Preeclampsia is complication of pregnancy in which a woman blood pressure is high and protein is found in her urine. Chikonzero chacho hachizivikanwi, kunyange pane zvinyorwa zvinokonzerwa nezvengozi.
Risk Factors
Zvimwe zvinokonzera ngozi yekukura preeclampsia zvinosanganisira:
- Nhoroondo yepamusoro yehutano hwemvura asati aberekwa
- Anopfuura makumi mana kana pasi pe18
- Kuwedzera muviri
- Chirwere cheshuga
- Kutanga pamuviri
- Kubata pamuviri kakawanda (mapatya kana kupfuura)
- African American ethnicity
- Mamwe maitiro asingagumi, akadai se lupus
Matambudziko
Preeclampsia inotyisa. Havasi vakadzi voga vari pangozi yehutano hwehutano kwenguva refu, kusanganisira kukwirira kweropa mumakore gare gare muupenyu, preeclampsia inozivikanwa pangozi yekuberekwa. Icho chiriwo chimwe chinhu chinowedzera mukutengesa kwekutanga kare. Usingafungi, preeclampsia inogona kuva eclampsia, iyo inogona kuuraya vose amai nemwana.
Preeclampsia inogona kunge iine HELLP Syndrome, iyo inomirira H kuporesa, E inosvitsa L invermes enzymes, uye L ow P latelet count. Kana isiri "kurapwa" nekubudiswa, HELLP Syndrome inogona kukonzera kuora ropa (kubuda ropa zvakanyanya), pulmonary edema (mvura inopisa mumapapu), kupererwa kwepvo, kushaya chiropa, kana kufa kwemukadzi. HELLP Syndrome inogona kukonzera kukanganisa kunokonzera.
Kurwiswa Kwemvura Yakakwirira vs. Preeclampsia
Zvinokwanisika kuva nehuwandu hwehutano hwepamuviri pamuviri uye kusina preeclampsia.
Vamwe vakadzi vane chirwere chepfungwa chisingaperi musati vatanga pamuviri. Vamwe vakadzi vanowedzera kukudzwa kwepamusoro kweropa panguva yekuzvitakura pasina kumbowana zvimwe zviratidzo zve preeclampsia (izvi zvinonzi Kutora Induced Hypertension). Zvisinei, mune zvose izvi, mukadzi ari pangozi yakakura yekugadzira preeclampsia uye inofanira kuongororwa zvikuru.
Zviratidzo
Zviratidzo zve preeclampsia zvinogona kuitika zvinosanganisira:
- High blood pressure
- Zvirineni mumugini
- Musoro, kazhinji wakaoma
- Kuzvikudza, kunyanya kwemaoko, tsoka, kana chiso
- Epigastric pain, or pain in high center or high side of the belly
- Kuchinja kunoonekwa, kwakadai semaruva ari pamberi pemeso kana mwenje unopenya
- Kamwe kamwe-kamwe kuwedzera kuwanda
- Nausea uye kurutsa
- Yakaderedza urine zvakabuda
- Inormalmal mavhinga eropa
- Low platelets
Kana uine chimwe chezviratidzo zve preeclampsia, unofanirwa kuongororwa nachiremba kana chiremba. Ropa rako rega richaongororwa, uye mimwe miedzo yebazi ichaitwa. Iwe uchafanirwa kupa urinho urwu uye rimwe ropa richaswededzwa.
Vakadzi vakawanda havanzwi kurwara pakutanga ne preeclampsia. Ichi ndicho chimwe chezvikonzero nei zvakakosha kuti uwane rubatsiro rwemwana asati azvarwa. Ropa rako rinomanikidzwa richaongororwa panguva imwe neimwe yekushanyira, pamwe chete nomuguta wako weprotini. Kuona preeclampsia mangwanani kunogona kureva musiyano pakati pehupenyu nerufu kwauri kana mwana wako.
Kurapa
Mushonga chete we preeclampsia ndiko kutora. Kana iwe uchitova nenguva yakakwana, chiremba wako angangodaro akakurudzira kubviswa kwebasa . Kana iwe uri pane vhiki makumi matatu nemaviri, chiremba wako achafanirwa kuziva kuti zvakanyanya sei preeclampsia yako kusarudza chirongwa chakanakisisa chorapa.
Zvinogona kuderedza ngozi ye eclampsia (kubatwa) nekupa magnesium sulfate kuburikidza ne IV. Izvi zvinongogadziriswa kwenguva pfupi, asi, uye kazhinji zvinongoshandiswa kuchengetedza mukadzi akachengetedzwa kubva pakuchengetedza kwemazuva akawanda kwenguva yakakwana kupa steroid majekiseni kuti akure mapapu emucheche mukugadzirira kubereka. Steroid inowanzopiwa pakati pemasvondo makumi maviri nemaviri nemakumi matatu ekuberekwa.
Link to Pregnancy Loss
Preeclampsia inobatanidza nekuberekwa asi zvakare inoratidza kuratidza kushandiswa kwevashandi vasati vasvika (vasati vhiki makumi matatu nemaviri). Kukura kwepakutanga kunoramba kuri imwe yezvinokonzera rufu mucheche.
Sources:
Cunningham, F., Gant, N., et al. Williams Obstetrics, 21st Edition. 2001.
National Institutes of Health "HELLP Syndrome" US National Library of Medicine.
National Institutes of Health "Preeclampsia" US National Library of Medicine.