ʻO kēia manawa āu e hāpai ana i kahi pēpē ka manawa nani loa o kou ola. I ka manawa like, pono ʻoe e makaʻala loa i kou olakino a me ke olakino o kāu pēpē i kēia manawa. Malia paha ua haʻi aku kāu kauka iā ʻoe e pili ana i ka huaʻōlelo "Pre-eclampsia", a i ʻole makemake wale ʻoe e ʻike e pili ana i ia mea. Mai hopohopo, ʻo kēia hoʻomākaukau ʻana no ka hoʻomaopopo wale ʻana i kēia kūlana. E kamaʻilio kākou e pili ana i nā mea āpau.
I ka ʻōlelo maʻalahi, he aha ka pre-eclampsia a me ka eclampsia?
ʻO Pre-eclampsia a me Eclampsia ʻelua mau kūlana e pili ana me ke koko kiʻekiʻe i ka wā hāpai. I ka ʻōlelo maʻalahi, ʻo ka pre-eclampsia ka wā e piʻi ai kou koko i ka wā hāpai a hoʻomaka ʻoe e hoʻokuʻu i ka protein i loko o kou mimi . ʻO ka pehu ʻana, hiki ke komo pū me ka pehu ʻana o nā lima a me nā wāwae, a me ka pehu ʻana o ka maka (edema), hiki ke lilo i hōʻailona o kēia .
E like me ka hōʻike ʻana o nā inoa, pili kēia mau kūlana ʻelua. Inā ʻaʻole i kāohi pono ʻia ka pre-eclampsia, hiki iā ia ke lilo i kūlana koʻikoʻi i kapa ʻia ʻo eclampsia . ʻO ka eclampsia ka wā e loaʻa ai i ka wahine hāpai nā kuʻi me ka pre-eclampsia.
ʻIke pinepine ʻia kēia mau kūlana ʻelua i ka hapa lua o ka hāpai ʻana, ma hope o 20 mau pule . Eia nō naʻe, he mea kakaikahi loa, hiki ke hiki koke mai ma hope o ka hānau ʻana a i ʻole ma mua o 20 mau pule.
ʻO wai ka mea i pilikia nui no kēia maʻi?
Aia kekahi mau mea pilikia e hiki ai ke alakaʻi i ka pre-eclampsia. E nānā e ʻike inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea. Akā e hoʻomanaʻo, ʻaʻole nā mea āpau me kēia mau mea e loaʻa i ka pre-eclampsia. A hiki ke hana i kekahi me ka ʻole o kekahi o kēia mau mea.
| Kumu pilikia | Wehewehena |
|---|---|
| Ka hāpai mua ʻana | Inā ʻo kāu pēpē mua kēia, ʻoi aku ka nui o ka pilikia. |
| Moʻolelo ʻohana | Inā loaʻa i kou makuahine a kaikuahine paha ka pre-eclampsia i ka wā hāpai. |
| Nā hāpai keiki he nui | Inā he ʻoi aku ma mua o hoʻokahi pēpē i loko o ka ʻōpū, e like me nā māhoe a i ʻole nā māhoe ʻekolu. |
| Makahiki | Inā he ʻōpiopio ʻoe (ʻoi aku hoʻi ma lalo o 20 mau makahiki) a i ʻole ma luna o 40 mau makahiki. |
| Nā kūlana olakino e kū nei | Inā ua loaʻa iā ʻoe nā maʻi e like me ke koko kiʻekiʻe, nā maʻi puʻupaʻa, a i ʻole ka maʻi diabetes ma mua o ka hāpai ʻana. |
| Nā kumu ʻē aʻe | Inā ʻoe e puhipaka ana, kaumaha nui (momona), a i ʻole ʻeha ʻoe i ka ʻai ʻole. |
Pehea mākou e ʻike ai i nā hōʻailona o kēia?
ʻOiai paha e piʻi aʻe kou koko i ka wā hāpai, ʻaʻole paha ʻoe e ʻike i kahi ʻokoʻa nui a hiki i ka hiki ʻana i nā pae weliweli. No laila he mea nui e hele i ke keʻena lapaʻau i kēlā me kēia mahina e nānā i kou koko . Eia nō naʻe, he mea nui hoʻi e makaʻala i kēia mau hōʻailona.
E noʻonoʻo e pili ana i ia mea, ʻike mākou he mea maʻamau ka pehu ʻana o kou mau wāwae i ka wā hāpai. Akā inā pehu koke kou maka a me kou mau lima, he hōʻailona paha ia o Pre- Eclampsia .
E hoʻolohe i nā hōʻailona ma ka papa ma lalo nei.
| Hōʻailona | Penei kou manaʻo. |
|---|---|
| Piʻi koke ke kaumaha | Ka piʻi ʻana o ke kaumaha o 1-2 paona a ʻoi aku paha i loko o kahi manawa pōkole, e like me hoʻokahi pule. |
| Ka pehu ʻana o nā lima a i ʻole ka maka | Ma waho aʻe o ka pehu ʻana o nā wāwae, ka pehu ʻana o nā lima a i ʻole ka maka. |
| ʻEha poʻo | ʻAʻole he ʻeha poʻo maʻamau, akā, he ʻeha poʻo koʻikoʻi a mau loa. |
| Nā loli o ka ʻike | ʻIke pōwehiwehi, ʻike pālua, ʻike ʻana i nā mea e like me nā kukui e ʻālohilohi ana i mua o nā maka. |
| ʻEha ʻōpū | ʻEha, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū (kahi i loaʻa ai ke akepaʻa). |
| Nā hiʻohiʻona ʻē aʻe | Pōniuniu, kani ʻana o nā pepeiao, nausea, luaʻi, emi ʻana o ka mimi. |
No ke aha i weliweli ai kēia kūlana?
ʻO ke koko kiʻekiʻe mau i ka wā hāpai he mea weliweli ia no ʻoe a me kāu pēpē.
- Pehea e pili ai i ka pēpē: Hiki i ke koko kiʻekiʻe ke pale i ka placenta mai ka loaʻa ʻana o ke koko lawa. Hiki i kēia ke hoʻonele i ka pēpē i ka oxygen a me nā meaʻai e pono ai. Hiki i kēia ke alakaʻi i ke kaumaha hānau haʻahaʻa a me nā pilikia olakino ʻē aʻe .
- Pehea e pili ai iā ʻoe: Ke piʻi mau nei ke koko, hiki i kou mau puʻupaʻa ke emi iki ka pono . Hiki ke loli pū ke ʻano o kou koko. No ka laʻana, hiki ke luku ʻia nā hunaola koko ʻulaʻula, e hōʻeha ai i ka anemia, hiki ke hoʻopilikia ʻia ka hana o ke ake, a hiki ke emi ka helu o nā platelets, e kōkua ana i ke kāpili ʻana o ke koko. Inā haʻahaʻa nā platelets, hiki iā ʻoe ke kahe koko me ka ʻole o ke kāohi ʻana i ka wā hānau keiki a i ʻole me ka manaʻo ʻole.
Inā e ʻoi aku ka ʻino o kēia kūlana, loaʻa paha iā ʻoe nā ʻōʻō. Ua kapa ʻia kēia ʻo Eclampsia . He mea hoʻoweliweli kēia i ke ola no ka makuahine a me ka pēpē.He pilikia. I ka wā o ka hopu ʻana, ua nele ʻoe a me kāu pēpē i ka oxygen. ʻOi aku ka weliweli, hiki i ke kaomi kiʻekiʻe ke hoʻokaʻawale i ka placenta mai ka paia o ka ʻōpū (abruptio placentae). Hiki i kēia ke hoʻokahe koko nui a me ka make no ka makuahine a me ka pēpē.
Pehea e ʻike ai a mālama ai nā kauka i kēia?
I kēlā me kēia manawa āu e hele ai i ke keʻena lapaʻau, e ana ke kauka i kou koko . Inā ʻoi aku ke kiʻekiʻe o kou koko ma mua o ka maʻamau a ʻike ʻia kahi hoʻāʻo mimi i ka protein, e ʻike ʻia ʻoe me ka pre-eclampsia.
Eia kekahi, e kauoha aku kāu kauka i kekahi mau hoʻāʻo koko a me ka mimi . E nānā kēia mau mea inā e hana pono ana kou mau puʻupaʻa a me kou akepaʻa, a inā he mau pilikia koko ʻē aʻe kāu (e like me nā platelets haʻahaʻa). Pono paha ʻoe e loaʻa nā hoʻāʻo maʻamau e like me nā scan ultrasound, ka hoʻāʻo ʻole ʻana i ke kaumaha, a i ʻole nā kikona biophysical e nānā i ke olakino o kāu pēpē.
He aha nā lāʻau lapaʻau?
ʻO ke ala wale nō e ho'ōla loa ai i ka pre-eclampsia a me ka eclampsia, ʻo ia ka hānau ʻana i ke pēpē a me ka placenta .
- Inā kokoke kou lā hānau: Inā kokoke kou lā hānau, hiki i kāu kauka ke hoʻoholo e hoʻoulu i ka hānau ʻana a hānau koke i kāu pēpē.
- Inā ʻoe e hāpai ana: Inā hiki wawe kēia no ka hānau palekana ʻana o kāu pēpē, e hoʻāʻo kāu kauka e kūʻai i kou manawa ma ka mālama ʻana iā ʻoe a hiki i ka wā e ʻelemakule iki ai kāu pēpē. Hiki ke aʻo ʻia ʻoe e hoʻomaha ma kahi moe . ʻO ka hiamoe ʻana ma kou ʻaoʻao hema, ʻoiai, hiki ke kōkua i ka hōʻemi ʻana i ke kaomi ma nā kīʻaha koko koʻikoʻi a hoʻomaikaʻi i ke kahe koko i nā puʻupaʻa a me ka placenta. Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e kāohi i kou koko.
- Ka Hoʻokipa ʻia ʻana ma ka Halemai: ʻO ka hapa nui o nā makuahine me ka pre-eclampsia e hoʻokipa ʻia i ka halemai. Inā ʻaʻole lākou e hoʻouna ʻia i ka home, pono lākou e nānā i ko lākou koko i kēlā me kēia lā ma ka home a i ʻole e hele mai kahi kahu maʻi e nānā iā lākou. Inā koʻikoʻi ke kūlana, e hoʻokipa ʻia ʻoe i ka halemai a hāʻawi ʻia ka saline a me ka lāʻau lapaʻau ma ke ʻano intravenous. Hāʻawi pinepine ʻia ka Magnesium Sulfate e pale aku i nā hopu ʻana.
- Ka Hānau ʻana: Inā kiʻekiʻe loa kou koko e hiki ʻole ke kāohi, inā loaʻa iā ʻoe kahi maʻi ʻōʻō, a inā palekana ka hānau ʻana i kāu pēpē, e hānau kāu kauka i kāu pēpē. ʻAʻole pono mau ka ʻoki ʻoki cesarean. I ka hapanui o nā hihia, hiki ke hāʻawi ʻia ka lāʻau ʻeha e kōkua i ka ʻeha. Eia nō naʻe, i kekahi mau hihia kūikawā, pono paha ka ʻoki ʻoki cesarean.
He aha nā manawa kūpono loa e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka keʻena pilikia o ka haukapila kokoke loa (ETU) . Mai hoʻowahāwahā i kēia mau mea me he mau hōʻailona maʻamau lā.
| Hōʻailona hoʻomaopopo | He aha e hana ai |
|---|---|
| E ʻimi koke i ke kōkua lapaʻau: | |
| Inā ʻike ʻoe i ka piʻi koke ʻana o ke kaumaha, ka pehu ʻana ma kou mau lima a i ʻole kou maka. | E kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila. |
| Inā loaʻa iā ʻoe kahi ʻeha poʻo nui. | |
| Inā he loli i ka ʻike (blurring, ʻike pālua). | |
| Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū. | |
| Inā he kahe koko o ka ʻōpū. | |
| Inā ʻike ʻoe i ka poniuniu, ka luaʻi ʻana, a i ʻole ka emi ʻana o ka mimi ʻana. | |
| Inā loaʻa iā ʻoe ka hopu ʻana a nalowale paha kou ʻike. | He pilikia kēia. E lawe koke iā ia i ka Emergency Treatment Unit (ETU) o ka haukapila. |
Leka Lawe-Home
- E hōʻoia e hele i nā lā keʻena lapaʻau i ka wā hāpai.He mea nui loa ia e nānā i kou koko a me kou mimi no ka protein i kēlā me kēia manawa.
- E makaʻala mau i nā hōʻailona hōʻike , ʻoiai ka pehu koke, ka ʻeha poʻo nui, a me ka ʻike pohihihi.
- Inā he kānalua a he mau hōʻailona paha kāu, e haʻi koke aku i kāu kauka . Mai manaʻo wale, "He mea maʻamau kēia."
- ʻAʻole he mea e makaʻu ai ka pre-eclampsia, akā he mea ia e hopohopo ai . Hiki ke mālama maikaʻi ʻia kēia kūlana me ka nānā pono ʻana o ke kauka.
- ʻO ka pahuhopu nui loa he makuahine olakino a me kahi pēpē olakino. E hana nā kauka i nā mea āpau e pono ai no kēlā. Pono ʻoe e kākoʻo i kēlā.
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