Abasetyhini abakhulelweyo badinga ukujongwa rhoqo koxinzelelo lwegazi

Abasetyhini abakhulelweyo kufuneka bahlole uxinzelelo lwegazi kutyelelo ngalunye lokubeleka kwiscreen se-preeclampsia, ingxaki enokuthi ibulale izintso, isibindi, amehlo kunye nengqondo, izikhokelo ezintsha zase-US zithi.

Ngelixa oogqirha abaninzi sele bejonge uxinzelelo lwegazi ngexesha lokukhulelwa, i-US Preventive Services Task Force (USPSTF) ihlaziye izikhokelo zayo okokuqala ukusukela ngo-1996 ukugxininisa ukuba ukuhlolwa kutyelelo ngalunye kunokunceda oogqirha babambe kwaye banyange i-preeclampsia ngaphambi kokuba inyuke ukusuka kwingxaki encinci ukuya. ebeka ubomi esichengeni.

"I-Preeclampsia yenye yeengxaki ezinzulu zempilo ezichaphazela abafazi abakhulelweyo," ilungu leqela lomsebenzi uDkt. Maureen Phipps, umphandi wezempilo wabasetyhini kwiYunivesithi yaseBrown e-Providence, eRhode Island, uthe nge-imeyile.

"Ngenxa yokuba le meko iqhelekileyo kwaye ibaluleke kakhulu, i-Task Force inikezela ngeengcebiso ezimbini ezahlukeneyo zokunceda abafazi banciphise umngcipheko ohambelana ne-preeclampsia - ukuhlolwa kwe-preeclampsia kunconywa kubo bonke abafazi abakhulelweyo, kwaye abafazi abasengozini enkulu yokuphuhlisa imeko banokuthatha idosi ephantsi. aspirin ukunceda ukuyinqanda, ”Phipps wongezwa nge-imeyile.

Iingcebiso zokuhlola, ezipapashwe ngoLwesibini kwi JAMA, isicelo kubasetyhini abangenayo imbali ye-preeclampsia okanye uxinzelelo lwegazi oluphezulu. Izikhokelo ezahlukeneyo zicebisa i-aspirin yedosi ephantsi emva kweeveki zokuqala ze-12 zokukhulelwa kwabasetyhini abanembali yoxinzelelo lwegazi oluphakamileyo. (bit.ly/2oIwP5B)

I-Preeclampsia inokuqhubela phambili ngokukhawuleza, kwaye ngokuqhelekileyo ikhula emva kweeveki ezingama-20 zokukhulelwa. Ukuhlolwa kwegazi kwangaphambili ekukhulelweni kunokubonisa iziphumo eziqhelekileyo kubasetyhini abaqhubeka nokuphuhlisa i-preeclampsia.

Ukongeza kuxinzelelo lwegazi oluphezulu, abasetyhini abane-preeclampsia banokuba nezixa ezigqithisileyo zeprotheyini kumchamo wabo, kunye nokudumba kweenyawo, imilenze kunye nezandla.

Abasetyhini banokubandezeleka ngenxa ye-stroke, ukuxhuzula, ukusilela kwamalungu kwaye kwiimeko ezinqabileyo, ukufa. Kubantwana, iingxaki ziquka ukukhula kancinci ngaphakathi kwesibeleko, ubunzima bokuzala kunye nokufa.

Iingozi ze-preeclampsia ziquka imbali yokutyeba, isifo seswekile, isifo sezintso, i-lupus okanye i-rheumatoid arthritis, kunye nomama okanye udade oye wafumana le meko.

Ngenxa yokuba iingozi ze<em>preeclampsia zisanda ngokwanda ngeminyaka, amabhinqa anokukwazi ukunciphisa amathuba awo okuba nale ngxaki ngokuzala abantwana ngokukhawuleza, utshilo uGqr. yomhleli okhaphayo kwi JAMA.

"Ngaphezu koko, kubalulekile ukuqinisekisa ukuba zonke iingxaki zempilo zilawulwa kakuhle ngaphambi kokukhulelwa," kusho uGossett nge-imeyile. "Uxinzelelo lwegazi oluphezulu kufuneka lube phantsi kolawulo olufanelekileyo, ezinye izifo ezifana nesifo sezintso okanye i-lupus kufuneka zilawulwe kakuhle, kwaye abafazi kufuneka bazame ukusondela kubunzima babo obufanelekileyo ngaphambi kokuba bakhawulwe."

Ukujonga uxinzelelo lwegazi kulo lonke utyelelo lwangaphambi kokubeletha kunokunceda ukuthintela iingxaki zoomama kunye neentsana ngokufanayo, utshilo uGqr Martha Gulati, oyintloko ye-cardiology kwiYunivesithi yaseArizona College of Medicine ePhoenix kunye nombhali we-editorial eyahlukileyo. JAMA Cardiology.

"Le yinto ekufuneka inikwe wonke umntu obhinqileyo njengenxalenye yokhathalelo lothintelo," utshilo uGulati nge-imeyile. “Siza kusindisa ubomi kwaye sithintele iingxaki kunye nokufa kwabasetyhini abakhulelweyo ngolu vavanyo lulula, nolungabizi kakhulu” olungathathi xesha lininzi.