Hyperemesis Gravidarum
Paunofunga nezvekudzivirira pamuviri, imwe yezvinonyanya kufunga ndeyekurwara kwemangwanani . Zvisinei, vanenge 1 mu300 vakadzi vane pamuviri gore roga roga vachava nemhando yakakura yeiyi inonzi Hyperemesis Gravidarum, iyo inotsanangurwa ndiyo kurasikirwa kwe-5% yehuwandu hwehutatu hwehuviri. Vakawanda vevakadzi ava vanobvumirwa kuenda kuchipatara kuti vanorapwa, uye hazvizivikanwi kuti vangani vasina kuziviswa uye vanobatwa sevanorapwa.
Kuongororwa kwemazuva ano kunoratidza kuti kana vakadzi vane chirwere chakakura zvokuti vanogona kuiswa muchipatara, zvakadai sedare re hyperemesis, zvino iye anowanzova nemusikana kupfuura mukomana. 56% evana amai vakapinda muchipatara munguva yekudzivirira kwekutanga vaiva nevasikana, vachienzanisa ne 44% vaiva nevakomana. Chipatara muzvikamu zvakatevera zvekuzvitakura hazvina kuratidza kuwirirana.
Iwe unogona kunge uchishamisika kuti zvakagadziriswa sei kana kusuruvara kwako kunowira mune izvi. Kazhinji, apo vakadzi vane hutachiona hwe gravidarum, uchaona kuora kwema 5% kana kupfuura, kusarura kusingagadziriswi, kunetseka kunokanganisa, retinal hemorrhage, uye kungangodaro kubatwa uye kuora kwechiropa.
Zvimwe kunze kwekurutsira uye kushungurudzika, amai vanogonawo kunetseka zvakanyanya, kunzwa kwakashata mumuromo, kunetseka, kunetseka kuverenga (kubva pakupera mvura uye kuchinja kune ziso), uye kunonoka kuita gastric kubvisa. Zvimwe zvinetso hazvishamisi, zvisinei, zvakave zvichinzi pane kuwedzera kwehutachiwana hwehutachiona matambudziko panguva uye pashure pokunge abata pamuviri.
Mishonga inogona kusanganisira zvinotevera:
- Pakarepo hydration kuburikidza neIv access
- Psychotherapy
- Hypnosis
- Gungwa Mabhandi (Acupressure bands) & Acupuncture
- Mishonga (inosiyana uye inogona kuva nemamwe matambudziko asina kudiwa)
- Tube Feedings
- Zvose Zvakakosha Vabereki (TPN)
Apo mishonga inokurukurwa kune dzakawanda dzinogona kushandiswa.
Dzimwe nguva antihistamine dzinoshandiswa dzinoshandiswa. Vitamini B6 yakaratidzawo kubatsirwa kukuru kuvakadzi vanotambura nehutachiona. Kunewo mishonga uye mamwe mazvigadziro akave akaedzwa nemhando dzakabudirira, seminwe yeganda.
Chisarudzo chekushandisa mishonga chinogona kuva chakaoma, uye haisi chisarudzo chinofanira kuitwa zvishoma. Zvisinei, apo zvingave zvinobatsira zvemishonga zvinopfuura zviitiko zvinogona kuisa mishonga kuna amai kana mwana, sezvinenge mune dzimwe mamiriro ehutachiona husina kubvuma kune dzimwe mishonga, mishonga inogona kuva yakakodzera kurapwa.
Chikonzero cheizvi hachizivikanwi chaizvo, asi chinonzi chichienderana nehomoni dzekudzivirira.
- Human Chorionic Gonadotropin (hCG): Izvi zvinowanzopomerwa mhosva yokuti kuwedzera kweHCG kunowanzoenderana nekutanga kwehutachiona
- Progesterone: Iyi hormone inoderedza hutendere hwakashata, iyo inogona kunonoka kana kumira peristalsis.
- Estrogen: Sezvo izvi zvinogona kuwedzera kushushikana kwako kwepamusoro kwave kwataurwa kune dzimwe nguva kuwedzera kushungurudza uye kurutsa.
- Cortisol: Izvi zvinomuka, asi zvinokonzerwa nekudzvinyirira kana kushaya pfungwa here?
- Prostaglandins: Izvi zvinogona kubvisa cortisol neprogesterone yemwana, uye zvinokonzera maitiro e hyperemesis.
Nenzira inofadza mazhinji madzimai achapedza nemavhiki masere gumi nemashanu, kunyange zvazvo pavhiki makumi mashanu (5%) yevanhu vachiri kutaurira matambudziko. Imwe ongororo yeAustralia yakaratidza kuti 20% yevakadzi vakanga vachiri nematambudziko panguva.
Kazhinji, vana ava havatambudzi. Kunyange zvazvo zvakaoma kuparadzanisa migumisiro yehuteremesis uye kuderera kwemahombekiti uye kusagadzikana kwe electrolyte. Pane chikonzero chekufunganya apo mamwe mishonga inoshandiswa kugadzirisa kurutsa. Saka chengetedza kuti mushandi wako aripo iye zvino ane mabhuku uye kurapwa kwehutachiona. Kutanga kushanda uye kuderera kuberekwa uremu zvinhu zviviri zvakanyanya kunetseka nevana vakaberekerwa vanaamai vane hyperemesis.
Yakanga inowanzotendwa kuti iyi yakanga iine pfungwa chaiye uye kuti amai vaiedza kurasa kuberekwa chero zvikonzero. Sayenzi ikozvino yatiratidza kuti kune zvakawanda zvakawanda kune hyperemesis kupfuura mamiriro epfungwa. Vakadzi vanoona izvi vanotambura kwete mumuviri asi mupfungwa. Kushungurudzika uye kushungurudzika kwekurwara uye zvinogona kunge zvipatara zvinokonzera kukanganisa kwepfungwa uye zvemuviri pane mukadzi. Izvi zvinonyanya kuitika nokuti vakadzi vanogona kunge vane chivimbo chokuti pamuviri uchava nguva inofadza muupenyu hwavo. Kutsigirwa kubva kune dzimwe nzvimbo dzehupenyu hwavo kunokosha pakurapa hutachiona.
> Kwakabva:
> Obstetrics: Kazhinji uye Zvinetso Zvokugadzirira. Gabbe, S, Niebyl, J, Simpson, JL. Fifth Edition.