Eclampsia nakong ea bokhachane: hore na ke eng, matšoao a mantlha le kalafo

Litaba

• Matšoao a mantlha
• Postpartum eclampsia
• Ke lisosa le mokhoa oa ho li thibela
• Kalafo e etsoa joang
• 1. Tsamaiso ea magnesium sulfate
• 2. Phomola
• 3. Ho kenyelletsa pelehi
• Mathata a ka bang teng

Eclampsia ke bothata bo tebileng ba bokhachane, bo khetholloang ka linako tse ling tsa ho oela, ebe ho latela coma, e ka bolaeang haeba e sa phekoloe hanghang. Lefu lena le atile likhoeling tse 3 tse fetileng tsa bokhachane, leha ho le joalo, le ka iponahatsa ka nako efe kapa efe kamora beke ea bo20 ea kemaro, nakong ea pelehi kapa, le kamora 'pelehi.

Eclampsia ke ponahatso e tebileng ea pre-eclampsia, e bakang khatello e phahameng ea mali, e fetang 140 x 90 mmHg, boteng ba liprotheine morotong le ho ruruha ha 'mele ka lebaka la ho boloka metsi, empa leha mafu ana a amana, ha se basali bohle ba nang le pre-eclampsia lefu lena le fetela ho eclampsia. Fumana hore na u ka khetholla pre-eclampsia joang le hore na e ka ba matla neng.

Matšoao a mantlha

Matšoao a eclampsia a kenyelletsa:

• Ho tsitsipana;
• Hlooho e bohloko;
• Khatello ea kelello ea methapo;
• Ho nona kapele ka lebaka la ho boloka mokelikeli;
• Ho ruruha ha matsoho le maoto;
• Ho lahleheloa ke protheine ka moroto;
• Ho lla litsebeng;
• Bohloko bo bohloko ba mpeng;
• Ho hlatsa;
• Pono ea fetoha.

Ho tsieleha ho eclampsia hangata ho atile ebile ho nka nako e ka etsang motsotso o le mong mme ho ka etsahala hore e akhehe.

Postpartum eclampsia

Eclampsia e ka hlaha hape kamora ho pepa ha lesea, haholo ho basali ba neng ba e-na le pre-eclampsia nakong ea bokhachane, ka hona ho bohlokoa ho boloka tlhahlobo le kamora ho pepa, e le hore matšoao a ho mpefala a ka tsebahala, mme o lokela ho lokolloa sepetlele feela. kamora ho tloaela khatello le ntlafatso ea matšoao. Fumana hore na matšoao a mantlha ke afe le hore na postpartum eclampsia e etsahala joang.

Ke lisosa le mokhoa oa ho li thibela

Lisosa tsa eclampsia li amana le ho kenngwa le ho nts'etsopele ha methapo ea mali ka lekarecheng, hobane khaello ea phepelo ea mali ho placenta e etsa hore e hlahise lintho tseo, ha li oela ka har'a potoloho, li tla fetola khatello ea mali le ho baka tšenyo ea liphio .

Mabaka a kotsi a ho holisa eclampsia e ka ba:

• Bokhachane ho basali ba fetang lilemo tse 40 kapa ka tlase ho lilemo tse 18;
• Nalane ea lelapa ea eclampsia;
• Ho ima ha mafahla;
• Basali ba nang le khatello ea mali;
• Botenya;
• Lefu la tsoekere;
• Lefu le sa foleng la liphio;
• Bakhachane ba nang le maloetse a ikemetseng, a kang lupus.

Tsela ea ho thibela eclampsia ke ho laola khatello ea mali nakong ea bokhachane le ho etsa liteko tse hlokahalang tsa bakhachane ho fumana liphetoho tse supang lefu lena kapele kamoo ho ka khonehang.

Kalafo e etsoa joang

Eclampsia, ho fapana le khatello e phahameng ea mali, ha e arabele diuretics kapa phepo e nang le letsoai le tlase, ka hona kalafo hangata e kenyelletsa:

1. Tsamaiso ea magnesium sulfate

Tsamaiso ea magnesium sulphate mothapong ke kalafo e atileng haholo maemong a eclampsia, e sebetsang ka ho laola ho oela le ho akheha. Kalafo e lokela ho etsoa kamora ho kena sepetlele le magnesium sulfate e lokela ho fuoa ke setsebi sa tlhokomelo ea bophelo ka kotlolloho mothapong.

2. Phomola

Nakong ea kokelo, moimana o lokela ho phomola ka hohle kamoo a ka khonang, ka ho khetheha a robale ka lehlakore la hae le letšehali, molemong oa ho ntlafatsa phallo ea mali ho lesea.

3. Ho kenyelletsa pelehi

Pelehi ke eona feela tsela ea ho folisa eclampsia, leha ho le joalo ho kenella ho ka lieha ka meriana e le hore ngoana a ka holisa ka hohle kamoo ho ka khonehang.

Kahoo, nakong ea kalafo, tlhahlobo ea bongaka e lokela ho etsoa letsatsi le leng le le leng, lihora tse ling le tse ling tse 6 ho laola phetoho ea eclampsia, 'me haeba ho se na ntlafatso, pelehi e lokela ho susumetsoa kapele kamoo ho ka khonehang, e le ho rarolla ho tsitsipana ho bakiloeng ke eclampsia.

Le ha eclampsia hangata e ntlafala kamora ho pepa, mathata a ka hlaha matsatsing a latelang, ka hona mosali o lokela ho beoa leihlo ka hloko mme ha a bona matšoao a eclampsia, ho kena sepetlele ho ka nka matsatsi a 'maloa ho isa ho libeke, ho latela boima ba bothata le mathata a ka bang teng.

Mathata a ka bang teng

Eclampsia e ka baka mathata a itseng, haholo ha e sa alafuoe kapele hang hoba e tsejoe. E 'ngoe ea mathata a mantlha ke lefu la HELLP, le khetholloang ke phetoho e kholo ea phallo ea mali, moo ho nang le tšenyo ea lisele tse khubelu tsa mali, ho fokotseha ha liplatelete le tšenyo ea lisele tsa sebete, ho baka keketseho ea li-enzyme tsa sebete le li-bilirubin maling. teko. Ithute haholoanyane ka seo e leng sona le kamoo u ka alafang HELLP syndrome.

Mathata a mang a ka bang teng ke ho fokotseha ha phallo ea mali ho ea bokong, ho baka tšenyo ea methapo, hammoho le ho boloka mokelikeli matšoafong, mathata a ho hema le ho hloleha ha liphio kapa sebete.

Ntle le moo, masea le ona a ka angoa, ka ho holofala kholong ea bona kapa tlhoko ea ho lebella ho pepa. Maemong a mang, lesea le ka 'na la se ke la hola ka botlalo, mme ho ka ba le mathata, joalo ka mathata a ho hema, a hlokang ho hlahlojoa ke ngaka ea bana' me, maemong a mang, ho amoheloa ICU ho netefatsa tlhokomelo e ntle.