Pregnant nephropathy is a complex process of diffuse damage to the renal function. Develops in the photo of toxicosis in the third semester of pregnancy. Exacerbated at the time of the birth process or after interruption.
Rysk Factors:
hypertension;
chronic pyelonephritis;
chronic glomerulonephritis;
diabetes of various genesis;
anemia.
Typically, nephropathy in pregnant women occurs after 21 weeks of pregnancy. Initially, gradual phenomena of hypertension with stably increasing indicators are observed. The diastolic rises more often, and the indicators of systole change in the trace of it. Here we need a biochemical test of blood and decryption
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Every day the amount of protein in the urine increases. Proteinouria begins with low indicator (0.2-0.6 g/l), then rising to very high marks. In the extreme stage, preeclampsia is formed with subsequent severe nephrotic syndrome. Pregnant women notice swelling on the face, lower and upper limbs. They appear at different times with different intensity.
Pronounced symptoms of encephalopathy are also observed:
severe headaches;
impaired sleep;
vision of vision;
phenomena of nausea.
It is important to carry out measures to exclude other reasons for the manifestation of nephropathy in pregnant women, when you go to a doctor’s consultation. It is necessary to take into account the possible manifestation of hypertension of other genesis, CONNE disease, the appearance of feoochromocytoma.
Important clinical indicators of development of nephropathy, which is associated with pregnancy, will be:
hyperuricemia, which appears with parallel to the growing indicators of protein;
phenomena of hypertrophy of the left ventricle;
A clearly tracing picture of the uterine-placental violation of the child’s nutrition;
indications of lag in the growth and development of the fetus, as a result of constant hypoxia.
Pregnant women who suffer from this kind of violations immediately hospitalize, since careful monitoring from doctors is needed. The main points in the treatment of nephropathy of pregnant women:
The speedy hospitalization with strict adherence to the bed regime;
constant monitoring of blood pressure;
Monitoring of kidney functionality;
hypotensive treatment;
prevention of convulsive conditions;
monitoring the condition of the fetus, exclusion of hypoxia and toxic conditions;
maximum preservation of pregnancy using a calm regime and corresponding to medications.
