Kuongorora uye Kutarisira Preeclampsia
Preeclampsia is complication of pregnancy inobata kukanganiswa kweropa uye dzimwe nhengo dzehutano. Kunyanya, chirwere che preeclampsia chinoratidzwa apo high blood pressure uye proteinuria (mapuroteni mumuguta) anowanikwa mumukadzi ane pamuviri ari kupfuura mavhiki makumi maviri nemashanu. Uku ndiko kusiyana kwakakosha, sezvo vakadzi vaiva nehuwandu hwemhepo vasati vava nepamuviri dzimwe nguva vanosangana nekliniki yepamutemo ye preeclampsia, asi inofanira kurapwa maererano nezvimwe zvakasiyana-siyana zvemashoko.
Zviratidzo nezviratidzo zve Preeclampsia
Muzviitiko zvakawanda, kuwedzerwa kwechimbichimbi kwekumanikidza kweropa ndiyo chiratidzo chokutanga che preeclampsia. Pashoma nguva, kuwedzera kweropa kuchakwira zvishoma nezvishoma asi zvishoma nezvishoma. Chero mamiriro ose ezvinhu, kana kuwedzera kweropa kunosvika kana kupfuura 140/90 mm Hg uye mupi wehutano wehutano akacherechedza shanduko iyi panguva dzinenge mbiri, akaparadzaniswa kwemaawa mana oga oga, kuongororwa kwe preeclampsia kunofungidzirwa.
Mukuwedzera, mapuroteni akawandisa mumuguta, akawanikwa panguva yemuginho kuongorora iyo inowanzova iyo yekuchengetwa kwepabonde, inogona kuratidza zvinetso zvepvo zvinowanzoperekedzwa nehuwandu hweropa mu preeclampsia.
Zvimwe zviratidzo nezviratidzo zve preeclampsia zvinosanganisira:
- Musoro wemusoro
- Kuchinja mune zvakaratidzwa, kusanganisira kurasikirwa kwenguva pfupi kwemaonero, kuonekwa kusina kunaka kana chiedza chekunzwisisa
- Uturu hwepamusoro hwepamuviri
- Nausea kana kurutsa
- Yakaderedza urine zvakabuda
- Kupera kwemazinga emaplatelet muropa (thrombocytopenia)
- Dambudziko rekushaya simba basa
- Kupfupika kwemhepo
- Kamwe kamwe-kamwe kuwedzera kuwedzera uye kuwedzera (zvinowanzojairika mune zvepamuviri zvakakwana)
Ndiani Ari pangozi yePececlampsia?
Kunze kwokuva nepamuviri, iyo ndiyo njodzi huru yekutengesa preeclampsia sezvo inowanzoitika kune vakadzi vane pamuviri, zvimwe zvikonzero zvingakuisa pangozi yakakura yekuvandudza mamiriro acho.
Izvi zvinosanganisira:
- Nhoroondo yekare ye preeclampsia (iwe kana kuti hama yeropa)
- Kutanga pamuviri
- Kuva nemakore makumi mana kana kupfuura
- Kuva wanyanyisa
- Kutakura mimba yakawanda
- Kupinda nepamuviri kutapera makore maviri kana kupfuura kupfuura makore gumi
- Kuva nemamwe mamiriro ezvinhu asati ava nepamuviri, zvakadai sokukwirira kweropa, migraine headache s, chirwere cheshuga, chirwere chepvo, kana lupus
Kubata Preeclampsia
Kana ikaenda isingateereri, preeclampsia inogona kutungamirira kumatambudziko akakomba kune vose amai nemucheche. Mune zvimwe zviitiko, zvinogona kunge zvichiuraya. Chirwere chete chechiitiko ndechekurera mwana, iyo inomiririra dambudziko rakasiyana nedzimwe kune vatarisi vehutano nevadzimai sezvo vachienzanisa kubatsirwa kwekusununguka kwekutanga nematambudziko ekugadzirisa.
Vakadzi vane preeclampsia vanotarisana nehuwandu hwekugumburwa, kuputika kwepachika uye kurwisa. Kana ichinge ichangopera mumimba yekudzivirira kuchengetedza kusununguka, kutarisana kwakanyanya kwehutano hwemamai uye mwana kunogona kusanganisira kuwedzerwa kwezviitiko zveongororo dzepabonde, kuongororwa kweropa, kushandiswa kwechirwere uye kusanzwisisika kwepfungwa.
Dzimwe nzira dzinogona kushandiswa kubatsira kubatsira kudzora ropa apo inenge ichangopera kuti iite basa rakachengeteka. Izvi zvinosanganisira:
- Antihypertensive mishonga yekuderedza ropa.
- Corticosteroids zvose zviri zviviri zvinovandudza chiropa neplatelet basa muna amai uye kubatsira kubatsira mapapu emwana kugadzirira kutanga kwekutaura.
- Anticonvulsant mishonga yekudzivirira kukanganisa.
- Bhedha zororo
- Hospitalization
Sources:
Cunningham, FG., Lindheimer, MD. Hypertension in Pregnancy. New England Journal of Medicine, 326 (14): 927-32.
Bhuku rekushanda rinorondedzera pamusoro pehutano hwepamuviri mukuzvitakura. National Institutes of Health, Washington, DC 2000.