Ukucindezelwa Kwegazi Eliphezulu Phakathi Nokukhulelwa

Umfutho wegazi ophakeme obangelwa ukukhulelwa kungaba yinkinga elula, engaqondakali noma kungase kube uphawu lwezinkinga ezinkulu kakhulu ezifana ne-preeclampsia noma i-eclampsia. Ukuze ukwazi ukuthi ukucindezeleka kwegazi kusengaphambili kuyinkinga elula noma isibonakaliso sezimpikiswano ezinkulu ezizayo, ukuhlolwa okuphelele kufanele kwenziwe. Le nqubo ijwayelekile futhi izobandakanya izinyathelo eziningana. Ngokujwayelekile, akudingeki izinyathelo eziyinkimbinkimbi noma zesikhathi eside, kepha umsebenzi webhubhu kanye nokucabangela kungadingeka.

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Hlela Ukucindezeleka Kwegazi Lokuqala

Ukuhlolwa kokuqala kokukhulelwa komfutho wegazi okukhulelwe kufanele kufake isethi semilinganiselo yokungeniswa ebhalela ukucindezelwa kwegazi okuyisisekelo. Ngokufanelekile, lezi zilinganiso zithathwa ukuze zithole ukuthi imfucuza yengcindezi yegazi iphakanyiswa kanjani uma kuqhathaniswa nezindinganiso zangaphambi kokukhulelwa. Lezi zilinganiso zokuqala zibalulekile ngoba zivumela ukulandelela nokuhlola kwanoma yikuphi ukuguqulwa kwengcindezi yegazi njengoba ukukhulelwa kuqhubeka. Njengoba ubufakazi bokucindezela okuqhubekayo okuqhubekayo noma ukwanda okuphelele okukhulu kakhulu kokubili kusho ukuthi ukwelashwa kungase kudingeke, ukubeka lesi sisekelo kuyisinyathelo sokuqala esidingekayo ekuhloleni.

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Hlanganisa ulwazi lomlando nolwazi

Iziguli ezinengcindezi yegazi esanda kuphakanyiswa ngesikhathi sokukhulelwa kwazo zidinga ukuba nengxoxo egcwele nodokotela wabo. Phakathi nale nkulumo uzobuza imibuzo eminingi mayelana nomlando wokucindezela okuphakeme, egxile ezihlokweni ezingase zibonise ukuthi ukucindezeleka kwegazi okweqile kubangela izinkinga kwezinye izinhlelo zesakhiwo. Le mibuzo iyadingeka ngoba amanye amaphrofayili ampawu angase akhombise ukuthi ingane ingasengozini noma ukuthi ukwelashwa kwegazi eliphezulu kuyadingeka. Ngokuqondile, udokotela wakho kungenzeka ukuthi abuze ngezinto ezifana nalezi:

• Izinwele
• Ubuhlungu besisu
• I-nausea nokuhlanza
• Izinguquko kumanani we-urinary noma imvamisa
• Izinguquko ezibonakalayo (umbono ongenalutho, umbono ophindwe kabili)

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Hlola

Kanye nokuthatha umlando ojulile wempawu, udokotela wakho mhlawumbe ufuna ukusebenzisa iqoqo lezivivinyo zelabhorethri. Ukuhlolwa kwebhu kungasiza ukuhlukanisa ukuthi ingabe ukwelashwa kungadingeka ngempela. I-laboratory ehlola ukuthi udokotela wakho kungenzeka ukuthi ayilandele yonke into ejwayelekile futhi izodinga kokubili amasampuli egazi ne-urine. Ezinye izivivinyo ezivamile zifaka:

• Hemoglobin / Hematocrit - ukuhlola oksijini ethwala amandla
• I-Platelet Count - ukuhlola izinkinga ezikhona zokuqeda
• I-Creatinine level - umsebenzi wezinso nesimo esithile
• Amazinga e-Transaminase - okubonisa ukusebenza kwesibindi
• I-Lactic acid dehydrogenase concentration - i-enzyme ehlobene nokusetshenziswa kwesimetri nesibindi somsebenzi

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Hlola i-Fetus

Ingxenye ebalulekile yokuhlola ukukhulelwa komfutho wegazi wokukhulelwa ukuqinisekisa ukuthi ingane ayihlushwa noma yikuphi ukugula okubangelwa yi-elevated blood pressure. Nakuba indima yokuqapha kokubeletha okuqhubekayo ngesikhathi sokukhulelwa ixoxwa ngenxa yokuthi inzuzo yayo ayicacile, ukuhlolwa kokuqala kwesimo somntwana kuvamile futhi kulungile. Indlela ejwayelekile kakhulu yokwenza lokhu kuhlolwa kokuqala kube ne-ultrasound elula kanye nokulinganisela kwamanzi amniotic. Lezi zivivinyo zihlolisise ukuqinisekisa ukuthi ingane ikhula ngendlela evamile futhi isayizi esifanele. Uma kukhona okutholakele okungavamile kutholakala, ukuhlolwa okwengeziwe kungenziwa, noma isikhathi eside sokuqapha kungadingeka.

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Yenza Izinqumo

Into ebaluleke kunazo zonke udokotela wakho adinga ukuyihlola ukuthi ngabe ingcindezi yegazi ephezulu ingukuthi "nje" ingcindezi ephakeme yegazi, noma ngabe kunezibonakaliso ukuthi kungenzeka ukuthi usezigaba zokuqala ze-preeclampsia. Ngokuvamile, uma kungekho zibonakaliso zezinkinga ezinkulu, ukulinda nokubona "indlela evamile. Kukhona ubufakazi bokuthi ngaphandle kokuthi ukucindezeleka kwegazi kuphezulu kakhulu, kungcono ukugwema ukwelashwa ukuze unciphise ingozi yokuthinta ukukhula komntwana.

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Ukuqapha i-Preeclampsia ne-Eclampsia

Inhloso yokuhlola ngokucophelela nokuqaphela ngokuphelele ukucindezeleka kwegazi ngesikhathi sokukhulelwa ukuqinisekisa ukuthi ayikho izimpawu ezibonisa ukuthi ukucindezela kwegazi elula kungase kuthuthuke ekubhekaneni nezimo eziyinkimbinkimbi, eziyingozi ze-preeclampsia ne-eclampsia.

> Umthombo:

> Barton, JR, O'Brien, JM, Bergauer, NK, Jacques, DL, et al. I-hypertension emfushane yokugaya isisu kude negama: ukuqhubekela phambili kanye nomphumela. Am J Obstet Gynecol 2001; 184: 979.