Friday, April 4, 2008

Chronic nephritis and the relationship between pregnancy

Generally speaking, the activities of chronic nephritis, chronic nephritis with strict child hypertension, chronic renal insufficiency fertility of women not because of the treatment of chronic nephritis resort is of great significance. Fuyu pregnancy can protracted illness, or even worsening of the illness, the rapid decline of renal function. Chronic nephritis activity period, that is in addition to protein in urine, there is more red blood cells, white blood cell, the type of blood test that reduced complement C3, said that an unstable condition, the immune response are still active, at this time of pregnancy fiery Shangjiao oil, to worsening of the illness.
A large number of chronic nephritis proteinuria not pregnancy, pregnancy may decline to plasma albumin, and lead to serious edema, increased blood volume, high blood pressure can lead to heart failure.
Patients with blood pressure greater than 150/100 mm Hg, not fertility, pregnancy such patients prone pregnancy-induced hypertension, can cause hypertensive encephalopathy, eclampsia, stillbirth, but also can cause heart failure, acute renal failure, postpartum hemorrhage the incidence is also high.
Chronic nephritis with chronic renal insufficiency, not fertility. Renal dysfunction women after pregnancy, and kidney may be overburdened in renal failure, a uremia, life-threatening. However, not all women are not chronic nephritis fertility, depending on the type of nephritis, and the severity of the conditions, circumstances and renal decision.
Some nephritis patients, such as occult chronic nephritis, nephrotic mild type, only a small amount of proteinuria, hypertension, renal dysfunction without, in the strict medical supervision can be allowed to observe the pregnancy. These patients must be regularly checked urine, blood pressure, and examine renal function, especially in the latter part of pregnancy should check 2nd weekly urine routine, daily blood pressure measurement, a check every 1-2 weeks renal function. If there is a substantial increase of urine protein and blood pressure significantly increased trend of decreased renal function should be the timely termination of a pregnancy.
After the pregnancy in patients with chronic glomerulonephritis, it is necessary to pay more attention to life conditioning, Bao Wang adequate rest and sleep. To be reasonable diet, guaranteed nutrition, adequate vitamin supplement to enhance physical fitness, reduce the chances of infection. Cold and warm attention should be paid to prevent upper respiratory tract infection, perineal attention to cleaning, to avoid sexual life, the opportunity to reduce urinary tract infection. Attention should be paid to early treatment of skin clean and dental caries.
Pregnant women with chronic nephritis, if edema, high blood pressure, should be strictly restricted salt intake, rest assured, and added protein and essential amino acids, and correct hypoproteinemia. For high blood pressure, should be selected on renal blood flow had no effect on blood pressure drugs, such as nifedipine, such as captopril. To avoid the use of kidney damage drugs such as gentamycin, streptomycin, kanamycin, sulfonamides medicines, such as aspirin.
Harmonious family life, marital solicitude and care is conducive to the stability and chronic nephritis rehabilitation. Laoyijiege attention, the law of life, sex life should be modest, bogey over exertion. For Concealed nephritis patients, long-term use of some Bushen Gujing Chinese medicine, Ruzuo naturalization pills, Liuweidihuangwan to increase Buzhongyiqi pills, the stabilization benefits.

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