Gestoz of pregnant women
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Gestoz of pregnant women

At most of women toxicosis safely passes by 15th week of pregnancy, practically without leaving consequences. But there is also another, heavier and dangerous both for the pregnant woman, and for a fruit, a form – gestoz. Developing in the second half of pregnancy, gestoz breaks physiological course of processes of food, growth and development of a fruit.
InfoAdvisor.net already told about one of complications on early terms of pregnancy – toxicosis. At most of women this pathological state safely passes by 15th week of pregnancy, practically without leaving consequences. But there is also another, heavier and dangerous both for the pregnant woman, and for a fruit, a form – gestoz. Developing in the second half of pregnancy, gestoz breaks physiological course of processes of food, growth and development of a fruit and, often, promotes premature birth.

Early signs of a gestoz

Измерение артериального давления у беременной They are allocated not for nothing. First, the gynecologist has to suspect not absolutely physiologic course of pregnancy. Secondly, the woman, having any deviations in a state of health before pregnancy, has to treat twice seriously herself during this important period of life.
So, during each visit of the gynecologist the woman is weighed, measure arterial pressure and check results of analyses of urine and blood. These are fast, but very important stages of control of the general condition of the pregnant woman. After all gestoz has three main manifestations: with firmness the increased arterial pressure (AP), existence of a large amount of protein in urine and hypostases. And if many are inclined to refer the last manifestation to venous insufficiency or diseases of cardiovascular system, to ignore high the HELL or protein in urine (proteinuria) will not turn out any more.
The health of the woman at first is broken slightly: it can carry dizzinesses, headaches and even thirst to the stuffy working room, after all the maternity leave begins only with 30 weeks of pregnancy. Gradually, in the absence of medical assistance, the state can worsen. Quite often women address with complaints to decrease of the activity of a fruit – in the second half of pregnancy of stir have to be rather distinct.

Confirmation of the diagnosis

As that confirmation is not required – for themselves tell also "bad" analyses of urine with protein content to several grams (in norm its quantity should not exceed 0,033 g/l), and deterioration of the general condition of the pregnant woman, and systolic arterial pressure to 150 mm Hg.
If in the first half of pregnancy the woman had pronounced toxicosis, vigilance of the gynecologist remains and in the second half as it is the main harbinger of a gestoz.
In obstetric practice it is noticed that gestoza develop at pregnant women a large fruit, at a mnogovodiya or polycarpous pregnancy more often.

Severity of a gestoz

Гестоз  беременных Doctors, in turn, mark out some severity of a gestoz for faster diagnostics of progressing of a state.
The 1st severity or easy gestoz is shown by a nephropathy of the 1st degree and quickly enough passes – only 2-3 weeks. However nobody cancelled treatment in the conditions of office of pathology of pregnancy.
The 2nd severity can proceed about one month, is shown by a nephropathy of the 2nd degree and considerably threatens a condition of a fruit. Treatment also takes place under control of office of pathology of pregnancy. And doctors resolve an issue of opportunity and need of preservation of pregnancy or the emergency rodorazresheniye.
Progressing gestoz does not leave possibility of further incubation of the child and is the direct indication to a fast rodorazresheniye.
At development of a preeklampsiya the nephrotic syndrome is expressed very brightly, and the woman needs immediate hospitalization with the subsequent rodorazresheniye.
Eklampsiya – the most serious condition developing quickly enough and directly menacing to life of the pregnant woman. Its main manifestation – the spasms which are followed or polyorgan insufficiency (hepatic, kidney, brain), or insufficiency of separate system. It is natural that doctors will try to save life to the woman therefore the rodorazresheniye in this case is part of resuscitation actions.
As that confirmation is not required – for themselves tell also "bad" analyses of urine with protein content to several grams (in norm its quantity should not exceed 0,033g/l), and deterioration of the general condition of the pregnant woman, and systolic arterial pressure to 150 mm of mercury.
If in the first half of pregnancy the woman had pronounced toxicosis, vigilance of the gynecologist remains and in the second half as it is the main harbinger of a gestoz.
In obstetric practice it is noticed that gestoza develop at pregnant women a large fruit, at a mnogovodiya or polycarpous pregnancy more often.

To be on the lookout

Беременная женщина на приеме у врача More profound knowledge about process of formation and development of a gestoz is not necessary to the pregnant woman at all. It is much more important to warn this terrible pathology.
Above we already spoke about the integral stages of inspection during pregnancy in female consultation. Now we will discuss them in more detail.
1. Whether were at you before pregnancy of "gallop" of pressure or a meteopatiya (dependence of a state of health on weather conditions)? If the similar took place to be, during pregnancy gestoz easy degree you can quietly refer to weather cataclysms and pass the moment of formation of pathology. Therefore measurement of arterial pressure and its fixation – important components of your health. For more convenient assessment of the level of pressure Mirsovetov suggests to use a formula: The HELL an average = (the GARDEN + 2DAD) / 3, where the GARDEN – systolic (top) arterial pressure, DAD – diastolic arterial pressure.
In norm the healthy pregnant woman average arterial pressure will have no more than 100 mm of mercury. Its increase more than on 10 mm of mercury. testifies to development of pathology.
2. If you for months of pregnancy added to 8 kg, and a week later understood that cannot clasp any clothes, do not hurry to draw conclusions about the sudden growth of a fruit. Carefully examine the feet (or resort to the help of the husband or girlfriend). Whether small veins on an instep are visible? If they are not distinguishable, and feet are similar to pillows, address to the gynecologist and start keeping the second diary (the first – arterial pressure). It is necessary to reflect amount of the liquid drunk in a day and amount of the emitted urine in it.
TimeIt is drunk/is eatenIt is allocated urine
...
...
Interpret results as follows: the amount of the drunk liquid has to exceed amount of the emitted urine no more, than on the one tenth part. The considerable difference with overweight of amount of the drunk liquid indicates the latent hypostases and dysfunction of kidneys.
3. Whether good you have a sight? If you never had short-sightedness, far-sightedness or other diseases of the visual device, sight deterioration (is more often gradual) is a symptom of pathology of an eye bottom. At initial stages of change in eye day are insignificant, but the angiopatiya and hypostasis of a retina gradually develops (at the beginning of a preeklampsiya).
Special oftalmoskopichesky research is conducted for the purpose of diagnostics of a condition of intra cranial vessels and reveals the pathology which is localized in eye day. Therefore also the sight needs to pay sufficient attention.
Besides above-mentioned easiest ways to distinguish and control a current of a gestoz, there are also other, laboratory methods of research.
Biochemical blood test can tell a lot of things about a condition of an organism of the pregnant woman. For example, for diagnostics of severity of a gestoz define proteinaceous composition of plasma of blood (after all protein thus is lost in large numbers together with urine). It is not recommended to do biochemical blood test often, but it is better not to pass, whenever possible, specified terms.

At many women that fact still arouses indignation that obstetricians-gynecologists seek to rescue in case of emergency at first mother, and already then her child. In situations when the preeklampsiya or an eklampsiya develop promptly, the fruit is regarded as a provocative factor therefore the rodorazresheniye acts as the first stage of the urgent help. But it does not mean at all that in attempt to rescue the woman in labor, doctors will forget about her child. Right after the birth the kid is transferred to skilled neonatologa and receives due care, attention and, if necessary, treatment.
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