A kowane ziyarar haihuwa, uwar da za ta kasance dole ne ta yi gwajin fitsari don neman sukari da album. Furotin na sufuri da hanta ke yi, albumin ba sa nan a fitsari. Albuminuria, wanda kuma ake kira proteinuria, yana nufin kasancewar alumin a cikin fitsari.

Manufar neman albumin a cikin fitsari shine a duba don pre-eclampsia (ko toxemia na ciki), wahalar ciki saboda lalacewar mahaifa. Yana iya faruwa a kowane lokaci, amma galibi yana bayyana a cikin farkon watanni uku na ƙarshe. Sannan ana nuna shi ta hanyar hauhawar jini (hauhawar hauhawar jini fiye da 140 mmHg da diastolic blood pressure fiye da 90 mmHg, ko “14/9”) da proteinuria (maida hankali na furotin a cikin fitsari fiye da 300 MG a cikin awanni 24) (1). Haɓaka hawan jini yana haifar da ƙarancin ingancin musayar jini a cikin mahaifa. A lokaci guda, wannan hauhawar jini yana canza koda wanda baya taka rawar tacewa daidai kuma yana ba da damar sunadarai su ratsa cikin fitsari.

Don haka don gano pre-eclampsia tun da wuri za a gudanar da gwajin fitsari da gwajin hawan jini a kowane shawara na haihuwa.

Wasu alamomin asibiti na iya bayyana lokacin da pre-eclampsia ta ci gaba: ciwon kai, ciwon ciki, rikicewar gani (rashin hankali ga haske, tabo ko haske a gaban idanun), amai, rikicewa da wani lokacin kumburi mai yawa, tare da kumburi mai ƙarfi. karuwar nauyi kwatsam. Bayyanar da waɗannan alamun yakamata suyi saurin tuntubar juna.

Pre-eclampsia yanayi ne mai haɗari ga uwa da jariri. A cikin kashi 10% na lokuta (2), yana iya haifar da rikice -rikice masu yawa a cikin mahaifiyar: rarrabuwa na mahaifa wanda ke haifar da zubar jini wanda ke buƙatar isar da gaggawa, eclampsia (yanayin tashin hankali tare da asarar sani), zubar da jini na kwakwalwa, rashin lafiya HELL

Kamar yadda musaya a matakin mahaifa ba ta yin aiki daidai, ana iya yin barazana ga ingantaccen ci gaban jariri, da jinkirin girma a cikin utero (IUGR) akai -akai.

Kamar yadda proteinuria ya riga ya zama alamar mahimmancin gaske, mahaifiyar mai zuwa za a kwantar da ita a asibiti don cin gajiyar bin diddigin na yau da kullun tare da nazarin fitsari, gwajin hawan jini da gwajin jini don tantance juyin halittar pre-eclampsia. Hakanan ana tantance tasirin cutar akan jariri akai -akai tare da saka idanu, dopplers da ultrasounds.

Ban da hutawa da sa ido, babu maganin preeclampsia. Yayinda magungunan hypotensive suna rage hawan jini da adana lokaci, basa warkar da preeclampsia. Idan aka sami mummunar cutar pre-eclampsia, uwa da jaririnta suna cikin haɗari, to zai zama dole a hanzarta haihuwar jariri.