Preeclampsia

Anter

• He aha ke kumu o ka preeclampsia?
• Nā ʻōuli o preeclampsia
• He aha ka lāʻau no preeclampsia?
• Lawe lawe
• Nā mālama ʻē aʻe i ka wā hāpai
• Nā mālama ma hope o ka lawe ʻana
• He aha nā pilikia o ka preeclampsia?
• Lawe aku

He aha ka preeclampsia?

ʻO Preeclampsia ke loaʻa iā ʻoe ke kiʻekiʻe o ke koko a me ka protein i loko o kou mimi i ka wā hāpai a ma hope paha o ka hānau ʻana. Hiki paha iā ʻoe ke loaʻa nā kumu hoʻohaʻahaʻa haʻahaʻa (platelets) i loko o kou koko a i ʻole nā ​​hōʻailona o ka pilikia o ka puʻupaʻa a me ke ake.

Hana pinepine ʻo Preeclampsia ma hope o ka hebedoma 20 o ka hāpai keiki. Eia nō naʻe, i kekahi mau hanana ʻike ʻia ma mua, a ma hope paha o ka lawe ʻana.

ʻO ka eclsia kahi holomua nui o preeclampsia. Me kēia kūlana, loaʻa i ke koko kiʻekiʻe nā hopena o ka hopu ʻana. E like me preeclampsia, kū ka eclampsia i ka wā hāpai a i ʻole, kākaʻikahi, ma hope o ka hānau ʻana.

Ma kahi o nā wahine hāpai āpau e loaʻa i ka preeclampsia.

He aha ke kumu o ka preeclampsia?

ʻAʻole hiki i nā kauka ke hoʻomaopopo i hoʻokahi kumu o ka preeclampsia, akā e ʻimi ʻia nei kekahi mau kumu kūpono. Pākuʻi ʻia kēia mau mea:

• nā kumu kūlohelohe
• nā pilikia o ke kīʻaha koko
• nā maʻi autoimmune

Aia kekahi mau kumu pilikia e hiki ke hoʻonui i kou manawa o ka hoʻomohala ʻana i ka preeclampsia. Pākuʻi ʻia kēia mau mea:

• e hāpai ana me nā fetus he nui
• ma luna o 35 mau makahiki
• i kou wā ʻōpio ʻōpio
• hāpai keiki ʻana no ka manawa mua
• he momona
• me ka moʻaukala o ke koko kiʻekiʻe
• ka loaʻa ʻana o ka moʻolelo o ka maʻi kō
• ka loaʻa ʻana o ka moʻaukala o ka maʻi kōpū

ʻAʻohe mea e pale pale i kēia ʻano. Paipai paha nā kauka i kekahi mau wahine e lawe i ka aspirin pēpē ma hope o kā lākou trimester mua e kōkua ai e pale aku.

Hiki i ka mālama prenatal hoʻomau a hoʻomau ke kōkua i kāu kauka e hōʻoia mua i ka preeclampsia a pale i nā pilikia. ʻO ka loaʻa ʻana o kahi hōʻailona e ʻae ai i kāu kauka e hāʻawi iā ʻoe me ka nānā pono ʻana a hiki i kou lā hānau.

Nā ʻōuli o preeclampsia

He mea nui e hoʻomanaʻo ʻaʻole paha ʻoe e ʻike i kekahi ʻōuli o preeclampsia. Inā hoʻomohala ʻoe i nā ʻōuli, pili kekahi i kekahi:

• ʻeha mau ke poʻo
• pehu ʻino i kou mau lima a me kou alo
• loaʻa kaumaha kaumaha
• nā hoʻololi i kāu hihiʻo
• ʻeha ma ka ʻōpū luna pono

I ka wā o kahi hoʻokolohua kino, ʻike paha i kāu kauka ʻo 140/90 mm Hg kou kiʻekiʻe o ke koko. Hiki i nā mimi a me nā hoʻāʻo koko ke hōʻike i ka protein i loko o kou mimi, nā enzyme ate pono ʻole, a me nā pae platelet haʻahaʻa.

I kēlā manawa, hana paha kāu kauka i kahi hoʻokolohua nonstress e nānā i ka fetus. ʻO kahi hōʻike nonstress kahi hōʻike maʻalahi e ana i ka hoʻololi o ka helu o ka puʻuwai fetal i ka neʻe ʻana o ka ʻōpū. Hana ʻia paha kahi ultrasound e nānā i kāu pae wai a me ke olakino o ka fetus.

He aha ka lāʻau no preeclampsia?

ʻO ka lāʻau i koi ʻia no preeclampsia i ka wā hāpai ka hānau ʻana o ka pēpē. I ka hapanui o nā hihia, pale kēia i ka maʻi mai ka holomua.

Lawe lawe

Inā ʻoe ma ka hebedoma 37 a ma hope paha, hoʻonāukiuki paha kāu kauka i ka hana. I kēia manawa, ua ulu a lawa ka pēpē a ʻaʻole ia i manaʻo ʻia ma mua.

Inā loaʻa iā ʻoe kahi preeclampsia ma mua o 37 mau pule, e noʻonoʻo kāu kauka i kou olakino a me kāu olakino pēpē i ka hoʻoholo ʻana i ka manawa no kāu hānau. Aia kēia i nā kumu he nui, e like me ka hānau hānau o kāu pēpē, inā paha ua hoʻomaka ka hana a ʻaʻole paha, a pehea ka nui o ka maʻi.

ʻO ka lawe ʻana i ka pēpē a me ka placenta e hoʻonā i ke ʻano.

Nā mālama ʻē aʻe i ka wā hāpai

I kekahi mau hihia, hāʻawi ʻia ʻoe i nā lāʻau e kōkua i ka hoʻohaʻahaʻa i kou kahe koko. Hāʻawi ʻia ʻoe i nā lāʻau e pale ai i ka hopu ʻana, kahi komplication kūpono o preeclampsia.

Makemake paha kāu kauka e hoʻokomo iā ʻoe i ka haukapila no ka nānā pono ʻana. Hāʻawi ʻia ʻoe i nā lāʻau lapaʻau intravenous (IV) e hoʻohaʻahaʻa i kou kaomi koko a i ʻole nā ​​inikopa steroid e kōkua i nā māmā o kāu pēpē e ulu wikiwiki aʻe.

Alakaʻi ʻia ka hoʻokele o ka preeclampsia e ka maʻi i manaʻo ʻia he akahai a koʻikoʻi paha. ʻO nā hōʻailona o ka preeclampsia koʻikoʻi e komo pū me:

• nā hoʻololi i ka helu o ka puʻuwai fetal e hōʻike i ka pōpilikia
• abdominal eha
• ka hopu ʻana
• hōʻino kīnā ʻole a me ka hana ate
• wai i loko o nā akemāmā

Pono ʻoe e ʻike i kāu kauka inā ʻike ʻoe i nā ʻōuli a i ʻole nā ​​ʻōuli maʻamau i kou hāpai ʻana. ʻO kāu mea e hopohopo nui ai kou olakino a me ke olakino o kāu pēpē.

Nā mālama ma hope o ka lawe ʻana

I ka manawa e hānau ai ka pēpē, pono e hoʻonā i nā ʻōuli preeclampsia. Wahi a ka American College of Obstetricians and Gynecologists, ka hapa nui o nā wahine e heluhelu ʻia i ke kaomi koko he 48 mau hola ma hope o ka hānau ʻana.

Eia kekahi, ua ʻike ʻia no ka hapanui o nā wahine me ka preeclampsia, hoʻonā nā ʻōuli a hoʻi ka hana o ke ake a me ka hakuʻala i ka maʻamau i loko o kekahi mau mahina.

Eia nō naʻe, i kekahi mau hihia, hiki i ke kahe koko ke hoʻokiʻekiʻe hou i kekahi mau lā ma hope o ka lawe ʻana. No kēia kumu, mālama nui ka mālama ʻana me kāu kauka a me nā loiloi kaomi koko maʻamau i mea nui a ma hope o ka hānau ʻana o kāu pēpē.

ʻOiai he kakaikahi, hiki i ka preeclampsia ke hana i ka wā postpartum ma hope o kahi hāpai maʻamau. No laila, ʻoiai ma hope o ka hāpai hāpai ʻole ʻana, pono ʻoe e ʻike i kāu kauka inā he pēpē ʻoe i kēia manawa a ʻike i nā ʻōuli i hōʻike ʻia ma luna.

He aha nā pilikia o ka preeclampsia?

ʻO Preeclampsia kahi kūlana koʻikoʻi loa. Hiki ke hoʻoweliweli i ke ola no ka makuahine a me ke keiki inā haʻalele ʻole ʻia. Hiki i nā pilikia ʻē aʻe ke komo pū me:

• nā pilikia kahe ʻana o ke kahe ma muli o nā pae platelet haʻahaʻa
• abruption placental (haki ʻana o ka placenta mai ka paia uterine)
• poino i ke akepaʻa
• hakuʻala ʻole
• edema pulmonary

Hiki pū kekahi nā pilikia no ka pēpē inā hānau mua ʻia lākou ma muli o ka hoʻāʻo e hoʻonā i ka preeclampsia.

Lawe aku

I ka wā o ka hāpai ʻana, he mea nui e mālama iā ʻoe a me kāu pēpē i ke olakino hiki. Hoʻopili kēia i ka ʻai ʻana i ka papaʻai olakino, lawe ʻana i nā wikamina prenatal me ka waikawa folic, a me ka hele ʻana no ka mālama mālama prenatal maʻamau.

Akā ʻoiai me ka mālama kūpono, hiki i nā kūlana i ʻike ʻole ʻia e like me preeclampsia ke hana ʻia i kekahi manawa, i ka wā hāpai a ma hope paha o ka hānau ʻana. Hiki ke weliweli kēia iā ʻoe a me kāu pēpē.

E kamaʻilio me kāu kauka e pili ana i nā mea hiki iā ʻoe ke hōʻemi i kāu makaʻi o ka preeclampsia a me nā hōʻailona hōʻailona. Inā pono, hiki iā lākou ke kuhikuhi iā ʻoe i kahi loea lāʻau makuahine-fetal no ka mālama hou ʻana.