Preeclampsia: Kuopsa Kwachiwiri Kwa Mimba

Zamkati

• Chidule
• Preeclampsia m'mimba yapita
• Ndani ali pachiwopsezo cha preeclampsia?
• Kodi ndingathebe kubereka mwana wanga ngati ndili ndi preeclampsia?
• Chithandizo cha preeclampsia
• Momwe mungapewere preeclampsia
• Chiwonetsero

Chidule

Preeclampsia ndimavuto omwe amapezeka nthawi zambiri ali ndi pakati, koma nthawi zina amatha kuchitika pambuyo pobereka. Zimayambitsa kuthamanga kwa magazi komanso kulephera kwa ziwalo.

Nthawi zambiri zimachitika pambuyo pa sabata la 20 ali ndi pakati ndipo zimatha kuchitika mwa amayi omwe analibe kuthamanga kwa magazi asanatenge mimba. Zitha kubweretsa zovuta zazikulu ndi inu ndi mwana wanu zomwe nthawi zina zitha kupha.

Preeclampsia ikapanda kuchiritsidwa kwa mayi, imatha kubweretsa chiwindi kapena impso kulephera komanso mavuto amtsogolo mtsogolo. Zitha kupanganso matenda omwe amatchedwa eclampsia, omwe amatha kupangitsa mayi kugwa. Zotsatira zoyipa kwambiri ndi sitiroko, yomwe imatha kubweretsa kuwonongeka kwakanthawi kwa ubongo kapena kufa kwa amayi.

Kwa mwana wanu, zitha kuwalepheretsa kulandira magazi okwanira, kupatsa mwana wanu mpweya wocheperako komanso chakudya, zomwe zimamupangitsa kuti azikula pang'onopang'ono m'mimba, kulemera kocheperako, kubadwa msanga, komanso kubala ana pang'ono.

Preeclampsia m'mimba yapita

Ngati mudakhala ndi preeclampsia m'mimba yapitayi, muli pachiwopsezo chachikulu chotenga matendawa mtsogolo. Kuopsa kwanu kumadalira kuopsa kwa matenda am'mbuyomu komanso nthawi yomwe mudayamba nawo mimba yanu yoyamba. Mwambiri, mukamakula msanga mukakhala ndi pakati, zimakhala zovuta kwambiri ndipo mumatha kuzikuliranso.

Vuto lina lomwe lingapangidwe ali ndi pakati limatchedwa matenda a HELLP, omwe amayimira hemolysis, ma enzymes okwera a chiwindi, komanso kuchuluka kwa ma platelet. Zimakhudza maselo anu ofiira, momwe magazi anu amaundana, komanso momwe chiwindi chanu chimagwirira ntchito. HELLP imakhudzana ndi preeclampsia ndipo pafupifupi 4 mpaka 12% ya azimayi omwe amapezeka ndi preeclampsia amapanga HELLP.

Matenda a HELLP amathanso kuyambitsa mavuto atakhala ndi pakati, ndipo ngati mukadakhala ndi HELLP m'mimba yapita, mosasamala kanthu kuti idayamba liti, muli pachiwopsezo chachikulu chotenga kachilombo ka pakati.

Ndani ali pachiwopsezo cha preeclampsia?

Zomwe zimayambitsa preeclampsia sizikudziwika, koma zinthu zingapo kuwonjezera pokhala ndi mbiri ya preeclampsia zitha kukuyika pachiwopsezo chachikulu, kuphatikizapo:

• kukhala ndi kuthamanga kwa magazi kapena matenda a impso musanatenge mimba
• mbiri ya banja la preeclampsia kapena kuthamanga kwa magazi
• kukhala ochepera zaka 20 komanso kupitirira zaka 40
• kukhala ndi mapasa kapena kuchulukana
• kukhala ndi mwana wopitilira zaka khumi
• kukhala onenepa kwambiri kapena kukhala ndi index ya thupi (BMI) yoposa 30

Zizindikiro za preeclampsia ndi izi:

• kupweteka mutu
• kusawona bwino kapena kusawona bwino
• nseru kapena kusanza
• kupweteka m'mimba
• kupuma movutikira
• kukodza pang'ono komanso kawirikawiri
• kutupa pankhope

Kuti mupeze preeclampsia, dokotala wanu amayang'ana momwe magazi anu amayendera komanso amayesa magazi ndi mkodzo.

Kodi ndingathebe kubereka mwana wanga ngati ndili ndi preeclampsia?

Ngakhale preeclampsia imatha kubweretsa zovuta zazikulu mukakhala ndi pakati, mutha kuperekabe mwana wanu.

Chifukwa preeclampsia imaganiziridwa kuti imabwera chifukwa cha zovuta zomwe zimayambira pakubereka komweko, kubereka mwana ndi nsengwa ndi njira yovomerezeka yothandizira kuti matendawa apitirire ndikupangitsa kuti athane.

Dokotala wanu azikambirana nthawi yobereka kutengera kukula kwa matenda anu komanso msinkhu wobereka wa mwana wanu. Odwala ambiri amatha kuthana ndi kuthamanga kwa magazi m'masiku ochepa mpaka milungu ingapo.

Palinso vuto lina lomwe limatchedwa postpartum preeclampsia lomwe limachitika pambuyo pobereka, zomwe zimafanana ndi preeclampsia. Onani dokotala wanu nthawi yomweyo ngati muli ndi vuto lililonse la preeclampsia mukabereka, chifukwa zimatha kubweretsa zovuta zazikulu.

Chithandizo cha preeclampsia

Mukayambiranso preeclampsia, inu ndi mwana wanu mudzayang'aniridwa pafupipafupi. Chithandizochi chithandizira kuchepetsa kuchepa kwa matenda, komanso kuchedwetsa kubereka kwa mwana wanu mpaka atakhwima m'mimba mwanu nthawi yayitali kuti muchepetse zovuta zobereka musanabadwe.

Dokotala wanu akhoza kukuyang'anirani mosamala kwambiri, kapena atha kugonekedwa mchipatala chifukwa chowunika ndi mankhwala ena. Izi zimadalira kuopsa kwa matendawa, msinkhu wobereka wa mwana wanu, komanso malingaliro a dokotala wanu.

Mankhwala omwe amagwiritsidwa ntchito pochizira preeclampsia ndi awa:

• mankhwala ochepetsa kuthamanga kwa magazi
• corticosteroids, kuthandiza mapapo a mwana wanu kukula bwino
• Mankhwala opatsirana pogonana kuti muchepetse kugwidwa

Momwe mungapewere preeclampsia

Ngati preeclampsia imapezeka msanga, inu ndi mwana wanu mudzalandira chithandizo ndikuwongolera zotsatira zabwino. Zotsatirazi zingachepetse mwayi wanu wokhala ndi preeclampsia pathupi lachiwiri:

• Mukakhala ndi pakati komanso musanabadwe kachiwiri, funsani dokotala kuti akuwunikireni magazi ndi impso zanu.
• Ngati inu kapena wachibale wapafupi mudakhala ndi mitsempha yamagazi m'mapapo kapena m'mapapo m'mbuyomu, funsani dokotala kuti akuyeseni kuti muone ngati muli ndi vuto linalake, kapena thrombophilias. Matendawa amatha kukulitsa chiopsezo cha preeclampsia ndi magazi m'magazi.
• Ngati muli onenepa kwambiri, ganizirani za kuchepa thupi.Kuchepetsa kuchepa kumachepetsa chiopsezo chanu chokhala ndi preeclampsia kachiwiri.
• Ngati muli ndi matenda a shuga omwe amadalira insulin, onetsetsani kuti mwakhazikika ndikuwongolera kuchuluka kwa shuga wamagazi musanakhale ndi pakati komanso koyambirira kuti muchepetse chiopsezo chotenga preeclampsia.
• Ngati muli ndi matenda othamanga magazi, kambiranani ndi dokotala kuti akuwongolereni musanakhale ndi pakati.

Pofuna kupewa preeclampsia pathupi lachiwiri, dokotala angakulimbikitseni kuti mutenge aspirin kumapeto kwa trimester yanu yoyamba, pakati pa 60 ndi 81 milligrams.

Njira yabwino yothetsera zotsatira za mimba yanu ndi kuwona dokotala wanu pafupipafupi, kuyamba kusamalira amayi anu asanabadwe, komanso kusunga maulendo anu onse asanabadwe. Mwachidziwikire, dokotala wanu adzakayezerani magazi ndi mkodzo poyambira mukamacheza koyamba.

Pakati pa mimba yanu, mayeserowa akhoza kubwerezedwa kuti athandizire pozindikira preeclampsia. Muyenera kukaonana ndi dokotala pafupipafupi kuti muwone ngati muli ndi pakati.

Chiwonetsero

Preeclampsia ndi vuto lalikulu lomwe limatha kubweretsa zovuta kwa mayi ndi mwana. Zitha kubweretsa mavuto a impso, chiwindi, mtima, ndi ubongo mwa mayi ndipo zimatha kuyambitsa kukula m'mimba, kubadwa msanga, komanso kulemera pang'ono kwa mwana wanu.

Kukhala nawo panthawi yomwe muli ndi pakati kumakuwonjezerani mwayi wokhala nawo nthawi yapakati komanso pakati.

Njira yabwino yochizira preeclampsia ndikuzindikira ndikuwunika msanga momwe angathere ndikuwunika inu ndi mwana wanu nthawi yonse yomwe muli ndi pakati.

Mankhwala alipo kuti muchepetse kuthamanga kwa magazi ndikuwongolera zizindikilo za matendawa, koma pamapeto pake, kubereka mwana wanu ndikulimbikitsidwa kuti muchepetse kukula kwa preeclampsia ndikubweretsa chisankho.

Amayi ena amakhala ndi postreei preeclampsia akabereka. Muyenera kupita kuchipatala nthawi yomweyo ngati izi zikuchitikirani.