Kodi HELLP syndrome, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za HELLP Syndrome
• Ndani anali ndi HELLP Syndrome angathenso kutenga pakati?
• Kuzindikira kwa HELLP Syndrome
• Kodi chithandizo

Matenda a HELLP ndimomwe amapezeka pamimba ndipo amadziwika ndi hemolysis, yomwe imafanana ndi kuwonongeka kwa maselo ofiira amwazi, kusintha kwa michere ya chiwindi komanso kuchepa kwa ma platelet, omwe angaike mayi ndi mwana pachiwopsezo.

Matendawa nthawi zambiri amakhudzana ndi pre-eclampsia kapena eclampsia, yomwe ingalepheretse matendawa komanso kuchedwetsa kuyamba kwa mankhwala.

Ndikofunika kuti HELLP Syndrome izindikiridwe ndikuchiritsidwa mwachangu momwe zingathere kuti mupewe zovuta monga impso kulephera, mavuto a chiwindi, edema yamapapo edema kapena kufa kwa mayi wapakati kapena mwana, mwachitsanzo.

Matenda a HELLP amatha kuchiritsidwa ngati atadziwika ndikuchiritsidwa mwachangu malinga ndi zomwe adokotala apereka, ndipo kungakhale kofunikira, pamavuto akulu omwe moyo wa mayi uli pachiwopsezo, kuti athetse mimba.

Zizindikiro za HELLP Syndrome

Zizindikiro za HELLP Syndrome ndizosiyanasiyana ndipo nthawi zambiri zimawonekera pakati pa masabata a 28 ndi 36 atakhala ndi pakati, ngakhale atha kuonekanso mu trimester yachiwiri yapakati kapena, ngakhale atabereka, ndizo zikuluzikulu:

• Ululu pafupi pakamwa pamimba;
• Mutu;
• Kusintha kwa masomphenya;
• Kuthamanga kwa magazi;
• Matenda ambiri;
• Nseru ndi kusanza;
• Kukhalapo kwa mapuloteni mkodzo;
• Jaundice, momwe khungu ndi maso ake amakhala achikaso kwambiri.

Mayi woyembekezera yemwe akuwonetsa zizindikilo za HELLP Syndrome ayenera kukaonana ndi dotoloyo msanga kapena kupita kuchipatala, makamaka ngati akudwala pre-eclampsia, matenda ashuga, lupus kapena mavuto amtima kapena impso.

Ndani anali ndi HELLP Syndrome angathenso kutenga pakati?

Ngati mayiyu adali ndi HELLP Syndrome ndipo mankhwalawa adachitidwa moyenera, mimba imatha kuchitika bwinobwino, osachepera chifukwa kuchuluka kwa matendawa kumakhala kotsika kwambiri.

Ngakhale sangathenso kudwala matendawa, ndikofunikira kuti mayi wapakati ayang'anitsidwe kwambiri ndi azamba kuti asasinthe nthawi yomwe ali ndi pakati.

Kuzindikira kwa HELLP Syndrome

Kuzindikira kwa HELLP Syndrome kumapangidwa ndi mayi wobereka potengera zomwe mayi woyembekezera amapeza komanso zotsatira za mayeso a labotale, monga kuchuluka kwa magazi, momwe mawonekedwe amwazi wamagazi ofiira, mawonekedwe ndi kuchuluka kwake amawunika, kuphatikiza kuwunika kuchuluka kwa ma platelet. Phunzirani momwe mungamvetsetse kuchuluka kwa magazi.

Kuphatikiza apo, adotolo amalimbikitsa kuyesa mayeso omwe amawunika michere ya chiwindi, yomwe imasinthidwanso mu matenda a HELLP, monga LDH, bilirubin, TGO ndi TGP, mwachitsanzo. Onani mayeso omwe amayesa chiwindi.

Kodi chithandizo

Chithandizo cha HELLP Syndrome chimachitika ndi mayi yemwe walandiridwa ku Intensive Care Unit kuti woperekayo azitha kuwunika momwe mimbayo yasinthira ndikuwonetsa nthawi yabwino komanso njira yoberekera, ngati zingatheke.

Chithandizo cha HELLP Syndrome chimadalira msambo wamayi, ndipo ndizofala kuti pakatha milungu 34, kubala mwana kumayambitsidwa koyambirira kuti apewe kufa kwa mayi komanso kuvutika kwa mwana, komwe kumatumizidwa nthawi yomweyo ku Therapy Unit Neonatal intensive care unit kuti apewe zovuta.

Mayi woyembekezera asanakwanitse milungu 34, ma steroids amatha kubayidwa muminyewa, monga betamethasone, kuti apange mapapo a mwana kuti azitha kubereka. Komabe, mayi wapakati akakhala ndi pakati pasanathe milungu 24, chithandizo chamtunduwu sichingakhale chothandiza, ndipo ndikofunikira kuthetsa mimbayo. Mvetsetsani zambiri zamankhwala a HELLP Syndrome.