Ngexesha lokukhulelwa, umlinganiselo wexinzelelo lwegazi yinkqubo enyanzelekileyo eyenziwa rhoqo, rhoqo xa u tyelela ukubonisana kwabasetyhini kunye nawe ekhaya. Musa ukuyihoxisa le nkqubo, ngokukhawuleza ukufumanisa ukungaqhelekanga kwixinzelelo lwegazi kuya kunceda ukukhusela umfazi okhulelweyo kunye nomntwana kwiingxaki ezinzima ngexesha lokukhulelwa.
Kuqhelekileyo ukwazi ukuba uxinzelelo lubonakaliswe yimimiselo emibini. Uxinzelelo oluqhelekileyo ngu-120/80. Isalathisi sokuqala sibonisa uxinzelelo lwe-systolic, okwesibini - kwi-dystolic. Ngaphantsi koxinzelelo oluphezulu ngexesha lokukhulelwa, ixabiso le-140 nangaphezulu licingelwa ukuba uxinzelelo lwe-systolic. Ukwanda kwenycinezelo kunokugqalwa kwintombi okokuqala ngethuba lokuzala umntwana okanye ukuphakanyiswa ngaphambi kokuba ukhulelwe. Kwimeko yesibini, ngokuqhelekileyo ufumanisa ukuba unesifo sengcinezelo esingapheliyo, ngoko ke ufuna udweliso olukhethekileyo oogqirha ngexesha lokukhulelwa.
Enyanisweni, uxinzelelo lwegazi oluphezulu kumfazi okhulelwe luphawu olubi kakhulu, olunempembelelo embi kwikhosi yokukhulelwa kunye nokukhula kwe-intrauterine kunye nokukhula komntwana. Xa uxinzelelo oluphezulu, iindonga zemigudu yegazi zincitshisiwe, ukuhamba kwegazi kuphelile, kuphelile, umntwana akafumani i-oksijini kunye nezondlo kwisixa esiqhelekileyo. Ngako oko, konke oku kuholele ekukhuleni okuncinci komntwana. Umngcipheko wexinzelelo oluphezulu lwegazi ngexesha lokukhulelwa kwakhona kwinto yokuba kwandisa umngcipheko wokuphazamiseka kwamaplazi. Oku kubangela ukuphuma kwegazi, ukulahleka kwegazi kwimimandla emikhulu kunye nokuba yintlekele kubasetyhini nabantwana.
Umxinzelelo ophezulu wegazi kumfazi okhulelweyo unobungozi kodwa enye inkathazo yokukhubazeka kokukhulelwa - kwangaphambili kwe-eclampsia. Kukholelwa ukuba esi sifo kubangelwa ukunyuka kwe-synthesis emzimbeni womfazi obuthile obancinci imithwalo yegazi. Kwaye ngaphandle kwalokhu, kwakhona ukuveliswa kwezinto ezifunekayo ukwenzela ukwandiswa kwemithambo yegazi. Ngoko kuvela ukuba iziphumo ezibini eziqinileyo ezilawula uxinzelelo zixhomekeke omnye komnye, kubangele ukunciphisa umlenze weemithwalo yegazi. Kukho ezinye izinto ezandisa ingozi yokuphuhlisa i-pre-eclampsia ngexesha lokukhulelwa, umzekelo, inani leprotheni ekudleni komfazi.
I-pre-eclampsia inokuthi ifumaneke kwifom elula kwaye ingaze ivelelwe, ngaphandle koxinzelelo oluphezulu kwi-140/90, ukuvuvukala ubuso kunye nezandla. Kwiimeko ezinzima, i-preeclampsia ihamba kunye nekhanda, ukukhubazeka okubonakalayo, ukulala, ukusila, esiswini, ukuhlanza. I-pre-eclampsia ingadlulela kwizinto ezinqabileyo, kodwa ezinobungozi kakhulu-eclampsia. Olu hlobo lokugqibela lubonakaliswa ngxinano olubi, i-coma, lithintela kakhulu kubomi bowesifazane okhulelweyo kunye nomntwana.
Ukuze ugweme imiphumo emibi yengcinezelo yegazi ngexesha lokukhulelwa, kufuneka u tyelele ugqirha wakho rhoqo. Emva kokutyhila uxinzelelo oluphezulu lwegazi kwabasetyhini abakhulelweyo, oogqirha babedla ngokutya okungekho nto ifanele ibe yinqatha, izitya zetyuwa, zicolile. Kunconywe uvavanyo olulinganisiweyo. Nangona kunjalo, konke oku kusebenza kwiifom ezinobulwelwe. Ukuba uxinzelelo oluphezulu kumfazi okhulelweyo lubangele uxhalaba kunye nokuxhalabisa oogqirha, ngoko imithi inikwe. Kukho amayeza ahloselwe ukulungelelanisa ingcinezelo ngexesha lokukhulelwa. Ngokuqhelekileyo abayikusongela umama kunye nomntwana, ngokungafani nesimo esinzima somfutho wegazi ophezulu. Ezi zi yobisi ziquka - dopegit, papazol, nifedipine, metoprolol. Amanani, indlela yokuthatha, ubude bekhosi kufuneka kukhethwe ngugqirha, ngokusekelwe kwindlela ethile (ubunzima bezilwanyana, iimvavanyo, izifo ezithintekayo, iimpawu zokuphuhlisa umntwana, njl.).
Ukuba ubunzima bamanyathelo abusebenzi kwaye imeko yowesifazane okhulelweyo uyaba nzima, kuyacetyiswa ukuba uye esibhedlele ngaphambi kokunikezelwa kwaye ube phantsi kweliso elilindileyo loogqirha. Apha, umama ozayo uya kunikwa ngokunyamekela, ukunyanzela ukulinganisa ngamaxesha amaninzi ngemini, ukulawula umlinganiselo weprotheni kumchamo nokunye okuninzi. Konke oku kuya kunceda ukuphepha iingxaki ezinzima kwaye ubelethe umntwana ophilileyo.