2017年3月5日星期日

Nephrotic patients are pregnant, the emergence of these symptoms should be immediately treated

Female patients with kidney disease to be pregnant, although the need to meet the standard (protein negative after a year) Caixing, but in real life there are still many fertility female patients risk pregnancy.

So, this time we come to talk about how to remedy: in the disease is not stable, what pregnancy need to pay attention to it?

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Pregnancy - induced hypertension

Pregnancy-induced hypertension: blood pressure up to ≥ 140 / 90mmHg, or blood pressure before pregnancy or early pregnancy blood pressure ≥ 25 / 15mmHg, at least twice, interval 6 hours.

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Pregnancy-induced hypertension is a common symptom during pregnancy, and this phenomenon occurs more than six months after pregnancy.
It should be noted that a class of antihypertensive drugs: angiotensin converting enzyme inhibitors, that is, the name of "Puli" antihypertensive drugs, such as captopril, enalapril, benazepril and so on.
Because these drugs have damage to the fetus, it should be banned in pregnant women.


Large amounts of proteinuria

During pregnancy, renal blood flow and glomerular filtration rate increased significantly, increased burden on the kidneys, combined with hormonal changes during pregnancy, these are not a small test for the kidneys.
Nephrotic patients themselves are extremely fragile kidneys, which may produce large amounts of proteinuria at this time. With the increase in proteinuria, hypoproteinemia, severe edema can occur.
Need to pay attention to the hormone, because the hormone may cause fetal dysplasia, deformity, abortion, leading to fetal cardiovascular problems and so on.

Must use the words of hormones, it is recommended to use prednisone, the impact will be smaller. Avoid the use of other hormones that can harm the fetus through the placenta.

If you find a sharp decline in renal function, or severe chest and ascites, need to terminate the pregnancy; if the disease in the controllable range, the postpartum need to go to the Department of renal medicine treatment, so as to continue to deteriorate the condition.

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