Postpartum eclampsia: ndi chiyani, chifukwa chiyani zimachitika komanso chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mankhwalawa amachitikira
• Chifukwa chomwe postpartum eclampsia imachitika
• Kodi postpartum eclampsia imasiya sequelae?

Postpartum eclampsia ndichinthu chosowa chomwe chitha kuchitika patadutsa maola 48 kuchokera pakubadwa. Zimakhala zachilendo kwa amayi omwe amapezeka kuti ali ndi pre-eclampsia ali ndi pakati, koma amathanso kuwoneka mwa azimayi omwe ali ndi machitidwe omwe amakonda matendawa, monga kunenepa kwambiri, kuthamanga kwa magazi, matenda ashuga, azaka zopitilira 40 kapena kupitilira zaka 18.

Eclampsia nthawi zambiri imawonekera pakatha milungu makumi awiri ali ndi pakati, pobereka kapena pobereka. Mayi yemwe amapezeka kuti ali ndi eclampsia nthawi iliyonse ali ndi pakati kapena atakhala ndi pakati ayenera kukhala mchipatala mpaka zizindikilo zosintha. Izi zili choncho chifukwa eclampsia, ngati sichisamalidwa bwino ndikuyang'aniridwa, imatha kukhala chikomokere ndikupha.

Nthawi zambiri, chithandizo chimachitika ndi mankhwala, makamaka ndi magnesium sulphate, yomwe imachepetsa kugwa ndikuletsa kukomoka.

Zizindikiro zazikulu

Postpartum eclampsia nthawi zambiri imakhala chiwonetsero chachikulu cha preeclampsia. Zizindikiro zazikulu za postpartum eclampsia ndi izi:

• Kukomoka;
• Mutu;
• Kupweteka m'mimba;
• Masomphenya olakwika;
• Kupweteka;
• Kuthamanga kwa magazi;
• Kunenepa;
• Kutupa kwa manja ndi mapazi;
• Kukhalapo kwa mapuloteni mu mkodzo;
• Kulira m'makutu;
• Kusanza.

Preeclampsia ndi vuto lomwe limatha kuchitika mukakhala ndi pakati ndipo limadziwika ndi kuthamanga kwa magazi mukamakhala ndi pakati, kuposa 140 x 90 mmHg, kupezeka kwa mapuloteni mumkodzo ndi kutupa chifukwa chosungira madzi. Ngati pre-eclampsia sakuchiritsidwa moyenera, imatha kukula kwambiri, yomwe ndi eclampsia. Kumvetsetsa bwino zomwe pre-eclampsia ndi chifukwa chake zimachitika.

Momwe mankhwalawa amachitikira

Chithandizo cha postpartum eclampsia ndicholinga chothana ndi zizindikirazo, chifukwa chake tikulimbikitsidwa kugwiritsa ntchito magnesium sulphate, yomwe imayang'anira kukomoka ndikupewa kukomoka, antihypertensives, kutsitsa kuthamanga kwa magazi, ndipo nthawi zina aspirin yothandizira kupweteka, nthawi zonse ndi malangizo azachipatala.

Kuphatikiza apo, ndikofunikira kusamala ndi zakudya, kupewa mchere wambiri komanso zakudya zamafuta, kuti kukakamizaku kusakwerere, munthu ayenera kumwa madzi ambiri ndikukhala kupumula malinga ndi zomwe dokotala adanena. Onani zambiri zamankhwala othandizira eclampsia.

Chifukwa chomwe postpartum eclampsia imachitika

Zinthu zazikulu zomwe zimakondweletsa kuyamba kwa postpartum eclampsia ndi izi:

• Kunenepa kwambiri;
• Matenda ashuga;
• Matenda oopsa;
• Kusadya bwino kapena kuperewera kwa zakudya m'thupi;
• Mimba yapasa;
• Mimba yoyamba;
• Milandu ya eclampsia kapena pre-eclampsia m'banja;
• Zaka zoposa 40 ndi zosakwana 18;
• Matenda a impso;
• Matenda osokoneza bongo, monga lupus.

Zonsezi zimatha kupewedwa, motero kumachepetsa mwayi wa postpartum eclampsia, wokhala ndimakhalidwe abwino komanso chithandizo choyenera.

Kodi postpartum eclampsia imasiya sequelae?

Nthawi zambiri, eclampsia ikazindikira nthawi yomweyo ndikuyamba kulandira chithandizo pambuyo pake, palibe sequelae. Koma, ngati mankhwalawa sali okwanira, mayiyo amatha kubwereza mobwerezabwereza, zomwe zimatha pafupifupi mphindi, kuwonongeka kosatha kwa ziwalo zofunika, monga chiwindi, impso ndi ubongo, ndipo amatha kupita kukomoka, komwe kungakhale wakupha kwa mkazi.

Postpartum eclampsia sichiika pangozi mwana, koma mayi yekha. Mwanayo ali pachiwopsezo pomwe, panthawi yomwe ali ndi pakati, mayi amapezeka kuti ali ndi eclampsia kapena pre-eclampsia, posachedwa kubereka ndiyo njira yabwino kwambiri yothandizira komanso kupewa zovuta zina, monga matenda a HELLP. Mu matendawa pakhoza kukhala mavuto pachiwindi, impso kapena kudzikundikira madzi m'mapapo. Dziwani chomwe chiri, zizindikilo zazikulu ndi momwe mungachiritse HELLP Syndrome.