Dorogaya Laura, nachnem popryadku:
U vashei sestri tyazhelaya pre-eclampsia, mi v takih slychayah postupayem sleduyushim obrasom -
1.postel'nii rezhim
2.Davleniye nuzhno stabilizirovat' - kak pravilo primenyayutsya Labetalol ili Nifedipin, mozhno tabletki posle nachalnih vnutrivennih dos. Davleniye predpochtitelnee derzhat' ne vishe 160/100, ya obizhno snizhayu do MAP (eto takoit ermin) 125 i nizhe.
3. Neobhodimo iskluchit' HEELP syndrome - proverit' funkziyu pecheni, pokazateli koagulyazii krovi, i tromboziti krovi. Esli est' prisnaki HEELP syndroma, neobkhodimo visivat' rodi ili delat' cesarevo secheniye.
4. V nekotorih sluchayah esli net HEELP syndroma, davlenii stabilisirovalos' pri lechenii, net zaderzhki rosta ploda i net malovdiya, a takzhe net golovnoii boli, boli v zhivote, narushenii zreniya, to mozhno prodolzhat' nabludenie i proveryat' na nalichie HEELP syndrome dlya nachala kazhdii den' a potom po situazii.
5. Esli dazhe pridetsya rodorasreshat', to mne udivitel'no slishat' o tom, chto rebenok ne vizhvet. U nas takiye deti vizhivayut bolee chem v 80-90% sluchayev i v bolshinstve sluchayev rasvivayutsya normal'no. No ya ne snayu, v kakom sostoyanii detskaya reanimaziya v vashem gorode.
Good luck.
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