Inā ʻoe e hāpai ana, pono ʻoe e hopohopo nui no kou olakino a me ke olakino o kāu pēpē, ʻeā? I kekahi manawa, hiki ke kū mai nā pilikia i manaʻo ʻole ʻia i ka wā hāpai. ʻO kekahi ʻano maʻi kakaikahi akā hiki ke weliweli ʻo ia ka eclampsia. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻeā?
He aha ka Eclampsia? Pehea e pili ai me ka Preeclampsia?
ʻAe, e nānā mua kākou i ke ʻano o
ka preeclampsia . I ka ʻōlelo maʻalahi, ʻo ka preeclampsia
ke koko kiʻekiʻe a kekahi poʻe e ulu ai i ka wā hāpai, ma hope o 20 mau pule, me
ka protein i loko o ka mimi . He kūlana kūikawā kēia no ka hāpai ʻana. I kēia manawa, inā ʻaʻole i kāohi pono ʻia kēia kūlana preeclampsia, a inā lilo ia i mea koʻikoʻi, hiki iā ia ke lilo i
eclampsia . ʻO ka eclampsia ka wā e loaʻa ai i kahi kanaka me ka preeclampsia
nā hopu a i ʻole nā convulsions . ʻO ka hopu ʻana he loli koke ia i ka hana maʻamau o ka lolo, e hopena ana i ka wili koke ʻana o ke kino, ka nalowale o ka ʻike, a me ka huikau.
ʻO ka mea nui, ʻaʻole e loaʻa i nā kānaka a pau me ka preeclampsia ka eclampsia. Loaʻa ia ma lalo o 3% o ka poʻe me ka preeclampsia. Eia nō naʻe, he kūlana koʻikoʻi ia e pono ai ka mālama olakino ulia pōpilikia .
I ka hapa nui o ka manawa, hiki i nā kauka ke loaʻa i ka preeclampsia ma mua o ka holomua ʻana i ka eclampsia. ʻO ia ke kumu he mea nui e mālama i kāu mau manawa prenatal. ʻO ka lāʻau lapaʻau mau loa no nā kūlana ʻelua ʻo ia ka hānau ʻana i ka pēpē.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka eclampsia?
ʻO ke kumu nui o ka pilikia no ka hoʻomohala ʻana i ka eclampsia ʻo ia ka loaʻa ʻana o ka preeclampsia. Eia nō naʻe, hiki i nā kumu ʻē aʻe ke hoʻonui i kēia pilikia. E nānā:
- Inā ʻoe e kali ana i nā māhoe (a ʻoi aku paha).
- Inā loaʻa iā ʻoe kahi maʻi autoimmune , ʻo ia hoʻi ke hoʻouka nei ka ʻōnaehana pale o ke kino i kāna mau huna ponoʻī (no ka laʻana, lupus).
- Inā ʻoe e hahai i kahi papaʻai maikaʻi ʻole , a momona paha (ʻo ia hoʻi, inā ʻoi aku kou helu helu kino (BMI) ma mua o 30).
- Ua loaʻa iā ʻoe ka maʻi diabetes .Inā loaʻa iā ʻoe ka maʻi diabetes mellitus, ke koko kiʻekiʻe , a i ʻole nā maʻi puʻupaʻa .
- He mea maikaʻi inā ʻoe ma lalo o 17 a ʻoi aku paha ma mua o 35 .
- Inā ʻo kēia kou hāpai mua ʻana .
- Inā ua loaʻa i kekahi o kou ʻohana (makuahine, kaikuahine) a i ʻole ʻoe ka preeclampsia a i ʻole eclampsia.
Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki i ka eclampsia ke ulu aʻe i loko o kekahi kanaka i nele i kekahi o kēia mau mea pilikia.
He aha nā hōʻailona o ka eclampsia?
Hoʻokumu pinepine ka eclampsia i kekahi mau
hōʻailona hōʻike ma mua o ka hiki ʻana mai o ka hopu ʻana. He mea nui e makaʻala i kēia mau mea i hiki iā ʻoe ke ʻimi koke i ka lāʻau lapaʻau.
- He ʻeha poʻo nui loa (ʻaʻole i hōʻoluʻolu ʻia e nā lāʻau ʻeha maʻamau).
- Paʻakikī ka hanu ʻana .
- Ka luaʻi a me ka luaʻi .
- Ka paʻakikī o ka mimi ʻana , a i ʻole ka emi ʻana o ke alapine (frequency) o ka mimi ʻana.
- ʻEha ʻōpū , ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna (kahi o ke akepaʻa).
- ʻIke pōwehiwehi , ʻike ʻana i ka ʻike pālua, a i ʻole ka manaʻo o ka nalowale ʻana o ka ʻike , a i ʻole ka ʻike ʻana i nā kukui i mua o nā maka.
- Ka pehu ʻana ma nā wahi e like me nā lima, ka maka, a me nā kuʻekuʻe wāwae (ʻoiai ka pehu koke).
Inā loaʻa iā ʻoe kēia mau hōʻailona
, pono ʻoe e ʻike koke i ke kauka .
He aha nā hōʻailona nui o ka eclampsia?
ʻO nā hōʻailona nui a maopopo loa o ka eclampsia:
- Nā ʻūlū : Nā mea e like me ka haʻalulu o ke kino, ka ʻūlū ʻana o nā lālā, a me ka wili ʻana o nā niho.
- Ke kaumaha nui o ka noʻonoʻo a i ʻole ka huikau : Manaʻo me he mea lā ua hōʻino ʻia kou ʻike.
- Ka nalowale o ka ʻike .
He aha nā kumu o ka eclampsia?
E like me kā mākou i kūkākūkā ai ma mua, ulu pinepine ka eclampsia
ma muli o ke ʻano ʻoi aku ka koʻikoʻi o ka preeclampsia . ʻO ke koko kiʻekiʻe e kū mai ana me ka preeclampsia e kau i ka nui o ke kaomi ma luna o kou mau kīʻaha koko, ʻoiai nā kīʻaha koko i loko o kou lolo. Hoʻoulu kēia i ka pehu ʻana i loko o ka lolo, hiki ke alakaʻi i nā hopu ʻana.
He kuleana koʻikoʻi ko ka genetics a me ka ʻai.Manaʻo wau he hopena paha kēia.
Pehea ʻoe e ʻike pono ai inā loaʻa iā ʻoe ka eclampsia?
E hōʻoia kāu kauka hānau keiki inā he eclampsia kou. Hana pinepine ʻia kēia ke loaʻa iā ʻoe kahi hopu ʻana. Eia kekahi, e hana kāu kauka:
- Hoʻokolokolo kino : Nānā ʻia kou olakino laulā a me nā hōʻailona.
- E nānā pinepine i kou koko koko : E nānā inā he koko kiʻekiʻe.
- Nā hoʻāʻo koko : Nānā kēia i nā ʻano ʻē i nā mea e like me ka helu ʻana o nā cell koko ʻulaʻula, ka helu platelet (nā cell e kōkua i ke kāpili ʻana o ke koko), a me ka hana o ke ake.
- Nā hoʻāʻo mimi : Nānā kēia i ka protein keu i loko o ka mimi.
- Nā hoʻāʻo Creatinine : He huahana ʻōpala ka Creatinine i kānana ʻia e ko mākou mau puʻupaʻa. ʻO ke kiʻekiʻe o kēia i loko o ke koko e hōʻike paha i kahi pilikia me ka hana o nā puʻupaʻa.
Nānā mau ke kauka i ke olakino o ka pēpē.
E hana ʻo ia i kahi ultrasound e nānā i ka puʻuwai o ka pēpē, ka neʻe ʻana, ka ulu ʻana, a me ke kūlana o ka placenta.
Pehea e mālama ʻia ai ka eclampsia?
ʻO ka lāʻau maikaʻi loa a mau loa wale nō no ka eclampsia, ʻo ia ka hānau ʻana i ka pēpē , no ka mea, e hoʻopau loa ʻia ke ʻano ke pau ka hāpai ʻana.
- Inā he 37 mau pule o ka hāpai ʻana o ka pēpē (ʻo ia hoʻi, inā ua pau ka lā hānau), hoʻāʻo pinepine nā kauka e hoʻoulu i ka hānau ʻana e hānau koke i ka pēpē.
- Inā olakino maikaʻi ʻoe a me kāu pēpē, hiki iā ʻoe ke hānau maʻamau. Eia nō naʻe, i kekahi mau hihia, pono paha kahi ʻoki C-section ulia pōpilikia.
Inā pono ʻoe e kali a hiki i ka hānau ʻana o ka pēpē a i ʻole a hiki i ka wā e oʻo iki ai ka pēpē, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:
- Nā lāʻau lapaʻau anticonvulsant : Hāʻawi ʻia kēia mau mea e hoʻōki i nā hopu ʻana a pale iā lākou mai ka hoʻi hou ʻana mai. ʻO ka hapa pinepine, hāʻawi ʻia kahi lāʻau lapaʻau i kapa ʻia ʻo magnesium sulfate ma ke ʻano he infusion i loko o kahi aa.
- Lāʻau hoʻohaʻahaʻa koko : Kaohi i ke koko kiʻekiʻe.
- Corticosteroids : Kōkua kēia mau lāʻau lapaʻau i ka ulu koke ʻana o nā māmā o ka pēpē a lilo i ikaika, ʻoiai inā pono e hānau mua ʻia ka pēpē.
He aha nā pilikia ʻē aʻe e hiki ke kū mai ma muli o ka eclampsia?
He maʻi koʻikoʻi ka eclampsia e hiki ai ke hoʻoulu i nā pilikia like ʻole no ka makuahine a me ka pēpē.
Hiki i kēia ke hana i ka makuahine:- Ka hoʻopau ʻana o ka placentaHoʻokaʻawale ʻia ka placenta mai ka paia o ka ʻōpū ma mua o ka hānau ʻana o ke pēpē. He mea weliweli loa kēia.
- Ka hānau mua ʻana .
- Nā pilikia o ke kāpili ʻana o ke koko .
- Hahau ʻana .
- Ka hāʻule ʻana o nā puʻupaʻa .
- Ka hōʻino ʻana o ke akepaʻa .
- Make (akā he mea kākaʻikahi loa kēia a hiki ke pale ʻia inā mālama koke ʻia).
Pehea ka hopena o ka eclampsia i ka pēpē? ʻAʻole pinepine ka eclampsia i nā pilikia olakino lōʻihi no ka pēpē. Eia naʻe, hiki i ke kūlana ke hoʻopilikia i ka placenta. E like me kou ʻike, ʻo ka placenta ke kumu o ka oxygen, ke koko, a me ka meaʻai no ka pēpē. No laila, inā hoʻopilikia ʻia kāna hana, hiki i ka pēpē ke ʻike i nā hopena penei:
- Ka hoʻopau ʻana o ka placenta .
- He hānau make (he mea kākaʻikahi loa kēia).
- Hoʻonui ʻia ka manawa kūpono e hānau ai i kahi pēpē ma o ka ʻoki caesarean (C-section) .
- Ka hānau mua ʻana .
- Kaumaha hānau haʻahaʻa .
- Ka palena o ka ulu ʻana o ka pēpē .
Pehea e hōʻemi ai i ka pilikia o ka hoʻomohala ʻana i ka eclampsia?
ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia:
- Inā loaʻa iā ʻoe ka preeclampsia, ʻo ka mea nui ka mālama pono ʻana .
- E ʻimi koke i ke kōkua lapaʻau, a e mālama i kāu mau manawa hoʻonohonoho prenatal i ka manawa kūpono, i hiki i kāu kauka ke nānā pinepine i kou koko a me nā pae protein mimi.
- Ke hahai nei i kahi nohona olakino : E ʻai i ka meaʻai kaulike a hoʻoikaika kino e like me ka ʻōlelo a kāu kauka.
- Inā ʻoe i ka pilikia kiʻekiʻe no ka hoʻomohala ʻana i ka preeclampsia (no ka laʻana, inā ua loaʻa iā ʻoe ka preeclampsia i ka hāpai ʻana ma mua, a inā he koko kiʻekiʻe kou), hiki i kāu kauka ke ʻōlelo aku e hoʻomaka ʻoe e lawe i ka aspirin haʻahaʻa i nā mahina ʻekolu mua o ka hāpai ʻana . Ua ʻike ʻia kēia e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka preeclampsia. Eia nō naʻe, pono e hana ʻia kēia ma lalo o ka ʻōlelo aʻo a ke kauka .
Hiki ke ho'ōla ʻia ka eclampsia?
ʻAe, hoʻōla piha ka hapa nui o ka poʻe ma hope o ka hānau ʻana i kahi pēpē. Eia nō naʻe, aia kekahi mau mea e hoʻomanaʻo ai i kou wā e hoʻōla ai:
- E ʻai i ka meaʻai momona maikaʻi.
- E noho ikaika e like me ka hiki (e like me ka ʻōlelo aʻo a kāu kauka).
- E hoʻomaha maikaʻi .
- ʻOiai ma hope o ka hānau ʻana o kāu pēpē , e hele i kāu mau hālāwai postnatal i ka manawa kūpono .
- E hōʻemi i ke kaumaha i ka hiki .
- E lawe i nā lāʻau lapaʻau a pau i kauoha ʻia e ke kauka i ka manawa kūpono .
- E mālama pono i kou koko no ʻelua pule ma hope o ka hānau ʻana o kāu pēpē, a e ana iā ia ma ka home inā pono.
ʻAʻole make mau ka eclampsia.
Hoʻōla ka hapa nui o ka poʻe inā mālama koke ʻia. No laila, mai hopohopo, akā e makaʻala loa.
Āhea wau e ʻike ai i ke kauka i ka wā hikiwawe loa?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona hou i ka wā hāpai,
pono ʻoe e hele i ka haukapila a ʻike koke paha i ke kauka :
- Inā loaʻa iā ʻoe kahi hopu hou - he pilikia kēia!
- He ʻeha poʻo nui loa.
- Ke kahe koko ʻana o ka ʻōpū .
- Inā manaʻo ʻoe e nalowale ana kou ʻike, a inā ʻike ʻoe i ʻelua kiʻi, a inā ʻike ʻoe i nā kukui i mua o kou mau maka.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū (ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna).
- Inā ʻoe e luaʻi pinepine.
- Inā manaʻo ʻoe ua lohi a ua oki paha ka neʻe ʻana o kāu pēpē.
E hoʻomanaʻo, he maʻi laha ʻole ka eclampsia, akā hiki ke lilo i mea weliweli loa i ka wā hāpai. Hiki i ka mālama mua ʻana no ka preeclampsia ke kōkua i ka pale ʻana i ka eclampsia. Hiki i nā kipa mau ʻana i kāu mau keʻena antenatal no ke koko, nā hoʻāʻo koko a me ka mimi ke kōkua i ka ʻike ʻana i nā hōʻailona mua o ka eclampsia. Inā loaʻa iā ʻoe kekahi mau hōʻailona e like me ka huikau, ka ʻeha poʻo, ka ʻike maka pōʻeleʻele, a i ʻole nā ʻūlū, e kelepona koke aku i kāu kauka hānau keiki.
Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai kā mākou i kamaʻilio ai i kēia lā:
- He ʻano koʻikoʻi ʻo Eclampsia o ka preeclampsia hiki ke hana i ka wā hāpai. Hiki iā ia ke hana i nā hopu. Hiki ke hoʻoweliweli i ke ola .
- E makaʻala loa i nā hōʻailona e like me ke koko kiʻekiʻe, ka protein i loko o ka mimi, nā ʻeha poʻo nui, nā loli i ka ʻike, ka ʻeha o ka ʻōpū, a me ka pehu koke.
- Mai poina i kāu mau manawa hoʻonohonoho prenatal. E kiʻi i nā hoʻokolohua a kāu kauka e ʻōlelo ai iā ʻoe e hana. ʻO kēia ke ala maikaʻi loa e pale aku ai iā ʻoe iho a me kāu pēpē.
- Inā ʻike ʻoe i kekahi o nā hōʻailona a i ʻole nā hōʻailona i ʻōlelo ʻia ma luna, e ʻimi koke i ke kōkua lapaʻau . ʻO ka ʻike mua ʻia ʻana, ʻo ka maʻalahi ka mālama ʻana a me ka emi ʻana o nā pilikia.
- ʻO ka hānau ʻana ke ʻano nui o ka lāʻau no ka eclampsia. Eia nō naʻe, aia nā lāʻau lapaʻau e hiki ke hoʻohana ʻia e kāohi i ke kūlana ma mua o kēlā.
- Hoʻōla loa ka hapa nui o ka poʻe mai ka eclampsia. No laila, mai hopohopo, akā e makaʻala loa a e hahai i nā ʻōlelo a kāu kauka .
Ke makemake nei iā ʻoe a me kāu pēpē i ke olakino maikaʻi!
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