Kenneth Kee

Pre-eclampsia, (Pregnancy with Hypertension And Proteinuria) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

>0.3 g in 24 hours) with or without edema. Almost any organ system may be affected. Pre-eclampsia is a fairly frequent disorder that may become life-threatening for the mother and the fetus. It is featured by maternal hypertension, proteinuria, edema, fetal intrauterine growth limitation and premature birth. Severe pre-eclampsia is defined as diastolic blood pressure (BP) of at least 110 mm Hg or systolic BP of at least 160 mm Hg, and symptoms, and biochemical and hematological damage. In severe pre-eclampsia, the fetus and newborn may have neurological injury caused by hypoxia. Prompt detection of pre-eclampsia and signs of medical damage, such as any decrease in platelet count, needs urgent referral to hospital to prevent the serious medical effects of these disorders. Eclampsia is described as the episode of one or more convulsions superimposed on pre-eclampsia. Causes The precise cause of pre-eclampsia is not known. It is featured by suboptimal utero-placental perfusion linked with a maternal inflammatory response and poor maternal vascular endothelial function. This in turn results in vascular hyper-permeability, thrombophilia and hypertension, which may balance the reduced flow in the uterine arteries. A protective part of heme oxygenase 1 and its metabolite carbon monoxide may be affected. The placenta has a pivotal part in the formation of pre-eclampsia. It happens in about 3% to 7% of all pregnancies from: 1.Autoimmune disorders 2.Blood vessel problems 3.The diet 4.The genes Symptoms Often, women who have pre-eclampsia do not feel ill. Pre-eclampsia is defined by systolic BP >140 mm Hg or diastolic BP >90 mm Hg in the second half of pregnancy, with ≥1+ proteinuria on reagent stick testing: Diagnosis: 1.High blood pressure, often higher than 140/90 mm/Hg 2.Swelling in the hands and face 3.Weight gain 4.Protein in the urine (proteinuria) 5.Higher-than-normal liver enzymes 6.Platelet count that is low 7.Ultrasound assessment of fetal growth and the volume of amniotic fluid Treatment: The only way to cure pre-eclampsia is to deliver the baby. 1.Bed rest, and lying on the left side 2.Drinking plenty of water 3.Eating less salt Hospital: 1.Close monitoring of the mother and baby 2.Medicines to control blood pressure and seizures 3.Steroid injections for pregnancies under 34 weeks The baby must be delivered if there are signs of severe pre-eclampsia: 1.Tests that show the baby is not growing well or is not getting enough blood and oxygen 2.The bottom number of the blood pressure is over 110 mmHg 3.Abnormal liver function 4.Seizures or alterations in mental function (eclampsia) 5.Fluid buildup in the mother's lungs 6.HELLP syndrome 7.Low platelet count 8.Low urine output High blood pressure: 1.Labetalol 2.Nefidipine 3.Hydralazine Seizures: Magnesium sulfate to control seizures Fluid balance: Fluid restriction Delivery: The decision to deliver should be made once the woman is stable If the fetus is less than 34 weeks, steroids are given Vaginal delivery is suggested after 37 weeks but caesarean section tends more likely Postpartum review of BP and mother and baby is needed. TABLE OF CONT...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 6. Juni 2018
• Englisch
• ISBN-13: 9780463533888
• Artikelnr.: 52864849

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...