Preeclampsia: ke eng, matšoao a mantlha le kalafo

Litaba

• Matšoao a mantlha
• 1. Preeclampsia e bonolo
• 2. Pele ho eclampsia
• Kalafo e etsoa joang
• Mathata a ka bang teng a preeclampsia

Preeclampsia ke bothata bo tebileng ba bokhachane bo bonahalang bo hlaha ka lebaka la mathata a nts'etsopele ea methapo ea menoana, e lebisang ho spasms methapong ea mali, ho fetoha ha bokhoni ba ho hoamisa mali le ho fokotsa ho potoloha ha mali.

Matšoao a eona a ka iponahatsa nakong ea bokhachane, haholo kamora ho qeta beke ea bo20, nakong ea pelehi kapa kamora ho pepa 'me e kenyelletsa 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 .

Maemo a mang a eketsang kotsi ea ho ba le "pre-eclampsia" a kenyelletsa ha mosali a ima ka lekhetlo la pele, a le ka holimo ho lilemo tse 35 kapa a le ka tlase ho lilemo tse 17, o na le lefu la tsoekere, o motenya, o imme mafahla kapa o na le nalane ea lefu la liphio, khatello ea maikutlo kapa pre-eclampsia e fetileng.

Matšoao a mantlha

Matšoao a pre-eclampsia a ka fapana ho latela mofuta:

1. Preeclampsia e bonolo

Pele ho eclampsia, matšoao le matšoao a kenyelletsa:

• Khatello ea mali e lekana le 140 x 90 mmHg;
• Boteng ba liprotheine morong;
• Ho ruruha le boima ba 'mele ka tšohanyetso, joalo ka 2 ho isa ho 3 kg ka matsatsi a 1 kapa a mabeli.

Boteng ba le leng la matšoao, mokhachane o lokela ho ea kamoreng ea tšohanyetso kapa sepetlele ho ea lekanya khatello ea mali le ho etsa liteko tsa mali le moroto, ho bona hore na o na le pre-eclampsia kapa che.

2. Pele ho eclampsia

Ho pre-eclampsia e matla, ntle le ho ruruha le boima ba 'mele, matšoao a mang a ka hlaha, joalo ka:

• Khatello ea mali e kholo ho feta 160 x 110 mmHg;
• Hlooho e matla le e sa feleng;
• Bohloko lehlakoreng le letona la mpa;
• Fokotsa bongata ba moroto le takatso ea ho ntša metsi;
• Liphetoho ponong, joalo ka pono e fifetseng kapa e fifetseng;
• Ho chesa maikutlo ka mpeng.

Haeba mokhachane a e-na le matšoao ana, o lokela ho ea sepetlele hanghang.

Kalafo e etsoa joang

Kalafo ea pre-eclampsia e batla ho netefatsa polokeho ea mme le lesea, mme e fapana ho latela matla a lefu le bolelele ba bokhachane. Tabeng ea pre-eclampsia e bonolo, ngaka ea pelehi e khothaletsa hore mosali a lule hae mme a latele phepo e tlase ea letsoai le ka keketseho ea ho noa metsi ho fihlela lilithara tse 2 ho isa ho tse 3 ka letsatsi. Ntle le moo, phomolo e lokela ho lateloa ka thata mme ka lehlakoreng le letšehali, molemong oa ho eketsa phallo ea mali ho liphio le popelo.

Nakong ea kalafo, ho bohlokoa hore mokhachane a laole khatello ea mali le ho etsa liteko tsa moroto ka mehla, ho thibela preeclampsia ho mpefala.

Tabeng ea pre-eclampsia e matla, kalafo hangata e etsoa ka ho amoheloa sepetlele. Mokhachane o hloka ho kena sepetlele ho fumana meriana e thibelang khatello ea mali ka methapong le ho boloka bophelo ba hae le ba lesea bo behiloe leihlo le leholo. Ho ea ka nako ea bokhachane ba lesea, ngaka e ka khothaletsa ho fokotsa mosebetsi oa ho phekola preeclampsia.

Mathata a ka bang teng a preeclampsia

A mang a mathata ao pre-eclampsia e ka a bakang ke:

• Eclampsia: ke boemo bo tebileng ho feta pre-eclampsia, moo ho nang le liketsahalo tsa ho oela khafetsa, tse lateloang ke coma, tse ka bolaeang haeba li sa phekoloe hanghang. Ithute ho tseba le ho phekola le eclampsia;
• HELLP Syndrome: Bothata bo bong bo khetholloang ke, ntle le matšoao a eclampsia, ho ba teng ha tšenyo ea lisele tsa mali, e nang le phokolo ea mali, hemoglobins e ka tlase ho 10.5% le ho theoha ha liplatelete tse ka tlase ho 100,000 / mm3, ntle le li-enzyme tse phahameng tsa sebete, le TGO e kaholimo ho 70U / L. Fumana lintlha tse ling ka lefu lena;
• Ho tsoa mali: li etsahala ka lebaka la ho senyeha le ho fokotseha ha palo ea liplatelete, le ho senyeha hoa matla a ho hoama;
• Edema e matla ea pulmonary: boemo boo ho nang le pokello ea mokelikeli matšoafong;
• Ho hloleha ha sebete le liphio: seo se ka fetoha se sa fetoheng;
• Pele ho nako ea lesea: maemo ao, haeba a tebile mme a se na ntlafatso e nepahetseng ea litho tsa ona, a ka tlohelang sequelae mme a sekisetsa mesebetsi ea ona.

Mathata ana a ka qojoa haeba mokhachane a etsa tlhokomelo ea bakhachane nakong ea bokhachane, joalo ka ha lefu lena le ka tsejoa qalong mme kalafo e ka etsoa kapele kamoo ho ka khonehang.

Mosali ea neng a e-na le pre-eclampsia a ka ima hape, ho bohlokoa hore tlhokomelo ea bakhachane e etsoe ka botlalo, ho latela litaelo tsa ngaka ea pelehi.