Kev Kho Mob Preeclampsia: Magnesium Sulfate Therapy

Zoo Siab

• Cov tsos mob ntawm preeclampsia zoo li cas?
• Dab tsi yog qhov teeb meem uas tuaj yeem tshwm sim?
• Li cas magnesium sulfate kho kho preeclampsia?
• Puas muaj cov kev mob tshwm sim?
• Qhov tshwm sim yog dab tsi?

Preeclampsia yog dab tsi?

Preeclampsia yog ib qhov nyom ua rau qee tus poj niam muaj menyuam hauv lub cev xeeb tub. Nws feem ntau tshwm sim tom qab 20 lub lim tiam ntawm cev xeeb tub, tab sis tsis tshua muaj peev xwm tsim tau ntxov lossis tom qab yug menyuam. Cov cim loj ntawm preeclampsia yog ntshav siab thiab qee cov kabmob tsis ua haujlwm zoo li qub. Ib lub cim yuav kom yog cov protein nyob rau hauv zis.

Vim li cas tiag tiag ntawm preeclampsia tsis paub. Cov kws tshaj lij xav tias nws tshwm sim los ntawm teeb meem nrog cov hlab ntsha uas txuas rau ntawm lub plab, lub cev uas xa oxygen los ntawm niam mus rau menyuam, mus rau lub tsev menyuam.

Thaum nyuam qhuav pib cev xeeb tub, cov hlab ntsha tshiab pib tsim ntawm thaj tsam ntawm lub cev thiab lub tsev menyuam. Cov hlab ntsha tshiab no yuav tshwm sim txawv txav rau qee qhov laj thawj, suav nrog:

• ntshav tsis txaus mus rau lub tsev menyuam
• txog hlab ntsha puas tsuaj
• lub cev tiv thaiv teeb meem
• caj ces yam

Cov ntshav tsis zoo no txwv cov ntshav uas tuaj yeem txav mus rau qhov chaw ntawm lub cev. Qhov kev ua tsis zoo no tuaj yeem ua rau tus pojniam cev xeeb tub cov ntshav siab ntxiv.

Yog tias tsis kho, preeclampsia tuaj yeem tsim kev phom sij tau. Vim tias nws cuam tshuam nrog cov teeb meem ntawm thaj tsam, qhov kev kho mob tau pom zoo rau kev preeclampsia yog kev yug menyuam thiab cov placenta. Cov kev pheej hmoo thiab cov txiaj ntsig ntsig txog lub sij hawm xa tuaj yog nyob ntawm qhov mob hnyav heev.

Kev kuaj mob ntawm preeclampsia thaum ntxov thaum koj xeeb menyuam yog qhov nyuaj. Tus menyuam xav tau sijhawm kom loj hlob, tabsis neb ob leeg yuav tsum zam kom tsis txhob muaj teebmeem hnyav. Hauv qhov no, koj tus kws kho mob tuaj yeem sau tshuaj magnesium sulfate nrog rau cov tshuaj los pab txo cov ntshav siab.

Magnesium sulfate therapy yog siv los tiv thaiv qaug dab peg hauv cov poj niam uas muaj preeclampsia. Nws kuj tseem tuaj yeem pab ncua lub sijhawm muaj menyuam txog li ob hnub. Qhov no tso cai rau cov tshuaj uas ua kom koj tus menyuam txoj kev mob ntsws loj hlob sai.

Cov tsos mob ntawm preeclampsia zoo li cas?

Hauv qee tus poj niam, preeclampsia pib maj mam tsis muaj tsos mob dab tsi.

Ntshav siab, lub cim loj ntawm preeclampsia, feem ntau tshwm sim sai. Vim li no nws thiaj tseem ceeb rau cov poj niam cev xeeb tub los soj ntsuam lawv cov ntshav siab kom huv, tshwj xeeb yog tom qab lawv cev xeeb tub. Kev ntsuas ntshav siab ntawm 140/90 hli Hg lossis siab dua, noj ntawm ob zaug sib cais tsawg kawg plaub teev sib nrug, yog suav tias yog kev txawv txav.

Dhau li ntawm ntshav siab, lwm cov cim lossis cov tsos mob ntawm preeclampsia suav nrog:

• tshaj cov protein nyob rau hauv zis
• tso zis tsawg dua
• platelet tsawg tsawg hauv cov ntshav
• mob taub hau heev
• teeb meem tsis pom kev xws li tsis pom kev, plooj plooj, thiab rhiab qhov muag
• mob hauv plab hauv plab sab saud, feem ntau hauv qab tus tav ntawm sab xis
• ntuav lossis xeev siab
• lub siab ua haujlwm tsis zoo
• teeb meem ua pa vim muaj kua hauv lub ntsws
• nce ceeb thawj nrawm nrawm thiab o, tshwj xeeb yog ntsej muag thiab tes

Yog tias koj tus kws kho mob xav tias preeclampsia, lawv yuav kuaj ntshav thiab tso zis rau kev kuaj mob.

Dab tsi yog qhov teeb meem uas tuaj yeem tshwm sim?

Koj muaj feem ntau yuav muaj teeb meem yog tias koj muaj kab mob preeclampsia thaum ntxov cev xeeb tub. Qee qhov xwm txheej, cov kws kho mob yuav tsum tau ua lub zog lossis kev yug menyuam kom tshem tus menyuam tawm. Qhov no yuav nres preeclampsia ntawm kev nce qib thiab yuav ua rau kev daws teeb meem ntawm qhov mob.

Yog tias tsis kho, yuav muaj teeb meem tuaj. Qee qhov teebmeem ntawm preeclampsia suav nrog:

• kev tsis muaj oxygen mus rau cov placenta uas tuaj yeem ua rau qeeb qeeb, yug me nyuam hauv plab, lossis yug me nyuam thaum yug los lossis tseem yug menyuam.
• qhov kev tshem tawm ntawm thaj chaw hauv plab, lossis qhov sib cais ntawm tus placenta los ntawm lub tsev menyuam phab ntsa, uas tuaj yeem ua rau ntshav los ntshav thiab ua rau lub plab tsis zoo.
• HELLP syndrome, uas ua rau cov qe ntshav liab ploj, ua kom cov ntshav nce siab, thiab cov ntshav ntshav tsawg, ua rau cov khoom hauv lub cev puas tsuaj
• dab noj hnub, uas yog preeclampsia nrog mob chua leeg
• mob hlab ntsha hlwb, uas tuaj yeem ua rau lub hlwb puas tsuaj lossis tuag taus

Cov poj niam uas muaj preeclampsia ntsib txoj kev pheej hmoo mob ntshav siab thiab hlab ntshav siab ntau dua. Lawv txoj kev pheej hmoo ntawm preeclampsia nyob rau yav tom ntej kev xeeb menyuam kuj nce. Cov poj niam uas tau muaj preeclampsia muaj txoj hmoo los tsim nws dua yav tom ntej lub cev xeeb tub.

Li cas magnesium sulfate kho kho preeclampsia?

Txoj kev kho mob kom tsis txhob mus kuaj ntxiv thiab ua rau muaj kev daws teebmeem rau kev preeclampsia yog kev xa menyuam thiab menyuam. Tos kom xa menyuam tuaj yeem ua rau muaj kev phom sij ntau tab sis kev xa menyuam ntxov thaum cev xeeb tub muaj feem yuav ua kom muaj menyuam ntxov ntxov.

Yog tias nws ntxov ntxov hauv lub cev xeeb tub, tej zaum yuav hais kom koj tos kom txog thaum tus me nyuam paub tab txaus kom yug tau los txhawm rau txo cov kev pheej hmoo no.

Nyob ntawm qhov mob hnyav thiab lub hnub nyoog muaj hnub nyoog, cov kws kho mob yuav pom zoo cov poj niam uas muaj preeclampsia tuaj ntau rau cov kev mus ntsib kws kho mob, los yog tej zaum yuav tau mus pw hauv tsev kho mob. Tej zaum lawv yuav tau kuaj ntshav thiab tso zis kuaj ntshav tas li. Lawv kuj tseem yuav muab tshuaj:

• tshuaj noj kom ntshav siab
• Corticosteroids pab ua kom tus menyuam lub ntsws muaj kev ywj pheej thiab txhim kho leej niam txoj kev noj qab haus huv

Hauv kev muaj mob hnyav los ntawm preeclampsia, cov kws kho mob feem ntau pom zoo kom siv cov tshuaj tua kab mob, xws li magnesium sulfate. Magnesium sulfate yog cov ntxhia pob zeb ua kom txo tau qaug dab peg hauv cov poj niam nrog preeclampsia. Tus kws kho mob yuav muab cov tshuaj kho kom ncaj.

Qee lub sij hawm, nws kuj tseem siv tau ua kom cev xeeb tub ntev mus txog ob hnub. Qhov no tso sijhawm rau kev siv tshuaj corticosteroid txhawm rau txhim kho tus menyuam lub ntsws kev ua haujlwm.

Magnesium sulfate feem ntau siv tau tam sim ntawd. Nws ib txwm muab rau kom txog 24 teev tom qab yug tus menyuam. Cov poj niam tau txais cov tshuaj sulfate hauv tsev kho mob yog tau pw hauv tsev kho mob ze ntawm kev kho mob.

Puas muaj cov kev mob tshwm sim?

Magnesium sulfate tuaj yeem muaj txiaj ntsig zoo rau qee qhov nrog preeclampsia. Tab sis nws muaj qhov pheej hmoo ntawm kev noj tshuaj magnesium ntau tshaj, hu ua magnesium toxicity. Noj tshuaj ntau dhau yuav ua rau tuag taus rau niam thiab menyuam. Rau cov poj niam, cov tsos mob tshwm sim feem ntau suav nrog:

• xeev siab, raws plab, lossis ntuav
• loj dauv hauv ntshav siab
• qeeb los yog plawv dhia tsis xwm yeem
• teeb meem ua pa
• kev ua tsis tiav hauv cov zaub mov uas tsis yog magnesium, tshwj xeeb yog calcium
• tsis meej pem lossis fogginess
• coma
• plawv nres
• raum puas tsuaj

Hauv tus menyuam, cov tshuaj lom magnesium yuav ua rau cov leeg tsis muaj zog. Qhov no tshwm sim los ntawm kev tswj cov leeg tsis zoo thiab lub pob txha tsawg. Cov xwm txheej no tuaj yeem ua rau tus menyuam muaj kev pheej hmoo ntau rau kev raug mob, xws li pob txha pob txha, thiab tuag taus.

Cov kws kho mob kho tshuaj lom magnesium nrog:

• muab tshuaj tiv thaiv kab mob
• kua
• kev pab txhawb ua pa
• lim ntshav

Txhawm rau tiv thaiv cov tshuaj lom magnesium los ntawm qhov tshwm sim hauv thawj qhov chaw, koj tus kws kho mob yuav tsum ua tib zoo saib xyuas koj kev noj. Lawv yuav nug seb koj lub siab nyob li cas, tswj xyuas koj qhov ua pa, thiab tshuaj xyuas koj daim ntawv tso zis ntau zaus.

Kev phom sij ntawm kev lom los ntawm cov tshuaj magnesium sulfate muaj tsawg yog tias koj tau tshuaj pom zoo thiab ua lub raum tsis ua haujlwm.

Qhov tshwm sim yog dab tsi?

Yog tias koj muaj preeclampsia, koj tus kws kho mob yuav txuas ntxiv muab koj magnesium sulfate thoob plaws hauv koj cov khoom xa tuaj. Koj cov ntshav siab yuav tsum rov qab nyob rau qhov qub li ntawm hnub mus rau lub lim tiam tom qab yug menyuam. Vim tias qhov xwm txheej yuav tsis daws tau sai li sai tau, txheeb xyuas tom qab xa khoom thiab qee lub sijhawm tom qab tseem ceeb.

Txoj kev zoo tshaj plaws los tiv thaiv kom tsis txhob muaj teeb meem los ntawm preeclampsia yog kev paub thaum ntxov. Thaum koj mus ntsib koj tus kws khomob cev xeeb tub, nco ntsoov qhia koj tus kws kho mob txog cov tsos mob tshiab.