HELLP syndrome, matšoao le kalafo ke eng

Litaba

• Matšoao a HELLP Syndrome
• Ke mang ea neng a e-na le HELLP Syndrome ea ka emang hape?
• Tlhahlobo ea HELLP Syndrome
• Kalafo e joang

HELLP syndrome ke boemo bo hlahang nakong ea bokhachane 'me bo khetholloa ke hemolysis, e lumellanang le ho senngoa ha lisele tse khubelu tsa mali, phetoho ea li-enzyme tsa sebete le ho fokotseha ha liplatelete, tse ka behang' m'a le lesea kotsing.

Lefu lena hangata le amana le pre-eclampsia kapa eclampsia e matla, e ka sitisang tlhahlobo le ho lieha ho qala ha kalafo.

Ho bohlokoa hore HELLP Syndrome e tsejoe le ho phekoloa kapele kamoo ho ka khonehang ho qoba mathata a kang ho hloleha ha liphio, mathata a sebete, edema e matla ea matšoafo kapa lefu la mokhachane kapa lesea, mohlala.

Lefu la HELLP lea phekoleha haeba le ka fumanoa 'me la phekoloa kapele ho latela boeletsi ba ngaka ea pelehi,' me ho ka hlokahala, maemong a mabe le ho feta moo bophelo ba mosali bo leng kotsing, ho emisa ho ima.

Matšoao a HELLP Syndrome

Matšoao a HELLP Syndrome a fapane mme hangata a hlaha lipakeng tsa libeke tsa 28 le 36 tsa boimana, leha li ka hlaha khoeling ea bobeli ea bokhachane kapa, esita le nakong ea pelehi, e le tsona tse ka sehloohong:

• Bohloko bo haufi le molomo oa mpa;
• Hlooho e bohloko;
• Liphetoho ponong;
• Khatello e phahameng ea mali;
• Malaise ka kakaretso;
• Ho nyekeloa le ho hlatsa;
• Boteng ba protheine morong;
• Jaundice, moo letlalo le mahlo li bang bosehla ka 'mala.

Mokhachane ea bonts'ang matšoao a HELLP Syndrome o lokela ho ea ngakeng hang-hang kapa a ee kamoreng ea maemo a tšohanyetso, haholo haeba a tšoeroe ke pre-eclampsia, lefu la tsoekere, lupus kapa mathata a pelo kapa a liphio.

Ke mang ea neng a e-na le HELLP Syndrome ea ka emang hape?

Haeba mosali a e-na le HELLP Syndrome 'me kalafo e entsoe ka nepo, bokhachane bo ka etsahala ka mokhoa o tloaelehileng, haholo hobane sekhahla sa ho boela hoa lefu lena se tlase haholo.

Le ha ho le bonolo hore a ka hlola a ba le lefu lena hape, ho bohlokoa hore mokhachane a beoe leihlo le leihlo ke ngaka ea pelehi ho qoba ho ba le liphetoho nakong ea bokhachane.

Tlhahlobo ea HELLP Syndrome

Tlhatlhobo ea HELLP Syndrome e etsoa ke ngaka ea pelehi e ipapisitse le matšoao a hlahisitsoeng ke mokhachane le sephetho sa liteko tsa laboratori, joalo ka palo ea mali, moo ho hlahlojoang litšobotsi tsa lisele tse khubelu tsa mali, sebopeho le bongata, ntle le ho hlahloba bongata ba liplatelete. Ithute ho utloisisa palo ea mali.

Ntle le moo, ngaka e khothaletsa ho etsa liteko tse lekang li-enzyme tsa sebete, tse fetotsoeng ho lefu la HELLP, joalo ka LDH, bilirubin, TGO le TGP, mohlala. Bona liteko tse hlahlobang sebete.

Kalafo e joang

Kalafo ea HELLP Syndrome e etsoa ka mosali ea amohetsoeng Lefapheng la Tlhokomelo e Matla e le hore ngaka ea pelehi e ka lula e hlahloba tsoelo-pele ea bokhachane le ho supa nako e nepahetseng le tsela ea pelehi, haeba ho khonahala.

Kalafo ea HELLP Syndrome e its'etleha ho lilemo tsa boimana tsa mosali, 'me ho tloaelehile hore kamora libeke tse 34, ho pepa ho qalelisoa kapele ho qoba lefu la mosali le mahlomola a lesea, le romeloang hanghang Lefapheng la Therapy Unit Neonatal intensive care unit ho qoba mathata.

Ha mokhachane a le ka tlase ho libeke tse 34, li-steroid li ka kenoa ka mosifa, joalo ka betamethasone, ho holisa matšoafo a lesea e le hore pelehi e tsoele pele. Leha ho le joalo, ha mokhachane a le ka tlase ho libeke tse 24 a le moimana, mofuta ona oa kalafo o kanna oa se sebetse, mme ho hlokahala hore a emise ho ima. Utloisisa haholoanyane ka kalafo ea HELLP Syndrome.