Hoʻomaʻo no ka HELLP Syndrome

Anter

• 1. Nā wahine hāpai ma 34 mau pule
• 2. Nā wahine hāpai ma lalo o 34 mau pule
• ʻO Corticosteroid therapy e hoʻoulu ai i ka pēpē
• Nā hōʻailona o ka hoʻomaikaʻi ʻana i ka maʻi HELLP
• Nā hōʻailona o ka hōʻino ʻana o ka maʻi HELLP

ʻO ka lapaʻau maikaʻi loa no ka HELLP Syndrome ke kumu o ka hānau mua ke loaʻa maikaʻi nā pēpē i ka pēpē, ma hope o 34 mau pule, a i ʻole e hōʻeleu i kona hoʻomohala ʻana i mea e holomua ai ka hānau ʻana, i nā manawa o ka hānau hānau ma mua o 34 mau pule.

ʻO ka maʻamau, hoʻomaikaʻi nā ʻōuli o ka maʻi HELLP i 2 a 3 mau lā ma hope o ka hānau ʻana, akā inā ʻaʻole lawa ka hoʻomohala ʻana o ka pēpē, hiki i ka mea hānau ke koi aku i ka haukapila e hoʻomau i ka nānā ʻana a me ka loiloi o ke olakino o ka wahine hāpai a me ka pēpē, ka kaohi ʻana i nā ʻōuli me lāʻau pololei i ka aa, a hiki i ka manawa ke hiki ke hoʻouna.

Ma ke ʻano he ulia pōpilikia, pono e loiloi koke ʻia ka maʻi HELLP i ka haukapila, ke hiki mai nā hōʻailona mua o ke kānalua e like me ka ʻeha nui, ʻike ʻia nā loli a me nā malaise āpau. E ʻike i nā hōʻailona maʻamau āpau o kēia komplication.

1. Nā wahine hāpai ma 34 mau pule

E like me kēia wā hānau, hoʻomohala maʻamau ka pēpē e hana i ka hānau a ʻae iā ia e hoʻomau e hoʻomohala palekana ma waho o ka ʻōpū. No laila, i kēia mau hihia, mālama pinepine ʻia ka maʻi HELLP me ka lawe mua ʻana.

ʻOiai hoʻomaikaʻi nā ʻōuli i ka 2 a i ʻole 3 mau lā ma hope o ka hānau ʻana, pono paha ka wahine hāpai a me ka pēpē e noho lōʻihi i ka haukapila ma lalo o ka nānā ʻana e ʻike ʻaʻole pilikia.

Inā hānau ʻia ka pēpē ma mua o 37 mau pule, he mea maʻamau ia e ʻae ʻia i kahi incubator o ka haukapila a hiki i ka hoʻomohala pono ʻia ʻana o kona mau māmā a me nā mea ʻē aʻe.

2. Nā wahine hāpai ma lalo o 34 mau pule

Ke emi ka wahine hāpai ma mua o 34 mau pule, a i ʻole lawa ka ulu ʻana o ka pēpē e hānau ai ka pēpē, paipai pinepine ke kauka i ka haukapila e hana i kahi loiloi mau o ka wahine hāpai a hoʻomaka i ka mālama ʻana me:

• Hoʻomaha loa i ka moena;
• Hoʻololi ke koko, e mālama i ka anemia i hoʻokumu ʻia e ka maʻi maʻi.
• Nā lāʻau lapaʻau kiʻekiʻe kiʻekiʻe, kuhikuhi ʻia e ka kaukō;
• ʻO kaʻai ʻana i ka magnesium sulfate, i mea e pale aku ai i ka hopu ʻana ma muli o ke kiʻekiʻe o ke koko.

Eia nō naʻe, inā māhuahua nā ʻōuli o ka HELLP Syndrome a ʻoi paha ka emi o ka makahiki hānau ma mua o 24 mau pule, hiki i ka mea hānau ke koi i kahi ʻōpū e hōʻalo i nā pilikia koʻikoʻi i ka wahine hāpai, e like me ka hōʻino ʻole ʻana o ka puʻuwai a i ʻole ka edema māmā māmā, a he mea hoʻoweliweli paha ia i ke ola. .

ʻO Corticosteroid therapy e hoʻoulu ai i ka pēpē

Ma waho aʻe o kēia mālama i ka wā o ka haukapila, ʻōlelo paha ka mea hānau iā ʻoe e lawe i ka lāʻau corticosteroid e hoʻoulu ai i ka ulu o ka pēpē a ʻae i ka hānau ʻana ma mua. Hana ʻia kēia lapaʻau me ka lawelawe ʻana o ka corticoid, dexamethasone maʻamau, i loko o ke aa koko.

ʻOiai ua kūleʻa nui ia i nā hihia he nui, he kontroversial kēia hoʻomaʻamaʻa a, no laila, inā ʻaʻole hōʻike i nā hopena, hiki ke haʻalele ʻia e ke kauka.

Nā hōʻailona o ka hoʻomaikaʻi ʻana i ka maʻi HELLP

ʻO nā hōʻailona o ka hoʻomaikaʻi ʻana i ka HELLP Syndrome ka paʻa o ke kahe o ke koko i nā waiwai e like me ka wahine i loaʻa ma mua o ka hāpai ʻana, a me ka hoʻemi ʻana i ka ʻeha poʻo a me ka luaʻi.

I ka wā postpartum o HELLP Syndrome ka wahine hāpai e ʻike i ka hoʻomaikaʻi ma kahi o 2 a 3 mau lā, akā pono e hoʻomau ʻia e loiloi ʻia e ka mea hānau a i ʻole ka mea hana maʻamau, ma ka liʻiliʻi i hoʻokahi manawa i ka pule, i ka mahina mua.

Nā hōʻailona o ka hōʻino ʻana o ka maʻi HELLP

Hōʻike ʻia nā ʻōuli o ka maʻi ʻoi loa o ka maʻi ʻo HELLP ke hoʻomaka ʻole ʻia ka lapaʻau ʻana i ka manawa a i ʻole ke hiki ʻole i ke kino o ka wahine hāpai ke kū i ka piʻi o ke koko a hoʻokomo i ka paʻakikī i ka hanu ʻana, ke kahe ʻana o ke kahe a me ka emi ʻana o ka nui o ka mimi.