Rawan jini ya kasance daya daga cikin matsalolin da suka fi yawa kuma mafi tsanani a lokacin daukar ciki. Yana daya daga cikin bayyanuwar pre-eclampsia - yanayin da yanayinsa mai tsanani zai iya haifar da mutuwar mahaifiyar, da kuma cin zarafin tayi da kuma haihuwa. Tabbatar da alamun farko na preeclampsia zai iya ceton rayuwar mace.
Irin hauhawar jini a ciki
Pre-eclampsia da sauran yanayi, tare da karuwa a karfin jini, an gano su a cikin kimanin kashi 10 cikin dari. Duk da haka, ga mafi yawan mata masu juna biyu, hauhawar jini ba zai haifar da rashin jin daɗi ba, sai dai dole ne su yi nazari a likita a ƙarshen ciki.
Akwai nau'i-nau'i guda uku na hauhawar jini a cikin mata masu ciki:
- hawan jini na farko - ya haifar da daukar ciki na al'ada; wani lokaci kara karuwa a karfin jini an fara gano shi a lokacin daukar ciki;
- Rawan jini na jini - yana tasowa a baya na ciki. A wannan yanayin, babu wani gina jiki a cikin fitsari, kuma karfin jini yana dawowa cikin al'ada cikin makonni shida bayan bayarwa;
- pre-eclampsia - ƙara yawan karfin jini yana da tasiri akan sauran tsarin jiki; yawanci tare da bayyanar gina jiki a cikin fitsari.
Harkokin ƙwaƙwalwa na iya haifar da mummunan sakamako da ke barazana ga rayuwar mawuyar gaba da tayin. Tare da karuwar jini, mace mai ciki tana buƙatar kulawa ta gaggawa domin hana ƙaddamar da eclampsia, wanda yake tare da haɗari da kuma coma. Sakamakon farko da alamu da magani mai kyau zai iya hana ci gaban eclampsia. Yawancin lokaci an haɗa shi da wadannan bayyanar cututtuka:
- bayyanar walƙiya na haske, ratsi, "kwari" a gaban idanu, duhu cikin idanu;
- hotunan hoto;
- ciwon kai;
- ciwo a cikin babba ko kuma a cikin hagu na sama mafi kyau;
- vomiting;
- general malaise.
Tare da karuwa a cikin karfin jini, yana da muhimmanci a ƙayyade dalilin da kuma tantance tsananin hawan jini. Ba a buƙatar shan magani ga wannan ba, amma wani lokaci akwai bukatar ƙarin bincike. Akwai matsaloli masu yawa don ci gaban preeclampsia:
- ciki na farko;
- gaban kasancewar pre-eclampsia a cikin ciki na baya;
- shekarun shekaru 20 ko fiye da shekaru 35;
- low girma;
- hijira;
- lokuta na preeclampsia ko eclampsia a cikin mata a cikin iyali;
- rigakafin jini na dā;
- rashin nauyin jiki;
- yawan ciki;
- Kasancewa da cututtuka masu kama da juna, irin su lupus tsarin, ciwon sukari da kuma cutar Raynaud.
A wasu mata masu juna biyu, alamun bayyanar cutar hauhawar jini ba su nan ba, kuma karuwa a karfin jini ya fara ganowa ta hanyar dubawa na gaba a cikin shawarwarin mata. Bayan dan lokaci, ana sarrafa magungunan karfin jini na karfin jini. Kullum al'amuransa basu wuce 140/90 mm Hg ba. st., da kuma karuwar haɓakawa an dauke shi a matsayin pathology. An kuma gwada Urine akan kasancewar sunadaran tare da taimakon wasu magunguna na musamman. Ana iya sanya matakinsa a matsayin "0", "traces", "+", "+ +" ko "+ + +". Mai nuna alama "+" ko mafi girma shine ƙwarewar mahimmanci kuma yana bukatar ƙarin dubawa.
Samun lafiya
Idan ciwon jini ya kasance mai girma, an kara ƙarin bincike a asibiti don gano ƙimar cutar. Don cikakkun ganewar asali, an yi amfani da samfurin gaggawa na huxu 24 tare da ma'aunin matakan gina jiki. Rashin hankali a cikin fitsari na fiye da MG 300 na gina jiki a kowace rana yana tabbatar da ganewar asali na pre-eclampsia. Ana gwada gwajin jini don sanin ƙwayar salula da kuma aikin hawan ƙwayar cuta. An kula da yanayin tayi ta hanyar kula da zuciyar zuciya a lokacin cardiotocography (CTG) da kuma yin nazarin duban dan tayi don tantance cigabanta, ƙarar ruwa da ruwa da kuma yaduwar jinin a cikin ɗigon kwayoyin (Soppler study). Ga wasu mata, za a iya yin la'akari da hankali sosai ba tare da asibiti ba, misali, ziyartar asibitin asibiti na gidan waya, sau da yawa a mako. Wasu lokuta mafi tsanani sukan buƙatar asibiti don saka idanu da jini a kowane sa'o'i hudu, kazalika da tsara lokaci na bayarwa. Rawan jini, ba dangantaka da preeclampsia ba, za a iya dakatar da labetalol, methyldopa da nifedipine. Idan ya cancanta, maganin antihypertensive zai iya farawa a kowane lokaci na ciki. Sabili da haka, yana yiwuwa a hana matsala mai tsanani na ciki. Tare da ci gaba da pre-eclampsia, za a iya gudanar da gajeren gajeren maganin antihypertensive, amma a duk lokuta, ban da siffofin ƙwayar cuta, babban magungunan shi ne bayarwa na wucin gadi. Abin farin, a mafi yawan lokuta, preeclampsia tasowa a cikin marigayi. A cikin siffofi mai tsanani, baza'a bawa (yawanci daga ɓangaren caesarean) za'a iya yi a farkon matakan. Bayan mako 34 na ciki, ana haifar da aikin haihuwa. Tsari mai tsanani zai iya ci gaba, juya zuwa hare-haren eclampsia. Duk da haka, suna da mahimmanci, kamar yadda mafi yawan mata suna karɓar bautar artificial a farkon matakai.
Rushewar hawan jini idan an sake maimaita ciki
Preeclampsia tana kokarin komawa cikin ciki na gaba. Magungunan siffofin cututtuka sun sake komawa akai akai (a cikin 5-10% na lokuta). Sakamakon komawa mai tsanani na preeclampsia shine 20-25%. Bayan eclampsia, kimanin kashi ɗaya cikin huɗu na maimaita haihuwa suna da rikitarwa ta hanyar preeclampsia, amma kashi 2% kawai ne kawai ke ci gaba da eclampsia. Bayan pre-eclampsia, kimanin kashi 15 cikin dari na cigaba da hawan jini a cikin shekaru biyu bayan haihuwar haihuwa. Bayan eclampsia ko mai tsanani, wannan mita 30-50% ne.