He aha ka HELLP maʻi, hōʻailona a me ka lāʻau

Anter

• Nā ʻōuli o ka HELLP Syndrome
• ʻO wai i loaʻa iā HELLP Syndrome hiki ke hāpai hou?
• ʻImi o HELLP Syndrome
• Pehea ka lāʻau

ʻO ka maʻi ʻo HELLP kahi hanana i kū i ka hāpai ʻana a ʻike ʻia e hemolysis, i kūlike i ka luku ʻia ʻana o nā hunaola ʻulaʻula, ka hoʻololi ʻana o nā ʻenema ate a me ka hoʻēmi ʻana i ka nui o nā platelet, hiki ke hoʻoweliweli i ka makuahine a me ka pēpē.

Pili pinepine kēia maʻi i ka pre-eclampsia a i ʻole eclampsia, i hiki ke keʻakeʻa i ka hōʻailona a hoʻolohi i ka hoʻomaka ʻana o ka lāʻau.

He mea nui e ʻike ʻia a mālama ʻia ʻo HELLP Syndrome e like me ka hiki ke hōʻalo i nā pilikia e like me ke kō ʻana o ka puʻuwai, nā pilikia o ke ake, ka edema māmā nui a i ʻole ka make ʻana o ka wahine hāpai a pēpē paha.

Hiki ke hoʻōla ʻia ka maʻi ʻo HELLP inā ʻike ʻia a mālama koke ʻia e like me ka ʻōlelo a ka mea hānau, a he mea pono paha ia, ma nā hihia ʻoi aku ka pilikia i ke ola o ka wahine, e hoʻopau i ka hāpai keiki.

Nā ʻōuli o ka HELLP Syndrome

ʻO nā ʻōuli o ka HELLP Syndrome ʻokoʻa a ʻike pinepine ʻia ma waena o nā pule 28th a me 36th o ka hānau ʻana, ʻoiai e ʻike ʻia paha i ka lua o ka hapalua o ka hāpai ʻana a i ʻole i ka wā postpartum, ʻo ia nā mea nui:

• ʻEha kokoke i ka waha o ka ʻōpū;
• ʻEha poʻo poʻo;
• Nā hoʻololi i ka hihiʻo;
• Ke koko kiʻekiʻe;
• Malaise lehulehu;
• Nusea a me ka luaʻi;
• Ka loaʻa ʻana o ka protein i ka mimi;
• ʻO Jaundice, kahi e lilo ai ka ʻili a me nā maka i melemele i ke kala.

ʻO ka wahine hāpai e hōʻike ana i nā hōʻailona a me nā ʻōuli o ka HELLP Syndrome e nīnau koke i ka mea hānau maʻi a i ʻole e hele i ka lumi pilikia, keu hoʻi inā ʻeha ʻo ia i ka pre-eclampsia, diabetes, lupus a i ʻole nā ​​pilikia puʻuwai a puʻuwai paha.

ʻO wai i loaʻa iā HELLP Syndrome hiki ke hāpai hou?

Inā loaʻa ka wahine i ka HELLP Syndrome a ua hana pololei ʻia ka lapaʻau ʻana, hiki i ka hāpai ʻana ke hana maʻamau, ʻaʻole ka mea liʻiliʻi loa no ka haʻahaʻa o ke ana hou o kēia maʻi.

ʻOiai ʻaʻole hiki iā ia ke hoʻomohala hou i ka maʻi, he mea nui e kiaʻi pono ʻia ka wahine hāpai e ka mea hānau maʻi e hōʻole i ka hoʻololi ʻana i ka wā hāpai.

ʻImi o HELLP Syndrome

Hana ʻia ke kuhi o ka HELLP Syndrome e ka mea hānau ma muli o nā ʻōuli i hōʻike ʻia e ka wahine hāpai a me ka hopena o nā hoʻokolohua hoʻokolohua, e like me ka helu o ke koko, kahi e nānā ʻia ai nā ʻano o nā hunaola ʻulaʻula, ke ʻano a me ka nui. ke nānā nei i ka nui o nā platelet. E aʻo pehea e maopopo ai i ka helu o ke koko.

Hoʻohui ʻia, paipai ke kauka i ka lawe ʻana i nā hoʻokolohua e loiloi i nā enzymes ate, a hoʻololi ʻia hoʻi i ka maʻi HELLP, e like me LDH, bilirubin, TGO a me TGP, no ka laʻana. E ʻike he aha nā hoʻokolohua e loiloi i ke ake.

Pehea ka lāʻau

Hana ʻia ka lapaʻau ʻana no ka HELLP Syndrome me ka wahine i ʻae ʻia i ka Unit Care Intensive i mea e hiki ai i ka mea hānau ke loiloi mau i ka ulu ʻana o ka hāpai ʻana a hōʻike i ka manawa a me ke ala ʻoi loa o ka hānau ʻana, inā hiki kēia.

ʻO ka mālama ʻana no ka HELLP Syndrome kaukaʻi ʻia i ka wā hānau o ka wahine, a he mea maʻamau ia ma hope o 34 mau pule, hoʻokomo koke ʻia ka hānau hānau ʻana e hōʻalo i ka make ʻana o ka wahine a me ka ʻeha ʻana o ka pēpē, i hāʻawi koke ʻia i ka hale mālama mālama nui ʻo Therapy Unit Neonatal e pale i nā pilikia.

Ke emi ka wahine hāpai ma mua o 34 mau wiki, hiki i nā steroid ke hoʻokomo ʻia i loko o ka mākala, e like me betamethasone, e hoʻomohala i nā ake māmā o ka pēpē i hiki ke holomua ka hānau ʻana. Eia naʻe, ke emi ka wahine hāpai ma mua o 24 mau wiki hāpai, ʻaʻole pono paha kēia ʻano lapaʻau, a he mea pono e hoʻopau i ka hāpai keiki. E hoʻomaopopo hou aʻe e pili ana i ka lapaʻau ʻana no ka HELLP Syndrome.