Ke koko kiʻekiʻe i ka wā hāpai? E makaʻala kākou i ka preeclampsia

He manawa kūikawā loa ka hāpai ʻana i kou ola ke manaʻo ʻoe e lilo i makuahine. I ka manawa like, pono ʻoe e mālama pono i kou olakino kino i kēia manawa. I kekahi manawa lohe ʻoe e pili ana i ke koko kiʻekiʻe i ka wā hāpai. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi kūlana koʻikoʻi e pili ana iā ia, ʻo ia hoʻi ka preeclampsia . Mai makaʻu, ʻo ka mea nui loa ka makaʻala i kēia.

I ka ʻōlelo maʻalahi, ʻo ka preeclampsia ka wā e loaʻa ai ke koko kiʻekiʻe i ka wā hāpai (ma hope o 20 mau pule) a i ʻole i nā lā a i ʻole nā ​​​​pule ma hope o ka hānau ʻana. I kekahi manawa hiki iā ia ke hoʻopilikia i nā ʻōpū e like me kou ake a me nā puʻupaʻa. Akā ʻo ka nūhou maikaʻi, ʻo ka hapa nui o nā makuahine me kēia maʻi e hānau i nā pēpē olakino a hoʻōla piha.

He aha nā hōʻailona o kēia maʻi?

I kekahi manawa hiki ke piʻi mālie kou koko, a i ʻole hiki ke piʻi koke me ka ʻole o ka ʻōlelo aʻo . ʻO ka mea kupanaha, ʻaʻole paha e ʻike kekahi poʻe i kekahi mau hōʻailona. ʻO ia ke kumu he mea nui loa ka nānā mau ʻana i kou koko i ka wā hāpai, e like me ke kuhikuhi a kāu kauka.

Hiki ke ʻike ʻia nā hōʻailona o ka preeclampsia mai ka trimester ʻelua. Hiki ke ʻike ʻia kekahi o kēia mau hōʻailona i ka wā hāpai maʻamau, no laila he mea nui e hoʻokaʻawale iā lākou.

Āhea ʻoe e hele koke ai i ka haukapila (ETU)?

Aia kekahi mau hōʻailona, ​​​​inā ʻike ʻia, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Inā paʻakikī loa ka hanu ʻana
• Inā loaʻa iā ʻoe kahi ʻeha poʻo nui ʻaʻole e nalo
• Inā loaʻa iā ʻoe ka ʻeha nui ma ka ʻōpū o luna a i ʻole ka ʻaoʻao ʻākau
• Inā lilo kou ʻike i mea pōhihihi, ʻike paha ʻoe i nā kiko e lana ana i mua o kou mau maka, a i ʻole he loli koʻikoʻi kou i kāu ʻike.

ʻO ka Preeclampsia Hoʻomaka Mua

ʻO ke ʻano kēia e loaʻa iā ʻoe ka preeclampsia ma mua o 34 mau pule o ka hāpai ʻana. E hoʻomanaʻo, ʻo ka mua o ka ulu ʻana o kēia maʻi i ka wā hāpai, ʻo ka nui o ka pilikia o nā pilikia no ʻoe a me kāu pēpē. I kekahi manawa, pono paha ʻoe e hānau i kāu pēpē i ka wā ʻōpiopio.

Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka liʻiliʻi o nā pēpē i hānau ʻia e nā makuahine i loaʻa i ka preeclampsia ma mua o ke ola ma mua o ka mea i manaʻo ʻia. Kāhea mākou i kēia Fetal Growth Restriction (FGR).E like me ka ulu maikaʻi ʻole o ka mea kanu ke loaʻa ʻole iā ia ka meaʻai kūpono a me ka wai, hiki ke kū mai kēia ʻano ma muli o ka nele o ke koko i ka pēpē ma o ka placenta.

ʻOi aku ka nui o ka pilikia o kēia pēpē me ka ʻōnaehana nerve , ka puʻuwai a me nā māmā, ka hanu ʻana, a me ke koko.

Hiki ke haʻahaʻa iki ka helu Apgar i hāʻawi ʻia i kahi pēpē i ka wā hānau. Ana kēia i ke kala o ka ʻili o ka pēpē, ka helu o ka puʻuwai, nā reflexes, ke kani o nā ʻiʻo, a me ka hanu ʻana. Eia naʻe, ʻaʻole manaʻo mau ka helu haʻahaʻa ua pilikia nui ka pēpē. Pono paha lākou i ke kōkua lapaʻau iki i nā minuke mua o ke ola.

Hiki i nā poʻe i loaʻa i ka preeclampsia ma mua o ka hāpai ʻana ke loaʻa i kēia mau mea:

• Kiʻekiʻe o ka protein i loko o ka mimi: ua like paha me ka pālua.
• ʻOi aku ka koʻikoʻi: Hiki ke kiʻekiʻe loa ke koko a ʻaʻole paha e pane i ka lāʻau lapaʻau.

ʻO ka Preeclampsia ma hope o ka hānau ʻana

ʻAe, ua lohe pololei ʻoe i kēlā. I kekahi manawa hoʻomaka kēia mau hōʻailona koko kiʻekiʻe ma hope o ka hānau ʻana o ke pēpē. ʻOi aku ka maʻamau i loko o ka pule mua ma hope o ka hānau ʻana. Akā hiki ke loaʻa ka pilikia ma laila i ka wā mua o 6 mau pule.

Ua like loa nā hōʻailona me nā mea i ʻike ʻia i ka wā hāpai. Eia naʻe, ʻaʻole kēia e hoʻopilikia i ka pēpē. Aia nā pilikia no nā makuahine e loaʻa ana ke koko kiʻekiʻe ma hope o ka hānau ʻana, e like me:

• Hahau: Ka haki ʻana o ke kahe koko i ka lolo.
• ʻEdema Pulmonary: He mea paʻakikī kēia e hanu.
• Thromboembolism: Hoʻokumu kahi ʻaʻa koko a ālai i kahi kīʻaha koko.

ʻAʻole anei hiki ke pale ʻia kēia?

ʻAʻole hiki i nā kauka ke ʻōlelo maopopo he ala e pale aku ai i ka preeclampsia 100% o ka manawa. Ke hana ʻia nei nā noiʻi hou aku ma luna o kēlā. Eia nō naʻe, he mea kōkua nui ia e olakino maikaʻi ma mua o kou hāpai ʻana. ʻO ia hoʻi ka ʻai ʻana i kahi meaʻai olakino, ka hoʻoikaika kino, a me ka puhi ʻole ʻana.

Inā he mau kumu pilikia kou, hiki i kāu kauka ke ʻōlelo i kēia mau mea, ma kāu ʻōlelo aʻo wale nō :

• ʻAspirina:Ma hope o 12 mau pule o ka hāpai ʻana, hiki i kāu kauka ke ʻōlelo aku e lawe i ka aspirin haʻahaʻa (81mg) i kēlā me kēia lā, akā inā wale nō aia kekahi o kēia mau pilikia:
• Inā ua loaʻa iā ʻoe ka preeclampsia i ka hāpai mua ʻana a i ʻole inā ua loaʻa i kekahi o kou ʻohana.
• Inā hāpai ʻoe i nā māhoe.
• Inā loaʻa iā ʻoe ke koko kiʻekiʻe mau loa.
• Inā loaʻa iā ʻoe ka maʻi puʻupaʻa, ka maʻi diabetes, a i ʻole kahi maʻi autoimmune.

• Nā mea hoʻohui kalipuna: Hiki i kēia ke kōkua i ka pale ʻana i ka preeclampsia i nā wahine i loaʻa ʻole ka calcium lawa ma mua a i ka wā hāpai paha.