Eclampsia - a ... eclampsia ekukhulelweni: izimpawu, izimbangela kanye nokwelashwa

Ngesikhathi kwenziwa ingane njalo umama okhulelwe eduze ukuqapha impilo yabo. Phela, lokhu kuncike kakhulu, kuhlanganise nokwenza ingane. Kulesi sihloko esifanayo, ngifuna ukukhuluma ngenkinga ezifana eclampsia kwabesifazane abakhulelwe.

amagama

Ekuqaleni, kudingeka siqonde ne amagama ukuze lisetshenziswe kulesi sihloko. Ngakho, eclampsia - ngokuyinhloko inkinga eyingozi okukhulelwa uma kunosongo ekuphileni, hhayi kuphela ingane, kodwa ngisho umama yena. Nokho, ungesabi - lokhu yinto evamile. Izinkinga ezinjalo zenzeka ayibi ngaphezu kuka-1 isikhathi ngasinye ukukhulelwa 100. Qiniseka futhi ukuthi eclampsia - kwetintfo ngakho ngesikhathi toxicosis, ezingeni eliphakeme le akujabulisi.

Umthombo inkinga

Kuyaphawuleka ukuthi odokotela musa okwamanje sizazi izimbangela ngqo ngesimo abesifazane. Kodwa namanje kukhona lokhu okulandelayo:

1. Isici bofuzo. okungukuthi uma lezi zinkinga kakade emndenini owesifazane.
2. Ngokuvamile ngalesi simo iyaphindwa. Lokhu kusho ukuthi uma ukukhulelwa langaphambilini, owesifazane sibhekene eclampsia, inkinga ingase ilokhu ibuya.
3. Okuvela isifo, ngokusho kodokotela, nalo ehlaselwe engu-omama abasanda. Kukholakala ukuthi izinkinga eziningi ezinjalo zenzeka nabesifazane abangabafundi abakhuthele kweminyaka engu-18 noma ngaphezu kweminyaka engu-40.
4. Eclampsia uvame kaningana.
5. Isikhathi esining impela, lokhu zokugula kwenzeka kulezo abesifazane abanezinkinga ezahlukene kanye nezinso. Ngokuvamile eba ku ngemuva kwe-isifo oyingozi kwazo lezi zitho.
6. Imbangela kungase futhi ube nezifo ezinjengesifo omzimba izicubu erythematosus.

Kufanele kuphawulwe ukuthi eclampsia - kwetintfo lapho kukhona ukwanda okukhulu kakhulu umfutho wegazi. Lokhu, kuholela spasm imithambo yegazi, elibangela izinhlobo ezihlukahlukene iziyaluyalu kwegazi futhi ngenxa yalokho - ukuvuvukala kobuchopho.

Izinkinga nezifo ohambisana

Futhi, odokotela basikisela ukuthi eclampsia kwabesifazane abakhulelwe ngokuvamile kuhambisana ezihlukahlukene izimo. okungukuthi kukhona amaphuzu athile on the ingemuva zazo Ngokuvamile ubonakaliswa isimo sengqondo inkinga ezifana eclampsia.

• Umfutho ophakeme wegazi. Sekuvele wathi mayelana lokuthi ngokuvamile eclampsia kuboniswa ngokumelene ingemuva-high blood pressure. Nokho lokhu inkinga eyenzeka abesifazane nge evamile komfutho wegazi (mayelana 16% amacala). Kufanele kuphawulwe ukuthi uma wegazi vele ophakeme kakhulu ukhulelwe, eclampsia manifest kakade kuze kube ngesonto 32nd.
• Proteinuria (iphrotheni umchamo). Futhi, odokotela bathi konke ababebona eclampsia, lamadigri proteinuria baye obuhlukahlukene. Nokho, ngo-14% abesifazane inkinga abakatholakali.
• Eclampsia ngokuvamile ehambisana nobutha ukuvuvukala. Nokho, kulesi simo angeke kwenzeka abakhulelwe (njengoba kwenzeka e mayelana 28% amacala).

ukubonakaliswa eclampsia

Kulokhu okungenhla, kwaba sobala ukuthi eclampsia - kuba inkinga yokukhulelwa, uma kukhona usongo ekuphileni, hhayi kuphela ingane, kodwa kowesifazane ngokwakhe. Nokho, kufanele kuphawulwe ukuthi lesi simo senzeka Ungase futhi zenzeka ngisho nangaphambi ngomzuzu wokukhulelwa, kanye ngemva kokubelethwa.

Izibuyekezo Contemporary basikisela ukuthi kwangemva kokubeletha eclampsia kwenzeka kaningi ngosuku lwesibili ngemva ukulethwa. Nokho, kungase kwenzeke ngemva kwesikhathi eside kakhulu, cishe ngemva kweminyaka ezingu-28. Ezimweni ezinjalo futhi atloliwe odokotela. Izibalo futhi libonisa ukuthi ngokuvamile iningi inkinga kubonakala kwesigamu sokukhulelwa yesibili (emva amasonto 28 e-91% amacala). Kodwa kungaba futhi kuvele ngaphambi kwesonto lama-20 esesibelethweni ingane (kodwa u-1.5% amacala).

izinhlobo eclampsia

Ngempela kumele wathi futhi ukuthi imithi kunezinhlobo ezintathu oyinhloko eclampsia:

1. Brain. Kulokhu, imbangela eyinhloko esikhathazeka ngayo iyehla iyenyuka wegazi, umfutho wegazi ophakeme. Futhi ingaqala njengoba yezinkinga imivimbo ischemic futhi oluhambisana.
2. eclampsia kwezinso. Ukuhlaselwa kulokhu zokuphelelwa umoya futhi equlekile kulandele anuria.
3. eclampsia Hepatic. Kulokhu, odokotela bathi mayelana ngokujulile iziyaluyalu umzimba.

Izimpawu main

Ngempela futhi kufanele ucabangele izimpawu ezihlukahlukene eclampsia. Lokhu kubalulekile, ngoba yilowo nalowo owesifazane osuke azi ukuthi angasilawula kanjani ukuhlukanisa phakathi kwale egunjini lokuhlolwa kwezifo. Ngokuvamile, le eclampsia - kuyinto ukuvela Ukudlikizela nge nokulahlekelwa ukwazi. Nokho, imbangela yalesi simo akufanele ehambisana nanoma iyiphi zokugula-cerebral palsy. Kufanele kuphawulwe ukuthi kumkhathaze ngokuhlasela nowesifazane lungaba cishe isici. Kungaba evamile ukukhanya okukhulu, elikhulu ongqongqozayo noma imizwa enamandla yokucasukela.

Ngaphambi nokudlikizeka kaningi owesifazane ahlangabezane zimpawu ezilandelayo:

1. Kungase kube ikhanda. Njalo futhi amacala inzululwane.
2. Kungase kube izinhlobo ezahlukene ongaboni "izimpukane" phambi kwamehlo, esigaxeni emehlweni, izithombe esilufifi.
3. Abesifazane bavame livela ubuthakathaka jikelele wonke umzimba, isifiso ngokushesha usuhlala phansi noma ulale.
4. Kungaba buhlungu endaweni epigastric noma endaweni hypochondrium kwesokudla.

Uphawu oyinhloko: amajaqamba

Uma ucabangela izimpawu ezihlukahlukene eclampsia, kuyafaneleka ukuthi uphawu main kuleli cala - kuyavumelana. Bona ziyaphuma nokuthuthukisa ngendlela ethile. Ngakho, ukuquleka isigaba yilezi ezilandelayo:

• Isigaba sokuqala ihlala emizuzwini engu-30. Kukhona ukwehliswa elincane ebusweni imisipha. Ukudikiza lungasenza futhi ukuze izitho engenhla.
• Isikhathi sesibili - imizuzwana mayelana 25-30. Kukhona okuthiwa Ukudlikizela tonic. Owesifazane egoba umzimba wonke, Ufaka ikhanda lakhe emuva. Uma lokhu kwenzeka ukuphefumula ngezikhathi kubambezela. Kakhulu onomfutho emhlathini. Kufanele kuqashelwe ukuthi ngisho noma esikhathini esinikeziwe hhayi isikhathi eside kakhulu, kodwa - ayingozi kakhulu. Phela, kungase kwenzeke lapha okusheshayo ukopha ebuchosheni ezibangela ukufa osheshayo noma ikhoma.
• Isigaba sesithathu kuzothatha imizuzu cishe unyaka nesigamu. Kukhona ikakhulu waphawula Ukudlikizela clonic, okusho ukunyakazisa kwemisipha yomzimba nasemilenzeni. Ukuphefumula kungaba ngakanye namkha engekho nhlobo. Foam ngokuvamile ukhululeka umlomo. Ngesikhathi esifanayo njengoba abafundi uvuleke, kungase kubangele nokulahlekelwa ukwazi. Ekupheleni kwalesi isigaba umoya abakhulelwe iyaqala sesijwayele, ungene evamile.
• Isigaba sesine ibizwa yezokwelapha eclamptic equlekile. Breathing owesifazane ezinomsindo, elikhulu. Ngokuvamile le ntokazi lokuqala aquleke. Lapho sibuyisela, lo okhulelwe olele akakhumbuli lutho futhi engaqondi ukuthi kwenzekeni kuye. Ngokuyinhloko, lokhu isigaba kuhambisana ubuhlungu bekhanda.

Kuyaphawuleka ukuthi ngemva esigabeni sesine engenzeka kokuquleka entsha. Eclamptic ikhoma ingahlala ngisho usuku, lapho owesifazane angaphila ukuhlaselwa mayelana 15-18. Isibikezelo ke odokotela ukwenza ngesisekelo luhlolo lesiguli, izifundo ezengeziwe abazenzi uma kunesidingo.

Ukubonakaliswa eclampsia kwangemva kokubeletha

Njengoba sekushiwo ngenhla, ibuye eclampsia emva kokuzalwa. Kungaba ukuqala kokubili phakathi kwenqubo ye-kokuzalwa kwengane yakho, futhi ngemva kwaso (ngosuku lokuqala). Kufanele kuqashelwe ukuthi le isimo ngokuvamile kuholela yezinkinga ezinzima, ezifana ukwehluleka oyingozi so-renal, noma okuthiwa HELLP-syndrome. It kubonakala ngendlela elandelayo.

1. Enzyme isibindi sishintsha ukhiye okuqukethwe kungaholela umonakalo ke.
2. Iphinde kungenzeka hemolysis - ukubhujiswa kwamangqamuzana egazi abomvu.
3. Iphinde kungenzeka ukunciphisa elibukhali inani platelet. It thrombocytopenia - ukuphazamiseka eziyinkimbinkimbi efika igazi ekunqandeni.

Kuyaphawuleka ukuthi uma kwangemva kokubeletha eclampsia futhi akusho okusongela impilo yengane, kuba isimo esiyingozi ngokwedlulele ngoba unina. Ngakho-ke, lolu daba ludinga ukwelashwa ngokushesha.

Onalesi sifo ka eclampsia

Sikhuluma inkinga ezifana eclampsia. Izimpawu sezivele kubhekwe ngokwanele. Kufanele kuqashelwe ukuthi le izibikezelo odokotela ngemva yezinkinga kungaba uyobanika okusekelwe zici ezilandelayo.

• Umonakalo obangelwa yilesi sifo. Kulokhu, ucabangela zonke izimpawu, futhi ukukhanya indlela abukeka ngayo.
• Isici esibaluleke kunazo kobukhulu kanye nokuvama nokuquleka. Lapho wabo - okubi.
• Onalesi sifo nakho ehlaselwe Ukungenela ngesikhathi esifanele kuka odokotela. Uma usizo yanikezwa isikhathi, onalesi sifo ungaba muhle kakhulu.
• Yiqiniso, lesi sifundo okwalandela yokukhulelwa kuthonywa khona kanye nohlobo ukuxakeka.

Izimo letitsintsa umhlahlo

Isibikezelo umphumela uzokhombisa ukuthi unalo uma ukuhlaselwa ayabaluleka bungavami, zenzeka kancane njalo. Libuye libe isici esihle - ukwanda inani umchamo.

Isibikezelo ukuba omubi kulezi zimo ezilandelayo:

• Uma nokuquleka ulandele nomunye;
• lapho imvamisa yabo kakhudlwana;
• uma kukhona kuyanda lokushisa ukuze mayelana 38 ° C;
• lapho kukhona arrhythmia, kwenhliziyo.

Uma ekuhlaseleni eclampsia uphela ukopha e isiphi isitho - kubhekwa isimo esibucayi yenkinga. Nge ukuhlolwa abampofu abasebenzi bezokwelapha kungaba abakhulelwe ngesikhathi nokuquleka okwamanje elifakwe yokulimala kabi, kuze ulimi okuhlabayo.

Kufanele kuphawulwe ukuthi imbangela yokufa kungaba uhlobo izinguquko esiwohlozayo kwezitho zomzimba ezahlukene (kaningi izinso, isibindi), okuyinto kungenzeka nge ukuthuthukiswa isikhathi eside yenkinga.

Ihlahlubo: ucwaningo Laboratory

Siyaqonda ukuthi ezifana izimpawu eclampsia futhi kubangela yezinkinga njengoba sesibonile. Manje ake sibheke izindlela ukuxilongwa kwesifo. Ngakho, uma owesifazane yaba nesithuthwane, ukuqinisekisa ukuxilongwa, lo okhulelwe ukuhlolwa ezilandelayo laboratory ingase yabelwe:

• kokuhlola igazi ekunqandeni;
• sokunquma ezingeni elithwala umoya-mpilo;
• hlola izinga le uric acid nezinye izingxenye ebalulekile serum.

Ukuxilonga: ezinye izifundo

Uma lona wesifazane waba ngokuhlasela eclampsia, ngaphezu ukuhlolwa kwegazi futhi liyoshiswa babelwe nezinye izinqubo.

1. X-reyi yesifuba. Uma kudingeka, kungase kwenziwe-X-ray zobuchopho (kodwa lokhu kwenziwa ezimweni ezibucayi).
2. Ingane luhlolo. Lokhu kubaluleke kakhulu, ngoba ngesikhathi unina kuhlasela i-fetus angagcina bradycardia, hypoxia. Kungase kube abruption esinomhlapho.

Imiphumela yaloku kuhlola okungenhla udokotela ubeka ngesisekelo imiphumela izifundo ngenhla.

Ukwelashwa yenkinga

ukuphathwa elandelayo esebenzayo Namuhla eclampsia: owesifazane iqondiswa ngemithambo yegazi sulfate magnesium. Ukwethulwa kwalo mkhiqizo kakhulu kunciphisa ingozi nokuquleka. Ngaphezu kwalokho, umsebenzi wayo inakekelwa izinsuku ezimbili. izidakamizwa Ngaphansi ngempumelelo, Nokho, okuyinto, odokotela futhi ebekiwe: izidakamizwa "Phenytoin" futhi "Valium." Kodwa kufanele sikhumbule ukuthi ukusebenzisa kwawo i igcwele ukubukeka amathuba okuba nemiphumela engemihle. Lapho isimo lesiguli uqinile, odokotela balungiselela abesifazane ngoba Ukubeletha noma lokuzalwa yokufakelwa lwesitho sangasese sowesifazane. Uma isikhathi abathwele umntwana ekuseni kakhulu, isinqumo lingathathwa kuphela ukulethwa kokubonisana odokotela.

izindlela umsizi

Usizo eclampsia akuyona indlela yokwelashwa kuphela. Ngakho, kubaluleke kakhulu ukuba bagcine iziqondiso ezilandelayo uma intokazi has a ingozi yokuphindela nokuquleka.

• Kuyadingeka ukuqeda ezishukumisa ngokushesha.
• UDkt VV Stroganov incoma ehlelekile ukwethula owesifazane izidakamizwa kwezidakamizwa, isibonelo, "Morphine". Lokhu kuzosiza ukuvimbela nokuquleka.
• Umfanekiso oqoshiwe nokuquleka. okungukuthi kufanele azame ukugwema ukuthuthukiswa yabo ngesikhathi izimpawu zokuqala.
• Kubalulekile ukuqapha umsebenzi yonke imisebenzi umzimba kudingekile - ukuthuthukisa.
• Kuyadingeka ukuba ukuqapha iyehla iyenyuka wegazi. Uma ukwandisa kumele encishisiwe.

izindlela zokuvimbela

Yini okufanele ibe nokuvimbela eclampsia, ke ubophekile ukuba wazi zonke kowesifazane okhulelwe. Phela, kungcono kakhulu ukunquma ukuthi ukuvimbela okuvela kuyo le nkinga, kunokuba ziphathelene nemiphumela yaso. Ngakho, eclampsia zokuvimbela yezindlela ezilandelayo Kwenziwa namuhla.

1. Ukuphatha prophylactic magnesium sulphate. Kulokhu, eclampsia imvamisa kuyehla cishe 60%. Nokho, le nkinga elisavulekele. Ngakho, bafowethu kanye preeclampsia ezinzima, lokhu izidakamizwa kufanele sinikezwe ncamashi. Kodwa nge sibi - akukabi sobala.
2. Kubalulekile futhi ukuba ziyiqaphelisise iyehla iyenyuka wegazi kubantu besifazane abakhulelwe.
3. Kuyadingeka ukuba aphathe ezihlukahlukene yezinkinga ubuthi. Kubalulekile futhi ukuthola ukuthi kubangelwa yini.

Ukunamathela lezi zincomo, ungagwema inkinga ezifana eclampsia. Futhi-ke, kuyafaneleka ukukhumbula ukuthi ngesikhathi ukungabaza lokuqala noma izinsolo lenkinga owesifazane kufanele ngokushesha ufune usizo lwabezokwelapha.