Both conditions can put you and your baby at risk for complications. A low blood platelet count. Eclampsia is when pregnant women with preeclampsia develop seizures or coma. Nov 16, 2022 · What causes high blood pressure during pregnancy? Blood pressure changes during pregnancy are normal. Apr 27, 2020 · During pregnancy: Mildly high blood pressure is blood pressure between 140/90 and 149/99 mm Hg (ie the systolic or upper number is between 140 and 149, and/or the lower or diastolic number is between 90 and 99). Such a diet supports overall cardiovascular health and aids in maintaining a healthy pregnancy. This could include more prenatal visits, ultrasounds , and other tests to ensure the babys well-being . Sep 1, 2023 · Preeclampsia is a serious high blood pressure condition that can happen during pregnancy or soon after you give birth. Aug 30, 2022 · Gestational hypertension can lead to fetal complications, and, if untreated, high blood pressure during pregnancy may cause eclampsia and even death in the mother and fetus. High blood pressure can also cause the placenta to pull away from the uterus too soon (placental abruption). What Is Gestational High Blood Pressure? It is high blood pressure that starts in the second half Jun 2, 2020 · Normal blood pressure in pregnancy is less than 120/80 mm Hg, the same as for non-pregnant people. Secondary hypertension. Medicines used to treat high blood pressure include: Water pills (diuretics). Exercise is a strategy for preventing blood pressure disorders. Preeclampsia is another type of high blood pressure that develops during pregnancy. During pregnancy, severe or uncontrolled high blood pressure can cause problems for you and your baby. Pregnancy history. Moderately high blood pressure is blood pressure between 150/100 and 159/109 mm Hg. 7 The results presented Oct 25, 2022 · Preeclampsia is a disorder of pregnancy in which a person who’s pregnant has high blood pressure and protein in their urine. Almost 95% of all maternal deaths occurred in low and lower middle-income countries in 2020, and most could have been prevented. Both can help raise your blood pressure to manageable levels. Aug 17, 2021 · Postpartum preeclampsia is a rare condition that occurs when you have high blood pressure and excess protein in your urine soon after childbirth. High blood pressure usually does not cause symptoms. It happens when your body cannot produce enough insulin – a hormone that helps control blood sugar levels – to meet your Jun 20, 2022 · Blood pressure is known to be elevated in twin pregnancy , regardless of whether the pregnancy is a dichorionic or monochorionic diamniotic twin pregnancy ; therefore, pregnant women with Dec 8, 2021 · High blood pressure during pregnancy can be treated in a variety of ways depending on the severity, cause and time of onset. Gestational hypertension: Blood pressure became high for the first time after women had been pregnant for 20 weeks (usually after 37 weeks). See full list on my. Chronic hypertension is high blood pressure that you have before you get pregnant or that develops before 20 weeks of pregnancy. Both mother and the baby may face complications if the blood pressure becomes abnormally high. High levels of protein in your urine (proteinuria). In the US, the rate of pre-eclampsia increaased 25% between 1987-2004. Pre-eclampsia is more common if you had high blood pressure before becoming pregnant Apr 30, 2024 · Research shows that medicines used to control high blood pressure during pregnancy lower the chance of pregnancy complications and won’t harm the developing baby. To keep you and your baby healthy, it's important to get treatment for high blood pressure before, during, and after pregnancy. ) Having a personal or family history of gestational hypertension or preeclampsia; Being African American Jul 3, 2023 · Eclampsia is a rare but serious condition that causes seizures during pregnancy. Regular urine tests during prenatal check-ups help detect Hypertension (high blood pressure) during pregnancy can potentially cause complications. Pre-eclampsia can lead to an increase in the risks for the baby and the mother. Pre-eclampsia is a condition that affects some pregnant women, typically after 20 weeks. Preeclampsia: High blood pressure that begins after week 20. During pregnancy, women with high blood pressure are monitored closely to make sure blood pressure is well-controlled, the kidneys are functioning normally, and the fetus is growing normally. Or a sudden, severe thunderclap headache can be a symptom of the stroke-like reversible cerebral vascular syndrome. It is a major risk factor for complications during pregnancy and delivery, such as preterm labor and delivery, placental abruption, and low birth weight. It can also lead to organ damage that most often affects the May 29, 2024 · During a pregnancy, it is possible to develop pre-eclampsia, eclampsia, or both. a uterine infection. Others have high blood pressure for the first time during pregnancy. Hypertension can also increase your risk of stroke, heart attack, or other problems. High Blood Pressure: Blood pressure above the normal level. Changes in vision like blurred vision or light sensitivity. Your midwife will tell you if your numbers are high. Cervical changes, such as the incompetent cervix or cervical effacement. high blood pressure. Dec 19, 2022 · When high blood pressure is accompanied by high protein levels, preeclampsia is likely the diagnosis. Jan 25, 2024 · The use of ART may raise the risk of some medical concerns during pregnancy, such as diabetes or high blood pressure. Sudden blurred vision is also a symptom. Jan 26, 2024 · Elevated Blood Pressure: Gestational hypertension is primarily identified by consistently high blood pressure readings, often exceeding 140/90 mmHg after the 20th week of pregnancy. When gestational hypertension isn't under control and the placenta isn't getting enough blood, fewer nutrients and oxygen make it to your baby, which can slow fetal growth. While some moms The systolic number measures blood pressure when the heart pumps the blood to organs, and the diastolic number measures blood pressure when the heart retracts to fill with blood again. It is potentially serious and its complications, such as liver and kidney damage, can threaten the life of mother and baby. Complications of Gestational Hypertension. . It is sometimes called toxemia. Eclampsia is when a person with preeclampsia develops seizures (convulsions) during pregnancy. Abdominal pain, usually near your ribs. Eclampsia affects about 1 in every 200 women with preeclampsia. The mother is more likely to develop blood clots, kidney problems and there is an Apr 12, 2023 · Preeclampsia is a serious blood pressure condition that occurs during pregnancy or soon after giving birth. Dec 7, 2023 · Proteinuria during pregnancy may signal preeclampsia, a condition that causes high blood pressure during and right after pregnancy. May 28, 2024 · Preeclampsia is a serious medical condition that can occur about midway through pregnancy (after 20 weeks). Although some causes of high blood pressure like family history or age-related issues cannot be controlled, there are some steps that can be taken to reduce the chance of developing high blood pressure during pregnancy. This condition occurs when chronic Apr 9, 2024 · High blood pressure, or hypertension, is associated with problems with fertility in males and pregnancy complications in females, such as premature birth. If left untreated, pre-eclampsia can be dangerous for you and your baby. Preeclampsia is a condition that causes a sudden rise in blood pressure during pregnancy. High and low blood pressure during pregnancy can cause complications. Social and economic factors Research shows that factors such as income, education level, where you live, and the type of job you have, as well as stressors on the job may raise your Nov 15, 2023 · Chronic hypertension. Treatment is necessary to avoid life-threatening complications. Antenatal hypertension is the medical term for high blood pressure during pregnancy. Pre-eclampsia usually happens after 20 weeks but can develop earlier in some cases. Rapid weight gain. The baby’s increased size also puts additional pressure on the diaphragm, or breathing muscles. It can also cause excess weight gain, low blood sugar after birth, and breathing Preeclampsia is persistent high blood pressure that happens during pregnancy or after giving birth. It usually goes away after the baby is born. May 16, 2024 · A person’s blood pressure may be lower in the first and second trimesters of pregnancy. Most cases of postpartum preeclampsia develop within 48 hours of childbirth. Eclampsia refers to preeclampsia that occurs along with seizures during pregnancy or within 10 Developing high blood pressure during pregnancy. In fact, I recommend always keeping water and a salty snack on you when you’re pregnant just in case you feel lightheaded. Preeclampsia is a serious blood pressure disorder and is characterized by high blood pressure and signs of damage to organs in the body. NICHD and other agencies are working to understand what Jul 11, 2024 · Shortness of breath caused by fluid in the lungs. S. Medical problems that happened during a previous pregnancy may raise the risk of having the same problems again. Feb 27, 2019 · There are several possible causes of high blood pressure during pregnancy. During pregnancy, a rise in the lower number (diastolic) of 15 degrees or more, or a rise in the upper number (systolic) of 30 degrees or more can also be a cause for concern. These include: being overweight or obese; not getting enough physical activity; smoking; drinking alcohol; Apr 15, 2022 · A diagnosis of preeclampsia happens if you have high blood pressure after 20 weeks of pregnancy and at least one of the following findings: Protein in your urine (proteinuria), indicating an impaired kidney. Eclampsia is a severe progression of preeclampsia. The incidence of hypertension is increasing due to changes in maternal demographics (e. ), in vitro fertilization, type 1 or type 2 diabetes, obesity, chronic high blood pressure, chronic kidney disease, and others. May 12, 2023 · Preeclampsia is a condition women can get when pregnant. High blood pressure puts extra stress on your body and is always cause for concern. Aug 16, 2022 · You may have high blood pressure (BP) before you became pregnant, develop it during pregnancy or develop a serious related condition, pre-eclampsia. High blood sugar during pregnancy, also known as gestational diabetes, can cause a baby to be born early. In eclampsia you have seizures (when your body moves and jerks out of your control) and sometimes blood and liver problems. There is no clear cause. This type of hypertension typically resolves within 6 weeks after delivery. Getting enough fluids and nutrients is difficult while pregnant Aug 12, 2020 · Preeclampsia researchers regularly return to first-trimester blood pressure, one of the most easily measured traits in any healthcare setting, in their quest for better risk assessment, but when standard thresholds for defining problematic blood pressures are applied, first-trimester blood pressures remain insufficient for sensitive risk stratification for preeclampsia. HELLP syndrome typically occurs with preeclampsia, but you can also have preeclampsia without HELLP. Jul 25, 2023 · Diet: Increases in blood pressure can occur after consuming foods high in sugar or salt. Swelling of your face, hands, feet or limbs. Exercise: During exercise, blood pressure spikes because the body’s demand for oxygen and cardiovascular efforts is heightened. (high blood pressure) being older than 35 years May 21, 2024 · Risks of high blood pressure in pregnancy for the mother include: 7,8. Jul 6, 2022 · High blood pressure (140/90 mmHg or higher). Chronic hypertension is present in 0. Jun 15, 2022 · High blood pressure (hypertension) means that the force of blood against your artery walls is too strong. This is a sudden rise in your blood pressure after your 20th week of pregnancy, typically in your third trimester. Preeclampsia is one of the more common complications of pregnancy and can happen at any time during the second half of pregnancy or the first few days after the birth. g. She’ll diagnose high blood pressure if your top figure (systolic) is 140 or higher, or your bottom figure (diastolic) is 90 or more. It may cause damage to your liver, kidneys, or brain. Preeclampsia tends to happen in the last trimester, but can happen earlier. The main risk of having high BP in Feb 28, 2024 · Preeclampsia. It is also called ‘gestational hypertension’. Hypertension is seen far more often Gestational Hypertension: High blood pressure that is diagnosed after 20 weeks of pregnancy. Oct 3, 2022 · Pre-eclampsia complicates 2-8% of all pregnancies worldwide. Gestational diabetes is high blood sugar (glucose) that develops during pregnancy and usually disappears after giving birth. It occurs when women who are pregnant have an increase in blood pressure along with signs of organ damage (most often to the kidneys or liver, but sometimes the lungs or other organs). Your doctor may need to induce labor if your water breaks Chronic Hypertension in Pregnancy. While any pregnancy complication is concerning, there's good news. It usually occurs after 20 weeks of pregnancy. Apr 19, 2022 · What causes high blood pressure during pregnancy? It's not always clear what causes high blood pressure during pregnancy, but risk factors include: Age (the older you are, the higher the risk. Feb 29, 2024 · The ideal blood pressure goal can vary with age and health conditions, particularly if you're older than age 65. High BP usually doesn’t cause symptoms until it's very high, so you need to get it checked at each antenatal visit, as well as your urine protein levels. Preeclampsia can lead to eclampsia. It can lead to serious complications for both mother and baby, such as preeclampsia, eclampsia, or HELLP syndrome. Complications for the baby include low birth weight, early birth, and stillbirth. Dec 15, 2021 · High blood pressure, or hypertension, during pregnancy is a major cause of complications and death for mothers and their babies, and it increases women's short- and long-term risks for cardiovascular disease. That’s why it’s so important to regularly see your doctor, who can monitor symptoms and, if necessary, order tests to make a definitive diagnosis. Preeclampsia in pregnancy can damage organs in your body and can cause health risks for your baby. Preeclampsia is a form of hypertension that affects women in the second half of pregnancy. Elevated liver enzymes showing an impaired liver. It is high blood pressure that you have before pregnancy or during the first half of your pregnancy. About 287 000 women died during and following pregnancy and childbirth in 2020. Preeclampsia can also cause a decrease in the number of blood cells called platelets and damage to the placenta, the Pre-eclampsia. The condition causes high blood pressure, leads to high protein levels in the urine, and High blood pressure during pregnancy can be caused by various factors, such as obesity, diabetes, or pre-existing conditions. High blood pressure can put extra stress on your organs. In the second and third trimesters, among the possible causes are placenta previa, placental abruption, vasa previa, preterm labor, or a coagulation disorder. Placental abruption: The placenta detaches from the uterus before the baby is born. But you may have no symptoms. This condition is serious. The average blood pressure range, if you’re healthy, is between 90/60 and 120/80 , although this varies a lot in pregnancy. Nausea and vomiting. Multiples. Preeclampsia leads to high blood pressure (hypertension) and proteinuria (high levels of protein in your pee). There is little knowledge about the physiological impacts of d … Feb 23, 2024 · Takeaway. HELLP Syndrome: A severe type of preeclampsia. This is because during the first trimester pregnant woman make 50% more blood (to help feed the fetus) than when they are not pregnant. May 8, 2024 · Healthy Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins is crucial. It can also lead to clotting issues that may affect organs, such as the liver and kidneys Jan 2, 2024 · Those with gestational hypertension have high blood pressure that develops in the second half of pregnancy, after 20 weeks. Mar 24, 2023 · High blood pressure taxes the blood vessels, which in turn decreases blood flow to the liver, kidneys, brain, heart, lungs, uterus and placenta. However, premature detachment of the placenta cannot be prevented or anticipated. But in some cases, it occurs earlier, or after delivery. Read the Committee Opinion. Pregnancy-induced hypertension: This is high blood pressure diagnosed after 20 weeks of pregnancy. Mothers with all forms of hypertension will need to be monitored closely. It can happen at any stage of pregnancy, but is more common in the second or third trimester. Organ damage: Kidney and liver damage can occur in preeclampsia. Jun 29, 2023 · Readings below 90/60 mm Hg indicate low blood pressure, or hypotension. Pre-eclampsia: Pre-eclampsia is a serious condition that only occurs in pregnancy. advancing maternal age, increased pre-pregnancy weight). Jul 5, 2023 · Preeclampsia is a rare but serious condition that occurs during pregnancy or soon after giving birth. placental separation from the uterus. Pre-eclampsia is a serious medical condition that can happen during pregnancy. preeclampsia. Preeclampsia: High blood pressure and protein in your urine during pregnancy. Causes of this type of high blood pressure include different medical conditions or a medication you’re taking. Total blood volume doubles during pregnancy, putting additional strain on the blood vessels. Premature labor. Shortness of breath. Seizures: Very high blood pressure can cause swelling in the brain leading to seizures. You may have seizures. If left untreated, it can cause kidney failure, stroke, heart attack, even heart failure. Also called hypertension. May 29, 2024 · During pregnancy, high blood pressure can cause problems for you and your baby. Apr 5, 2022 · gestational diabetes. Chronic hypertension with superimposed preeclampsia. High blood pressure during pregnancy is common, and it can affect both the mother and baby. A few women develop high blood pressure Feb 15, 2023 · Summary. org Sep 7, 2023 · Hypertension occurs when the force exerted against artery walls is abnormally high. The signs of preeclampsia are high blood pressure, protein in urine and sudden excessive swelling of the face, hands and feet. High blood pressure during pregnancy, also known as preeclampsia or gestational hypertension, is a condition that can develop at any time during pregnancy. It is a problem with the placenta that usually causes your blood pressure to rise. If you have high blood pressure, talk to your healthcare provider. The higher the blood pressure numbers, the greater the risk. Preeclampsia is defined by high blood pressure and the presence Oct 28, 2021 · Preeclampsia generally happens after 20 weeks of pregnancy. But this can take time. The HELLP syndrome consists of hemolysis (the breakdown of red blood cells), elevated levels of liver enzymes (indicating liver damage), and a low platelet count, making blood less able to clot and increasing the risk of bleeding during and after labor. Most pregnant women experience a lower blood pressure than usual during their second trimester. Over time, elevated pressure can cause a wide range of problems. 9–1. Large amounts of protein in the urine may indicate that your kidneys are not functioning normally. However, the condition not only causes high blood pressure but can also affect multiple The HELLP syndrome consists of hemolysis (the breakdown of red blood cells), elevated levels of liver enzymes (indicating liver damage), and a low platelet count, making blood less able to clot and increasing the risk of bleeding during and after labor. Jan 31, 2017 · Preeclampsia (pree-i-KLAMP-see-uh) and eclampsia (ih-KLAMP-see-uh) are pregnancy-related high blood pressure disorders. Although, in some people, preeclampsia can be diagnosed in the absence of proteinuria. clevelandclinic. High blood pressure during pregnancy may keep the baby from getting enough nutrients and oxygen. As well as high blood pressure, it can also affect the kidneys, liver, blood and brain. High blood pressure during pregnancy can cause complications for the mother and the baby including preeclampsia, preterm birth and placental abruption. Rh incompatibility. High blood pressure detected before 20 weeks of pregnancy indicates chronic hypertension, which may turn severe, preeclampsia and eclampsia. Decreased urination. If you have hypertension, or are at risk of it, we offer specialist care to help look after you and your baby during your pregnancy. Vaginal bleeding. If hypertension is not managed, your blood pressure can increase. Unlike other types of high blood pressure, it won’t go away after you give birth, but it can be managed. It is accompanied by protein in the urine. Pre-eclampsia causes high blood pressure and can affect several of your body organs, including your: If pre-eclampsia is not treated, it can lead to serious problems for you and your baby. Blood pressure readings contain two numbers: The top Feb 15, 2023 · Preventing High Blood Pressure During Pregnancy. It occurs along with protein in your urine (pee) or evidence of organ damage. Preeclampsia: Preeclampsia is a serious blood pressure disorder that can happen in pregnancy. Small bulges, called aneurysms, may form in Jun 17, 2023 · Yet headaches during pregnancy may be a sign of preeclampsia, which can lead to a potentially fatal condition with high blood pressure and other complications. Talk to your doctor about any blood pressure issues you have. These problems can be life-threatening to you and your baby. Proteinuria: Presence of excess protein in the urine is a common symptom of gestational hypertension. Mar 8, 2024 · The only way you can confirm postpartum hypertension is by measuring your blood pressure. Usually, the patient's blood pressure levels off after delivery. Sometimes high blood pressure during pregnancy is a first sign of preeclampsia. Mar 27, 2023 · High blood pressure problems in pregnancy remain an important cause of maternal death in the United States. Preeclampsia impacts between 5 and 7% of the obstetrical population and can occur after 20 weeks of gestation as well as during the postpartum period. With this condition, high Dec 30, 2022 · High blood pressure during pregnancy, also known as gestational hypertension, is a common condition that occurs when a woman’s blood pressure increases during pregnancy. The diagnosis includes gestational hypertension in addition to symptoms. Pregnant women with high blood pressure are at risk of preterm birth Dec 1, 2023 · Pregnancy-related high blood pressure is a common condition worldwide. Poor fetal development. By definition, the condition also involves the presence of protein in the urine above a certain threshold. Maintain a healthy weight – Try to start your pregnancy at a healthy weight Feb 19, 2024 · In the first trimester, possible causes include implantation bleeding, miscarriage, ectopic pregnancy, and infection. During pregnancy, women with high blood pressure are monitored closely to make sure blood Here is a list of pregnancy complicationsthat may lead to bed rest: High blood pressure, such as preeclampsia or eclampsia. This could limit the baby's growth. It can also happen after pregnancy (called postpartum preeclampsia). People with preeclampsia experience high blood pressure, protein in their pee, swelling, headaches and blurred vision. History of pregnancy loss, stillbirth, or premature birth. Readings above 140/90 mm Hg in pregnancy indicate high blood pressure, or hypertension. If you took blood pressure medicine before you became pregnant—even if your blood pressure is normal—you have chronic high blood pressure. High blood pressure can also cause the placenta to pull away from the uterus too soon If you feel up to it—or there is someone around to help—get some water and a salty snack. It can cause preterm delivery (premature birth that occurs before 37 weeks of pregnancy), low birth weight (baby weighs less than 5 pounds, 8 ounces at birth), fetal growth restriction, fetal death, and neonatal death. Preeclampsia Information for Patients What are the symptoms of Preeclampsia? Feb 23, 2021 · What causes high blood pressure? During pregnancy, existing high blood pressure can get worse and new blood pressure issues can develop. Stress: High-stress situations can cause a temporary rise in blood pressure levels. Examples include: Conditions during pregnancy related to high blood pressure, such as preeclampsia. Apr 9, 2022 · Gestational diabetes causes high blood sugar that can affect your pregnancy and your baby's health. Each time a pregnant woman sees her doctor for a prenatal visit, her blood pressure is checked. This is probably due to the circulatory system, as blood vessels expand to let blood flow to the uterus May 26, 2022 · Blurry vision can be a sign of: Gestational diabetes: Abnormally high blood sugar during pregnancy in people who don’t have a history of diabetes. In preeclampsia, the mother’s high blood pressure reduces the blood supply to the fetus, which may get less oxygen and fewer nutrients. Limiting processed foods and excessive salt intake can also help maintain healthy blood pressure levels. Seizures are episodes of shaking, confusion and disorientation caused by abnormal brain activity. You may have significant swelling in your legs and sometimes your arms and face. It can also occur in the weeks after pregnancy. Mar 22, 2023 · 3 min read. Information for Patients; Information for Medical Professionals; To learn more, see our video about preeclampsia. Symptoms of postpartum preeclampsia, on the other hand, may include high blood pressure along with High blood pressure during pregnancy can cause serious problems for you and your baby. During pregnancy, women with high blood pressure are monitored closely to make sure blood May 1, 2023 · Causes of this more common type of high blood pressure (about 90% of all adult cases in the U. Preeclampsia is a condition that causes high blood pressure during pregnancy or in the days and weeks after you give birth. Eclampsia, however, has declined due to improved prenatal care, and Mar 5, 2024 · High blood pressure is traditionally defined as blood pressure of 140/90 or greater, measured on two separate occasions at least four hours apart. Its cause is unknown, but risk factors include first-time pregnancy, previous preeclampsia, family history of preeclampsia, multiple pregnancy (twins, triplets, etc. ) include aging and lifestyle factors like not getting enough exercise. About 1 in 10 women have high blood pressure during pregnancy. This can lead to heart attack, heart failure, stroke and kidney failure. It also increases the risk for preterm delivery and low birthweight. 5% of pregnant women and may result in significant maternal, fetal, and neonatal morbidity and mortality. Other signs of kidney problems. Preeclampsia usually begins after the 20th week of pregnancy. These drugs help remove sodium and water from the body. Some people have high blood pressure before they get pregnant. High blood pressure can, in rare cases, lead to pre-eclampsia. Many symptoms of preeclampsia, like weight gain and edema, can be normal in a perfectly healthy pregnancy. This is high blood pressure that starts in the second or third trimester. They are often the first medicines used to treat high blood pressure. It may also mean you have kidney disease that needs to be treated. About 1 in 5 cases of HELLP syndrome occur without elevated blood pressure or protein in your urine. Headache (often severe). Sustainable Development Goal (SDG) regions and sub-regions are used here. Gestational hypertension: High blood pressure (of at least 140/90 mmHG) that begins after week 20 of pregnancy. During pregnancy you can help control gestational diabetes by eating healthy foods, exercising and, if necessary, taking medication. The condition is directly related to hypertension and likewise develops around the twentieth week of the pregnancy. Preeclampsia is a similar condition that develops during pregnancy and typically resolves with the birth of the baby. If your blood pressure rises to 140/90mmHg or more after 20 weeks of pregnancy, this could be due to one of two conditions, gestational hypertension (sometimes called pregnancy-induced hypertension) or pre-eclampsia. Sep 5, 2018 · Nasal congestion occurs in up to 42% women during pregnancy and can cause snoring. Apr 26, 2024 · Maternal mortality is unacceptably high. Feb 25, 2023 · Preeclampsia is a rare, dangerous form of high blood pressure that can happen during and after pregnancy. HELLP stands for h emolysis, e levated l iver enzymes, and l ow p latelet count. However, low blood pressure, known as hypotension, can affect pregnancy, and underlying conditions that cause it may affect fertility. gj ti cm oo za xg nq ir fc cw