Ngesikhathi sokukhulelwa, ukulinganisa kwengcindezi yegazi kuyindlela ephoqelekile eyenziwa njalo, njalo lapho uvakashela ukubonisana kwabesifazane kanye nawe ekhaya. Ungayinaki le nqubo, ukutholakala okungajwayelekile ngesikhathi sokucindezeleka kwegazi kuzokusiza ukuvikela owesifazane okhulelwe nengane ebuchosheni obukhulu ngesikhathi sokukhulelwa.
Kuyinto evamile ukuthi ukucindezeleka kubonakala ngezici ezimbili. Ingcindezi evamile ingu-120/80. Isibalo sokuqala sibonisa ukucindezelwa kwe-systolic, okwesibili - kwi-dystolic. Ngaphansi kwengcindezi ephezulu ngesikhathi sokukhulelwa, inani lama-140 nangaphezulu libhekwa njengengcindezi ye-systolic. Ukwanda kwengcindezi kungabonwa owesifazane okokuqala ngesikhathi sokubeletha umntwana noma ukuphakanyiswa ngisho nangaphambi kokukhulelwa. Esikhathini sesibili, ngokuvamile kutholakala ukuthi une-hypertension engapheli, ngakho-ke idinga ukunakekelwa okukhethekile odokotela ngesikhathi sokukhulelwa.
Yiqiniso, umfutho wegazi ophezulu owesifazane okhulelwe uyisignali embi kakhulu, enomthelela omubi ekwenzeni ukukhulelwa kanye nokukhula kwe-intrauterine nokukhula komntwana. Ngaphansi kwengcindezi ephezulu, izindonga zemithambo yegazi ziyancipha, ukugeleza kwegazi kuphelelwe amandla, kuphelile, umfutho awutholi i-oxygen nezakhi ngendlela evamile. Kanti lokhu konke kuholela ekukhuleni okuncane kwengane. Ingozi yokuba nomfutho wegazi ophezulu ngesikhathi sokukhulelwa futhi ukuthi ukwandisa ingozi yokuphazamiseka kwamapayipi. Lokhu kuholela ekusenikeni okukhulu, ukulahleka kwegazi emigqumeni enkulu futhi kungaba yingozi kubo bobabili besifazane nezingane.
Umfutho wegazi ophezulu owesifazane okhulelwe uyingozi kodwa nenye isifo esibuhlungu sokukhulelwa - pre-eclampsia. Kukholelwa ukuthi lesi sifo sibangelwa ukukhula okwenziwe emzimbeni womuthi wesifazane odambisa imithwalo yegazi. Ngaphandle kwalokhu, nokukhiqizwa okuphansi kwesinye isidakamizwa esidingekayo ekwandiseni imithwalo yegazi. Ngakho-ke kuvela ukuthi imiphumela emibili eqinile elawula ukucindezelwa ikhonjiswe komunye nomunye, okwenza ukunciphisa okuqhubekayo kwe-lumen yemithini yegazi. Kunezinye izici ezandisa ingozi yokuthuthukisa i-pre-eclampsia ngesikhathi sokukhulelwa, isibonelo, inani lamaprotheni ekudleni kwabesifazane.
I-pre-eclampsia ingenzeka ngesimo esibucayi futhi ingacabangi, ngaphandle kokucindezela okwandayo ngo 140/90, ukuvuvukala kobuso nezandla. Ezimweni ezimbi, i-preeclampsia ihambisana nekhanda, ukukhubazeka okubukwayo, ukuleleka, ubuhlungu obukhulu esiswini, ukuhlanza. I-pre-eclampsia ingadlulela esibhedlela esingavamile, kodwa esiyingozi kakhulu - eclampsia. Lezi zimbonakaliso zibonakaliswa ukuhlukumeza okukhulu, i-coma, ibeka usongo olukhulu empilweni yowesifazane okhulelwe kanye nengane.
Ukuze ugweme imiphumela ebuhlungu yengcindezi yegazi ngesikhathi ukhulelwe, kufanele uvakashele udokotela wakho njalo. Ngemva kokuveza ukucindezelwa kwegazi ephezulu kwabesifazane abakhulelwe, odokotela ngokuvamile babala ukudla okungafanele kube khona amafutha, izitsha ezisawoti, ezimnandi. Kunconywe ukuvivinya umzimba. Noma kunjalo, lokhu konke kuphumelele ezinhlotsheni zokugula. Uma ingcindezi ephakeme kowesifazane okhulelwe kubangela ukukhathazeka nokukhathazeka odokotela, khona-ke imithi imisiwe. Kukhona imithi ehloswe ukujwayelekile ukucindezela ngesikhathi sokukhulelwa. Ngokusobala akuyona ingozi kumama nesisu, ngokungafani nesimo esibi se-hypertension. Lezi zidakamizwa zihlanganisa - i-dopegit, i-papazol, i-nifedipine, i-metoprolol. Amanani, indlela yokuthatha, isikhathi sokufunda kufanele sikhethwe udokotela, ngokusekelwe endleleni eyodwa (ukuqina kwemithi, izivivinyo, izifo ezithintekayo, izici zokuthuthukiswa komntwana, njll).
Uma izinyathelo eziyinkimbinkimbi zingasebenzi futhi isimo sesifazane okhulelwe siba nzima, kunconywa ukuba uye esibhedlela ngaphambi kokubeletha futhi ube ngaphansi kweso lokulinda odokotela. Lapha, umama wesikhathi esizayo uzonikezwa ukunakekelwa okufanele, ukucindezelwa kokulinganisa izikhathi eziningana ngosuku, ukulawula inani lamaprotheni emcinini nokunye okuningi. Konke lokhu kuzosiza ukugwema izinkinga ezinkulu futhi ubelethe umntwana onempilo.