Uvavanyo olusisiseko lufunekayo ukuxilongwa
Emva kokunyuka kwengqondo kunye nokwenyama komntwana, into yokugqibela oyifunayo yintloko. Kodwa intloko kwithuba lesithuba sokugqibela isingqinamba esifanayo. Utshintsho lwama-hormone , ukungcola kwamanzi, i-anesthesia, kunye nokungahambi ngokulala konke kunokufaka isandla kwintloko emva kokunikezwa kwintsana yakho ebalulekileyo.
Ngokuqhelekileyo, i-fluid, ukuphumla, ukuphumula, kunye neyeza-anti-inflammatory (njenge-ibuprofen) inciphisa ukungonakali. Kodwa ngamanye amaxesha ukuphathwa kwentloko kubasetyhini abahamba emva kwexesha elide kudlula iiyure ezingama-24, banzima kakhulu kunexesha eliqhelekileyo, kwaye / okanye abaxhaswanga ngamanyathelo aqhelekileyo.
Xa oku kwenzeka, kufuneka uqhagamshelane nomboneleli wakho wezempilo, njengoko oku kungabonakalisa imeko yonyango ethile kwixesha lokuhamba emva (okungekho nto leyo engasongela ubomi).
Iimbangela zeNtloko yesifo seNtloko
Kwisifundo kwi- American Journal ye-Obstetrics & Gynecology , abaphandi abavela kwiYunivesithi yaseCincinnati College of Medicine baphonononge iziphumo ezingama-95 abasetyhini abaneentloko ze-postpartum. La mabhinqa ayengenayo imbali yokubanjwa okanye ukubetha. Kwisifundo, ixesha lokugqibela emva kwexesha lokugqibela lichazwe njengokuba lwenzeka kwiiyure ezingama-24 ukususela kwixesha lokuhanjiswa ukuya kwiintsuku ezingama-42 emva kokuhanjiswa (ngoko kudala ixesha elide).
Uphando lwafumanisa ukuba malunga nama-50 ekhulwini eentloko zabesifazane abasemva kwe-postpartum ziba yimigraines okanye iintlobo zentloko . Amaphesenti amabini anesine abangelwa yi-preeclampsia / eclampsia, kunye neepesenti ezingama-16 zaziyizintloko zomlomo. Ezinye iipesenti ezili-10 zezigulane zinesifo esingaqhelekanga seengqondo, kuquka ukuphuma kwintsholongwane kunye nokubetha.
Intloko
Imizekelo yeentloko ezinqabileyo kodwa ezinobungozi ezifuna ukunikwa ngonyango ngokukhawuleza ziquka:
- I-sinural thrombosis
- Ukutshatyalaliswa kwesisu
- Meningitis
- Pituitary apoplexy
- Ukuphazamiseka kwamagqabi kunye nesifo
Ukulawula ezi ntlobo zentloko ezisongela ubomi, kubangelwa ukucinga ngengqondo ye-CT scan okanye imirhasi. Kwakhona ngamanye amaxesha kuyadingeka.
Nangona ugqirha wakho unokuyalela ukuba uvavanyo lwengqondo ekhuselekileyo lubekwe kwicala elikhuselekileyo, oku kugcinwa kubasetyhini abaneempawu ezinzima okanye iimpawu kunye neentloko zabo. Ngokomzekelo, ingxaki yeengxaki ezifana nombono otyhafayo, ukuhamba ubunzima, ubuthathaka, okanye ukuphazamiseka nokuxubha kukukhathazayo ngegazi okanye kuphuma kwiingqondo.
Enye intloko yesilumkiso isilumkiso kukuba umfazi unesifo esibi kakhulu kunobomi bakhe okanye ufumana intloko yesithuthuthu.
Sekunjalo, ezinye iimpawu zesilumkiso zentloko, zibandakanya:
- Intloko nge-fever kunye / okanye intamo eqinile
- Intloko ehlobene nokuzikhandla, ngokwesondo, okanye kuValsalva
- Intloko-intloko ye-migraine
- Shintsha kwintlungu yesifuba, iphethini, okanye ubunzima
I-Preeclampsia / i-Eclampsia: Enye inkulu yeNtloko
Enye inkathazo enkulu yentloko (leyo inokuphuhliswa emva kweveki ezingama-20 okanye kwithuba le-postpartum) i-preeclampsia / eclampsia, ibonakaliswe yintloko yesifo esiphambili segazi kunye / okanye ukuvuvukala kwemilenze kunye neenyawo.
Ukulawula u-preeclampsia, ugqirha uya kukhangela uxinzelelo lwegazi kwaye enze u- urinalysis . Ukuba unomxhesho ophezulu wegazi kunye neprotheyini kumchamo wakho, ugqirha wakho uya kukunika unyango ukuhambisa uxinzelelo lwegazi kunye / okanye amayeza okuthintela ukuthintela, okubizwa ngokuba yi-magnesium sulfate. Ukuba iimpawu zakho zingasombululi ngonyango olungentla, ukucinga ngengqondo kunganconywa.
I-Migraine okanye iNtension-Type Headache
Emva kokulawula ngaphandle kwezinto ezisongela ubomi kunye nezona zizathu ezibalulekileyo zentloko ye-postpartum, ukuxilongwa kwentloko yakho kwimeko apha mhlawumbi i-migraine okanye intloko ye-headache.
I-migraine igxininisa ngokukodwa kwimvelo, inhlangothi enye, kwaye idibaniswa nesicathulo kunye / okanye ukuhlanza, kunye novelwano ekukhanyeni nasesandi. Intlungu ye-migraine ivame ukukhubaza ngakumbi kuneentlungu zentloko yesifo-intlobo, okubangela ukunyanzelisa okanye ukunyanzeliswa kwengcinezelo kumacala omabini entloko.
Kuzo izibilini zombili zezi zifo zentloko, iintlobo zonyango, izifo zamanzi kunye nokulala ziya kunconywa.
Intloko yesisu
Ukuba unesifo se-anesthesia ngexesha lokunikezelwa, unokubandezeleka kwintloko yesifo sokukhanda (intloko yesisu). Kule meko, i-intravenous (nge-vein) i-fluids, i-caffeine, okanye i-patch yegazi inokukunceda. Igalelo legazi libandakanya utyando, apho igazi lakho lijojowe kwisayithi yokutshitshiswa apho indawo yakho yecala. Oku kunyanzela umgodi, ukukhusela nayiphi na enye imfudu yomlambo.
ILizwi
Ukuba ufumana i-headache postpartum, qhagamshelana nogqirha wakho, okanye iphepha lakho umongikazi ukuba usasesikhatyeni. Kusenokwenzeka ukuba isisombululo esilula, njengokulala, ukusetyenziswa kwamanzi, okanye unyango. Nangona kunjalo, ugqirha wakho uya kufuna ukuqinisekisa ukuba akukho nto ebaluleke kakhulu. Njengomzali, ufuna kwakhona ukuqinisekiswa ukuze ufumane ukukhululeka kwentloko efanelekileyo kwaye ubuye ujabule wakho osana.
> Imithombo:
> Klein AM, i-Loder E. Postpartum entloko. Int J Obstet Anesth . 2010 Oct; 19 (4): 422-30.
> Lee MJ, uGuinn D, Hickenbottom S. Intloko emabhinqa abakhulelweyo nabasemva. Ku: UpToDate, i-Lockwood CJ, uSwitanson JW (Ed), UpToDate, i-Waltham, MA 2017.