HELP maʻi pale (HELLP-maʻi pale) - he mea pepehi complication i loko o ka III trimester o ka hāpai keiki: kumu,ʻike, lapaʻau

Ma ke ola ana o kela kanaka inevitably hele mai ana ka manawa e koa e huli i waho kōkua. Pinepine kōkua i loko o ia mau wahi, i hiki i na paramedics. Kēia ka hana i ka wa a na kanaka kino ua kaua akula insidious maʻi, a me ka Makuakane me ia mea,ʻaʻole e hiki. Ua noa ike e hauʻoli ana o ka hāpai keiki - mea ole ka maʻi, akā, i ka wā e hiki mai makuahine ma ka pau pono o ka 'inikua a me ka manaʻoʻike kōkua.

"Kōkua!", A ma ka inoa o ka maʻi

E hea aku no ke kōkua ma kekahi 'ōlelo' puhiʻokoʻa. No ka laʻana, ma ka 'ōlelo Pelekānia i kaʻAʻole eʻole ke Lūkini, "Help!" Ua haʻi e like "HELP". HELP maʻi pale (HELLP)ʻaneʻane nō e wale ma ka hoʻoikaika a me ka manawa lahui a Keliʻimaikaʻi no ke kōkua.

Symptoms a me ka hopena o keia complication i hāpai keiki ia i ka manaʻo 'inikua noonoo mea nui. HELLP hua h ÷ ailona no ka pau huahelu ola pilikia o: ma ke akepaa, a me ke koko clotting a me ka hoonuiia pilikia o ke kahe ana ke koko. Ma waho o ka luna, HELLP-maʻi pale kumu malfunction o nā konāhuaʻelua a me ke koko, kāna hana, hiki nui ano hoomainoino i ka papa o ka hāpai keiki.

Picture o ka maʻi mea i kaumaha loa ia he mea he hōʻole o ka oiaio o ka procreation kino, autoimmune ole ia lŘlŘ. Kēia kahua aicieeaao ka wā huina overload o ka wahine kino, i ka wa e hoomalu mai ia hōʻole i ka hana, palapala i ka loa loa kaumaha, mae makemake no ke ola e piʻi like me ka hoʻomau i ka paio. Ke koko Aʻole i clot, ka eha, aole oia i hoola, kahe ana ke koko 'aʻole i pau, a me ke akepaʻa mea,ʻaʻole hiki ke hana kona oihana. Akā, he pilikia hoi amenable i ka 'inikua e hooponopono.

'inikua moʻolelo

Ua hōʻike HELP maʻi pale i loko o ka hopena o 19th kenekulia. Akā wale nō i loko o ka makahiki 1978 Gudlin hikii ka autoimmune pathology o ka mālama '-eclampsia i hāpai keiki. A i ka makahiki 1985, i ke aloha a hiki i Weinstein, i merged ka disparate symptoms ma lalo o kekahi inoa: HELLP-maʻi pale. He noteworthy i loko o ka wahi lulu 'inikua kumu, keia mea he nui pilikia kokoke i ho'ākāka' ia ma. Wale i kekahi mau Lūkini anesthetists a me ka mālama nui malama hoʻomalu hoolako hou au mamuli dismantled keia complication nui o ka preeclampsia.

Ia manawa, HELP maʻi pale i hāpai keiki ua hoʻomaka koke ho onui ana momentum, a lawe aku i kekahi lihi iki o ke ola.

E wehewehe mai i kēlā me kēia complication kaawale.

hemolysis

HELP maʻi pale kuhikuhi mai nā 'intravascular hemolysis. Keia maʻi weliweli ua wehewehe aku ma ka huina o ka make ana o ka halepaahao. Ka luku a me ka poe oo hoi o ka ula koko aeee ke kumu wela, jaundice o ka ili, i ke ano o ke koko i loko o ka mimi haʻawina. Ka loa ke ola-hooweliweli hopena - i ka pilikia o ke kaumaha kahe ana ke koko.

'Ākena o thrombocytopenia

I kekahi ke keʻena o ka maʻi pale hua h ÷ ailona - thrombocytopenia. Keia ano ua wehewehe aku ma ka emi ma ka platelet helu i loko o ka haʻilula o ke koko, e ho'ōla ana noho'na makaainana i ulu kahe ana ke koko. Pau ana i kēia kaʻina hana hiki wale nō ia i loko o ka haukapila, a i hāpai keiki, keia ano mea maopopo pilikia loa. Ke kumu hiki e heʻoʻoleʻa'ōnaehana paleʻea kāna hana, a alakai ai i ka anomaly ma i ke kino hakakā me ia iho, e luku ola ulaula koko keena. Ua ho i ka hoʻoweliweli 'ana i ke ola, kū aʻela ma luna o ke kāʻei kua o nā loli i loko o ka helu ana o platelets clotting kāna hana.

Weliweli harbinger: mahuahua ma ka ake nā'ūhū

Ka luna 'pathologies komo i loko o ka HELP maʻi pale, i kau ia kaʻawaʻawa loa ka hoailona i māhuahua ake nā'ūhū. No ka expectant makuwahine a 'o ia hoʻi i loko o kekahi o nāʻano nui nā loko o ke kanaka kino, aole i nui mau hewa. Ma hope o nā mea a pau, ke ake ole wale huikala ai i ke kino o toxins a kōkua i ka hoʻokō 'ana i ka digestive hana, akā, no hoi e loli ai ka psycho-mea naʻau poepoe. Pinepine ia undesired loli ua 'akomi i ka wa oaeouee koko hōʻike, i ka mea i lawelawe ai i ka wahine hapai. I ka preeclampsia huikau ma ka maʻi pale HELP na kii OAOOUIEeE me ka nui loa mai o ka kūmau, ahuwale i na olelo hooweliweli e kiʻi. No laila, 'inikua manaʻo - ka mua kaʻina hana, i mea OAXA no ka hooko.

Oi loa aku hoi ke kolu o ka trimester

3 trimester o ka hāpai keiki mea nui loa ia no ka wā e hiki mai ana o gestation a me ka haawi. Pinepine complications i edema, heartburn a me ka digestive dysfunction.

Kēia ia lŘlŘ no ka paewaewa ma nā puʻupaʻa, a akepaʻa. Hooakeaia uterusʻAʻoheʻakaʻaka puʻe i ka digestive nā loko, a ua kumu ka mea, e hoʻomaka ana i ka unravel. Akā, ma ka gestosis e ala mai ana i kapaʻia ka mālama '-eclampsia a me ka eclampsia, i aggravate eha ma ka epigastrium, hoʻonāukiuki aku i ke ano o ka nausea, ka luaʻi, edema, kiʻekiʻe ke koko. E kū'ē i ke kāʻei kua o neurological complications hiki ana ke kāʻili 'ana. Mea weliweli a symptoms hoomahuahua, i kekahi manawa, aneane like me ka uila, ma o na la ino nui i ke kino, hoʻoweliweli i ke ola o ka expectant makuwahine, a me ka fetus. Ma muli o ka loa preeclampsia, a pinepine hāpai me ia i 3 trimester o ka hāpai keiki, he mea pinepine he maʻi pale me ka'ōlelo i kapaia HELP.

lilelile symptoms

HELLP-maʻi pale: lapaʻau kiʻi,ʻike, obstetric nā kaʻa mokulele - ka theme like o ke kūkākūkā i keia la i ka. Mua, e pono e kuhikuhi i ka helu o ka Kora naʻEsau symptoms e pili ana i keia complication weliweli.

1. Ma ka hapa o ka Central ko mākou hopohopo nenoaiu. ʻO ko mākou hopohopo'ōnaehana mākou ke pane i kēia mau kāʻili 'ana kāna hana, pili headaches, pilikia makapō hoʻopilikia.
2. Job mea'ōnaehana mānowai koko'ōnaehana ua pilikia ma muli o ke edema o nā'aʻaʻa, a ua hoʻemi koko holo.
3. Naehana keʻano o ka hanaʻana nui ka mea,ʻaʻole aʻe, akā, pulmonary edema ke'ākoʻakoʻa ma hope o ka nahunahu hanau.
4. Ma ka hapa o ka hemostasis a me ka thrombocytopenia malama 'aʻe' ana o platelet iaea ooieoeiiaeuiiai ke keʻena o ka hana.
5. Hoemiia ake papa, i kekahi manawa i ka make ana o kona keena. Kākaʻikahi ka malama noho'na makaainana i ulu hepatic rupture, a hiki aku i ka make.
6. 'Aʻe' ana o ka genito-urinary'ōnaehana: oliguria,ʻaʻa puʻuwai dysfunction.

HELP maʻi pale wehewehe aku ma keʻano o nā symptoms:

• discomfort ma ke ake;
• ka luaʻi;
• huʻi headaches;
• kāʻili 'ana;
• feverish ano;
• hana maʻamau o ka ike paka i;
• urinary insufficiency;
• edematous'aʻaʻa;
• ole puʻe;
• mau hemorrhages i loko o nā wahi o ka manipulation;
• yellowness.

Keʻena hoʻokolohua maʻi ua hoikeia mai ma ka thrombocytopenia, hematuria, ka ka loaʻaʻana o ke kumuʻiʻo ma ka mimi a me ke koko, haahaa hemoglobin, he mahuahua o bilirubin i loko o ke koko hoao. Nolaila, e möakäka hou i ka definitiveʻike, o ka holoʻokoʻa luna 'keʻena hoʻokolohua e ho'āʻo ai e e koi' ia.

Pehea e ike i ka complications?

I mea e 'eleu huai ae, a pale aku ke koʻikoʻi complications, a ua lawe mai' inikua aʻo ma i wā e hiki mai mums i ka manao e hiki mau. hapai hoʻomalu e ukuhi i ka mooolelo, a laila, pili loa kanaka hoʻoponopono i nā hoʻololi i loko o ka wahine o ka kino i loko o ka wā holoʻokoʻa. Penei, he gynecologist manaʻoi hoʻokoe 'koho hua'ōlelo i makemake deviations, a lawe hana kūpono.

E hoike aku i ka pathological loli ma ka hoʻohana 'ana i keʻena hoʻokolohua ho'āʻo ma. No ka laʻana, mimi kumuʻiʻo e kōkua huai ae ina he mea hoʻokahi. Ke mahuahua ma ka kumuʻiʻo nā hoailona, a me ka helu o nā leukocytes paipai hai paewaewa ma ka hana o nā puʻupaʻa. I waena o nā mea a pau, aole e ia iʻoi ka ho'ēmiʻana i loko o ka nui o ka mimi, a me ka nui māhuahua ma ka edema.

Pilikia ma ke akepaʻa e hoike ole wale i loko o ka pono maluna quadrant eha, ka luaʻi, akā, i ka loli i loko o ke koko (māhuahua dala o ke akepaa nā'ūhū), a me ka ake hoʻonui ma palpation ua ikeia maopopo.

Thrombocytopenia ua pū 'akomi i ka keʻena hoʻokolohua e ho'āʻo ai i ke koko o ka hapai wahine, no ka mea, i ka mea maoli hoʻoweliweli HELP maʻi pale.

Inā e manao eclampsia a me ka HELP maʻi pale OAXA mana o ke koko, i ka hopena o ka spasm o na moku koko a me ke koko clots o kona hana hiki seriously hoʻonui.

palena pauʻike,

Kaila kēia manawa ka HELP maʻi paleʻike, i loko o obstetrics ua loaa ia hiʻona, no laila, pinepine kau ia ua'āpono nō. Pinepine hūnā ma hope o ka mea i pono okoa maʻi,ʻaʻole emi pilikia, akā, oi mundane a me ka pono ole.

• gastritis;
• mea hoʻomaʻi hepatitis;
• systemic lupus erythematosus;
• urolithiasis;
• obstetric sepsis;
• maʻi o ke akepaa (momoma, cirrhosis);
• thrombocytopenic purpura o ike etiology;
• hakuʻala ole.

No ia mea, palena pau. ʻike, e lawe i ka mooolelo o kaʻano o ke koho. Alaila, o ka hōʻike ma luna triad - hyperenzymemia ake, hemolysis a me ka thrombocytopenia - i mau hōʻike i ke alo o keia complication.

Kumu o ka HELP-maʻi pale

Eia naʻe, kamepiula kumumea i maopopo loa, akā, ma laila nō nā manaʻo kōkua e hoonaukiuki HELP maʻi pale i ia i ke kēia mau kumu:

• psychosomatic maʻi;
• lāʻau-ʻonou hepatitis;
• enzymatic aaiaoe loli ma ke ake;
• prolificacy.

Ma kekahi mau mea pepehi maʻi pale ia lŘlŘ ka wā lawa noonoo i preeclampsia huikau papa - eclampsia. He nui ka ike i ka maʻi hoi loa unpredictable: ka mea, ua ulu i ka uila holo, ka mea nalo i kona iho.

pākōlea ana

I ka wā o nā ho'āʻo ma a pau i lawe mai, a me ka palena pau. ʻike, e hiki i kekahi hopena a. A hiki akuʻoe e hoʻouka i kaʻike, "HELP maʻi pale" iapaau ana nona ma stabilizing i ka moku'āina o ka hapai wahine, a me ka unborn keiki, e like me ke ake hānau mea kuokoa o ka makahiki. Lapaʻau o hana i lawe mai i ke kōkua o kekahi obstetrician-gynecologist, ka resuscitation kime, ka anesthesiologist. Inā pono, hoʻohui 'ē aʻe hoʻomalu: he neurologist a ophthalmologist. Kuhikuhi eliminated mau hui, e hemahema, a ua hoʻolako kāohi ana i mea e pale aku hiki complications.

Mawaena o ka pono complicating i ka papa o ka 'inikua' uao, hiki ke hōʻike ':

• placental poe;
• hemorrhage;
• lolo edema;
• pulmonary edema;
• huʻiʻaʻa puʻuwai ole;
• ona e ake loli a me ka nahā i;
• indomitable kahe ana ke koko.

A hiki aku i ka pololeiʻike, a me ka 'āwīwī i hoʻolako' oihana kōkua i ka likelihood o ka morbidity mālama a hiki i ka palena iki.

obstetric kou akamai

Nā kaʻa mokulele hoʻomaʻamaʻa obstetrics ma ka pili ana i ka loa ano o preeclampsia, ka oi huikau maʻi pale HELP, ka hoike: o ka hoʻohana 'ana o caesarean pauku. Ka wā oʻo uterus makaukau no maoli ka nahunahu hanau, ka hoʻohana 'ana prostaglandins a me ka paa epidural.

I loa hoopii, caesarean pauku ua hoʻohana 'ia wale nō endotracheal anesthesia.

Life ma hope o ka hānau keiki

Hoʻomaluʻike i ka maʻi ia lŘlŘ i ke kolu o ka trimester ole wale, akā, i hiki ia e holomua i nā lā ma hope o noho pakele o ka ukana.

Nolaila, HELP maʻi pale ma hope o ka hānau - ka kŰia he mea hiki i ka olelo ma ka lokomaikai o ke kokoke loa ka mālamaʻana o ka makuahine a me ke keiki i loko o ka postpartum au. No ka mea, pili na wahine me kaʻelemakule e kahe ana preeclampsia i hāpai keiki.

ʻO wai lā ka mea e'Āhewa a me ka mea e hana ai?

HELP maʻi pale - he hoʻohuikau o aneane pau nā loko, a nenoai o ka wahine kino. I loko o ka maʻi he mea i mālama nui outflow o vitality a me ka pahiki kiʻekiʻe o ka make, a me ka intrauterine fetal abnormalities. No ia mea, mai ka 20 la hebedoma o ka expectant makuahine mea pono e hoʻomaka pakiko-ka mālamaʻana diary, a lawe mai i na mea hou 'ia i loko o ke kino. E e uku ai i ke kēia kumu ua noonoo:

• ke koko,: ka mea, Lele keu aku, a oi aku mamua o ekolu mau manawa e Alert;
• ke kaupaona metamorphosis: ina ka mea, ua i ala ikaika, paha, i ke kumu no ka mea ua haanou ana;
• fetal neʻe nui, pili, a, conversely, o Kaleba ana - maopopo i ke kumu no ka lapaau ana i ka kauka;
• imua o ka edema: he nui nani o nā'aʻaʻa paipaiʻaʻa puʻuwai dysfunction;
• hana'ōpū eha: oi loaʻiʻo i loko o ka wahi o ka akepaʻa;
• Ka pololei, Ka Ikepili o nā mea a pau i ka mea i kohoia, pono e hana ma ka oiaio, a ma ka manawa, e like me ka mea e ia no ka pomaikai o ka loa a me ka makuwahine unborn keiki.

A pau nā hōʻailona e e koke hoike i kou kauka, gynecologist i hiki wale i ka ponoʻole Loiloi i ka pilikia, a lawe i ka olelo hooholo'ākau.