HELP ciwo (HELLP-ciwo) - wani hatsari wahala a cikin III trimester na ciki: haddasawa, ganewar asali, magani

A cikin rãyuwar kowane mutum babu makawa ya zo a lokacin da ya tilasta juya don waje taimako. Sau da yawa mataimakansa a irin wannan yanayi ne ma'aikatan jinya. Wannan ya faru a lokacin da jikin mutum da aka mamaye insidious cuta, kuma mu jimre wa su ne ba zai yiwu. Kowa ya sani cewa farin ciki Jihar ciki - shi ne ba wata cuta, amma cewa nan gaba uwaye musamman bukatar likita da m taimako.

"Wayyo!", Ko inda sunan cuta

Kira ga taimako a cikin harsuna daban-daban sauti daban-daban. Alal misali, a cikin harshen Turanci a matsananciyar Rasha, "Help!" Ne da sunan kamar "HELP". HELP ciwo (HELLP) kusan kwatsam a tune da yanzu kasa da kasa hujja ta kasance ga taimako.

Alamun da kuma sakamakon wannan wahala a lokacin daukar ciki, irin abin da gaggawa magani yana da muhimmanci. HELLP raguwa ga dukan kewayon matsalar lafiya: a cikin hanta, da jini clotting da wani ƙãra hadarin zub da jini. Bayan sama, HELLP-ciwo sa matsalar aiki na samfur na kodan da jini cuta, game da shi ƙwarai muni cikin shakka daga ciki.

Hoto da cuta ne don haka nauyi da cewa akwai wani musu da gaskiya daga procreation jiki, autoimmune gazawar faruwa. Wannan yanayi ya taso a lokacin da total obalodi na mace jiki lokacin defenses ki aiki, mirgina mafi tsanani ciki, Fading nufin ga rayuwa nasarori da kuma ci gaba da gwagwarmaya. A jini ba shi gudan jini, da rauni ba warkar, zub da jini ba ya hana, da kuma hanta ne ba su iya yi ta ayyuka. Amma yana da mawuyacin hali amenable ga likita gyara.

likita tarihi

HELP ciwo da aka bayyana a cikin marigayi 19th karni. Amma kawai a 1978 Gudlin daura da autoimmune Pathology na pre-eclampsia a lokacin daukar ciki. Kuma a shekarar 1985, godiya ga Weinstein, da disparate cututtuka aka garwaya a karkashin daya sunan: HELLP-ciwo. Abin lura shi ne cewa a cikin gida likita kafofin, wannan ne wata babbar matsala kusan ba ya bayyana. Kawai 'yan Rasha anesthetists da m kula kwararru samar da more daki-daki dismantled wannan tsanani wahala na preeclampsia.

A halin yanzu, HELP ciwo a lokacin daukar ciki ne hanzari samun lokacinta da kuma daukan tafi mai yawa rayuwarsu.

Mun bayyana kowane wahala dabam.

hemolysis

HELP ciwo da farko ya hada intravascular hemolysis. Wannan mummunan cuta ne halin da total halakar da cell. Halakar da kuma tsufa na ja jini Kwayoyin haddasa zazzabi, jaundice na fata, da bayyanar da jini a cikin fitsari da karatu. A mafi rai-barazanar sakamakon - hadarin nauyi zub da jini.

Hadarin na thrombocytopenia

A gaba bangaren na ciwo abbreviations - thrombocytopenia. Wannan yanayin ne halin da rage a platelet count a cikin dabara na jini, ƙarshe haddasa maras wata-wata zub da jini. Tsaya wannan tsari zai iya zama a asibiti, da kuma lokacin daukar ciki, wannan yanayin ne musamman m. A dalilin iya zama mai tauri na rigakafi cuta, wanda ya kai ga anomaly a da jiki yãki da kanta, kuma ya halaka lafiya ja jini Kwayoyin. Yana wakiltar wata barazana ga rayuwa ya tashi a kan bango na canje-canje a cikin yawan platelets clotting cuta.

Munin harbinger: karuwa a hanta enzymes

A hadaddun pathologies kunshe a cikin HELP ciwo, da lashe wannan m ãyã kamar yadda ya karu hanta enzymes. Ga mata masu wanda ke nufin cewa a daya daga cikin mafi muhimmanci gabobin jikin mutum akwai tsanani laifinsu. Bayan duk, da hanta ba kawai na wanke jikin da gubobi kuma taimaka wajen aiwatar da narkewa kamar aiki, amma kuma rinjayar da Psycho-wani tunanin Sphere. Sau da yawa irin wannan undesired canji da aka gano a lokacin na yau da kullum jini gwajin, wanda aka gudanar a mace mai ciki. Lokacin da preeclampsia wuya ta ciwo HELP Figures bambanta muhimmanci daga na kullum, m barazana hoto. Saboda haka, likita shawara - na farko hanya, wanda wajibi ne kisa.

Musamman ma na uku trimester

3 trimester na ciki yana da muhimmanci sosai ga makomar gestation da bayarwa. M rikitarwa ne edema, ƙwannafi da kuma narkewa kamar tabarbarewa.

Wannan na faruwa saboda magudi a kodan da kuma hanta. Kara girman mahaifa yana da wani dariya matsa lamba a kan narkewa kamar gabobin, wanda aka sa sun fara warware. Amma a gestosis iya bayyana yanayin da ake kira pre-eclampsia da eclampsia, wanda tsananta sha raɗaɗin a epigastrium, tsokane bayyanar tashin zuciya da amai, edema, hawan jini. Kan bango na neurological rikitarwa iya faruwa seizures. Hatsari cututtuka kara, wani lokacin, kusan kamar walƙiya, haddasa babban lahani ga jiki, barazana da rayuwar expectant uwa da tayin. Saboda tsananin preeclampsia, wanda sau da yawa daukawa tare da shi a 3 trimester na ciki, akwai sau da yawa wani ciwo da magana kira HELP.

mai haske bayyanar cututtuka

HELLP-ciwo: asibiti hoto, ganewar asali, obstetric dabara - jigo na yau tattaunawa. Da farko, kana bukatar ka gano wani yawan core bayyanar cututtuka cewa bi wannan mummunan wahala.

1. A wani ɓangare na tsakiya m tsarin. A juyayi tsarin amsa ga wadannan seizures cuta, m ciwon kai, gani hanawa.
2. Ayuba zuciya da jijiyoyin jini tsarin da aka gaji da damuwa saboda edema na tsokoki da kuma rage jini wurare dabam dabam.
3. Numfashi matakai kullum ba su keta, amma na huhu edema iya faruwa bayan haihuwa.
4. A kan wani ɓangare na hemostasis da thrombocytopenia lura take hakkin platelet aikin bangaren na aiki.
5. Rage hanta aiki, wani lokacin da mutuwa ta Kwayoyin. Da wuya lura maras wata-wata na hanta katsewa, wadda take kaiwa zuwa mutuwa.
6. Take hakkin da genito-urinary tsarin: oliguria, koda tabarbarewa.

HELP ciwo halin da dama cututtuka:

• rashin jin daɗi a cikin hanta.
• amai.
• m ciwon kai.
• seizures.
• feverish yanayin.
• hargitsi na ruhi;
• urinary insufficiency.
• edematous nama.
• sababbu matsa lamba;
• mahara hemorrhages a wurare na magudi;
• yellowness.

Laboratory cutar da ake bayyana ta thrombocytopenia, hematuria, da ganewa na furotin a fitsari da kuma jini, low haemoglobin, wata karuwa da bilirubin a cikin jini gwajin. Saboda haka, domin in bayyana maku da ganewar asali tabbatacce na dukan hadaddun dakin gwaje-gwaje gwaje-gwaje za a bukata.

Yadda za a gane da matsalolin?

Domin dace gane da kuma hana mai tsanani da rikitarwa, kuma za'ayi likita shawara a kan wanda nan gaba mums rika kai da kai. ciki gwani yana sanya a kan rikodin, sa'an nan a hankali saka idanu da canje-canje a cikin mace ta jiki cikin dukan zamanin. Saboda haka, likitan mata dace kafa maras so zinace da dauki dace mataki.

Don bayyana pathological canje-canje ta hanyar yin amfani da dakin gwaje-gwaje gwaje-gwaje. Alal misali, fitsari gina jiki zai taimaka gane idan akwai daya. A karuwa a cikin furotin Manuniya da yawan leukocytes nuna pronounced tafka magudi a cikin aikin da kodan. Daga cikin abubuwan, akwai iya zama kaifi rage a cikin adadin fitsari, da kuma wani gagarumin karuwa a edema.

Matsaloli a cikin hanta suna bayyana ba kawai a dama babba quadrant zafi, amai, amma kuma wani canji a cikin jini (ƙãra yawa na hanta enzymes), da kuma hanta kara girma a kan palpation aka ji a fili.

Thrombocytopenia ne ma gano da dakin gwaje-gwaje gwaje-gwaje da jinin mace mai ciki, ga wanda ke hakikanin barazana HELP ciwo.

Idan ka zargin eclampsia da HELP ciwo m iko da jini a sakamakon spasm na jini da kuma jini clots ya yi iya tsanani kara.

bambanci ganewar asali

Gaye a zamanin yau a taimake ciwo ganewar asali a cikin cutukan da ya tsirfanta shahararsa, don haka sau da yawa saka shi abisa kuskure. Sau da yawa boye a baya shi ne gaba daya daban-daban cututtuka, ba kasa da haɗari, amma mafi mundane da kowa:

• gastritis.
• kwayar hepatitis.
• tsari lupus erythematosus.
• urolithiasis.
• obstetric sepsis.
• cututtuka na hanta (m, cirrhosis).
• thrombocytopenic purpura na unknown etiology.
• koda gazawar.

Saboda haka bambanci. Ganewar asali dole ne ya yi la'akari da dama zabin. Haka kuma, da aka nuna a bisa triad - hyperenzymemia hanta, hemolysis da thrombocytopenia - ba ko da yaushe nuna gaban wannan wahala.

Sanadin HELP-ciwo

Abin baƙin ciki, hadarin dalilai ba da gane, amma akwai shawarwari da cewa tsokana HELP ciwo iya zama da wadannan dalilai:

• psychosomatic cututtuka.
• miyagun ƙwayoyi-jawo hepatitis.
• enzymatic kayyade canje-canje a cikin hanta.
• prolificacy.

A general m ciwo ya auku a lokacin da kasa da hankali ga preeclampsia wuya hanya - eclampsia. Yana da muhimmanci a san cewa cutar behaves sosai unpredictable: shi ne tasowa a walƙiya gudun, shi vuya a kan kansa.

warkewa matakan

Sa'ad da dukan gwaje-gwaje da za'ayi da bambanci. ganewar asali, za ka iya yin wasu karshe. Lokacin da ka shigar da ganewar asali "HELP ciwo" magani da nufin tabbatar da dorewar jihar na ciki mace da ba a haifa ba, kazalika da m bayarwa ne mai zaman kanta da lokaci. Medical ayyuka suna da za'ayi tare da taimakon wani obstetrician-likitan mata, da farfado da tawagar, da anesthesiologist. Idan dole, gama sauran kwararru: a neurologist ko ophthalmologist. Da farko shafe mahara Gabar gazawar, da kuma bayar da m matakan domin kauce wa yiwu rikitarwa.

Daga cikin na kowa complicating cikin shakka daga likita shiga tsakani, za a iya gano:

• placental detachment.
• hemorrhage.
• kwakwalwa edema.
• na huhu edema.
• m na koda gazawar.
• m hanta canje-canje da rata.
• Indomitable zub da jini.

Lokacin da daidai ganewar asali da kuma dace bayar sana'a taimako ga alama na wajen kisa o ƙarin zuwa m.

obstetric dabarun

Dabara aikata cutukan dangane da tsanani siffofin preeclampsia, da mafi rikitarwa ciwo HELP, ne bayyananne: da amfani da caesarean sashe. Lokacin da balagagge mahaifa a shirye domin haihuwa halitta, ta amfani prostaglandins da kuma dauri epidural.

A tsanani lokuta, caesarean sashe aka yi amfani da musamman endotracheal maganin sa barci.

Rayuwa bayan haihuwa

Kwararru lura da cewa cutar na faruwa ba kawai a lokacin da na uku trimester, amma kuma iya samun ci gaba, a cikin kwanaki biyu bayan yin kawar da nauyin.

Saboda haka, a taimake ciwo bayan haihuwa - da sabon abu ne quite yiwu cewa yayi magana a cikin ni'imar kusa monitoring na uwa da yaro a cikin zubar lokaci. Musamman shi shafi mata da nauyi gudãna preeclampsia a lokacin daukar ciki.

Wane ne za zarga da abin da ya yi?

HELP ciwo - mai rushewa daga kusan dukkanin gabobin da kuma tsarin na mace jiki. A lokacin da cuta akwai wani m outflow na da nishaxi, da wani babban yiwuwar mutuwa, kuma intrauterine fetal munanan. Saboda haka, daga 20 ga watan da ya gabata na expectant uwa wajibi ne a gudanar kai-sa idanu diary, wanda kawo duk canje-canje faruwa a cikin jiki. Musamman hankali ya kamata a biya zuwa wadannan abubuwa:

• jini: shi tsalle sama fiye da sau uku kamata faɗakar da;
• nauyi metamorphosis: idan ya tashi sharply, watakila, da dalilin cewa ya busa.
• fetal motsi ma m, ko, conversely, ƙẽƙasasshiya motsi - a fili a dalilin domin magani ga likita.
• gaban edema: babban kumburi daga kyallen takarda da shawara koda tabarbarewa.
• m ciki zafi: musamman muhimmanci a yankin na hanta.
• Regular bincike na dukan abin da aka nada, dole ne a yi a bangaskiya mai kyau, kuma a lokacin, kamar yadda ya kamata domin amfanin da sosai uwa da ba a haifa ba.

All alamun kashedi ya kamata a nan da nan ya ruwaito your likita, likitan mata a matsayin kawai iya mayalwaci tantance halin da ake ciki da kuma dauki daidai.