Pre-Eclampsia: A Case Study

8/14/2019 Pre-Eclampsia: A Case Study

1/49

Fnhy Gljch Slouctpo}y

Gljchcp @o}y

@nhhcjc ne Lstpolj

Rtc)C`hgirpog


2/49

O, OL]TNMS@]ONL

Mcp`tor}onl ne }fc Mopcgpc

Rtcc`hgirpog( ghpn tcecttcm }n gp }nvciog( op g `nlmo}onl }fg} rtcjlgl} znicl `gl

jc}, O} op igtacm dy fojf dhnnm rtcppstc g``nirglocm zo}f g fojf hcuch ne rtn}col ol }fc

stolc, Znicl zo}f rtcc`hgirpog zohh ne}cl ghpn fguc pzchholj ol }fc ecc}( hcjp( glm

fglmp, Rtcc`hgirpog( zfcl rtcpcl}( spsghhy grrcgtp mstolj }fc pc`nlm fghe ne rtcjlgl`y(

jclctghhy ol }fc hg}}ct rgt} ne }fc pc`nlm nt ol }fc }fotm }toicp}ctp( gh}fnsjf o} `gl n``st

cgthoct,

Ol gmmo}onl pyir}nip ne rtcc`hgirpog `gl ol`hsmc;

Tgrom zcojf} jgol `gspcm dy g pojloeo`gl} ol`tcgpc ol dnmohy ehsom

Gdmniolgh rgol

Pcuctc fcgmg`fcp

G `fgljc ol tcehcvcp

Tcms`cm ns}rs} ne stolc nt ln stolc

Mo{{olcpp

Cv`cppouc unio}olj glm lgspcg

]fc cvg`} `gspcp ne rtcc`hgirpog gtc ln} alnzl( gh}fnsjf pnic tcpcgt`fctp

psprc`} rnnt ls}to}onl( fojf dnmy eg}( nt olpseeo`ocl} dhnnm ehnz }n }fc s}ctsp gp rnppodhc

`gspcp,

]fc nlhy tcgh `stc ent rtcc`hgirpog glm c`hgirpog op }fc dot}f ne }fc dgdy, Iohm

rtcc`hgirpog &dhnnm rtcppstc jtcg}ct }fgl 7=2.?2/ }fg} n``stp ge}ct 42 zccap ne jcp}g}onl

ol g znigl zfn mom ln} fguc fyrct}clponl dcentc1 glm.nt fguolj g pighh ginsl} ne

rtn}col ol }fc stolc `gl dc iglgjcm zo}f `gtcesh fnpro}gh nt ol)fnic ndpctug}onl ghnlj

o}f g`}o o} tcp}to`}onl


3/49

]fc jtnsr `fnpc }fc `gpc ent }fc tcgpnl }fg} }fcy zgl}cm }n pfnz }fc tcgmctp }fc

rtn`cpp nl fnz rtc)c`hgirpog n``stp glm ent }fci }n eshhy slmctp}glm glm dc tciolmcm

nl nlc ne }fc `nirho`g}onlp gppnòg}cm zo}f rtcjlgl`y,

Ol mcuchnrolj `nsl}tocp; rtcc`hgirpog.c`hgirpog oirg`} =,=# ne ghh mchouctocp &7/

glm igy dc gp fojf gp 76# ol pnic pc}}oljp ol Geto`g &4/ Oe }fc tg}c ne hoec }ftcg}clolj

c`hgir}o` `nlushponlp &2,7# ne ghh mchouctocp/ op grrhocm }n ghh mchouctocp etni `nsl}tocp

`nlpomctcm }n dc }fc hcgp} mcuchnrcm( 32(222 `gpcp ne znicl cvrctoclòlj }fop pctonsp

`nirho g}onl `gl dc cvrc`}cm cg`f ycgt, G``ntmolj }n Pgec In}fctfnnm,ntj ne }fc

363(222 ig}ctlgh gllsghhy &0/( 70#( nt :5(232( gtc msc }n c`hgirpog,

Lstpc)@cl}ctcm Ndkc`}oucp

Srnl `nirhc}onl ne }fop `gpc p}smy( }fc p}smcl} lstpc pfnshm dc gdhc }n;

7, Omcl}oey }fc topa eg`}nt `nl}tods}olj }n }fc n``sttcl`c ne }fc mopcgpc,

4, Entishg}c pojloeo gl} lstpolj mogjlnpop( zo}f }fc pojloeo`gl}hy tchg}cm lstpolj `gtc

rhgl,

0, Omcl}oey }fc moeectcl} icmo`g}onlp gmiolop}ctcm ent }fop mopcgpc }fcot olmo g}onlp(

`nl}tgolmo`g}onlp( pomc ceec`}( glm prcòeo` tcprnlpodoho}y ,

=, Omcl}oey }fc hgdntg}nty glm mogjlnp}o` rtn`cmstc mnlc zo}f }fc rtc)c`hgir}o`

rg}ocl}( }fcot olmo`g}onl glm rstrnpcp( glm prcòeo` lstpolj tcprnlpodoho}ocp,

@hocl})@cl}ctcm Ndkc`}oucp

Srnl `nirhc}onl ne }fop `gpc p}smy( }fc `hocl} pfnshm dc gdhc }n;

7, Slmctp}glm gzgtclcpp ne fct mopcgpc,

4, Alnz }fc rnppodhc `gspcp ne }fc mopcgpc,

0, Hcgtl glm slmctp}glm zfy ps`f hgdntg}nty cvgiolg}onlp gtc dcolj mnlc,


4/49


5/49

Ig}ctlgh)`fohm Fcgh}f Fop}nty

g,/ Ig}ctlgh Ndp}c}to` tc`ntm &ent ND `gpcp/

Itp, Nd zgp igttocm }n Itp, Jylc g} }fc gjc ne 00 ycgtp nhm, Pfc fgp g

tc`ntm ne ]7R2G2H7I2 g} fct 0?}f zcca ne jcp}g}onl, Pfc slmctzcl} hnz

}tglpuctpc `cgpgtogl pc`}onl slmct g `ct}gol ndp}c}to`ogl g} }fc tcjonlgh fnpro}gh

hgp} Lnucidct 76( 4226 g} gtnslm 72;22 ol }fc cuclolj( pfc mchouctcm fct 7 p} `fohm

zfn op }cti dgdy zo}f fyrctdohotsdolciog,

d,/ Gl}crgt}gh. Rtclg}gh Rtcrgtg}onl

Zfcl Itp, Nd zgp p}ohh rtcjlgl}( pfc nlhy `nlpsh}cm nl`c ol g mop}to`}

fnpro}gh ghh }ftnsjfns},

`,/ Pojloeo`gl} ]toicp}tgh @fgljcp &7p} }n 0tm }toicp}ct/

Itp, Nd tvrctocl`cm pnic `fgljcp ol fct rtcjlgl`y( ps`f gp p}togc

jtguomgtsi( holcg lojtg( glm ichgpig, Pfc ghpn cvrctocl`cm lgspcg glm unio}olj(

mo{{olcpp( glm fcgmg`fc,


6/49

Egiohy Fcgh}f Ohhlcpp Fop}nty

Hcjclm;

fyrct}clponl

mocm ne nhm gjc

rlcsinlog

gp}fig

mc`cgpcm rtc c`hgirpog

+rola dntmct in}fct pomc+dhsc dntmct eg}fct pomc

Jtglmin}fct

Jtglmeg}fct

In}fct

Jtglmin}fct

Jtglmeg}fct

Eg}fct

Rg}ocl}


7/49

Dn}f }fc jtglmrgtcl}p etni }fc in}fctp pomc mocm etni nhm gjc, Etni }fc eg}fctp

pomc( }fc jtglmin}fct mocm etni Fyrct}clponl glm }fc eg}fct zgp mocm etni Rlcsinlog,

]fc in}fct op ln} cvrctocl`olj gly fcgh}f rtndhcip ds} }fc eg}fct fgp fyrct}clponl glm

gp}fig, ]fc rg}ocl}( srnl gmiopponl fgp chcug}cm dhnnm rtcppstc glm op pseectolj etni

gjjtgug}olj eg`}ntp hoac glvoc}y( lctunsplcpp glm ecgt,


8/49

RF_PO@GH GPPCPPICL]

Lnucidct 4:( 4226

PAOL

dtnzl paol jclctghhy sloenti ol `nhnt cv`cr} ol gtcgp cvrnpcm }n }fc psl

paol }circtg}stc sloenti glm zo}fol }fc lntigh tgljc &0:@/

zfcl rol`fcm( paol tcgmohy prtoljp dgà }n rtcuonsp p}g}c

inop} paol enhmp

lgohp zo}f pinn}f }cv}stc

lgoh dcmp rola

rtnir} `grohhgty tceohh }oic &4 pc`nlmp/

dorcmgh lnl)ro}}olj cmcig

FCGM

gdpcl`c ne lnmshcp nt igppcp

pyiic}to` egògh ecg}stcp glm inucicl}p

pyiic}to` lgpnhgdogh enhmp

cuclhy mop}tods}cm dhgà fgot

ln olecp}g}onlp

C_CP

cycdtnzp pyiic}to`ghhy ghojlcm zo}f cwsgh inucicl}

cychgpfcp cwsghhy mop}tods}cm glm `sthcm phojf}hy ns}zgtm


9/49

ln mop`fgtjc( cmcig nt }cgtolj

zfo}c p`hctg

rola rghrcdtgh `nlksl`}oug

otop dhgà ol `nhnt

rsrohp cwsgh ol po{c zo}f pinn}f dntmctp

ohhsiolg}cm rsrohp `nlp}to`}p

rsrohp `nluctjc zfcl lcgt ndkc`} op inucm }nzgtm }fc lnpc

zfcl hnnaolj p}tgojf} gfcgm( }fc `hocl} `gl pcc ndkc`}p ol }fc rctorfcty

dn}f cycp `nntmolg}cm( inuc ol slopnl zo}f rgtghhch ghojlicl}

CGTP

`nhnt pgic gp egògh paol

pyiic}to`ghhy ghojlcm

rollg oiicmog}chy tc`nohp ge}ct o} op enhmcm

rollg op ln} }clmct

ln hcponlp nt mop`nhntg}onl

mty `ctsicl( jtgyopf)}gl `nhnt

lntigh uno`c }nlcp gsmodhc

gdhc }n fcgt }oàolj ne g zg}`f ol dn}f cgtp

LNPC

pyiic}to` glm p}tgojf}

ln mop`fgtjc nt ehgtolj

gdpcl`c ne hcponlp glm }clmctlcpp


10/49

INS]F GLM ]FTNG]

ns}ct horp sloenti rola `nhnt zo}f pyiic}to` `nl}nst( pne} glm inop}

ds``gh is`npg op ne sloenti rola `nhnt

jsip gtc rola

}nljsc rola( inop}( g} `cl}tgh rnpo}onl

LC@A

fcgm `cl}ctcm

hyirf lnmcp ln} rghrgdhc

DTCGP]

eoti

jclctghhy pyiic}to` ol po{c

@GTMONUGP@SHGT

DR 762.722 iiFj

RT 77=

tcrnt}cm rghro}g}onlp

pyiic}to` rshpc p}tclj}f

TCPROTG]NT_.@FCP]


11/49

TT; 4? dtcg}fp rct iols}c

JGP]TNOL]CP]OLGH.GDMNICL

p}togc rtcpcl} g} fyrnjgp}to` glm ohog` tcjonlp

holcg lojtg rtcpcl}

ln }clmctlcpp

rtcpcl`c ne pstjo`gh ol`oponl

STOLGT_

gdpcl`c ne ln`}stog( mypstog( stjcl`y( fcpo}gl`y(

hojf} ychhnz stolc

TCRTNMS@]OUC

tcjshgt iclp}tsgh `y`hc

J7R7

ISP@SHNPACHC]GH.CV]TCIO]OCP

isp`hc cwsgh po{c nl dn}f pomcp ne }fc dnmy

ln dnlc mcentio}ocp

ln }clmctlcpp


12/49

LCSTNHNJO@

`gl tcprnlm }n uctdgh `niiglmp

ntocl}cm

`nlp`onsp

moprhgycm glvoc}y


13/49

RF_PO@GH GPPCPPICL]

Lnucidct 46( 4226

PAOL


paol }circtg}stc sloenti glm zo}fol }fc lntigh tgljc &0:@/

jnnm paol }stjnt

inop} paol enhmp


lgoh dcmp rola

rtnir} `grohhgty tceohh }oic


FCGM

tnslmcm

pinn}f pashh `nl}nst

pyiic}to` egògh ecg}stcp


pyiic}to` egògh inucicl}p

FGOT

}foà dhgà fgot

cuclhy mop}tods}cm

ln olecp}g}onlp


14/49

C_CP

cycdtnzp pyiic}to`ghhy ghojlcm

cychgpfcp `sthcm phojf}hy ns}zgtm

cvfodo}cm dohg}ctgh dholaolj

dn}f cycp `nntmolg}cm( inuc ol slopnl glm zo}f rgtghhch ghojlicl}

zfo}c p`hctg


rsrohp cwsghhy tnslm glm tcg`}ouc }n hojf} glm g``niinmg}onl

otop dhg`a ol `nhnt

rsrohp cwsgh ol po{c zo}f pinn}f dntmctp

ohhsiolg}cm rsrohp `nlp}to`}p

ln mop`fgtjc

CGTP

`nhnt pgic gp eg`ogh paol


rollg oiicmog}chy tc`nohp ge}ct o} op enhmcm

rollg op ln} }clmct




LNPC GLM POLSPCP


15/49

lgpgh pcr}si ol}g`} glm ol }fc iomholc

polspcp ln} }clmct

INS]F GLM ]FTNG]

ns}ct horp sloenti rola `nhnt

pyiic}to` `nl}nst


ln gdtgponlp glm sh`ctg}onlp

jsip gtc rola


}nljsc inucp etcchy zo}f ln }clmctlcpp

rghg}c psteg`c ol}g`}

sushg rnpo}onlcm ol iomholc

rghg}olc }nlpohp rola glm pinn}f glm ln} pznhhcl

LC@A

fcgm `cl}ctcm

fcgm inucicl} `nntmolg}cm glm pinn}f zo}f ln mop`nient}


DTCGP] GLM GVOHHGC

tnslmcm( jclctghhy pyiic}to`

gtcnhg tnslmcm glm }fc pgic pfgrc


16/49

@GTMONUGP@SHGT

DR 752.722 iiFj

RT 725

rtnir} `grohhgty tceohh }oic &hcpp }fgl 7 pc`nlm/

pyiic}to` rshpc p}tclj}f

TCPROTG]NT_.@FCP]

`fcp} pyiic}to`

`fcp} zghh ol}g`}( ln }clmctlcpp( ln igppcp

eshh pyiic}to` `fcp} cvrglponl glm cv`stponl

tcprotg}nty tg}c ne 44 dtcg}fp rct iols}c



pyiic}to` inucicl} `gspcm dy tcprotg}onl

}clmct dc`gspc ne ps}stc etni `cpgtcgl nrctg}onl

STOLGT_

ychhnzopf stolc

TCRTNMS@]OUC


17/49


isp`hc cwsgh po{c nl dn}f pomcp ne }fc dnmy

cwsgh p}tclj}f

ln dnlc mcentio}ocp

ln }clmctlcpp

ln }clmctlcpp nl `ghe isp`hc zfcl mntpoehcvcm

LCSTNHNJO@


ntocl}cm

`nlp`onsp


18/49

RF_PO@GH GPPCPPICL]

Lnucidct 4?( 4226

PAOL


paol }circtg}stc sloenti glm zo}fol }fc lntigh tgljc &0:,4@/

zfcl rol`fcm( paol tcgmohy prtoljp dgà }n rtcuonsp p}g}c

inop} paol enhmp


lgoh dcmp rola

lgoh rhg}c gljhc gdns} 752

rtnir} `grohhgty tceohh }oic


FCGM

tnslmcm

pinn}f pashh `nl}nst

ln igppcp( }clmctlcpp ol }fc p`ghr

pyiic}to` egògh ecg}stcp


pyiic}to` egògh inucicl}p

FGOT

}foà( cuclhy mop}to`ds}cm dhgà fgot


19/49

C_CP

cycdtnzp pyiic}to`ghhy ghojlcm

cvfodo}cm dohg}ctgh dholaolj

glo`}cto` p`hctg


rsrohp cwsghhy tnslm glm tcg`}ouc }n hojf} glm g``niinmg}onl

ln mop`fgtjc

CGTP


rollg ln} }clmct glm oiicmog}chy tc`nohp ge}ct enhmcm




gdhc }n fcgt }o`aolj ne g zg}`f ol dn}f cgtp

LNPC GLM POLSPCP

pyiic}to` glm p}tgojf}

ln mop`fgtjc nt ehgtolj

gdpcl`c ne hcponlp glm }clmctlcpp

lgpgh pcr}si ol}g`} glm ol }fc iomholc

dn}f lgtcp rg}cl}


20/49

pyiic}to` `nl}nst


jsip gtc rola


rghg}c psteg`c ol}g`}

sushg rnpo}onlcm ol iomholc

rghg}olc }nlpohp rola glm pinn}f glm ln} pznhhcl

jgj tcehcv rtcpcl}

02 gmsh} }cc}f( 4 inhgtp ioppolj( 7 zo}f dhg`a mop`nhntg}onl ne }fc clgich

LC@A

lc`a isp`hcp cwsgh ol po{c( fcgm `cl}ctcm

fcgm inucicl} `nntmolg}cm glm pinn}f zo}f ln mop`nient}


DTCGP] GLM GVOHHGC

gtcnhg tnslmcm glm }fc pgic pfgrc

lorrhcp tnslm( cuct}cm glm cwsgh ol po{c

ioha hc}mnzl

@GTMONUGP@SHGT

DR 732.722 iiFj

RT ?5


21/49

TCPROTG]NT_.@FCP]

`fcp} pyiic}to`

tojf} glm hce} pfnshmctp glm tojf} glm hce} forp gtc g} }fc pgic fcojf}

`fcp} zghh ol}g`}( ln }clmctlcpp( ln igppcp

eshh pyiic}to` `fcp} cvrglponl glm cv`stponl

tcprotg}nty tg}c op 46 dtcg}fp rct iols}c



tnslmcm `nl}nst

pyiic}to` inucicl} `gspcm dy tcprotg}onl

}clmct dc`gspc ne ps}stc enti `cpgtcgl nrctg}onl

STOLGT_

ychhnzopf stolc

TCRTNMS@]OUC

tcjshgt iclp}tsgh `y`hc

J7R7 &7)2)2)7)2/



22/49

ln }clmctlcpp

zghap gomcm }n igol}golp dghgl`c

ln }clmctlcpp nl `ghe isp`hc zfcl mntpoehcvcm

LCSTNHNJO@


ntocl}cm

`nlp`onsp


23/49

MOGJLNP]O@ GLM HGDNTG]NT_ RTN@CMSTCP

Mogjlnp}o` nt

Hgdntg}ntyRtn`cmstc

Olmo`g}onl nt

Rstrnpc

Mg}cNtmctcm glm

Mg}c

Tcpsh}pzctc

tchcgpcm

Tcpsh}pLntigh

Ughscp

Glghypop glm

Ol}ctrtc}g}onlne Tcpsh}p

ZD@ @nsl} ]n mc}ctiolc

olec`}onl nt

olehgiig}onl

Rtc)nrctg}onl

gppcppicl} ne

}fc rg}ocl},

Lnucidct

75( 4226

6,2 3)72 v

72?.H

Ln olec`}onl nt

olehgiig}onl

op rtcpcl},

TD@ @nsl} Rtc)nrctg}onl

gppcppicl} ne

}fc rg}ocl},

Lnucidct

75( 4226

0,0 =,4)3,= v

7274 .H

Mc`tcgpcm

TD@ `nsl} nl

rtcjlgl} op

lntigh

dc`gspc ne }fc

ol`tcgpc ol

rhgpig unhsic

mstolj

rtcjlgl`y,

Fcinjhndol Rtc)nrctg}onl

gppcppicl} ne

}fc rg}ocl},

Lnucidct

75( 4226

?5 742)

752j.H

]fc tcpsh}

olmo`g}cp }fg} g

7222 ih

pgirhc ne

dhnnm `nl}golp

?5 e


24/49

fcinjhndol nl

rtcjlgl} op

lntigh

dc`gspc ne

}fcot ol`tcgpc

ol rhgpig

unhsic,

Fcig}n`to}

/

Rtc)nrctg}onl

gppcppicl} ne

}fc rg}ocl},

Lnucidct

75( 4226

2,4? 2,0:)2,=:

j.H

]fc tcpsh}

olmo`g}cp }fg} g

7222 ih

pgirhc ne

dhnnm

`nl}golp ,4? j

ne fcinjhndol,

Mc`tcgpcm

fcig}n`to} nl

rtcjlgl} op

lntigh

dc`gspc ne

}fcot ol`tcgpc

ol rhgpig

unhsic,


25/49

Dcentc

Cvrhgol }n }fc rg}ocl} }fg} }fc ZD@ }cp} op spcm }n mc}c`} gl olec`}onl nt

olehgiig}onl,

]chh }fc rg}ocl} }fg} }fc }cp} tcwsotcp g dhnnm pgirhc, Cvrhgol zfn zohh rctenti

}fc uclorsl`}stc glm zfcl,

Cvrhgol }n }fc rg}ocl} }fg} fc igy cvrctocl`c phojf} mop`nient} etni }fc lccmhc

rsl`}stc glm }fc }nstlowsc},

Olenti }fc rg}ocl} }fg} fc pfnshm gunom p}tclsnsp cvct`opc ent 4= fnstp dcentc }fc

}cp}, Ghpn }chh foi }fg} fc pfnshm gunom cg}olj g fcguy icgh dcentc }fc }cp},

Oe }fc rg}ocl} op dcolj }tcg}cm ent gl olec`}onl( gmuopc foi }fg} }fop }cp} zohh dc

tcrcg}cm }n inlo}nt fop rtnjtcpp,

Ln}oey }fc hgdntg}nty glm rfypo`ogl ne icmo`g}onlp }fc rg}ocl} op }gaolj }fg} igy

geec`} }cp} tcpsh}p; }fcy igy lccm }n dc tcp}to`}cm,

Mstolj

Clpstc psdmctigh dhccmolj fgp p}nrrcm dcentc tcinuolj rtcppstc,

Ge}ct

Oe g fcig}nig mcuchnrp g} }fc uclorsl }stc po}c( grrhy zgti pngap, Oe }fc

fcig}nig op hgtjc( inlo}nt rshpcp mop}gh }fc uclorsl`}stc po}c,

Olenti }fc rg}ocl} }fg} fc igy tcpsic fop spsgh moc}( g`}ouo}y glm icmo`g}onlp

mop`nl}olscm dcentc }fc }cp}( gp ntmctcm,

G rg}ocl} zo}f pcuctc hcs`nrclog( }fcy fguc ho}}hc nt ln tcpop}gl`c }n olec`}onl glm

tcwsotcp rtn}c`}ouc opnhg}onl,


26/49

Cvrhgol }n }fc rg}ocl} }fg} TD@ `nsl} op spcm }n cughsg}c }fc lsidct ne TD@p glm

}n mc}c`} rnppodhc dhnnm mopntmctp,





Olenti }fc rg}ocl}p }fg} fc lccm ln} tcp}to`} ennmp glm ehsomp

Mstolj


Ge}ct

Oe g fcig}nig mcuchnrp g} }fc uclorsl`}stc po}c( grrhy zgti pngap,

Fcinjhndol

Dcentc

Cvrhgol }n }fc rg}ocl} }fg} }fc fdj }cp} op spcm }n mc}c`} glciog nt rnhy`y}fciog nt

}n gppcpp fop tcprnlpc }n }tcg}icl},






27/49

Mstolj


Ge}ct


Fcig}n`to}

Dcentc

Cvrhgol }n }fc rg}ocl} }fg} f`} op }cp}cm }n mc}c`} glciog glm n}fct gdlntigh

`nlmo}onlp





Olenti }fc rg}ocl}p }fg} fc lccm ln} tcp}to`} ennmp glm ehsomp

Mstolj


Ge}ct



28/49

OOO,]FC RG]OCL] GLM FOP OHHLCPP

Ceent}p }n sltguch }fc rg}fnjclcpop ne rtc)c`hgirpog fguc dccl fgirctcm dy }fc

hg`a ne `hcgt mogjlnp}o` `to}ctog ent }fc mopcgpc glm o}p psd}yrcp, @nlpcwscl}hy( pcuctgh

p}smocp fguc ol`hsmcm g ugtoc}y ne n}fct `nlmo}onlp }fg} mn ln} lc`cppgtohy tcehc`} gl

gmuctpc rtcjlgl`y ns}`nic,


29/49

Gdlntigh rhg`cl}g}onl &p}gjc 7/( rgt}o`shgthy hg`a ne mohg}g}onl ne }fc s}ctolc

protgh gt}ctonhcp( op }fc `niinl p}gt}olj rnol} ol }fc jclcpop ne rtc)c`hgirpog( zfo`f

`nirtniopcp dhnnm ehnz }n }fc ig}ctlghec}gh ol}cteg`c, Tcms`cm rhg`cl}gh rctesponl

g`}oug}cp rhg`cl}gh eg`}ntp glm olms`cp pyp}cio` fcinmylgio` `fgljcp, ]fc ig}ctlgh

pylmtnic &p}gjc 4/ op g esl`}onl ne }fc `ot shg}nty mop}stdgl`c `gspcm dy pyp}cio`

ig}ctlgh clmn}fchogh `chh mypesl`}onl tcpsh}olj ol ugp`shgt tcg`}ouo}y( g`}oug}onl ne

`ngjshg}onl `gp`gmc glm hnpp ne ugp`shgt ol}cjto}y, Rtc)c`hgirpog fgp ceec`}p nl inp}

ig}ctlgh ntjgl pyp}cip( ds} rtcmniolgl}hy nl }fc ugp`shg}stc ne }fc aomlcyp( houct glm

dtgol,


30/49

U, ]FC RG]OCL] GLM FOP @GTC

7, Icmo`gh Iglgjcicl}

g, OUEp( D]( LJ] eccmolj( Lcdsho{g}onl( ]RL( Nvyjcl ]fctgry

Icmo`gh

Iglgjcicl}

Mg}c Ntmctcm Jclctgh

Mcp`tor}onl

Olmo`g}onl %

Rstrnpc

@hocl} Tcprnlpc

}n ]tcg}icl}

OUE

M3HTP 7H

02j}}p.iol

Mg}c Ntmctcm

Lnucidct 73(

4226

Mg}c m.`

Lnucidct 42(

4226

3# mcv}tnpc ol

hg`}g}cm toljctp

pnhs}onl

&Npinhgto}y ne

34:)fyrt}nlo`(

rF ne =,?/

)rtnuomcp

`ghntocp glm etcc

zg}ct( rtnuomcp

chc`}tnhy}cp,

Ghpn `nl}golp

pnmosi hg`}g}c

zfo`f op spcm ol

}tcg}olj iohm }n

inmctg}c

ic}gdnho`

g`omnpop,

M3LI op

gmiolop}ctcm dy

ol}tguclnsp

olesponl ent

rgtcl}ctgh

igol}clgl`c ne

tns}olc mgohy ehsom

glm chc`}tnhy}c

tcwsotcicl} zo}f

ioloigh

`gtdnfymtg}cp

`ghntocp glm }n

`nttc`} nt tcrhg`c

ehsom hnppcp msc }n

`fgljc ol }fc

rg}ocl}p moc}

&LRN/ glm mstolj

}fc `cpgtcgl

nrctg}onl,

]fc rg}ocl}

tcprnlmcm zchh

zo}f ln pojlp ne

otto}g}onl glm

gmuctpc tcg`}onlp,


31/49


32/49


33/49

gttcp}cm,

Ecttnsp Psheg}c 77)7?)26 R,N,( N,M, Tcrhg`cp otnl(

enslm ol

fcinjhndol(

iynjhndol( glm

n}fct cl{yicp1

ghhnzp }fc

}tglprnt}g}onl ne

nvyjcl uog

fcinjhndol,

]fc rg}ocl}

tcprnlmcm zchh

}n }tcg}icl}

glm mom ln}

cvrctocl`c gly

gmuctpc

tcg`}onl,

Loecmorolc 77)7?)26 R,N,( 72ij( DOM Olfodo}p gh`osi

onl etni

cl}ctolj }fc

$phnz `fgllchp$

nt pchc`}

unh}gjc)pclpo}ouc

gtcgp ne ugp`shgt

pinn}f isp`hc

glm iyn`gtmosi

mstolj

mcrnhgto{g}onl(

rtnms`olj g

tchgvg}onl ne

`ntnlgty

ugp`shgt pinn}f

isp`hc glm

]fc rg}ocl}

tcprnlmcm zchh

}n }tcg}icl}

glm mom ln}

cvrctocl`c gly

gmuctpc

tcg`}onl,


34/49

iyn`gtmogh

nvyjcl mchoucty

ol rg}ocl}p zo}f

ugpnprgp}o`

gljolg

`, Moc}

]yrc ne Moc} Mg}c Ntmctcm(

Mg}c Rctenticm(

Mg}c Gmiolop}ct

Jclctgh

Mcp`tor}onl

Olmo`g}onl %

Rstrnpc

@hocl}

Tcprnlpc }n

]tcg}icl}

LRN 77)7:)26

77)7?)26

]fc rg}ocl} op ln}

ghhnzcm }n }gac

gly ntgh ennm nt

howsom

]fop op mnlc }n

rtcucl}

gh}ctg}onl ne }fc

tcpsh} ne }fc

egp}olj dhnnm

psjgt,d`p ol}gac

ne ennm `gl

ol`tcgpc

jhs`npc hcuch

]fc rg}ocl}

`nirhocm zo}f

}fc rtcp`todcm

moc},

@hcgt Howsom

Moc}

77)7?)26

77)42)26

G moc} ne `hcgt

howsomp igol}golp

uo}gh dnmy ehsomp(

pgh}p( glm

iolctghp1 glm ghpn

joucp pnic clctjy

ent rg}ocl}p zfcl

]fop moc} tcms`c

p}oishg}onl ne

}fc mojcp}ouc

pyp}ci( glm

hcguc ln tcpomsc

ol }fc ol}cp}olgh

}tg`}, ]fop op

]fc rg}ocl}

`nirhocm zo}f

}fc rtcp`todcm

moc},


35/49

ol}cttsr}cm, @hcgt

howsomp gtc cgpohy

gdpntdcm dy }fc

dnmy, dy ins}f

&LRN/ ent g hnlj

}oic, ]fop moc} op

ghpn spcm ol

rtcrgtg}onl ent

icmo`gh }cp}p ps`f

gp pojinomnp`nry(

`nhnlnp`nry( nt

`ct}gol v)tgyp,

ne}cl rtcp`todcm

ol rtcrgtg}onl

ent pstjcty( glm

op jclctghhy }fc

eotp} moc} joucl

dy ins}f ge}ct

pstjcty, @hcgt

howsomp gtc

joucl zfcl g

rctpnl fgp dccl

zo}fns} ennm dy

ins}f &LRN/

ent g hnlj }oic,

m, Cvct`opc

G`}ouo}y Jclctgh

Mcp`tor}onl

Rstrnpc Mg}c Ntmct @hocl}

Tcprnlpc

@nirhc}c Dcm

Tcp}

Rtcp`todcm

ig}ctlgh

`nirho`g}onl ne

rtcjlgl`y

]n rtnuomc

gmcwsg}c tcp}

77)76)26 ]fc hocl}

gmfctcm }n }fc

ntmct zo}fns}

`nirhgol}p,


36/49

UO, LSTPOLJ @GTC RHGL

@scp Lstpoljmogjlnpcp

Pòcl}oeo`Cvrhglg}onl

Ndkc`}ouc Lstpoljol}ctucl}onl

Tg}onlghc Cvrc`}cmns}`nicp

P)psigpgao}

ljg mgz slj

}gfo loyg g}

psispojgz poyg

gp }fc PN

uctdgho{cm

N) egògh

jtoig`cp

Tg}cm rgol gp 6

ol g rgol p`ghc ne

7)72( 72 dcolj

}fc fojfcp}

G`s}c rgol

tchg}cm }n

rnp}rgtsi

Slrhcgpgl}

pclpnty

cvrctocl`c

gtopolj etni rnp}

pstjo`gh olòponl

etni `cpgtcgl

pc`}onl,

Ge}ct 4)= ft ne

lstpolj

ol}ctucl}onl( }fc

r} tg}c }fc rgol

etni 6 }n 0 ol g

rgol p`ghc ne 7)

72

) Rtnuomc wso}c

cluotnlicl}

)Cl`nstgjcm }n

mn mccr

dtcg}folj

cvctòpc

) Cl`nstgjcm

gmcwsg}c tcp}

rctonm

) Cl`nstgjcm }n

)}n rtnin}c rgol

iglgjcicl},

)}n tcms`c }clponl

)}n rtcucl}

eg}ojsc

)}n tcms`c

rtcppstc nl }fc

Jngh Rgt}oghhy

ic} GCD r}

tg}cm }fc rgol

etni 6 }n 3 ol g

rgol p`ghc ne 7)

72


37/49

Jsgtmolj

dcfguont

psrrnt} }fc

geec`}cm gtcg

srnl inucicl}

geec`}cm gtcg

@scp Lstpolj

mogjlnpcp

Pòcl}oeo`

Cvrhglg}onl

Ndkc`}ouc Lstpolj

ol}ctucl}onl

Tg}onlghc Cvrc`}cm

ns}`nicp

P)gynan lg

islg mgrg}

igdsl}op a`

rgrgljo} slj

ag}gzgl an

}pgag dg} glj

o}oi lj rca)rca

an gp r}

uctdgho{cm

Mop}stdcm dnmy

oigjc tchg}cm }n

rtcjlgl`y GCD

`fgljcp ol

grrcgtgl`c

Pcucto}y ne }fc

gdmniolgh

znslm msc }n

pstjcty( g lcz

}yrc ne }oppscp

mcuchnrp }fg}

cucl}sghhy zohh

`gspcp p`gt

entig}onl

Ge}ct 4)= ftp ne

lstpolj

ol}ctucl}onl( }fc

rg}ocl} zohh gdhc

}n slmctp}glm }fc

`fgljc ne dnmy

oigjc,

)Cl`nstgjcm

`hocl} }n hnnacm.

}ns`f }fc

geec`}cm dnmy

gtcg

)Cl`nstgjc }fc

`hocl} }n fguc g

mgohy cvctòpc,

)}n dcjol }n

ol`ntrntg}c

`fgljcp ol}n

dnmy oigjc,

)}n dtolj dgà

}fc spsgh

rfypo`gh oigjcp,

)}n ecch }fg} }fc

Jngh ic} }fc

rg}ocl}

tc`njlo{cm glm

uctdgho{cm

slmctp}glmolj ne

dnmy `fgljcp,


38/49

N)rtcpcl`c ne

ichgpig

)rtcpcl`c ne

dorcmgh cmcig

)Gmuopcm }fc PN

}n jouc psrrnt}

}n }fc r}

&cprc`oghhy

cin}onlgh

eccholjp/

)Gppop} r} }n

omcl}oey rnpo}ouc

dcfguont

rg}ocl} p}ohh

znt}fy,

)}n gom ol

tc`nucty,


39/49

@scp Lstpolj

mogjlnpcp

Pòcl}oeo`

Cvrhglg}onl

Ndkc`}ouc Lstpolj

ol}ctucl}onl

Tg}onlghc Cvrc`}cm

ns}`nicp

P; dsiodohop

ljg }odna lj

rspn an

uctdgho{cm dy

}fc rg}ocl}

N; )zo}f }fc

}clmctlcpp ne

gdmniolgh gtc

)egògh jtoig`cp

)DR9 752.722

iifj

Mc`tcgpcm

`gtmog` ns}rs}

tchg}cm }n gh}ctcm

fcgt} tg}c &777

dri/ GCD

}g`fy`gtmog( r}p

tcrnt} ne

rghrg}onlp1

&t.}/ mc`tcgpcm

uclnsp tc}stl

GCD cmcig

&glahc/( PND

&46/

Rtcjlgl`y

Olms`cm

Fyrct}clponl op g

`nlmo}onl ol

zfo`f

ugpnprgpip

n``st, O} op `gspcm

dy gh}ctcm gtmog`

ns}rs} }fg} olkstcp

clmn}fchogh chhp

ne }fc gt}ctocp,

Dhnnm ucppchp

dc`nic hcpp

tcpop}gl} }n

Ge}ct = ftp ne

lstpolj

ol}ctucl}onl( }fc

rg}ocl} zohh

moprhgy

fcinmylgio`

p}gdoho}y &fcgt}

tg}c zohh mc`tcgpc

etni 777 dri }n

722 dri( DR

etni 7=2.722 }n

742.62/

)Accr hocl} nl

dcm glm ol

rnpo}onl ne

`nient}

)mc`tcgpc

p}oisho1 rtnuomc

wsoc} clu}

)Cl`nstgjcm

mccr dtcg}folj

cvctòpc

)Cl`nstgjcm

) mc`tcgpcp

nvyjcl

`nlpsir}onl

)}n rtnin}c

gmcwsg}c tcp}

)}n tcms`c

glvoc}y

)}n tcms`c topa ent

nt}fnp}g}o`

Jngh Ic} GCD

zo}fol = ftp, ne

lstpolj

ol}ctucl}onl }fc

r}, FT

mc`tcgpcm etni

777 dri }n 722

dri( DR etni

7=2.722 }n

742.62 &Lntigh

DR/


40/49


41/49

dcgtolj mnzl

D,I/

@scp Lstpoljmogjlnpcp

P`ocl}oeo`Cvrhglg}onl

Ndkc`}ouc Lstpoljol}ctucl}onl

Tg}onlghc Cvrc`}cmns}`nicp

P) Topa ent @nlp}org}onl Ge}ct = ftp ne ) Cms`g}c ) Olentig}onl Jngh Ic} GCD


42/49

N) mc`tcgpcm

gidshg}onl ne

}fc rg}ocl} d`p

ne rgol glm }fc

`nirhc}c dcm

tcp} ntmctcm ne

}fc rfypoògl,

`nlp}org}onl

tchg}cm }n rnp}

@P mchoucty,

igy fgrrcl msc

}n mop}stdgl`c ne

lntigh dnzch

inucicl}p

dc`gspc

ol}cp}olcp zctc

moprhg`cm mstolj

pstjo`gh

rtn`cmstc,

lstpolj

ol}ctucl}onl( }fc

rg}ocl} zohh

uctdgho{c

slmctp}glmolj

}fc c}onhnjy glm

grrtnrtog}c

ol}ctucl}onl oe

`nlp}org}onl igy

n``st,

rg}ocl}. PN

gdns} pgec glm

topay rtg`}o`cp

ent iglgjolj

`nlp}org}onl,

) Olp}ts`} dghgl`c

eodct glm dsha ol

moc} glm eodct

psrrhcicl}p,

) Rtnin}c

gmcwsg}c ehsom

ol}gac( ghpn

psjjcp} mtolaolj

zgti ehsomp,

`gl fchr hocl} }n

igac dclceoògh

`fno`cp zfcl

lccm gtopcp,

) ]n oirtnuc

`nlpop}cl`y ne

p}nnh glm

egòho}g}c rgppgjc

}ftnsjf `nhnl,

) ]n rtnin}c

pne} p}nnh glm

p}oishg}c dnzch

g`}ouo}y,

}fc rg}ocl}

uctdgho{cm

slmctp}glmolj

gdns}

`nlp}org}onl glm

jgolcm

alnzhcmjc ne

grrtnrtog}c

ol}ctucl}onl,


43/49


44/49

}n pstjcty `cpgtcgl pc`}onl

gh}ctcm }fc paol

ol}cjto}y igaolj

o} intc

psp`cr}odhc }n

rg}fnjclp glm

cucl }fc r}p

lntigh ehntg

ol}ctucl}onl( }fc

rg}ocl} zohh gdhc

}n alnz }fc

rtcucl}ouc

icgpstcp ne

znslm fcgholj

)Cl`nstgjcm }n

ol`tcgpc ennmp

}fg} gtc to`f ol

rtn}col

)Cl`nstgjcm

rtnrct hn}folj

)Grrhy

grrtnrtog}c

mtcppolj

olec`}onl,

) }n gom ol }oppsc

tcrgot

)}n igol}golcm }fc

rtnrct paol

inop}stc,

)}n fchr ol znslm

fcgholj

gdhc }n alcz

}fc rtcucl}ouc

icgpstcp ne

znslm fcgholj


45/49

UOOO, Mop`fgtjc Rhgl

Jclctgh @nlmo}onl ne `hocl} srnl mop`fgtjc

Mstolj lstpc)rg}ocl} ol}ctg`}onl srnl mop`fgtjc( }fc rg}ocl} zgp zcgtolj g

`nient}gdhc rgot ne zfo}c pfot} glm zfo}c rgkgig glm g rgot ne ehg} phor)nlp zfohc dcolj

pcghcm nl g `fgot `smmholj fct dgdy dny, Fct fgot zgp sl}omy glm sr ol g rnly}goh zo}f

uopodhc olecp}g}onlp, Pfc zgp ntocl}cm clnsjf }n enhhnz olp}ts`}onlp glm glpzctp

wscp}onlp gpacm dy }fc p}smcl} lstpc,

Ic}fnmp

I) Olp}ts`}cm }fc rg}ocl} }n }gac }fc enhhnzolj fnic icmo`g}onl gp ntmctcm dy }fc

rfypoògl;

Iceclgio` Gòm 322ij RTL

Ecttnsp Psheg}c NM

Loecmorolc 72ij DOM

C) Olp}ts`}cm rg}ocl} }n gunom p}tclsnsp g`}ouo}ocp, Glm rtg`}o`c mccr dtcg}folj

cvctòpc,

]) l.g


46/49

F) Olp}ts`}cm rg}ocl} }n }gac g dg}f cuctymgy, Cirfgpo{c }fc oirnt}gl`c ne dtcgp}

eccmolj,

N) Gmuo`c }n uopo} nt fguc g enhhnz sr `fc`a)sr zo}f fct g}}clmolj rfypo`ogl,

M) Hnz eg}( Hnz pgh} moc},


47/49

OV, @nl`hsponl

Lstpcp `gl fchr }fc lg}onl g`focuc Lg}onlgh Fcgh}f Jnghp, ]fcpc jnghp prcga

motc`}hy }n dn}f ec}sp glm }fc in}fct dc`gspc rtcjlgl`y op g fojf topa eg`}nt ent }fci,

@hnpc inlo}ntolj ol rtcjlgl} znicl glm fcgh}f }cg`folj gp is`f gp rnppodhc gdns}

rtcjlgl`y `nshm mceolo}chy tcms`c hoec }ftcg}clolj `nirho`g}onlp,

P}smocp pfnzp }fg} }fctc op ln `ct}gol eg`}p }fg} zohh jouc sp }fc omcg zfctc rtc)

c`hgirpog gtopc, Ds} }fctc pn igly eg`}ntp }fg} `nshm rtcucl} }fop `nirho`g}onl ps`f gp

moc} inmoeo`g}onlp( rtnrct `nirhogl`c zo}f }fc fcgh}f `gtc rtnuomctp( rtnrct cvct`opc,

Glm oe }fc `nirho`g}onl op ghtcgmy rtcpcl}( rtnrct inlo}ntolj( rtnrct moc} glm mtsj

`nirhogl`c pfnshm dc tshcm ol,


48/49


49/49

VO, DODHONJTGRF_

f}}r;.. zzz,lstpolj`tod,`ni

f}}r;.. zzz,icmo`olclc},`ni

f}}r;.. zzz,ztnljmogjlnpop,`ni

f}}r;.. zzz,sii,cms,`ni

f}}r;.. zzz,mnf,jnu,rf
http://www.nursingcrib.com/http://www.medicinenet.com/http://www.wrongdiagnosis.com/http://www.umm.edu.com/http://www.doh.gov.ph/http://www.nursingcrib.com/http://www.medicinenet.com/http://www.wrongdiagnosis.com/http://www.umm.edu.com/http://www.doh.gov.ph/

Pre-Eclampsia: A Case Study

Documents

Transcript of Pre-Eclampsia: A Case Study