Ngaphezu kwalokho, isimiso se-hormonal sinomthelela ekushintsheni ezingeni legazi. Ngokujwayelekile, ngokuvamile ngesikhathi sokubeletha kwe-fetus, kunciphisa ukucindezeleka kwegazi, okuhlinzekwa ngama-hormone okukhulelwa. Nokho, ngenxa yezimo ezithile, kungase kube nokwanda, okuyinto ukwephulwa. Ake sicabange ngalokhu okuningiliziwe ngokuningiliziwe futhi sikutshele ngokucindezela okuyingozi kokukhulelwa.
Kusho ukuthini incazelo ye "high blood pressure" ngesikhathi sokubeletha komntwana?
Ukuxilongwa kwezidakamizwa ze-hypertension ngokuvamile kubonakala uma izinga lidluliwe ngo 140/90 mm Hg. Isibonakaliso esifanayo sisetshenziselwa ukuxilongwa kwesifo kubantu besifazane esimweni.
Uma ngokuvamile kaningi ngesikhathi sokukhulelwa kukhona ukwanda komfutho wegazi futhi yini engayiholela?
Ekukhulelwe, ukucindezeleka kwegazi kuyenzeka ngezikhathi zakamuva kunakuqala. Leli qiniso lichazwa, okokuqala, ngokuthi njengoba ubukhulu be-fetus buyanda, kukhona ukwanda komthwalo ohlelweni lwezinhliziyo lomama olindele. Ezimweni eziningi, ukwephulwa okunjalo kunqunywe odokotela ngemva kwamasonto angu-20 wokubeletha.
Lesi simo sidinga ukungenelela kwezempilo okuphuthumayo. Uma kungenjalo, konke lokhu kungaholela emiphumeleni emibi. Ngakho-ke, nge-high blood pressure emva kwamasonto angu-20, okuhambisana nokubonakala kwamaprotheni emcinini, isimo esifana ne-preeclampsia singase sithuthuke. Ngenxa yalokho, izimpawu ze-neurologic nazo zijoyina izimpawu ezingenhla: ukuzondwa, ukukhanda ikhanda, ukuphazamiseka kwengqondo, ukubukeka kokugubha, ukuphazanyiswa kwezixhobo ezibukwayo.
Futhi, ngenxa yokunyuka kwengcindezi yegazi, izinkinga ezifana nokuthungatha isikhathi esingaphansi kwe-placenta, inqola encane, engabangela ukukhipha isisu okuzenzekelayo, ingavela.
Ngaphezu kwalokho, ngenxa ye-spasm ebizwa ngokuthi i-spasm yokuphulukisa emithanjeni yegazi, ikakhulukazi leyo etholakala ngokuqondile e-placenta nesibindi, lokhu kungabangela indlala ye-oksijeni, okuphinde kwandisa ingozi yokuthuthukisa i-pathologies yokuzalwa enganeni.
Izinga lokucindezeleka kwegazi lilungiswe kanjani ngesikhathi sokukhulelwa?
Cishe bonke abesifazane abakhulelwe, lapho bebona ukucindezelwa kwegazi eliphezulu, abazi ukuthi benzeni kulesi simo.
Okokuqala, emva kokuthola okufana nalokhu, owesifazane kufanele abike lokhu kumthandi okhulelwe. Kulabo besifazane abakhulelwe abanomkhuba wokushisa ngokweqile ngaphambi kokuqala kokukhulelwa, ukuqapha kwengcindezi yegazi kuqhutshwa njalo.
Ukuze unqume ukuthi yini engakhulelwa nge-high blood pressure, odokotela kuqala babheke isikhathi sokutholwa. Ngakho ekuqaleni kwenqubo yokubeletha umntwana, ukulungiswa kwezinga lokucindezeleka kwegazi kusetshenziswe ngaphandle kokusebenzisa imithi. Ngakho, odokotela batusa ukuthi owesifazane okhulelwe ulandela ukudla okuthile,
Ukukhuluma ngokuthi unganciphisa kanjani umfutho wegazi ophezulu ngesikhathi ukhulelwe, kufanele kuqashelwe ukuthi kulezi zidakamizwa zokuphulwa zibeka amaphilisi. Phakathi kwalokhu kunokwenzeka ukuhlukanisa amalungiselelo aqukethe i-magnesium ekuthuthukiseni i-microcirculation (i-Aspirin ngamanani amancane, i-Dipiridamol), i-calcium gluconate ne-carbonate. Izidakamizwa ezingenwa yi-antihypertensive zisetshenziswa njalo, ngoba umphumela wabaningi babo emzimbeni wesisu awuzange ucwaningwe. Phakathi kweqembu lalezi zidakamizwa kungabonakala kuphela iMethyldopa, eyingxenye yesigaba esithi "B" (ukuhlolwa kwesidakamizwa kwenziwa ngezilwane).