Eclampsia

Eclampsia ndikumayambiriro kwa khunyu kapena chikomokere mwa mayi wapakati yemwe ali ndi preeclampsia. Kugwidwa uku sikukugwirizana ndi vuto lomwe lilipo kale muubongo.

Zomwe zimayambitsa eclampsia sizikudziwika. Zinthu zomwe zingatenge gawo ndi monga:

• Mavuto amitsuko yamagazi
• Ubongo ndi dongosolo lamanjenje (minyewa)
• Zakudya
• Chibadwa

Eclampsia amatsatira vuto lotchedwa preeclampsia. Ichi ndi vuto la mimba yomwe mayi ali ndi kuthamanga kwa magazi ndi zina zomwe amapeza.

Amayi ambiri omwe ali ndi preeclampsia samapitilizidwa. Ziri zovuta kuneneratu kuti ndi akazi ati omwe angatero. Amayi omwe ali pachiwopsezo chachikulu chogwidwa nthawi zambiri amakhala ndi preeclampsia yoopsa ndi zotsatira monga:

• Mayeso achilendo amwazi
• Kupweteka mutu
• Kuthamanga kwambiri kwa magazi
• Masomphenya akusintha
• Kupweteka m'mimba

Mwayi wanu wopeza preeclampsia ukuwonjezeka pamene:

• Ndinu azaka 35 kapena kupitilira apo.
• Ndinu African American.
• Uwu ndi mimba yanu yoyamba.
• Muli ndi matenda a shuga, kuthamanga kwa magazi, kapena matenda a impso.
• Mukukhala ndi ana opitilira 1 (monga mapasa kapena atatu).
• Ndiwe wachinyamata.
• Ndinu onenepa kwambiri.
• Muli ndi mbiri ya banja la preeclampsia.
• Muli ndi zovuta zama auto.
• Mwakhala mukugonana ndi vitro.

Zizindikiro za eclampsia ndi izi:

• Kugwidwa
• Kusokonezeka kwakukulu
• Kusazindikira

Amayi ambiri amakhala ndi zizindikiro za preeclampsia asanagwidwe:

• Kupweteka mutu
• Nseru ndi kusanza
• Kupweteka m'mimba
• Kutupa kwa manja ndi nkhope
• Mavuto amawonedwe, monga kutayika kwa masomphenya, kusawona bwino, masomphenya awiri, kapena malo omwe akusowa powonekera

Wothandizira zaumoyo adzayesa thupi kuti ayang'ane zomwe zimayambitsa kugwidwa. Kuthamanga kwa magazi ndi kupuma kwanu kumayang'aniridwa pafupipafupi.

Mayeso amwazi ndi mkodzo atha kuchitidwa kuti muwone:

• Zinthu zotseka magazi
• Zachilengedwe
• Kutulutsa magazi
• Uric asidi
• Ntchito ya chiwindi
• Kuwerengera kwa Platelet
• Mapuloteni mu mkodzo
• Mulingo wa hemoglobin

Njira yayikulu yothandizira kuti preeclampsia isapitilire kupita ku eclampsia ndikubereka mwana. Kulola kuti mimba ipitirire ikhoza kukhala yowopsa kwa inu ndi mwana.

Mutha kupatsidwa mankhwala kuti mupewe kugwa. Mankhwalawa amatchedwa anticonvulsants.

Wopereka chithandizo akhoza kukupatsani mankhwala ochepetsa kuthamanga kwa magazi. Ngati magazi anu akukwera kwambiri, kubereka kungafunike, ngakhale mwanayo asanabadwe.

Amayi omwe ali ndi eclampsia kapena preeclampsia ali pachiwopsezo chachikulu cha:

• Kupatukana kwa placenta (placenta abruptio)
• Kubereka msanga komwe kumabweretsa zovuta mwa mwana
• Mavuto otseka magazi
• Sitiroko
• Imfa ya makanda

Itanani omwe akukuthandizani kapena pitani kuchipinda chadzidzidzi ngati muli ndi zizindikilo za eclampsia kapena preeclampsia. Zizindikiro zadzidzidzi zimaphatikizapo kugwidwa kapena kuchepa kwachangu.

Pitani kuchipatala nthawi yomweyo ngati muli ndi izi:

• Kutuluka magazi kumaliseche kofiira
• Kuyenda pang'ono kapena ayi mwa khanda
• Mutu wopweteka kwambiri
• Kupweteka kwakukulu kumtunda chakumanja chakumanja
• Kutaya masomphenya
• Nseru kapena kusanza

Kupeza chithandizo chamankhwala nthawi yonse yomwe muli ndi pakati ndikofunikira popewa zovuta. Izi zimapangitsa kuti mavuto monga preeclampsia azindikiridwe ndikuchiritsidwa msanga.

Kupeza chithandizo cha preeclampsia kumatha kupewa eclampsia.

Mimba - eclampsia; Preeclampsia - eclampsia; Kuthamanga kwa magazi - eclampsia; Kulanda - eclampsia; Matenda oopsa - eclampsia

• Preeclampsia

American College of Obstetricians ndi Gynecologists; Task Force on Hypertension in Mimba. Matenda oopsawa ali ndi pakati. Lipoti la American College of Obstetricians and Gynecologists 'Task Force on Hypertension in Pregnancy. Gynecol Woletsa. 2013; 122 (5): 1122-1131. PMID: 24150027 adatulutsidwa.ncbi.nlm.nih.gov/24150027/.

Harper LM, Tita A, Karumanchi SA. Matenda oopsa okhudzana ndi mimba. Mu: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, olemba. Creasy ndi Resnik's Maternal-Fetal Medicine: Mfundo ndi Kuchita. 8th ed. Philadelphia, PA: Elsevier; 2019: chap 48.

Salhi BA, Nagrani S. Zovuta zoyipa zakuyembekezera. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 178.

Sibai BM. Preeclampsia ndi matenda oopsa. Mu: Landon MB, Galan HL, Jauniaux ERM, et al, eds. Obstetrics: Mimba Yachibadwa ndi Mavuto. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 38.