Pregnancy toxemia yog ib yam kab mob uas cuam tshuam rau cov poj niam cev xeeb tub. Qhov no pathology tseem hu ua preeclampsia. Nws cuam tshuam cov poj niam cev xeeb tub hauv lawv ib nrab ntawm cev xeeb tub, kwv yees li ntawm 20 lub lis piam ntawm cev xeeb tub, lossis tsuas yog tom qab yug menyuam.

Cov cim tseem ceeb ntawm preeclampsia yog:

- ntshav siab;

- proteinuria (muaj protein ntau hauv cov zis).

Thawj cov cim tseem ceeb no tsis pom nyob rau hauv lub neej niaj hnub ntawm tus neeg, tab sis tau pom thaum lub sij hawm ua ntej yug menyuam.

Qee qhov xwm txheej, lwm cov tsos mob tuaj yeem txhim kho thiab ua ke nrog toxemia. Nws yog hais txog:

- o ntawm ko taw, pob taws, ntsej muag thiab ob txhais tes, tshwm sim los ntawm kev tuav dej;

- mob taub hau;

- teeb meem qhov muag;

- mob nyob rau hauv cov tav.

Txawm hais tias muaj ntau qhov mob me me, cov tsos mob tseem ceeb no tuaj yeem ua rau muaj qhov tshwm sim loj dua, rau tus menyuam thiab niam. Hauv qhov kev nkag siab no, sai dua preeclampsia raug kuaj pom thiab tswj tau, qhov kev cia siab yuav zoo dua.

Cov kab mob no cuam tshuam ze li ntawm 6% ntawm cov poj niam cev xeeb tub thiab 1 txog 2% ntawm cov neeg mob muaj xws li mob hnyav.

Qee yam tseem ceeb tuaj rau hauv kev loj hlob ntawm tus kab mob, xws li:

- muaj ntshav qab zib, ntshav siab lossis raum pathologies ua ntej cev xeeb tub;

- muaj tus kab mob lupus (mob mob autoimmune) lossis antiphospholipid syndrome.

Thaum kawg, lwm yam tseem ceeb ntawm tus kheej kuj tuaj yeem ua rau muaj kev loj hlob ntawm toxemia, xws li: (3)

- tsev neeg keeb kwm;

- muaj hnub nyoog tshaj 40 xyoo;

- twb tau cev xeeb tub 10 xyoo sib nrug;

- muaj ntau lub cev xeeb tub (ntxaib, triplets, thiab lwm yam);

- muaj lub cev qhov hnyav (BMI) ntau dua 35.

Feem ntau, cov neeg mob ncaj qha pom qhov kev loj hlob ntawm tus kab mob. Tsuas yog cov kev kho mob hauv qab no tuaj yeem yog cov cim qhia ntawm kev loj hlob ntawm toxemia:

- mob taub hau tsis tu ncua;

- o txawv txav ntawm tes thiab taub hau;

- sudden yuag;

- qhov muag tsis pom kev.

Tsuas yog kev kuaj mob tuaj yeem qhia txog tus kab mob. Yog li, ntshav siab ntawm 140/90 thiab siab dua tuaj yeem yog qhov tseem ceeb rau kev txhim kho pathology. Tsis tas li ntawd, kev kuaj ntshav thiab zis tuaj yeem ua pov thawj pom tias muaj cov proteins, lub siab enzymes thiab cov ntshav platelets tsis zoo.

Kev kuaj ntxiv ntawm tus me nyuam hauv plab yog tom qab ntawd los xyuas seb qhov kev loj hlob ntawm tus me nyuam hauv plab.

Cov tsos mob ntawm toxemia yog txhais los ntawm:

- o ntawm tes, ntsej muag thiab ob lub qhov muag (edema);

- Sudden yuag ntau tshaj 1 lossis 2 hnub.

Lwm cov tsos mob yog yam ntxwv ntawm tus kab mob hnyav dua, xws li: (2)

- mob taub hau hnyav thiab tsis tu ncua;

- teeb meem ua pa;

- mob plab nyob rau sab xis, ntawm tav;

- txo cov zis tso zis (tso zis ntau zaus);

- xeev siab thiab ntuav;

- qhov muag tsis pom kev.

Ib qho keeb kwm ntawm tus kab mob tsis tuaj yeem cuam tshuam nrog qhov ua rau. Cov yam ntxwv sib txawv muaj feem cuam tshuam nrog kev txhim kho ntawm toxemia. Ntawm cov no, peb nco ntsoov:

- genetic yam;

- kev noj haus ntawm tus neeg mob;

- teeb meem vascular;

- autoimmune anomalies / pathologies.

Tsis muaj kev nqis tes ua kom zam tau cov xwm txheej no. Txawm li cas los xij, qhov kev kuaj mob ua ntej yog los ntawm tus kws kho mob, qhov zoo dua qhov kev ntsuas rau lub ntsuas thiab rau tus menyuam. (1)

Tej yam tseem ceeb yog txuam nrog kev pheej hmoo ntawm kev tsim tus kab mob. Nws yog hais txog:

- ntau lub cev xeeb tub;

- muaj hnub nyoog tshaj 35-40 xyoo;

- cev xeeb tub thaum pib ntawm cov hluas;

- thawj cev xeeb tub;

- muaj BMI ntau dua 35;

- muaj arterial hypertension;

- muaj ntshav qab zib;

– muaj teeb meem raum.

Tej yam tseem ceeb yog txuam nrog kev pheej hmoo ntawm kev tsim tus kab mob. Nws yog hais txog:

- ntau lub cev xeeb tub;

- muaj hnub nyoog tshaj 35-40 xyoo;

- cev xeeb tub thaum pib ntawm cov hluas;

- thawj cev xeeb tub;

- muaj BMI ntau dua 35;

- muaj arterial hypertension;

- muaj ntshav qab zib;

– muaj teeb meem raum.