Medical blog

In such cases treatment spend in the conditions of a hospital. Treatment includes rest creation, a frequent fractional food, it is obligatory and sedatives. Acupuncture, psychotherapy and hypnosis sometimes helps.
it is usually accompanied by vomiting, but can be and independent display of an early toxicosis. Saliva allocation a day can make 1 litre and more. adversely affects a psychological condition of future mum, there can be an organism dehydration.
Treatment is spent as at vomiting of pregnant women.
pregnant women include group of diseases of the skin appearing during pregnancy and disappearing after its termination. The itch of pregnant women which grasps all body is most often observed, but more often the itch arises in the field of external genitals, causes a sleeplessness, irritability. It is less often marked the pregnant women, amazing a skin of mammary glands or a stomach, hips and hands.
can sometimes proceed in the form of various on a skin.
At decrease in function of the parathyroid glands supervising an exchange of calcium, there can be spasms of muscles ( pregnant women).
results from excessive mobility of joints bones. Gait gets character "duck", there are pains in the field of basin bones.
Rare forms of an early toxicosis are the jaundice of pregnant women and a sharp yellow atrophy of a liver. At occurrence of these displays pregnancy interruption as they represent serious danger to a life is shown.

Constant supervision in female consultation, the frequent control of blood on concentration of Antirhesus factors-antibodies in blood is necessary. In case of serious complications at a fruit, it is shown preschedule and for-mennoe blood transfusion.
Haemolitichesky illness of newborns can arise also at incompatibility of blood of mum and a fruit on group of blood and meets in 0,5—0,25 % of cases of all sorts. This pathology arises at transition through a placenta to a fruit of group antibodies And and d an incompatible combination of groups of blood of mother and a fruit are: I (0) - II (), I (0) - III (), III () - II (), II () - III ().
Despite group incompatibility, death rate of newborns at this pathology much more low, than at the Rhesus factor-conflict.
Diagnose group incompatibility on the basis of special tests of blood of mum and definition of a group accessory of the father of the child.
As well as in case of the Rhesus factor-conflict, at group incompatibility constant supervision over pre-natal development of the kid, and also supervision after its birth is necessary.

At a Rhesus factor-negative of the woman at pregnancy the Rhesus factor-positive a fruit arises a so-called Rhesus factor-conflict. At hit of red blood little bodies a Rhesus factor-positive of the child (which has a Rhesus factor) in an organism a Rhesus factor-negative of future mum in its organism antibodies against this factor start to be developed.

Why? The Rhesus factor starts to be formed on 5—6 week of pregnancy and it is distinctly found out in a fruit on 10-14th week. The Rhesus factor is regarded by a parent organism as an alien material and tries to struggle with it by development of antibodies (there is a sensitisation) which neutralise it. These antibodies get to a fruit blood-groove through a placenta and start to destroy (red blood little bodies) the child, causing at it illness. However the previous sensitisation of mother is necessary for a birth of the child with illness.

The Rhesus factor-negative the woman can be transfusion in the past a blood Rhesus factor-positive, at abortions and abortions, a birth a Rhesus factor-positive of the child. There is enough very much a small amount of blood of a fruit (about 4—5 ml) to cause immunization in his mother.

At the first pregnancy the sensitisation develops at 10 % a Rhesus factor-negative of women. If the woman has avoided a Rhesus factor-sensitisation after the first pregnancy at the subsequent pregnancy a Rhesus factor-positive a fruit risk of a sensitisation makes also 10 %. However the fruit basically at the first meeting a Rhesus factor-positive the child and a Rhesus factor-negative mothers does not suffer. Because at the first contact so-called "heavy" antibodies which are not capable to pass through a placenta are developed. At the subsequent pregnancy at women start to be developed easier antibodies which already pass through a placenta to a fruit and do it serious harm in a womb of mother, up to its  destruction.

At 10—12 % a Rhesus factor-negative of women already at the first pregnancy children with illness of newborns are born. The factors promoting it: infectious and mothers, professional harm and bad habits, a pathological current of pregnancy, medicinal substances — all it reduces barrier function of a placenta and promotes hit fruit in blood of mother.

However not all so is terrible. The main thing — in due time to carry out preventive maintenance. 30 years the method of preventive maintenance of a Rhesus factor-sensitisation by introduction an antibody of the person is used in world clinical practice. Thanks to it after sorts frequency of a sensitisation has decreased to 1—2 %, and after introduction in many countries of the world to antenatal preventive maintenance - to 0,1-0,2 %.

Incompatibility of blood both a fruit on a Rhesus factor and blood group
The Rhesus factor-conflict is an occurrence in the pregnant woman of antibodies in reply to introduction in its organism of fruit red blood little bodies with antigenes of group a Rhesus factor.
Each person since a birth has this or that group of blood and a Rhesus factor, or factor D (for 85 % of people). In cases when it is absent, speak about a blood Rhesus factor-negative, in population a Rhesus factor-negative blood is marked at 15 % of people.
All pregnant women are checked in the pregnancy beginning on Rhesus factor presence. What for? We will try to answer this question.

What is antenatal Rhesus factor-conflict preventive maintenance? This introduction an antibody during pregnancy on term of 28 weeks. The Antirhesus factor-antibody entered on this term develops specific immunity against a Rhesus factor-positive the child whom 12 weeks last, that is before sorts. After sorts within 72 hours to mum also enter an antibody if the child is born a Rhesus factor-positive (after sorts at the child urgently define a blood Rhesus factor-accessory). At such scheme it is possible to exclude serious complications during future .
Sometimes preventive maintenance spend before 28th week of pregnancy: at an abortion or abortion threat, at carrying out procedures , a trauma of a belly cavity. If the adverse circumstance is revealed on term of 13-18 weeks within 26—28 weeks it is necessary to enter one more dose an antibody.
Obligatory condition for carrying out specific is absence of Antirhesus factors-antibodies in blood of mother. Presence of these antibodies — the certificate of that mum already to a Rhesus factor.

At an easy current of this pathology the general condition usually is not broken, at moderate severity level when the vomiting arising after food intake, can become frequent to 10 times and more, appetite, weight of a body, arterial pressure decreases, the raised frequency is observed.
In this case helps frequent (7 8 times a day) a food by small portions. The food is better for accepting in bed, after meal not to do sharp movements, and it is better to lie down and think about something pleasant. It is necessary to avoid sharp and salty food. The liquid is better for drinking between food intakes, instead of during meal. It is necessary to avoid hard belts which strengthen a nausea. If you yet do not accept vitaminno-mineral complexes for pregnant women — begin reception, in some cases a nausea and vomiting is caused by a lack of vitamins and minerals.
At heavy degree when there is an unrestrained vomiting (to 20 times a day and more) comes the organism exhaustion, the expressed loss of weight of a body, considerably decreases arterial pressure, is possible rise in temperature, a smell of acetone from a mouth, the raised irritability.

— Presence of signs : hypostases, fiber in urine, increase of arterial pressure;
— A strong headache;
— A pain in areas;
— Flashing of "front sights" before eyes, "grid" or "fog" before eyes;
— A nausea, sometimes vomiting.
At development of these signs it is necessary to cause urgently an ambulance car if you are not hospitalised yet. Without medical aid this condition passes in .
is the higher, heaviest form and it is characterised by occurrence of spasms with consciousness loss. During an attack probably development of the complications dangerous to a life: a hemorrhage in a brain, premature placentae and others. In 50 % at the fruit perishes. Now thanks to timely treatment meets very seldom.
To avoid development , especially heavy forms, it is necessary to visit carefully female consultation and to carry out all recommendations of the doctor. Inspection on presence of the hereditary and got infringements of system of curling of blood is desirable to pass to pregnancy, to spend treatment of chronic diseases. Preventive treatment of these infringements allows to become pregnant successfully, first, secondly, to inform pregnancy and to avoid development of heavy forms and other complications of pregnancy.
In development preventive maintenance important value has eutrophy during pregnancy. The superfluous use of salt, a liquid and albuminous food promotes considerable loading on kidneys which during pregnancy work «for a two». It promotes development of hypostases and .
At development it is not necessary to refuse the offered hospitalisation. In time the spent treatment will favorably affect not only your good state of health, but also on pre-natal development of your child as at often there are various complications.

Anaemia (anaemia) name change of structure of blood at which the number — red blood little bodies decreases — or the quantity of haemoglobin — the main component which transfers oxygen from lungs to organism fabrics, and carbonic gas (a withdrawal product) — from fabrics to lungs decreases.
The anaemia is the most frequent complication of pregnancy — 15—30 %. And in overwhelming majority of cases the anaemia at pregnancy is caused by an iron lack — an anaemia (90 95 % from all cases of anemias). Iron is necessary mineral substance for synthesis of haemoglobin and .
In 40 % I am combined with deficiency of vitamin В12 and-or acids.
Vitamin В12 and folic acid are necessary for normal formation of blood. Vitamin В12 arrives with food in an organism through a digestive path (the external factor). vitamin В12 in a stomach probably only in the presence of internal factor , or which is developed in stomach glands. Connection of vitamin В12 with conducts to formation of a belkovo-vitamin complex which is soaked up in a mucous membrane of a stomach and a thin gut, is postponed in a liver and activates folic acid. Receipt of vitamin В12 and the activated folic acid in a bone brain defines normal development of red blood little bodies.
the anaemia comes to light at 20—35 % of all pregnant women that is caused by the increased requirement for gland during pregnancy.
By definition of the World organisation of public health services by an anaemia during pregnancy it is necessary to consider a condition at which haemoglobin level makes:
— Less ON in I and III trimesters;
— Less than 105 in II trimester of pregnancy.
If disease is connected with pregnancy it starts to be shown in its second half (65 %). If the anaemia was showed in the first months of pregnancy, that, it is probable, that it was available to pregnancy (35 %).
Future mum breathes for a two. The child receives oxygen from its blood through a placenta on an umbilical cord. Therefore high-grade development and breath of the kid depend on quality of mum's blood and level in haemoglobin blood.

is a complication of second half of pregnancy in which basis lays an angiospasm, infringements in system of curling of blood therefore microcirculation in matochno-placentary system is broken and there is a placentary insufficiency. Earlier named a late toxicosis, , that meant: About — hypostases, — (fiber in urine), — a hypertensia, or the raised arterial pressure. It meant, that the given condition is combined with all these signs. However it can be shown only one or two of these signs. For example, hypostases (a dropsy of pregnant women) or pressure increase (a hypertensia caused by pregnancy).
In effect, though it is shown at late stages of pregnancy, starts to develop much earlier — at a stage of implantation impregnated . At infringement of implantation of a germ in parent vessels keep character of not pregnant women (they remain narrow) that it promotes in the subsequent to their spasm, and, in turn, promotes development of all displays .
More often infringement of implantation of a germ in a uterus wall occurs at women to cardiovascular diseases, at the hereditary and got infringements of system of curling of blood, diseases of kidneys, adiposity.
The current becomes heavier at a combination to such diseases, as hypertensive illness, heart diseases, diseases of kidneys, adiposity and a diabetes. Such name .
More often subdivide into a dropsy (hypostases) of pregnant women, , and . These forms simultaneously are stages of development of uniform pathological process, that is in most cases begins with hypostases, then develops , then and . In some cases transition of one stage in another occurs very quickly, in the majority — gradual transition of stages and disease aggravation is marked.
The dropsy of pregnant women is characterised by occurrence of hypostases, pathological increase in weight of a body (more than 50 a day), some decrease in quantity of urine at . Hypostases can be in the beginning hidden, then develop swell stop and shins (1st stage), extend on a forward belly wall (2nd stage), grasp hands and a thorax (3rd stage), the general develops a hypostasis (4th stage).
The general condition at unsharply expressed dropsy is not broken, at more expressed hypostases the feeling of weight, undue fatigability, thirst is marked.

At insignificant hypostases salt and liquid restriction, reception of vegetative preparations (bearberry infusion) helps. At sharply expressed hypostases treatment is spent in a hospital.
In 20—24 % of cases the dropsy of pregnant women passes in .
pregnant women it is characterised by hypostases, increase of arterial pressure and fiber occurrence in urine.

Level of arterial pressure can raise to various figures. So, usually at normal pressure it is considered to be its top border 135/85 mm hg, and at hypotonics increase in pressure to the standard normal values — 120/80 mm hg can already be a sign . It is recommended to pay attention to level of arterial pressure to pregnancy or in the first 9—10 weeks of pregnancy. Increase of pressure upon 20 30 mm hg to initial level is a pathology, and on 30—40 mm hg — menacing.

At there is a pre-natal suffering of a fruit. It lacks some oxygen (pre-natal ) and nutrients (pre-natal or a fruit growth inhibition) owing to development at placentary insufficiency.
If in time not to start to treat , it passes in the following stage — .

In first three months of pregnancy at women the nausea, change of flavouring and olfactory sensations are quite often observed, there can be a raised salivation, sometimes — vomiting in the mornings. On the basis of these signs it is possible to suspect pregnancy are so-called presumable signs of pregnancy. Their occurrence is closely connected with the hormonal reorganisation of an organism directed on normal development of pregnancy and of a fruit. Nevertheless in some cases these changes get pathological character, there is an early toxicosis. As a rule, all displays of an early toxicosis come to an end by 12-14th week of pregnancy.