Ukongeza, inkqubo ye-hormonal igalelo ekutshintsheni kwinqanaba legazi. Ngokuqhelekileyo, ngokuqhelekileyo ngexesha lobunzima bomntwana, kukho ukuhla kwegazi, okubonelelwa ngama-hormone okukhulelwa. Nangona kunjalo, ngenxa yeemeko ezithile, kunokukho ukwanda, oku kuphulwa. Makhe siqwalasele le nkcazelo ngokubanzi kwaye sikuxelele ngokuxinzelelo oluphezulu oluyingozi xa ukhulelwa.
Kuthetha ukuthini inkcazo "yexinzelelo lwegazi" ngexesha lokubeleka komntwana?
Ukuxilongwa koogqirha bexinzelelo lwengqondo kaninzi kubonisa ukuba izinga lidlulileyo kwi 140/90 mm Hg. Isalathisi esifanayo sisetyenziselwa ukuxilongwa kwesi sifo kubasetyhini kwimeko.
Xa kuninzi ngokuphindaphindiweyo ngexesha lokukhulelwa kunokunyuka kwexinzelelo lwegazi kwaye yintoni ekhokelela kuyo?
Xa ukhulelwe, uxinzelelo oluphezulu lwegazi ludla ngokuphindaphindiweyo kwixesha elizayo kunexesha elide. Le nyaniso ichazwa, okokuqala, kukuba into yokuba ubukhulu bomntwana bukhula, kukho ukwanda komthwalo kwinkqubo yenhliziyo yomama olindelekileyo. Kwiimeko ezininzi, ukuphulwa okunjalo kugqitywe ngabagqirha emva kweeveki ezingama-20 zesisu.
Le meko idinga ukungenelela kwonyango oluphuthumayo. Ngaphandle koko, konke oku kunokukhokelela kwimiphumo emibi. Ngoko, umzekelo, ngexinzelelo eliphezulu lwegazi emva kweiveki ezingama-20, ezihamba kunye nokubonakala kweprotheni kumchamo, urhulumente ezifana ne-preeclampsia ingahlakulela. Ngenxa yoko, iimpawu ze-neurologic nazo zidibanisa iimpawu ezi ngasentla: utywala, intloko, ukuphazamiseka kwengqondo, ukubonakala kokuthintela, ukuphazamiseka kwezixhobo ezibonakalayo.
Kwakhona, ngenxa yokunyuka kwengcinezelo yegazi, iingxaki ezinjenge-detached clock of placenta, i-detachment, inokubangela ukukhupha isisu, kungavela.
Ukongezelela, ngenxa yezinto ezibizwa ngokuba yi-spasm yeempazamo zegazi, ngokukodwa ezo zifumaneka ngokuthe ngqo kwi-placenta kunye nesisu, oku kungenza i-oksijini yindlala, leyo eyandisa ingozi yokuvelisa i-pathologies enganeni.
Iqondo lexinzelelo legazi lilungiswe njani ngexesha lokukhulelwa?
Phantse bonke abafazi abakhulelweyo, xa bebona uxinzelelo lwegazi oluphezulu, abazi ukuba benzani kule meko.
Okokuqala, emva kokufumanisa okufanayo, ibhinqa kufuneka lixelele lo mkhumbuli okhulelwe. Kuloo bafazi abanomdla abanomdla wokuba nomfutho wegazi ophezulu ngaphambi kokuqala kokukhulelwa, ukunyanzelwa kwengcinezelo yegazi kuqhutyelwa rhoqo.
Ukuze ufumane okokuba unokukhulelwa kwixinzelelo eliphezulu legazi, oogqirha bokuqala baqwalasela i-term of pregnancy. Ngoko ekuqaleni kwenkqubo yokuthwala umntwana, ukulungiswa kwezinga lexinzelelo legazi kulingwa ngaphandle kokusetyenziswa kwamachiza. Ngoko, oogqirha bancomela ukuba owesifazane okhulelwe alandele ukutya okuthile,
Ukuthetha ngendlela yokunciphisa uxinzelelo oluphezulu lwegazi ngexesha lokukhulelwa, kufuneka kuphawulwe ukuba kulo dokotela olwaphulo-mthetho unika iipilisi. Phakathi kwale ndlela kunokwenzeka ukwahlula amalungiselelo enomxholo we-magnesium ophucula ukwenziwa kwe-microcirculation (Aspirin kwizilwanyana ezincinane, i-Dipiridamol), i-calcium gluconate kunye ne-carbonate. Iziyobisi ezingasetyenziswanga zisetyenziswa rhoqo, kuba Impembelelo yabo ininzi kwi-body fetal ayizange ifundwe. Phakathi kweqela lala mayeza angabonwa kuphela nguMethyldopa, ongowesigaba "B" (ukufundwa kweziyobisi kwenziwa kwizilwanyana).