Eclampsia - ndi ... eclampsia mimba: zizindikiro zimayambitsa ndi mankhwala

Ponyamula mwana aliyense mayi woyembekezera chimakhudzana kuyan'anila thanzi lawo. Ndipotu zimadalira, kuphatikizapo chitukuko cha mwana. M'nkhani yomweyi, ine ndikufuna kulankhula za vuto monga eclampsia mu amayi apakati.

terminology

Poyamba, tiyenera kumvetsa ndi terminology kuti ntchito m'nkhani ino. Choncho, eclampsia - makamaka vuto loopsa la mimba pamene pali choopsa pa moyo, osati mwana, koma ngakhale mayi yekha. Komabe, usaope - chikhalidwe ichi ndi chosowa kwambiri. mavuto zimenezi zikuchitika osati oposa 1 nthawi pa mimba 100. Onetsetsani kuti amanenanso kuti eclampsia - vuto zake pa toxicosis, mlingo wokweretsa chikhalidwe ichi zosasangalatsa.

Gwero la vuto

Dziwani kuti madokotala simumamudziwa zimayambitsa chenicheni cha chikhalidwe cha akazi. Komabe pali zotsatirazi:

1. Majini china. Ie ngati mavuto awa kale mu banja la mkazi.
2. Nthawi zambiri boma akubwerezedwa. Izi zikutanthauza kuti ngati mimba yapita, mkazi anakumana ndi eclampsia, vutoli anawathetsa akuyambiranso.
3. Nthawi ya matenda, malinga ndi madokotala, nawonso anakhudzidwa ndi zaka abereka. Akukhulupirira kuti ambiri mavuto zimenezi zikuchitika akazi amene pansi 18 kapena zaka zoposa 40.
4. Eclampsia nthawi zambiri mimba angapo.
5. Nthawi zambiri, kudwala izi zimachitika mu akazi amene ali ndi mavuto osiyanasiyana ndi impsozo. Nthawi zambiri akufotokozera pa maziko a matenda pachimake ziwalo izi.
6. Chifukwa amathanso kukhala ndi matenda, monga zokhudza zonse lupus erythematosus.

Iwo ayenera kukumbukira kuti eclampsia - vuto limene pali kuwonjezeka lakuthwa kwambiri magazi. Izi, mu zingathandize kuti kuphipha Mitsempha, zomwe zimabweretsa mitundu yosiyanasiyana ya matenda magazi ndi chifukwa - kutupa ubongo.

The mavuto wotsagana ndi matenda

Komanso, madokotala amati eclampsia mu amayi apakati nthawi zambiri limodzi ndi osiyanasiyana zinthu. Ie pali mfundo zina pa maziko a omwe kaŵirikaŵiri akuwonetseredwa vuto monga eclampsia.

• Oopsa. Izo kale anati zoti zambiri eclampsia zikusonyezedwa ndi maziko a kuthamanga magazi. Koma vuto izi zimachitika mu akazi ndi kuthamanga yachibadwa magazi (16% milandu). Iwo ayenera kukumbukira kuti ngati pakati aakulu oopsa, eclampsia kuwonetseredwa kale kwa sabata 32.
• Proteinuria (mapuloteni mu mkodzo). Komanso, madokotala kuti onse amene anaona eclampsia, kuti amawasonyeza mosiyanasiyana wa proteinuria. Komabe, 14% ya akazi vuto akadali akusowa.
• Eclampsia zambiri limodzi ndi kutupa. Komabe, vuto limeneli akhoza sanalembedwepo wapakati (monga zimachitika za 28% milandu).

chiwonetsero cha eclampsia

Kuchokera pamwamba, zinadziwika kuti eclampsia - ndi vuto mimba, pamene pali choopsa pa moyo, osati mwana, koma mkazi yekha. Komabe, tisaiwale kuti chikhalidwe ichi akhoza zimachitika ngakhale pamaso pa mphindi mimba, komanso pambuyo pa kubadwa.

ndemanga Contemporary amati postpartum eclampsia limapezeka nthawi zambiri pa tsiku lachiwiri kuchokera yobereka. Komabe, izo zikhoza kuchitika patapita nthawi yaitali, pambuyo pa 28 masiku. Zikatero akhala chovomerezeka ndi madokotala. Ziwerengero komanso limasonyeza kuti nthawi zambiri vuto kumaonekera mu theka lachiwiri la mimba (pambuyo masabata 28 pa 91% milandu). Koma akhoza kudzali pamaso pa sabata la 20 gestation mwana (koma 1.5% milandu).

mitundu ya eclampsia

Kwenikweni ziyenera adatinso kuti mankhwala pali mitundu itatu waukulu eclampsia:

1. Brain. Pankhaniyi, chifukwa chachikulu ndicho kusinthasintha magazi, matenda oopsa. Komanso akhoza kukhala monga mavuto a sitiroko ischemic ndi hemorrhagic.
2. Aimpso eclampsia. Kuukira mu izi apnea mlandu ndi chikomokere akutsatiridwa ndi anuria.
3. Kwa chiwindi eclampsia. Pankhaniyi, madokotala kunena za matenda kagayidwe kachakudya kwambiri.

Zizindikiro zazikulu

Kwenikweni komanso kuti tione zizindikiro zosiyanasiyana eclampsia. Zimenezi n'zofunika, chifukwa mkazi aliyense ayenera kudziwa kusiyanitsa pakati kudwala izi. Kunena zoona, eclampsia - ndi zikamera a khunyu ndi imfa ya chikumbumtima. Komabe, chifukwa cha chikhalidwe ichi sayenera kugwirizana ndi kudwala aliyense ubongo. Iwo ayenera kukumbukira kuti tifulumizane kuukira kwa mkazi akhoza kukhala pafupifupi aliyense china. Kungakhale yachibadwa kuwala, mokweza kugogoda kapena mphamvu maganizo.

Pamaso zopweteka mkazi kawirikawiri amakhala ndi zizindikiro zotsatirazi:

1. Pakhoza kukhala mutu. Pafupipafupi komanso milandu la vertigo.
2. Pangakhale zosiyanasiyana kuwonongeka zithunzi, "ntchentche" pamaso pa, Nebula pamaso, zithunzi amaona.
3. Nthawi zambiri akazi limapezeka kufooka ambiri thupi lonse, kufuna yomweyo pansi kapena kugona pansi.
4. Zingakhalenso ululu m'dera epigastric kapena m'dera la hypochondrium bwino.

The chizindikiro chachikulu: omangana

Poganizira zizindikiro zosiyanasiyana eclampsia, ndi Dziwani kuti chizindikiro chachikulu mu nkhani iyi - izo kupsa. Iwo kulumikizana ndi kukhala mu dongosolo linalake. Choncho, khunyu gawo izi:

• Gawo loyamba kumatenga pafupifupi 30 masekondi. Pali kuchepetsa ka nkhope minofu. Kukokana amathanso kusamukira miyendo chapamwamba.
• Nthawi gawo lachiwiri - za 25-30 masekondi. Pali otchedwa zopweteka zimandilimbikitsa. Mkazi anaŵerama thupi lonse, amaponyera mutu zake. Zikatero kupuma intermittently akuzengereza. Mwamphamvu wothinikizidwa pachibwano. Tikumbukenso kuti ngakhale nthawi chopatsidwa ndi osati kale kwambiri, koma - zoopsa kwambiri. Ndipotu, zikhoza kuchitika pano mofulumira magazi mu ubongo kuti imfa yomweyo kapena chikomokere.
• Gawo lachitatu adzatenga mphindi pafupifupi imodzi ndi theka. Pali makamaka ananena clonic khunyu, mwachitsanzo kukokana kwa minofu ya thupi ndi miyendo. Kupuma akhoza kukhala mwina likukulira kapena palibe kwathunthu. Thovu kawirikawiri kumasulidwa ku kamwa. Pa nthawi yomweyo monga ana a dilate, izo zikhoza imfa ya chikumbumtima. Kumapeto kwa gawo lino mpweya pakati akuyamba pang'onopang'ono kusintha, fufuzani bwinobwino.
• Gawo lachinayi amatchedwa mankhwala eclamptic chikomokere. Kupuma mkazi phokoso, mokweza. Kawirikawiri dona woyamba anakomoka. Pamene abwerera, pakati sakumbukira kalikonse ndipo sakumvetsa zimene zinam'chitikira. Kwenikweni, imeneyi limodzi ndi mutu kwambiri.

Dziwani kuti pambuyo gawo lachinayi zingachitike kuyima latsopano. Eclamptic chikomokere ukhoza ngakhale tsiku, imene mkazi angathe kupulumuka za 15-18 kuukira. The Mapa ndiye madokotala kupanga pamaziko a kumupima wodwala, maphunziro akutsatiridwa ngati n'koyenera.

Chiwonetsero cha eclampsia postpartum

Monga tanenera kale pamwambapa, nawonso eclampsia atabadwa. Kungachititse onse pa ndondomeko ya kubadwa kwa mwana, kenako (tsiku loyamba). Iwo ayenera kukumbukira kuti chikhalidwe ichi nthawi zambiri kumayambitsa mavuto aakulu, monga kulephera pachimake aimpso, kapena otchedwa HELLP-syndrome. Iwo akuwonetseredwa mu njira zotsatirazi.

1. The puloteni chiwindi chimasintha kiyi zinthu zimene zingachititse kuti kuwononga kwambiri izo.
2. Iwo zingachitikenso hemolysis - kuwonongedwa kwa maselo ofiira a magazi.
3. Iwo zingachitikenso kuchepetsa lakuthwa chiwerengero cha othandiza magazi kuundana. Iwo thrombocytopenia - matenda zovuta amene adza kwa clotting magazi.

Dziwani kuti ngati postpartum eclampsia ndipo alibe kungasokoneze moyo wa mwanayo, ndi chikhalidwe loopsa kwambiri kwa amayi. Choncho, nkhani zimenezi zimafuna mankhwala mwamsanga.

Kuti madokotala ananena zawo za eclampsia

Tikuyankhula zokhudza vuto monga eclampsia. Zizindikiro kale kale mokwanira. Iwo ayenera kukumbukira kuti Zoneneratu wa madokotala pambuyo mavuto angapereke zochokera pa mfundo zotsatirazi.

• The kukula kwa matendawa. Mu nkhani iyi, amaganizira zizindikiro zonse, ndi kuwala kwa anasonyeza ake.
• Chinthu chofunika kwambiri ndi mwamphamvu ndi pafupipafupi khunyu. Ena a iwo - zoipa.
• madokotala ananena zawo nazonso anakhudzidwa ndi phukusi yake madokotala. Ngati thandizo inaperekedwa Patapita nthawi, madokotala ananena zawo ukhoza kukhala wabwino kwambiri.
• Inde, ndithudi wotsatira wa mimba motengera kukhalapo ndi chikhalidwe cha matendawo.

Zinthu okhudza Mapa

The Mapa adzakhala zabwino ngati kuukira akukhala zochepa wamba, zimachitika kamodzikamodzi. Ndi chinthu zabwino - kuwonjezeka kuchuluka kwa mkodzo.

Mapa kukhala zoipa milandu zotsatirazi:

• Ngati khunyu kutsatira mzake;
• pamene pafupipafupi awo ndi mwai;
• ngati pali nyamuka kutentha kwa pafupifupi 38 ° C;
• pamene pali arrhythmia, kuchuluka kugunda kwa mtima.

Ngati nkhondo ya eclampsia itha kukha magazi mu chiwalo chilichonse - amaona vuto lalikulu vuto. Ndi kuyendera osauka madokotala angathe pakati pa khunyu panopa ntchito kuvulala kwambiri, mpaka chinenero kuluma.

Tiyeneranso kukumbukira kuti chifukwa cha imfa kungakhale wosiyana ndi kusintha osachiritsika ziwalo zosiyanasiyana (zambiri mu impso kapena chiwindi), zomwe ndi zotheka ndi chitukuko yaitali vuto.

Matendawa: Laboratory kafukufuku

Timazindikira kuti zizindikiro eclampsia ndipo amachititsa mavuto monga takambirana. Tsopano tiyeni tione njira matenda a matenda. Choncho, ngati mkazi anakomoka, kutsimikiza matenda, apakati zotsatirazi mayesero zasayansi ingaperekedwe:

• afufuze magazi clotting;
• kudziwa mlingo wa hemoglobin;
• onani mlingo wa asidi uric ndi mbali zina zofunika wa seramu wa.

Diagnostics: kafukufuku

Ngati donayo anali kuukira kwa eclampsia, kuwonjezera MAGAZI ndipo iye ndi nkhani njira zina.

1. Pachifuwa X-ray. Ngati ndi kotheka, iwo akhoza kuchitika X-ray ubongo (koma zimenezi milandu kwambiri).
2. Kupenda Child. Ichi ndi chofunika kwambiri, chifukwa pamene mayi kuukira iye wosabadwa angathe bradycardia, hypoxia. Zingakhalenso placental abruption.

Matenda a dokotala amaika pa maziko a zotsatira za maphunziro a pamwamba.

Chithandizo cha vuto

Today applicable zotsatirazi mankhwala eclampsia mkazi kutumikiridwa m'nsinga mankhwala enaake a sulphate. Mawu oyamba a mankhwala kwambiri kuchepetsa kufala kwa khunyu. Komanso, ntchito zake anakhalabe masiku awiri. mankhwala sakhala ogwira, amene Komabe, madokotala komanso Kwalamulidwa: mankhwala "Phenytoin" ndi "Valium." Koma tiyenera kukumbukira kuti ntchito yawo ndi zinadzala ndi maonekedwe mavuto. Pamene alili ndi wolimba, madokotala akukonzekera akazi gawo la Kaisara kapena yokumba kubadwa ukazi. Ngati nthawi onyamula mwana m'banda, kusankha akhoza kokha yobereka upo madokotala.

njira mthandizi

Kuthandiza eclampsia si kumwa mankhwala. Choncho, n'kofunika kwambiri kusunga malangizo otsatirawa ngati dona ali chiopsezo zisadzachitikenso a khunyu.

• M'pofunika kuthetsa zikuchitika aliyense yomweyo.
• Dr. vv Stroganov amalimbikitsa mwadongosolo atchule mkazi mankhwala chomwa mankhwalawa, mwachitsanzo, "Morphine". Izi zingathandize kuletsa khunyu.
• Mpumulo wa khunyu. Ie ayenera kupewa chitukuko pa zizindikiro choyamba.
• Nkofunika kuti aziona ntchito ya ntchito thupi zofunika - kusintha.
• M'pofunika kuyan'ana kusinthasintha magazi. Ngati inu kuwonjezera kuyenera kuchepetsedwa.

njira zopewera

Pa tiyenera kupewa eclampsia, izo ayenera kudziwa mkazi aliyense pakati. Ndipotu, ndi bwino kupewa pakutchulidwa vuto, osati kuthana ndi zotsatira zake. Choncho, eclampsia kupewa njira zotsatirazi ikuchitika lero.

1. Utsogoleli prophylactic ya magnesium sulphate. Pankhaniyi, eclampsia pafupipafupi yafupika ndi pafupifupi 60%. Komabe, nkhani imeneyi udakalipo. Choncho, azimayi preeclampsia kwambiri, mankhwala ayenera kuperekedwa chimodzimodzi. Koma ndi mawonekedwe wofatsa - si mpemphero.
2. M'pofunikanso kuwayang'anira mosamala kusinthasintha magazi mu amayi apakati.
3. M'pofunika kuchitira zosiyanasiyana mavuto a kawopsedwe. M'pofunikanso kupeza chifukwa.

Kutsatira malangizo awa, mukhoza kupewa vuto monga eclampsia. Ndipo, ndithudi, izo M'pofunikanso kukumbukira kuti pamene kukayikira woyamba kapena kukaikira vuto la mkazi ayenera yomweyo kuchipatala.