Preeclampsia - mālama pono iā ʻoe iho

ʻO nā wahine hāpai me ka preeclampsia i ke kiʻekiʻe o ke koko a me nā hōʻailona o ka hōʻeha o ke ake a me nā puʻupaʻa. Nā hopena o nā hakuʻala i ka loaʻa ʻana o ka protein i ka mimi. Preeclampsia ia l occursl i loko o nā wahine ma hope o ka 20 pule o ka hāpai keiki. Hiki ke akahai a ʻino hoʻi. Hoʻoholo pinepine ka Preeclampsia ma hope o ka hānau ʻana o ka pēpē a hānau ʻia ka placenta. Eia naʻe, hoʻomau a hoʻomau paha ia ma hope o ka lawe ʻana, pinepine i loko o 48 mau hola. Kāhea ʻia kēia ʻo preeclampsia postpartum.

Hoʻoholo ʻia nā hoʻoholo lapaʻau e pili ana i nā makahiki hānau o ka hāpai a me ke koʻikoʻi o ka preeclampsia.

Inā hala ʻoe i hala 37 mau hebedoma a ua ʻike ʻia me ka preeclampsia, e ʻōlelo paha kāu mea mālama ola iā ʻoe e hāʻawi wawe. Pili paha kēia i ka loaʻa ʻana o nā lāʻau e hoʻomaka ai (hoʻokomo) i ka hana a hāʻawi ʻana paha i ka pēpē ma ka lawe ʻana cesarean (ʻāpana C).

Inā ʻoe ma lalo o 37 mau wiki hāpai, ʻo ka pahuhopu e hoʻolōʻihi i kou hāpai ʻana inā he palekana ia. ʻO ka hana pēlā e hiki ai i kāu pēpē ke ulu lōʻihi i loko ou.

• ʻO ka wikiwiki o kou lawe ʻia ʻana e pili ana i ke kiʻekiʻe o kou kiʻekiʻe o ke koko, nā hōʻailona o nā pilikia o ke ake a me nā puʻupaʻa, a me ke ʻano o ka pēpē.
• Inā koʻikoʻi kou preeclampsia, pono paha ʻoe e noho i ka haukapila e nānā pono ʻia. Inā hoʻomau ka paʻakikī o ka preeclampsia, pono ʻoe e hāʻawi.
• Inā akahai kou preeclampsia, hiki paha iā ʻoe ke noho ma ka home ma kahi moe. Pono ʻoe e nānā pinepine a me nā hoʻokolohua. Hiki ke loli ke koʻikoʻi o ka preeclampsia, no laila pono ʻoe i ka ukali pono loa.

ʻAʻole i paipai hou ʻia ka hoʻomaha moe. E paipai kāu mea hāʻawi i kahi pae hana nāu.

Ke noho ʻoe ma ka home, e haʻi aku kāu mea lawelawe iā ʻoe i nā hoʻololi e pono ai ʻoe e hana i kāu papaʻai.

Pono paha ʻoe e lawe i nā lāʻau e hoʻohaʻahaʻa ai i kou kaʻe koko. E lawe i kēia mau lāʻau i ke ala a kāu mea hāʻawi.

Mai lawe i nā huaora keu, calcium, aspirin, a i ʻole nā ​​lāʻau ʻē aʻe me ke kamaʻilio ʻole ʻole ʻana me kāu mea hāʻawi.

ʻO ka manawa pinepine, ʻaʻole manaʻo nā wahine i loaʻa ka preeclampsia i ka maʻi a i ʻole nā ​​ʻōuli. Eia nō naʻe, i loko o ka makaʻu ʻoe a me kāu pēpē. No ka pale ʻana iā ʻoe iho a me kāu pēpē, he mea nui e hele i kāu kipa prenatal āpau. Inā ʻike ʻoe i kekahi ʻōuli o preeclampsia (i helu ʻia ma lalo), e haʻi koke aku i kāu mea hāʻawi.

Aia kekahi mau pilikia iā ʻoe a me kāu pēpē inā hoʻomohala ʻoe i ka preeclampsia:

• Hiki i ka makuahine ke hōʻeha i nā puʻupaʻa, ka hopu ʻana, ka hahau, a i ʻole ke kahe ʻana o ke ake i loko o ke ake.
• Aia kahi kiʻekiʻe o ka makaʻu no ka placenta e hemo mai ka kōpū (abruption) a no ka hānau hānau.
• ʻAʻole hiki i ka pēpē ke ulu kūpono (ka palena o ka ulu ʻana).

ʻOiai ʻoe ma ka home, e noi paha kāu mea lawelawe iā ʻoe e:

• E ana i kou kaʻe koko
• E hōʻoia i kou mimi no ka protein
• Nānā i ka nui o ka wai āu e inu ai
• E hōʻoia i kou kaumaha
• E nānā i ka pinepine o ka neʻe a keehi o kāu pēpē

E aʻo aku kāu mea hāʻawi iā ʻoe pehea e hana ai i kēia mau mea.

Pono ʻoe e kipa pinepine me kāu mea hāʻawi e hōʻoia iā ʻoe a me kāu pēpē ke hana maikaʻi nei. E loaʻa paha iā ʻoe:

• Kipa me kāu mea hoʻolako i hoʻokahi manawa i ka pule a ʻoi
• Nā ultrasounds e nānā i ka nui a me ka neʻe ʻana o kāu pēpē a me ka nui o ka wai a puni kāu pēpē
• ʻO kahi hōʻailona nonstress e nānā i ke kūlana o kāu pēpē
• Nā hoʻokolohua koko a mimi paha

E hele pinepine ka hōʻailona a me nā ʻōuli o ka preeclampsia i loko o 6 mau pule ma hope o ka lawe ʻana. Eia naʻe, ʻoi aku kaʻino o ke koko kiʻekiʻe i kekahi manawa i nā lā mua ma hope o ka hānau ʻana. Aia ʻoe i ka makaʻu no ka preeclampsia a i 6 mau pule ma hope o ka lawe ʻana. Hāpai kēia preeclampsia postpartum i kahi kiʻekiʻe o ka make. He mea nui e hoʻomau i ka nānā ʻana iā ʻoe iho i kēia manawa. Inā ʻike ʻoe i kekahi ʻōuli o preeclampsia, ma mua a ma hope paha o ka lawe ʻana, e hoʻopili koke aku i kāu mea lawelawe.

Kāhea koke i kāu mea hāʻawi inā ʻoe:

• Loaʻa ka pehu i kou mau lima, ka maka, a i ʻole nā ​​maka (edema).
• Hiki ke kaupaona ma mua o 1 a i ʻole 2 mau lā, a i ʻole loaʻa iā ʻoe ma mua o 2 paona (1 kilo) i hoʻokahi pule.
• E loaʻa i kahi poʻo hina ʻaʻole e hele a lilo i mea ʻino.
• ʻAʻole ʻimi pinepine.
• Loaʻa ka pualu a me ka luaʻi.
• Loaʻa i nā loli o ka hihiʻo, e like me ka hiki ʻole iā ʻoe ke ʻike no kahi manawa pōkole, e ʻike i nā kukui uila a i ʻole nā ​​kiko, pili i ka mālam, a i ʻole ʻike hihi.
• Mālamalama ke poʻo a maʻule paha.
• E loaʻa ka ʻeha i loko o kou ʻōpū ma lalo o kou mau iwi ʻaoʻao, pinepine ma ka ʻaoʻao ʻākau.
• Loaʻa kaʻeha i kou poʻohiwi'ākau.
• Loaʻa nā pilikia i ka hanu ʻana.
• Pākuʻi maʻalahi.

Toxemia - mālama pono iā ʻoe iho; PIH - mālama pono iā ʻoe iho; ʻO ke kiʻekiʻe kiʻekiʻe o ka hāpai hāpai - mālama pono iā ʻoe iho

Ke KulanuiʻAmelika o nā Obstetricians a me nā Gynecologists; Hana Hana ma ka hanu kiʻekiʻe i ka hāpai ʻana. Hypertension i hāpai keiki. Hōʻike o ka American College of Obstetricians and Gynecologists 'Task Force e pili ana i ka hanu kiʻekiʻe i ka hāpai keiki. ʻO Obstet Gynecol. 2013; 122 (5): 1122-1131. PMID: 24150027 www.ncbi.nlm.nih.gov/pubmed/24150027.

Markham KB, Funai EF. Hypertension pili i ka hāpai ʻana. I: Creasy RK, Resnik R, Iams JD, Lockwood CJ, Moore TR, Greene MF, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2014: chap 48.

Sibai BM. Preeclampsia a me nā maʻi hypertensive. I: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 31.

• ʻO ke koko kiʻekiʻe i ka hāpai ʻana