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PREGNANCY INDUCED HYPERTENTION - Coggle Diagram
PREGNANCY INDUCED HYPERTENTION
Etiologi
Faktor genetik - pernah mrngalami PIH/DM/HPT
Faktor perubatan - HPT/DM
Faktor am - Obesiti & umur >35thn
Manifestasi klinikal
sakit kepala
ganguan penglihatan
sakit perut
nausea & vomiting
edema
Patofisiologi
Abnormalities placenta implementation
Hypoperfusion blood uptake not flow well
Hypoxia and ischemic( vasodilate /vasoconstrict) happen tend cardiac output high
Vascular endothelial ruptured
Blood vessel damage via spasm
Hypertention
Investigasi
Pemeriksaan fizikal - Blood Pressure checking Mystolid blood pressure (SBP) >140 mmHg and diastolic blood pressure (DBP) >90 mmHg
Pengambilan darah - FBC/RP/LFT/ PTAPTT
Ujian urine - collection of protein
Pemeriksaan antenatal - berat badan, ukur [lilit] & pedal edema
Pengurusan
Pengambilan sejarah: perubatan, pembedahan, keluarga dan pregnancy
Pemeriksaan antenatal atau fizikal: vital sign, weight gain & pedal edema
Lakukan Ix - urinalisis utk melihat proteinuria
Pemberian ubat-ubatan: Tab. Methydopa 250-500mg BD, Tab. Labetolol 100-400mg BD, Tab. Metoprolol 25-50mg BD, Tab. Nifedipine 10-30mg OD, Tab. Hydralazine 25-50mg BD, IV Hydralazine 5-10mg
Komplikasi
Pre eclampsia
Kerosakan otak
Penyakit buah pinggang
Hemorrhage
IUGR
Placental abruption
Adult respiratory syndrome - SOB, dyspnea & tacycardia
Fetal distress
Prematured birth
Maternal & fetal death
Definisi
Peningkatan tekanan darah menyebabkan bacaan sistolik adalah >140mmHg dan distolik >90mmHg
Tanpa kehadiran proteinuria
Selepas trimester 2/minggu ke 20
Diagnosisi Perbezaan
•Chronic Hypertension
•Eclampsia
•Pre - eclampsia