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He aha ka toxemia o ka hāpai ʻana?
Ua ʻōlelo ʻia ka makuahine he toxemia o ka hāpai ʻana - a i ʻole pre-eclampsia-, ke loaʻa iā ia ke kiʻekiʻe kiʻekiʻe (ʻo 14/9 a ʻoi paha kona kahe koko) a loaʻa ka albumin i loko o kāna mimi. ʻO kēia mau hōʻailona ʻaneʻane e hele pū ʻia me ka pehu ʻana o ka maka, nā lima a i ʻole nā kuʻekuʻe wāwae, a loaʻa mai ka mahina ʻelima o ka hāpai ʻana. ʻOiai ʻaʻole ʻike ʻia kēia mau hōʻailona, hoʻomaka koke ka toxemia o ka hāpai ʻana i ka wā e puka ai ka placenta. ʻO ke kumu: ʻo ka vascularization maikaʻi ʻole o ka placenta e hūnā i nā mea ʻino i nā kīʻaha koko. E wehewehe ana kēia i ke kumu i ka wā o ka hāpai ʻana i ka toxemia, hiki ke ʻike ʻia nā pilikia i loko o kekahi mau okano (nā ʻāʻī, ʻāmāmā, ate, ʻōnaehana nerve) o ka makuahine.
I loko o nā pēpē, hoʻemi ʻia ka hoʻololi ʻana ma waena o ka ʻōpū a me ka placenta a hiki ke hoʻemi i ka ulu.
He aha nā hōʻailona o ka toxemia o ka hāpai ʻana?
Hiki i kekahi mau hōʻailona ke hoʻomaopopo i ka makuahine a hōʻike mālie a ʻoi aʻe paha. Ua pehu kona mau maka, mau lima a me kona mau ku'eku'e wāwae, a nui ke kaumaha i loko o ka manawa pōkole (no ka la'ana, 'oi aku ma mua o ho'okahi kilo i ka pule). Hiki ke ʻike ʻia nā ʻeha poʻo, a me nā pilikia ʻike a i ʻole ka piʻi ʻana o ka naʻau i ka mālamalama. I kekahi manawa ʻike ʻia ke kani ʻana i ka pepeiao. Ma ke keʻena o ke kauka, ʻoi aku ke kahe o ke koko ma mua o 14/9 a ma ka nānā ʻana i ka mimi, hōʻike ʻia ka albumin e ka ʻike ʻana o hoʻokahi a ʻelua paha keʻa ma ke kaula. Ma mua o kēia mau hōʻailona, pono ka hale maʻi no ka loiloi piha o ka makuahine a me ka pēpē.
ʻO ka toxemia hāpai: ʻo wai nā wahine i pilikia?
Nui nā mea i ʻōlelo ʻia e wehewehe i ke ʻano o ka toxemia hāpai. Hoʻopili ʻia kekahi i ka maʻi o ka makuahine e like me ka momona, ka maʻi diabetes, a i ʻole ke koko kiʻekiʻe i ʻike ʻia ma mua o ka hāpai ʻana. Pili paha kekahi i ka hāpai ʻana a i ʻole ka makahiki. ʻO ka ʻoiaʻiʻo, ʻoi aku ka nui o nā toxaemia i nā makuahine e manaʻo nei i nā māhoe a me ka poʻe ma luna o 40 a ma lalo o 18. ʻOi aku ka nui o kēia maʻi inā ʻo ia ka hāpai mua. Ke nānā nei nā mea noiʻi i ka ʻike mua ʻana, i nā wahine hāpai, i kekahi mau mea e pili ana i ka hypertension.
ʻO ka toxemia hāpai: he aha nā hopena no ka makuahine a me ka pēpē?
Hoʻopilikia ka toxemia i ka hāpai ʻana i ka hoʻololi ʻana ma waena o ka makuahine a me ka pēpē: hoʻemi ʻia ka hāʻawi ʻana i nā meaʻai a me ka oxygen. Hiki i kēia kūlana ke alakaʻi i ka ulu ʻana (hypotrophy) a me ka pilikia o ka pēpē. No nā makuahine, pili mua nā pilikia i ke koʻikoʻi o ka hypertension. Inā maʻalahi a mālama koke ʻia, ua kaupalena ʻia nā hopena. Inā ʻaʻole ʻike koke ʻia a ʻaʻole maikaʻi ka hopena i ka mālama ʻana, hiki ke paʻakikī ma nā ʻano ʻelua: eclampsia a me retroplacental hematoma. ʻO ka Eclampsia ke ʻano o ka convulsions me ka haunaele o ka ʻike i ka makuahine i kekahi manawa. ʻO ka hematoma retroplacental ke kahe koko ma waena o ka placenta a me ka ʻōpū. ʻO ke koko ke kumu e hemo ai ka ʻāpana o ka placenta mai ka paia o ka ʻōpū. Hiki i ka Toxemia o ka hāpai ʻana ke alakaʻi i ka hana ʻino a i ʻole ka ate.
ʻO ka toxemia hāpai: hoʻokele kikoʻī
Pono ka halemai a me ka hoʻomaha piha ke ʻike ʻia ka toxemia o ka hāpai ʻana. Nānā ʻia ke koko, nānā ʻia ka mimi a noi ʻia kahi hoʻāʻo koko piha. Kau ʻia nā lāʻau anti-hypertensive e pale i nā pilikia. Ma ka pae fetal, hiki i nā ultrasounds a me nā dopplers ke nānā i ka hopena i ka ulu ʻana o ke pēpē. Hōʻoia ka maikaʻi o ka pēpē ma o ka nānā ʻana. Inā he koʻikoʻi ka toxemia a i ʻole ke kakahiaka nui, e hoʻoneʻe ʻia ka makuahine i kahi haukapila hānai pae III. A laila hiki i ka gynecologist ke hoʻoholo e hoʻoulu i ka hana a i ʻole e hana i kahi ʻāpana cesarean. E hoʻopau ʻia nā maʻi Toxemia i loko o kekahi mau lā a i ʻole mau pule ma hope o ka hānau ʻana.