Early toxemia of pregnancy ( morning sickness in early pregnancy ) - Causes, Symptoms and Treatment .MF .
Early toxicosis pregnant (synonym - early preeclampsia) - this is a common pathology that develops in the first trimester (12 weeks) due to neuroendocrine disorders in pregnant women.
Today, there are many theories to explain the causes of toxicosis in early pregnancy.The essence of all these theories is to ensure that with the onset of pregnancy in women occurring physiological adjustment, which are regulated by the nervous system and hormones.The hormones produced by the placenta and endocrine glands (pituitary, thyroid, gonads, etc).Early morning sickness occurs mainly due to failures in the regulation of the neuroendocrine system.Because of this, pregnant body can not adapt to the normal pregnancy occurred and develops toxicosis.That is why gynecologists called toxemia "adaptation disease."
reasons for early toxicity pregnant
By precipitating factors leading to the development of early toxemia of pregnancy, include:
- chronic diseases of the digestive system, kidney disease;
- stress, increased nervous irritability, depression;
- hereditary predisposition;
- infectious diseases, intoxication (poisoning by toxins, including toxins, parasites);
- high blood pressure
Symptoms of early toxicity pregnant
Symptoms of early toxicity pregnant women often appear after a woman knows about her pregnancy, approximately 5-6 weeks of gestation.The most constant symptoms are nausea, vomiting, and increased salivation.For a variety of about 60% of pregnant women estimated to have similar symptoms in early pregnancy.
Depending on the severity of emetic symptoms isolated Grade 3 toxicity:
mild early toxicity pregnant - vomiting up to 5 times a day,
early toxicosis of pregnant women of average weight - vomiting up to 10 times a day,
heavythe degree of early toxicity pregnant - uncontrollable vomiting up to 25 times a day.
At any rate early toxicity pregnant pregnant observed weight reduction, blood pressure decreases with moderate and severe, increased heart rate, there drowsiness, fatigue, irritability.Most pregnant women with toxemia complain of decreased appetite, even the smell of food causes a gag reflex.Profuse salivation leads to dehydration of the body, the skin becomes loose and dry.
At the first sign of toxicity is necessary to address urgently to the obstetrician-ginekologu.Tyazhelaya form of toxicity is a threat to the life of the pregnant woman and the fetus.
Diagnosis of early toxicity pregnant
The diagnosis presents no particular difficulty and is placed on the basis of complaints pregnant.To the doctor was able to evaluate the severity of toxicity and prescribe appropriate treatment, it is necessary to hand over analyzes:
- clinical and biochemical blood test;
Mild early toxicosis all analyzes must be within the normal range.
When toxicosis moderate severity significantly increases the level of hemoglobin, hematocrit and white blood cells.Due to violations of water-electrolyte balance observed hyperkalemia and hyponatremia.The urine is determined acetone increases the relative density of urine.
In severe early toxicity pregnant laboratory analyzes observed significant deviations from normy.V blood test, in addition to the increase in hemoglobin, hematocrit and leukocyte-reduced total protein, glucose and ESR;increased urea, creatinine, ALT and AST.Protein detected in the urine, acetone and ketones.
Treatment of early toxicity pregnant
In mild early toxicity pregnant treatment is performed on an outpatient basis, with moderate to severe disease, hospitalization is shown pregnant.Accordingly, treatment of toxicosis is varrovatsya depending on severity.
Mild toxicity, especially pregnant necessary psychological and physical rest.Assign sedative - valerian tincture or Leonurus (25 drops 3 times a day), vitamins, gepatoprotektory (Hofitol, Essentiale) and antiemetics (Reglan).In most cases, this drug treatment is limited and health of women is significantly improved.
When toxicosis moderate severity in hospital pregnant spend infusion therapy with a glucose solution in combination with antiemetic drugs hepatoprotectors, vitamins and sedative medication.
Treatment of severe toxicosis conducted in the intensive care unit under the strict control of hemodynamic parameters and laboratory tests.Intravenously administered antiemetic drugs, infusion therapy of up to 3 liters, gepatoprotektory and vitamins.If despite treatment, the condition of the pregnant woman does not improve, it shows the termination of pregnancy due to the rise of multiple organ failure.
How to get rid of toxemia of pregnancy
Feeding habits and lifestyle with the pregnant toxemia - is a science!In strict observance of all recommendations you can successfully get rid of toxicity or prevent its occurrence without taking any drugs.
Nutrition, diet in early pregnancy toxemia
pregnant women are recommended diet - eating little and often - 5-6 times a day.Food should be warm, not cold and not too hot.It is recommended to temporarily excluded from the diet spicy, acidic, fried foods and soft drinks, as this can cause nausea and vomiting.This applies particularly to pregnant women with chronic diseases of the digestive system.
If nausea and vomiting are still worried - we recommend dry diet - hard-boiled egg, baked potato with butter, bread and butter and so on.Try to consume more dairy products, vegetables, fruits, fish and boiled meat.
Remove nausea in the mornings can be, sucking rye toast, and then get out of bed.During the day, drink mineral water in small sips.
addition to food, recommended daily walks in the fresh air for at least an hour.Night sleep should be at least 8 hours a day.If the day draws to a dream - it is better to lie down and relax.And, as already mentioned, it is recommended as far as possible to limit the psychological and physical stress on the body.
Physiotherapy in early pregnancy toxemia
Regardless of the severity of toxicity in the active stage of the disease and during rehabilitation useful physiotherapy - endonasal electrophoresis with B vitamins and brain galvanization course 8-10 procedures.
Alternative treatment for early toxicity pregnant
from non-traditional methods of treatment for toxemia used acupuncture and Chinese acupressure.Especially good effect on non-traditional methods of pregnant women who have morning sickness is caused by psychological reasons.
Folk remedies for the treatment of early toxicity pregnant
Folk remedies are very effective in toxicosis of pregnant women, especially in mild forms of the disease.The most effective in toxicosis extracts of chamomile, mint and lemon balm.2 tablespoons of chamomile pour boiling water (about half a liter) and allowed to stand overnight in a thermos.In the morning filter and take 3 times a day for 30 minutes before eating.Melissa and mint just as brew and apply.You can add to the infusion of a spoonful of honey and lemon.In the summer, when there is a fresh mint or lemon balm, can be worn with a few leaves and chew them to relieve nausea.
If attacks are severe toxicosis - experimenting with folk remedies should not be more tselesoobrano consult your obstetrician-gynecologist.In addition, long-term and excessive "the overlap" on the grass can reduce blood pressure.
Complications of early toxicity:
- multiple organ failure, which is when the untimely termination of pregnancy can lead to death;
- delayed treatment of early toxicity may trigger the development of late preeclampsia in late pregnancy and placental abruption.
Prevention of early toxicity pregnant
Prevention toxicosis should be performed before pregnancy, it includes:
- timely treatment of chronic diseases that provoke toxemia;
- the rejection of abortion;
- healthy lifestyle;
- psychophysical preparation for the forthcoming pregnancy.
Consultation of obstetrician on early toxemia of pregnancy:
1. I was constantly sick, but no vomiting.What to take?
If there is vomiting, do not need anything to drink.Observe the general recommendations.Eat neskolkol times a day in small portions, plenty of rest.
2. whether the severity of toxicity depends on the child's gender?
No, not dependent.
3. I have 6 weeks of pregnancy was a strong toxicosis.Now 10 weeks, do not bother.This is normal?I heard that if morning sickness begins, the earlier than 12 weeks does not stop.
Normally, it means your body has adapted to the pregnancy.
4. I have persistent vomiting - 6 times a day.The gynecologist suggested to go to the hospital, without even looking analyzes.Maybe you can still undergo treatment at home?
No, with such frequent vomiting must be monitored and treated in a hospital.
5. I was 25 weeks pregnant, but I still feel sick.Twice I was in the hospital because of toxicity, but did not vylechili.Chto do?
you need further poobsledovatsya a neurologist and a gastroenterologist.If no organic pathology is not present, it is likely that the symptoms arise due to malnutrition.
6. At me pregnancy of 8 weeks, the flu.Constant vomiting, has lost weight by 5 kg.What to take?
not need to self-medicate .Srochno obratitites to the gynecologist, in your case shown inpatient treatment.
7. gynecologist advised me to eat boiled meat, but I was constantly toshnit.Kak eat meat, not to cause nausea?
Such methods do not.Eat only foods that do not cause nausea, morning sickness until it stops.
8. teeth cleaning every time causes a gag reflex.What to do?
Try to change the toothpaste.If does not work, then you have to temporarily restrict rinsing teeth.
Obstetrician-gynecologist, Ph.D.Christina Frambos