Preeclampsia pregnant - the complexity of the problem

Preeclampsia pregnant - the complexity of the problem
Signs

preeclampsia pregnant Pregnancy may be complicated by the development of a complex multi-organ failure, called preeclampsia during pregnancy. Recently, there was a trend to an increase in the frequency of this pathology. Preeclampsia is a leading cause of maternal and perinatal mortality, which determines the need for timely diagnosis and treatment of the complex.

Influence of somatic diseases on the development of preeclampsia

Is not fully understood all the mechanisms that lead to the development of preeclampsia. Pregnancy complications has multiple causes of development, all of them quite complex. Great importance is attached to the presence of extragenital pathology against which pregnancy. Impact of comorbidity on the part of various body systems related to major risk factor for the pathological condition. It should be emphasized that the following diseases, with the highest value as a risk factor:

Pathology of the urinary system, the kidneys. The presence of renal disease has been confirmed in nearly 80% of pregnant women diagnosed with preeclampsia as a result of renal biopsy
metabolic diseases, endocrine pathology
vascular disease, such as varicose veins or venous insufficiency
confirmed the presence of hypertension before pregnancy
autoimmune disease

Experts so far can not pinpoint a specific trigger the development of preeclampsia. It is known that the leading factor is vasospasm, having generalized nature. According to recent figures laying the foundations of the disease begins in early pregnancy.

Prevention of preeclampsia is that the pregnancy is at a favorable background. A woman must pass a comprehensive examination in advance from specialist doctors (general practitioner, dentist, otolaryngologist), in the event of detection of disease to receive the necessary treatment before pregnancy. Status premorbid background expectant mother is the key to successful carrying a pregnancy in terms of the absence of complications. These three are the main specialty, consultation with other specialists related specialties are assigned according to indications.

How to avoid polypharmacy

Preeclampsia can be characterized by a variety of clinical manifestations, it is not possible to allocate pathognomonic symptoms unique to this state. There is a classic triad of symptoms (complaints of edema, high blood pressure and the appearance in the overall analysis of urine protein), the development of which arise from the same causal factors. Only on the basis of the presence of one symptom can not be reliably talk about preeclampsia.

Pregnant is often a swelling of the feet at the end of the day, especially after a long walk. If the swelling go away after a night's sleep, their presence can not be a reason to put the diagnosis of preeclampsia pregnant. In appointing the unjustified treatment can expect the development of adverse events and serious complications, so you should try to avoid polypharmacy.

To begin the treatment of preeclampsia is possible only with a confirmed diagnosis. The amount of therapy is determined by the severity of pathological changes. If you are pregnant isolated swelling or mild preeclampsia, the treatment can be held in a women's clinic or day hospital. In all other cases, the woman should be admitted to a specialized obstetric hospital department. At each stage of the pathological condition may be a fixed amount of the appointment and the volume of liquid medication that is injected pregnant.

Scale assessment

Preeclampsia can clinically manifest as monosimptoma hypertension or in combination with edema and characteristic laboratory changes. Early symptoms is the presence of persistent edema. Swelling can be overt or covert, which can be determined by special tests. If a pregnant swelling persist for a long time, and they do not lend themselves to methods of therapy, almost 90% of cases develop in the later stages of preeclampsia. The first sign of the presence of edema may be impossible to remove the ring How to remove a ring from swollen finger: effective ways (or positive symptom "ring"). This symptom should pay attention, because its appearance can be a harbinger of pregnancy complications.

If preeclampsia is monosimtomnym and proceeds in the form of hypertension, it is necessary to properly assess the condition compared to baseline figures of pressure before pregnancy:

numbers if the exponents exceeds the baseline blood pressure to 30%, it is considered mild hypertension (or I) according to severity
for the second degree characteristic parameters exceed 40%
if it detects a rise of more than 40%, this corresponds to the third level

To assess the severity of preeclampsia, it is necessary to take advantage of the developed point scale of severity. For this system, each of its symptoms is presented in the evaluation points. Consider the presence of edema, the amount of protein in the urine analysis, blood pressure. It is important, at what stage of pregnancy the symptoms appeared, and what a woman has a common disease. A doctor examines a pregnant and survey puts the total amount of points, which will determine the severity of the pathological process. Mild corresponds to 7 points. If the total number exceeds 12 points, the degree of severity of preeclampsia is severe. This system is a convenient assessment of the severity of the practical application, but for the diagnosis of hypertensive conditions during pregnancy, it will be a little reasonable.