Eclampsia - a ... eclampsia ngexesha lokukhulelwa: iimpawu, izizathu kunye nonyango

Ngoxa ephethe usana zonke umama okhulelweyo elibeke esweni impilo yabo. Ngapha koko, oku kuxhomekeke kakhulu, kuquka uphuhliso wosana. Kweli nqaku mnye, ndifuna ukuthetha ngengxaki efana eclampsia kwi abafazi abakhulelweyo.

lwesigama

Ekuqaleni, kufuneka siqonde kunye isigama ezakusetyenziswa kweli nqaku. Ngoko ke, eclampsia - isikakhulu ingxaki eyingozi ukukhulelwa xa kukho isoyikiso ebomini, umntwana nje kuphela, kodwa umama yena. Noko ke, musani ukoyika - le meko kunqabile kakhulu. iingxaki ezinjalo kwenzeka hayi ngaphezulu kwe-1 ixesha abakhulelwe 100 nganye. Qinisekisa ukuba nabo bathi eclampsia - kwingxaki ngayo ngexesha toxicosis, iqondo eliphezulu le meko krakra.

Umthombo le ngxaki

Kubalulekile ukuphawula ukuba oogqirha musa ebengekamazi oonobangela ngqo imeko yabafazi. Kodwa kukho ezi zilandelayo:

1. into Genetic. ie ukuba ezi ngxaki ziye sele usapho umfazi.
2. Amaxesha amaninzi oku urhulumente iphindiwe. Oku kuthetha ukuba ukukhulelwa yangaphambili, umfazi sijamelene eclampsia, le ngxaki ukuze ziphinde zenzeke.
3. Livela kwezifo, ngokutsho oogqirha, kananjalo bachatshazelwa yi kweminyaka koomama abatsha. Kukholelwa ukuba uninzi iingxaki ezinjalo kwenzeka abafazi abangaphantsi-18 okanye ngaphezulu engama-40.
4. Eclampsia kudla zokukhulelwa ezininzi.
5. Amaxesha amaninzi, eli leengxaki kwenzeka ngaloo bafazi abaneengxaki ezahlukeneyo kunye nezintso. Amaxesha amaninzi ukuvela imvelaphi sisifo nokoyika ngala mabhunga.
6. Unobangela inokuba kwakhona ibe sifo, ezifana systemic lupus zomzimba.

Kufuneka kuqatshelwe ukuba eclampsia - kwingxaki apho kukho abukhali kakhulu a ukunyuka koxinzelelo lwegazi. Oku kukhokelela ekubeni spasm kwemithambo yegazi, nto leyo ebangela iintlobo ngeentlobo ukuphazamiseka yegazi yaye ngenxa yoko - ukudumba ebuchotsheni.

I ehamba iingxaki kunye nezifo

Kwakhona, oogqirha lubonisa ukuba eclampsia xa abasetyhini abakhulelweyo kudla kunye ezahlukeneyo iimeko. ie kukho amanqaku athile kwi imvelaphi apho Ukho ingxaki ezifana eclampsia.

• Kwegazi. Kuye sele uthe malunga nento yokuba kaninzi eclampsia iboniswe ngokuchasene nemvelaphi uxinzelelo lwegazi. Kodwa lo ingxaki yenzeka kwabasetyhini kunye noxinzelelo lwegazi yesiqhelo (16% amatyala). Kufuneka kuqatshelwe ukuba ukuba lwegazi okhulelweyo eziqatha, eclampsia zibonakale kuyo sele ukuya kwiveki 32.
• Proteinuria (iiprothini nomchamo). Kwakhona, oogqirha bathi bonke ababona eclampsia, baye namaqondo awohlukeneyo proteinuria. Noko ke, 14% yabafazi ingxaki ulahlekile.
• Eclampsia soloko ilandelwa lutshintsho lwemithetho kudumba. Nangona kunjalo, le meko ayikwazi kwenzeka abakhulelweyo (njengoko yenzeka malunga-28% amatyala).

kubonakaliswa eclampsia

Ukusuka apha ngasentla, kwaye kwacaca ukuba eclampsia - yinto kwingxaki ukhulelwe, xa kukho isoyikiso ebomini, umntwana nje kuphela, kodwa umfazi yena. Nakuba kunjalo, kufanele kuqatshelwe ukuba lo mqathango kwakhona kwenzeka phambi kokuba mzuzu kwesisu, ngokunjalo emva kokuzalwa.

reviews Contemporary lubonisa ukuba Kukudandatheka eclampsia kwenzeka amaninzi ngomhla wesibini emva kokubeleka. Nangona kunjalo, oku kwenzeka kamva, emva ezingama-28. Kwiimeko ezinjalo nazo sabhalwa kumagqirha. Iinkcukacha-manani ibonisa ukuba uninzi amaninzi ingxaki esizibonakalisa kwisiqingatha sesibini yokukhulelwa (emva kweeveki-28 ngo-91% amatyala). Kodwa kwakhona kuthi phambi kwiveki yama-20 ka yokumitha usana (kodwa kuphela ngo-1.5% yamatyala).

iintlobo eclampsia

Ukuba kufuneka kwakhona wathi amayeza kukho iintlobo ezintathu ezingundoqo eclampsia:

1. Brain. Kulo mzekelo, esona sizathu kukuba ukuhla e uxinzelelo lwegazi, lwegazi. Kwakhona uyakwazi ukuphuhlisa njengoko iingxaki imivumbo kobuchopho kwaye ukopha.
2. eclampsia kwezintso. Ukuhlaselwa kulo umoya mzekelo kunye isiqaqa ilandelwa yi anuria.
3. eclampsia Hepatic. Kulo mzekelo, oogqirha bathi malunga ukuphazamiseka profound metabolic.

The main Iimpawu

Ukuba kufuneka ukuba siqwalasele iimpawu ezahlukeneyo eclampsia. Oku kubalulekile, kuba wonke umfazi ufanele ukwazi ukwahlula njani phakathi le ngezifo. Xa sithetha nje ngokubanzi, eli eclampsia - lo ukuvela unditsho kulahleka sezingqondweni. Noko ke, ityala le meko kufuneka ukuba ezinxulumene nayiphi ngezifo lobuchopho. Kufuneka kuqatshelwe ukuba bawaphikise ngokuhlasela umfazi phantse nayiphi na into. Kusenokuba ukukhanya eqhelekileyo eqaqambileyo, elikhulu sinkqonkqoza okanye iimvakalelo ezinamandla ezingakhiyo.

Phambi unditsho umfazi ahlangabezane ezi mpawu zilandelayo:

1. Kusenokubakho ebuhlungu. Qho kwakhona amatyala vertigo.
2. Kusenokubakho iintlobo ezahlukeneyo ongaboniyo, "iimpukane" phambi kwamehlo, nebula emehlweni, imifanekiso imfiliba.
3. Amabhinqa amaninzi kubonakala ubuthathaka jikelele wonke umzimba, umnqweno ukuhlala kwangoko phantsi okanye ulale phantsi.
4. Kwakhona ukuba intlungu kwindawo epigastric okanye kule ndawo hypochondrium ekunene.

The main uphawu: amahlaba

Ukuqwalasela iimpawu ezahlukeneyo eclampsia, kubalulekile ukukhumbula ukuba uphawu iphambili kulo mzekelo - ilungelana. Ukuba ziyaphuma kunye nokuphuhlisa ngendlela ethile. Ngoko ke, ukuxhuzula isigaba zezi zilandelayo:

• Isigaba sokuqala ithatha imizuzwana 30. Kukho ukuncitshiswa elincinane yobuso izihlunu. Twitching kwakhona ukuya imilenze eliphezulu.
• Ubude Kwinqanaba lesibini - malunga 25-30 kwimizuzwana. Kukho ekuthiwa- yombono tonic. Umfazi uyagoba umzimba uphela, kuphosa intloko yakhe. Xa oku kusenzeka uphefumla nqapha ukulibaziseka. Ngamandla balakha umhlathi. Kufuneka kuqatshelwe ukuba nokuba yothuba elithile kwaye elide kakhulu, kodwa yena - kuyingozi kakhulu. Ngapha koko, le nto inokwenzeka apha ngokukhawuleza ukopha ebuchotsheni ezibangela ukufa okhawulezileyo okanye ukuba khokhoma.
• Isigaba sesithathu iza kuthatha imizuzu malunga enye enesiqingatha. Kukho unditsho ikakhulu waphawula clonic, ie twitching of izihlunu umzimba omzimba. Ukuphefumla isenokuba ngakanye okanye engekho ngokupheleleyo. Amagwebu udla akhutshwa emlonyeni. Ngelo xesha njengoko abafundi zithambe, inokuba ukulahleka lokuqonda. Ekupheleni kwesi sigaba uphefumle okhulelweyo uqalisa ngcembe ayilungiswanga, ngena eqhelekileyo.
• Isigaba yesine ebizwa eclamptic zonyango isiqaqa. Uphefumla umfazi enengxolo, elikhulu. Ngokufuthi lady yokuqala zingqondweni. Xa ebuyela, abakhulelweyo akakhumbuli nto kwaye engaliqondi kwenzeka ntoni kuye. Ngokusisiseko, kwesi sigaba sikhatshwa yintloko ebuhlungu.

Kubalulekile ukuphawula ukuba emva kwisigaba sesine kwenzeka yaxhuzula entsha. Eclamptic isiqaqa angahlala nkqu usuku, ngexesha apho umfazi inokuphila malunga 15-18 ukuhlaselwa. Uqikelelo ngoko oogqirha benza ngokwesiseko yoviwo yesigulane, izifundo ezongezelelweyo ziqhutywa xa kuyimfuneko.

Kubonakaliswa eclampsia Kukudandatheka

Njengoko sele kukhankanyiwe ngentla apha, kukho kwakhona eclampsia emva kokuzalwa. It ungaqala zombini ngexesha lenkqubo kokuzalwa kosana, kwaye emva kokuba (ngosuku lokuqala). Kufuneka kuqatshelwe ukuba le meko kudla ngokukhokelela iingxaki ezinkulu, ezifana ukusilela etsolo kwezintso, okanye ekuthiwa HELLP-syndrome. Oku kuboniswa kule ndlela ilandelayo.

1. I-enzyme zesibindi etshintsha iqhosha lwekhontenti ezikhokelela umonakalo omkhulu kulo.
2. Kusenokwenzeka kwakhona kuthi hemolysis - ukutshatyalaliswa iiseli ezibomvu zegazi.
3. Kusenokwenzeka kwakhona kwenzeka ukuncitshiswa elibukhali kwi inani ziiplatelets. It thrombocytopenia - kuphazamiseka entsonkothileyo ukuba uza ekunqandeni igazi.

Kubalulekile ukuqaphela ukuba xa Kukudandatheka eclampsia kwaye nikuyeke ukusongela ubomi bomntwana, oko imeko kakhulu yingozi unina. Ngoko ke, lo mbandela kufuna unyango ngoko nangoko.

Le abane of eclampsia

Sithetha malunga ngxaki efana eclampsia. Iimpawu ziye sele ziqwalaselwe ngokwaneleyo. Kufuneka kuqatshelwe ukuba iingqikelelo koogqirha emva iingxaki banike esekelwe zinto zilandelayo.

• Ubungqongqo sifo. Kulo mzekelo, sithabathela ingqalelo zonke iimpawu, kunye nokuqaqamba yoboniso yayo.
• Eyona nto ibalulekileyo ubungozi nezihlandlo ukuxhuzula. Okukhona kubo - kubi.
• I-ALS kwakhona abachatshazelwa ungenelelo kwangethuba oogqirha. Ukuba uncedo sanikwa kwexesha, lo ALS nga ilunge kakhulu.
• Kakade ke, ikhondo emva kokukhulelwa iphenjelelwa ubukho kunye nohlobo iingxaki.

Imiba echaphazela sase-

Uqikelelo iya kuba HIV ukuba zawahlasela ayisasebenzi eqhelekileyo, kwenzeka alufane. Kananjalo into entle - ukwanda isixa umchamo.

Liqikelele ukuba mibi kwezi meko zilandelayo:

• Ukuba uhlaselwe landela omnye komnye;
• xa esasidla wazo zakhula;
• xa kukho ubushushu ukunyuka ukuya malunga 38 ° C;
• xa kukho arrhythmia, ukwanda izinga intliziyo.

Ukuba uhlaselo eclampsia iphela legazi kulo naliphi na iziko - kucingwa kwingxaki kakhulu le ngxaki. Kunye nokuhlolwa kakuhle abasebenzi bezonyango nga abakhulelweyo ngexesha uxhuzula ngoku basebenzisa kabi, kude ulwimi ukuluma.

Kufuneka kuqatshelwe ukuba unobangela wokufa inokuba ngohlobo olwahlukileyo utshintsho sisiba mandundu kwizigqeba ezahlukeneyo (ngokufuthi izintso okanye kwesibindi), apho kunokwenzeka kunye nophuhliso elide le ngxaki.

Uxilongo: uphando Laboratory

Siyaqonda ukuba neempawu eclampsia yaye ibangela iingxaki njengoko siye ingqalelo. Ngoku makhe sibuyele iindlela lokufunyaniswa kwesifo. Ngoko ke, ukuba umfazi waquleka, ukuqinisekisa uxilongo, iimvavanyo elebhu ilandelayo okhulelweyo yabelwe:

• ekuhloleni ekunqandeni igazi;
• ukulinganisa izinga kwalo;
• hlola umgangatho uric acid kunye namanye amacandelo efunekayo serum.

Uxilongo: ezinye izifundo

Ukuba nenekazi bahla- of eclampsia, ukongeza iimvavanyo zegazi yaye iya zabelwe ezinye iinkqubo.

1. Chest X-ray. Ukuba kuyimfuneko, oko kwenziwa X-ray yobuchopho (kodwa oku kwenziwa kwiimeko kakhulu).
2. iimviwo umntwana. Oku kubaluleke kakhulu, kuba ngexesha ukuhlasela umama wakhe umntwana ukuze aphuhlise bradycardia, hypoxia. Kusenokwenzeka ukuba abruption placental.

Lokufunyaniswa ugqirha ubeka ngokusekelwe kwiziphumo zophando ngasentla.

Unyango le ngxaki

Namhlanje eclampsia unyango kulandelayo kusebenza: umfazi ezilawulwa yegazi sulfate wemagniziyam. Ukuqaliswa kwale mveliso kunciphisa kakhulu umngcipheko ukuxhuzula. Ngaphezu koko, umsebenzi wayo egcinelwe iintsuku ezimbini. amachiza asebenza ngaphantsi, leyo, Noko ke, oogqirha kwakhona emiselweyo: amachiza "Phenytoin" yaye "Valium." Kodwa simele sikhumbule ukuba ukusetyenziswa kwazo igcwele imbonakalo yeziphumo ebezingalindelekanga. Xa imeko yesigulane uzinzile, oogqirha balungiselela nabafazi Uqhaqho okanye ukuzalwa eyenziweyo lobufazi. Ukuba ixesha ephethe usana ekuseni kakhulu, isigqibo kufuneka kuthathwe kuphela thethwano oogqirha zonikezelo.

ndlela yihi

Uncedo ngokuba eclampsia ayikho unyango kuphela. Ngoko ke, kubaluleke kakhulu ukuba bagcine ezi zikhokelo zilandelayo xa le ntokazi ingozi ukuphinda ukuxhuzula.

• Kuyimfuneko ukuphelisa naziphi na ezintweni ngoko nangoko.
• UGqr VV Stroganov ikhuthaza Fundisa ngendlela umfazi iziyobisi ezidakumbisayo, umzekelo, "icaffeine". Oku kuya kunceda ukuthintela ukugula.
• Umfanekiso ukuxhuzula. ie kufuneka bazame ukuphepha uphuhliso lwabo kwimiqondiso yokuqala.
• Kubalulekile ukuba esweni umsebenzi yonke imisebenzi zomzimba kuyimfuneko - ukuphucula.
• Kuyimfuneko ukuba esweni ukuhla wegazi. Ukuba ukwandisa kufuneka lincitshiswe.

iindlela zokuthintela

On kufuneka ibe yintoni na kuthintelo lwe eclampsia, kunyanzelekileyo ukuba ukwazi yonke umfazi okhulelweyo. Ngapha koko, akukho ingcono yokuthintela ukuba kokuvela ingxaki, kunokuba deal kunye neziphumo zawo. Ngoko ke, uthintelo eclampsia kwezi ndlela zilandelayo yenziwa namhlanje.

1. Ulawulo umbala magnesium sulphate. Kulo mzekelo, eclampsia frequency kuncitshiswa nama-60%. Nangona kunjalo, lo mba namanje evulekile. Ngoko ke, manenekazi yokukhulelwa kakhulu, eli chiza kufuneka ufakwe ngokuchanekileyo. Kodwa luhlobo wobulali - kuba yiyo ayikacaci.
2. Kubalulekile kwakhona ukuba esweni ngokusondeleyo ukuhla kwi wegazi abafazi abakhulelweyo.
3. Kuyimfuneko ukuba ukunyanga iintlobo yeengxaki yetyhefu. Kubalulekile kwakhona ukuba ukuchonga unobangela.

Ukubambelela kwezi ziphakamiso, unako ukuthintela ingxaki ezifana eclampsia. Kakade ke, kubalulekile ukukhumbula ukuba xa amathandabuzo yokuqala okanye izikrokro kwingxaki mfazi kufuneka ngoko nangoko ufune uncedo lonyango.