Hyperemesis gravidarum

ʻO Hyperemesis gravidarum ka mea nui, hoʻomau i ka nausea a me ka luaʻi i ka wā o ka hāpai ʻana. Hiki iā ia ke alakaʻi i ka make wai, ka pohō kaumaha, a me nā kaulike ʻole electrolyte. ʻO ka maʻi kakahiaka ke kuʻi a me ka luaʻi e kū i ka hāpai mua.

ʻO ka hapa nui o nā wahine i ka nualua a i ʻole ka luaʻi (ka maʻi kakahiaka), keu hoʻi i nā mahina 3 mua o ka hāpai ʻana. ʻAʻole maopopo ke kumu kūpono o ka nausea a me ka luaʻi i ka wā hāpai. Eia nō naʻe, manaʻo ʻia he kumu ia e piʻi koke ai ke kiʻekiʻe o ke koko o kahi hormone i kapa ʻia he kanaka chorionic gonadotropin (HCG). Hoʻokuʻu ʻia ʻo HCG e ka placenta. Maʻalahi ka maʻi kakahiaka ʻino. ʻOi aku ka pinepine o ka hyperemesis gravidarium a ʻoi aku ke koʻikoʻi.

ʻO nā wahine me ka hyperemesis gravidarum he lohi nui a me ka luaʻi i ka wā hāpai. Hiki iā ia ke kumu i ka hōʻemi o ke kaumaha ma mua o 5% o ke kaumaha o ke kino. Hiki i ke ʻano i kekahi hāpai ʻana, akā ʻoi aku ka liʻiliʻi inā hāpai ʻoe me nā māhoe (a ʻoi aku paha nā pēpē), a inā he mole hydatidiform kāu. ʻOi aku ka makaʻu o nā wahine no ka hyperemesis inā loaʻa iā lākou ka pilikia i nā hāpai mua a i ʻole makaʻu i ka maʻi neʻe.

Hiki i ka maʻi kakahiaka ke hōʻemi i ka makemake, ka nausea haʻahaʻa, a i ʻole ka luaʻi. He ʻokoʻa kēia mai hyperemesis maoli no ka mea hiki i ka poʻe ke ʻai a inu i ka wai i kekahi o ka manawa.

ʻOi aku ka nui o nā ʻōuli o hyperemesis gravidarum. Pākuʻi ʻia lākou:

• ʻO ka maʻi nui, hoʻomau a me ka luaʻi i ka wā hāpai
• Salivating ʻoi aku ka nui ma mua o ka maʻamau
• Kaumaha emi
• ʻO nā hōʻailona o ka make wai e like me ka mimi ʻeleʻele, ʻili maloʻo, nāwaliwali, lightheadedness a maʻule paha
• Konipōpō
• ʻAʻole hiki ke lawe i ka nui o ka wai a me ka meaʻai

E hana ana kāu mea mālama ola i kahi hōʻike kino. Haahaa paha kou kaʻe koko. Kiʻekiʻena paha kou puʻuwai.

E hana ʻia nā hoʻokolohua hoʻokolohua e nānā ai i nā hōʻailona o ka make wai.

• Helu piha koko
• Nā uila
• Nā ketone mimi
• Kaumaha emi

Pono paha kāu mea lawelawe e holo i nā hoʻokolohua e hōʻoia ʻaʻole āu pilikia i ke ake a me ka gastrointestinal.

E hana ʻia kahi ultrasound hāpai e ʻike inā ke hāpai nei ʻoe i nā māhoe a ʻoi paha nā pēpē. Nānā pū ʻo Ultrasound i kahi mole hydatidiform.

Hiki ke mālama pinepine ʻia nā maʻi kakahiaka ma o ka hōʻalo ʻana i nā meaʻai e hoʻoulu i ka pilikia a me ka inu ʻana i nā wai he nui ke hoʻokuʻu ʻia nā ʻōuli i mea e hydrated.

Inā kou nausea a me ka luaʻi e hoʻolilo iā ʻoe i wai maloʻo, e loaʻa nā wai iā ʻoe ma o ka IV. Hāʻawi ʻia iā ʻoe i ka lāʻau anti-nausea. Inā koʻikoʻi loa ka nausea a me ka luaʻi e pilikia ai ʻoe a me kāu pēpē, e hoʻokomo ʻia ʻoe i ka haukapila no ka mālama ʻana. Inā ʻaʻole hiki iā ʻoe ke ʻai lawa e loaʻa ai nā mea momona āu e pono ai a me kāu pēpē, loaʻa paha ʻoe i nā mea keu keu ma o ka IV a i ʻole kahi paipu i kau ʻia i loko o kou ʻōpū.

E kōkua i ka mālama ʻana i nā ʻōuli ma ka home, e hoʻāʻo i kēia mau ʻōlelo aʻoaʻo.

E hōʻalo i nā mea hoʻouluulu. Hoʻomaopopo paha ʻoe i kekahi mau mea hiki ke hoʻonāukiuki i ka nausea a me ka luaʻi. Pākuʻi ʻia kēia mau mea:

• Nā kani a me nā kani, a me ka lekiō a me ke kīwī paha
• ʻO nā kukui ʻōlinolino a lilelile paha
• ʻĀpala niho
• Nā ʻaʻala e like me ka mea ʻala a me nā huahana ʻauʻau a me nā mea hoʻonani
• Kaomi ma kou ʻōpū (komo i nā lole lole lino)
• E holo ana i ke kaʻa
• Lawe i ka ua

ʻAi a inu i ka wā hiki. Lawe pono i nā manawa i ʻoi aku kou manaʻo e ʻai a inu hoʻi. ʻAi i nā meaʻai liʻiliʻi, pinepine. E hoʻāʻo i nā meaʻai maloʻo, ʻai ʻole e like me nā pahū a i ʻole kaʻuala. E hoʻāʻo e ʻai i nā meaʻai e hoʻopiʻi iā ʻoe. E ʻike inā hiki iā ʻoe ke hoʻomanawanui i nā mea momona momona me nā huaʻai a me nā mea kanu.

E hoʻonui i nā wai i nā manawa o ka lā ke lohi iki ʻoe. Seltzer, ginger ale, a i ʻole nā ​​mea inu lama ʻē aʻe e kōkua. Hiki iā ʻoe ke hoʻāʻo e hoʻohana i nā mea kōkua ginger haʻahaʻa a i ʻole nā ​​kaula lima acupressure e hōʻoluʻolu i nā ʻōuli.

ʻO Vitamin B6 (ʻaʻole i ʻoi aku ma mua o 100 mg i kēlā me kēia lā) i hōʻike ʻia e hōʻemi i ka nausea i ka hāpai mua ʻana. E noi i kāu mea nāna e hāʻawi inā kōkua kēia lāʻau iā ʻoe. ʻO kekahi lāʻau i kapa ʻia ʻo doxylamine (Unisom) i hōʻike ʻia he maikaʻi loa a palekana ke hoʻohui ʻia me Vitamin B6 no ka nausea i ka hāpai ʻana. Hiki iā ʻoe ke kūʻai i kēia lāʻau me ka ʻole o ka lāʻau.

Maʻalahi ka maʻi kakahiaka, akā hoʻomau mau. Hiki iā ia ke hoʻomaka ma waena o 4 a 8 mau pule o ka hāpai ʻana. Hele maʻamau ia e 16 a 18 mau pule o ka hāpai ʻana. Hoʻomaka pū ka nausea nui a me ka luaʻi ma waena o 4 a 8 mau pule o ka hāpai ʻana a hele pinepine i nā hebedoma 14 a 16. E hoʻomau kekahi mau wahine i ka nausea a me ka luaʻi no kā lākou hāpai holoʻokoʻa. Me ka ʻike pono o nā ʻōuli a me ka mālama pono ʻana, ʻano liʻiliʻi nā pilikia koʻikoʻi no ka pēpē a makuahine paha.

Hoʻoweliweli ka luaʻi kūpilikiʻi no ka mea ke alakaʻi ia i ka make wai a me ka loaʻa maikaʻi ʻole o ke kaumaha i ka wā hāpai. Kākaʻikahi wale, loaʻa paha i ka wahine ke kahe o ke koko i loko o kāna esophagus a i ʻole nā ​​pilikia koʻikoʻi ʻē aʻe mai ka luaʻi mau.

Hiki i ke ʻano ke paʻakikī i ka hoʻomau ʻana i ka hana a mālama paha iā ʻoe iho. Hiki iā ia ke kumu i ka hopohopo a me ke kaumaha i kekahi mau wahine e lohi nei ma hope o ka hāpai ʻana.

Kāhea i kāu mea hāʻawi inā hāpai ʻoe a loaʻa i ka maʻi nui a me ka luaʻi a i ʻole inā loaʻa kekahi o kēia mau ʻōuli.

• Nā hōʻailona o ka make wai
• ʻAʻole hiki ke hoʻomanawanui i nā wai a ma kahi o 12 mau hola
• Lightheadedness a ʻūpā paha
• Koko i ka luaʻi
• Abdominal eha
• ʻO ke kaumaha o ke kaumaha ma mua o 5 lb.

Nusea - hyperemesis; ʻO ka luaʻi - hyperemesis; Ka maʻi kakahiaka - hyperemesis; Hāpai keiki - hyperemesis

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