ʻEklsia

ʻO Eclampsia ka hoʻomaka hou o ka hopu ʻana a i ʻole ke koma i ka wahine hāpai me preeclampsia. ʻAʻole pili kēia mau hopu ʻana i kahi ʻano lolo e kū nei.

ʻAʻole ʻike ʻia ke kumu kūpono o ka eclampsia. ʻO nā kumu i hoʻokani paha i kahi:

• Nā pilikia o ke kīʻaha koko
• ʻO ka lolo a me nā ʻōnaehana ʻōnaehana (neurological) kumu
• Meaʻai
• ʻO Genes

Hāpai ʻo Eclampsia i kahi kūlana i kapa ʻia ʻo preeclampsia. ʻO kēia kahi pilikia o ka hāpai keiki kahi wahine i loaʻa i ke koko kiʻekiʻe a me nā hopena ʻē aʻe.

ʻO ka hapa nui o nā wahine me ka preeclampsia ʻaʻole hele i ka hopu ʻana i ka hopu. He paʻakikī e wānana i nā wahine e makemake ai. ʻO nā wahine i ka nui o ka hopu ʻana he preeclampsia koʻikoʻi me nā ʻike e like me:

• Nā hoʻāʻo koko maʻamau
• Poʻo poʻo poʻo
• Piʻi koko kiʻekiʻe loa
• Hoʻololi ka hihiʻo
• Abdominal eha

Hoʻonui ka manawa o ka loaʻa ʻana o ka preeclampsia ke:

• ʻO 35 a ʻoi paha ʻoe.
• He ʻAmelika ʻAmelika ʻoe.
• ʻO kēia kou hāpai mua.
• Loaʻa ʻoe i ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole nā ​​maʻi puʻupaʻa.
• Loaʻa iā ʻoe ma mua o 1 pēpē (e like me nā māhoe a i ʻole nā ​​kolikolu).
• He ʻōpio ʻoe.
• ʻO ʻoe ka momona.
• He moʻolelo ʻohana ou o preeclampsia.
• Loaʻa iā ʻoe nā maʻi autoimmune.
• Ua loaʻa iā ʻoe i ka hoʻouluulu vitro.

Nā ʻōuli o ka eclampsia:

• Ka hopu ʻana i nā maʻi
• Hoʻonāukiuki nui
• Manaʻo ʻole

ʻO ka hapa nui o nā wahine e loaʻa i kēia mau ʻōuli o preeclampsia ma mua o ka hopu ʻana.

• Poʻo poʻo poʻo
• ʻO Nusea a me ka luaʻi
• ʻEha ʻeha
• ʻO ka pehu ʻana o nā lima a me ka maka
• ʻO nā pilikia o ka hihiʻo, e like me ka nalo ʻana o ka hihiʻo, ka hihi i pohihihi, ʻike pālua, a i ʻole nā ​​wahi i nalo i ke kahua ʻike

E hana ka mea mālama ola i kahi hoʻokolohua kino e nānā no nā kumu o ka hopu ʻana. E nānā pinepine ʻia kou kaomi koko a me ka helu hanu.

E hana ʻia paha nā hoʻāʻo koko a me ka mimi e nānā ai:

• Nā kūpili kāpili koko
• ʻĀiwi
• Hematocrit
• ʻAkika Uric
• Hana ka ate
• Heluna pāluna
• Protein i ka mimi
• Pae Hemoglobin

ʻO ke kumu nui e pale aku ai i ka preeclampsia koʻikoʻi mai ka holomua ʻana i ka eclampsia e hānau nei i ka pēpē. ʻO ka hoʻokuʻu ʻana i ka hāpai hāpai hiki ke lilo i mea weliweli nāu a me ka pēpē.

Hāʻawi ʻia ʻoe i ka lāʻau i mea e pale aku ai i ka hopu ʻana. Kapa ʻia kēia mau lāʻau lapaʻau he anticonvulsants.

Hāʻawi paha kāu mea hāʻawi i ka lāʻau e hoʻohaʻahaʻa i ke koko kiʻekiʻe. Inā kū kiʻekiʻe kou kaomi koko, pono paha ka lawe ʻana, ʻoiai inā ma mua o ka loaʻa ʻana o ka pēpē.

ʻOi aku ka nui o ka makaʻu o nā wahine me ka eclampsia a i ʻole preeclampsia:

• Ka hoʻokaʻawale ʻana i ka placenta (placenta abruptio)
• ʻO ka lawe manawa ʻole e alakaʻi i nā pilikia i loko o ka pēpē
• Nā pilikia pili koko
• Hahau
• Make pēpē

Kāhea i kāu mea lawelawe a hele i ka lumi pilikia inā loaʻa iā ʻoe kekahi mau ʻōuli o eclampsia a i ʻole preeclampsia. Hoʻopili nā ʻōuli pilikia me ka hopu ʻana a i ʻole ka hōʻemi ʻana o ka makaʻala.

E ʻimi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Ke kahe ʻana o ka maʻi ʻulaʻula
• Liʻiliʻi a ʻaʻohe neʻe paha i ka pēpē
• ʻEha poʻo poʻo
• ʻEha ʻeha ma ka ʻaoʻao o ka ʻōpū ʻākau ma luna
• Lilo hihio
• Nausea a i ʻole ka luaʻi

ʻO ka mālama ʻana i ka lāʻau lapaʻau i kou wā hāpai holoʻokoʻa he mea nui i ka pale ʻana i nā pilikia. ʻAe kēia i nā pilikia e like me preeclampsia e ʻike ʻia a mālama koke ʻia.

ʻO ka loaʻa ʻana o ka lāʻau no preeclampsia e pale aku i ka eclampsia.

Hāpai keiki - eclampsia; Preeclampsia - eclampsia; Ke koko kiʻekiʻe - eclampsia; Ka hopu ʻana - eclampsia; Hypertension - eclampsia

• Preeclampsia

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 on Hypertension in Pregnancy. ʻO Obstet Gynecol. 2013; 122 (5): 1122-1131. PMID: 24150027 pubmed.ncbi.nlm.nih.gov/24150027/.

Harper LM, Tita A, Karumanchi SA. Hypertension pili i ka hāpai ʻana. I: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. ʻO Medicine a Maternal-Fetal a Creasy a me Resnik: Nā Manaʻo a me ka Hoʻomeheu. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 48.

Salhi BA, Nagrani S. Kūpilikiʻi koʻikoʻi o ka hāpai ʻana. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 178.

Sibai BM. Preeclampsia a me nā maʻi hypertensive. I: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Nā Obstetrics: Nā Pregnancies Maʻamau a me nā pilikia. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 38.