Diagnosing da Manajan Preeclampsia
Preeclampsia wani rikitarwa ne na ciki da ke shafar jini da sauran sassan jikin. Musamman, an gano yanayin preeclampsia lokacin da cutar hawan jini da proteinuria (sunadarai a cikin fitsari) ana samuwa a cikin mace mai ciki wadda bata wuce mako 20 ba. Wannan wata babbar mahimmanci ne, tun da mata da ke dauke da cutar hawan jini kafin su yi juna biyu suna iya haɗuwa da ka'idojin asibiti na preeclampsia, amma ya kamata a bi da su bisa tsari daban-daban na jagororin.
Alamai da cututtuka na Preeclampsia
A mafi yawan lokuta, saurin karuwa a karfin jini shine alamar farko na preeclampsia. Kadan sau da yawa, karfin jini zai tashi da hankali amma a hankali. A cikin kowane hali, lokacin da karfin jini ya kai ko ya wuce 140/90 mm Hg kuma mai bada sabis na kiwon lafiya ya rubuta wannan canji a kan akalla sau biyu, ya rabe akalla sa'o'i hudu baya, ana tsammanin ganewar asali na preeclampsia.
Bugu da ƙari, ƙwayar sinadari a cikin fitsari, da aka gano a lokacin nunawa na gaggawa wanda yake da wani ɓangare na kulawa na kulawa, zai iya siffanta matsalolin koda wanda ke haɗuwa da hawan jini a preeclampsia.
Sauran alamu da bayyanar cututtuka na preeclampsia sun hada da:
- Mai tsananin ciwon kai
- Canje-canje a hangen nesa, ciki har da asarar lokaci na hangen nesa, hangen nesa ko hasken haske
- Abun ciki na ciki babba
- Nuna ko zubar
- Rage fitar da fitsari
- Rashin rage matakan plalets cikin jini (thrombocytopenia)
- Hanyar hanta aiki
- Rawancin numfashi
- Samun kullun da kullun da aka yi a hankali (kuma a cikin al'ada ta al'ada)
Wane ne ke damuwa ga Preeclampsia?
Baya ga kasancewar ciki, wanda shine babbar haɗarin da ke faruwa a lokacin da yake faruwa a cikin mata masu ciki, wasu dalilai na iya sanya ku ga mafi haɗari don bunkasa yanayin.
Wadannan sun haɗa da:
- Tarihin baya na preeclampsia (ko dai kai ko dangi na jini)
- Na farko ciki
- Yawan shekaru 40 ko tsufa
- Kasancewa mai girma
- Shan ɗaukar ciki
- Tsarin ciki na ciki bai wuce shekaru biyu ko fiye da shekaru 10 baya ba
- Samun wasu sharuɗɗa kafin yin ciki, irin su cutar hawan jini, ƙwayar cutar ciwon kai, ciwon sukari, koda, ko lupus
Kula da Preeclampsia
Idan ya tafi ba tare da alaqa ba, preeclampsia zai iya haifar da matsaloli mai tsanani ga duka mahaifiyar da jariri. A wasu lokuta, yana iya zama m. Abincin kawai don yanayin shi ne bayarwa na jaririn, wanda ke wakiltar kalubale na musamman ga masu samar da kiwon lafiya da mata kamar yadda suke daidaita amfanin da aka bayar da wuri na farko tare da hadarin matukar damuwa .
Mata masu fama da matsala suna fuskanci haɗari da haɗari, haɓaka da ƙuƙwalwa. Idan ya kasance da wuri sosai a cikin ciki don tabbatar da lafiyar lafiyar mahaifiyar da jaririn zai iya haɗuwa da ƙwaƙwalwar gwaje-gwaje na daukar ciki , gwaje-gwaje na jini, jigilar magunguna da kuma gwaje-gwaje ba.
Wasu hanyoyi za a iya amfani da su don taimakawa wajen maganin jini lokacin da ya yi da wuri don a sami aiki. Wadannan sun haɗa da:
- Magungunan antihypertensive don rage karfin jini.
- Corticosteroids don inganta hanta da kuma platelet aikin a cikin mahaifiyar kuma taimaka wajen inganta jaririn jariri don shirya don bayarwa na farko.
- Magungunan anticonvulsant don hana yaduwa.
- Gidan hutawa
- Samun lafiya
Sources:
Cunningham, FG., Lindheimer, MD. Hawan jini a ciki. New England Journal of Medicine, 326 (14): 927-32.
Rahoton ma'aikata sunyi rahoto kan cutar hawan jini a ciki. Cibiyoyin Lafiya ta Duniya, Washington, DC 2000.