Dec 27, 2017 Views: 3499
.¾NKS iufha fymghsàia we;s jqfKd;a we;eï úg .íidùï we;súh yelshs
.¾NKS fkdjk wjia:dj,È fukau .¾NKS wjia:dj,§ o wlaud frda. je,¢h yelsh' ;jo .¾NKS wjia:dj,§ muKla we;s jk wlaud frda. o we;' úfYaIfhka .¾NKS wjia:dfõ§ hï flkl=g wlaud frda.hla je,÷Kfyd;a .¾NKS fkdjk wjia:dfõ§ tu frda.h je,£fï§ we;s jk ixl+,;dj,g jvd jeä ixl+,;d /ilg frda.shd f.dÿre úh yel' úfYaIfhkau fymghsáia E frda.h .¾NKS wjia:dfõ§ je<÷Kfyd;a ;;a;ajh nrm;< ùug bv ;sfí'
.¾NKS wjia:dfõ§ reêrfha ;sfnk ma,diaudj iy reêr m%udKh jeä fõ' kuq;a wlaudjg imhk reêr m%udKh jeä fkdfõ' túg reêrfha we;s ma,diaudfõ fm%daàka m%udKfha hïlsis wvqjla we;s fõ' fuhg wu;rj .¾NKs ;;a;ajfha§ jeoEufyka we,al,hska fmdia*fÜÜ i%djh ùu jeä úh yel' ,Sj¾ *kaIka fgiaÜ ^Liver Function Test& mßlaIKfhka o we,al,hska fmdia*fÜÜ i%djh ùu jeä ù we;s nj fmkakqï lrhs' tfiau ma,diaud fm%daàka wvq ùula fmkakqï lrk neúka fï wdldrhg reêrfha ix>gl fjkia ùu ksid wlaudjg n,mEï we;s l< yels ;;a;ajhla Wod fõ'
yhm¾tfuisia .%eúvrï ^Hyperemesis Gravidarum&
fuu frda.S ;;a;ajh we;s jkafka .¾NKs iufha§ wêl f,i jukh oeóu fya;=fjks'' .¾NKS iufha jukh idudkH isÿùuls' kuq;a we;euqkag wêl f,i jukh we;s fõ' fï wêl jukh ksid wlaudfõ l%shdldÍ;ajh wvmK ùug bv we;' frda. ,laIK f,i weia lyùula we;súh yel'
.¾NKS iufha we;s jk bkag%dfymeála fldf,iafgisia ^Intrahepatic Cholestasis of Pregnancy&
.¾NKS wjia:djg muKla iSud jQ fuu frda.h we;s jkafka ms;a; m%Kd, wjysr ùfuks' fï ;;a;ajh Wodjkafka .¾NKS iufha wjidk udi ;=fka§h' fï i|yd lrk ,sj¾ tkaihsu mÍlaIdfõ§ SGOT SGPT jeä ùula olakg ,efí' frda. ,laIK jkafka oeä f,i isrer leiSulg ,la ùu iy 60] l m%udKhl weia lyùula we;s ùuhs' mdrïmßlj u;=jk cdkuh frda.hla f,i fï ;;a;ajh ye¢kaúh yel' Wm;a md,k fm;s ksrka;rfhka .kakd ldka;djkag o fuu frda.hh je,£fï wjodkula we;' fuu frda.fhka .¾NKS ujf.a Ôú;hg lsisÿ wjodkula isÿ fkdjk kuqÿ l,,h .íid ùula o isÿ úh yel' we;eï úg bÈßfha .eí .ekSug ;sfnk wjia:dj,§ o .íid ùug ;sfnk bvlv o jeäh'
mQ¾j j,smamq wjêh yd j,smamqj ^Pre- eclampsia and eclampsia&&
.¾NKS wjia:dfõ§ we;s jk j,smamqj ^fit& eclampsia f,io wjodku iys; mQ¾j j,smamq wjêh Pre eclampsia f,io ye¢kafõ' .eìks iuh m<uqjeks udi 3" fojeks udi 3 iy f;jeks udi 3 ne.ska ldKav 3 lg fnfoa' Pre eclampsia we;s jkafka fojeks yd ;=ka jk udi ;=fka§h'Pre eclampsia frda. ,laIK jkqfha reêr mSvkh jeä ùu" uq;%d iuÛ fm%daàka msgùu" isrer bÈóug ,laùu hkdÈhhs' .eìks ujla fuu ;;a;ajfhka fmf<kafka oehs ksrka;rfhka ffjoHjreka úiska wjOdkh fhduq flf¾' .eìks ud;djka fjkqfjka meje;afjk idhkj, È Tjqkaj wksjd¾hfhkau f,a iy uq;%d mÍlaIdjg ,la lsÍug m%Odk fya;=jla jkafka fuu Pre eclampsia ;;a;ajh we;soehs fidhd ne,Suhs' fï ;;a;ajfhka ujf.a wlaudjg wu;r n,mEï we;s ùug mq¿jk'
.¾NKS wjia:dfõ§ we;s jk j,smamqj ^Eclampsia&
.¾NKS iufha fuu frda.h we;s jQ úg wlaudjg ydks ù wlaudfõ fldgila wl¾uKH fõ' túg wlaudfjka reêr jykh ùula isÿ ù oreKq ;;a;ajhla we;s úh yel' túg frda.shd isys uq¾cd ;;a;ajhla we;s úh yel' túg frda.shd isys uq¾cd ;;a;ajhlg m;a ù urKh mjd isÿ úh yel' j¾;udkfha fuka fkdj w;S;fha§ ud;D urK /ila isÿùug fuu frda.h fya;=ldrlhla fõ'
HELLP Syndrome
fuu frda.S ;;a;ajh ksid reêrfha r;= reêrdKq i?, leãu" wlaud tkaihsu jeä ùu yd reêrfha reêr mÜáld m%udKh wju ùu o isÿ fõ' fuu HELLP Syndrome f,i ye¢kafjk w;r Pre eclampsia frda.h W.% ;;;ajhg m;a ùu ksido fï frda.h we;s fõ'nfâ lelal=u" jukh" Tlaldrh" weia ly ùu fuys frda. ,laIK fõ' fuu frda.h l,ska fkdy÷kd .;af;d;a frda.h oreKq ù frda.shd ñh hEug o mq¿jk'
.¾NKS ;;a;ajh ksid we;sjk Acute Fatty Liver of Pregnancy ^AFLP& welshqÜ *eá ,sj¾ T*a fm%.akkais
idudkHfhka *eá ,sj¾ ;;a;ajh Wodjkafka wêl f,i le,ß iy fïoh iys; wdydr wkqNj lsÍfuka jqjo .¾NKS iufha fuu ;;a;ajh Wodjkafka wêl f,i le,ß ;ekam;a ùfuka fkdfõ' .eìks iufha wjidk udi 3 ;=<§ ujg fï frda.h je<¢h yel' fuu úr, frda.hla jqjo fuu frda.h ksid wlaudj wl¾uKH ùu md,kh l< fkdyels ;;a;ajhlg m;a fõ' fuys§ wlaud tkaihsu jeä fõ' frda. ,laIK f,i weia ly ùu" Worfha fõokdj we;s ùu isÿ fõ' f,a jukh we;s ù frda.h W;aikak ù frda.shd ñh hd yels neúka ld,jljdkq iïmQ¾K fkdjqK o ujql=ifha isák orejd ie;alulska fyda ìys l< hq;=h' tfia fkdjqKfyd;a uj fukau orejd o ñh hdug bv we;' orejd blaukska ìys lsÍfuka ujg fukau orejdg;a Ôj;a ùug ;sfnk bvlv jeä fõ'
fld<U cd;sl frdayf,a
ldhsl frda. ms<sn| úfYaI{ ffjoH
m%§ma l=udrisxy
