Pre-eclampsia imatanthawuza ku matenda a 3 trimester a mimba ndipo imagwirizanitsa ndi khoma la khoma lopanda chilema poyendetsa poizoni ndi povuta kugwira ntchito pochita chibwibwi pamene ureta akufalikira ndi chiberekero chokula.
Pre-eclampsia ya amayi apakati - zizindikiro
Pre-eclampsia imatanthawuza za mimba yochedwa gestosis. Zizindikiro za pre-eclampsia ndi zizindikiro zitatu: kutupa, kukhalapo kwa mapuloteni mu mkodzo komanso kuwonjezeka kwa magazi.
Preeclampsia ili ndi madigiri 3 olemera:
- pre-eclampsia wofatsa (mapuloteni mu mkodzo mpaka 1 g / l, kutupa pamilingo, ndipo kupanikizidwa kunakula kufika 150/90 mm Hg);
- pretreplampsia (mapuloteni mu mkodzo kuchokera 1 mpaka 3 g / l, edema pa miyendo ndi mimba, kupanikizidwa kunakula kufika 100/170 mm Hg);
- preeclampsia (mapuloteni mu mkodzo ndi oposa 3 g / l, kupanikizidwa kumawonjezeka kuposa 100/170 mm Hg, kutupa kumafalikira kwa thupi lonse, kuphatikizapo nkhope).
Pre-eclampsia ya amayi apakati - mankhwala
Chithandizo cha preeclampsia mwachindunji chimadalira kukula kwake ndipo cholinga chake ndi kupeŵa mavuto kwa mayi ndi mwana. Kuchepetsa eclampsia mwa amayi oyembekezera kawirikawiri sikumasowa chithandizo chamankhwala ndipo nthawi zambiri zimachepetsa kuchuluka kwa madzi ndi mchere, kupereka chakudya chokwanira, kupuma ndi kuchita masewera olimbitsa thupi.
Pa pre-eclampsia ya kulemera kwapakati imapereka chithandizo chamankhwala:
- zosangalatsa;
- mankhwala omwe amachepetsa kuthamanga kwa magazi;
- okondweretsa;
- mankhwala omwe amalimbikitsa makoma a mitsempha;
- mankhwala omwe amachititsa kuti thupi liziyenda bwino m'galimoto;
- ndi kutchulidwa kutupa - kulowetsedwa kwa mankhwala monga rheopolyglucin, plasma, albumin;
- antiggregant mankhwala (kuchepetsa kupha magazi);
- zosakaniza;
- antioxidants;
- kuthandizira pakutsutsana kwa magazi chifukwa cha pre-eclampsia (zovuta za mankhwala pofuna kupewa fetal hypoxia ).
Ngati preeclampsia yovuta imapezeka, chithandizo chodzidzimutsa n'chofunika kuti kuchepetsa kuthamanga kwa magazi komanso kuchepetsa kuyambira kwa khunyu. Pamene chithandizo choyamba chikuperekedwa ndipo nthawi ya mimba imalola, pre-eclampsia ikhoza kuyamikiridwa kuti apereke thandizo mwamsanga, kuphatikizapo kubereka kochepa.
Kupewa preeclampsia
Kupewa matendawa kumaphatikizapo kutenga aspirin m'zigawo zazing'ono (antiaggregant), kugwiritsa ntchito calcium ndi ma magnesiamu, zakudya zomwe zimakhala ndi mavitaminiwa. Koma mankhwala aliwonse ochizira ndi kupewa matenda angapangidwe ndi adokotala okha. Pre-eclampsia patatha kubadwa kwatha, ndipo chithandizo pambuyo pa kubereka sichinayanenedwenso. Pakangoyamba kumene kubwereka ndi kofunika kuyang'anitsitsa mkazi ndikuletsa kuthamanga kwa magazi chifukwa cha kuthekera kwa eclampsia.