Sunday, March 2, 2008

During pregnancy susceptible to kidney disease

Pregnant women after The physiological function of body systems will be great changes, some of which are physiological changes, and still others are diseases performance. Pregnancy, a compensatory renal volume increased after hysterectomy increased oppression ureter, the lights can cause kidney, renal pelvis, ureter expansion; glomerular filtration rate and plasma flow are increased in a small amount of urine protein and sugar, etc. . Special attention is required, kidney disease during pregnancy easily. How can we know whether the disease after pregnancy kidney? In fact, very simple, as long as attention to the changes in physical condition to the hospital and regular physical examinations, it can be resolved. After pregnancy weight gain is normal, but do not increase too much if the original normal blood pressure, elevated blood pressure after a pregnancy is certainly not normal; carry out regular checks of urine, according to the protein in the urine, red blood cells, the type, septic such cells can be diagnosed with any disease.
(1) a urinary tract infection beware: fetal growth and development in the womb, a daily increase inevitable oppression adjacent organs, such as the bladder, rectum, ureter, urinary from impeded, in retention, it is susceptible to bacterial growth, Propagation. If the pregnancy fever, low back pain,increased frequency of urination, urinary tract infection is often the symptoms.
From the beginning of pregnancy, it should regularly to the hospital to check urine, conventional urine culture done, according to the types of bacteria culture from which drugs and sensitive to choose the most effective antibiotics, a thorough treatment. Of course, the drug use must be no fetal and kidney toxicity. Some drugs such as gentamycin, kanamycin, streptomycin, long-term large-scale application will cause acute kidney damage, serious people can no urine disease, systemic edema, hypertension, acute can be developed into uremia; Similarly, the drug will enter the fetal body so that the child after birth deafness, hearing loss, but difficult to cure, especially when applied carefully.
After a few pregnant recurrent pyelonephritis, Chinese medicine, Western medicine can be effective in controlling infection, can gradually develop into chronic pyelonephritis. In such cases, should first of all pay attention to the diagnosis is correct, whether kidney stones, kidney or ureter deformity, and so on, we should pay attention to other types of antibiotic dose is correct and effective. Can the combination of two or more antibiotics. With Chinese medicine treatment and the results better.
Women pregnant three months later, often in the increased urine or hot flu, check urine normal, it is because the uterus grow up oppression caused by the bladder, called bladder stimulation medical symptoms. This situation does not require treatment. Of course, must go to the hospital for an examination of conventional urine, urine culture at the same time doing everything it can be considered normal physiological phenomenon, can not be negligent in order not to delay treatment.
(2) guard against pregnancy-induced renal disease: This is the most serious harm pregnant women a disease, in a high incidence of pregnant women, young mothers and the beginning of the beginning of the high maternal are common. In addition, any excess amniotic fluid, multiple births, hydatidiform mole, those with hypertension or renal diseases, pregnant women, it tends to get sick. According to the severity, the clinical manifestations of pregnancy edema and pregnancy-induced hypertension, mild pre-eclampsia, severe pre-eclampsia, and so is reflected mainly in proteinuria, edema, hypertension, weight may be associated with headache and visual were unclear, vomiting, convulsion, coma, a high fatality rate. If early diagnosis and prompt treatment can prevent the development of disease.
Generally women pregnant for about six months beginning in the two lower extremities, dorsal foot edema, should immediately went to the hospital to check urine. If a protein in urine, blood pressure began to increase that has occurred pregnancy toxic kidney disease. At this time must bed rest and strict observation of edema, blood pressure, proteinuria and renal development, appropriate restrictions on water intake and salt. Oral diuretic drugs such as urine Cypriot dihydrochloride grams, furosemide, while captopril oral sulfuric acid tablets, which can effectively lower blood pressure, reduce edema and prevent heart and brain damage. Can oral propranolol to slow down the heart rate. It is necessary to strengthen nutrition, for a variety of vitamins. In critical condition, it is necessary to hospitalization.
(3) terrible acute renal failure during pregnancy: prenatal timely because in recent years to the hospital for medical checkup, pregnant women living standards and constantly improve health status, as well as perinatal health work, the incidence of infectious abortion numbers less and less, the incidence of the disease also begin to decline. In the causes of maternal deaths in pregnancy is a part of acute renal failure. In the beginning of three months of pregnancy at the end of three months and the incidence easy is generally believed that pregnancy 10 a 12 week later 34-40 weeks, the peak period for the illness, because more than abortion, pregnancy-induced hypertension, preeclampsia, eclampsia, and other cause. Some because placental abruption, amniotic fluid embolism, hemorrhage caused.
Pregnancy within edema, hypertension and proteinuria, three dangerous signal, the three ready is even more dangerous. Once edema, hypertension and urinary protein have increased, then there oliguria and renal dysfunction, acidosis, and so on, that has become acute renal failure. In addition to drug treatment, the need for artificial kidney dialysis therapy, in order to save the patient's life. If urine output continued to decline, the prognosis is very poor.

No comments: