Ukuhlolwa okuphelele kuyadingeka ukuze kuhlolwe
Ngemva kokukhathala ngokomzwelo nangokwenyama ekukhululeni umntwana, into yokugcina oyidingayo iyinhloko. Kodwa inhloko ekhanda ngemuva kwesikhathi sokuqala yisikhalazo esivamile. Izinguquko ze-Hormonal , ukuphelelwa amandla kwamanzi, i-anesthesia, nokungahambi kahle kokulala kungabamba iqhaza ekuhloleni ikhanda ngemuva kokubeletha ingane yakho ebalulekile.
Ngokuvamile, uketshezi, ukuphumula, ukuphumula, kanye nemithi elwa nokuvuvukala (njenge-ibuprofen) inciphisa ukungakhululeki. Kodwa ngezinye izikhathi ikhanda elibhekene nabesifazane be-postpartum lihlala isikhathi esingaphezu kwamahora angu-24, likhulu kakhulu kunokujwayelekile, futhi / noma alikhululwa yizinyathelo ezijwayelekile.
Uma lokhu kwenzeka, kufanele uxhumane nomhlinzeki wakho wezempilo, njengoba lokhu kungabonakalisa isimo sezokwelapha esithile esikhathini esilandelayo (okungasabheki ukuphila).
Izimbangela ze-Postpartum Headache
Esicwaningweni se- American Journal of Obstetrics & Gynecology , abacwaningi abavela eNyuvesi yaseCincinnati College of Medicine babukeze imiphumela yabafazi abangu-95 abanezinhloko ze-postpartum. Laba besifazane babengenalo umlando wangaphambili wokubanjwa noma ukushaya. Esikhathini sokutadisha, inkathi yokuthunyelwa kwesikhathi ichazwe njengokwenzeka amahora angu-24 kusukela ngesikhathi sokubeletha kuya ezinsukwini ezingama-42 emva kokubeletha (ngakho isikhathi eside kakhulu).
Ucwaningo lwathola ukuthi amaphesenti angaba ngu-50 emakhanda ase-postpartum ekhanda abe yi-migraines noma izinhlobonhlobo zezinsizi . Amaphesenti angamashumi amabili nesine abangwa yi-preeclampsia / eclampsia, kanti amaphesenti angu-16 ayeyizinsizwa zomphembu. Amanye amaphesenti angu-10 eziguli ayenokukhubazeka okukhulu kobuchopho, kuhlanganise nokuphuma kwegazi ebuchosheni nokushaya.
Izinsizi ezinzima
Izibonelo zekhanda ezingavamile kodwa eziyingozi ezidinga ukwelapha ngokushesha zihlanganisa:
- I-dural sinus thrombosis
- Ukumiswa kwesimiso esinqunyiwe
- I-Meningitis
- I-Pituitary apoplexy
- Ukuphazamiseka kwamagciwane kanye nesifo sohlangothi
Ukuqeda lezi zintathu ezisongela ukuphila kungabangela, ukucabangela ubuchopho nge-CT scan noma i-MRI kuyadingeka. Ukukhishwa kwesibindi kuyadingeka ngezinye izikhathi.
Ngenkathi udokotela wakho engalawula ukuhlolwa kwe-imaging yobuchopho ukuba kube ohlangothini oluphephile, lokhu kuvame ukugcinwa kwabesifazane abanezibonakaliso noma izimpawu ezibuhlungu kanye nekhanda labo. Isibonelo, inkinga yezinzwa ezifana nombono onzima, ukuhamba nobunzima ukuhamba, ubuthakathaka, noma ukuphazamiseka nokuxubha kuphazamisa i-clot yegazi noma kukhishwa ebuchosheni.
Esinye isibonakaliso esiyisixwayiso sekhanda uma owesifazane ephethe ikhanda elibi kunazo zonke empilweni yakhe noma ozwa ikhanda lokudumaza.
Noma kunjalo, ezinye izimpawu zokuxwayisa zekhanda, zifaka:
- Inhloko ngomkhuhlane kanye / noma intamo eqinile
- Inhloko ehlobene nokusebenza, ubulili, noma i-Valsalva
- Ukushaywa ikhanda okufana ne-migraine entsha
- Shintsha ubuhlungu bekhanda, iphethini, noma ubunzima
I-Preeclampsia / Eclampsia: Enye Insizwa Enhle
Esinye isifo esibucayi sekhanda (esingase sithuthuke ngemva kwamasonto angu-20 ukubeletha noma ngesikhathi sokuhamba kwesikhathi) yi-preeclampsia / eclampsia, okushiwo ukuthi kungenzeka ukuphathwa ikhanda nge-high blood pressure kanye / noma ukuvuvukala kwemilenze nezinyawo.
Ukuze uphathe u-preeclampsia, udokotela wakho uzohlola ingcindezi yakho yegazi bese enza urinalysis . Uma une- high blood pressure kanye namaphrotheni emcinini wakho, udokotela wakho cishe uzokunika imithi yokwehlisa ingcindezi yakho yegazi kanye / noma imithi yokuvimbela ukuqubuka, okuthiwa i-magnesium sulfate. Uma izimpawu zakho zingasombululi ngelashwa olungenhla, ukucabangela ubuchopho kunganconywa.
I-Migraine noma Intambo-Thayipha Uthanda
Ngemuva kokubusa ngaphandle kwezinto ezisongela impilo kanye nezimbangela ezinkulu ze-headpartum headache, ukuxilongwa kwekhanda lakho kulesi sikhundla mhlawumbe kungumuthi wekhanda we-migraine noma uhlobo lokucindezeleka.
I-migraine ihlaselwa ngokwemvelo emvelo, inhlangothi eyodwa, futhi ihlotshaniswa nesicathulo sezinyosi kanye / noma ukuhlanza, nokuzwela ekukhanyeni nasenomsindo. Ubuhlungu be-migraine buvame ukukhubaza okuningi kunokuba ubuhlungu benhlobonhlobo yekhanda lokuhlukumezeka, okubangela ukuqina okunamandla noma ukucindezeleka kwezinhlangothi zombili zekhanda.
Kuzo zombili lezi zinkinga eziyinhloko zokukhathazeka kwekhanda, imithi yokuhlunguphaza, uketshezi, nokulala kuzoconywa.
Insizwa yesisu
Uma une-epidural for anesthesia ngesikhathi sokubeletha, kungenzeka ukuthi uhlushwa isifo sekhanda esilandelayo (i-headache). Kule nkinga, uketshezi (ngokusebenzisa i-vein) amanzi, i-caffeine, noma ngisho ne-blood patch kungasiza. Igazi legazi libandakanya ukuhlinzwa, lapho igazi lakho lijova khona endaweni yokugqekeza lapho i-epidural yakho yenziwe khona. Lokhu kuqeda umgodi, ukuvimbela noma yikuphi ukuvuza okungaphezulu kwamanzi omgogodla.
Izwi kusuka
Uma uthola ikhanda lokubelethwa ngemuva, thintana nodokotela wakho, noma ikhasi umhlengikazi wakho uma usesesibhedlela. Kungenzeka ukuthi isisombululo esilula, njengokulala, uketshezi noma imithi ebuhlungu. Kodwa-ke, udokotela wakho uzofuna ukuqinisekisa ukuthi akukho lutho olungathí sina oluqhubekayo. Njengomzali, nawe ufuna lokho kuqinisekiswa ukuze uthole ukukhululeka kwekhanda efanele futhi ubuyele ekujabuleleni ingane yakho esanda kuzalwa.
> Imithombo:
> Klein AM, i-Loder E. Postpartum ekhanda. Int J Obstet Anesth . 2010 Oct; 19 (4): 422-30.
> Lee MJ, Guinn D, Hickenbottom S. Ukuphathwa kwentombazane kubesifazane abakhulelwe nabasemuva. Ku: UpToDate, Lockwood CJ, Swanson JW (Ed), UpToDate, Waltham, MA 2017.