Thursday, June 19, 2008
Pregnancy should pay attention to kidney disease
Pregnant women after the body of the system function will be a lot of changes, some of which are physiological changes, some of it is the performance of the disease. Pregnancy after a kidney compensatory volume increased uterine increasing pressure after the ureter, the lamp can cause kidney, renal pelvis and ureter expansion; glomerular filtration rate and the plasma flow have increased in the urine in a small number of protein and sugar, etc. . It is important to note, kidney disease during pregnancy is very easy. How can we know whether the infected pregnant after a kidney? »Is actually very simple, as long as attention to the changes in physical condition to the hospital and regular medical check-ups, can be resolved. After the pregnancy weight gain is normal, but do not increase too much if the original normal blood pressure, elevated blood pressure after pregnancy, and certainly is not normal; carry out regular checks of urine, according to the protein in urine, red blood cells, Nongxi Bao, Can be diagnosed with any disease. According to experts, should be noted are: (1) Beware of a urinary tract infection: fetal growth and development in the womb, increasing day by day, an inevitable oppression nearby organs, such as the bladder, rectum, ureter, urine from the poor, in retention, it is easy to have bacterial growth, Propagation. If the pregnancy after the fever, back pain, Niaotong, increased urination frequency, are often the symptoms of urinary tract infection. From the early stages of pregnancy, they should check regularly to the hospital urine, do regular urine culture, according to cultivated species of bacteria and on which drug-sensitive, choose the most effective antibiotics, a thorough treatment. Of course, the choice of drugs and the need for fetal kidney without any side effects. Some drugs such as gentamycin, kanamycin, streptomycin, a large number of long-term cause of acute kidney damage, the disease can be serious when people no urine, general edema, high blood pressure, can develop into acute uremia; Likewise, the drugs will enter the fetal body so that the child was born after the deaf, hearing loss, but difficult to cure, the application should be particularly careful. A small number of people pyelonephritis pregnant after repeated attacks, Chinese medicine, Western medicine can not effectively control the infection, can gradually develop into chronic pyelonephritis. For this situation, first of all should pay attention to the diagnosis is correct, whether there are kidney stones, kidney or ureter, and other deformities, attention should be paid to other types of antibiotics and effective dose is correct. Can be a combination of two or more antibiotics. With Chinese medicine treatment, the better. Pregnant women after three months, often in the urine or burning more sense to check urine normal, it is because the womb grew up oppression caused by the bladder, called the bladder to stimulate medical symptoms. This situation does not require treatment. Of course, have to go to the hospital for an examination of conventional urine, urine culture at the same time do everything it can be considered normal physiological phenomenon, not negligence, so as not to delay treatment. (2) guard against pregnancy-induced kidney disease: This is the most serious in pregnant women against a disease, in a high incidence of pregnant women, young mothers and the beginning of the beginning of the high maternal are多见. In addition, any excess amniotic fluid, multiple births, mole, those with hypertension or renal disease in pregnant women, can easily get sick. According to the severity of clinical performance for the edema of pregnancy, pregnancy-induced hypertension, mild pre-eclampsia, severe preeclampsia, mainly for proteinuria, edema, hypertension, weight may be associated with headache and visual were unclear, vomiting, convulsion, Coma, a high mortality rate. If early diagnosis and prompt treatment can prevent disease progression. Pregnant women in general about six months, the two began to lower extremities, dorsal foot edema, should immediately to the hospital for an examination of urine. If a protein in urine, blood pressure began to increase that has occurred in pregnancy toxic kidney disease. At this time we must bed rest, strict observation of edema, blood pressure, proteinuria development and kidney function, appropriate restrictions on water intake and salt. Oral diuretics such as the Cypriot dihydrochloride grams of urine, such as furosemide, at the same time preserve oral Jiabing sulphur acid tablets, to be effective in lowering blood pressure, reduce swelling, prevent heart and brain damage. Can also be oral propranolol to slow down heart rate. It is necessary to strengthen nutrition, for a variety of vitamins. Serious condition, to be hospitalized.
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