Ke koko kiʻekiʻe i ka wā hāpai (Preeclampsia): Nā pilikia no ka makuahine a me ka pēpē! E kamaʻilio kākou e pili ana i kēia.

Inā he makuahine hāpai ʻoe, e nānā kāu kauka i kou koko a me ka protein mimi i kēlā me kēia kipa ʻana i ke keʻena lapaʻau, ʻeā? ʻAʻole kēia he nānā maʻamau wale nō. Hana ʻia kēia e nānā i ka preeclampsia, kahi maʻi koʻikoʻi loa e hiki ke hana i ka wā hāpai. He mea nui e makaʻala i kēia kūlana no ka palekana o ʻoe a me kāu pēpē.

I ka ʻōlelo maʻalahi, he aha ka preeclampsia?

ʻO ka preeclampsia kahi kūlana e kū mai ana i ka wā hāpai a ua hōʻailona ʻia e ke koko kiʻekiʻe (hypertension) a me ka proteinuria . ʻO ka maʻamau, hiki mai ia ma hope o 20 mau pule o ka hāpai ʻana.

ʻAʻole kēia he piʻi wale nō o ke koko. Hiki i ka preeclampsia ke hoʻopilikia i nā ʻāpana ʻē aʻe o kou kino, e like me kou mau puʻupaʻa a me ke akepaʻa. I kekahi manawa hiki iā ia ke hōʻino i ka lolo. He mea weliweli loa kēia nou a me kāu pēpē. Ma muli o kēia pilikia, e hopohopo nui kāu kauka no kēia kūlana a e hoʻomaka i ka lāʻau lapaʻau i ka wā e ʻike ʻia ai.

He pilikia anei kēia?

ʻAe, hiki i ka preeclampsia ke lilo i pilikia. Inā ʻoi aku ke kiʻekiʻe o kou koko ma mua o 140/90 mmHg a loaʻa iā ʻoe ka protein i loko o kou mimi, hoʻokau ia i ka nui o ke kaumaha ma kou puʻuwai a me nā ʻōpū ʻē aʻe. Hiki i kēia ke alakaʻi i nā pilikia koʻikoʻi. Hiki iā ia ke hōʻemi i ke kahe koko i ka placenta, ka mea e hoʻolako i ke koko i kāu pēpē, hōʻino i kou ake a me nā puʻupaʻa, a hoʻopiha i kou mau māmā i ka wai. No laila , he mea nui ka mālama koke ʻana e pale aku i nā pilikia e hoʻoweliweli ana i ke ola.

He aha nā hōʻailona o ka preeclampsia?

ʻO ka hapa nui o ka manawa, ʻaʻole ʻike ka nui o nā makuahine he preeclampsia ko lākou. ʻIke wale lākou i ka wā e hele ai lākou i ke kauka a nānā ʻia ko lākou koko a me ka mimi. Akā hiki i kekahi poʻe ke ʻike i nā hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai poina e haʻi i kāu kauka.

He aha ke kumu o ka preeclampsia? ʻO wai ka mea i ʻoi aku ka pilikia?

ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia ʻano, akā manaʻoʻiʻo nā kānaka noiʻi he pilikia paha ia me ke kahe koko i ka placenta. ʻOiai hiki i ke kaumaha ke hoʻonui i ke koko, ʻaʻole ia he kumu pololei o ka preeclampsia.

Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o kēia maʻi. E nānā kākou ʻo wai lākou.

He aha nā pilikia e hiki ke kū mai ma muli o ka preeclampsia?

Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki ke hoʻoweliweli i ke ola o ka makuahine a me ka pēpē. No laila, ʻaʻole pono e lawe māmā ʻia.

Nā pilikia e hiki ke loaʻa i ka makuahine:

• Nā hopu ʻana: Ua kapa ʻia kēia ʻo Eclampsia.
• Koma
• Hahau
• ʻO ka maʻi HELLP: Hana ʻia kēia ke hōʻino ka preeclampsia i ke akepaʻa a me nā ʻula koko ʻulaʻula, e hana ana i nā pilikia me ke kāpili ʻana o ke koko.

Nā pilikia e hiki ke loaʻa i ka pēpē:

• Hānau mua ʻole: Ka hānau ʻana o kahi pēpē ma mua o ka lā i manaʻo ʻia.
• Kaumaha hānau haʻahaʻa
• Ka hoʻopau ʻana o ka placenta

Eia kekahi, ʻo nā makuahine e loaʻa ana i ka preeclampsia i ka wā hāpai, ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i nā maʻi e like me ka maʻi puʻupaʻa, ka maʻi puʻuwai, a me ka hahau ma hope o ke ola.

Pehea e mālama ʻia ai ka preeclampsia?

ʻO ka lāʻau lapaʻau mau loa no ka preeclampsia ka hānau ʻana i ka pēpē. Eia nō naʻe, he mea nui hoʻi e mālama i ka pēpē i loko o ka ʻōpū no ka lōʻihi e like me ka hiki. No laila, na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa e pili ana i kou kūlana a me ke kahua o ka hāpai ʻana.

• Inā kokoke ʻoe i ka manawa piha (37 mau pule): Hiki i kāu kauka ke ʻōlelo aku i ka hānau mua ʻana. ʻOiai hiki ke hānau ʻia ma ke ʻano he vaginal, i kekahi manawa ʻoi aku ka palekana o ka ʻoki ʻana i ka cesarean (C-section).
• Inā ʻoe i nā pae mua o ka hāpai ʻana: E nānā pono kāu kauka iā ʻoe. E hoʻāʻo lākou e hāʻawi i ka pēpē i ka manawa e hiki ai ke ulu. Pono ʻoe e hele pinepine i ke keʻena lapaʻau, e nānā i nā kiʻi, a e hana i nā hoʻāʻo koko a me ka mimi. Hiki ke noi ʻia iā ʻoe e nānā i kou koko ma ka home. Inā ʻoi aku ka ʻino o ke kūlana, hiki ke ʻōlelo ʻia ka hānau ʻana o ka pēpē.
• I ka wā hānau: Hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau lapaʻau i kapa ʻia ʻo Magnesium Sulfate e pale aku i ka eclampsia i hoʻokumu ʻia e ka preeclampsia.

Hiki ke hoʻemi ʻia a pale ʻia ka pilikia?

Inā ʻoe i ka pilikia o ka hoʻomohala ʻana i ka preeclampsia, aia kekahi mau mea hiki iā ʻoe ke hana ma mua a i ka wā hāpai e hōʻemi i kou pilikia.

• Kaohi kaumaha: Inā ʻoe he momona nui (momona) ma mua o ka hāpai ʻana, e hoʻēmi i kou kaumaha.
• Ka kaohi ʻana i ke koko a me ke kō: Inā loaʻa iā ʻoe ke koko kiʻekiʻe a i ʻole ka maʻi diabetes, e kaohi pono iā lākou.
• Hoʻoikaika Kino: E hana i nā hoʻoikaika kino i kēlā me kēia lā.
• Hiamoe: E hiamoe pono.
• ʻAi: E ʻai i ka papaʻai olakino, haʻahaʻa ka paʻakai a pale i nā mea inu i loaʻa ka caffeine.

No ka poʻe me kekahi mau kumu pilikia, hiki i kāu kauka ke ʻōlelo aku e lawe i ka aspirin pēpē i kēlā me kēia lā ma hope o kahi o 12 mau pule o ka hāpai ʻana. Eia nō naʻe, mai hoʻomaka e lawe i kēia lāʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.

Āhea ʻoe e hele koke ai i ka haukapila?

He maʻi hoʻoweliweli ola ka preeclampsia. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Inā manaʻo ʻoe e loaʻa ana iā ʻoe ka hopu ʻana (e like me ka haʻalulu, ka haʻalulu)
• Paʻakikī nui ka hanu ʻana
• ʻEha nui ma ka ʻaoʻao ʻākau o luna o ka ʻōpū
• Ka pohihihi koke o ka ʻike
• He ʻeha poʻo hiki ʻole ke hoʻomanawanui a mau loa
• ʻIke mau ʻia nā kiko ʻeleʻele e lana ana i mua o nā maka