. Izi ndizosiyana ndi hyperemesis woona chifukwa anthu nthawi zambiri amatha kudya ndi kumwa madzi nthawi zina.

Zizindikiro za hyperemesis gravidarum ndizovuta kwambiri. Zitha kuphatikiza:

• Kunyansidwa mwamphamvu, kosalekeza komanso kusanza panthawi yapakati
• Kukula bwino kuposa zachilendo
• Kuchepetsa thupi
• Zizindikiro zakusowa m'thupi monga mkodzo wakuda, khungu lowuma, kufooka, mutu wopepuka kapena kukomoka
• Kudzimbidwa
• Kulephera kumwa madzi okwanira kapena zakudya zokwanira

Wothandizira zaumoyo wanu adzakuyesani. Kuthamanga kwanu kwamagazi kungakhale kotsika. Maganizo anu akhoza kukhala okwera.

Kuyesa kotsatira kwa labotale kudzachitika kuti muwone ngati pali kuchepa kwa madzi m'thupi:

• Kuwerengera kwathunthu kwa magazi
• Maelekitirodi
• Mkodzo ketoni
• Kuchepetsa thupi

Wothandizira anu angafunike kuyesa mayeso kuti awonetsetse kuti mulibe vuto la chiwindi ndi m'mimba.

Mimba ya ultrasound idzachitika kuti muwone ngati muli ndi mapasa kapena ana ambiri. Ultrasound imayang'aniranso mole ya hydatidiform.

Matenda am'mawa nthawi zambiri amatha kuthana nawo popewa zakudya zoyambitsa zomwe zimayambitsa vutoli ndikumwa madzi ambiri pomwe zizindikirazo zimatha kuti zizikhala ndi madzi.

Ngati mseru wanu ndi kusanza kumakupangitsani kukhala wopanda madzi, mudzalandira madzi kudzera mu IV. Muthanso kupatsidwa mankhwala oletsa kunyansidwa. Ngati nseru ndi kusanza kuli koopsa kotero kuti inu ndi mwana wanu mutha kukhala pachiwopsezo, mudzalandiridwa kuchipatala kuti mukalandire chithandizo. Ngati simungathe kudya zokwanira kuti mupeze zakudya zomwe inu ndi mwana wanu mukusowa, mutha kupeza zowonjezera zowonjezera kudzera mu IV kapena chubu chomwe chimayikidwa m'mimba mwanu.

Pofuna kuthana ndi zovuta kunyumba, yesani izi.

Pewani zoyambitsa. Mutha kuzindikira kuti zinthu zina zimatha kuyambitsa nseru ndi kusanza. Izi zingaphatikizepo:

• Phokoso ndi mamvekedwe ena, ngakhale wailesi kapena TV
• Magetsi owala kapena owala
• Mankhwala otsukira mano
• Kununkhiza monga mafuta onunkhira komanso zinthu zosamba ndi zonunkhira
• Kupanikizika m'mimba mwanu (valani zovala zosavala)
• Kuyenda pagalimoto
• Kutenga mvula

Idyani ndi kumwa mukakhoza. Gwiritsani ntchito nthawi yomwe mumakhala bwino kudya ndi kumwa. Idyani chakudya chochepa, chambiri. Yesani zakudya zowuma, zopanda pake monga zotsekemera kapena mbatata. Yesani kudya zakudya zilizonse zomwe zimakusangalatsani. Onani ngati mungathe kulekerera zakudya zopatsa thanzi ndi zipatso kapena ndiwo zamasamba.

Wonjezerani madzi amadzimadzi munthawi yamasana mukamamvutikirapo. Seltzer, ginger ale, kapena zakumwa zina zonyezimira zitha kuthandiza. Muthanso kuyesa kugwiritsa ntchito ma ginger ochepa kapena maupangiri amiyendo kuti muchepetse zizindikiro.

Vitamini B6 (osaposa 100 mg tsiku lililonse) awonetsedwa kuti amachepetsa nseru m'mimba yoyamba. Funsani omwe akukuthandizani ngati vitamini iyi ingakuthandizeni. Mankhwala ena otchedwa doxylamine (Unisom) awonetsedwa kuti ndi othandiza kwambiri komanso otetezeka akaphatikizidwa ndi Vitamini B6 ya mseru pakubereka. Mutha kugula mankhwalawa popanda mankhwala.

Matenda am'mawa amakhala ochepa, koma opitilira. Itha kuyamba pakati pa milungu 4 ndi 8 ya mimba. Amatha milungu 16 mpaka 18 ali ndi pakati. Kunyansidwa kwambiri ndi kusanza kungayambenso pakati pa masabata 4 ndi 8 ali ndi pakati ndipo nthawi zambiri amatha masabata a 14 mpaka 16. Amayi ena apitiliza kukhala ndi mseru komanso kusanza kwa mimba yawo yonse. Pokhala ndi chizindikiritso choyenera komanso kutsatira mosamala, zovuta zazikulu kwa mwana kapena mayi ndizochepa.

Kusanza kwambiri kumavulaza chifukwa kumabweretsa kuchepa kwa madzi m'thupi komanso kunenepa kwambiri panthawi yapakati. Nthawi zambiri, mayi amatha kutuluka magazi m'mimba mwake kapena mavuto ena obwera chifukwa chosanza nthawi zonse.

Vutoli limatha kukupangitsani kukhala kovuta kupitiliza kugwira ntchito kapena kudzisamalira. Zitha kupangitsa nkhawa komanso kukhumudwa mwa amayi ena omwe amakhala pambuyo pathupi.

Itanani omwe akukuthandizani ngati muli ndi pakati ndipo mukuchita mseru kwambiri ndikusanza kapena ngati muli ndi izi:

• Zizindikiro zakusowa madzi m'thupi
• Simungalekerere madzi aliwonse kwa maola opitilira 12
• Kupepuka kapena chizungulire
• Magazi m'masanziwo
• Kupweteka m'mimba
• Kuchepetsa thupi mopitilira 5 lb

Nseru - hyperemesis; Kusanza - hyperemesis; Morning matenda - hyperemesis; Mimba - hyperemesis

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Gordon A, Chikondi A. Nsautso ndi kusanza pamene ali ndi pakati. Mu: Rakel D, mkonzi. Mankhwala Ophatikiza. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 54.

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Salhi BA, Nagrani S. Zovuta zoyipa zakuyembekezera. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 178.