Phakathi kweempawu zokuqala zokukhulelwa, eyona nto ixhaphakileyo isifo. Phantse i-90% yabamama abalindayo bafumana ubuncwina obukhulu kunye nokuhlanza ngexesha lokuthoma. Kwiimeko ezininzi, ezi zimpawu aziyingozi kwaye zidlulisa iiveki ezimbalwa.
Ukuvutha ngexesha lokukhulelwa - kubangela
Akukwanakwenzeka ukuseka iziganeko ezibangela ukuba into echazwe kwinqaku. Ngokuqinisekileyo, ukuhlanza kwi- toxicosis yabasetyhini abakhulelweyo kukuphendula ngendlela ethile yomzimba kwiinguqu ezininzi ezenzeka kuyo emva kokukhulelwe. Ukukhathazeka nokukhutshwa kwezinto zesisu kubonwa njengeempawu eziqhelekileyo ezingafuneki ngoncedo lwezonyango.
Ukubethelwa kwabasetyhini abakhulelweyo kufuneka bahluke kwizifo zendlela yokutya, ezinempawu ezifanayo. Ngamanye amaxesha kuthethwa ngeembonakaliso zeklinikhi ngenxa yokuxhatshazwa kwezifo ezingapheliyo:
- isibindi;
- ipeni;
- mathumba;
- esiswini;
- isophagus.
Ukuvuthwa ngexesha lokukhulelwa esemncinci
Emva kokukhulelwa emzimbeni, abafazi baqala ukuguquka kwe-immunological, hormonal and vascular. Iingcali zibonisa ukuba ngenxa yabo kwaye kukho ukuhlanza ngexesha lokukhulelwa. Enye inkolelo yinto yokungaphumeleli kwexeshana ekusebenzeni kwenkqubo ye-nervous, leyo ibonakalisa uhlobo lwesiphene, isisindo esiphezulu, ukutshabalalisa kunye nezinye iimpawu ezingathandekiyo. Kunokwenzeka ukuba ukuhlanza kwabasetyhini abakhulelweyo kwimimiselo yokuqala kudibene nokukhululwa kwe-griadotropin ye-chorionic. Ukufezekiswa kwe-hormone yongxowankulu yongxowankulu ihambelana nexesha lokuvela kwesifo se-toxicosis.
Ukuvutha ngexesha lokukhulelwa kwixesha elizayo
Kwiimeko ezininzi, inkcazo echazwe yodwa iphela ngeveki ye - 20 yesigxina . Ngaphantsi kukho ukuhlanza okuqhubekayo ekukhulelwe, ukuqhubela phambili kwiintlobo. Le meko ayithathwa njengogqirha njengengxaki yokugula, kodwa idinga isimo sengqondo esinyanisekileyo somfazi kumsebenzi wegciwane lakhe lomzimba. Ukuvuthwa kwi-trimester yesithathu yokukhulelwa kungabonisa ukuphindaphinda kweengxaki zokugaya izifo ezingapheliyo. Ukuba ixesha alilungisi ukutya, emva kokuzalwa komntwana ikhosi yezifo ezinjalo ziya kuba nzima.
Ukutshabalalisa i-bile ngexesha lokukhulelwa
I-Toxicosis kumama ozayo ikwenzeka ngokusa kusasa, ngokukhawuleza emva kokuvuswa, xa zonke ukutya sele zitshisiwe. Ukuba akukho nto esiswini, ukuhlanza kwe-bile ngexesha lokukhulelwa kwimimiselo yokuqala kuqondakala kwaye kuqhelekileyo. Ngenxa yokunyanyiswa kwesibetho kunye nesondlo esingenasiphelo kubasetyhini ngokumalunga nale mpawu engathandekiyo, inkqubo yokutya yokutya isingenanto yokuphuma. Kwiimeko ezinqabileyo, ukugcinwa kweempawu ze-bile zezifo zesondlo, kodwa kwiimeko ezinjalo, kukho ezinye iimpawu ezithile.
Ukutshabalalisa ngegazi ngexesha lokukhulelwa
Ukuba izihlwele ezikhutshweyo zineemvu ebomvu okanye ebomvu, isizathu sinokuba sisitya esiqhekezayo. Ukuvuthwa ngegazi kwi-toxicosis kwabasetyhini abakhulelweyo yinto eqhelekileyo kwaye engeyona yingozi, xa iifetheni ze-biological fluid zigcinwa ngokungapheliyo. Ukukhathazeka kuyimfuneko xa kuninzi igazi okanye lifumene i-tinge ebomvu. Ukuvuthwa ngexesha lokukhulelwa kunye neentetho ezichazwe kubonisa ukuphuma kwegazi esiswini. Lo ngumqondiso wesilonda esiqhaqhayo, isifo sokugaya i-gastritis okanye i-cirrhosis yesibindi.
Uhudo kunye nokuhlanza xa ukhulelwa
Idayarrha ingenzeka ngexesha leveki ye-18-23 yesigxina ngenxa yokunyuka kwimbumba kunye noxinzelelo lwayo emathunjini. Ukuba ukuhlanza kunye nesifo sohudo kumfazi okhulelweyo akuhambisani nezinye iimpawu ezimbi (umkhuhlane, intlungu, i-colic), zijongwa njengezinto eziqhelekileyo. Kwezinye iimeko, kufuneka uqhagamshelane ne-gastroenterologist. I-diarrhea kunye neentlanzi ezinxulumene neempawu ezihamba kunye neengxaki zentsholongwane zingathetha ngeengxaki ezilandelayo:
- ukutya okunetyhefu;
- ukutya okungafanelekanga;
- gastritis ;
- enterocolitis;
- usulelo lwamazinyo;
- i-helminthic;
- pancreatitis;
- cholecystitis;
- ukuvutha kwesihlomelo.
Ubunzima bokuhlanza kwabasetyhini abakhulelweyo
Kukho iintlobo ezahlukeneyo zekhosi ye-syndrome echazwe:
- Ukuhlanza okulula kunye neentlanzi. Ukuvakalelwa okungahambi kakuhle kwenzeka ekuseni okanye emva kokutya. Ukukhutshwa kweziqulatho zesisu kubangelwa amaxesha amahlanu ngosuku. Ukutya komama kwimeko esizayo kunye nesimo sengqondo sehla, ubunzima bunokuwa ngama-2-3 kg.
- Ukuhlanza okukhulu ngexesha lokukhulelwa. Isilinganiso semilinganiselo ye-pathology sibonakaliswa ngamaxesha ahlaselwa amaxesha angama-10-11 ngemini, eyenzeka kusasa nangemva kokutya. Imeko ebanzi yowesifazane ibuhlungu, uxinzelelo lwegazi luyancipha, kwaye izinga lokunyuka kwamagalelo landa.
- Ukuhlanza okungafanelekanga kwabasetyhini abakhulelweyo. I-toxicosis enobukhulu yimeko ebungozi kakhulu kumama ozayo kunye nosana. Izihlaselo zenzeka ngaphezu kwama-20 ngamaxesha, umsebenzi we-renal ungasebenzi, ubunzima kunye nokunyanga kwegazi kuhlahloka ngokukhawuleza. Abanye abafazi bafumana ukwanda kweqondo lomzimba kunye nokwanda kwenani lentliziyo. Ulusu luba lukhuni kwaye lome ngenxa yokuphelelwa ngumdaka, ukuvumba kwamnandi kumlomo kuvezwa, ukuphazamiseka kokuphendula kuthathwa. Ngamanye amaxesha eli lizwe lisibonakaliso sokuphazamiseka kokufakelwa komzimba.
Ukuvutha ngexesha lokukhulelwa - yintoni oyenzayo?
Iqondo eliqhelekileyo nelisisigxina leengxaki ekucetywayo akufunanga unyango olukhethekileyo kunye nokusetyenziswa kwamachiza. Ukunyangwa kohlanza kwabasetyhini abakhulelweyo kwiimeko ezinjalo kubandakanya amanyathelo aqhelekileyo okunciphisa imeko yomama ozayo. Zibandakanya ukulungiswa kokutya kunye nokutya, ukuzinza kweemeko zabasetyhini nokubuyiselwa kwamanzi esetyuli emzimbeni.
Ukubethelwa kwabasetyhini abakhulelweyo - iingcebiso zeklinikhi
Umgaqo ophambili wonyango ochazwe yi-syndrome ngumgangatho oqhelekileyo wokusebenza kwesisu kunye nokuthintela ukukhulelwa kwamanzi. Ukuba ukuhlanza ngexesha lokukhulelwa kubumnene okanye kuyingqinisiso, iingcali zincoma oku kulandelayo:
- Ngokukhawuleza emva kokuvusa, into yokutya nokusela. Iibisiki ezifanelekileyo okanye ama-biscuits, ama-2-3 sips wamanzi abilisiwe. Kuyinto enqwenelekayo ukuba "nidle isidlo sakusihlwa" ngqo kwindawo yokulala. Vuka ngcono emva kwemizuzu eyi-15-30.
- Ebudeni bemini, sisela amanzi ahlambulukileyo phakathi kokutya.
- Kukho iincinci ezincinci kwaye rhoqo. Akufanele uvumele umva wendlala okanye ukondla ngokutya.
- Ukukhetha ukutya okunempilo, okumanzi nokufudumele. Izitya zokuqala zilula ukugaya kwaye kungenakuncitshiswa ukukhupha isicasuliso. Kuyinto enqwenelekayo ukulahla ngokupheleleyo ukutya okubukhali, ukutshaya kunye nokutya.
- Phakathi kwesidlo sokusela itiye elimnandi. Amanye amabhinqa ancedwa ukukrazula isicupunu ngokufaka i-lemon, i-orange okanye i-mandarin emanzini.
Xa ukuhlanza kunzima ngexesha lokukhulelwa, kufuneka udibane nogqirha ukuze uphucule unyango osebenzayo kodwa okhuselekileyo. Impembelelo elula kakhulu yi-pyridoxine okanye i-vitamin B6. Ukwamkelwa kwe-10 mg kuphela (ixesha eli-1 ngosuku) le nkunkuma kunciphisa iziganeko kunye nobunzima bokuhlaselwa ngamanxeba ngama-70%. Ukusebenza kwayo kuphuculwe ngokudibanisa ne-diclectin (doxylamine).
Amacwecwe avela ukuhlanza kubafazi abakhulelweyo
Amayeza akhethekileyo anokunyulwa kuphela ngugqirha, kuba ukuthatha uninzi lwamachiza ngexesha lokukhulelwa livumelekile. Ukuxubha nokuhlanza ngexesha lokukhulelwa kumiswa ngolo hlobo:
- Bendixtin;
- Iingxaki;
- Lenotan.
I-anti-histamines nayo inefuthe elihle. Ukongezelela, banciphisa intlungu. Ukuba ukuhlanza kunye noxinzelelo ngexesha lokukhulelwa akukwenzeka ngaphandle kwemvelaphi yonyango, ugqirha unokuncoma unyango oluthile:
- Ondansetron;
- Promethazine;
- Meclosin;
- IDiphenhydramine;
- Metoclopramide.