Postpartum eclampsia: ke eng, hobaneng e etsahala le kalafo
Litaba
- Matšoao a mantlha
- Kalafo e etsoa joang
- Hobaneng ha postpartum eclampsia e etsahala
- Na postpartum eclampsia e tloha sequelae?
Postpartum eclampsia ke boemo bo sa tloaelehang bo ka hlahang nakong ea lihora tse 48 tsa pelehi. Ho tloaelehile ho basali ba fumanoeng ba na le pre-eclampsia nakong ea bokhachane, empa e ka hlaha hape ho basali ba nang le litšobotsi tse ratang lefu lena, joalo ka botenya, khatello e phahameng ea mali, lefu la tsoekere, ba lilemo tse fetang 40 kapa ba ka tlase ho lilemo tse 18.
Eclampsia hangata e hlaha kamora libeke tse 20 tsa kemaro, nakong ea pelehi kapa pelehi. Mosali ea fumanoeng a na le eclampsia ka nako efe kapa efe nakong ea bokhachane kapa kamora ho ima o lokela ho lula sepetlele ho fihlela matšoao a ntlafatso a bonoa. Lebaka ke hore eclampsia, haeba e sa phekoloe hantle le ho beoa leihlo, e ka fetoha coma mme ea bolaea.
Ka kakaretso, kalafo e etsoa ka meriana, haholo-holo ka magnesium sulfate, e fokotsang ho oela le ho thibela ho akheha.
Matšoao a mantlha
Postpartum eclampsia hangata ke ponahatso e matla ea preeclampsia. Matšoao a maholo a "postpartum eclampsia" ke ana:
- Ho akheha;
- Hlooho e bohloko;
- Bohloko ba mpeng;
- Pono e lerootho;
- Ho tsitsipana;
- Khatello e phahameng ea mali;
- Boima ba 'mele;
- Ho ruruha ha matsoho le maoto;
- Boteng ba liprotheine morong;
- Ho lla litsebeng;
- Ho hlatsa.
Preeclampsia ke boemo bo ka hlahang nakong ea bokhachane 'me bo khetholloa ke khatello e phahameng ea mali nakong ea bokhachane, e kholo ho feta 140 x 90 mmHg, boteng ba protheine morong le ho ruruha ka lebaka la ho boloka metsi. Haeba pre-eclampsia e sa phekoloe hantle, e ka fetela boemong bo tebileng haholo, e leng eclampsia. Utloisisa hantle hore na pre-eclampsia ke eng le hore na hobaneng e etsahala.
Kalafo e etsoa joang
Kalafo ea postpartum eclampsia e ikemiselitse ho phekola matšoao, ka hona ho kgothaletswa ho sebelisa magnesium sulfate, e laolang ho oela le ho qoba coma, antihypertensives, ho theola khatello ea mali, 'me ka linako tse ling aspirin bakeng sa ho kokobetsa bohloko, kamehla ka boeletsi ba bongaka.
Ntle le moo, ho bohlokoa ho ela hloko lijo, ho qoba boholo ba letsoai le lijo tse mafura, e le hore khatello e se ke ea eketseha hape, motho o lokela ho noa metsi a mangata mme a phomole ho latela tlhahiso ea ngaka. Bona ho eketsehileng ka kalafo ea eclampsia.
Hobaneng ha postpartum eclampsia e etsahala
Lintlha tse ka sehloohong tse lumellang ho qala ha postpartum eclampsia ke tsena:
- Botenya;
- Lefu la tsoekere;
- Khatello ea kelello;
- Ho ja hampe kapa khaello ea phepo e nepahetseng;
- Ho ima ha mafahla;
- Boimana ba pele;
- Maemo a eclampsia kapa pre-eclampsia ka lapeng;
- Lilemo tse fetang 40 le ka tlase ho lilemo tse 18;
- Lefu le sa foleng la liphio;
- Ho itšireletsa mafung, joalo ka lupus.
Lisosa tsena kaofela li ka qojoa, ka hona ha fokotsa menyetla ea postpartum eclampsia, ka mekhoa e metle ea bophelo le kalafo e nepahetseng.
Na postpartum eclampsia e tloha sequelae?
Hangata, ha eclampsia e tsejoa hanghang mme kalafo e qalisoa hang kamora moo, ha ho na sequelae. Empa, haeba kalafo e sa lekana, mosali a ka ba le makhetlo a mangata a ho ts'oaroa, a ka nkang motsotso o le mong, tšenyo e sa feleng ho litho tsa bohlokoa, joalo ka sebete, liphio le boko, mme a ka tsoela pele ho akheha, e ka bang e bolaea mosali.
Postpartum eclampsia ha e behe lesea kotsing, ho beha mme feela. Lesea le kotsing ha, nakong ea bokhachane, mosali a fumanoa a e-na le eclampsia kapa pre-eclampsia, ka pelehi hanghang e le mofuta oa kalafo le thibelo ea mathata a mang, joalo ka lefu la HELLP. Lefu lena le ka ba le mathata sebeteng, liphio kapa pokello ea metsi ka matšoafong. Tseba hore na ke eng, matšoao a mantlha le mokhoa oa ho phekola HELLP Syndrome.