Isu tese tinotarisira kuti nhumbu inzvimbo yemuviri uye isina matambudziko makuru.
Uye, kunyangwe izvi zviri izvo zvinoitika muzviitiko zvakawanda, pane matambudziko anogona kuita kuti nhumbu ive nenjodzi kuna amai nemwana.
Imwe yematambudziko aya ndeye HELLP Syndrome.
Nei uchiti HELLP?
Zita rayo rinoyeuchidza chikumbiro chekubatsirwa muChirungu Uye chaizvo, HELLP chirwere chinotyisidzira hupenyu hwepamuviri kune vese amai nemwana.
Asi zita iri chidimbu chemazwi anotevera echiChirungu:
H.- Hemolysis kana kuparara kwemasero matsvuku eropa (hemolysis)
EL.- Yakakwirira enzymes echiropa (yakasimudza chiropa enzymes)
LP.- Kuderera muhuwandu hwemaplatelet muropa (yakaderera platelet kuverenga)
Chii chinonzi chirwere ichi?
HELLP Syndrome iboka rezviratidzo zvinogona kusangana ne preeclampsia, kunyangwe muzviitiko zvakawanda zvichionekwa zvisati zvaitika huwandu hweBP hwatanga kukwira zvakanyanya.
Ichi chirwere chine kuratidzwa kwakasiyana kana zviratidzo izvo zvisina kutsanangurwa sechirwere chine hwaro hwakajairika kusvika 1982. Aive Dr. Luis Weinstein uyo akawana chinongedzo.
Zviratidzo zvakasiyana kwazvo uye ivo vanogona kunyange kutungamira kuongororwa kune mamwe marapirwo.
- Kunzwa kusagadzikana kwakanyanya
- Musoro
- Nausea, kurutsa, kana kugaya nemarwadzo mushure mekudya
- Kutambudzika kwepamuviri, kunyanya muchikamu chepamusoro chedumbu (izvi zvinoitika nekuda kwekusaziva kwechiropa)
- Kumeso kurwadziwa
- Bleeding
- Shanduko muchiono Kusaona chiratidzo kana chiratidzo che "mwenje"
- Kuzvimba kana edema
- Yakakwira BP
Ongororo yekuchinja:
- Yakakwirira chiropa makemikari
- Kurasikirwa kwakakosha kweprotein neweti
- Kubvaruka kwemasero matsvuku eropa
- Maplatelet akaderera. Zvichienderana neizvi, kuomarara kwechirwere kwakakamurwa; iyo yakakomba kesi ndeye apo maplatelet anowira pasi pezviuru makumi mashanu
- Kurasikirwa kwakakosha kweprotein mumuti
Zvinowanzoitika here?
Neraki kwete. Izvo zvinoitika zveHellp syndrome hazviwanzo, Inoitika munenge 1 kusvika 2 pavanegumi nemazana ekuzvitakura. Kunyangwe mune vakadzi vane preeclampsia, inokura mu10% kusvika 20% yepamuviri.
Inoonekwa rini?
Inowanzooneka kubva pamakumi maviri nematanhatu vhiki yekubata, asi inogona zvakare kuoneka mushure mekusununguka. Iyi kesi ishoma kwazvo.
Inogona zvakare kuoneka mune yechipiri trimester, kunyangwe paine mashoma kesi.
Vakadzi vane pre-eclampsia kana HELLP syndrome mune nhumbu vanoda yakakosha yekutevera postpartum.
Izvo zvakakosha kuti uzive izvozvo amai vakatambura neichi chirwere mukubata vane mukana wekutambura zvakare mune zvinotevera, Kunyanya, iri pakati pe20 ne30% mukana kupfuura mukadzi asina kutambura nazvo, uye kana chirwere ichi chikazoonekwa mune yechipiri trimester, mikana yekutambura kwake zvakare yave pedyo ne60%.
Inogona kudzivirirwa here?
Kudzivirira kwakaoma kwazvo, nekuti izvo chaizvo zvinokonzera hazvizivikanwe.
Pane zvimwe zvekuchengetedza zvinogona kubatsira kudzivirira kana kuongorora dambudziko iri nekukurumidza.
- Iva mune chimiro chakanaka uye huremu usati uye panguva yekuzvitakura
- Ita zvese zvekurapa zvekutarisa nhumbu
- Nguva nenguva enda kumubvunzurudzo nachiremba nekubereka, kwavanozotora zviyero zveAT.
- Usarega kuita chero ongororo yatino rairwa nehunyanzvi
- Gara uchitaura nhoroondo yedu yeHELLP Syndrome kana pre-eclampsia mune nhumbu dzakapfuura
- Ziva zviratidzo zvekunyevera uye enda kudhipatimendi rekukurumidzira kana zvikaonekwa
Kukwidziridzwa kweBP kunogara kuchioneka here?
Kazhinji yenguva, asi inogona kuoneka mushure mekunge taonekwa kuti tine dambudziko.
Pane dzakawanda nguva kuongororwa kunoitwa mukuona kweshanduko mukuongorora. Ndosaka zvichikosha kuti usamboregedza bvunzo, zvese ropa uye weti, izvo zvinogona kupihwa.
Iwe une kurapwa here?
Kurapa kunoenderana nezviratidzo.
Chirwere hachipere kusvikira nhumbu yapera. Nechikonzero ichi, zvinowanzo fanirwa kukonzera basa kana kuita cesarean kutanga kana zviratidzo zvikatonyanya uye kuisa amai nemwana panjodzi.
Kumwe kudzora uye kurapwa:
- Kuchengetwa muchipatara
- Mishonga yekudzivirira BP
- Mishonga yekudzivirira pfari (magnesium sulfate)
- Corticosteroids kukura mapapu emwana
- Platelet kana kuwedzerwa ropa
- Kubvuma kuICU kana mamiriro acho achiwedzera
- Itsvo basa rekutarisa
- Postpartum yekutarisa
Kuendesa kwangu kunenge kwakaita sei?
Muzviitiko zvakadzikama, kana pasina kukurumidza kukurumidza, zvinokonzeresa kuendesa uye iwe unogona kuve neyakajairika dhirivhari, kunyangwe mune izvi zviitiko kushandiswa kweiyo epidural analgesia uye kudzora kwakasimba kwezvakakosha zviratidzo zvaamai nemwana zvinokurudzirwa.
Kana chero chiratidzo chekukurumidzira chikaonekwa, ungangodaro uine chikamu chekuregedza. Muchiitiko ichi, nyanzvi dzinoongorora mhando yeiyo incision iyo inonyanya kukurudzirwa zvinoenderana neyako platelet mazinga, nekuda kwenjodzi yekubuda ropa ...