Hypertension ndechimwe chezvinetso zvakanyanya uye zvakakomba panguva yekuzvitakura. Icho chimwe chekuratidzwa kwe-pre-eclampsia - chimiro icho chimiro chakakomba chinogona kutungamirira kurufu rwemai, pamwe nekuputsika kwekukura kwekuberekwa uye kuberekwa kusati kwapera. Kuziva zviratidzo zvokutanga zve preeclampsia zvinogona kuchengetedza hupenyu hwomukadzi.
Mhando dzehutano hwepamusoro pakuzvitakura
Pre-eclampsia nedzimwe mamiriro ezvinhu, pamwe chete nekuwedzera kweropa, zvinowanikwa munenge 10 muzana ye primipara. Zvisinei, kune vakadzi vazhinji vane pamuviri, huwandu hwehutachiona hunokonzera kusakosha kukuru, kunze kwekuti vanofanira kuongororwa kuchipatara pakupera kwekuzvimba.
Kune mhando mitatu yakanyanya yehuwandu hwehutano mumadzimai ane pamuviri:
- pre-existing hypertension - inobatanidza kuberekwa kunowanzoitika; dzimwe nguva kuwedzerwa kweropa kunotanga kuonekwa panguva yekuzvitakura;
- Gestational hypertension - inokura mumamiriro ekudzivirira. Muchiitiko ichi, hapana puroteni mumuguta, uye ropa rinodzorera zvachose mukati mevhiki masere mushure mekusununguka;
- pre-eclampsia - kuwedzerwa kwehutano hweropa kune chirwere chekudzivirira kune dzimwe mamiriro emitumbi; kazhinji inowirirana nechitarisiko cheprotini mumuguta.
Preeclampsia inogona kuva nemigumisiro yakakomba inogona kutyisa hupenyu hwemadzimai anouya uye fetus. Nekuwedzerwa kweropa, mukadzi ane pamuviri anoda rubatsiro rwekukurumidzira kuitira kuti kudzivisa kukura kweEclampsia, iyo inofambidzana nekudzvinyirira uye coma. Kutanga kuonekwa kwezviratidzo uye kurapwa kwakakodzera kunogona kudzivirira kufambiswa kwe eclampsia. Kazhinji iri pamwe chete nezviratidzo zvinotevera:
- kuonekwa kwechiedza chechiedza, maronda, "nhunzi" pamberi peziso, kusviba mumaziso;
- photophobia;
- headache;
- kurwadziwa mucheche kumusoro kana kuti kune yakakwirira kumusoro quadrant;
- kurutsa;
- general malaise.
Nekuwedzerwa kweropa, zvinokosha kuziva chikonzero uye kuongorora kukanda kwehuwandu hwehutano. Hospitalization nokuti izvi hazvidiwi kutarisirwa, asi dzimwe nguva kune chido chekutsvakurudza kumwe. Pane huwandu hunopisa hunokonzerwa nekugadzirwa kwe preeclampsia:
- kutanga pamuviri;
- kuvapo kwe-pre-eclampsia munguva yapfuura yekudzivirira;
- ane makore makumi maviri kana anodarika makore makumi matatu;
- kukura kwakaderera;
- migraine;
- zviitiko zve preeclampsia kana eclampsia kune vakadzi mumhuri;
- pre-existing hypertension;
- kushaya muviri;
- multiple pregnancies;
- Kuvapo kwezvirwere zvinokonzera, zvakadai se systemic lupus, chirwere cheshuga mellitus uye chirwere chaRaynaud.
Mune vamwe vakadzi vane pamuviri, zviratidzo zvehuwandu hwehutachiona hazvipo, uye kuwedzerwa kweropa kunotanga kuonekwa nekutsvakurudza kunotevera mukukurukurirana kwevakadzi. Mushure mechinguva, kuderedzwa kunongororwa kwekuyerera kweropa kunoitwa. Kazhinji zvinyorwa zvaro hazvipfuuri 140/90 mm Hg. st., uye kuwedzera kwakasimba kunoonekwa sechirwere. Urini inobvunzurudzwawo nokuda kwekuvapo kweprotheni pamwe nekubatsirwa kwemashoko makuru. Nhamba yaro inogona kusarudzwa se "0", "nzira", "+", "+" "kana" + + + ". Chiratidzo "+" kana kuti chakakwirira chinoratidzirwa chinokosha uye chinoda kuongorora zvakare.
Hospitalization
Kana chirwere cheropa chinoramba chichikwirira, chimwe cheku-chipatara kuongororwa kunoitwa kuti chigone kuoma kwechirwere chacho. Kuti uwane hutachiwana hwakakwana, maminetsi makumi maviri nemasere emuenzaniso weprotein yemuenzaniso unoitwa. Kunyunyisa mumuguta wepamusoro pe 300 mg yeproteine pazuva kunotsigira kuongororwa kwe-pre-eclampsia. Kuongororwa ropa kunoitwawo kuti uone maumbirwo emagetsi uye basa rekunyengedza uye rehepatic. Mamiriro ekuberekwa anoongororwa nekucherechedza kurara kwemwoyo panguva ye cardiotocography (CTG) nekuita ultrasound scanning kuti aongorore kukura kwayo, ivhu reamniotic fluid uye ropa riri mumutsara wembilical (Soppler kudzidza). Kune vamwe vakadzi, kunyatsotarisa kunogona kurongeka pasina hospitalisation, somuenzaniso, kushanyira zuva rechipatara rekuchengetwa kwevatachiona, kazhinji pavhiki. Zvimwe zviitiko zvakaoma zvinoda kugara muchipatara kuti zviongorore kushanda kweropa maawa maawa mana, pamwe nekugadzirira nguva yekuendesa. Hypertension, isingafananidzi ne preeclampsia, inogona kumiswa ne labetalol, methyldopa uye nifedipine. Kana zvichidikanwa, chirwere chinopesana nehutachiona chinogona kutanga chero nguva yekubata. Nokudaro, zvinogona kudzivirira zvinetso zvakakomba zvepamuviri. Nekuvandudzika kwe-pre-eclampsia, chirongwa chiduku chekurapa anhypertensive chinogona kuitwa, asi mumamiriro ezvinhu ose, kunze kwemafudzi akaoma, rudzi rwekurapa nderokutakura kwemaoko. Nenzira yakanaka, kakawanda, preeclampsia inowedzera mukudzivirira kwekupedzisira. Mune maitiro akakomba, kusununguka nguva isati yasvika (kazhinji kacho nechikamu chekushaya chirwere) kunogona kuitwa panguva yekutanga. Mushure memavhiki 34 ekuzvitakura, basa rekuberekwa rinowanzosimudzirwa. Preeclampsia yakasimba inogona kufambira mberi, ichichinja kuEclampsia. Kunyange zvakadaro, ivo vanowanzoshamisika, sezvo vakadzi vazhinji vanotora maitiro ekutanga pamatanho ekutanga.
Kudzoka kwehutachiona hwepamusoro kana paine kubata pamuviri zvakare
Preeclampsia inowanzodzoka pakuita pamuviri. Mhando dzakanaka dzechirwere dzinodzoka zvishoma nezvishoma (mu5-10% dzemhosva). Nhamba yekudzokorora yee preeclampsia yakakura iri 20-25%. Pashure peEclampsia, inenge chikamu chechina chepamuviri yekudzokorora yakaoma ne preeclampsia, asi 2% chete yematambudziko zvakare anovandudza eclampsia. Mushure mokunge pre-eclampsia, inenge 15% inowedzera kusagadzikana kwehutano mukati memakore maviri mushure mekuberekwa. Pashure peEclampsia kana kuti preeclampsia yakasimba, inowanzoita 30-50%.