Yin jiyya na hawan jini na jini yana bin tsarin jagorancin daban daban fiye da jiyya na babban cutar hawan jini a waje na ciki. Babban manufar magani a cikin mata masu ciki shine don hana ci gaban yanayin da ya fi dacewa kamar ƙuntataccen ciwon tayi ko raguwa. Tsarin ciki kuma yana gabatar da wasu damuwa a cikin tsarin tsare-tsaren gargajiya, tun da ya kamata a yi la'akari da lafiyar jariri tare da na mahaifiyar.
Mafi yawan maganin kula da mata masu ciki da cutar hawan jini sune:
- Gidan hutawa
- Hanyar gajeren lokaci (m) magani
- Dogon lokacin (na yau da kullum) magani magani
A zabar wani tsari na magani, cikakkun bayanai irin su ko jinin jini ya kasance kafin zuwan ciki, yadda yaduwar ciki, da kuma yadda ake yin jariri dole ne a yi la'akari.
Bakin Sauran Jiyya
Ƙaramar hutawa, ko ƙuntata aiki, an riga an umurce shi don lokuta ta hawan jini, ba tare da la'akari da ainihin dalilin ba. Ko da yake an yi amfani da wannan aiki na dogon lokaci kuma ya ci gaba da kasancewa wani zaɓi na shahararrun shahararriyar, akwai ƙaramin shaida mai ƙarfi wanda ke tallafawa tasirin wannan farfadowa. An gudanar da bincike da yawa a cikin ɗakunan binciken, tare da cikakken nazarin wallafe-wallafe, amma ba a yi nazari da yawa ba. Gaba ɗaya, sakamakon yana haɗuwa. Wasu nazarin sun nuna cewa barci na kwanciya ba shi da wani amfani mai kariya, yayin da wasu nazarin ya nuna karamin, amma mai da hankali, rage haɗarin tasowa ƙarar cutar karfin jini ko ba da lada ba.
Saboda rashin shaida mai ƙarfi, bai kamata a yi la'akari da haɗin gado ba a matsayin tsarin kulawa na mahimmanci. Duk da haka, aikin ƙuntataccen abu bazai haifar da haɗarin lafiyar lafiya ba kuma za'a iya amfani da ita idan ba ta dame ka ba. A lokuta da akwai sanannun matsalolin da jini ya gudana ta hanyar ƙwayar placenta - "rashin cikakkiyar lissafi" - gadon kwanciya zai iya ba da ƙarin ƙarin amfani.
Kwanan lokaci da Kwararrun Kwayoyin Drug
Drug far far abu ne mai inganci, hanyar tabbatar da yanayin jinin matsakaicin lokacin daukar ciki, kodayake kulawa dole ne a yi amfani da shi wajen zabar da kuma yin amfani da kwayoyi. Saboda maganin miyagun ƙwayoyi a lokacin haihuwa yana iya kawo hadari ga duka mahaifiyar da jariri, ana amfani da ita ne kawai a lokuta inda cutar jini tana da yawa, yawanci> 150/100 mmHg.
Don gajeren lokaci far, magungunan mafi yawan lokuta ana zaɓa su ne:
- Labetalol - Beta
- Hydralazine
- Tsoma hannu-saki nifedipine - mai kwakwalwa mai kwalliya
- Nan da nan an saki nicardipine - mai kwakwalwa mai kwakwalwa
A cikin gajeren lokaci, idan waɗannan kwayoyi ba su iya sarrafa jini ba, ana amfani da miyagun ƙwayoyi da ake kira diazoxide a wasu lokutan idan an buƙatar da karfin jini.
Domin tsawon maganganun da ya kamata ya ci gaba har tsawon makonni ko watanni, zafin zabi na miyagun ƙwayoyi ne. Labetalol yana daya daga cikin magungunan da aka fi amfani dashi a cikin mata masu ciki. Kodayake dukkan kwayoyi suna kawo hadari na musamman ga marasa lafiya masu ciki, an nuna cewa labetalol ya kasance cikakke lafiya don amfani yayin daukar ciki. Tare da labetalol, wasu kwayoyi da za a iya amfani dashi sun hada da:
- Methyldopa
- Dogon lokaci mai lakabi tashar masu caji (Nephiedipine)
Fetal Evaluation
Binciken ƙwararru - duba lafiyar da kuma matsayin ɗan jariri - abu ne mai rikitarwa na zalunta da hawan jini.
Duk da yake an yi amfani da duban dan tayi a cikin makonni 16-20 don samar da cikakken bayani mai tushe wanda zai iya kimanta yawan ci gaban jaririn, babu wata yarjejeniya ta musamman game da muhimmancin gwaje-gwaje. Yawancin likitocin za su yi "gwaji" ba tare da "alamar amniotic fluid" ko "profile biophysical" a kowane mako zuwa ƙarshen ciki, a matsayin hanya don tabbatar da cewa ci gaba yana cigaba da kullum. Gaba ɗaya, kulawa ta kusa yana buƙata ne kawai idan yanayi ya bada shawarar cewa jariri zai iya kasancewa cikin haɗari. Waɗannan sharuɗɗan sun bambanta ga mata daban-daban amma suna iya haɗawa da alamu cewa jini yana gudana ga jaririn ya shafi.
Labari da Bayarwa tare da Rawanin jini
Kusan dukkan matan da ke dauke da hauhawar jini ba tare da rikitarwa ba za su ci gaba da ba da izini na al'ada a cikakkun lokaci. Wadannan mata suna da ci gaba da bala'in bango kuma babu wani matsala mai tsanani. A lokuta da yanayin jini ya karu sosai, ko kuma a lokuta na preeclampsia, ana ganin lokuta da wuri. A cikin lokuta mai tsanani, kamar eclampsia, bayarwa na farko yana ƙoƙarin kauce wa ci gaba da matsalolin yiwuwar rayuwa. Gaba ɗaya, duk da haka, ka tuna cewa yawancin matan da ke dauke da hawan jini suna ci gaba da samun ci gaba, suna da ciki kuma suna da yara masu lafiya.
Sources:
> Meher, S, Abalos, E, Carroli, G, Meher, S. Bed hutawa tare ko ba tare da > asibiti > don hauhawar jini a lokacin daukar ciki. Cochrane Database Syst Rev 2005; : CD003514.
> Remuzzi, G, Ruggenenti, P. Rigakafin da kuma kula da hawan jini mai haɗuwa da ciki: Menene muka koya a cikin shekaru 10 da suka gabata? Am J Kidney Dis 1991; 18: 285.
> Duley, L, Henderson-Smart, DJ, Meher, S. Drugs don maganin cutar hawan jini sosai a lokacin daukar ciki. Cochrane Database Syst Rev 2006; 3: CD001449.
> Abalos, E, Duley, L, Steyn, DW, Henderson-Smart, DJ. Tsarin magungunan magani na antihypertensive na jinin hawan jini a lokacin daukar ciki (Cochrane Review). Cochrane Database Syst Rev 2007; : CD002252.
> Podymow, T, Agusta, P. Ƙasar Postpartum na hauhawar jini da preeclampsia. Hawan hawan jini a ciki 20006; 25: 210.