Atualização sobre as principais diretrizes de manejo clínico das doenças hipertensivas da gravidez
DOI:
https://doi.org/10.5281/zenodo.10402300Palavras-chave:
distúrbios hipertensivos, pré-eclâmpsia, hipertensão crônica, eclampsia, tratamento, gravidezResumo
Introdução: as doenças hipertensivas da gravidez, especialmente a pré-eclâmpsia, constituem um problema de saúde pública local e internacional, devido ao aumento de fatores de risco em mulheres em idade fértil. Objetivo: avaliar a relevância dos distúrbios hipertensivos e seu estudo por obstetras e profissionais médicos de primeiro nível no Equador. Método: foi realizada uma revisão de artigos científicos atualizados em diferentes bases de dados onde foram abordadas as generalidades de sua classificação, fisiopatologia, predição de pré-eclâmpsia, prevenção de distúrbios hipertensivos, tratamentos desses distúrbios, tratamento de crise ou emergência hipertensiva, eclâmpsia. manejo da pré-eclâmpsia grave. Resultados: supõe-se que a hipertensão e a pré-eclâmpsia possam surgir inicialmente no pós-parto, e a hipertensão pós-parto é responsável por até 25% de todos os distúrbios hipertensivos. A hipertensão grave está associada a morbidade e mortalidade materna significativa, incluindo um risco aumentado de doenças cerebrovasculares. Portanto, recomenda-se terapia anti-hipertensiva urgente para reduzir a pressão arterial. Considerações finais: é de extrema importância a realização de triagem de risco em todas as gestantes, juntamente com uma avaliação cardiovascular detalhada para detectar a presença de fatores de risco ou condições cardiometabólicas que favoreçam o aparecimento de doenças hipertensivas durante a gravidez.
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Copyright (c) 2023 Santiago Xavier Peñarreta-Quezada, Jonathan Armando Yanza-Freire, Fernando Vinicio Bejarano-Muñoz

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