PREECLAMPSIA: ZOYAMBITSA, ZIZINDIKIRO, ZOWOPSA, ZOVUTA, KUZINDIKIRA & CHITHANDIZO

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Kunyumba Kulera pakati Wobereka Mimba yobereka oi-Neha Ghosh Wolemba Neha Ghosh pa Meyi 29, 2020

Preeclampsia ndi matenda omwe amadziwika ndi kuthamanga kwa magazi komanso kuchuluka kwa mapuloteni mumkodzo. Ndi vuto lazachipatala pakati pa amayi omwe ali ndi pakati omwe amafala kwambiri chifukwa cha matenda amthupi komanso kufa komanso kupewetsa kukula kwa mwana m'mimba. [1] .

Preeclampsia imachitika pafupifupi magawo awiri mpaka asanu ndi atatu a mimba zapadziko lonse lapansi [ziwiri] . Malinga ndi National Health Portal of India, preeclampsia imakhudza 8 mpaka 10% ya amayi apakati. Matendawa atha kukhala pachiwopsezo ku thanzi la mayi ndi mwana.

Zomwe Zimayambitsa Preeclampsia

Zomwe zimayambitsa preeclampsia sizikumveka bwinobwino. Preeclampsia imatha kuchitika chifukwa cha kusintha kosalimba mu placenta, chiwalo chomwe chimadyetsa mwana wosabadwa nthawi yapakati. Mitsempha yamagazi yomwe imatumiza magazi kumalo otsekemera imakhala yopapatiza kapena siyigwira ntchito moyenera ndipo imachita mosiyana ndi zizindikilo za mahomoni, potero zimachepetsa magazi kulowa mu nsengwa.

Kuzolowera kwa placenta kumalumikizidwa ndi majini ena ndi kuwonongeka kwa chitetezo chamthupi [3] .

Preeclampsia imachitika pambuyo pa milungu 20 ya mimba. Komabe, nthawi zina, zimatha kuchitika kale [4] .

Zizindikiro Za Preeclampsia

Malinga ndi American Pregnancy Association, zizindikiro za preeclampsia ndi izi: [5]

• Kuthamanga kwa magazi

• Kusunga madzi

• Mapuloteni owonjezera mu mkodzo

• Mutu

• Masomphenya olakwika

• Simungathe kulekerera kuwala

• Kupuma pang'ono

• Kutopa

• Nseru ndi kusanza

• Ululu m'mimba chakumanja chakumanja

• Kukodza pafupipafupi

Zowopsa Zaku Preeclampsia

• Matenda a impso

• Matenda oopsa kwambiri

• Matenda a shuga

• Mimba zingapo

• Anali ndi preeclampsia m'mbuyomu

• Matenda a Antiphospholipid antibody

• Kusasamala

• Njira zonse za lupus erythematosus

• Kutalika kwambiri

• Mbiri ya banja yamatenda amtima

• Kunenepa kwambiri [6]

• Mbiri ya banja la preeclampsia mu digiri yoyamba

• Mimba atakwanitsa zaka 40 [7]

Zovuta za Preeclampsia

Zovuta za preeclampsia zimachitika mwa magawo atatu a mimba [8] . Izi zikuphatikiza:

• Kuletsa kukula kwa mwana

• Kubadwa msanga

• Kuphulika kwam'madzi

• Matenda a HELLP

• Eclampsia

• Matenda a mtima

• Mavuto amthupi [9]

Nthawi Yoyenera Kuonana ndi Dokotala

Onetsetsani kuti mumayendera amayi anu pafupipafupi kuti magazi anu aziyang'aniridwa. Ngati mukumane ndi zina mwazizindikiro zomwe zatchulidwazi, funsani dokotala nthawi yomweyo.

Kuzindikira Kwa Preeclampsia

Dokotala ayesa thupi ndikufunsa komwe akuthamanga kuthamanga kwa magazi pamimba zam'mbuyomu ngati anali nazo. Kenako mbiri yakale yazachipatala ipezedwa ndi adotolo kuti azindikire zomwe zitha kuwonjezera ngozi ya preeclampsia.

Ngati dokotalayo akukayikira preeclampsia, kuyezetsa kwina monga magazi, kusanthula mkodzo ndi mayeso a fetal ultrasound adzachitika.

Njira zodziwira za preeclampsia ndi izi:

• Kupitilizabe kwa kuthamanga kwa magazi kwa 140 mm Hg kapena kupitilira apo, kapena kuthamanga kwa magazi kwa diastolic kwa 90 mm Hg kapena kupitilira pakatha milungu 20 ya mimba kuli kovuta [10] .

• Mapuloteni mu mkodzo wanu (proteinuria).

• Kukhala ndi mutu wopweteka kwambiri.

• Zosokoneza zowoneka.

Chithandizo cha Preeclampsia

Kutumiza kumakhalabe chithandizo chokhacho cha preeclampsia kutengera nthawi yobereka komanso kuopsa kwa chikhalidwe cha mayi ndi mwana. Kuchepetsa ntchito kungachepetse chiopsezo chakufa kwambiri ndi matenda.

Kuwunika kwa hemodynamic, neurological, ndi labotale ndikofunikira pambuyo pobereka kwa odwala omwe ali ndi preeclampsia. Kuwunika kwa Laborator kuyenera kuchitika tsiku lonse tsiku lonse m'maola 72 oyamba atabadwa.

Mankhwala osokoneza bongo amagwiritsidwa ntchito kuchepetsa kuthamanga kwa magazi mu preeclampsia mimba.

Mankhwala a Corticosteroid amathanso kuthandizira kuthana ndi preeclampsia, kutengera msinkhu wobereka [khumi ndi chimodzi] .

Kupewa Kwa Preeclampsia

Malinga ndi American Pregnancy Association, pali njira zina zomwe zingathandize kupewa preeclampsia [12] .

• Musagwiritse ntchito mchere wambiri pakudya kwanu.

• Muzipuma mokwanira.

• Imwani magalasi amadzi asanu ndi limodzi kapena asanu ndi atatu patsiku.

• Muzichita masewera olimbitsa thupi tsiku lililonse

• Musadye zakudya zokazinga kapena zosapatsa thanzi

• Musamwe mowa

• Pewani kumwa zakumwa za khofi.

• Sungani mwendo wanu m'mwamba kangapo tsiku lonse.

Ma FAQ Omwe Amakonda

Q. Kodi preeclampsia imamukhudza bwanji mwana wosabadwa?

KU . Preeclampsia imalepheretsa nsengwa kuti isalandire magazi okwanira ndipo ngati ilibe magazi okwanira, mwanayo amalandira mpweya wocheperako komanso chakudya, zomwe zimapangitsa kuti azibadwa ochepa.

Q. Kodi preeclampsia imatha kubwera mwadzidzidzi?

KU . Preeclampsia imatha kukula pang'onopang'ono ndipo nthawi zina imatha kukhala yopanda zisonyezo.

Q. Kodi kupsinjika kumayambitsa preeclampsia?

KU. Kupsinjika kwamaganizidwe kumatha kukhudza mimba mwachindunji kapena m'njira zina ndipo kumatha kubweretsa preeclampsia.

Q. Kodi mwana angafe ndi preeclampsia?

KU. Preeclampsia ngati sapezeka nthawi yake imatha kupha amayi ndi khanda.