Imizekelo yoBunign and Serious Pregnancy Headaches
Nangona kukho ezininzi iimpawu ezintsha ezenzeka ngexesha lokukhulelwa, njengokufumana ubunzima bomzimba, i-acid reflux, kunye nentlungu emva, kunokuhlaselwa okanye ukuphucula izimo zonyango ezikhoyo.
Ngokomzekelo, i-migraines ithambekele ekuphuculeni ngexesha lokukhulelwa, ngakumbi kwi-trimesters yesibini neyesithathu. Ezinye iimeko, njengengxaki yezifo zentloko ezingafaniyo nokukhulelwa, kunokuvela kwakhona.
Ukuhlolwa kweentloko ngexesha lokukhulelwa
Xa uvavanya intloko yakho, ugqirha wakho uya kwenza imbali enzulu. Unokubuza imibuzo malunga naluphi na uhlobo lwezonyango onalo, njengengcinezelo ephezulu yegazi okanye ukuxinezeleka, okanye ukuba uthatha nawaphi na amayeza okanye izongezelo ezingaphezulu kwee-counter, njengevithamini, i-caffeine, okanye i-laxatives.
Ugqirha wakho uya kubuza malunga neempawu zentloko yakho njengokuba lukhulu kangakanani, lide kangakanani ixesha, okanye nokuba kukho iimpawu ezinxulumene neentlanzi okanye ukuhlanza. Oku kwenziwa ukwenzela ukuba kwenziwe ukuxilongwa ngokuchanekileyo, kunye nokuhlola iimpawu zesilumkiso zentloko nokulawula ukukhawuleza kwezokwelapha.
Ezinye izibonakaliso ezithile zesilumkiso zentloko (ezinokuthi zibonise iintloko ezinobungozi ekukhulelweni) eziqinisekisa ukuba unyango olusondeleyo luquka:
- "Intloko ebuhlungu ebomini bam"
- Umbono ogqabileyo
- Izimpawu ze-neurological like weakness or numbness
- Intloko nge-fever kunye / okanye intamo eqinile
- Intloko ephethe uxinzelelo lwegazi kunye / okanye ukuvuvukala kwemilenze kunye neenyawo
- Intloko ehlobene nokuzikhandla, ngokwesondo, okanye kuValsalva
- Intloko-intloko ye-migraine
- Shintsha kwintlungu yesifuba, iphethini, okanye ubunzima
Intloko zeNtloko ngexesha lokukhulelwa
Izifo ezintathu eziqhelekileyo eziqhelekileyo zezifo zentloko zi- migraines , iintlobo zeentloko zentlungu , kunye neentloko zeentloko .
Nangona abafazi banokuphuhliswa kwintlungu yesifo sekhanda ngexesha lokukhulelwa, ngokuqhelekileyo ezi zintlupheko sele zikhona. Ngaphandle kwe-migraines, iintloko zeentlobo zesifo kunye neentloko zentloko zihlala zizinzile ngexesha lokukhulelwa.
I-Migraines yintloko yesifo esiqhelekileyo ekukhulelweni kodwa ngokuqhelekileyo ibe nzima kakhulu kwaye ivela ngaphantsi kunezinye ngaphandle kokukhulelwa. Okokuthi, i-migraines ingaba yingozi kakhulu ekuqaleni kwe-trimester yokuqala, ngokukodwa ngokutshintshwa kwamanqanaba e-hormone emzimbeni kunye nokuxinezeleka okuqhubekayo okwenzekayo.
Kukho ubungqina bobunzululwazi bokuthi abafazi abane-migraine bangase babe mngciphekweni ophezulu wokuphuhlisa i-preeclampsia kunye / okanye ukuzalwa ngaphambi kokuzalwa, nangona uphando olungakumbi lufuneka lwenziwe ukuze luhlukane olu lwalamano
Intloko evela ku-Preeclampsia / Eclampsia
I-Preeclampsia kunye ne-eclampsia yimiqathango yonyango enzulu engenzeka emva kweeveki ezingama-20 kunye kunye / okanye ngexesha lexesha lokugqibela. I-Preeclampsia ibangela uxinzelelo lwegazi oluphezulu kunye neeprotheyini emcini.
Ukongeza kwixinzelelo eliphezulu legazi, i-preeclampsia enamandla ingakhokelela kwezi zimpawu ezilandelayo:
- Inani eliphantsi lomchamo
- Iingxaki zesibindi
- Umbono utshintsha
- Inombolo ephantsi yeeplatelets
- Umngcipheko wokukhula kwe-intrauterine
I-Eclampsia yimeko enobungozi kwaye iyenzeka xa ibhinqa lithintela, iphofu, kunye / okanye i-coma ebusweni be-preeclampsia enzima.
Kuzo zombini i-preeclampsia kunye ne-eclampsia, intloko yesifo isisifo esiqhelekileyo kwaye sinokufana ne-migraine, ebonakaliswa rhoqo yintlungu yokuphefumula kwaye ihamba ne-nausea kunye ne-photophobia (uvakalelo ekukhanyeni) kunye / okanye i-phonophobia (ukuqonda ukuvakala).
Ngokungafani ne-migraines nangona kunjalo, intloko ye-preeclampsia echaphazelekayo inokuthi idibaniswe nezinye iinkalo ezibuhlungu ezinjengeembonakalo okanye umbono ombini kunye nentlungu yesisu. Ngaphezu koko, ngelixa i-migraines ithambekele ukuvela kwelinye icala lentloko, intloko ye-pre-eclampsia ikhona yonke indawo.
Ngokutsho kwinqaku kwiNtloko , abafazi abanembali ye-migraines phantse amaxesha amane ukuphuhlisa i-preeclampsia kunabo abangenayo imbali ye-migraines.
Unyango lwe-preeclampsia kunye ne-eclampsia ngokubanzi kubandakanywa ukuhanjiswa kwengane, ngaphezu kwe-magnesium sulphate, i-calcium channel blockers, kwaye mhlawumbi nemithi yokulwa ne-anti-seizure.
Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension (IIH) yintlupheko yonyango ebonakalayo kubasetyhini abaneminyaka engapheliyo. Kungenzeka nanini nayiphi na i-trimester yokukhulelwa.
I-IIH ibangela intloko yesifo kunye nombono wenguqu kunye ne-pulsatile tinnitus (xa abantu beva isandi esisigxina esifana nentliziyo yabo). Abantu abane-IIH baya kuba neengcinga eziqhelekileyo zobuchopho kodwa baza kuphakamisa ukunyanzeliswa kwe-cerebrospinal fluid xa kuqhutywe i- lumbar puncture .
Ukongezelela, abafazi abane-IIH bane-papilledema, apho imeko ebonakaliswe ngokukhukhuma emva kweso ngenxa yokunyuka kwengcinezelo yengqondo kwindawo yengqondo. Ngokubanzi, unyango lwe-IIH lujolise ekulahlekelweni kwesisindo okanye ukulawulwa kobunzima nokunciphisa uxinzelelo oluphezulu lwe-intracranial .
Ngamanye amaxesha ukuxinzeleleka kwengozi yonyango kubangelwa enye imeko yonyango-oku kuthiwa yi-secondary intracranial hypertension. Isizathu esona siqhelo sesondlo se-intracranial hypertension sisifo se- cerebral venous thrombosis , esinokuthi senze naziphi na izigaba zokukhulelwa, kodwa ziqhelekileyo ngexesha lexesha lokugqibela.
I-Veresible Cerebral Vascular Syndrome
Isifo se-cerebral vascular syndrome, esaziwa ngokuba yi-Call-Fleming syndrome, sisinye isifo sengqondo esisenokubangelwa ukukhulelwa kwaye sinokuthi senzeke kwixesha lokugqibela. Abantu abanesi sifo sesifo seentloko bavame ukuchaza intloko yesithukuthezi, esiyingozi, ngokukhawuleza, kunye nokuqhuma kwentlungu yentloko.
Isizathu sale syndrome asiyazi, kodwa imvelaphi yentlungu ikholelwa ukuba inxulumene ne-spasm yeemithalo zengqondo. Unyango luba ne-blockers ye-calcium, yonyango lonyango lwegazi elinceda ukuphucula okanye ukuvula iingqondo zeethambo.
Hlalani nikhumbule ukuba ukuba umfazi oya kwigumbi lexakeka kwintlungu, ukulungelelaniswa kwendlela yokulawula isisu kunokubakhokelela phambi kokuba uthathe umfazi ukuba abe nesifo se-cerebral vascular syndrome.
Ezinye izizathu
Ukongeza kwimiba yokukhathazeka kwentloko ekhankanywe ngentla, kukho ezinye izizathu ezinokubangela iintloko ezinobungozi, njengesiqhwala, i-meningitis, i-carotid okanye i-artebral artery dissection, kunye ne- pituitary apoplexy . Kukho izizathu ezinobungozi ezinjenge-sinusitis, ikhanda lokukhanda ikhanda , okanye unyango lwentloko lokulahla .
ILizwi
Ekugqibeleni, ininzi intloko ekukhuleleni ayingozi. Sekunjalo, ukuba unamava okukhulelwa ngexesha lokukhulelwa xa unganakunyanzeliswa kunye neendlela ezilula ezinjengobanda obubandayo, ubuthongo, i-caffeine (ukuba uyakrokrela intloko ye- caffeine , ukuphumula, kunye / okanye ukutya, okanye ukuba intloko yakho ilandela iphethini eyahlukileyo okanye ibonisa imiqondiso yesilumkiso esisentloko, qiniseka ukuba uqhagamshelane nodokotela wakho ngokukhawuleza.
Imithombo:
Digre KB. Inwele ngexesha lokukhulelwa. I-Clin Obstet Gynecol. 2013 Juni; 56 (2): 317-29.
I-Kesler A, i-Kupferminc M. Idiopathic ingcinezelo yomshuwalense kunye nokukhulelwa. I-Clin Obstet Gynecol. 2013 Juni; 56 (2): 389-96.
U-Lee MJ, uGuinn D, uHickenbottom S. Intloko emabhinqa abakhulelweyo nabasemva. Ku: UpToDate, i-Lockwood CJ, uSwanson JW (Ed), UpToDate, i-Waltham, MA ,, 2017.
UMoustafa RR, u-Allen CM, uBaron JC. I-Call-Fleming syndrome ehambelana nokuqhwala komzimba: iimeko ezintathu ezitsha. J. Neurol. Neurosurg. Psychiatr. Meyi 2008; 79 (5): 602-5.
I-Nappi RE, i-Albani F, amaGrike, i-Terreno E, i-Brambilia E, i-Polatti F. Intloko ngexesha lokukhulelwa. I-Curr Pain Headache Ngo- 2011 Agasti; 15 (4): 289-94.