Uxinzelelo lwe-Arterial in pregnancy uphawu olubalulekayo olubonisa indlela yokukhulelwa. Esi sibonakaliso sinokungafani ngexesha lokukhulelwa, kwaye ngenxa yeenguqu ze-hormone kwisimo somfazi okhulelweyo. Uxinzelelo oluqhelekileyo kwabasetyhini abakhulelweyo bangaphakathi kwe-90 / 60-120 / 80 mmHg.
Uxinzelelo ekukhulelwe kwangaphambili
Kwiindlela zokuqala zokukhulelwa, uxinzelelo luyancitshiswa ngenxa yeenguqu kwimvelaphi ye-hormonal. Ngokuqhelekileyo iimpawu zokuqala zokukhulelwa zingaba: ubuthakathaka obuninzi, ukulahleka kwengqondo, ukuxakeka, utywala, ukukhalaza ezindlebeni, ukunyamezela, njl njl. Izikhalazo ziyimpawu ekuseni. Ngoko ke, uxinzelelo lwegazi oluphantsi ngexesha lokukhulelwa lunokuba ngumqondiso wokuqala. Ukubonakaliswa kwe-toxicosis njengentlanzi, ukuhlanza, ukulahleka kwesidlo, kunokuncedisa ukunciphisa uxinzelelo lwegazi ngexesha lokukhulelwa.
Uxinzelelo ngenyanga yokugqibela yokukhulelwa
Kwisiqingatha sesibini sokukhulelwa, uxinzelelo lunokunyuka, njengoko umthamo wokujikeleza kwegazi ukwanda kwaye isangqa sesithathu sokujikeleza kwegazi sibonakala. Utshintsho kwingcinezelo ngexesha lokukhulelwa kwimimiselo kamva ekunyuseni kwalo kubonisa ukuqala kwe-pre-eclampsia, ephazamisa inkambo yokukhulelwa nokuzala. Ngokuphuhliswa kwe-preeclampsia, ukwanda kwexinzelelo lwegazi, ngokuqhelekileyo kudibene ne-edema kunye nokubonakala kweprotheni emcinini. Inkxalabo embi ye-preeclampsia yi-eclampsia, eyona nto ibonakalisa i-edema ye-cerebral kwaye iqhubeka nokulahleka kwengqondo kunye nokuphuhliswa kwexinzelelo. Ngako oko, ekuhambeni kwexesha lokukhulelwa, ukubeka iliso kwentsholongwane yegazi kunye ne-pulse kubaluleke kakhulu, kunye nokubeka esweni iproteinuria (iprotheni kumchamo) nganye iveki ezimbini. Ukukhulelwa okuvumelekileyo uxinzelelo, ukususela ngeveki 20, akufanele kube ngaphantsi kwe-100/60 mm Hg. kwaye ayikho ngaphezu kwe-140/90 mm Hg.
Ingcinezelo yokukhulelwa ichaphazela njani?
Bobabini ukuncipha kunye nokwanda kwenycinezelo yegazi kakuchaphazeli kakhulu umzimba womama olindelekileyo kunye nenkambo yokukhulelwa. Ngaloo ndlela, ukuncipha kweengcinezelo kubangela ukutshatyalaliswa kwegazi kwi-placenta kunye nokudla okwaneleyo kwe-oksijini kumntwana, okukhokelela kwi-hypoxia kunye nokulibaziseka ekuphuculweni kwe-intrauterine.
Ukwandiswa kwexinzelelo lwegazi kwisigxathu sesithathu neyesithathu sokukhulelwa kuphezulu kune 140/90 mm Hg. Isizathu sokubhedlelelwa esibhedlele esikhethekileyo. Ukunyuka kwengcinezelo yegazi kukuphazamisa ukuhamba kwegazi egazini ngenxa ye-edema ye-placental. Ngaloo ndlela, umntwana ufumana ukungabikho kwe-oxygen kunye nezondlo. Ukunyuka kwengcinezelo kungaphezulu kwezinga le-170/10 mm. Hg. esongela ukuphuhliswa kweengxaki eziphambili zokujikeleza kwe-cerebral. Iimpawu eziphazamisayo zekliniki ekwandayo ye-pre-eclampsia yinkinga yokuphefumla komfutho, ukugqabhuka kweempukane phambi kwamehlo, intloko kunye nokuphulwa kwinqanaba lokuqonda.
Uxinzelelo oluthile lokukhulelwa lungabonakalisa uphawu lokunyuka kwengcinezelo. Ukunyuswa kwengcinezelo engaphantsi kwexesha lokukhulelwa kubangelwa ukunyuka kwemveliso ye-cerebrospinal fluid kwi-plexus ye-ventricles. Inokwenzeka ukuba, lona wesifazane kwaye ngaphambi kokuba ukhulelwe aphethwe yingozi yengozi, kwaye ngexesha lokukhulelwa, le nkathalo yahlutha. Kule meko, kufuneka ufake isicelo
Uxinzelelo lwamehlo ngexesha lokukhulelwa lihlolwe izibonakaliso ezithile:
- Umbono wehla
- kunyusa uxinzelelo lwegazi;
- uxinzelelo lwegazi luya.
Singaphetha ngolu hlobo ngasentla ukuba uxinzelelo kunye ne-pulse kumfazi okhulelweyo zibalulekile iimpawu zekliniki eziza kubakho iingxaki ezinzima ezifana ne-preeclampsia, ukuphazamiseka kwembulunga, ukunyanzeliswa kwengcinezelo engenakunyulwa.