ĀWHINA syndrome (HELLP-syndrome) - he pōauautanga mōrearea i roto i te huatū III o hapūtanga: take, te tātaritanga, maimoatanga

I roto i te ora o te tangata katoa te taniwha, mai te hoê taime e taruke ki te tahuri ki te awhina i waho. E mea pinepine kaiāwhina i roto i te taua āhuatanga e te paramedics. tupu tenei ka whakaekea te tinana tangata te mate haavare e, a kahore he taea ki te akakoromaki i a ratou. Te tangata e matau e kāwanatanga oaoa o te hapūtanga - e kore te mea he mate, engari e mau mama heke mai i roto i te hiahia ngā o te āwhina hauora, me te hinengaro.

"Āwhina!", Ranei te wahi i te ingoa o te mate

Karangatia hoki te tauturu i roto i reo rerekē tangi rerekē. Hei tauira, i roto i te reo Ingarihi i te pau Russian, "Āwhina!" Korerotia He rite "ĀWHINA". ĀWHINA syndrome (HELLP) tata i te tupono i te rangi ki te karanga i teie nei ao i te tauturu.

Tohu me hopearaa o tenei pōauautanga i roto i te hapūtanga taua e mea faufaa aro kōhukihuki hauora. whakarāpopototanga HELLP mo te whānuitanga katoa o ngā raruraru hauora: i roto i te ate, me te toto upoo- me te kaha ake te tūpono o toto. Haunga te runga ake, HELLP-syndrome ai arā o whatukuhu, me disorders pēhanga toto, reira nui whakahōhā i te akoranga o te hapūtanga.

Ko na taimaha e reira ko te whakakāhoretanga o te meka o te tinana fakatupú Pikitia o te mate, puta kore autoimmune. E hua ana tënei āhuatanga ka kikī katoa o te tinana wahine, ka kore parepare ki te mahi, ka pīrori te whārua tino kino, memenge te hinaaro no te whakatutukitanga ora, me te haere tonu i te pakanga. Te toto e kore e katinga, kihai i whakaora i te motu, toto e kore e mutu, a kahore e taea ki te mahi i ona mahi i te ate. Ko te reira huru fifi Nireaha ki te ako hauora.

hītori hauora

whakaahuatia ĀWHINA syndrome i roto i te mutunga o te rau tau 19. Otiia anake i roto i te 1978 Gudlin herea te māuiuitanga autoimmune o mua eclampsia-i roto i te hapūtanga. A i roto i te 1985, whakawhetai ki a Weinstein, hanumi nga tohu rerekē i raro i te ingoa kotahi: HELLP-syndrome. Ko reira taa'eraa e i roto i te puna kāinga hauora, ko te raruraru nui i whakaritea e kore whakaahuatia tenei. he torutoru anake kairehu Russian, me te kaha tohunga tiaki whakarato taipitopito atu wāwāhitanga tenei pōauautanga nui o preeclampsia.

Na, ĀWHINA syndrome i roto i te hapū te tere whiwhi whakauka me te tango atu i te rota o ora.

whakaahua tatou ia pōauautanga motuhake.

hemolysis

ĀWHINA syndrome matua ngā intravascular hemolysis. Tenei āhuatanga mate whakamataku e te katoa te whakangaromanga o te pūtau. ai te whakangaromanga, me te hoholo o ngā pūtau toto whero kirika, jaundice o te kiri, te ahua o te toto i roto i te akoranga mimi. Ko te nuinga o mau hopearaa ora-te whakawehi - te mōrea o te toto taimaha.

Risk o thrombocytopenia

Ko te wāhanga i muri o te whakapotonga syndrome - thrombocytopenia. āhuatanga tēnei huru e te hekenga i roto i te tatau mōtepe i te tātai o te toto, pae hopea meinga toto noa. Kati taea anake tenei tukanga hei i roto i te fare ma'i, a te wā hapūtanga, he tino kino tenei huru. Ka taea e te take e he disorders ārai uaua, i arahina ki te Pākatokato i ai whawhai i te tinana ki ano, whakangaro hauora pūtau toto whero. tohu te reira i te riri ki te ora whakatika i runga i te whakamārama o ngā rerekētanga i roto i te maha o platelets tuli disorders.

tīwaiwaka whakamataku: hua i roto i whākōkī ate

Ko te pathologies matatini ngā i roto i te ĀWHINA syndrome, karaunatia taua tohu kino rite whākōkī ate nui haere. Hoki whaea expectant e te tikanga e i roto i tetahi o nga whekau tino nui o te tinana tangata i reira e hara nui. I muri i te katoa, te ate tamā kore anake te tinana o tāoke me tauturu te whakatinanatanga o te mahi kūnatu, engari ano hoki pā te ao psycho-aronganui. E mea pinepine kitea taua tauiraa koretake te te i roto i whakamātautau toto ngā, i whakahaerea nei ki te wahine hapu. A, no te rerekē preeclampsia uaua e syndrome ĀWHINA tau tino i te täkupu, te heheu mai i te pikitia whakawehi. Na reira, tohutohu hauora - te tukanga tuatahi, i te mea whakahauanga mō te mahi.

Tautautefito te toru o huatū

Ko te tino nui mo te heke mai o te hapūtanga me te tuku 3 huatū o te hapūtanga. pōauautanga toutou he edema, tokopā, me te pōrearea kūnatu.

puta tenei no te mea o kōtītiti i roto i nga whatukuhu, me te ate. kōpū rahi e kore pēhanga kata i runga i nga whekau kūnatu, e te aha e tīmata ratou ki te matakawa. Otiia i roto i kia ara ake huru huaina-eclampsia mua, me te eclampsia, e whakahōhā mamae i roto i te epigastrium gestosis, whakapataritari te ahua o te whakapairuaki, ruaki, edema, te pēhanga toto tiketike. Ki te whakamārama o pōauautanga neurological taea puta hukihuki. whakanui i tohu Dangerous, ētahi wā tata rite uira, meinga kino nui ki te tinana, te whakawehi te ora o te whaea expectant me te kukune. Nā ki te preeclampsia kino, e maha te maua e ki reira he 3 huatū o hapūtanga, i reira he maha he syndrome ki te kaikōrero i huaina ĀWHINA.

tohu kanapa

HELLP-syndrome: pikitia haumanu, te tātaritanga, tātai obstetric - te kaupapa o te kōrero o tenei ra. Tuatahi, e hiahia ana koe ki te tautuhi i te maha o ngā tohu matua e haere tahi tenei pōauautanga e wehingia ana.

1. I runga i te wahi o te pūnaha io pokapū. pahono te pūnaha io ki enei disorders hukihuki, pāhoahoa kaha, waimaerotanga ataata.
2. ohorere Hopa pūnaha Cardiovascular te tika ki te edema o te kopa, a heke tohanga toto.
3. tukanga Respiratory kore e te tikanga takahi, engari ka taea e edema pūkahukahu puta i muri i whanau ana.
4. I runga i te wahi o te hemostasis me thrombocytopenia kite takahi o mōtepe wāhanga mahi o te mahi.
5. Heke ate mahi, ētahi wā te mate o ona pūtau. Varavara kitea noa whaturama ate, e tika ana ki te mate.
6. Tūkinotanga o te pūnaha genito-mimi: oliguria, pōrearea tākihi.

ĀWHINA syndrome āhuatanga e te momo o tohu:

• hūhi i roto i te ate;
• ruaki;
• pāhoahoa tāhapa;
• hukihuki;
• huru ohooho;
• ngangau o te mahara;
• iti hoki mimi;
• kiko edematous;
• pēhanga hikuwaru;
• pakaruhanga toto maha i roto i nga wahi o te whawhe;
• yellowness.

whakakitea mate Laboratory e thrombocytopenia, hematuria, te rapunga o te pūmua i roto i te mimi me te toto, pūtoto iti, he hua o bilirubin i roto i te whakamātautau toto. Na reira, ki te whakamārama ka te tātaritanga papû o katoa nga whakamātautau taiwhanga matatini kia hiahiatia.

Me pēhea te ki te ite i te fifi?

I roto i te tikanga ki te kitea wā, ka ārai pōauautanga kino, a ka kawea i roto i tohutohu hauora i runga i nei e tohutohu whaea heke mai ki te tae wā. e mātanga hapu i runga i record, a ka āta aroturuki i te huringa i roto i te tinana o te wahine i roto i te wā katoa. Ko te kupu, he rata mātai wā whakatika ine e hiahiatia, me te mahi e tika ana.

Ki te whakakitea te huringa pathological mā te whakamahi i ngā whakamātautau taiwhanga. Hei tauira, ka āwhina i mimi pūmua kitea ki te reira ko te kotahi. Ko te hua i roto i te tohu pūmua me te maha o leukocytes fokotuu kōtītiti korerotia i roto i te mahi o nga whatukuhu. I roto i te tahi atu mea, i reira kia kia he whakaiti koi i roto i te nui o mimi, me te hua nui i roto i te edema.

Raruraru i roto i te ate e whakakitea e kore anake i roto i te tika te mamae hautahi o runga, ruaki, engari ano hoki he tauiraa i roto i te toto (nui haere moni o whākōkī ate), me ate whakarahi i runga i palpation ua mārama te.

Thrombocytopenia Kei te hoki kitea e taiwhanga whakamatautau te toto o te wahine hapu, mo e te tino riri ĀWHINA syndrome.

Ki te whakapae koe mana whakahauanga eclampsia me ĀWHINA syndrome o te pēhanga toto rite ki te hua o te spasm o oko toto me clots toto o tona mahi e taea ake i tino.

tātaritanga pārōnaki

Kua riro huatau i enei TAUTURU syndrome tātaritanga i roto i obstetrics rongonui, na maha hoatu reira hetia. huna pinepine i muri e te reira tino rerekē mate, e kore e iti mōrearea, engari atu riirii, me te noa:

• gastritis;
• kakā viral;
• erythematosus lupus pūnahanaha;
• urolithiasis;
• sepsis obstetric;
• mate o te ate (fatty, cirrhosis);
• te purapura thrombocytopenic o etiology unknown;
• hēnga o ōna whatukuhu.

Reira pārōnaki. Me tango tātaritanga ki pūkete he momo o kōwhiringa. Nä, ko te tohu i runga ake topu- - hyperenzymemia ate, hemolysis me thrombocytopenia - e kore tohu tonu te aroaro o tenei pōauautanga.

Take o te ĀWHINA-syndrome

Kia aroha mai, āhuatanga mōrearea kahore i matau pai, engari i reira he whakaaro e whakapataritari kia ĀWHINA syndrome te take e whai ake nei:

• mate psychosomatic;
• raau-piri kakā;
• huringa iranga enzymatic i te ate;
• prolificacy.

I roto i te syndrome kino whānui puta ka iti whakarongo ki preeclampsia faingataa akoranga - eclampsia. He mea nui ki te mohio e he rawa ohorere te mate: Kei te whakawhanake i te reira i te tere uira, riro te reira i runga i ona ake.

mehua haumanu

A, no te kawea nga whakamātautau katoa ki waho me te pārōnaki. tātaritanga, Ka taea e hanga e koe etahi whakatau. A, no te tāuta koe i te tātaritanga "ĀWHINA syndrome" maimoatanga e hāngai ana i te āhua o te wahine hapu, me te tamaiti e parauhia, me te tuku arä aueue he motuhake o te wā. E kawea ngā mahi Medical roto ki te awhina o te-rata mātai obstetrician, te rōpū whakaora, te anesthesiologist. Ki te tika, te hono atu tohunga: he toketā neave ophthalmologist ranei. Matua whakakorea kore okana maha, ka whakaratohia āraihia i roto i te tikanga ki te karo pōauautanga taea.

I roto i te noa te fifi i te akoranga o te wawaotanga hauora, e taea te tāutuhia:

• wehe placental;
• toto;
• edema roro;
• edema pūkahukahu;
• täkihi whakapeka;
• huringa ate mate, me te āputa;
• toto mana'o.

A, no te whakaratohia te tātaritanga tika, me te wā āwhina ngaio ki te tūponotanga o te tahumaero whangai ki te iti.

rautaki obstetric

mahi tātai obstetrics i roto i te pā ana ki te momo nui o preeclampsia, te ĀWHINA syndrome atu uaua, he mārama: te whakamahi o te motu whakawhānau. A, no te pakeke kōpū rite mo te whanau tūturu, mā te whakamahi i prostaglandins me here epidural.

I roto i ngā take kino, whakamahia wāhanga whakawhānau te rehunga anake endotracheal.

Life i muri i hoatu whanau

Mataotao tuhia e puta te mate e kore anake i roto i te toru o nga huatū, engari ano hoki e taea ki te hanga i te ahunga whakamua i roto i rua ra i muri i te pae whakakahoretia o te pikaunga.

Na reira, TAUTURU syndrome i muri i whanau - Ko te tino taea e korero i roto i te manakohia o aroturuki tata o te whaea me te tamaiti i roto i te wā e kulukia te āhuatanga. Rawa āwangawanga reira wahine ki puhoi e rerengia ana preeclampsia i roto i te hapūtanga.

Ko wai te mea ki te kupu, me te aha ki te mahi?

ĀWHINA syndrome - he rangirua o tata katoa whekau, me ngā pūnaha o te tinana wahine. I roto i te mate i reira ko te matamua tino o te ora, me te tūponotanga nui o te mate, me te intrauterine abnormalities fetal. Na reira, i te 20 wiki th o te whaea expectant he tika ki te whakahaere te rātaka whaiaro-aroturuki, e kawea mai nga huringa katoa tupu i roto i te tinana. kia utua ngā whakarongo ki ēnei e whai:

• pēhanga toto: hūpeke reira maha kia mōhio ake atu i te toru ngā wā;
• kāhuarau taimaha: ki te ko ia ki whakatika koi, pea, te take hoki i ko huamo;
• kaupapa fetal kaha rawa,, hei kōrero, whakamarietia nekehanga ranei - mārama he take mo te maimoatanga ki te tākuta;
• aroaro o te edema: he tetere nui o te kopa fokotuu pōrearea tākihi;
• mamae puku rerekē: rawa nui i roto i te rohe o te ate;
• Me whakamana tātari auau o katoa i whakaritea e te, i roto i te whakapono pai, me te i roto i te wa, ka rite ki kia waiho ai mo te painga o te whaea rawa, me te tamaiti e parauhia te.

kia tohu whakatūpato katoa kia korerotia tonu ki tō tākuta, rata mātai rite taea anake ki te aromatawai i āta te āhuatanga, me te tango i te whakatau tika.