Sindrom HELLP

Sindrom HELLP iyâ arèya komplikasi kabiḍânan sè angancem nyabâ sè biasana katèbâân polana preeklampsia. Kaḍuwâ' kabâḍâân rèya biasana katèbâân salama fase ahèr ḍâri sèttong kahamilân, otabâ sakaḍâng katèbâân salastarèna arèmbi'.^[1] "HELLP" aropaaghi singkatân ḍâri tello' ciri otama ḍâri sindrom rèya, iyâ arèya:^[2]

Hemolisis
Elevated Liver enzymes (paningkatân ènzim atè)
Low Platelet Count (panoronan Platelet)

Tandhà bân Gejâlâ

HELLP biasana èmolaè ka trimèster katello' sèttong kahamilân; ka kasus sè rang-rang toman èlaporraghi ka omor kandungan 21 mingghu. Segghutân pasien sè ngalami sindrom HELLP ampon ngalami hipertènsi ḍâlem kandungan (hipertènsi gèstasional) otabâ sè ècurigaè ngalami prè-èklamsia. Sampè' 8% ḍâri sadhâjâna kasus kadhâddhiyân saampona arèmbi'.^[3]

Orèng binè' sè ngalami sindrom HELLP segghut èkatèla ta' sakè' bârre'. Gejala awwâllâ bisa aropa:

Ka 90% kasus, bisa nyeri ulu atè èḍifinisiaghi mènangka nyeri kuadran kanan attas.
Ka 90% kasus, malaise.
Ka 50% kasus, mual otabâ ngota.^[4]

Bâḍâ gejâlâ sè atahap namong signifikan ḍâri sakè' cètak (30%), pangabâsân rabun, bân parèstèsia (gringging ka angghuta gerra'). Edema bisa tèbâ namong kataḍâân edema ta' nyabâbbâghi diagnosis sindrom HELLP bisa èsingkirraghi. Bilâ ètemmoni Hipertènsi artèri, kejang otabâ koma, bisa ècurigaè panyakèt panèka ampon alanjut ka ekslampsia.

DIC (Disseminated intravascular coagulation) jughân èkatèla ka 20% orèng binè' kalabân sindrom HELLP, bân ka 84% ètemmo nalèkana sindrom HELLP èkomplikasiaghi bi' gagal ginjâl sanget. Edema paru jughân ètemmoni ka 6% orèng binè' kalabân sindrom HELLP, bân ka 44% kasus nalèkana sindrom HELLP èkomplikasiaghi bi' gagal ginjâl sanget.^[5]

Sombher

↑ Haram K, Svendsen E, Abildgaard U (Feb 2009). "The HELLP syndrome: clinical issues and management. A review" (PDF). BMC Pregnancy Childbirth. 9: 8. doi:10.1186/1471-2393-9-8. PMC 2654858 . PMID 19245695.
↑ Weinstein L (1982). "Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy". Am J Obstet Gynecol. 142 (2): 159–67. PMID 7055180.
↑ "Sindrom HELLP adalah kondisi berbahaya ketika ibu hamil mengalami gangguan pada sel darah merah, gangguan fungsi hati, dan rendahnya trombosit. Sindrom HELLP biasanya dialami ibu hamil usia di atas 34 tahun atau mempunyai riwayat preeklamsia". alodokter.com. 2022-03-10. Aksès 2024-03-03.
↑ Sibai BM (Feb 1990). "The HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets): much ado about nothing?". Am J Obstet Gynecol. 162 (2): 311–6. PMID 2309811.
↑ Sibai BM, Ramadan MK (Jun 1993). "Acute renal failure in pregnancies complicated by hemolysis, elevated liver enzymes, and low platelets". Am J Obstet Gynecol. 168 (6 Pt 1): 1682–7; discussion 1687–90. PMID 8317509.

[1] Haram K, Svendsen E, Abildgaard U (Feb 2009). "The HELLP syndrome: clinical issues and management. A review" (PDF). BMC Pregnancy Childbirth. 9: 8. doi:10.1186/1471-2393-9-8. PMC 2654858 . PMID 19245695.

[2] Weinstein L (1982). "Syndrome of hemolysis, elevated liver enzymes, and low platelet count: a severe consequence of hypertension in pregnancy". Am J Obstet Gynecol. 142 (2): 159–67. PMID 7055180.

[3] "Sindrom HELLP adalah kondisi berbahaya ketika ibu hamil mengalami gangguan pada sel darah merah, gangguan fungsi hati, dan rendahnya trombosit. Sindrom HELLP biasanya dialami ibu hamil usia di atas 34 tahun atau mempunyai riwayat preeklamsia". alodokter.com. 2022-03-10. Aksès 2024-03-03.

[4] Sibai BM (Feb 1990). "The HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets): much ado about nothing?". Am J Obstet Gynecol. 162 (2): 311–6. PMID 2309811.

[5] Sibai BM, Ramadan MK (Jun 1993). "Acute renal failure in pregnancies complicated by hemolysis, elevated liver enzymes, and low platelets". Am J Obstet Gynecol. 168 (6 Pt 1): 1682–7; discussion 1687–90. PMID 8317509.

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