Conducta Obstétrica en paciente multípara de 32 años con 34 semanas de gestación y síndrome de HELLP.
| dc.contributor.advisor | Yupa Pallchisaca, Ana Emperatriz | |
| dc.contributor.author | Moran Mendoza, Lady Stefania | |
| dc.date.accessioned | 2021-11-12T17:03:16Z | |
| dc.date.available | 2021-11-12T17:03:16Z | |
| dc.date.issued | 2021 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/10494 | |
| dc.description | HELLP syndrome stands for hemolysis, elevated liver enzymes and decreased platelets. This syndrome is a disorder that is associated with severe maternal and fetal morbidity and mortality. To distinguish this syndrome from other disorders that are related to pregnancy commonly becomes a challenge and therefore may result in a delay in appropriate treatment. The differential diagnosis includes acute fatty liver of pregnancy, antiphospholipid syndrome, thrombotic thrombocytopenic purpura, and hemolytic uremic syndrome. The clinical manifestations can be varied and range from general symptoms such as: fatigue, vomiting and weakness, to severe symptoms such as loss of vision, hepatic and intracranial hemorrhages, among other clinical manifestations. In the present clinical case, it was decided to carry out a study and follow-up of this pathology with a 32-year-old multiparous patient with 34 weeks of gestation, who presented at the Alfredo Noboa Montenegro Hospital. In this way, it details those risk factors that trigger this syndrome, among which are: eclampsia, multiparas (consecutive deliveries), pre-eclampsia or pregnancy-induced hypertension, a previous pregnancy with HELLP syndrome, among others. | es_ES |
| dc.description | HELLP syndrome stands for hemolysis, elevated liver enzymes and decreased platelets. This syndrome is a disorder that is associated with severe maternal and fetal morbidity and mortality. To distinguish this syndrome from other disorders that are related to pregnancy commonly becomes a challenge and therefore may result in a delay in appropriate treatment. The differential diagnosis includes acute fatty liver of pregnancy, antiphospholipid syndrome, thrombotic thrombocytopenic purpura, and hemolytic uremic syndrome. The clinical manifestations can be varied and range from general symptoms such as: fatigue, vomiting and weakness, to severe symptoms such as loss of vision, hepatic and intracranial hemorrhages, among other clinical manifestations. In the present clinical case, it was decided to carry out a study and follow-up of this pathology with a 32-year-old multiparous patient with 34 weeks of gestation, who presented at the Alfredo Noboa Montenegro Hospital. In this way, it details those risk factors that trigger this syndrome, among which are: eclampsia, multiparas (consecutive deliveries), pre-eclampsia or pregnancy-induced hypertension, a previous pregnancy with HELLP syndrome, among others. | es_ES |
| dc.description.abstract | El síndrome de HELLP según sus siglas en ingles significa hemolisis, la elevación de las enzimas hepáticas y la disminución de plaquetas. Este síndrome es un trastorno que se encuentra asociado con una grave morbilidad y mortalidad materna y fetal. Para llegar a distinguir este síndrome de otros trastornos que tienen relación con el embarazo comúnmente se convierte en un desafío y por lo cual puede resultar un retraso del tratamiento apropiado. El diagnóstico diferencial incluye el hígado graso agudo del embarazo, síndrome antifosfolípido, púrpura trombocitopénicatrombótica y síndrome urémico hemolítico. Las manifestaciones clínicas pueden ser variadas y van desde síntomas que son generales como: la fatiga, vómitos y debilidad, hasta de manera severa como puede ser la pérdida de la visión, hemorragias hepática e intracraneal, entre otras manifestaciones clínica. En el presente caso clínico se decidió dar un estudio y seguimiento a dicha patología con paciente multípara de 32 años con 34 semanas de gestación, el cual se presentó en el Hopsital Alfredo Noboa Montenegro. De esta manera detalla aquellos factores que son de riesgos y que de esta manera desencadenan este síndrome, entre los cuales encuentra: la eclampsia, multíparas (partos seguidos), preeclampsia o hipertensión inducida por el embarazo, un embarazo anterior con el síndrome de HELLP, entre otros. | es_ES |
| dc.format.extent | 48 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2021 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Síndrome de Hellp | es_ES |
| dc.subject | Embarazo | es_ES |
| dc.subject | Hipertensión | es_ES |
| dc.subject | Preeclampsia | es_ES |
| dc.subject | Eclampsia | es_ES |
| dc.title | Conducta Obstétrica en paciente multípara de 32 años con 34 semanas de gestación y síndrome de HELLP. | es_ES |
| dc.type | bachelorThesis | es_ES |
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