I-Edema ngexesha lokukhulelwa libhekwa njengendlela eqhelekileyo, kodwa iqala kuphela kwisiqingatha sesibini somzimba. Kwisiqingatha sokuqala sokukhulelwa, i-edema ayinakudityaniswa nayo kwaye ibonisa ubukho bezinye izifo (iinjongo, intliziyo, izitya ezinobulunga kunye ne-lymphatic).
Ukuvuvuka kweenyawo ngexesha lokukhulelwa - izizathu
Kwisiqingatha sesibini sesinye sezizathu ezibangela ukuba imilenze ikhule ngexesha lokukhulelwa, kukho i-gestosis ekupheleni (i-toxicosis) yabasetyhini abakhulelweyo. Iimbangela ze-gestosis ekupheleni aziqinisekanga ngokupheleleyo. Kukho iintlobo ezi-4 zokukhulelwa kwe-toxicosis emva kwexesha elide:
- ukuxhamla kwabasetyhini abakhulelweyo ;
- nephropathy yabafazi abakhulelweyo;
- preeclampsia;
- eclampsia.
I-Edema ibonakala kwiintlobo zokuqala zegestosis.
Ngokuqhelekileyo iinyawo ezikhukhulayo ngexesha lokukhulelwa kunye nehlazo labasetyhini abakhulelweyo. Esi sifo sikhula kancane kwaye sibonakaliswe kubukho be-edema, kodwa kungekho xinzelelo lwe-arterium kwaye akukho mchamo kumchamo. Kukho ama-4 degrees of dropsy:
- Ukuvuvukala kweenyawo kubasetyhini abakhulelweyo, okwandisa emlenzeni ongezantsi ukuya emadolweni;
- Ukuvuvukala kwemilenze yomibini, indawo ye-lumbosacral kunye nesisu esiswini;
- i-edema yamaphethelo aphezulu nakwezantsi, ubuso kunye nesiqu;
- edema jikelele.
I-Nephropathy yabasetyhini abakhulelweyo nayo ibangela ukuvuvukala. Zihlukile: i-pastosity encinci yesikhumba, ukuvuvukala phantsi kwamehlo, ukuvuvukala kweenyawo ngexesha lokukhulelwa, ukuvuvukala umzimba wonke. Ukongeza kwi-edema, kukho ukunyuka kwenycinezelo yegazi kunye nobukho beeprotheni emcinini. Isizathu sisoloko sisifo sesifo, esiyingozi ngakumbi xa ukhulelwe, ukunyanzeliswa kwezilwanyana ezikhulayo nge-uterus ekhulayo ene-fetus enokuphulwa komkhuhlane.
Esinye isizathu sokuba kutheni abafazi abakhulelwe bevule imilenze, kunokubakho ukudibanisa. Kodwa ukukhulelwa ngokuqhelekileyo kuba yinto ebangela ukuphuhliswa kwemithanjeni ye-varicose yemigangatho ephantsi. Kwaye, ukuba ukongeza kwi-edema engapheliyo, inamandla, ukusasazeka kweentlungu kubonakala kwimilenze, ukwanda kwindlubhiso yomzimba, ubomvu be-skin-vein thrombosis inokwenzeka.
Ngokuqhelekileyo, i-edema kunye nemilenze ye-varicose yemilenze iyafana. Ukuba umlenze wokunene uphupha ngexesha lokukhulelwa - kungabangelwa ukuhluthwa kwe-varicose kunye nokugqithisa emilanjeni yomlenze wokunene, ukuba umlenze wesobunxele uvame ngexesha lokukhulelwa - imilenze ye-varicose ngakwesobunxele. Ukuphazamiseka kwesekondari ye-lymph drainage kaninzi kunomlinganiselo kwaye kudibaniswa nokuxinana kwe-venous, kunye nokuzikhupha okuphambili (kokuzalwa) kwe-lymphedema kwaye kuyafana nangaphambi kokukhulelwa, kwaye i-edema ihlala ilukhuni kwaye inzima. Okokuqala, iinyawo zivuleke kwabasetyhini abakhulelweyo, ngoko umlenze ongezantsi, kwaye ngokukhawuleza ukuvuvukala kwasasazeka kuyo yonke into. Ukuvuvukala kwendawo, apho nayiphi na inxalenye yesigxina ikhula, ingabonakala nge-thrombosis nayiphi na isisu okanye isitya se-lymphatic, esoloko ihamba kunye neempawu zokuvuvukala kwindawo yesithintelo.
Esinye isizathu sokuba iinyawo zakho zivuvuke ngexesha lokukhulelwa zizifo ze-cardiovascular and heart defects. Zihlala zihlaselwa okanye zizibonakalisa ngokwazo ngokunyuka kwengcinezelo kwintliziyo ehambelana nokukhulelwa. Ukuvuthisa ngokuqhelekileyo kuqinisa ngokuzikhandla komzimba kwaye ekupheleni kosuku kwaye uviwo olongezelelweyo lwenkqubo ye-cardiovascular system lunceda ukuchonga imbangela yale edema.
Ndingayenza ntoni ukuba imilenze yam ikhula ngexesha lokukhulelwa?
Ukuba owesifazane okhulelweyo uyatyhawula imilenze yakhe, iinjongo, isifo senhliziyo kunye nesimo senyosi ngokuqhelekileyo sikhethwe. Kodwa ngamanye amaxesha ukuvuvukala kufihliwe okanye kubonakala kancinci, kwaye umlambo emzimbeni ulibazisekile. Ukubhengeza ukuba kunokwenzeka ukulinganisa ngokuqhelekileyo kwindoda ekhulelwe (malunga nemimiselo ikhulisa ukukhula okungalinganiyo kobunzima bomzimba okanye ukwanda kwenani elingaphezu kwama-300 g ngeveki). Kwakhona kuyimfuneko ukulinganisa rhoqo idayuresis yemihla ngemihla (umthamo wemihla ngemihla) kwaye ulonge umlinganiselo wokusela utywala. Ukuba inani lomlambo lingaphantsi kwama-¾ omlambo, unokrokrela ukuba umlambo uboshwe emzimbeni.
Ukuvuvuka kweenyawo ngexesha lokukhulelwa - unyango
Unyango lunokumiselwa kuphela ngugqirha emva kokuhlolwa okongeziweyo. Kuxhomekeke kwisizathu esibangela ukuvuvukala. Kodwa iziphakamiso ezilula kufuneka zikhunjulwe:
- ukunciphisa ukusebenzisa ityuwa (ngaphantsi kwama-8 amagremu ngosuku);
- kwisiqingatha sesibini sokukhulelwa, ungaphuzeli ngaphezu kwe-1-1.2 ilitha yamanzi ngosuku;
- Isondlo esiphezulu sezinga eliphezulu kunye negalelo eliphezulu lamavithamini, negalelo ekuqiniseni udonga lwama-vascular;
- zihlala ziphumla, ziphakamisa izitho kwi-inkxaso okanye zilala kunye nemilenze yazo eziphakanyiswe kwenkxaso;
- izicathulo ezikhululekile ngaphandle kwezithende kunye nezambatho ezingathinteli ukuhamba kwegazi kwizitho.