ʻO ka hāpai ʻana ka manawa nani loa a me ka manaʻolana i ke ola o kēlā me kēia makuahine. Akā, he mea nui loa ia e ʻike a mālama i kekahi mau pilikia olakino me nā loli e kū mai ana i loko o ko kākou kino i kēia manawa. I kēia lā, ke kamaʻilio nei mākou e pili ana i ka ' Preeclampsia ', kahi maʻi e hiki ke kū mai i ka wā hāpai, akā ʻaʻole ʻike ka poʻe he nui, akā pono mākou e ʻike.
He aha maoli ka preeclampsia?
I ka ʻōlelo maʻalahi, ʻo ka preeclampsia kahi maʻi i ka wā hāpai kahi e loaʻa ai ke koko kiʻekiʻe, ka nui o ka protein i loko o kou mimi, a me ka pehu ʻana i kou mau lima, nā wāwae, a me nā wāwae. Ua kapa ʻia hoʻi ʻo 'toxemia' ma mua.
Hiki i kēia kūlana ke ʻano mai ka maʻalahi a i ka hoʻoweliweli i ke ola. ʻO ka mea maʻamau ia i ka wā hāpai hope, ma hope o 34 mau pule. Eia nō naʻe, hiki ke hana ʻia i kekahi manawa ma mua a ma hope paha o ka hānau ʻana o ka pēpē .
ʻO ka mea nui loa, ʻo ka lāʻau lapaʻau mau loa no ka preeclampsia ka hānau ʻana o ka pēpē. ʻOiai ma hope o ka hānau ʻana o ka pēpē, hiki i kēia mau hōʻailona ke mau no 6 mau pule a ʻoi aku paha.
Ma ka ʻike mua ʻana i kēia, ka ʻike ʻana i nā hōʻailona, ke kūkākūkā pinepine ʻana me kāu kauka, a me ka hele ʻana i nā keʻena lapaʻau, hiki iā ʻoe ke hōʻemi nui i nā hopena lōʻihi iā ʻoe a me kāu pēpē.
ʻO ka Preeclampsia ma hope o ka hānau ʻana
He maʻi laha ʻole kēia. Hiki ke loaʻa kēia maʻi inā piʻi kou koko ma hope o ka hānau ʻana i kahi pēpē a loaʻa iā ʻoe ka protein i loko o kou mimi. Hana pinepine kēia i loko o 48 mau hola o ka hānau ʻana, akā hiki nō hoʻi ke hana a hiki i 6 mau pule a ma hope paha. Pono kēia i ka mālama koke ʻana o ke kauka, a i ʻole hiki ke alakaʻi i nā maʻi koʻikoʻi e like me nā hopu ʻana.
ʻO ka ʻokoʻa ma waena o Preeclampsia a me Eclampsia
Inā ʻaʻole i kāohi pono ʻia ka preeclampsia, hiki iā ia ke lilo i maʻi koʻikoʻi loa i kapa ʻia ʻo eclampsia . ʻO kēia ka manawa e loaʻa ai i ka makuahine nā ʻōhū me nā hōʻailona o ka preeclampsia. He mea weliweli loa kēia no ka makuahine a me ka pēpē, a i nā hihia kakaikahi, hiki ke alakaʻi i ka make.
E makaʻala i kēia mau hōʻailona.
Ma waho aʻe o ke koko kiʻekiʻe (ʻoi aku ma mua o 140/90 mmHg), ka protein i loko o ka mimi, a me ka pehu (edema), hiki ke ʻike ʻia nā hōʻailona ma lalo nei i ka preeclampsia. Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea , e hoʻomaopopo koke i kāu kauka:.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Piʻi koke ke kaumaha | Piʻi koke ke kaumaha ma muli o ka paʻa ʻana o ka wai i loko o hoʻokahi a ʻelua paha lā. |
| ʻEha poʻo nui | He ʻeha poʻo nui ʻaʻole hiki i nā lāʻau ʻeha ʻeha maʻamau ke hōʻoluʻolu. |
| Nā loli i ka ʻike | Ke ʻike nei i nā kukui i mua o nā maka, ke ʻike nei i nā kiko ʻeleʻele e lana ana, ka ʻike maka pōwehiwehi. |
| ʻEha ʻōpū | ʻEha, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū (e pili ana i ke akepaʻa). |
| Paʻakikī ka hanu ʻana | Ka paʻakikī o ka hanu ʻana ma muli o ke kahe ʻana o ka wai i loko o nā māmā. |
| Ka luaʻi a me ka nausea | Ka luaʻi nui a me ka nausea. |
| Ka emi ʻana o ka mimi ʻana | Ua emi a ua pau paha ka hoʻopuka ʻana o ka mimi ma muli o ka hōʻino ʻia ʻana o nā puʻupaʻa. |
Akā e hoʻomanaʻo, i kekahi manawa hiki ke loaʻa ka preeclampsia me ka ʻole o nā hōʻailona . ʻO ia ke kumu he mea nui e hele i kāu keʻena prenatal e nānā i kou koko a hoʻāʻo ʻia kāu mimi.
He aha nā kumu o kēia kūlana?
ʻAʻole maopopo i nā kauka ke kumu pololei, akā manaʻoʻiʻo lākou ʻaʻole hana pono ka placenta . Hiki i ka emi ʻana o ke kahe koko i ka ʻōpū ke pāʻani i kekahi kuleana. Pāʻani pū nā kumu genetic i kekahi kuleana.
He aha nā kumu e hoʻonui ai i ka pilikia o ka preeclampsia?
Aia kekahi poʻe i ka pilikia nui o ka loaʻa ʻana o kēia maʻi. E nānā kākou i ke ʻano o ia mea.
| Pae pilikia | Nā kumu pilikia |
|---|---|
| Nā kumu pilikia kiʻekiʻe |
|
| Nā kumu pilikia waena |
|
Nā pilikia hiki ke loaʻa mai ka preeclampsia
Hiki i kēia kūlana ke hōʻemi i ka nui o ke koko e hiki ana i ka placenta, ʻo ia hoʻi, ʻaʻole i loaʻa i ka pēpē ka oxygen a me nā meaʻai e pono ai.
- Ka palena o ka ulu ʻana o ka ʻōpū: Hiki i ka pēpē ke emi ke kaumaha.
- Ka hānau mua ʻana:Hiki ke hānau mua ʻia ka pēpē. Inā hana ʻia kēia, hiki i ka pēpē ke loaʻa nā pilikia e like me ka hanu ʻana, ka paʻakikī i ka hānai waiū, a me nā pilikia aʻo.
- Ka hoʻokuʻu ʻia ʻana o ka placenta: Ka hemo koke ʻana o ka placenta mai ka paia o ka ʻōpū.
- ʻO ka maʻi HELLP: He kūlana koʻikoʻi loa kēia, he pilikia e hōʻino ai i ke akepaʻa a me ka helu haʻahaʻa o nā platelets i loko o ke koko.
- Eclampsia: E like me ka mea i ʻōlelo ʻia ma mua, nā hopu ʻana.
- Ka hōʻino ʻana i nā kino ʻē aʻe: Hiki ke hōʻino ʻia nā puʻupaʻa, ke akepaʻa, nā māmā, ka puʻuwai, a me ka lolo.
- Ka pilikia o ka maʻi puʻuwai i ka wā e hiki mai ana: ʻO kahi makuahine i loaʻa i ka preeclampsia, loaʻa paha iā ia kahi piʻi iki o ka pilikia o ka hoʻomohala ʻana i ka maʻi puʻuwai i ka wā e hiki mai ana.
He pilikia olakino ka maʻi HELLP. Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻike maka pōwehiwehi, ka ʻeha umauma a ʻōpū paha, ka ʻeha poʻo nui, ka luhi, a i ʻole ke kahe ʻana o ke koko o nā ʻāʻī, e hele koke i ka keʻena pilikia o ka haukapila (ETU) .
Pehea e mālama ʻia ai?
E like me kaʻu i ʻōlelo ai ma mua, ʻo ke ala mau loa no ka preeclampsia ka hānau ʻana i ka pēpē.
Na kāu kauka e hoʻoholo i ka manawa kūpono e hānau ai i kāu pēpē ma muli o ka ulu ʻana o kāu pēpē, pehea ke kūlana o kāu pēpē i loko o ka ʻōpū, a me ke koʻikoʻi o kāu preeclampsia.
- Inā ulu maikaʻi ka pēpē (ma hope o 37 mau pule): Hiki i ke kauka ke hoʻoholo e hoʻoulu i ka hānau ʻana a hānau maʻamau i ka pēpē a hana paha i kahi ʻoki cesarean.
- Inā ʻaʻole i piha ka pēpē: Inā ʻaʻole koʻikoʻi ke kūlana, hiki ke mālama ʻia ʻoe i loko o ka haukapila a nānā pono ʻia a hiki i ka wā e ʻelemakule iki ai ka pēpē. I loko o kēia manawa, hiki iā ʻoe ke:
- E hāʻawi lākou iā ʻoe i ka lāʻau lapaʻau e hoʻohaʻahaʻa i kou koko.
- Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e like me ka magnesium sulfate e pale aku ai i ka hopu ʻana.
- E hāʻawi ʻia nā inikini steroid e kōkua i ka ulu wikiwiki ʻana o nā māmā o ke pēpē.
- Hana ʻia nā hoʻāʻo koko a me ka mimi maʻamau.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka.
Leka Lawe-Home
- He maʻi koʻikoʻi ʻo Preeclampsia e pili ana i ke koko kiʻekiʻe i ka wā hāpai.
- Hiki ke loaʻa kēia maʻi me ka ʻole o nā hōʻailona. No laila, he mea nui e hele i ke keʻena lapaʻau i ka lā i hoʻonohonoho ʻia a e hoʻāʻo ʻia kou koko a me kou mimi.
- Inā ʻike ʻoe i nā hōʻailona e like me ke poʻo ʻeha nui, ka ʻike maka pohihihi, a i ʻole ka ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū , e haʻi koke aku i kāu kauka a i ʻole e hele i ka haukapila.
- ʻO ka hānau ʻana i ka pēpē wale nō ka lāʻau lapaʻau mau loa no kēia.
- ʻO ka ʻike mua ʻana a me ka mālama kūpono e hiki ke hōʻemi i ka pōʻino i ka makuahine a me ka pēpē. Mai hopohopo, e hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau maikaʻi loa āu e pono ai.
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