Ungayinakekela kanjani inhliziyo yakho ngesikhathi sokukhulelwa

Imfundo Yezempilo Izindaba Zomama

Izinguquko zomzimba ezenzeka ngesikhathi sokukhulelwa zivame ukwethusa futhi zibe nzima kakhulu komama abakhulelwe. Umbungu okhulayo uthinta isitho ngasinye — kuhlanganise nenhliziyo yakho. Ihlangabezana nokunye izinguquko ezeqisayo ngesikhathi sokukhulelwa, kusuka ukwanda okungu-50% kumthamo wegazi lomzimba kuya ku- ukukhuphuka kwenhliziyo yokukhulelwa .Inhliziyo yakho iyisihluthulelo sempilo efanele ngesikhathi sokukhulelwa kanye nayo yonke enye inkathi yokuphila, nayo. Nakhu ukuthi ungayinakekela kanjani.

Isifo senhliziyo: Imbangela ehamba phambili yokufa komama

Imbangela ehamba phambili yokufa kwabesifazane nabesifazane abakhulelwe esikhathini sokubeletha isifo senhliziyo nemithambo yegazi, kushoUJanna Mudd, MD, i-OB-GYN osebenza e- UHoffman no-Associates eBaltimore, eMaryland. Isifo senhliziyo sinikela kuma-26.5% okufa komama, ngokusho kuka I-American College of Obstetricians kanye neGynecologists . Ngenkathi izimo zenhliziyo esezikhona ziyingcuphe, ukukhathazeka okuvame kakhulu izimo zenhliziyo ezitholakele kwesinye isikhathi ezithulela buthule.

Inhliziyo enempilo ngaphambi kokukhulelwa

Isihluthulelo sempilo yenhliziyo ngesikhathi sokukhulelwa ukuqinisekisa ukuba nenhliziyo enempilo ngaphambi kokukhulelwa, kuchaza uDkt Mudd. Lesi sincomo sihambisana ne- tyena Inhlangano Yezinhliziyo ZaseMelika , eluleka ukuthi abesifazane kufanele bathuthukise izinhliziyo zabo ngaphambi kokukhulelwa.

UMark P. Trolice, MD, umqondisi ku UKUNAKEKELA Okuzala: Isikhungo se-IVF , iphakamisa ukuzivocavoca nokusebenza kwe-aerobic ngaphambi kokukhulelwa nangesikhathi sokuqinisekisa inhliziyo enempilo.Ukuzivocavoca njalo kuthuthukisa noma kugcina ukuqina komzimba, kusiza ekulawuleni isisindo, kunciphisa ubungozi besifo sikashukela sokukhulelwa kwabesifazane abakhuluphele, izinkinga zomfutho wegazi, kanye nezingxenye zeC-futhi kuthuthukisa inhlalakahle yengqondo, usho kanjalo.

Ngesikhathi sokukhulelwa, ukushaya kwenhliziyo yakho yokuphumula kungakhuphuka kufika kuma-20 beats ngomzuzu. Eqinisweni, kuvame ukuba kanye kwezimpawu zokuqala zokukhulelwa.

Inhliziyo enempilo kumele ibe seqhulwini empilweni yomama nengane ngesikhathi sokukhulelwa, nangemva kokuzalwa kwengane.

Ukukhulelwa nezimo zenhliziyo esezivele zikhona

Kuthiwani uma usuvele unesimo senhliziyo esivele sikhona ngaphambi kokukhulelwa?

Kunezimo ezithile zenhliziyo, njenge-cardiomyopathy, lapho ukukhulelwa kungalulekwa khona ngenxa yengozi yokugula nokufa kumama, kuchaza uDkt Mudd. Ezinye izimo ezifana nomfutho wegazi ophakeme nesifo sikashukela, ezinengozi enkulu yesifo senhliziyo, kufanele zilungiselelwe ngaphambi kokukhulelwa. Ubuye eluleke ngokuthi abesifazane abanezimo zenhliziyo esezikhona baxhumane nodokotela ababelethayo kanye nodokotela wenhliziyo ngaphambi kokukhulelwa. Uzodinga izivivinyo ezibalulekile zokuqapha inhliziyo ngaphambi nangesikhathi sokukhulelwa.

UDkt. Trolice uthi uma owesifazane enesifo senhliziyo noma samaphaphu esibalulekile, umfutho wegazi ophakeme, noma i-preeclampsia, ukuzivocavoca umzimba akunconywa. Ngaphezu kwalokho, abesifazane abanesigqi senhliziyo esingajwayelekile (i-arrhythmia), izifo ezingalawulwa kahle njengesifo sikashukela noma umfutho wegazi ophakeme, noma abaphansi kakhulu noma abakhuluphele ngokweqile kufanele baxoxe ngobungozi nodokotela wabo ngaphambi kokucabanga ukukhulelwa, uyachaza. Kubalulekile futhi ukuthi kuhlolwe amazinga e-thyroid futhi alungiselelwe njengoba kudingeka.

Ukushaya kwenhliziyo ngesikhathi sokukhulelwa: Isikhalazo esivamile

Ukushaya kwenhliziyo akubangelwa ukukhathazeka. UDkt. Mudd uthi zivame kakhulu ngesikhathi sokukhulelwa: Ukushaywa kwenhliziyo kuyisimo esingemnandi sokushaywa ngamandla kwenhliziyo, okusheshayo, noma okungafanele. Bangazizwa njengokubetha noma ukushaya isifuba. Uthi uma nje zingandile futhi zihlala isikhashana, ukushaya kwenhliziyo akuyona inkinga, kepha uma isiguli sikhathazekile noma sikhathazekile, kufanele ngaso sonke isikhathi babonane nodokotela wabo wokubelethisa.

Kunezizathu ezimbalwa zokuthi kungani abesifazane abakhulelwe bengathola ukushaya kwenhliziyo, kufaka phakathi ukukhathazeka, ukusetshenziswa kwe-caffeine noma izidakamizwa, izinkinga zenhliziyo ezifana ne-arrhythmia, noma ezinye izimo zenhliziyo ezingaphansi. Uma uzwa ubuhlungu besifuba, ukuphefumula okuncane, noma ukushaya kwenhliziyo kuvame noma kuthatha isikhathi eside, kufanele ufune usizo lwezokwelapha, kweluleka uDkt Mudd.

Ungamisa kanjani ukushaya kwenhliziyo ngesikhathi sokukhulelwa

Ezimweni eziningi, ukushaya kwenhliziyo kuzophela ngokwakho ngaphandle kokwelashwa. Ngaphandle kokuthi kungenxa yesimo esibucayi kakhulu, kungenzeka ukuthi umhlinzeki wakho wezokunakekelwa kwempilo ngeke ancome ukwelashwa. Kwezinye izimo imithi izodingeka ngemuva kwe-trimester yakho yokuqala. Ezimweni ezimbi kakhulu, inqubo ebizwa nge-cardioversion ingashaqisa inhliziyo yakho ibuyele esigqini. Sebenza nodokotela wakho ukuthola ingozi ephansi kunazo zonke kuwe nasenganeni yakho.

I-Peripartum cardiomyopathy: Okungajwayelekile, kepha okuphathelene nesimo senhliziyo

I- Inhlangano Yezinhliziyo ZaseMelika ithi i-peripartum cardiomyopathy (PPCM) yisimo senhliziyo esingajwayelekile esivela kakhulu ngenyanga yokugcina yokukhulelwa, noma kuze kufike ezinyangeni ezinhlanu ngemuva kokubeletha. I-PPCM uhlobo lokwehluleka kwenhliziyo olukhonjiswe ngamakamelo enhliziyo akhulisiwe anciphisa ukugeleza kwegazi okungena enhliziyweni.

OKUSHIWO: 13 izimpawu zezinkinga zenhliziyo okufanele uzikhathaze ngazo

Lolu hlobo lokwehluleka kwenhliziyo luyivelakancane ngokweqile. E-United States, cishe abesifazane abangu-1 000 kuya ku-1 300 abakhulelwe bazokwakha iPPCM. Ngokusho kwe-AHA, ezinye izimpawu zifaka ukukhathala, ukugijima kwenhliziyo noma ukuzizwa sengathi kweqa ukushaya (ukushaya kwenhliziyo), ukuphefumula okuncane ngomsebenzi futhi lapho ubeka phansi, isidingo esengeziwe sokuchama ebusuku, ukuvuvukala kwamaqakala nemithambo yentamo, nomfutho wegazi ophansi . Ngenkathi i-PPCM ithathwa njengengandile, i-American College of Obstetricians and Gynecologists ithi i-peripartum cardiomyopathy iyimbangela ehamba phambili yokufa komama, futhi inegalelo kuma-23% okufa komama ngesikhathi sokubeletha ngemuva kwesikhathi.

Bobabili uDkt Mudd noDkt Trolice bayavuma ukuthi impilo enhle yenhliziyo ngesikhathi sokukhulelwa ibalulekile ekukhulelweni okunempilo okuphelele.