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Medicina & Laboratorio

2010, Number 11-12

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Medicina & Laboratorio 2010; 16 (11-12)

Preeclampsia: un problema complejo para enfrentar desde su fisiología

Piedrahita OCA, Agudelo JB

Language: Spanish
References: 57
Page: 547-560
PDF size: 818.94 Kb.


ABSTRACT

Pregnancy is a complex physiological condition that requires changes in all organ systems of women and involves great cardiovascular and hemodynamic adaptation, as well as physiological changes in the kidneys, liver and endocrine system. Preeclampsia is a specific syndrome of human gestation, its clinical manifestations, hypertension and proteinuria appear after the second half of gestation; these clinical, environmental and social circumstances surrounding the disease are of considerable importance due to their catastrophic impact on maternal health and fetal life. The World Health Organization and the international medical and scientific organizations have provided classification systems for gestational hypertensive disorders in order to facilitate the diagnosis, management and epidemiological monitoring of these conditions, especially those associated with preeclampsia. Currently, there is considerable information regarding the etiology and pathogenesis of preeclampsia, and the identification of major risk factors, which are included in this review. The health team must play an active role in implementing strategies that encourage early, strict and conscious observation of all pregnant women to identify subtle changes and anticipate the catastrophic events associated with hypertensive disorders.


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