Naupai i nih chuan i hriselna leh i naute hriselna i ngaihtuah hle tur a ni, a dik em? A châng chuan naupai laiin beisei loh takin harsatna a awm thei bawk. Chutiang natna hmuh tur awm lo mahse hlauhawm tak pakhat chu eclampsia an ti a. Vawiin hian he thu hi chipchiar zawkin sawi ila, kan sawi dawn em ni?

Eclampsia chu eng nge ni? Preeclampsia nen hian engtin nge a inzawm?

Okay, a hmasa berin preeclampsia hi eng nge a nih tih hi han en ila. A awlsam zawngin, preeclampsia chu mi thenkhatin naupai laiin thisen sang , a tlangpuiin kar 20 hnuah, zun chhunga protein awmte nen an nei a ni . Hei hi naupai laia thil danglam bik a ni. Tunah chuan he preeclampsia natna hi uluk taka control a nih loh chuan, a nih loh leh a nasat chuan eclampsia -ah a lo chang thei a ni. Eclampsia chu preeclampsia vei chuan seizures emaw convulsions emaw a neih hian a ni . Seizure chu thluak hnathawh dan pangngaia inthlak danglam nghal a ni a, chu chuan taksa a tikehsawm nghal a, hriatna a hloh a, a buai phah a ni.

A pawimawh ber chu preeclampsia vei zawng zawng hian eclampsia an nei vek dawn lo. Preeclampsia vei zinga 3% aia tlem lovah a awm thin. Mahse, natna khirh tak a ni a, emergency medical treatment a ngai a ni .

A tam zawkah chuan doctor-te chuan preeclampsia hi eclampsia-ah a kal hmain an kai thei a ni. Chuvangin nau neih hmaa i appointment te chu vawng reng a pawimawh hle. Heng natna pahnih damdawi awmchhun chu naute hrin hi a ni.

Tute nge eclampsia vei theihna sang zawk?

Eclampsia vei theihna tur risk factor ber chu preeclampsia neih hi a ni. Mahse, thil dangin he hlauhawmna hi a tipung thei a ni. En teh:

• Twins (a aia tam) i beisei a nih chuan.
• If you have an autoimmune condition , chu chu taksa immune system hian a cells (entir nan, lupus) a bei tihna a ni.
• Ei leh in hrisel lo i zawm chuan , emaw, thau lutuk i nih chuan (chu chu i body mass index (BMI) 30 aia tam a nih chuan).
• Diabetes i nei tawh a ni .Diabetes mellitus, hypertension , emaw kal natna i neih chuan .
• Kum 17 hnuai lam emaw kum 35 chunglam emaw i nih chuan a pawi lo .
• Hei hi i naupai hmasak ber a nih chuan .
• I chhungkuaa mi (nu, unaunu) emaw, nangmah emaw hian preeclampsia emaw eclampsia emaw i vei tawh a nih chuan.

Mahse, heng risk factors zinga pakhat mah nei lo tan pawh eclampsia hi a lo awm thei tih hriat reng a pawimawh.

Eclampsia vei vaukhânna chhinchhiahnate chu engte nge ni?

Eclampsia hian seizure a thlen hmain warning sign thenkhat a siam fo thin. Inenkawlna i zawn vat theih nan hengte hi hriat chian a pawimawh.

• Lu natna nasa tak ( painkiller pangngai hmanga tihdam loh ).
• Thâwk lak harsat .
• Nausea leh luak chhuak .
• Zun harsa , emaw zun tam loh.
• Abdominal pain , a bik takin dinglam sir (liver awmna) ah.
• Blurred vision , double vision hmuh, emaw , mit hmuh lohna , emaw mit hmaa êng hmuh.
• Kut, hmai, leh ke ruh (a bik takin a hring chhuak nghal) ang chi hmuna hring .

Heng symptoms te hi i neih chuan doctor pan nghal tur a ni .

Eclampsia natna lan chhuah dan ber berte chu engte nge ni?

Eclampsia natna lan chhuah dan ber leh langsar ber chu:

• Seizures : Taksa khur, ke ruh tliak, ha hrual ang chi thil.
• Rilru lama harsatna nasa tak emaw, buaina emaw : I hriatna a tichhe ang maia inhriatna.
• Thil hriatna hloh .

Eclampsia awm chhante chu engte nge ni?

Kan sawi tawh ang khan, eclampsia hi preeclampsia natna khirh zawk avanga lo awm a ni fo thin . Preeclampsia natna avanga thisen sang lo awm hian i thisen kalna kawngah pressure nasa tak a siam a, a bik takin i thluaka thisen kalna kawngte chu a tichhe nasa hle. Hei hian thluak a ti na a, chu chuan seizure a thlen thei a ni. Genetics leh diet pawhin hmun a chang ve bawk.Hei hian nghawng engemaw zat a nei mai thei niin ka hria.

Engtin nge eclampsia i vei tih chiang taka i hriat theih ang?

I obstetrician chuan eclampsia i vei leh neih loh a nemnghet ang. Hei hi seizure i neih chuan tih thin a ni tlangpui. Chu bakah, i doctor chuan:

• Taksa enfiah : I hriselna tlangpui leh i natna lan chhuah dan enfiah a ni.
• I thisen sang endik fo : Thisen sang a awm leh awm loh enfiah thin ang che.
• Thisen test : Hengte hian thisen zam (red blood cell count), platelet count (thisen tichhe theitu cell), leh thin hnathawh ang chi thila thil dik lo awm leh awm loh a enfiah thin.
• Urine test : Hengte hian zun chhunga protein tam lutuk a enfiah thin.
• Creatinine test : Creatinine hi bawlhhlawh a ni a, kan kal (kidney) hian a filter chhuak thin. Thisenah hei hi a tam chuan kal (kidney) hnathawhnaah harsatna a awm tih a tilang thei.

Doctor pawhin naute hriselna a enfiah fo bawk. Naute thinlung thawk dan, a che vel, a than dan leh a nausen (placenta) dinhmun te enfiah turin ultrasound a ti ang .

Eclampsia hi engtin nge enkawl a nih?

Eclampsia enkawlna tha ber leh awmchhun chu naute neih hi a ni , naupai a zawh veleh a natna chu a reh vek avangin.

• Naute chu kar 37 tal a naupai a nih chuan (chu chu a pian hun a zawh chuan) doctor-te chuan naute chu rang taka nau neih theih nan nau neih tir an tum fo thin.
• Nang leh i naute pahnih in hrisel chuan vaginal delivery pangngai i nei thei a ni. Mahse, a then phei chuan emergency C-section neih a ngai mai thei.

Naute pian hma emaw, naute a puitlin hma emaw i nghah a ngai a nih chuan i doctor chuan damdawi a pe thei ang:

• Anticonvulsant damdawi : Hengte hi seizures tihtawp nan leh a lo let leh tawh loh nan pek thin a ni. A tam zawkah chuan damdawi magnesium sulfate an tih chu vein chhungah infusion angin an pe thin.
• Thisen sang tihhniamna damdawi : Thisen sang control.
• Corticosteroids : Heng damdawi te hian naute lung a lo thanglian thuai a, a chak zawk a, a bik takin naute hi nau neih hma a ngai a nih chuan.

Eclampsia vang hian eng harsatna dang nge awm thei?

Eclampsia hi natna khirh tak a ni a, nu leh naute tan pawh harsatna hrang hrang a thlen thei a ni. Nu chungah hetiang hian a thleng thei a ni:

• Nausen hnute (placental abruption) a awm: Nausen pian hmain nausen pum (uterine wall) atangin nausen (placenta) a inthen a. Hei hi a hlauhawm hle mai.
• Hun hmaa nau neih .
• Thisen zam harsatna a awm .
• Thai .
• Kidney tha lo a awm .
• Liver a chhiat phah .
• Thihna (mahse hei hi a tlem hle a, enkawl vat chuan ven theih a ni).

Engtin nge eclampsia hian naute a nghawng? Eclampsia hian naute tan hun rei tak chhung hriselna lama harsatna a thlen lo tlangpui. Mahse, he dinhmun hian nausen (placenta) a nghawng thei a ni. I hriat angin nausen tan hian nausen oxygen, thisen leh ei tur tha tak tak awmna chu nausen (placenta) hi a ni. Chuvangin a hnathawh a tihbuai chuan naute hian a hnuaia thil thlengte hi a tawng thei a ni:

• Nausen hnute (placental abruption) a awm .
• Thi piang (hei pawh hi a tlem hle).
• Cesarean section (C-section) hmanga nau neih theihna a sang .
• Nau piang hmasa ber .
• Nau piang a rit lo .
• Naute thanlenna khap .

Engtin nge eclampsia vei theihna tihziaawm theih ang?

A ven kim theih loh nachungin, a hlauhawmna tihziaawmna tur thil kan tih theih a awm a:

• Preeclampsia i neih chuan a pawimawh ber chu uluk taka enkawl hi a ni .
• Damdawi lam thurawn la vat la, nau neih hmaa i appointment te pawh a hun takah vawng la, chutiang chuan i doctor chuan i thisen sang leh i zun protein level a enfiah fo thei ang.
• Nun hrisel zawm : Doctor-in a rawt angin ei leh in inthlau tak ei la, exercise la.
• Preeclampsia vei theihna hlauhawm tak i nih chuan (entir nan, naupai hmaa preeclampsia i neih tawh chuan, emaw, thisen sang i neih chuan), i doctor chuan naupai thla thum hmasa berah aspirin dose tlem ei tan turin a rawt thei ang Hei hian preeclampsia vei theihna a tihziaawm tih hmuhchhuah a ni. Mahse, hei hi doctor thurawn hnuaiah chauh tih tur a ni .

Eclampsia hi tihdam theih a ni em?

Ni e, mi tam zawk chu naute an neih hnuah an dam chhuak vek a ni. Mahse, i dam chhung hian thil engemaw zat ngaihtuah tur a awm a:

• Ei leh in tha tak ei rawh .
• A theih ang anga active takin awm rawh (i doctor thurawn angin).
• Chawlh hahdam tha tak nei rawh .
• I naute i neih hnuah pawh i postnatal appointment ah a hun takah kal rawh .
• A theih ang angin stress tihziaawm rawh .
• Doctor in damdawi a pek zawng zawng chu a hun takah ei vek tur a ni .
• Naute i neih hnu kar hnih tal i thisen sang kha uluk takin enkawl la , a tul chuan in lamah teh bawk ang che.

Eclampsia hi a thihpui ngai lo. Mi tam zawk chu enkawl vat a nih chuan an dam leh thin. Chuvangin hlauthawng suh, fimkhur hle ang che.

Engtikah nge doctor ka hmuh vat ang?

Naupai laiin heng symptom thar te hi i neih chuan damdawi inah emaw doctor pan nghal tur a ni :

• Seizure thar i neih chuan - hei hi emergency a ni!
• Lu na na tak a ni.
• Vaginal atanga thisen chhuak .
• I mit hmuhna hloh ang maia i inhriat chuan, emaw, thlalak pahnih i hmuh chuan, emaw, i mit hmaah eng i hmuh chuan.
• Pum natna nasa tak i neih chuan (a bik takin dinglam sir chunglam).
• I luak fo chuan.
• I naute chetna a tlahniam emaw, a tawp emaw nia i hriat chuan.

Eclampsia hi thil awm lo tak a ni tih hre reng ang che, mahse naupai lai hian a hlauhawm hle thei. Preeclampsia enkawl hmasak hian eclampsia a veng thei a ni. Thisen sang, thisen leh zun test tura i antenatal clinic tlawh fo hian eclampsia chhinchhiahna hmasa berte chu a hriat theih nan a pui thei a ni. I natna lan chhuah dan, i rilru a buai, lu na, mit hmuh lohna, emaw, i rilru a buai emaw i neih chuan i obstetrician hnenah zawh nghal rawh.

Kan hriat reng tur pawimawh ber berte (Take-Home Message) .

Okay, chuvangin vawiin a kan sawi tawh atang khan i hriat reng tur thenkhat chu hetiang hi a ni:

• Eclampsia hi preeclampsia na tak a ni a, naupai laiin a awm thei a ni. Seizures a thlen thei. Nunna atana hlauhawm tak a ni thei .
• Thisen sang, zun chhunga protein, lu na nasa tak, mit hmuh dan danglam, pum na, leh rang taka hring chhuak ang chi symptoms te hi fimkhur hle ang che .
• Nau neih hmaa i appointment te kha lo pelh ngai suh . I doctor-in a tih tur a tih che test te chu la rawh. Hei hi nangmah leh i naute venhimna tha ber a ni.
• A chunga kan sawi tak vaukhânna chhinchhiahna emaw, chhinchhiahna emaw i hmuh chuan damdawi lam thurâwn la nghal rawh . A hmaa hriatchhuah a nih chuan enkawl a awlsam zawk a, harsatna a awm tlem zawk bawk.
• Nau neih hi eclampsia enkawlna ber a ni. Mahse, chumi hmaa natna control nan damdawi hman theih a awm.
• Mi tam zawk chu eclampsia atanga dam chhuak vek an ni. Chuvangin hlau suh, mahse fimkhur hle la, i doctor thupek zawm rawh .

Nang leh i naute hriselna tha neih duhsakna ka hlan e!