Eclampsia ali ndi pakati: ndi chiyani, zizindikiro zazikulu ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Postpartum eclampsia
• Zomwe zimayambitsa ndi momwe mungapewere
• Momwe mankhwalawa amachitikira
• 1.Kulamulira kwa magnesium sulphate
• 2. Mpumulo
• 3. Kulowetsa pobereka
• Zovuta zotheka

Eclampsia ndi vuto lalikulu lokhala ndi pakati, lomwe limadziwika ndikumakokana mobwerezabwereza, ndikutsatira chikomokere, chomwe chimatha kupha ngati sichichiritsidwa nthawi yomweyo. Matendawa amapezeka kwambiri m'miyezi itatu yapitayi yamimba, komabe, imatha kudziwonetsera nthawi iliyonse pambuyo pa sabata la 20 la bere, pobereka kapena, ngakhale, pobereka.

Eclampsia ndi chiwonetsero chachikulu cha pre-eclampsia, yomwe imayambitsa kuthamanga kwa magazi, kuposa 140 x 90 mmHg, kupezeka kwa mapuloteni mumkodzo ndi kutupa kwa thupi chifukwa chosungira madzi, koma ngakhale matendawa ndi ofanana, si amayi onse omwe ali ndi pre-eclampsia matendawa amapitilira ku eclampsia. Pezani momwe mungadziwire pre-eclampsia komanso nthawi yomwe ingakhale yovuta.

Zizindikiro zazikulu

Zizindikiro za eclampsia ndi izi:

• Kupweteka;
• Kupweteka mutu;
• Matenda oopsa;
• Kufulumira kunenepa chifukwa chosungira madzi;
• Kutupa kwa manja ndi mapazi;
• Kutaya mapuloteni kudzera mumkodzo;
• Kulira m'makutu;
• Kupweteka kwambiri m'mimba;
• Kusanza;
• Masomphenya akusintha.

Khunyu mu eclampsia nthawi zambiri limafala ndipo limatha pafupifupi mphindi imodzi ndipo limatha kufika pakukomoka.

Postpartum eclampsia

Eclampsia imathanso kupezeka mwana akabereka, makamaka azimayi omwe anali ndi pre-eclampsia ali ndi pakati, chifukwa chake ndikofunikira kupitiliza kuwerengetsa ngakhale atabereka, kuti zizindikiritso zowonjezereka zizidziwike, ndipo mutulutsidwa kuchipatala Pambuyo pakukhazikika kwapanikizika ndikusintha kwa zizindikiro. Dziwani zomwe zizindikilo zazikulu ndizomwe zimakhalira pambuyo pobereka eclampsia.

Zomwe zimayambitsa ndi momwe mungapewere

Zomwe zimayambitsa eclampsia zimakhudzana ndikukhazikika ndikukula kwa mitsempha yam'mimba mu placenta, chifukwa kusowa magazi kwa nsanamira kumapangitsa kuti ipange zinthu zomwe, zikagwera m'magazi, zimasintha kuthamanga kwa magazi ndikuwononga impso .

Zowopsa zodwala eclampsia zitha kukhala:

• Mimba mwa amayi azaka zopitilira 40 kapena zosakwana 18;
• Mbiri ya banja la eclampsia;
• Mimba yapasa;
• Amayi omwe ali ndi matenda oopsa;
• Kunenepa kwambiri;
• Matenda ashuga;
• Matenda a impso;
• Amayi apakati omwe ali ndi matenda opatsirana pogonana, monga lupus.

Njira yopewera eclampsia ndikuwongolera kuthamanga kwa magazi mukakhala ndi pakati ndikuchita mayeso oyenerera asanabadwe kuti mupeze zosintha zilizonse zosonyeza matendawa mwachangu.

Momwe mankhwalawa amachitikira

Eclampsia, mosiyana ndi kuthamanga kwa magazi, samayankha okodzetsa kapena chakudya chamchere wambiri, chifukwa chake mankhwala nthawi zambiri amaphatikizapo:

1.Kulamulira kwa magnesium sulphate

Kupereka mankhwala a magnesium sulphate mumtengowu ndi mankhwala omwe amapezeka kwambiri pakakhala eclampsia, yomwe imagwira ntchito poletsa khunyu ndikugwa chikomokere. Chithandizocho chiyenera kuchitidwa mutagonekedwa kuchipatala ndi magnesium sulphate iyenera kuperekedwa ndi katswiri wazachipatala mumtsempha.

2. Mpumulo

Pakugonekedwa mchipatala, mayi wapakati amayenera kupumula momwe angathere, makamaka atagona kumanzere, kuti magazi aziyenda bwino kwa mwana.

3. Kulowetsa pobereka

Kubereka ndiyo njira yokhayo yochiritsira eclampsia, komabe kulowetsedwa kumatha kuchedwa ndi mankhwala kuti mwana athe kukula kwambiri.

Chifukwa chake, panthawi yachipatala, kuyezetsa magazi kuyenera kuchitidwa tsiku lililonse, maola 6 aliwonse kuti athane ndi kusintha kwa kadamsana, ndipo ngati palibe kusintha, kubereka kuyenera kuyambitsidwa mwachangu, kuti athetse kupwetekedwa kumene kumayambitsa.

Ngakhale eclampsia imakula bwino akabereka, zovuta zimatha kubwera m'masiku otsatira, chifukwa chake mayiyu akuyenera kuyang'aniridwa mosamala ndipo akawona zizindikiro za eclampsia, kugona kuchipatala kumatha masiku ochepa mpaka masabata, kutengera kukula kwa vutoli komanso zovuta zomwe zingachitike.

Zovuta zotheka

Eclampsia imatha kubweretsa zovuta zina, makamaka ngati sichichiritsidwa mwachangu ikangodziwika. Chimodzi mwamavuto akulu ndi matenda a HELLP, omwe amadziwika pakusintha kwakukulu kwa magazi, komwe kumawononga maselo ofiira ofiira, kuchepa kwa maselo othandiza magazi kuundana ndi kuwonongeka kwa maselo a chiwindi, zomwe zimapangitsa kuchuluka kwa michere ya chiwindi ndi ma bilirubins m'magazi. yesani. Dziwani zambiri za zomwe zili komanso momwe mungachiritsire matenda a HELLP.

Zovuta zina zomwe zingachitike ndikuchepa kwamagazi kupita muubongo, kuwononga minyewa, komanso kusungidwa kwamadzi m'mapapu, kupuma movutikira komanso impso kapena chiwindi kulephera.

Kuphatikiza apo, makanda amathanso kukhudzidwa, ali ndi vuto pakukula kwawo kapena kufunika koyembekezera kubereka. Nthawi zina, mwanayo sangakule bwino, ndipo pakhoza kukhala mavuto, monga kupuma movutikira, kufuna kuwunikidwa ndi neonatologist ndipo, nthawi zina, kuloledwa ku ICU kuti awonetsetse chisamaliro chabwino.