Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa

Uxinzelelo lwegazi olubangelwa ukukhulelwa lunokuba ngumcimbi olula, onzima okanye ungabonakalisa uphawu lweengxaki ezinzulu ezifana ne-preeclampsia okanye i-eclampsia. Ukuze ukwazi ukuba ingcinezelo ephezulu yegazi yinkinga elula okanye uphawu lwemiba engqongqo ezayo, kufuneka kwenziwe uvavanyo olupheleleyo. Inkqubo yinto eqhelekileyo kwaye iya kubandakanya amanyathelo athile. Ngokuqhelekileyo, akukho nanyathelo oluyinkimbinkimbi okanye elide elifunekayo, kodwa umsebenzi othile webhu kunye nokucingwa kungafuneka.

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Ukuseka uxinzelelo lwegazi

Ukuvavanya kokuqala kokukhulelwa komfutho wokhuseleko lwegazi kufuneka kuquke isethi yemilinganiselo yokuqala eya kubhala ingcinezelo yegazi. Ngokuchanekileyo ngokuchanekileyo, le milinganiselo ithathwa ukuseka ngokuthe ngqo indlela ukuphakanyiswa kwengcinezelo yegazi okwangoku kuthelekiswa ngayo nangaphambi kokukhulelwa kwemilinganiselo. Ezi mvavanyo zokuqala zibalulekile kuba zivumela ukulandelela kunye nokuvavanya kwanoma yiziphi iinguqu kwixinzelelo lwegazi njengoko ukhulelwe. Ekubeni ubungqina beengcinezelo eziqhubekayo ngokuqhubekayo okanye ukwanda kwenani elikhulu kakhulu lithetha ukuba unyango lunokuba luyimfuneko, ukusekwa kwesi sihlandlo kuyimfuneko yokuqala yokuhlola.

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Hlanganisa iNkcukacha kunye neSmptom Information

Izigulane ezineengcinezelo zegazi ezisanda kuphakanyiswa ngexesha lokukhulelwa kwazo zifuna ukuba nodliwano olupheleleyo kunye nodokotela wabo. Ngethuba le ntetho uza kubuza imibuzo emalunga nembali yengcinezelo ephakamileyo, egxininisa kwizihloko ezingabonisa ukuba ukunyanga kwegazi kudala iingxaki kwezinye iinkqubo zesebe. Le mibuzo iyimfuneko kuba iiprofayili ezithile zempawu zingabonisa ukuba umntwana usengozini okanye ukuba unyango lwegazi luyadingeka. Ngokukodwa, ugqirha wakho unokubuza malunga nezinto ezinje:

• Intloko
• Intlungu zesisu
• Isihlunu kunye nokuhlanza
• Utshintsho kwimali yokuvota okanye ukuvama
• Utshintsho oluthile (ukumbona umbono, umbono obini)

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Hlola

Ngokubambisana nokuthatha imbali ebunzulu yembali, ugqirha wakho uya kufuna ukuqhuba iisethi zeemvavanyo zelabhoratri. Uvavanyo lweebhanki lunokunceda ukuhlukanisa ukuba ngaba ingonyango ingafuneka. Iimvavanyo zebhubhoratri wakho ugqirha unokuthi ulandele yonke into kwaye iya kufuna iisampuli zegazi kunye nomchamo. Ezinye iimvavanyo eziqhelekileyo ziquka:

• I-Hemoglobin / i-Hematocrit-ukuvavanya i-oksijini yokuphatha amandla
• I-Platelet Count - ukuvavanya iingxaki zokuvala iingxaki
• Inqanaba le-Creatinine - umlinganiselo wenjongo yesimo kunye nesimo
• Amanqanaba eTraminaminase - isalathisi somsebenzi wesibindi
• I-Lactic acid dehydrogenase concentration - i-enzyme ehlobene ne-metabolism kunye nesibindi somsebenzi

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Hlola i-Fetus

Inxalenye ebalulekileyo yokuvavanya ukukhulelwa kwengcinezelo yokukhulelwa kukuqinisekisa ukuba umntwana akahluphekanga nayiphi na imiphumo emibi evela kwingcinezelo yegazi ephakamileyo. Nangona indima yokubeka iliso ngokuqhubekayo komntwana ngexesha lokukhulelwa ixutyushwa ngenxa yokuba inzuzo yayo ayibonakali, ukuhlolwa kokuqala kwimeko yengane kuyinto evamile kwaye ifanelekile. Indlela eqhelekileyo yokwenza ukuhlolwa kokuqala kusetyenziswa i-ultrasound elula kunye nokulinganisela kwamanzi amniotic. Ezi mvavanyo zihlola ukuqinisekisa ukuba umntwana ukhula ngokuqhelekileyo kwaye ubukhulu obufanelekileyo. Ukuba kukho ukufunyaniswa okungaqhelekiyo, iimvavanyo ezingaphezulu zingaphathwa, okanye ixesha elide lokujonga lingafuneka.

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Yenza i zigqibo

Into ebaluleke kakhulu ugqirha wakho kufuneka uhlolisise nokuba ingaba uxinzelelo lwegazi oluphezulu "luphela" uxinzelelo lwegazi oluphezulu, nokuba ngaba kukho imiqondiso yokuba unokubekwa kwiinqanaba zokuqala ze-preeclampsia. Ngokuqhelekileyo, ukuba akukho zibonakaliso zeengxaki ezinzulu, "ukulinda nokubona" ​​indlela eqhelekileyo. Kukho ubungqina bokuthi ngaphandle kokuba uxinzelelo lwegazi luphezulu kakhulu, kungcono ukuba ugweme unyango ukwenzela ukunciphisa umngcipheko wokuchaphazela ukukhula komntwana.

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Jonga i-Preeclampsia ne-Eclampsia

Injongo yokunyamekela nokuphonononga ngokupheleleyo ingcinezelo yegazi ngexesha lokukhulelwa kukuqinisekisa ukuba akukho zibonakaliso ezibonisa ukuba ukunyanzeleka kwegazi elula kunokuqhubela phambili kwiimeko ezilukhuni kunye neyingozi, ngaphambili kwe-preeclampsia kunye ne-eclampsia.

> Umthombo:

> Barton, JR, O'Brien, JM, Bergauer, NK, Jacques, DL, et al. Ukunyaniseka kwengqondo yecala elide kude nekota: ukuqhubela phambili kunye nesiphumo. U-J Obstet Gynecol 2001; 184: 979.