Preeclampsia, ma waena o nā hōʻailona a me nā kumu

ʻO ka preeclampsia ke koko kiʻekiʻe a me ka piʻi ʻana o ka protein i loko o ka mimi ma hope o ka pule he 20 o ka hāpai ʻana. . Inā loaʻa iā ʻoe ka preeclampsia, ʻo ka hānau keiki wale nō ka mālama ʻana. o kau keiki.

Hiki ke ʻike ʻia ka preeclampsia me ka mālie a i ʻole ka hikiwawe, ma hope o ka pule he 20 o ka hāpai ʻana, a ʻo nā hōʻailona mai nā hōʻailona maʻalahi a koʻikoʻi.
ʻO ke koko kiʻekiʻe ma mua o 140/90 mmHg i ʻelua a ʻoi aku paha nā ana (inā ʻoi aku ka ʻokoʻa ma waena o nā heluhelu ʻelua ma mua o 6 mau hola).
ʻO ka nui o ka protein i loko o ka mimi (albuminuria).
ʻO ke poʻo nui, pinepine i mua o ke poʻo.
Hoʻololi i ka ʻike: blurring, ʻike i ka mālamalama, a me ka nalo pōkole o ka ʻike.
ʻEha ma ka ʻōpū o luna, pinepine ma ka ʻākau.
Nausea, luaʻi a me ka noʻonoʻo.
Ka emi ʻana o ka nui o ka mimi.
Hoʻonui koke i ke kaumaha.
ʻO ka pehu ʻana o nā wāwae, ka maka a me nā lima e pili pinepine ana i ka pre-eclampsia, akā ʻaʻole ia he ʻano o ka pre-eclampsia, no ka mea, hiki mai kēia ʻōpū i ka wā hāpai maʻamau.
ʻO ka nāwaliwali maʻamau, ka maʻi, a me ka hiki ʻole ke hana i nā hana maʻamau i kēlā me kēia lā

Nā kumu o ka preeclampsia
ʻAʻole maopopo ke kumu, akā ua kapa ʻia kēia maʻi he preeclampsia no ka mea ua manaʻo ʻia ʻo ia ka hopena o nā toxins i loko o ke koko o ka makuahine, a ua nui nā noiʻi e hōʻike ana ʻo ke kumu kēia:
ʻAʻole lawa ka hāʻawi koko i ka pēpē.
Nā kīʻaha koko haʻihaʻi.
Nā pilikia me ka ʻōnaehana pale.
- ʻAi ʻai ʻole .
Nā pilikia ʻē aʻe o ke koko kiʻekiʻe i ka wā hāpai.
Ke kumu genetic: I ka nui o nā hihia, inā he pre-eclampsia ka makuahine o ka wahine a i ʻole ka makuahine o kāna kāne i ko lākou hāpai ʻana, ʻoi aku ka nui o ka hiki ke hāpai ʻia ka wahine.
Ka nele o ka huaora (E), (C) a me ka magnesium i loko o ka wahine hāpai.

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ʻO nā wahine i pilikia loa i ka preeclampsia:
Hiki i kekahi mau wahine ke hoʻomohala i ka pre-eclampsia ma mua o nā mea ʻē aʻe ma muli o ko lākou mau pilikia, ʻo ia hoʻi:
He moʻolelo mua ko ka makuahine a i ʻole ka ʻohana no ka pre-eclampsia.
Inā ʻo kou hāpai mua kēia.
Makahiki: ʻOi aku ka nui o ka maʻi pre-eclampsia inā emi ka makuahine ma mua o 20 mau makahiki a ʻoi paha ma mua o 40.
Obesity: piʻi ka pilikia o ka maʻi i ka piʻi ʻana o ke kaumaha o ka makuahine.
Māhoe: Piʻi ka pilikia o ka maʻi inā hāpai ka makuahine me ʻelua mau keiki a ʻoi aku paha.
ʻO ka lōʻihi o ka manawa ma waena o ka hāpai ʻana a me ka hāpai mua: hoʻonui i ka pilikia o ka pre-eclampsia.
ʻO ke kiʻekiʻe kiʻekiʻe o ka hānai a me ka maʻi diabetes gestational.
Ke koko kiʻekiʻe ma mua o ka hāpai ʻana.

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ʻO nā pilikia preeclampsia:
ʻO ka hapa nui o nā makuahine me ka pre-eclampsia hānau i kā lākou pēpē ma ke ʻano maʻamau, akā ʻoi aku ka koʻikoʻi o nā hōʻailona a i ʻole e hoʻomaka koke lākou i ka wā hāpai, ʻoi aku ka nui o ka pilikia no ka pēpē, a koi paha ka hihia i ka hoʻoulu ʻana i ka hana mua, a hiki i ke kauka ke hoʻoholo. e hana i ka ʻāpana caesarean, e pili ana i ka makahiki o ka pēpē
Ma waena o kēia mau pilikia no ka fetus, ʻōlelo mākou:
Placental ischemia.
ʻAi ʻaʻai mua i ka placental abruption.
HELLP Syndrome
Nā pilikia cardiovascular

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ʻO ka hōʻailona preeclampsia:
ʻIke pinepine ʻia ka preeclampsia i ke ana ʻana i ke koko i ka wā hāpai i ka hahai ʻana a hahai ʻia e ka urinalysis, pili ka maʻi i ke koko kiʻekiʻe a me ka hele ʻana o nā protein i loko o ka mimi ma hope o ka pule 20th o ka hāpai ʻana, ke koko kiʻekiʻe i ka wā hāpai o ka 140/ 90 mm Hg no ka heluhelu ʻoi aku ma mua o hoʻokahi.

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Nā hoʻokolohua lapaʻau ma hope o ka ʻike ʻana i ka preeclampsia:
Inā loaʻa kahi hōʻailona o ka preeclampsia, pono e hana ʻia kēia mau hoʻokolohua:
Ka nānā ʻana i ke koko: e hōʻoia i ka hana o nā puʻupaʻa a me ke akepaʻa a maʻamau ka helu o nā platelets.
ʻOhi ʻana a me ka nānā ʻana o ka mimi: ʻohi ʻia nā laʻana mimi i loko o 12 a i ʻole 24 mau hola e ana i ke kiʻekiʻe o ka protein i loko o ia mau mea, i mea e ʻike ai i ka paʻakikī o ka preeclampsia.
Echo (ultrasound): e nānā i ka ulu a me ka neʻe o ke keiki.
ʻO ka ho'āʻo biophysical: e hōʻoia i ka loaʻa ʻana o ka oxygen a me ka meaʻai i ke keiki no kona ulu ʻana, a he hoʻāʻo maʻalahi ia e pili ana i ka nānā ʻana i ka hopena o ka puʻuwai o ke keiki ke neʻe ʻo ia, inā paha e piʻi aʻe ma kahi maʻamau a ʻaʻole paha, a me ka nānā ʻana i ka hanu a me ka nui o ka wai e hoʻopuni ana i ka pēpē.