In the hearts of many expectant mothers, you must be careful when you are pregnant, for fear of affecting the baby, let alone take medicine.Even if the doctor opens a doctor’s order, you must find a way, you can eat it without eating.
No, I was just shouted to the first two days ago to go to the clinic
The patient is a 36 -year -old second -born pregnant woman. She has been pregnant for 38 weeks and her blood pressure is high to 170/100mmHg. Her lower limb edema is severe, chest tightness and obvious qi are obvious. They cannot lie down.This prospective mother is now in a state of heart failure and is very dangerous.
The risk of hypertension during pregnancy during pregnancy is very high. Some pregnant women and families find that after the blood pressure is rising during pregnancy, they are afraid that taking medicine will affect the child’s unwilling treatment, and it will become the current situation.
Hypertension during pregnancy is a disease that seriously threaten maternal and infant safety globally. I hope that through this article, let everyone understand the knowledge of hypertension during pregnancy.
What is hypertension during pregnancy?
Simply put, it is only hypertension that occurs during pregnancy.After 20 weeks of pregnancy, the pregnant woman found that the blood pressure rose for the first time, the systolic blood pressure ≥140 and/or the diastolic pressure ≥90mmHg, or the blood pressure of the basal line of the baseline before and in the early pregnancy increasedThe protein, and the blood pressure recovers normally within 12 weeks after the child is born, can be called a hypertension during pregnancy.
Q: Is there a hypertension during pregnancy before pregnancy?
no.Such patients and patients who have been discovered for the first time after 20 weeks of pregnancy, but patients who have not returned to normal after 12 weeks after giving birth are all called "pregnancy with hypertension."
Q: What is the difference between "hypertension during pregnancy" and "pregnancy with hypertension"?
Hypertension during pregnancy will gradually return to normal within 12 weeks after giving birth, and there is no need to continue taking medicine.Patients with hypertension with pregnancy will still have increased blood pressure after 12 weeks after giving birth, and long -term antihypertensive drugs need to be treated.
Q: Does hypertension during pregnancy need drug treatment?
Not all pregnant women who find high blood pressure need to start drug treatment immediately.
First of all, the purpose of lowering blood pressure during pregnancy is to prevent severe maternal complications such as cardiovascular and cerebrovascular accidents and premature placenta in pregnant women.Therefore, there are only two cases that need to start drug treatment in time. One is pregnant women with relatively high blood pressure.
Q: What level of blood pressure is relatively high?
At present, the medical community stipulates that hypertension pregnant women with systolic pressure ≥160mmHg and / or diastolic pressure ≥110mmHg should be treated with antihypertensive treatment.
This level of blood pressure can easily affect the functions of the heart, brain, kidneys, and large blood vessels. As any development, the condition of the pregnant woman mentioned earlier will appear -difficulty in breathing, unable to lie flat, edema, proteinuria, anemia, etc.
Q: What is the situation of the blood pressure slightly increased but the merging disease is?
That is to say, when the blood pressure increases, the functions of important organs such as heart, brain, kidney, bottom, and blood system have adverse effects. For example, a large amount of protein leaked from the urine caused by kidney damage, and conscious changes, dyspnea, sitting and breathing, and breathing, and breathing, and breathing, and breathing, breathing, breathing, and breathing, and breathing.Severe edema, anemia, high blood condensation state, thrombosis in blood vessels, and even high -risk conditions such as myocardial infarction occur.
These two types of dangerous states are clinically called "premature eclamps".
Once it is not treated in time, in the period of "early occurrence", multiple organs of pregnant women are damaged and manifested:
① Adopt headache, visual disorders or other central nervous system abnormalities;
② Continuous upper abdominal pain and subdividal blood hematoma or liver rupture manifestations;
③ liver enzyme abnormalities;
④ Damage to renal function: less urine, less than 400 ml of urine in 24 hours or less than 17 ml of urine per hour;
⑤ Low protein ledmia with ascites, chest water or pericardium;
⑥ Blood system abnormalities: Platelet continuity decreases;
⑦ Internal hemolysis in microvascular, anemia, jaundice, or hemodidase dehydrogenase levels increase;
⑧ Heart functional failure;
⑨ pulmonary edema;
限 限 Fetal growth is limited or too little amniotic fluid, in the fetus, and premature placenta.
At this time, if you do not actively control blood pressure, unknown convulsions may occur, aggravate the fetal hypoxia and endanger fetal life.
Seeing this, you may be frightened enough, in fact, it is not difficult to avoid these situations.
Pre -delivery examination for pregnant women is to discover these changes in time and respond.Here I want to remind everyone that we must go to the regular hospital for regular production in the regular hospital.
Of course, taking the doctor’s request for taking medicine must be done.What I want to explain to your expectant mothers here is that not all antihypertensive drugs are suitable for pregnant women. Doctors have special choices for the antihypertensive drugs used by pregnant women. Do not take medicine at will.
What situation can stop drug treatment?
At present, the goal of the blood pressure control of pregnant women in clinical clinical is: unparalleled organ damage of pregnant women, the contraction pressure should be controlled at 130 to 155mmHg, and the diastolic blood pressure should be controlled at 80 to 105mmHg;At 130 to 139mmHg, the diastolic pressure should be controlled at 80-89mmHg.
It is not difficult to see that if pregnant women are just increased blood pressure, our requirements for blood pressure during pregnancy are relaxed.However, if organs functional injury occurs, more stringent control of blood pressure is needed.
Although medical progress has greatly improved the safety of pregnancy and production, many problems will still encounter during pregnancy.It is hoped that our article can provide help to everyone’s mother -in -law, do a good job of prenatal examination, use medication according to the requirements of doctors, control various indicators, and give birth to healthy babies smoothly.Author | Aerospace Central Hospital Han Yilei
Source: Beijing 114 Appointment Registration