Preeclampsia

Preeclampsia yakakwira BP uye zviratidzo zvechiropa kana itsvo kukuvara kunoitika mumadzimai mushure mevhiki rechimakumi maviri rekuzvitakura. Kunyange zvisingawanzoitika, preeclampsia zvakare inogona kuitika mumukadzi mushure mekusununguka mwana wake, kazhinji mukati maawa makumi mana nemasere. Izvi zvinonzi postpartum preeclampsia.

Chikonzero chaicho chepreeclampsia hachizivikanwe. Izvo zvinoitika mune angangoita 3% kusvika 7% yevese vane nhumbu. Mamiriro acho anofungidzirwa kuti anotanga muiyo placenta. Zvinhu zvinogona kutungamira kune preeclampsia kukura zvinosanganisira:

• Autoimmune kusagadzikana
• Ropa remidziyo matambudziko
• Kudya kwako
• Majini ako

Njodzi zvinhu zvemamiriro acho anosanganisira:

• Kutanga kubata pamuviri
• Nhoroondo yakapfuura yepreeclampsia
• Multiple nhumbu (mapatya kana kupfuura)
• Nhoroondo yemhuri yepreeclampsia
• Kufutisa
• Kuva mukuru pane zera makumi matatu nemashanu
• Kuve African American
  
• Nhoroondo yechirwere cheshuga, kuwedzerwa kweropa, kana chirwere cheitsvo
• Nhoroondo yechirwere chetachiona

Kazhinji, vakadzi vane preeclampsia havanzwe kurwara.

Zviratidzo zve preeclampsia zvinogona kusanganisira:

• Kuzvimba kwemaoko uye kumeso kana maziso (edema)
• Kungoerekana wawedzera uremu pamusoro pezuva rimwe kana maviri kana anopfuura mapaundi maviri (0.9 kg) pavhiki

Ongorora: Kumwe kuzvimba kwetsoka nemagumbo kunoonekwa sezvakanaka panguva yekuzvitakura.

Zviratidzo zveakanyanya preeclampsia anosanganisira:

• Kutemwa nemusoro kusingaendi kana kuwedzera kuipa.
• Kunetseka kufema.
• Belly kurwadziwa kurudyi, pazasi pembabvu. Marwadzo anogona zvakare kunzwika mubendekete rekurudyi, uye anogona kuvhiringidzika nekurwadziwa nechirungurira, kurwadziwa kwenduru, hutachiona hwemudumbu, kana kurova nemwana.
• Kwete kuita weti kakawanda.
• Nausea uye kurutsa (chiratidzo chinoshungurudza).
• Chiono chinoshanduka, kusanganisira bofu renguva pfupi, kuona mwenje unopenya kana mavara, kunzwisisika kwechiedza, uye kuona kwakadzima.
• Kunzwa musoro wakareruka kana kupera simba.

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinogona kuratidza:

• Yakakwira BP, kazhinji yakakwira kupfuura 140/90 mm Hg
• Kuzvimba mumaoko nemeso
• Kurera huremu

Kuongororwa kweropa uye weti kuchaitwa. Izvi zvinogona kuratidza:

• Mapuroteni mumurini (proteinuria)
• Yakakwirira-kupfuura-yakajairwa chiropa enzymes
• Platelet kuverenga iyo yakaderera
• Yakakwirira-kupfuura-yakajairwa creatinine mazinga muropa rako
• Yakakwidziridzwa uric acid mazinga

Miedzo ichaitwawo kune:

• Ona kuti ropa rako rinogwamba zvakanaka sei
• Chengetedza hutano hwemwana

Mhedzisiro yekubata pamuviri ultrasound, isina-kushushikana bvunzo, uye kumwe kuyedza kunobatsira wako mupi kusarudza kana mwana wako achida kununurwa ipapo ipapo.

Vakadzi vaive neakaderera BP mukutanga kwepamuviri pavo, zvichiteverwa nekukwira kwakanyanya kweropa rinoda kutariswa zvakanyanya kune zvimwe zviratidzo zve preeclampsia.

Preeclampsia inowanzogadzirisa mushure mekunge mwana azvarwa uye iyo placenta yaburitswa. Nekudaro, inogona kupfuurira kana kutotanga mushure mekusununguka.

Kazhinji kazhinji, pamasvondo makumi matatu nemanomwe, mwana wako anokura zvakakwana kuti ave noutano kunze kwedumbu.

Nekuda kweizvozvo, mupi wako angangoda kuti mwana wako aendeswe kuitira kuti preeclampsia irege kuwedzera. Iwe unogona kuwana mishonga yekubatsira kutanga basa, kana iwe ungangoda C-chikamu.

Kana mwana wako asina kunyatso kukura uye iwe uine preeclampsia isina kusimba, chirwere ichi chinowanzo goneswa pamba kusvika mwana wako akura. Iye mupi achakurudzira:

• Kugara uchishanyira chiremba kuti uve nechokwadi chekuti iwe nemwana wako muri kuita zvakanaka.
• Mishonga yekudzikisa yako BP (dzimwe nguva).
• Kuomarara kwepreeclampsia kunogona kuchinja nekukasira, saka unenge uchida kunyatso kutevedzera.

Kuzorora kwemubhedha kwakazara hakuchina kukurudzirwa.

Dzimwe nguva, mukadzi ane pamuviri ane preeclampsia anogamuchirwa muchipatara. Izvi zvinobvumira timu yehutano kutarisa mwana naamai zvakanyanya.

Kurapa muchipatara kunogona kusanganisira:

• Vhara kuongorora mai nemwana
• Mishonga yekudzivirira BP uye kudzivirira pfari nezvimwe zvinonetsa
• Steroid majekiseni epamuviri pasi pemavhiki makumi matatu nemana yekubata kubatsira kubatsira kukurumidza kukura kwemapapu emwana

Iwe nemupi wako mucharamba muchikurukura inguva yakachengeteka yekubereka mwana wako, uchifunga:

• Iwe wave padyo sei nezuva rako rakakodzera.
• Kuomarara kwepreeclampsia. Preeclampsia ine matambudziko akakomba akawanda anogona kukuvadza amai.
• Mwana ari kunyatsoita sei mudumbu.

Mwana anofanirwa kusununguka kana paine zviratidzo zvekuremara kwepreeclampsia. Izvi zvinosanganisira:

• Kuyedza kunoratidza kuti mwana wako haasi kukura zvakanaka kana kuti haasi kuwana ropa rakakwana neoksijeni.
• Nhamba yepasi yeropa rako inodarika 110 mm Hg kana yakakura kupfuura 100 mm Hg zvinowirirana pamusoro pemaawa makumi maviri nemana.
• Isina kujairika chiropa basa bvunzo mhedzisiro.
• Musoro wakakomba.
• Marwadzo munzvimbo yedumbu (dumbu).
• Kugwinha kana shanduko mukushanda kwepfungwa (eclampsia).
• Mvura inovakwa mumapapu amai.
• HELLP chirwere (chisingawanzoitiki).
• Yakaderera platelet kuverenga kana kubuda ropa.
• Wakaderera weti kubuda, yakawanda mapuroteni mumugini, uye zvimwe zviratidzo zvekuti itsvo dzako hadzisi kushanda mushe.

Sign uye zviratidzo zve preeclampsia kazhinji zvinopera mukati memavhiki matanhatu mushure mekusununguka. Zvisinei, kuwedzera kweropa dzimwe nguva kunowedzera mazuva mashoma apfuura mushure mekusununguka. Iwe uchiri panjodzi yepreeclampsia kweanosvika mavhiki matanhatu mushure mekusununguka. Iyi postpartum preeclampsia inotakura njodzi yekufa. Kana iwe ukacherekedza chero zviratidzo zve preeclampsia, bata wako wekuchengetedza hutano ipapo ipapo.

Kana iwe wakave uine preeclampsia, iwe uri mukana wekukudziridza zvakare panguva yeimwe nhumbu. Muzviitiko zvakawanda, haina kuita senge yakaoma sekutanga.

Kana uine BP yakakwira panguva yekuzvitakura kanopfuura kamwe, unowanzo kuve neBP yakakwira paunokwegura.

Kazhinji asi zvakakomba zvinetso zveamai zvinogona kusanganisira:

• Zvinetso zvekubuda ropa
• Kubata (eclampsia)
• Fetal kukura kunonoka
• Kuparadzaniswa kwepamberi kwepacenta kubva muchibereko mwana asati azvarwa
• Kubvaruka kwechiropa
• Kurohwa
• Rufu (kashoma)

Kuve nenhoroondo ye preeclampsia kunoita kuti mukadzi ave nenjodzi yakakwira kumatambudziko emangwana akadai se:

• Chirwere chemoyo
• Chirwere cheshuga
• Chirwere cheitsvo
• Kurwara kwakakwira kweropa

Fonera mupiki wako kana iwe uine zviratidzo zve preeclampsia panguva yako yepamuviri kana mushure mekusununguka.

Iko hakuna yechokwadi nzira yekudzivirira preeclampsia.

• Kana chiremba wako achifunga kuti uri panjodzi huru yekubata preeclampsia, vangangokurudzira kuti utange mwana aspirin (81 mg) zuva nezuva kunonoka mukutanga kwetatu kana kutanga kwetatu trimester yepamuviri. Zvisinei, Usatange mwana aspirin kunze kwekunge iwe wabvunza chiremba wako kutanga.
• Kana chiremba wako achifunga kuti calcium yaunodya yakaderera, vangangokurudzira kuti utore calcium supplement zuva nezuva.
• Iko hakuna imwe chaiyo yekudzivirira matanho epreeclampsia.

Zvakakosha kuti vakadzi vese vane nhumbu vatange kurapwa vasati vasununguka uye voenderera mberi kuburikidza nepamuviri uye mushure mekusununguka.

Toxemia; Kubata-kukonzerwa neBP (PIH); Gestational hypertension; Kuwedzera kweropa - preeclampsia

• Preeclampsia

American College yeVadzvanyiriri uye Gynecologists; Task Force paHypertension muPamuviri. Hypertension mukuzvitakura. Chirevo cheAmerican College of Obstetricians uye Gynecologists 'Task Force paHypertension muPamuviri. Obstet Gynecol. 2013; 122 (5): 1122-1131. PMID: 24150027 pubmed.ncbi.nlm.nih.gov/24150027/.

Harper LM, Tita A, Karumanchi SA. Hypertension yakabatana nepamuviri. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Sirivha RM, eds. Creasy uye Resnik's Maternal-Fetal Mushonga: Misimboti uye Dzidzira. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 48.

Sibai BM. Preeclampsia uye kusagadzikana kwehutano. Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics yaGabbe: Yakajairika uye Dambudziko Pamuviri. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 38.