Kufotokozera kwathunthu kwa matendawa
Eclampsia ndi matenda omwe amapezeka mu trimester yachitatu ya mimba kapena m'maola 24 oyamba atabereka. Pakadali pano, kuwonjezeka kwakukulu kwa kuthamanga kwa magazi kumawonedwa, momwe mulingo wake umakhalira wopweteka kwa mayi ndi mwana (ngati kubadwa kwa eclampsia). Ndiwo mtundu wovuta kwambiri komanso wovuta kwambiri wa gestosis (toxicosis).
Eclampsia imapezeka m'mitundu itatu:
- 1 Zomwe zimachitika - pamakhala ma hypersthenics apakati, panthawi ya eclampsia yamtunduwu, kutupa kwakukulu kwa zotumphukira zazing'onoting'ono, zotupa m'matumbo zimawoneka, kumachulukanso kupanikizika, kuthamanga kwa magazi ndi albinuria yayikulu (mapuloteni amachotsedwa mkodzo);
- 2 atypical - amapezeka mwa amayi omwe ali ndi vuto losakhazikika, lamaganizidwe pantchito yayitali; Pakati pa maphunziro, kutupa kwa ubongo, kuchuluka kwa kukakamizidwa kwamphamvu, komwe kumayendera limodzi ndi matenda oopsa kwambiri (edema ya khungu locheperako, ziwalo zam'mimba, albinuria sikuwonedwa);
- 3 uremic - maziko a mawonekedwe awa ndi nephritis, omwe anali asanakhale ndi pakati kapena atayamba kale panthawi yoyembekezera; makamaka azimayi okhala ndi thupi la asthenic amavutika; Pa eclampsia yamtunduwu, madzimadzi owonjezera amasonkhanitsidwa pachifuwa, m'mimba, ndipo madzi amatha kupezeka mu chikhodzodzo cha fetus (pomwe kulibe edema ina).
Zizindikiro za eclampsia:
- kufulumira kunenepa (chifukwa chosungira madzi m'thupi);
- zopweteka za chikhalidwe chodziwika ndi chapafupi;
- kugwidwa kumawonetsa zizindikilo monga kuthamanga kwa magazi (140 mpaka 90 mm Hg), kupweteka mutu, kupweteka m'mimba, kusawona bwino;
- Kutalika kwa kulanda kamodzi kuli kofanana ndi mphindi ziwiri, zomwe zimakhala ndi magawo anayi: preonvulsive, gawo la kugwidwa kwamtundu wa tonic, kenako gawo lakumenyedwa kwanyengo ndi gawo lachinayi - gawo la "kuthana ndi kulanda";
- cyanosis;
- kutaya chidziwitso;
- chizungulire, kunyansidwa kwambiri ndi kusanza;
- mapuloteni;
- kutupa;
- matenda oopsa;
- thrombocytopenia, aimpso kulephera, mkhutu chiwindi ntchito.
Zomwe zimayambitsa eclampsia:
- 1 zaka za mimba yoyamba (mpaka zaka 18 kapena pambuyo pa zaka 40);
- 2 kupezeka kwa matenda a trophoblastic, matenda, mavuto a impso;
- 3 eclampsia m'banja komanso m'mimba zammbuyomu;
- 4 osasamala zaukhondo ndi mankhwala atakhala ndi pakati;
- 5 kunenepa kwambiri;
- 6 yaitali pakati pa kubala (zaka zoposa 10);
- 7 mimba zingapo;
- 8 shuga;
- 9 matenda oopsa.
Kuti muzindikire eclampsia munthawi yake, muyenera:
- kuchita kuwunika zonse kusintha kwa magazi ndi kulemera;
- yesani mkodzo (yang'anani mulingo wamapuloteni), magazi (pamaso pa hemostasis, creatinine, uric acid ndi urea);
- onaninso kuchuluka kwa michere ya chiwindi pogwiritsa ntchito mayeso amwazi wamagazi.
Zakudya zopatsa thanzi za eclampsia
Pakati pa kugwidwa, payenera kukhala chakudya cha njala, ngati wodwalayo amadziwa, ndiye kuti amatha kupatsidwa madzi azipatso kapena tiyi wokoma. Pambuyo pa masiku 3-4 kutha kwa khunyu, kubereka kumawonetsedwa. Muyenera kutsatira mfundo zotsatirazi:
- mlingo wa mchere wa patebulo sayenera kupitirira magalamu 5 patsiku;
- madzi obayidwa sayenera kupitirira 0,8 malita;
- thupi liyenera kulandira kuchuluka kwa mapuloteni (izi chifukwa cha kutayika kwake kwakukulu);
- Pofuna kukhazikitsa kagayidwe kameneka, m'pofunika kuti muzichita masiku osala mwadongosolo motere: tsiku lotchinga (patsiku muyenera kudya 0,5-0,6 kg ya kanyumba tchizi ndi magalamu 100 a kirimu wowawasa mumaphikidwe 6) (imwani 1,5 malita a compote patsiku, pafupifupi magalasi pambuyo pa maola awiri), apulo (idyani maapulosi msanga 2-5 patsiku kuchokera kumaapulo akucha, osenda ndikukhomerera, mutha kuwonjezera shuga pang'ono).
Pambuyo pa tsiku losala kudya, payenera kukhala tsiku lomwe limatchedwa "theka" (izi zikutanthauza kuti kuchuluka kwa zakudya zomwe timadya nthawi zambiri kumagawika pakati). Ngati masiku osala kudya ali ovuta kwa mayi wapakati, ndiye kuti mutha kuwonjezera ma crackers angapo kapena zidutswa zochepa za mkate wouma.
Tsiku lililonse losala kudya liyenera kusungidwa sabata iliyonse.
Mankhwala achikhalidwe a eclampsia
Ndi eclampsia, wodwalayo amafunikira chithandizo chamankhwala, chisamaliro chokhazikika ndi kuyang'aniridwa, kupumula kwathunthu, ndikofunikira kuthana ndi zoyambitsa zonse (zowoneka, zovuta, zowunikira, zopepuka).
Mankhwala azachikhalidwe atha kugwiritsidwa ntchito pochiza matenda a gestosis panthawi yoyembekezera.
Zakudya zoopsa komanso zovulaza eclampsia
- mchere, kuzifutsa, mafuta, zakudya zokazinga;
- zokometsera zokometsera ndi zokometsera;
- theka-malinga mankhwala, kudya kudya, kudya chakudya;
- zakumwa zoledzeretsa ndi kaboni;
- maswiti ogulitsira, zonona;
- mafuta;
- zakudya zina zopanda moyo.
Mndandanda wa zinthuzi umakhudza kwambiri ntchito ya chiwindi ndi impso, umathandizira kuti pakhale kutsekeka kwa magazi, kutsekeka kwa mitsempha yamagazi, yomwe imayambitsa kuthamanga kwa magazi.
Chenjerani!
Otsogolerawo sali ndi udindo uliwonse poyesa kugwiritsa ntchito zomwe zaperekedwa, ndipo sizikutsimikizira kuti sizikukuvulazani. Zipangizozo sizingagwiritsidwe ntchito kuperekera chithandizo chamankhwala ndikupanga matenda. Nthawi zonse muzifunsa dokotala wanu!