Preeclampsia pakati - ndichiyani? Preeclampsia oyembekezera: Zizindikiro, Zoyambitsa ndi Chithandizo

dotolo aliyense angakuuzeni kuti pa mimba zosiyanasiyana zinthu kumachitika odwala amene zina kuti takamba za matenda akuluakulu. Yekha ndiye mtengo chisanadze eclampsia woyembekezera, zizindikiro, zinthu zomwe ndi mankhwala amene madokotala kuziphunzira. Koma ngakhale zimene tikudziwa tsopano, amalola nkhani za kuopsa matenda kwa mayi komanso mwana. Kodi adzaukitsidwa ndipo anatsitsanso kuthamanga, edema kuoneka, koma musamutenge imeneyi mopepuka - zonse zimene zingachititse kuti zotsatirapo zoopsa kwambiri popanda mankhwalawa. Choncho, ndichiyani?

preeclampsia pakati

Mu ndondomeko ya adanyamula mwana m'thupi la mayi amaloŵamo kukonzanso zikuluzikulu ndipo zimamuchulukira. Si nthawi zonse nthawi yomweyo amalowerera kukhala ndi thanzi, choncho chinthu chilichonse mayi woyembekezera ndipo amafuna polojekiti zonse madokotala. Komabe, mwina kenako anakumana ndi chikhalidwe monga chisanadze eclampsia mu amayi apakati. Ndi chiyani icho?

Iwo akhoza anasonyeza m'njira zambiri, mkazi sangathe kusapeza iliyonse ndipo amaganiza kuti mimba yake yachibadwa kwathunthu. madokotala ambiri kuzitcha izo preeclampsia, kugwiritsa ntchito mawu akuti "preeclampsia" kokha poyerekezera ndi chikhalidwe m'malo pachimake yodziwika ndi chiwerengero zizindikiro. Koma izo zonse akuyamba ndi zizindikiro mwachilungamo palibe vuto lililonse.

zifukwa

Ngati dotolo n'zoonekeratu kwambiri kuti chisanadze eclampsia woyembekezera, chifukwa kumachitika, n'zovuta kunena. Pali zina zothandizira nthendayi kuti akhoza azidwala pakuwonekera kwake, koma osati nthawi zonse. Ndipo ngati mkazi akanatha kulimbana zodabwitsazi, yotsatira mimba woyamba - palibe. Madokotala amakonda kunena kuti chifukwa mkulu kuchuluka kwa thupi mafuta, kuphwanya kugwira bwino ntchito dongosolo mtima, komanso chakudya zosafunikira. Koma ngakhale osati zonsezi, palibe chitsimikizo kuti nayenso adzakhala osadzuka.

Mwa njira chisanafike eclampsia zingaoneke yomweyo pambuyo pa kubadwa, choncho n'kutheka kuti ponena m'thupi wonongeka kapena machitidwe angapo. Mulimonsemo, ngati pa mimba anasonyeza zizindikiro za chisanadze eclampsia, pamene akukonzekera chotsatira ndi kufunsa akatswiri angapo, imene idzakhala panthawiyi, dokotala, ndi m'thupi yemwenso, ndipo, ndithudi, ndi azamba-gynecologist.

Zadzidzidzi ndi N'zoona

Mkazi ali ndi chiwerengero ndithu zizindikiro opweteka ayenera kuchenjeza ake musanayambe kwambiri chisanadze eclampsia mu amayi apakati. Ndi chiyani icho?

Choyamba, kuthamanga magazi kuuka kwa mtengo mokwanira mkulu. Izo sizingakhoze anamva, makamaka ngati mayi woyembekezera kunyalanyaza dokotala maulendo zonse, ndipo sizikugwirizana zimakwana paokha.

Kachiwiri, ndi kutupa kwambiri, imene kuthawa kovuta. Lakuthwa kunenepa, miyendo katundu ndi kutupa ndi kutha kwa tsiku - zimenezi kumlingo kuonedwa ngati chodabwitsa zachilendo kwa mimba, mukhoza anatiyangata chakudya chamagulu ndi kuyambitsa kwa madzi zakudya kiranberi. Komabe, ngati zimenezi sizipangitsa kuthandiza, ndi chokha likuipiraipira, pamodzi ndi kuthamanga, n'zomveka kuti ayankhule preeclampsia - otchedwa toxicosis chachiwiri theka mimba.

The chizindikiro chachitatu kuti posachedwapa akhoza kubwera preeklamsiya wofatsa mu amayi apakati - kukhalapo kwa mapuloteni mu mkodzo nyemba. Izi zikutanthauza kuti impso ndi kudwala, iwo Sangathe kupirira katundu ndi kuyamba ndithu. Mu nkhani ya zina kunyalanyaza matenda kuoneka ndi zizindikiro zina zowopsa kwambiri, amene kumaonekera preeclampsia mu amayi apakati.

zizindikiro

Pambuyo kuoneka edema, zomwe, poyamba, sakhoza ankamvera koma kukhudzanso pa mwana wosabadwayo, komanso mapuloteni mu mkodzo kuwunika, zizindikiro zina kupitilira preeclampsia kumachitika mofulumira ndithu. Pangakhale kuchepetsa linanena bungwe mkodzo, zina madzimadzi posungira mu thupi. Pankhaniyi, mkazi angaone ululu m'mimba, chizungulire, kusanza. Ndiye bongo akhoza kusintha chifukwa edema ubongo.

Iwo ayenera kumvetsa kuti kutchulidwa yake kwa dokotala tipewe hassles onsewa. Pali tsopano anayamba strategy chithandizo Tikanena muyeso wa chopinga pazipita kupitilira matenda. Nthawi zambiri satha kwambiri kutalikitsa mimba ndipo nthawi zina ngakhale kuitcha mwanayo akuti bwinobwino rodorazreshivshis ntchito madokotala.

madigiri

amayi apakati Preeclampsia zimasiyanasiyana malinga ndi kukula kwa ntchito yake, ndi yofunika kuchitapo kanthu mwamsanga. Pachikhalidwe, pali atatu, ndipo ngati ife zichokera malamulo a kuthamanga 120/80, ali motere:

• Wofatsa chisanadze eclampsia mu amayi apakati. Pangakhale pang'ono kutupa, ndi mtengo wa magazi limatuluka pamwamba kuposa 150/90. Pali kusintha mu kusanthula amuzolengedwa magazi, mapuloteni mu mkodzo - zosaposa 1 galamu pa lita.
• Wofatsa chisanadze eclampsia mu amayi apakati. Anzanu pa 170/110, chifukwa cha mutu uwu. Mlingo wa mapuloteni mu mkodzo magalamu 5 pa lita. Kusintha kupatsidwa zinthu za m'mwazi kuwerengedwa ndi urea m'magazi.
• Aakulu chisanadze eclampsia mu amayi apakati. Indicators upambana ziwerengero pamwamba. Kupezeka ndi patsogolo zizindikiro zina: ululu m'mimba, chizungulire, kunyansidwa, amaona masomphenya.

Vuto lagona pa mfundo yakuti chisanadze eclampsia mwina patsogolo mofulumira. Choncho, ngakhale kamodzi kuwonjezeka kuthamanga ndi mfundo zokwanira kapena mkulu akhale ndi chonamizira kwa kuchezeredwa waukulu kwa dokotala, ndipo Zikavuta - itanani ambulansi. Kwenikweni kumbukira dzina la "akazi preeclampsia pakati", chomwe izo ziri, madokotala kuzindikira umunthu wawo. Ndikofunikira kukumbukira kuti madokotala sitingapeze kuthandiza ngati adzabwera mochedwa kwambiri.

diagnostics

Nthaŵi iliyonse phwando pa gynecologist ya anachita magazi muyeso ndi masekeli. Komanso, anachita mkodzo mayeso pamaso pa mapuloteni mu izo. Ngati pali kutengera za chakuti padzakhala chisanadze eclampsia woyembekezera, siptomy kapena kukayikirana, n'zomveka kuti zonse kunyamula angapo mayesero zina.

Choyamba, ndi atayezetsa kwa sayansi. Timatha kuzindikira ntchito za michere chiwindi ndi kusintha msinkhu wawo. Kachiwiri, ndi magazi kuti hemostasis, mwachitsanzo magazi clotting. Kuyeza kumeneku zimathandizanso kudziwa mavuto monga magazi kuundana. A kusanthula lachitatu, amene amathandiza kulamulira mkhalidwe wa pakati - milingo magazi a creatinine ndi urea. Timatha inu kuonanso ntchito ya impso.

Monga ulamuliro, ikuchitika mu chipatala ndi mayesero yosavuta mwachilengedwe - mwachitsanzo, kusanthula pa imfa ndi tsiku mapuloteni kapena kuyesa Zimnitsky, kusonyeza ntchito dongosolo excretory.

mankhwala chisanadze eclampsia

Mu amayi apakati pa maganizo a madokotala, pali yaikulu drawback - sangathe kugwiritsidwa ntchito kwambiri mankhwala. Inde, nkhokwe ya mankhwala kupulumutsa kwambiri kapena zochepa khola boma preeclampsia n'chachikulu ndithu, koma iwo si nthawi zonse wogwira mtima, chifukwa aliyense thupi ndi wapadera zochita zawo. Complicating vutoli, ndipo kuti chikhalidwe ichi mwina patsogolo padziko sabata la makumi awiri a mimba, ndipo mu nkhani iyi, mpata kudziletsa losamala pafupifupi palibe.

Childs, kuphatikiza mankhwala ikuchitika, umalimbana kutsitsa magazi ndi buku la madzimadzi owonjezera m'thupi, komanso kusintha ndi nthenda yotaya magazi kwa mwana wosabadwayo. Mu zambiri za nthawi wayamba mankhwala chisanadze eclampsia mu amayi apakati akhoza kuchotsa mavuto pa chokwanira cha otetezeka kuvala kunja nthawi. Komabe, mkazi Russian akudwala matenda oopsa, nthawi zambiri sadzaloledwa kudzimvera yobereka mankhwala, kotero kuti mu nkhani iyi muyenera maganizo pokonzekera mbali cesarean.

Zotsatira zake mayi

Eclampsia angayambe ngati saisama- yaitali chisanadze eclampsia mu amayi apakati. Kodi izo, ndi zimene yodziwika boma? Ichi ndi vuto loopsa kwambiri kuti ungathe kusokoneza osati thanzi, komanso moyo wa mkazi.

Akutukuka HELLP-syndrome, i.e. anati kuwonongeka chiwindi, kuwonongedwa kwa maselo a magazi ndi kupatsidwa zinthu za m'mwazi achiyesa amachepetsa. Apite khunyu, ndipo ngakhale chikomokere zimachitika. Nthawi zina amapha. Komabe, matendawa amakhudza osati amayi.

Zotsatira zake kwa mwana wosabadwayo

The kungasokoneze mwana akuyamba ngakhale pa kuthamanga kwa magazi. Ziwiya constrict, kusokoneza magazi mu nsengwa, mwana salandira mpweya ndi zakudya. zipatso likunka, pangakhale chisokonezo pa CTG ndi pa ultrasound lapansi. Ngati preeclampsia anayamba pa siteji mokwanira oyambirira, pangakhale sikelo, magazi matenda, kulephera ena. Choncho musanyalanyaze mankhwala.