Hoʻomaʻo o Preeclampsia: Magnesium Sulphate Therapy

Anter

• He aha nā hōʻailona o ka preeclampsia?
• He aha nā pilikia kūpono?
• Pehea e mālama ai ka magnesium sulfate therapy i ka preeclampsia?
• Aia kekahi hopena?
• He aha ka kuanaʻike?

He aha ka preeclampsia?

ʻO Preeclampsia kahi pilikia i kekahi mau wahine e ʻike i ka hāpai keiki. Kū pinepine ia ma hope o 20 mau pule o ka hāpai ʻana, akā ʻaʻole hiki ke hoʻomohala ma mua a ma hope paha. ʻO nā hōʻailona nui o ka preeclampsia ke koko kiʻekiʻe a me kekahi o nā ʻokana ʻaʻole e hana maʻamau. ʻO kahi hōʻailona hiki ke nui ka protein i ka mimi.

ʻAʻole maopopo ke kumu kūpono o preeclampsia. Manaʻo ka poʻe loea he kumu ia e nā pilikia me nā kīʻaha koko e hoʻopili i ka placenta, ka mea hoʻoliʻiliʻi oxygen mai ka makuahine a hiki i ka pēpē, i ka kōpū.

I ka wā mua o ka hāpai ʻana, hoʻomaka nā kīʻaha koko hou e hana ma waena o ka placenta a me ka paia uterine. Hiki i kēia mau kīʻaha koko hou ke hoʻomōhala kino ʻole no kekahi mau kumu, e like me:

• ʻaʻole lawa ke kahe o ke koko i ka kōpū
• pōʻino o ke kīʻaha koko
• pilikia ʻōnaehana pale pale
• nā kumu kūlohelohe

Hoʻopili kēia mau kīʻaha koko ʻole i ka nui o ke koko e hiki ke neʻe i ka placenta. Hiki i kēia hana pono ʻole ke hoʻonui i ke kahe o ke koko o ka wahine hāpai.

Inā haʻalele ʻole ʻia, hiki i ka preeclampsia ke hoʻoweliweli i ke ola. No ka mea pili i nā pilikia me ka placenta, ʻo ka lāʻau i koi ʻia no preeclampsia ka hānau ʻana o ka pēpē a me ka placenta. ʻO nā pilikia a me nā pōmaikaʻi e pili ana i ka manawa o ka lawe ʻana ma muli o ke koʻikoʻi o ka maʻi.

ʻO kahi hōʻailona o ka preeclampsia i ka wanaʻao o kou hāpai ʻana hiki ke paʻakikī. Pono ka pēpē i ka manawa e ulu, akā pono ʻolua ʻelua e hōʻole i nā pilikia koʻikoʻi. I kēia hihia, hiki i kāu kauka ke kauoha aku i ka magnesium sulfate a me nā lāʻau e kōkua i ka hōʻemi ʻana i ke kahe o ke koko.

Hoʻohana ʻia ka magnesium sulfate therapy e pale ai i ka hopu ʻana i nā wahine me ka preeclampsia. Hiki iā ia ke kōkua e hoʻolōʻihi i kahi hāpai ʻana a i ʻelua mau lā. ʻAe kēia i nā lāʻau e hōʻeleu i ka hoʻomohala ʻia o kāu pēpē pēpē e lawelawe ʻia.

He aha nā hōʻailona o ka preeclampsia?

I kekahi mau wahine, ulu mālie ka preeclampsia me ka ʻole o nā ʻōuli.

ʻO ke koko kiʻekiʻe, ka hōʻailona nui o ka preeclampsia, i ka manawa maʻamau. ʻO kēia ke kumu o ka mea nui i nā wahine hāpai e nānā pono i ko lākou kahe koko, keu hoʻi ma hope o ko lākou hāpai ʻana. ʻO ka heluhelu ʻana i ke kaomi koko o 140/90 mm Hg a ʻoi paha, i lawe ʻia i ʻelua mau manawa kaʻawale ma kahi o ʻehā mau hola ma ke kaʻawale, ua manaʻo ʻia he maikaʻi ʻole.

Ma waho aʻe o ke kiʻekiʻe o ke koko, nā hōʻailona ʻē aʻe a i ʻole nā ​​ʻōuli o preeclampsia me:

• ʻoi aku ka protein i ka mimi
• ua emi ka nui o ka mimi
• helu papakū haʻahaʻa i ke koko
• ʻeha poʻo poʻo
• nā pilikia ʻike e like me ka nalo ʻana o ka hihiʻo, ʻike maka ʻole, a me ka ʻike i ka malamalama
• ʻeha ma ka ʻōpū o luna, ma lalo o nā iwi ʻaoʻao i ka ʻaoʻao ʻākau
• ka luaʻi a i ʻole ka maloʻo
• hana ate ʻole
• pilikia i ka hanu ʻana ma muli o ka wai i loko o nā akemāmā
• ka loaʻa wikiwiki a me ka pehu ʻana, ʻo ka maka hoʻi a me nā lima

Inā kānalua kāu kauka preeclampsia, e hana lākou i nā hōʻoia o ke koko a me ka mimi e hana i kahi hōʻailona.

He aha nā pilikia kūpono?

Loaʻa paha iā ʻoe nā pilikia inā hoʻomohala ʻoe i ka preeclampsia i ka wanaʻao. I kekahi mau hihia, pono i nā kauka e hana i ka hana i hoʻokomo ʻia a i ʻole kahi hānau caesarean e wehe i ka pēpē. E hōʻoki kēia i ka preeclampsia mai ka holomua a pono e alakaʻi i ka hoʻonā ʻana i ke ʻano.

Inā haʻalele ʻole ʻia, ulu paha nā pilikia. ʻO kekahi mau pilikia o ka preeclampsia me:

• ka nele o ka oxygen i ka placenta i hiki ke kumu i ka ulu lohi, kaupaona hānau haʻahaʻa, a i ʻole ka hānau mua ʻia o ka pēpē a i ʻole ka hānau hānau
• abruption placental, a i ʻole ka hoʻokaʻawale ʻana o ka placenta mai ka paia o ka uterus, kahi e kumu ai ke kahe ʻana o ke kahe a me ka hōʻino ʻana i ka placenta
• ʻO ka maʻi ʻo HELLP, ka mea e nalo i nā hunaola ʻulaʻula, nā enzymes kiʻekiʻe o ke ake, a me ka helu platelet haʻahaʻa haʻahaʻa, e hopena ai i nā ʻōpū.
• eclampsia, ʻo ia ka preeclampsia me ka hopu ʻana
• hahau ʻana, kahi e hiki ai i ka lolo kū mau loa a i ʻole ka make

ʻO nā wahine e hoʻomohala i ka preeclampsia ke kū nei i ka nui o ka makaʻu no ka maʻi puʻuwai a me ka moku. Hoʻonui pū ʻia kā lākou makaʻi o ka preeclampsia i nā hāpai hāpai e hiki mai ana. Loaʻa i nā wahine i loaʻa ka preeclampsia ka manawa kūpono e hoʻomohala hou iā ia i ka wā e hāpai ai.

Pehea e mālama ai ka magnesium sulfate therapy i ka preeclampsia?

ʻO ka lāʻau wale nō e hōʻoki i ka holomua a alakaʻi i ka hoʻonā ʻana o ka preeclampsia ka hānau ʻana o ka pēpē a me ka placenta. Ke kali nei e hāʻawi i hiki ke hoʻonui i ka makaʻu o nā pilikia akā ʻo ka hāʻawi mua ʻana i ka hāpai hāpai e hoʻonui i ka makaʻu no ka hānau mua.

Inā hiki wawe i kou hāpai ʻana, e haʻi ʻia paha ʻoe e kali a oʻo pono ka pēpē e hānau ʻia e hōʻemi i kēlā mau pilikia.

Ma muli o ke koʻikoʻi o ka maʻi a me nā makahiki hānau, hiki i nā kauka ke koi aku i nā wahine me ka preeclampsia e hele pinepine mai no nā kipa prenatal i waho, a i ʻole e ʻae ʻia i ka haukapila. E hana paha lākou i nā hoʻokolohua koko a mimi pinepine hoʻi. Kākau paha lākou:

• nā lāʻau e hoʻohaʻahaʻa i ke koko
• corticosteroids e kōkua i ke oʻo ʻana i nā ake māmā o ka pēpē a hoʻomaikaʻi i ke olakino o ka makuahine

I nā hihia koʻikoʻi o ka preeclampsia, paipai pinepine nā kauka i nā lāʻau antiseizure, e like me ka magnesium sulfate. ʻO ka magnesium sulfate kahi mineral e hōʻemi i nā pilikia hopu i nā wahine me ka preeclampsia. E hāʻawi kahi mea mālama ola i ka lāʻau i loko o ka maʻi.

I kekahi manawa, hoʻohana ʻia ia e hoʻolōʻihi i ka hāpai ʻana a i ʻelua mau lā. ʻAe kēia i ka manawa no nā lāʻau corticosteroid e hoʻomaikaʻi i ka hana o ka pēpē o ka pēpē.

Hana pinepine ka magnesium sulfate. Hāʻawi maʻamau ʻia a ma kahi o 24 mau hola ma hope o ka hānau ʻana o ka pēpē. Hoʻokipa ʻia nā wahine e loaʻa ana i ka magnesium sulfate no ka nānā pono ʻana i ka lāʻau.

Aia kekahi hopena?

Hiki ke pōmaikaʻi ka magnesium sulfate i kekahi me ka preeclampsia. Akā aia kahi makaʻu o ka overdosis magnesium, i kapa ʻia ʻo ka magnesia ka ʻawahia. ʻO ka lawe nui ʻana i ka magnesium hiki ke hoʻoweliweli i ke ola i ka makuahine a me ke keiki. I nā wahine, ʻo nā ʻōuli maʻamau nā:

• nausea, diarrhea, a i ʻole ka luaʻi
• nā kulu nui i ke kaomi koko
• lohi a i ʻole kōmi o ka puʻuwai
• nā pilikia hanu
• nā hemahema i nā minelala ʻē aʻe ma mua o ka magnesium, ʻo ka calcium hoʻi
• huikau a fogginess paha
• koma
• maʻi hohola
• hōʻino kīhāpai

I loko o kahi pēpē, hiki i ka toxin magnesium ke kumu i ke kani haʻahaʻa o nā mākala. Hoʻokumu ʻia kēia e ka mālama ʻana i nā mākala maikaʻi ʻole a me ka liʻiliʻi o ka iwi haʻahaʻa. Hiki i kēia mau kūlana ke hoʻokau i ka pēpē i ka nui o ka makaʻu no nā ʻeha, e like me ka haki iwi, a me ka make pū kekahi.

Mālama nā kauka i ka lāʻau make magnesium me:

• ke hāʻawi nei i kahi antidote
• wai
• kākoʻo hanu
• dialysis

I mea e pale ai i ka lāʻau make magnesium mai ka hana mua ʻana, pono e nānā pono kāu kauka i kāu lawe ʻana. E nīnau paha lākou pehea ʻoe e noʻonoʻo nei, nānā i kou hanu ʻana, a nānā pinepine i kāu reflexes.

Haʻahaʻa ka makaʻu o ka ʻona mai ka magnesium sulfate inā hana kūpono ʻia ʻoe a loaʻa i ka hana maʻamau maʻamau.

He aha ka kuanaʻike?

Inā loaʻa iā ʻoe kahi preeclampsia, hiki i kāu kauka ke hoʻomau i ka hāʻawi ʻana iā ʻoe i ka magnesium sulfate ma loko o kāu hānau. Pono e hoʻi i kou kaomi koko i kahi pae maʻamau i loko o nā lā i nā hebedoma o ka lawe ʻana. No ka mea ʻaʻole hiki ke hoʻonā koke i ke ʻano, kokoke i ka ukali ma hope o ka lawe ʻana a no kekahi manawa ma hope he mea nui.

ʻO ke ala ʻoi loa e pale aku ai i nā pilikia mai ka preeclampsia kahi hōʻailona mua. Ke hele ʻoe i kāu kipa mālama prenatal, haʻi mau i kāu kauka e pili ana i nā hōʻailona hou.