I-Edema ngesikhathi sokukhulelwa kubhekwa njengendlela evamile, kodwa iqala kuphela ngesigamu sesibili sokubeletha. Esikhathini sokuqala sokukhulelwa, i-edema ngokuvamile ayihlotshaniswa nayo futhi ikhombisa ukuthi kukhona nezinye izifo (izinso, izinhliziyo, izitsha ezinamafutha kanye nezempilo).
Ukuvuvukala kwezinyawo ngesikhathi sokukhulelwa - izizathu
Engxenyeni yesibili kwesinye sezizathu eziyinhloko zokuthi kungani imilenze ikhula ngesikhathi sokukhulelwa, kukhona i-gestosis ephuzile (toxicosis) yabesifazane abakhulelwe. Izimbangela ze-gestosis esedlule aziqinisekisiwe ngokuphelele. Kunezinhlobo ezine ze-toxicosis ezikhulelwe ukukhulelwa:
- ukuhlaselwa kwabesifazane abakhulelwe ;
- ukungahloniphi kahle kwabesifazane abakhulelwe;
- i-preeclampsia;
- i-eclampsia.
I-Edema ibonakala ezinhlokweni ezimbili zokuqala ze-gestosis.
Amantombazane amaningi avame ukuvuvukala ngesikhathi sokukhulelwa kanye nabesifazane abakhulelwe. Lesi sifo siphuthuka kancane kancane futhi sibhekene nokuba khona kwe-edema, kodwa ngaphandle kokucindezelwa komzimba futhi akukho mchamo emcinini. Kunezinhlobo ezingu-4 ze-dropsy:
- ukuvuvukala kwezinyawo kwabesifazane abakhulelwe, okuya emlenzeni ophansi kuya emadolweni;
- ukuvuvukala kwemilenze yomabili, isifunda se-lumbosacral nesisu esingaphansi;
- i-edema yamaphethelo angenhla naphansi, ubuso nesitini;
- i-edema evamile.
I-Nephropathy yabesifazane abakhulelwe nayo ibangela ukuvuvukala. Zihlukile: i-pastosity encane yesikhumba, ukuvuvukala ngaphansi kwamehlo, ukuvuvukala kwezinyawo ngesikhathi sokukhulelwa, ukuvuvukala komzimba wonke. Ngaphandle kwe-edema, kukhona njalo ukwanda komfutho wegazi kanye nokuba khona kwamaprotheni emcinini. Isizathu sivame ukugula kwesifo sezinso, esibi nakakhulu ngesikhathi sokukhulelwa, ukucindezeleka kwezigulana ngesisu esisanda kukhula ne-fetus ngokuphulwa kokuphuma komchamo.
Esinye isizathu sokuthi abesifazane abakhulelwe bavuvukale imilenze, kungase kutholakale ukuxubana kwe-venous. Kodwa ukukhulelwa kuvame ukuba yisici esibangela ukuthuthukiswa kwemivamisa ye-varicose yamaphethelo aphansi. Futhi, uma ngaphezu kwe-edema engapheli, izinhlungu, ukusabalalisa izinhlungu zivela emilenzeni, ukwanda kokushisa komzimba, ukubomvu kwesikhumba - i-thrombosis ye-vein kungenzeka.
Ngokuvamile, i-edema ene-varicose imilenze yemilenze i-asymmetric. Uma umlenze wesokudla ukhula ngesikhathi sokukhulelwa - kungabangelwa ukuxilongwa kwe-varicose nokuhlaselwa emithanjeni yomlenze wesokudla, uma umlenze wesobunxele uvame ngesikhathi sokukhulelwa - imivimbo ye-varicose ngakwesobunxele. Ukuphazamiseka okuvamile kwe-lymph drainage nakho kuvame ukulingana futhi kuhlangene nokuhlanganiswa kwe-venous, ne-primary ((congenital) lymphedema ukuvuvukala kuyingqayizivele futhi ngisho nangaphambi kokukhulelwa, futhi i-edema ivame kakhulu futhi inzima. Okokuqala, izinyawo zivuvukala kwabesifazane abakhulelwe, khona-ke umlenze ophansi, futhi kancane kancane ukuvuvukala kwanda kuwo wonke umlenze. Ukuvuvukala kwendawo, lapho noma yikuphi ingxenye yelungu elikhulayo, kungase kuvele nge-thrombosis yimuphi umkhumbi noma isitsha se-lymphatic, ngokuvamile ehambisana nezimpawu zokuvuvukala endaweni yesithiyo.
Esinye isizathu esenza ukuba imilenze yakho igubhe ngesikhathi sokukhulelwa yizifo zenhliziyo nokukhubazeka kwenhliziyo. Ngokuvamile ziba namandla noma zizibonakalise ngokwazo ngokucindezeleka okwenyuka enhliziyweni ezihlobene nokukhulelwa. Ukuvuvukala kuvame ukukhula ngokuzikhandla komzimba futhi ekupheleni kosuku nokuhlolwa okwengeziwe kwesistimu yenhliziyo kusiza ekutholeni imbangela yalolu dema.
Yini okufanele ngiyenze uma imilenze yami ikhula ngesikhathi sokukhulelwa?
Uma owesifazane okhulelwe ekhukhula emilenzeni yakhe, izinso, isifo senhliziyo nesisindo somzimba ngokuvamile kuvunyelwe. Kodwa ngezinye izikhathi ukuvuvukala kufihliwe noma kubonakale kancane, futhi uketshezi emzimbeni kubambezelekile. Ukuze ubembule ukuthi kungenzeka ukuthi owesifazane okhulelwe kuphela ulinganisa njalo (mayelana nokuhlela ukhuluma ngokukhula okungalingani kobuningi bomzimba noma ukwanda kwesisindo ngaphezu kuka 300 g ngesonto). Kudingeka futhi ukuba ulinganise njalo i-diuresis yansuku zonke (umthamo wansuku zonke wamanzi) futhi uqaphe inani lemali ephuzile. Uma inani lomchamo lingaphansi kuka-¾ ketshezi, ungasolisa ukuthi umthamo ufakwe emzimbeni.
Ukuvuvukala kwezinyawo ngesikhathi sokukhulelwa - ukwelashwa
Ukwelashwa kungenziwa kuphela udokotela ngemuva kokuhlolwa okwengeziwe. Kuxhomeke esibangweni esabangela ukuvuvukala. Kodwa izincomo ezilula kufanele zikhunjulwe:
- ukunciphisa ukusetshenziswa kasawoti (ngaphansi kuka-8 amagremu ngosuku);
- engxenyeni yesibili yokukhulelwa, ungaphuzi ngaphezu kuka-1-1.2 amalitha kagesi ngosuku;
- Ukudla okunomsoco ophezulu wezinga eliphezulu lamavithamini, okufaka isandla ekuqinisekiseni udonga lwamasongo;
- ngokuvamile ukuphumula, ukuphakamisa izitho ekusekeleni noma ukulala ngamilenze yabo ephakanyisiwe ekusekeleni;
- izicathulo ezikhululekile ngaphandle kwezithende nezingubo ezingavimbeli ukugeleza kwegazi kusuka emlenzeni.