-Chronic hypertension+ supraimppose -Gestational hypertension after 20 weeks without protienurrua. -Preeclampsia after 20weeks and protienurrua with multiorgan failure and we terminate. -Mild 140/90 with no symptoms or laboratory changed - 160/110 with or without complications . If Complication we terminate directly. Risks : renal disorders or primgravida or high STG or presence of vesicular mole. Pathophysiology of *preeclampsia* related to placenta as its fully developed at 20 weeks. Since trophoblasts affect the muscle walls of vascular resistance and lower it and leads to vasodilation and increase placenta perfusion. BUT IN HYPERTENSION THERE IS FAILURE OF invasion of trophoblasts and less placenta perfusion and it also it release toxic inflammatory mediators in the womens body ALL organs as it damage the vascular endothelium and can cause increase permeability and leading fibrousis and accumulation of clotting factors forming hematomas. Clinical signs: bp, weight gain due edema, protienurue. Symptomes WILL BE AFTER 20 WEEKS AND DURING FIRST TRIMESTER: edema, headache, epigastric pain, RIGHT hypogastric pain, projectile vomitting, perception of fetal movements. Vaginal bleeding due placenta rupture. COMPLICATIONS: Clamspia, DIC and check fr coagulation tests, HELLP SYNDROME by low platelets counts. -CBC: low hemoglobin due RBC distriction, high hematocrite, low platelets, ALT, AST, CREATININE. -URINE: high AC ration which albumin increase and creatinine low to detect early preeclampsia before any organ dysfunction. -MİLD KEEP WİTH CLOSE OBSERVATİON. -Sever uncomplicated TERMİNATİON if after 36 weeks. İf before, we control bp and fetal observation till 36 weeks WİTH ANTİHYPERTENSİVE MEDİCATİONS to control cerebral hemorrhage just, not to lower bp because the fetal is adapted to have more perfusion by this high bp. WİTH STEROİDS AT 34/36WEEKS FOR RESPİRATORY MATURATİON. MEDİCATİONS BP: alphademethialoma and aldomide. Alpha beta blockers( labetalol) if not controlled hydrolizine İV in terminate sergery ,magnisium sulfate to prevent antipoton eclamsia and posportium eclamsia before time of termination within 24 hours and specially after termination to prevent the postpartum eclamsia and we give loading dose and we increase every 4 hours for 24 hours and make sure she dont have planterlar refluxes and any respiratory depression or oligourea , calcium channel blockers like nifidine in preterm labor -Sever complicated: control bp and imediate termination. Ultrasound: check amniotic fluid for olgahardoise and fetal growth. Doppler to asses the resistance. Fundus examination. CT brain after termination in sever Low dose aspirin for chronic hypertension patients till 4 weeks before termination Calcium and vitamin D supplements
11:35 Preeclampsia
19:48 pathophysiology
31:22 signs
36:55 symptoms
42:19 complication
56:58 management
دكتور امال فين eclampsia
فين eclampsia? اي دكتور يعمل منش رجاءا
-Chronic hypertension+ supraimppose
-Gestational hypertension after 20 weeks without protienurrua.
-Preeclampsia after 20weeks and protienurrua with multiorgan failure and we terminate.
-Mild 140/90 with no symptoms or laboratory changed
- 160/110 with or without complications .
If Complication we terminate directly.
Risks : renal disorders or primgravida or high STG or presence of vesicular mole.
Pathophysiology of *preeclampsia* related to placenta as its fully developed at 20 weeks. Since trophoblasts affect the muscle walls of vascular resistance and lower it and leads to vasodilation and increase placenta perfusion. BUT IN HYPERTENSION THERE IS FAILURE OF invasion of trophoblasts and less placenta perfusion and it also it release toxic inflammatory mediators in the womens body ALL organs as it damage the vascular endothelium and can cause increase permeability and leading fibrousis and accumulation of clotting factors forming hematomas.
Clinical signs: bp, weight gain due edema, protienurue.
Symptomes WILL BE AFTER 20 WEEKS AND DURING FIRST TRIMESTER: edema, headache, epigastric pain, RIGHT hypogastric pain, projectile vomitting, perception of fetal movements. Vaginal bleeding due placenta rupture.
COMPLICATIONS: Clamspia, DIC and check fr coagulation tests, HELLP SYNDROME by low platelets counts.
-CBC: low hemoglobin due RBC distriction, high hematocrite, low platelets, ALT, AST, CREATININE.
-URINE: high AC ration which albumin increase and creatinine low to detect early preeclampsia before any organ dysfunction.
-MİLD KEEP WİTH CLOSE OBSERVATİON.
-Sever uncomplicated TERMİNATİON if after 36 weeks. İf before, we control bp and fetal observation till 36 weeks WİTH ANTİHYPERTENSİVE MEDİCATİONS to control cerebral hemorrhage just, not to lower bp because the fetal is adapted to have more perfusion by this high bp.
WİTH STEROİDS AT 34/36WEEKS FOR RESPİRATORY MATURATİON.
MEDİCATİONS BP: alphademethialoma and aldomide. Alpha beta blockers( labetalol) if not controlled hydrolizine İV in terminate sergery ,magnisium sulfate to prevent antipoton eclamsia and posportium eclamsia before time of termination within 24 hours and specially after termination to prevent the postpartum eclamsia and we give loading dose and we increase every 4 hours for 24 hours and make sure she dont have planterlar refluxes and any respiratory depression or oligourea , calcium channel blockers like nifidine in preterm labor
-Sever complicated: control bp and imediate termination.
Ultrasound: check amniotic fluid for olgahardoise and fetal growth.
Doppler to asses the resistance.
Fundus examination.
CT brain after termination in sever
Low dose aspirin for chronic hypertension patients till 4 weeks before termination
Calcium and vitamin D supplements
شكرا
❤❤❤❤
High HCG *
management of preeclampsia :- 57:00
Bu günler bitecek ve sen bu günleri kendinden daha çok gurur duyduğun birşekilde hatırlayacaksın 💙
18 ağustos 2023..
حصل عليك ايه😂🎉
ماشاءالله تبارك الله ❤️❤️❤️❤️ربنا يزيد حضرتك يارب من علمه ورضاه..
شكرا جزيلا دكتوره، الله يوفقك و يبارك بعلمك و يزيدك من فضله 💯🤍
One of the leading causes of maternal mortality
4-7%
PIH : pregnancy Induced Hypertension
عاشت ايدج دكتوره انتي اكثر من مبدعة 🥀✨
انتِ تجاوبي بقناه مشروع ضكتور
@@Rose-fr5zz اي مشروع ضاكتور اني بيها
بارك الله فيكي على شرحك وجهدك الرائع❤️❤️
ممكن تفيدوني
لماذا لم تشرح chronic HTN of pregnancy
شكرا ليك جزاك الله خيرا على كل المحاضرات والدروس المميزة دي
يعطيك الف عافيه دكتورة نادين 🌷
الصوت ضعيف في كل الفيديوهات والف شكر لحضرتك على المجهود الرائع
الصوت واضح جدًا
الصوت واضح لكن ارفعه من عندك او البس سماعه
الصوت واضح
البس السماعات
الصوت ضعيف حتى مع السماعه
شكرا جدا يا دكتورة
شرح رائع ربي يبارك في علمك💗💗
من اليمن صح 😅
@@MohmadmanFristmanshe won’t let u hit lil bro
جزاكِ الله خيراً
ربي يبارك فيك ويحفظك ويبارك في صحتك وعافيتك 🎉
ألف شكر لحضرتك د نادين 🌷
شياكة وشطارة والله يا دكتورة ❤
شكرا لك دكتوره و جزاك الله خير جزاء
الاقي فين شرح ال eclampsia?🌸
وجدتي شرح ال eclampsia ؟
شرح ولا اروع❤❤❤❤❤❤
ابداع 🤎
قمة الابداع طالبك من العراق
لو سمحتي دكتورة وين شرح ال eclampsia ؟
سوي شاشه عرض وقدمي الشاشه من اجل مشاهدت الشرح
مبدعة 😍😍
شكرا دكتورة🥀 نادين🥀
كل الشكر والتقدير لك بارك الله فيك
شكرا دكتوره حبيبتي ❤
الsheet اللي بيتكلموا عليها اجيبها منبن؟
من الدسكربشن يوجد pdf
شرح رائع شكرا لحضرتك
مافيش اسئله PDF عن المحاضره
الاقي فين تفريغات الدكتورة او المصدر بتاعها
موجودة في وصف الفيديو
اشكرج هواي دكتورة
شكرا جزيلا ☺️
شكرا لحضرتك ❤
جزاك الله خيرا 💛❤️
قوه لكن أدني عليك جلبابك
امر من الله
شكرا❤
Which language is it,Ma'am?
Actually it’s arabic precisely it’s Egyptian dialect
Arabic
Perfect 🙏🏻🤍
love the outfit
Ikrrr
روعه 💕💕
عاشت ايدج دكتورة
❤تسلمى
Thanks
❤️❤️❤️❤️❤️🙏🏻🙏🏻🙏🏻🙏🏻
Respect
لو حد يفيدنى فى دكتور باطنه وأطفال يكون شرحهم رائع زيها. غير دكتور احمد موافى عشان بيهزر كتييير 😂
الدكتور محمد علام فيديوهات المراجعه بيشرح نفس كتاب احمد موافي
او الدكتوو سيف ظريف
بالنسبه للاطفال الدكتور الجعكي
@@NadaAhmed-jg3mj شكرا جدا
❤❤❤
الاعظم
good
محمد جاسم يتشكر منج دكتورة
❤👍👍🙏
❤❤❤❤