छ्येलेमि:Eukesh/Auto/NepalScript/इक्लेम्प्सिया

थ्व पौ देवनागरीं बोट छ्यला थःमंतुं नेपाललिपिइ हिलातःगु ख। थ्व पौयात च्वसु पतिइ यंकेन्ह्यः छकः ब्वनाः पाय्छि जू/मजूगू स्वयादिसँ।

Diagram of the regions (or quadrants) of the abdomen, to assist in locating the right upper quadrant or the epigastric region, where eclampsia-associated pain may occur

Diagram of the placenta and its position in the uterus during pregnancy

𑐂𑐎𑑂𑐮𑐾𑐩𑑂𑐥𑑂𑐳𑐶𑐫𑐵
"वर्गीकरण व पिनेयागु श्रोत"

ICD-10	O15.
ICD-9	642.6
DiseasesDB	4068
मेडलाइन प्लस	000899
ईमेडिसिन	med/633

𑐂𑐎𑑂𑐮𑐾𑐩𑑂𑐥𑑂𑐳𑐶𑐫𑐵 𑐕𑐐𑐸 𑐟𑐔𑑂𑐰𑐐𑐸 𑐥𑑂𑐰𑐵𑐠𑐾 𑐡𑐸𑐧𑐶𑐮𑐾𑐫𑐵𑐐𑐸 𑐎𑐩𑑂𑐥𑑂𑐮𑐶𑐎𑐾𑐳𑐣 𑐏𑑅। 𑐀𑐥𑑂𑐰 𑐫𑐵𑐣𑐵 𑐠𑑂𑐰 𑐀𑐰𑐳𑑂𑐠𑐵 𑐥𑑂𑐬𑐷𑐂𑐎𑑂𑐮𑐾𑐩𑑂𑐥𑑂𑐳𑐶𑐫𑐵 𑐢𑐸𑑄𑐎𑐵 𑐖𑐸𑐂।

𑐮𑐎𑑂𑐲𑐞

𑐫𑐎𑑂𑐰 𑐀𑐰𑐳𑑂𑐠𑐵𑐫𑑂 𑐖𑐾𑐳𑑂𑐚𑐾𑐳𑐣𑐮 𑐴𑐵𑐂𑐥𑐬𑐚𑐾𑐣𑑂𑐳𑐣 𑐰 𑐥𑑂𑐬𑑀𑐚𑐶𑐣𑑂𑐫𑐸𑐬𑐶𑐫𑐵 𑐂𑐎𑑂𑐮𑐾𑐩𑑂𑐥𑑂𑐳𑐶𑐫𑐵 𑐳𑑂𑐰𑐫𑐵 𑐣𑑂𑐴𑑂𑐫 𑐏𑐣𑐾 𑐡𑐿। 𑐟𑐬 𑐠𑐸𑐎𑐶𑐐𑐸 𑐡𑐎𑑂𑐮𑐾 𑐢𑐵𑐠𑐾𑑄 𑐫𑐵𑐐𑐸 𑐮𑐎𑑂𑐲𑐞 𑐂𑐎𑑂𑐮𑐾𑐩𑑂𑐥𑑂𑐚𑐶𑐎 𑐎𑐣𑑂𑐨𑐮𑑂𑐳𑐣 𑐏𑑅। 𑐠𑑂𑐰 𑐎𑐣𑑂𑐨𑐮𑑂𑐳𑐣𑐫𑐸 𑐥𑑂𑐫𑑄𑐐𑐸 𑐀𑐰𑐳𑑂𑐠𑐵 (𑐳𑑂𑐚𑐾𑐖) 𑐡𑐿। 𑐂𑐜𑐶𑐩𑐵 𑐖𑐸𑐐𑐸 𑐩𑐦𑐸𑐩𑑂𑐴𑐥𑐶𑐣𑑂𑐟 𑐬𑐾𑐣𑐮 𑐦𑐾𑐮𑑂𑐫𑐸𑐰𑐬 𑐰𑐵 𑐥𑐮𑑂𑐩𑑀𑐣𑐬𑐷 𑐂𑐜𑐶𑐩𑐵 𑐖𑐸𑐂𑐦𑐸। 𑐠𑐸𑐎𑐶𑐐𑐸 𑐀𑐰𑐳𑑂𑐠𑐵 𑐠𑑂𑐰 𑐎𑐠𑐮𑑄 𑐡𑐸𑑅-

𑐥𑑂𑐬𑐶𑐩𑑀𑐣𑐶𑐚𑐬𑐷 𑐀𑐰𑐳𑑂𑐠𑐵

this stage is usually missed unless constantly monitored, the woman rolls her eyes while her facial and hand muscles twitch slightly.

𑐚𑑀𑐣𑐶𑐎 𑐀𑐰𑐳𑑂𑐠𑐵

soon after the premonitory stage the twitching turns into clenching. Sometimes the woman may bite her tongue as she clenches her teeth, while the arms and legs go rigid. The respiratory muscles also spasm, causing the woman to stop breathing. This stage continues for around 30 seconds.

𑐎𑑂𑐮𑑀𑐣𑐶𑐎 𑐀𑐰𑐳𑑂𑐠𑐵

the spasm stops but the muscles start to jerk violently. Frothy, slightly bloodied saliva appears on the lips and can sometimes be inhaled. After around two minutes the convulsions stop, leading into a coma, but some cases lead to heart failure.

𑐎𑑀𑐩𑐵𑐚𑑀𑐖 𑐀𑐰𑐳𑑂𑐠𑐵

the woman falls deeply unconscious, breathing noisily. This can last only a few minutes or may persist for hours.

𑐂𑐥𑐶𑐜𑐶𑐩𑐶𑐫𑑀𑐮𑑀𑐖𑐷

𑐠𑑂𑐰 𑐮𑑂𑐰𑐾 𑐣𑑄 𑐩𑐵𑑄 𑐰 𑐩𑐔𑐵 𑐣𑐶𑐩𑐾𑐳𑐶𑐟 𑐴𑐾 𑐳𑑂𑐫𑐵𑐫𑐾 𑐦𑐸। 𑑕𑑐𑐩𑑂𑐴𑐫𑐾 𑑑 𑐩𑑂𑐴 𑐩𑐵𑑄 𑐰 𑑑𑑔𑐩𑑂𑐴𑐫𑑂 𑐕𑐩𑑂𑐴 𑐩𑐔𑐵 𑐡𑐎𑑂𑐮𑐾 𑐧𑐵𑑃𑐮𑐵𑐐𑐸 𑐄𑐥𑐔𑐵𑐬 𑐡𑐾𑐎𑐵𑑅 𑐣𑑄 𑐳𑐷 𑐦𑐸।

𑐔𑐶𑐎𑐶𑐟𑑂𑐳𑐵

𑐂𑐎𑑂𑐮𑐾𑐩𑑂𑐥𑑂𑐳𑐶𑐫𑐵𑐫𑐸 𑐳𑐷𑐖𑐬𑐫𑐸 𑐄𑐥𑐔𑐵𑐬 𑐠𑑂𑐰 𑐎𑐠𑐮𑑄 𑐖𑐸𑐂 : - 𑐎𑐣𑑂𑐨𑐮𑑂𑐳𑐣 𑐖𑐸𑐂𑐎𑐾 𑐩𑐧𑐶𑐫𑐵 - 𑐬𑐎𑑂𑐟𑐔𑐵𑐥 𑐎𑐣𑑂𑐚𑑂𑐬𑑀𑐮 𑐫𑐵𑐣𑐵 - 𑐥𑑂𑐬𑐾𑐐𑑂𑐣𑐾𑐣𑑂𑐳𑐷 𑐡𑐶𑐎𑐵

𑐎𑐣𑑂𑐨𑐮𑑂𑐳𑐣 𑐖𑐸𑐂 𑐩𑐧𑐶𑐎𑐾𑐫𑐵𑐟 𑐩𑑂𑐫𑐵𑐐𑑂𑐣𑐾𑐳𑐶𑐫𑐩 𑐳𑐮𑑂𑐦𑐾𑐚 𑐧𑐷। 𑐠𑐸𑐎𑐶𑐐𑐸 𑐮𑑀𑐜𑐶𑑄𑐐 𑐜𑑀𑐖 𑐩𑑂𑐫𑐵𑐐𑑂𑐣𑐾𑐳𑐶𑐫𑐩 𑐳𑐮𑑂𑐦𑐾𑐚 𑑒𑑐% 𑐳𑑀𑐮𑐸𑐳𑐣, 𑑔 g IV 𑐌𑐨𑐬 𑑕 𑐩𑐶𑐣𑐾𑐚 𑐏𑑅। 𑐰 𑐢𑐸𑑄𑐎𑐵 𑐩𑐾𑐣𑑂𑐚𑐾𑐣𑐾𑐣𑑂𑐳 𑐜𑑀𑐖 𑑑 g 𑐩𑑂𑐫𑐵𑐐𑑂𑐣𑐾𑐳𑐶𑐫𑐩 𑐳𑐮𑑂𑐦𑐾𑐚 (𑑑𑑐% 𑐳𑑀𑐮𑐸𑐳𑐣) 𑑑𑑐𑑐𑑐ml 𑐦𑑂𑐮𑐸𑐂𑐜 𑐜𑑂𑐬𑐶𑐥 𑑑g/𑐑𑑁 𑐫𑑂 𑐧𑐷।.

𑐬𑐎𑑂𑐟𑐔𑐵𑐥 𑐴𑐵𑐂𑐜𑑂𑐬𑐵𑐮𑐵𑐖𑐶𑐣 𑑕 mg IV 𑐧𑐶𑐳𑑂𑐟𑐵𑐬𑑄 𑐴𑐬𑐾𑐎 𑑕 𑐩𑐶𑐣𑐚𑐫𑑂 𑐬𑐎𑑂𑐟 𑐔𑐵𑐥 𑐎𑑂𑐰𑐵𑑄 𑐩𑐰𑐿𑐧𑐶𑐮𑐾 𑐟𑐎𑑂𑐎 𑐧𑐷। Repeat hourly as needed or give hydralazine 12.5 mg IM every 2 hours as needed.

Delivery should take place as soon as the woman’s condition has stabilized. Delaying delivery to increase fetal maturity will risk the lives of both the woman and the fetus. Delivery should occur regardless of the gestational age.

In severe pre-eclampsia, delivery should occur within 24 hours of the onset of symptoms. In eclampsia, delivery should occur within 12 hours of the onset of convulsions. If vaginal delivery is not anticipated within 12 hours (for eclampsia) or 24 hours (for severe pre-eclampsia), deliver by 𑐳𑐷𑐖𑐬𑐶𑐫𑐣 𑐳𑐾𑐎𑑂𑐳𑐣.

𑐳𑐦𑐹𑐟𑑅

• Mayes, M., Sweet, B. R. & Tiran, D. (1997). Mayes' Midwifery - A Textbook for Midwives 12th Edition, pp. 533–545. Baillière Tindall. ISBN 0-7020-1757-4