ʻAʻole hiki ke wehewehe ʻia ka hauʻoli o ka hoʻokipa ʻana i kahi pēpē hou i ka home, ʻeā? ʻOiai ke kau nei ka manaʻo o nā mea a pau i kāu pēpē a me kāu keiki kāne, he mea nui iā ʻoe ma ke ʻano he makuahine hou e mālama i kou olakino ponoʻī. Ma hope o nā mea a pau, he hana nui ka hānau ʻana, a he manawa iki ka manawa e hoʻōla ai kou kino. I loko o kēia manawa, hiki iā mākou ke ʻike i nā kūlana olakino i manaʻo ʻole ʻia, akā koʻikoʻi loa. ʻO ia ka Postpartum Preeclampsia.
I ka ʻōlelo maʻalahi, he aha ka postpartum preeclampsia?
He kūlana koʻikoʻi ka preeclampsia postpartum, akā he ʻano kakaikahi, o ke koko kiʻekiʻe e kū mai ana i nā makuahine ma hope o ka hānau ʻana. ʻO ka maʻamau, hiki ke hana ʻia i loko o nā hola 48 mua o ka hānau ʻana. Eia nō naʻe, hiki i kekahi manawa ke ulu a hiki i ʻeono pule ma hope o ka hānau ʻana. He mea weliweli ia no ka mea hiki ke alakaʻi i nā pilikia koʻikoʻi e like me ka hahau ʻana a me nā hopu ʻana inā ʻaʻole i ʻike ʻia a mālama ʻia i ka wā mua.
I kēia manawa ke noʻonoʻo nei paha ʻoe, ʻaʻole anei kēia like me ka preeclampsia? ʻAʻole, he ʻokoʻa iki kēia mau mea ʻelua. ʻO ka preeclampsia kahi maʻi e kū mai ana i ka wā hāpai. Akā, ʻo ka preeclampsia postpartum e kū mai ana ma hope o ka hānau ʻana o ka pēpē. ʻO ka mea kupanaha, ʻoiai he makuahine i loaʻa ʻole i ka preeclampsia i kona ola a ʻaʻohe pilikia i ka wā hāpai hiki ke loaʻa i kēia maʻi.
ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona. ʻO ka wikiwiki o kou ʻike ʻia ʻana a me ka mālama ʻia ʻana, ʻo ka nui aʻe o kou manawa e hoʻōla piha ai.
ʻO wai ka mea i ʻoi aku ka pilikia no kēia maʻi?
ʻOiai hiki ke ulu kēia ʻano maʻi i kekahi, hiki i kekahi mau mea ke hoʻonui i kou pilikia. He mea nui e kamaʻilio me kāu kauka e pili ana i kēia.
| Kumu Hoʻopilikia | He wehewehe maʻalahi |
|---|---|
| Momona | Inā ʻoi aku ke kaumaha o kou kino ma mua o ka maʻamau. |
| Ke koko kiʻekiʻe i ka wā hāpai | Inā kiʻekiʻe kou koko i kou wā e hāpai ana i kāu pēpē. |
| Moʻolelo ʻohana a pilikino paha | Inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana (makuahine, kaikuahine) ka preeclampsia a i ʻole ka postpartum preeclampsia ma mua. |
| Makahiki | Inā ʻoe ma lalo o 20 mau makahiki a ʻoi aku paha ma mua o 40 mau makahiki. |
| Nā māhoe | Inā ʻoe e kali ana i nā māhoe a ʻoi aku paha mau keiki. |
| Nā kūlana olakino ʻē aʻe | Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes (Type 1 a i ʻole Type 2 Diabetes) a i ʻole nā maʻi autoimmune (e.g. Lupus). |
Pehea mākou e ʻike ai i kēia? He aha nā hōʻailona?
Me ka luhi o kou kino ma hope o ka hānau ʻana i kahi pēpē, manaʻo paha ʻoe he mea maʻamau kekahi mau hōʻailona a haʻalele iā lākou. No laila, e makaʻala pono i kēia mau hōʻailona.
| Hōʻailona | Pehea kēia manaʻo? |
|---|---|
| Ke koko kiʻekiʻe | ʻO ke koko he 140/90 mmHg a ʻoi aku paha. He mea paʻakikī kēia iā ʻoe ke ʻike ma ka home. |
| ʻEha poʻo nui | ʻAʻole ia e like me ke poʻo maʻamau, he ʻeha nui a hiki ʻole ke hoʻomanawanui. ʻAʻole paha e emi iho me nā lāʻau ʻeha. |
| Nā loli o ka ʻike | Hiki ke ʻike ʻia kou mau maka he pōwehiwehi, hiki paha iā ʻoe ke paʻakikī i ka nānā ʻana i ka mālamalama, a hiki paha iā ʻoe ke manaʻo he mau kiko a i ʻole nā laina e lana ana i mua o kou mau maka. |
| Pehu kino | Ka pehu ʻana, ʻoiai hoʻi o ka maka, nā lima, nā wāwae, a me nā kapuwaʻi. |
| ʻEha ʻōpū | ʻEha ma ka ʻōpū o luna, ma lalo o nā iwi ʻaoʻao ma ka ʻaoʻao ʻākau. |
| Ka luaʻi a me ka luaʻi | Ka luaʻi a me ka luaʻi ʻana me ke kumu ʻole. |
| Ka emi ʻana o ka mimi ʻana | Ka emi nui ʻana o ka nui o ka mimi i hoʻokuʻu ʻia i kēlā me kēia lā. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana, ka manaʻo kaumaha ma ka umauma. |
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ka hānau ʻana o kahi pēpē, mai manaʻo wale, "He hana maʻamau wale nō kēia." E kāhea koke aku i kāu kauka, a i ʻole e hele i ka Emergency Department (ETU) ma ka haukapila kokoke loa iā ʻoe.
No ke aha lā kēia e hana nei? He aha ke kumu?
ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā kauka ke kumu pololei o ka preeclampsia postpartum. Akā ua ʻike lākou he kuleana ko nā mea pilikia a mākou i kūkākūkā ai ma mua. ʻO ia ke kumu he mea nui e hele pinepine i kāu mālama prenatal a me nā nānā postpartum. E kaʻana like i kāu mōʻaukala olakino piha me kāu kauka. Mai kānalua e haʻi iā lākou i kekahi mea ʻē, ʻaʻohe mea liʻiliʻi.
Pehea lā e hiki ai i ke kauka ke hōʻoia i kēia?
Ke hele ʻoe i ka haukapila, inā kānalua ke kauka i kēia maʻi, e hana lākou i kekahi mau hoʻokolohua.
- Ana o ke koko: ʻO ka mea mua e hana ai, ʻo ia ke nānā i kou koko.
- Nā hoʻāʻo koko: E lawe ʻia kahi hāpana o kou koko e nānā i kāu helu platelet a pehea ka hana o kou ake a me nā puʻupaʻa.
- ʻAno mimi: Lawe ʻia kahi hāpana mimi a hoʻāʻo ʻia no ka protein. Ma kēia kūlana, hiki ke loaʻa ka protein i loko o ka mimi. Ua kapa ʻia kēia he proteinuria .
- Nānā lolo: Inā ua loaʻa iā ʻoe kahi hopu ʻana , hiki iā ʻoe ke hana i kahi scan CT a MRI paha e ʻike ai inā he pōʻino o ka lolo.
Pehea e mālama ʻia ai?
No ka mea he maʻi koʻikoʻi kēia, e mālama ʻia ʻoe ma ka haukapila. Aia kekahi mau koho lapaʻau nui.
- Nā lāʻau lapaʻau koko: Hāʻawi ʻia nā lāʻau lapaʻau e hoʻohaʻahaʻa i kou koko kiʻekiʻe i kahi pae palekana.
- Nā lāʻau lapaʻau anti -seizure : ʻO ka pilikia nui loa i kēia kūlana, ʻo ia ka seizure . No ka pale ʻana i kēia, hāʻawi ʻia nā lāʻau lapaʻau e like me ka magnesium sulfate ma ke kino.
- Nā Anticoagulants: Ma muli o ka loaʻa ʻana o ka pilikia o ke koko i loko o nā kīʻaha koko, hiki ke hāʻawi ʻia nā lāʻau hoʻokahe koko e hōʻemi i kēia pilikia.
Inā he makuahine hānai ʻoe, e hōʻoia e haʻi i kāu kauka a me nā kahu maʻi. A laila e hōʻoia lākou inā palekana ka lāʻau lapaʻau āu e hāʻawi nei no kāu pēpē a e hoʻolālā i kāu lāʻau lapaʻau e like me ia.
He aha nā mea koʻikoʻi e hiki ke hana inā ʻaʻole mālama ʻia?
Mai makaʻu e heluhelu i kēia ʻāpana. ʻO kēia ke aʻo aku iā ʻoe. No ka mea, i kou hoʻomaopopo ʻana i ke koʻikoʻi o kēia maʻi, ʻaʻole ʻoe e hoʻowahāwahā i nā hōʻailona.
- Ka hōʻeha mau loa i nā ʻōpū nui e like me ka lolo, ke akepaʻa, a me nā puʻupaʻa.
- Nā ʻūlū .
- ʻEdema puʻuwai .
- Hahau ʻana .
- Ka hoʻokumu ʻia ʻana o nā ʻōpū koko i loko o nā kīʻaha koko.
- ʻO ka hiki ʻana mai o kahi maʻi koʻikoʻi loa e hoʻoweliweli ana i ke ola i kapa ʻia ʻo HELLP syndrome .
- ʻOiai he mea kakaikahi, hiki nō hoʻi ka make .
ʻO ia ke kumu a mākou e ʻōlelo pinepine nei inā he kānalua kou e pili ana i kāu mau hōʻailona, e ʻike koke i ke kauka.
ʻEhia ka lōʻihi e ho'ōla ai? Hiki iā ia ke ulu hou?
Hiki ke hala kekahi mau lā a i ʻole mau pule no kou koko e hoʻi i kahi pae palekana me ka lāʻau lapaʻau. Ke kāohi ʻia kou koko, e emi ana kou pilikia o nā pilikia ʻē aʻe.
ʻAʻole maʻalahi ke ho'ōla mai kahi maʻi e like me kēia i ka wā e mālama ana i kahi keiki. Pono ʻoe e noho i ka haukapila no kekahi mau lā hou aʻe. E hoʻomaha nui i ka hiki i kēia manawa. E mālama pono i kou olakino. Mai kānalua e noi i kāu kāne no ke kōkua ma ka home. ʻOiai ma hope o kou hoʻi ʻana mai ka haukapila mai, e hele i ke keʻena lapaʻau i kēlā me kēia lā a ke kauka e ʻōlelo ai iā ʻoe e hele mai.
Inā ua loaʻa iā ʻoe ka preeclampsia postpartum i hoʻokahi manawa, aia ʻoe i ka pilikia o ka loaʻa ʻana o kēia maʻi (preeclampsia a i ʻole postpartum preeclampsia) i kāu hāpai ʻana aʻe. No laila, inā hāpai hou ʻoe, he mea nui loa ia e haʻi aku i kāu kauka i hiki iā lākou ke nānā pono iā ʻoe i kou wā hāpai.
Leka Lawe-Home
- He maʻi koʻikoʻi ka preeclampsia postpartum e pili ana i ke koko kiʻekiʻe e ulu ana ma hope o ka hānau ʻana. Hiki iā ia ke ulu aʻe i loko o ka poʻe i loaʻa ʻole i ke koko kiʻekiʻe ma mua.
- E hoʻomanaʻo i nā hōʻailona nui o ka ʻeha poʻo nui, ka ʻike pohihihi, ka pehu ʻana o ka maka, nā lima, a me nā wāwae, ka ʻeha o ka ʻōpū, a me ka paʻakikī o ka hanu ʻana .
- Mai hoʻowahāwahā i kēia mau hōʻailona ma ke ʻano he "luhi maʻamau postpartum." He mau hōʻailona hōʻike kēia.
- Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka . Inā pilikia ʻoe i ka hanu ʻana a i ʻole loaʻa iā ʻoe kahi hopu ʻana , e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- ʻOiai ʻaʻole hiki ke pale ʻia kēia maʻi, hiki ke ho'ōla loa ʻia inā ʻike mua ʻia a mālama pono ʻia. He mea nui loa kou ola a me kou olakino iā ʻoe, a me kāu pēpē pū kekahi.
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