Sengoli: Gregory Harris
Letsatsi La Creation: 16 April 2021
Ntlafatsa Letsatsi: 1 November 2024
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Hyperemesis Gravidarum - Obstetrics for Medical Students
Video: Hyperemesis Gravidarum - Obstetrics for Medical Students

Hyperemesis gravidarum e feteletseng, ho nyekeloa ke pelo le ho hlatsa nakong ea bokhachane. E ka lebisa ho felloa ke metsi 'meleng, ho theola boima ba' mele le ho se leka-lekane ha electrolyte. Ho kula hoseng ke ho nyekeloa ke pelo le ho hlatsa ho etsahalang nakong ea bokhachane ba pelehi.

Basali ba bangata ba na le ho nyekeloa ke pelo kapa ho hlatsa (ho kula hoseng), haholo nakong ea likhoeli tse tharo tsa pele tsa bokhachane. Lebaka le tobileng la ho nyekeloa ke pelo le ho hlatsa nakong ea bokhachane ha le tsejoe. Leha ho le joalo, ho lumeloa hore e bakoa ke keketseho e potlakileng ea mali ea hormone e bitsoang human chorionic gonadotropin (HCG). HCG e lokolloa ke placenta. Ho kula ha bonolo hoseng ho tloaelehile. Hyperemesis gravidarium ha e tloaelehe ebile e matla haholo.

Basali ba nang le hyperemesis gravidarum ba na le ho nyekeloa ke pelo haholo le ho hlatsa nakong ea bokhachane. E ka baka boima ba 'mele bo fetang 5% ea boima ba' mele. Boemo bo ka etsahala nakong ea bokhachane bofe kapa bofe, empa ho na le monyetla o monyane haeba o imme mafahla (kapa masea a mangata), kapa o na le mole ea hydatidiform. Basali ba kotsing e kholo ea ho ba le bothata ba 'mele haeba ba bile le bothata nakong ea bokhachane bo fetileng kapa ba na le tšekamelo ea ho kula.


Ho kula hoseng ho ka baka takatso ea lijo, ho nyekeloa ke pelo, kapa ho hlatsa. Sena se fapane le hyperemesis ea 'nete hobane hangata batho ba ntse ba khona ho ja le ho noa maro ka linako tse ling.

Matšoao a hyperemesis gravidarum a matla haholo. Li ka kenyelletsa:

  • Ho nyekeloa ke pelo ho matla, ho phehellang le ho hlatsa nakong ea bokhachane
  • Ho koala mathe hofeta ka mokhoa o tloaelehileng
  • Ho fokotsa boima ba 'mele
  • Matšoao a ho felloa ke metsi 'meleng joalo ka moroto o lefifi, letlalo le omeletseng, bofokoli, hlooho e bobebe kapa ho akheha
  • Ho sokela
  • Ho sitoa ho nka bongata bo lekaneng ba mokelikeli kapa phepo e nepahetseng

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Khatello ea mali ea hau e ka ba tlase. Moferefere oa hau o ka ba holimo.

Ho tla etsoa liteko tse latelang tsa laboratori ho hlahloba matšoao a ho felloa ke metsi 'meleng:

  • Palo e felletseng ea mali
  • Li-electrolyte
  • Li-ketone tsa moroto
  • Ho fokotsa boima ba 'mele

Mofani oa hau a ka hloka ho etsa liteko ho netefatsa hore ha o na mathata a sebete le masapo.


Ho tla etsoa ultrasound ea bokhachane ho bona hore na o na le mafahla kapa masea a mangata. Ultrasound e boetse e hlahloba mole ea hydatidiform.

Hangata bokuli ba hoseng bo ka laoloa ka ho qoba ho baka lijo tse bakang bothata le ho noa maro a mangata ha matšoao a emisa e le hore o lule o le metsi.

Haeba ho nyekeloa ke pelo le ho hlatsa ho etsa hore u felloe ke metsi, u tla fumana maro ka IV. Le uena u ka fuoa meriana e thibelang ho nyekeloa ke pelo. Haeba ho nyekeloa le pelo le ho hlatsa li le matla hoo uena le lesea la hao le ka bang kotsing, le tla amoheloa sepetlele bakeng sa kalafo. Haeba u sa khone ho ja lijo tse lekaneng ho fumana limatlafatsi tseo uena le lesea la hao le li hlokang, u ka fumana limatlafatsi tse eketsehileng ebang ke ka IV kapa ka lethopo le kenngoang ka mpeng.

Ho thusa ho sebetsana le matšoao lapeng, leka likeletso tsena.

Qoba lintho tse ka u susumetsang. U ka hlokomela hore lintho tse ling li ka baka moferefere le ho hlatsa. Tsena li ka kenyelletsa:

  • Melumo le melumo e itseng, esita le seea-le-moea kapa TV
  • Mabone a khanyang kapa a phatsimang
  • Sesepa sa meno
  • Monko o kang setlolo se nkhang hamonate le lihlahisoa tse hlatsoang tse hlatsoang
  • Khatello mpeng ea hau (apara liaparo tse sa tlameng)
  • Ho palama koloi
  • Ho nka lipula

Ja le ho noa ha u khona. Nka monyetla ka linako tseo u utloang hamolemo ho ja le ho noa. Ja lijo tse nyane khafetsa. Leka lijo tse ommeng, tse bland joaloka li-crackers kapa litapole. Leka ho ja lijo tse u khahlang. Bona hore na o ka mamella li-smoothies tse nang le phepo le litholoana kapa meroho.


Eketsa maro ka linako tse ling tsa letsatsi ha o ikutloa o nyefoloa hanyane. Seltzer, ginger ale, kapa lino tse ling tse phatsimang li ka thusa. U ka leka ho sebelisa li-ginger tse nang le lethal dose e tlase kapa lihlopha tsa letsoho la acupressure ho fokotsa matšoao.

Vithamine B6 (e seng ho feta 100 mg ka letsatsi) e bontšitsoe e fokotsa ho nyekeloa ke pelo nakong ea bokhachane ba pelehi. Botsa mofani oa hau hore na vithamine ena e ka u thusa. Moriana o mong o bitsoang doxylamine (Unisom) o bontšitsoe o sebetsa hantle ebile o bolokehile ha o kopantsoe le Vitamin B6 bakeng sa ho nyekeloa ke pelo nakong ea bokhachane. U ka reka meriana ena ntle le lengolo la ngaka.

Boloetse ba hoseng hangata bo bobebe, empa boa phehella. E ka qala pakeng tsa libeke tse 4 le tse 8 tsa boimana. Hangata e fela ka libeke tse 16 ho isa ho tse 18 tsa bokhachane. Ho nyekeloa ke pelo le ho hlatsa ho ka boela ha qala lipakeng tsa libeke tse 4 le tse 8 tsa bokhachane 'me hangata li ea feta ka libeke tse 14 ho isa ho tse 16. Ka ho tseba matšoao a nepahetseng le ho latela ka hloko, mathata a tebileng ho lesea kapa ho mme ha a fumanehe hangata.

Ho hlatsa ho matla ho kotsi hobane ho lebisa ho felloa ke metsi 'meleng le ho nona hampe nakong ea bokhachane. Ke ka seoelo mosali a ka tsoang mali 'meleng kapa mathata a mang a tebileng a ho hlatsa khafetsa.

Boemo bona bo ka etsa hore ho be thata ho tsoela pele ho sebetsa kapa ho itlhokomela. E ka baka matšoenyeho le khatello ea maikutlo ho basali ba bang ba sallang kamora ho ima.

Bitsa mofani oa hau haeba u imme 'me u na le ho nyekeloa ke pelo haholo le ho hlatsa kapa u na le matšoao a latelang:

  • Matšoao a ho felloa ke metsi 'meleng
  • Ha e khone ho mamella maro afe kapa afe ho feta lihora tse 12
  • Hlooho e khanyang kapa ho tsekela
  • Madi mahlatseng
  • Bohloko ba mpeng
  • Boima ba 'mele bo fetang 5 lb

Ho nyekeloa ke pelo - hyperemesis; Ho hlatsa - hyperemesis; Ho kula hoseng - hyperemesis; Bokhachane - hyperemesis

Cappell MS. Mathata a mala nakong ea bokhachane. Ka: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Likokoana-hloko: Bokhachane bo tloaelehileng le ba bothata. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 48.

Gordon A, Love A. Ho nyekeloa ke pelo le ho hlatsa nakong ea bokhachane. Ka: Rakel D, ed. Meriana e Kopanetsoeng. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 54.

Kelly TF, O boloka TJ. Boloetse ba mala nakong ea bokhachane. Ka: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, li-eds. Creasy le Resnik's Maternal-Fetal Medicine: Melao-motheo le Tloaelo. La 8th. Philadelphia, PA: Elsevier; 2019: khaolo ea 63.

Malagelada JR, Malagelada C. Ho nyekoa ke pelo le ho hlatsa. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 15.

Salhi BA, Nagrani S. Mathata a maholo a bokhachane. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 178.

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