Kuthamanga Kwambiri Kwambiri Pakati pa Mimba

Kuthamanga kwa magazi komwe kumabwera chifukwa cha mimba kungakhale nkhani yosavuta, yovuta kapena ingakhale chizindikiro choyamba cha mavuto aakulu monga preeclampsia kapena eclampsia. Kuti mudziwe ngati msanga kuthamanga kwa magazi ndi vuto losavuta kapena chizindikiro cha zinthu zovuta kwambiri, kubwereza kwathunthu kuyenera kuchitidwa. Njirayi ndi yachizolowezi ndipo idzaphatikizapo masitepe angapo. Kawirikawiri, palibe zovuta kapena zochitika za nthawi yaitali zomwe zimafunikira, koma labu ena ntchito ndi kujambula zingafunike.

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Yakhazikitsa Kugonjetsedwa kwa Magazi a Baseline

Kuyesa koyambirira kwa mimba-yomwe imayambitsa matenda okhudzana ndi kuthamanga kwa magazi kumaphatikiziranso ndondomeko yoyamba yomwe imayambitsa vuto la magazi. Zowonjezereka bwino, izi zimatengedwa kuti zitsimikizire momwe kukwera kwa magazi pakali pano kumafaniziridwa ndi chikhalidwe chisanafike. Zoyeza zoyambirirazi ndizofunika chifukwa zimalola kufufuza ndi kuyesa kusintha kulikonse kwa magazi pamene mimba ikupita. Popeza umboni wa kuwonjezereka kosalekeza kapena kuwonjezeka kwathunthu komwe kuli kochuluka kwambiri kumatanthauza kuti chithandizo chingakhale chofunikira, kukhazikitsa chiyambi ichi ndi chofunika choyamba pakuyesa.

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Sonkhanitsani Mbiri ndi Chidziwitso cha Chizindikiro

Odwala omwe akukumana ndi mavuto aakulu a magazi panthawi yomwe ali ndi mimba ayenera kuyankhulana kwathunthu ndi dokotala wawo. Pakati pa nkhaniyi adzafunsa mafunso ambiri zokhudza mbiri ya kukakamizidwa kwakukulu, ponena za nkhani zomwe zingasonyeze kuti kuthamanga kwa magazi kukuyambitsa mavuto ena. Mafunso awa ndi ofunikira chifukwa maonekedwe ena a chizindikiro angasonyeze kuti mwanayo akhoza kukhala pangozi kapena kuti chithandizo cha kuthamanga kwa magazi chikufunika. Mwapadera, dokotala wanu akhoza kufunsa za zinthu monga:

• Mutu
• Kupweteka m'mimba
• Nsowa ndi kusanza
• Kusintha kwa kuchuluka kwa mkodzo kapena kawirikawiri
• Kusintha kwawonekera (masomphenya ophweka, masomphenya awiri)

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Pezani Mayeso

Pogwiritsa ntchito chizindikiro chozama kwambiri, dokotala wanu amafuna kuyesa mayeso a ma laboratory. Mayesero a Lababu angathe kuthandizira kusiyanitsa ngati chithandizo chikufunikiradi. Ma laboratory omwe amayesa dokotala wanu ndiwomwe amachitira nthawi zonse ndipo amafunika kuti magazi ndi mkodzo zikhale zitsanzo. Mayesero ena wamba ndi awa:

• Hemoglobin / Hematocrit - kuyesa mpweya wonyamula katundu
• Platelet Count - kuti muone momwe mungathetsere mavuto
• Mlingo wa Creatinine - ntchito yambiri ya impso
• Matenda a Transaminase - Chizindikiro cha chiwindi
• Lactic acid dehydrogenase ndondomeko - ma enzyme okhudzana ndi kagayidwe kake ndi chiwindi ntchito

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Ganizirani za Fetus

Mbali yofunika kwambiri yowunika mimba yomwe imayambitsa mimba ndikuteteza kuti mwanayo asamavutike ndi vuto la magazi. Ngakhale kuti ntchito yowonetsetsa kuti mwana ali ndi mimba nthawi yayitali imakangana chifukwa chakuti phindu lake silinayambe, kufufuza koyamba kwa mwanayo ndi koyenera komanso koyenera. Njira yowonongeka yoyamba ili ndi ultrasound yosavuta komanso amniotic madzi. Mayeserowa ayang'ane kuti atsimikizire kuti mwanayo akukula bwino ndi kukula kwake. Ngati zowoneka mosavuta, zowonjezereka zingayambidwe, kapena nthawi yowunika ingakhale yofunika.

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Pangani Zosankha

Chinthu chofunikira kwambiri dokotala wanu ayenera kuchiyesa ndi ngati kuthamanga kwa magazi ndi "basi" kuthamanga kwa magazi, kapena pali zizindikiro kuti mukhoza kukhala pachiyambi cha preeclampsia. Kawirikawiri, ngati palibe zizindikiro za mavuto aakulu, "kuyembekezera ndi kuwona" njirayo ndi yamba. Pali umboni wosonyeza kuti pokhapokha ngati kuthamanga kwa magazi kuli kwakukulu, zingakhale bwino kupeŵa chithandizo pofuna kuchepetsa chiopsezo chokhudza kukula kwa mwana.

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Onetsetsani za Preeclampsia ndi Eclampsia

Cholinga cha kuyang'ana mozama ndi kuwonetsetsa kuthamanga kwambiri kwa magazi pa nthawi ya mimba ndikoonetsetsa kuti palibe zizindikiro zosonyeza kuti kuphweka kwa magazi kumakhala kovuta kupita ku zovuta, komanso zoopsa za preeclampsia ndi eclampsia.

> Chitsime:

> Barton, JR, O'Brien, JM, Bergauer, NK, Jacques, DL, et al. Osauka kwambiri gestational hypertension kutali ndi nthawi: patsogolo ndi zotsatira. Am J Obstet Gynecol 2001; 184: 979.