Eclampsia - he ... eclampsia ma ka hāpai keiki: symptoms, kumu a me ka lapaʻau

Oiai e halihali ana i ke kamaiki o kela expectant makuahine ua pili loa ka mālamaʻana i ko lakou ola. Ma hope o nā mea a pau, keia mea hilinaʻi nui, a me ka hooulu ana o ke keiki. Ma keia ia 'atikala, au makemake e kamailio e pili ana ia i ka pilikia e like me eclampsia ma ka hapai wahine.

terminology

Initially, ua pono, e ike i ka terminology e e hoʻohana 'ia ma kēia' atikala. No laila, eclampsia - mea kuhikuhi i ka mea pepehi complication o ka hāpai keiki ka wā ma laila mea i hoʻoweliweli 'ia ke ola,ʻaʻole wale nō i ke keiki, akā,ʻo ka makuwahine iā ia iho. Eia naʻe, mai e makau - keia kulana ka'āina pohihihi keia. Ia mau pilikia ana i oi aku mamua o 1 manawa no 100 pregnancies. E hōʻoia i ka hoi aku nei au i ka eclampsia - he complication o ka mea i toxicosis, na nā kulanui kēia kaʻawaʻawa kulana.

Kumu o ka pilikia

Ua mea waiwai 'ana i kumumanaʻo i na kumu mai,ʻaʻole iʻike i ka mea kiko'ī kumu o ke ano o na wahine. Akā nō ma laila nō nā kēia:

1. Aaiaoe ololi. Ie ina ua mua kēia mau pilikia i loko o ka ohana o ka wahine.
2. Pinepine i kēia moku'āina ua hai. Kēia 'o ia hoʻi i ina he mua hāpai keiki,ʻalo me eclampsia i ka wahine, i ka pilikia e recur.
3. Ka hanana o ka maʻi, e like me ke kauka, ua hoi loli ana ma ka makahiki o ka hou makuwahine. Ua Ua manaoio aku i ka hapanui o ia mau complications ana i loko o na wahine e noho ana ma lalo o 18 a no 40 makahiki.
4. Eclampsia He pinepine i mau pregnancies.
5. Loa pinepine, keia pathology ia lŘlŘ i loko o kēlā mau wāhine, ka poe i likeʻole pilikia a me nā puʻupaʻa. Pinepine e hoʻomōhala ana i ma luna o ke kāʻei kua o ka huʻi mai o kēia mau nā loko.
6. Ke kumu e lilo no hoi lakou i ka maʻi, e like me systemic lupus erythematosus.

Ua E hoi e kaulana ia eclampsia - he complication ma a he mea he loa pahi mahuahua i loko o ke koko,. Kēia, ma ka huli, hele aku ai i ka spasm o na moku koko, i ke kumu no nāʻano likeʻole o ka circulatory kāna hana, a me ka hopena - haanou ana o ka lolo.

I ka hele pū ana pilikia a me ka maʻi

Nō hoʻi, kauka paipai i eclampsia ma ka hapai wahine ua pinepine pu ma keʻano o nā kūlana. Ie loaʻa nō kekahi mau heluʻai ma luna o ke kāʻei kua o ka i ua pinepine hoikea mai oia, i ka pilikia e like me eclampsia.

• Hypertension. Ua i mua, ua olelo mai no o ka mea i pinepine eclampsia ua hoike ku e ia ke kāʻei kua o ka kiʻekiʻe ke koko. Akā, i kēia complication ka hana i loko o nā wāhine me ka maʻamau ke koko, (ma kahi o 16% o nā hihia). It eʻike ai no hoi ia ina he hapai nui hypertension, eclampsia maopopo no ka mea, ua mai a hiki i ka hebedoma 32nd.
• Proteinuria (kumuʻiʻo ma ka mimi). No hoi, kauka i aku nei au ia a pau ka poe i malama eclampsia, ua loli iki degere o proteinuria. Eia naʻe, 14% o nā wāhine i ka pilikia ua nō nalowale.
• Eclampsia pinepine pu ma ka haanou ana. Naʻe, ua ano hiki ole ana i loko o ka hapai (e like me ka hana ana ma kahi o 28% o nā hihia).

hoike ana o ka eclampsia

Mai ka luna, ka mea, ua hoʻomaka iholaʻo ia eclampsia - ia mea he complication o ka hāpai keiki, ka wā ma laila mea i hoʻoweliweli 'ia ke ola,ʻaʻole wale nō i ke keiki, akā, i ka wahine ia ia iho. Naʻe, ka mea e e kaulana i keia kulana hiki no hoi ana i mua o ka manawa o ka hapai ana, e like me ma hope o ka hanau ana.

Contemporary hōʻike manaʻo paipai i postpartum eclampsia ia lŘlŘ loa pinepine i ka lua o ka lā ma hope o haawi. Naʻe, ka mea e hiki nui hope, ma hope ma kahi o 28 mau lā. Na hihia i ua hoʻopaʻa pepa paʻi kiʻi no hoi e lapaau. 'Ikepili helu kekahi hōʻike i ka hapanui pinepine ka pilikia hoike mai ai ia ia iho i loko o ka lua o ka hapalua o ka hāpai keiki (ma hope o 28 pule i loko o 91% o ka hihia). Akā, e hiki no hoi i hoʻomaka ai ma mua o ka hebedoma 20th o gestation ke keiki (akā wale nō i loko o 1.5% o ka hihia).

'ano o ka eclampsia

Pono ka mea, pono e olelo mai no hoi ia ma ka lapaau, he ekolu papa kuhikuhiE ke ano o na eclampsia:

1. Brain. Ma kēia hihia, na ka papa kuhikuhiE kumu o fluctuations i loko o ke koko,, hypertension. I hiki hoʻomōhala i complications o ischemic a me ka hemorrhagic hahau ana.
2. ʻaʻa puʻuwai eclampsia. Ho'āhewa wale ma keia hihia apnea a me ka coma hahai ma anuria.
3. Hepatic eclampsia. Ma keia hihia, kauka olelo e pili ana i ka walaau ole metabolic kāna hana.

Ka papa kuhikuhiE symptoms

Pono no hoi i ka noonoo i na hoailona likeʻole o ka eclampsia. Kēia mea nui, no ka mea, o kela mea keia wahine e ike pehea e maopopo ma waena o kēia pathology. Nui e olelo ana, o ka eclampsia - o ka muli o convulsions me ka poho o ka ike paka i. Naʻe, i ke kumu o keia ano e ole e pili ana me kekahi cerebral pathology. Ua E hoi e kaulana i hoonaukiuki hoouka ana o kekahi wahine hiki e kokoke i kekahi ololi. Ua hiki e ka maʻamau huali malamalama, nui kikeke ana a me ka ikaika io Emotions.

Mua convulsions wahine pinepine inā pilikia ka haumāna i ke kēia symptoms:

1. Aia paha ia he headache. Pinepine i kekahi hihia o ka vertigo.
2. Aia paha e kekahi mauʻano o ka pilikia makapō hoʻopilikia, "lele" mua o nā maka, nebula maka, blurred kiʻi.
3. Women pinepine ikeia mau nawaliwali ma ke kino, me ka makemake e koke noho iho ilalo a moe i lalo.
4. Ua hiki no hoi ia i ka eha i loko o ka epigastric wahi paha i loko o ka wahi o ka hypochondrium akau.

I ka papa kuhikuhiE symptom: cramps

Noonoo pono i ka hoailona likeʻole o ka eclampsia, e pono ke kūʻai 'ana i kumumanaʻo i ka papa kuhikuhiE symptom ma keia hihia - ia fits. Ka mea, i waho mai a ua ulu i loko o ka kekahi mea. No laila, ke kāʻili 'pae nō nā kēia:

• I ka pae mua mau no ma kahi o 30 kekona. Aia i uuku ka ho'ēmiʻana o ka lehalehu t nāʻiʻo. Twitching hiki i ka neʻeʻana i ka luna lala.
• Duration o ka lua o ka pae - ma kahi o 25-30 kekona. Aia i laila-kahea tonic convulsions. Ka wahine Halala i ke kino a pau, E hoolei mai ia i kona poʻo hoʻi. A pau keia hana ha intermittently Ua hoopanee. Ikaika'opihia iwi. It E e kaulana i hiki ina he haawi manawa, aʻaʻole lōʻihi, akā,ʻo ia - i ka noho pilikia loa. Ma hope o nā mea a pau, ka mea hiki ke hiki iʻaneʻi kokololio kahe ana ke koko i loko o ka lolo i mea koi aku la ka make a me coma.
• Ke kolu o ka pae e lawe ka hola kekahi, a me ka hapalua minuke. Aia nāʻano nui ae nānā mau clonic convulsions, oa twitching o na nāʻiʻo o ke kino a me ka lala. Hanu hiki e kekahi intermittent paha ka loa ma kahi'ē. Hua ua pinepine, kuu mai o ka waha. I ka Ia manawa, e like me na haumana dilate, ka mea hiki i poho o ka ike paka i. I ka pau ana o keia pae i hapai hanu hoʻomaka i nā like, haʻalele maʻamau.
• I ka ha o ka pae ua kapaia ma ka 'inikua eclamptic coma. Ha i kekahi wahine walaʻau, nui. Pinepine i ka mua lede mea unconscious. I ka mea hoʻi, ke hapai aʻole e hoomanao i kekahi mea, a aole maopopo i ka mea i hiki mai ai ia ia. Holo nōhie, keia pae ua pu ma ka nui headache.

Ua mea waiwai 'ana i kumumanaʻo ana ma hope o ka ha o ka pae ke hiki mai i ka hou' ana. Eclamptic coma hiki ī hope a hiki i ka lā, i ka wā a ka wahine e ola mahope aku o kahi o 15-18 ho'āhewa wale. Ke kēla laila kauka e ma ke kumu o ke ahonui o ka hookolokolo ana, ua lawe mai nā haʻawina ina e pono ai.

Hōʻike o ke kīnā o ke eclampsia postpartum

Me ua i haiia ae maluna, ka mea, ua hoi eclampsia ma hope o ka hanau ana. Ua hiki nā ma ke kaʻina hana o ka hanau ana o ke keiki, a ma hope o ka mea, (i ka lā mua) kona kaumaha. Ua E hoi e kaulana i keia kulana pinepine hiki aku i ka loa complications, e like me huʻiʻaʻa puʻuwai e hemahema, a no laila,-kapa HELLP-maʻi pale. Ua Ua hoikeia mai ma ke kēiaʻaoʻao.

1. Ke akepaʻa'ūhū EUIAaIN ka maʻiʻo ki e hiki alakai i ka 'inoʻino loa ia ia.
2. Ua hiki no hoi ana hemolysis - i ka make ana o ka ula koko keena.
3. Ua hiki no hoi anaʻoi ka ho'ēmiʻana i loko o ka helu ana o platelets. It thrombocytopenia - he luna 'kāna hana i hele mai ai i ke koko clotting.

Ua mea waiwai 'ana i kumumanaʻo ana ina postpartum eclampsia, a aole hoi i hooweliweli i ke keiki nei, ia mea paʻakikī mea pepehi kulana no ka makuwahine. No laila, i kēia pukana pono koke lapaau.

Ke prognosis o eclampsia

Mākou e kamaʻilio e pili ana ia i ka pilikia e like me eclampsia. Symptoms i mua, ua noʻonoʻo pono. Ua E hoi e hoʻomaopopo i ka Time] o na kauka ma hope o complications ke hāʻawi ma muli o ka kēia kumumea.

• Ke oolea o ka maʻi. Ma keia hihia, e lawe i ka mooolelo o ka symptoms a pau, a me ka olinolino o kona hōʻike 'ia nei.
• Ka loa nui ololi o ke oolea a me ka alapine (frequency) o ke kāʻili 'ana. Ka nui o ia mau mea - i ka lanakila ia.
• Ke prognosis Ua hoi loli ana ma ka 'eleu' uao o ke kauka. Inā kōkua i hoakakaia maloko o ka manawa, o ka prognosis hiki e'āina maikaʻi.
• O ka holo ana, i ka hope o ka papa hāpai keiki 'ole ma ke alo a me ka ano o complications.

Makaʻu ka heluna o ka kēla

Ke kēla E e maikaʻi ina ka ho'āhewa wale e lilo emi, he pono ole, i hoʻomaka ai emi pinepine ia. He hoi he maikaʻi ololi - i ka mea ulu i loko o ka nui o ka mimi.

Ei e e io ma ka kēia hihia.

• Inā ke kāʻili 'ana ma hope kekahi i kekahi;
• ia kā lākou alapine (frequency) ka loa;
• ina he mea he wela e hoea i kahi o 38 ° C;
• ia he mea he arrhythmia, māhuahua naau kōmi.

Inā i ka hoouka ana o eclampsia welau hemorrhage i loko o kekahi hui, - ka mea, ua manaoia he nui complication o ka pilikia. Me ka ilihune nana 'inikua kookoo hiki hapai iloko o ke kāʻili' ana a ianoiyuaa a pili loa nā palapū, a biting 'ōlelo.

Ua E hoi e hoʻomaopopo i ke kumu o ka make i ia i kekahiʻanoʻokoʻa o degenerative loli i nā nā loko (ka hapanui pinepine ma nā puʻupaʻa a ke ake), i ka hiki i hooloihi ae i kūpono 'ana o ka pilikia.

ʻike,: keʻena hoʻokolohua noiʻi

E ike i ka eclampsia symptoms a me ke kumu complications mākou like i manaoia. Ano, e huli mākou i nā kiʻina hana o kaʻike, o ka mea maʻi. No laila, ina he wahine i ke kāʻili 'ana i, e hōʻoia i kaʻike,, ka hāpai i kēia keʻena hoʻokolohua e ho'āʻo ai i ka lanakila.

• o kéu koko clotting;
• hoomaopopo ana i ka nui o ka hemoglobin;
• e kaha i ka nui o uricʻakika a me nā nui eiiiiiaiou o ka lāʻau lapaʻau.

Lapaʻau ': kekahi mau haʻawina

Inā i ka wahine i ka hoouka ana o eclampsia, ma ka hou ana i ke koko e ho'āʻo ai a me ka ia e e hāʻawi i nā kaʻina hana.

1. Pahu X-Ray. Inā pono, ka mea hiki ke lawe mai X-Ray o ka lolo (akā keia ua hanaia ma ka loa hihia).
2. Child ninaninau. He mea nui, no ka mea, i kona makuwahine hoouka ka fetus e ulu bradycardia, hypoxia. Ua hiki no hoi e placental abruption.

Keʻike, no ka kauka e ukuhi i ma luna o ke kumu o ka hopena o ka luna haʻawina.

Lapaau ana i ka pilikia

I kēia mau lā pili kēia lapaʻau eclampsia: wahine lawelawe intravenously makanekiuma sulufahate. Ka hoike o ia huahana me ka nui loa ho'ēmi i kā ka pilikia o ke kāʻili 'ana. A, kona hope ua mālama i nā lā. Emi mai ka hoʻokō ai ', a, nae, kauka i hoakaka: ai' "Phenytoin" a me "Valium." Akā, ua pono hoomanao i kā lākou hoʻohana mea fraught me ka helehelena o kaʻaoʻao loa. I ka wā o ka hoʻomanawanui ka ke ano o ka pilina paʻa, e hoomakaukau ana kauka wahine no caesarean pauku aʻimi hoʻopunipuni vaginal hanau. Inā i ka manawa o ka lawe ana i ka pēpē loa i kakahiaka nui, i ka olelo hooholo i e lawe wale haawi kūkā o kauka.

nana e kokua mai ki ina hana like

Help no ka eclampsia mea,ʻaʻole wale nō 'inikua lapaʻau. No laila, e ka mea nui, e malama i ka keia mau lula ina o ka lede i ka pilikia o ka recurrence o ke kāʻili 'ana.

• He mea pono e hoʻopau i kekahi stimuli koke.
• Dr. VV Stroganov i ke heluhelu systematically mai i ka wahine narcotic ai ', no ka laʻana, "Morphine". Kēia e kōkua ole ke kāʻili 'ana.
• Ke ola o ke kāʻili 'ana. Ie E ho'āʻo i ka pale aku i ko lakou ulu ana ma na hoailona mua.
• He nui ke kanaka hoʻoponopono i ka hana a pau ke kino e pono ai - e hoʻoikaika 'ana.
• He mea pono i kanaka hoʻoponopono i nā fluctuations i loko o ke koko,. Inā e hoomahuahua ka mea pono e hoemiia.

Kāohi ki ina hana like

Ma mea e ia i ka Kāohiʻana o ka eclampsia, ka mea, ua koiia e ike i na hapai wahine. Ma hope o nā mea a pau, ia mea maikai, e pale aku i ka hanana o ka pilikia, e makemake ana ia ma mua o hana ai me kona hopena. No laila, ua lawe mai eclampsia Kāohiʻana o nā kēia mau kiʻina hana i keia la.

1. Ke prophylactic aaieieno? O makanekiuma sulphate. Ma keia hihia, ua hoemiia ma ka hola 60% eclampsia alapine (frequency). Naʻe, i kēia pukana mea nō hamama. No laila, wahine me ka loa preeclampsia, keia k ai e haawiia mai ponoia mai la. Akā, me ka mehana palapala - ia mea,ʻaʻole i maopopo.
2. Ua mea i nui ke kanaka hoʻoponopono pono na fluctuations i loko o ke koko, i hapai me na wahine.
3. He mea pono ke hana i kekahiʻano o complications o kaʻawahia. Ua mea i nui, e kuhikuhi i ka hihia.

Loʻohia i kēia mau koi, e hiki ke pale aku i ka pilikia e like me eclampsia. A, o ka papa, ia mea kumukuai e hoomanao i ka wā o ka mua i na mea pohihihi a me Ua ulu maila i ka pilikia o ka wahine e koke imi 'inikua kōkua.