I kēlā me kēia kipa prenatal, pono ka makuahine a ka makuahine e hana i kahi urinalysis e nānā i ke kō a me nā albumins. ʻO kahi protein halihali i hana ʻia e ke ake, ʻaʻohe maʻa mau nā albumin mai ka mimi. ʻO ka albuminuria, i kapa ʻia hoʻi ʻo proteinuria, pili i ka alo ʻole o albumin i ka mimi.

ʻO ke kumu o ka ʻimi ʻana i ka albumin i ka mimi e nānā no ka pre-eclampsia (a i ʻole toxemia o ka hāpai keiki), kahi pilikia o ka hāpai keiki ma muli o kahi hana hewa o ka placenta. Hiki iā ia ke hana i kēlā me kēia kau, akā pinepine ia i ka trimester hope e ʻike ʻia. A laila hōʻike ʻia e ka hypertension (systolic pressure pressure ʻoi aku ma mua o 140 mmHg a me ke kaomi diastolic i ʻoi aku ma mua o 90 mmHg, a i ʻole "14/9") a me proteinuria (protein protein i ka mimi ma mua o 300 mg no 24 mau hola) (1). ʻO ka piʻi ʻana o ke kaomi koko e alakaʻi i kahi haʻahaʻa o ke kūpili ʻana o ke koko i ka placenta. I ka manawa like, hoʻololi kēia hypertension i ka hakuʻala i hana hou ʻole i kāna kuleana o ka kānana a ʻae i nā protein e hele i loko o ka mimi.

No laila e ʻike ai i ka pre-eclampsia i ka wā hiki ke hana ʻōnaehana ʻia kahi hōʻike mimi a me kahi hoʻokolohua kaomi koko i kēlā me kēia kūkā kamaʻilio prenatal.

Hiki ke ʻike ʻia kekahi mau hōʻailona maʻi ke holomua ka pre-eclampsia: ʻeha ke poʻo, ʻeha o ka ʻōpū, nā haunaele ʻike (hypersensitivity i ka mālamalama, nā kiko a hoʻomālamalama paha i mua o nā maka), ka luaʻi, huikau a me kekahi manawa edema nunui, me ka ʻōhū nui. loaʻa kaumaha kaumaha. ʻO ke ʻano o kēia mau ʻōuli e pono e kūkā koke.

ʻO kahi pre-eclampsia kahi kūlana pilikia no ka makuahine a me ka pēpē. I ka 10% o nā hihia (2), hiki iā ia ke kumu i nā pilikia koʻikoʻi i ka makuahine: kahi hoʻokaʻawale o ka placenta e alakaʻi ana i ka hemorrhage e koi ana i ka lawe pilikia ʻana, eclampsia (kahi o ka haunaele me ka nalowale o ka ʻike)

ʻOiai ʻaʻole kū pololei nā kūkaʻi ma ka pae o ka placenta, hoʻoweliweli ʻia paha ka ulu maikaʻi ʻana o ka pēpē, a me ka hoʻomau ʻana o ka ulu ʻana i ka utero (IUGR) pinepine.

ʻOiai he hōʻailona ʻo proteinuria i ka ʻoiaʻiʻo, e hoʻokipa ʻia ka makuahine me ka makuahine i mea e pōmaikaʻi ai i ka ukali pinepine ʻana me nā loiloi mimi, kahi hoʻāʻo a me nā hoʻāʻo koko e nānā i ka ulu o pre-eclampsia. Loiloi ʻia ka hopena o ka maʻi i ka pēpē me ka nānā ʻana, nā dopplers a me nā ultrasounds.

Ma mua o ka hoʻomaha a me ka nānā ʻana, ʻaʻohe mālama no ka preeclampsia. ʻOiai nā lāʻau hoʻohaʻahaʻa e hoʻohaʻahaʻa i ke kahe o ke koko a mālama i ka manawa, ʻaʻole lākou e hoʻōla i ka preeclampsia. I ka hanana pre-eclampsia koʻikoʻi, pilikia ka makuahine a me kāna pēpē, a laila pono e hānau wikiwiki i ka pēpē.