Preeclampsia: Nā kumu, nā hōʻailona, ​​nā kumu pilikia, nā pilikia, nāʻike a me nā lāʻau

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ʻO Preeclampsia kahi maʻi i ʻike ʻia e ke koko kiʻekiʻe a me ka excretion o ka protein i loko o ka mimi. He maʻi lapaʻau maʻamau ia i ka wā o ka hāpai ʻana e pili ana i ka maʻi nui o ka makuahine a me ka make ʻana a me ke kaohi ulu fetal intrauterine [1] .

Kū ka Preeclampsia ma kahi o ʻelua a ʻewalu pākēneka o nā hāpai keiki a puni ka honua [elua] . Wahi a ka National Health Portal o India, pili ka preeclampsia iā 8 a 10 pakeneka o nā wahine hāpai. Hiki i kēia maʻi ke pilikia i ke olakino o ka makuahine a me ka pēpē.

Nā Kumu o Preeclampsia

ʻAʻole maopopo maopopo ke kumu kūpono o ka preeclampsia. Hiki ke hana i ka Preeclampsia ma muli o nā loli ʻole o ka placenta, kahi meaola e hānai ai i ka ʻōpū i ka wā hāpai. ʻO nā kīʻaha koko e hoʻouna i ke koko i ka placenta e liʻiliʻi a hana ʻole paha a ʻano ʻē i nā hōʻailona hormonal, no laila ka palena ʻana i ke kahe o ke koko i ka placenta.

Ua hoʻopili ʻia ka maikaʻi ʻole o ka placenta i kekahi mau ʻāpana a me ka hōʻino ʻana o ka ʻōnaehana pale [3] .

Hana ʻia ka Preeclampsia ma hope o 20 mau pule o ka hāpai ʻana. Eia nō naʻe, i kekahi mau hihia, hiki mua paha ia [4] .

Nā ʻōuli o Preeclampsia

Wahi a ka American Pregnancy Association, ʻo nā ʻōuli o ka preeclampsia me kēia mau mea: [5]

• Ke koko kiʻekiʻe

• ka paʻa ʻana o ka wai

• Ka nui o nā protein i ka mimi

• Uʻi poʻo

• ʻike hihi

• ʻAʻole hiki ke ʻae i ka mālamalama mālamalama

• Pokole o ka hanu

• luhi

• Nausea a me ka luaʻi

• ʻeha ma ka ʻōpū ʻākau ma luna

• pinepine ʻole ka mimiki ʻana

Nā Kūlana Pilikia o Preeclampsia

• Ka maʻi maʻi puʻupaʻa

• ka hanu kiʻekiʻe

• Ka maʻi diabetes

• hāpai keiki lehulehu

• Ua preeclampsia ma mua

• Antiphospholipid antibody syndrome

• Nulliparity

• Erythematosus lupus ʻōnaehana

• Kiʻekiʻena kiʻekiʻe

• Ka moʻolelo ʻohana o ka maʻi puʻuwai

• Ka momona [6]

• Mōʻaukala ʻohana o ka preeclampsia ma ke kekelē mua

• Hapai ma hope o ka makahiki 40 [7]

Nā pilikia o Preeclampsia

Kū nā pilikia o ka preeclampsia i ʻekolu pakeneka o nā hāpai keiki [8] . Pākuʻi ʻia kēia mau mea:

• kapu kapu Fetal

• Hānau mua

• Ka hoʻohauna pā

• HELLP maʻi maʻi

• Eclampsia

• maʻi maʻi puʻuwai

• Nā pilikia o ka hui [9]

I ka manawa e ʻike ai i kahi kauka

E hōʻoia e kipa pinepine i kāu gynecologist i hiki ke nānā ʻia kou kaomi koko. Inā ʻike ʻoe i kekahi o nā ʻōuli i ʻōlelo ʻia ma luna aʻe e nīnau koke i kāu kauka.

Kānāwai o Preeclampsia

E alakaʻi ke kauka i kahi hoʻokolohua kino a nīnau i ka hanana o ke kiʻekiʻe o ke koko i ka wā o ka hāpai mua inā loaʻa. A laila e loaʻa i kahi kauka olakino olakino e ke kauka e hoʻomaopopo i nā kūlana olakino i hiki ke hoʻonui i ka makaʻi o ka preeclampsia.

Inā kānalua ke kauka preeclampsia, e hana hou ʻia nā hoʻokolohua hou e like me nā hoʻāʻo ʻana o ke koko, ka hoʻokolo ʻana i ka mimi a me nā hōʻike ultrasound fetal.

ʻO nā pae hoʻohālikelike no ka preeclampsia:

• Ke kaomi koko systolic hoʻomau o 140 mm Hg a ʻoi paha, a i ʻole ke kiʻekiʻe o ke kaomi diastolic o 90 mm Hg a ʻoi paha ma hope o 20 mau pule o ka hāpai ʻana. [10] .

• Protein i kāu mimi (proteinuria).

• loaʻa i nā poʻo hina nui.

• nā haunaele ʻike.

Iapaau ana o Preeclampsia

ʻO ka lawe ʻana ka mea mālama wale no ka preeclampsia e pili ana i ka manawa o ka lawe ʻana a me ke koʻikoʻi o ka makuahine a me ke kūlana fetal. Hiki i ka hoʻokomo ʻana i ka hana ke hoʻohaʻahaʻa i ka makaʻu o ka make kiʻekiʻe a me nā maʻi maʻi.

Pono pono ka Hemodynamic, neurological, a me ka nānā ʻana o ka hale hana ma hope o ka lawe ʻana no nā mea maʻi me ka preeclampsia koʻikoʻi. Pono e hana i ka nānā ʻana o ka hale hana i kēlā me kēia lā a puni ka lā i nā hola 72 ma hope o ka lawe ʻana.

Hoʻohana ʻia nā lāʻau Antihypertensive e hoʻohaʻahaʻa i ke koko kiʻekiʻe i nā hāpai hāpai preeclampsia koʻikoʻi.

Hiki i nā lāʻau Corticosteroid ke kōkua i ka mālama ʻana i ka preeclampsia, kaukaʻi ʻia i ka makahiki hānau [umikumākahi] .

Kāohi ʻana o Preeclampsia

Wahi a ka American Pregnancy Association, aia kekahi mau ala i hiki ke pale aku i ka preeclampsia [12] .

E hoʻohana i ka paʻakai liʻiliʻi i kāu mau meaʻai.

• E lawa ka hoʻomaha.

lapaʻau home no nā wahi ʻeleʻele ma ka maka

• Inu ʻeono a ʻewalu mau aniani o ka wai i ka lā.

• hoʻoikaika kino i kēlā me kēia lā

• Mai ʻai i nā meaʻai palai a wī paha

• Mai inu i ka ʻalekohola

• Pale i ka inu ʻana i nā mea inu me ka caffeine.

• E hoʻokiʻekiʻe i kou wāwae i nā manawa he nui i ka lā holoʻokoʻa.

Nā FAQ maʻamau

P. Pehea e hoʻopili ai i ka preeclampsia i ka pēpē hānau?

TO . Hiki i ka Preeclampsia ke pale aku i ka placenta mai ka lawa ʻana o ke koko a inā ʻaʻole lawa ke koko, e emi ana ka pēpē ma o ka oxygen a me ka meaʻai, e hopena ai i ke kaumaha o ka hānau hānau.

P. Hiki hiki ke hele koke mai ka preeclampsia?

TO . Hiki i ka Preeclampsia ke hoʻomohala lohi a ulu i kekahi manawa me ka ʻole o nā ʻōuli.

P. Pili ke koʻikoʻi i ka preeclampsia?

TO. Hiki i ke koʻikoʻi psychological ke hoʻopili pololei a pololei ʻole paha i ka hāpai ʻana a hiki ke alakaʻi i ka preeclampsia.

P. Hiki paha i kahi pēpē ke make mai preeclampsia?

TO. ʻO Preeclampsia inā ʻaʻole i hōʻike ʻia i ka manawa kūpono ke kumu o ka make ʻana o ka makuahine a me ke keiki.

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