The emergence of attacks of vomiting during the pregnancy period is the phenomenon, although not natural, but quite common. According to medical observations, approximately 80% of women faces at different times of navigation with such a state. Most often vomiting in pregnant women is not conjugate with any pathology, short-term and independently passing symptom, which does not require the involvement of special measures of therapy. However, in some cases, unpleasant symptoms can signal the development of pregnancy complications or indicate an aggravation of a woman of chronic disease.
If vomiting during pregnancy acts as a manifestation of toxicosis, this state is considered to be the norm, provided that the attacks last long and occur no more than six times a day. In the event of an increase in the intensity and duration of attacks of vomiting, pregnant women are recommended immediately to consult a doctor. The therapeutic measures appointed by a specialist will help prevent the violation of the water and electrolyte balance in the body of the future mother and avoid conjugate complications of pregnancy.
vomiting with bile, as a manifestation of the toxicosis of pregnant women, usually arises against the background of a long break in the reception of food provoking the reduction in the stomach and, as a result, the "throwing" in it bile from the gallbladder and duodenal. Such a state is observed in pregnant women quite often and, as a rule, does not happen to the threat of formarting and the fetus.
As for the emergence of pregnant vomiting with bile after meals - this symptoms requires a woman of increased attention. The presence of bile in the vomiting masses may be a sign of intoxicating the body or signal the development (exacerbation) of such diseases, as:
If vomiting bile is repeated repeatedly and / or accompanied by additional symptoms (increase in body temperature, abdominal pain, dizziness, weakness), the patient should urgently apply for medical care. Neglecting anxiety symptomatomy, as well as any means of self-treatment, are able to entail the development of complications dangerous to the life of the mother and the child.
Pregnancy causes significant changes in the operation of the gastrointestinal tract. The causes of these changes are: the impact of the growing uterus, the change in the hormonal background, changing nutritional needs. Various symptoms or survey data can be as a consequence of physiological changes and signs of diseases.
Most women during pregnancy are in a certain extent experiencing nausea and vomiting. In the first trimester of pregnancy, at least 66% of patients experience nausea, and 50% there are vomiting. In the second and third trimesters, the frequency of the manifestation of these symptoms is reduced. In the classical version of the flow, the symptoms of this complication are manifested mainly in the morning ("Morning disease of pregnant women"), but they can occur throughout the day and even in the evening.
None of the proposed reasons for this state was accurately proven. Stabilize the condition of the pregnant woman is usually possible by more frequent reception of small amounts of food and an exception from the ration of products that cause disgust. Food vitamin supplements can exacerbate the manifestations of the gastrointestinal disease, so they should be temporarily refused.
Nausea and vomiting at the beginning of pregnancy should not be considered only as signs of early toxicosis. Other, more serious reasons for these symptoms must be excluded. Fortunately, nausea and vomiting continues for a long time, and most patients are stopped at the beginning of the second trimester.
If the measures listed above do not improve the condition of the pregnant woman, you can resort to the help of various antiwest drugs. Unfortunately, none of them is absolutely effective and each carries a certain risk. Historical interest is a complex preparation of bendctin, a combination of antihistamine (doxylamine) and vitamin B6 (pyridoxine), which was successfully used to relieve nausea and vomiting. Due to the concerns of increased teratogenicity of this compound (convincing, however, unproved), the drug was removed from the drug market.
The indomitable vomiting of pregnant women (vomiting does not succumb to treatment) is a severe form of the disease, which is observed about 4 of 1000 pregnant women. It is accompanied by severe symptoms: weight loss, dehydration, ketoacidosis and electrolyte imbalance. Immediate hospitalization and infusion therapy with balanced crystalloid solutions and electrolytes are required. Attempts to eat inwards must be completely discontinued. Such treatment tactics usually eliminates the symptoms and prohibits metabolic disorders in a short time, then slowly and gradually expand. If recurrence occurs, repeated hospitalization may be required.
At least 50% of pregnant women in the third trimester are observed by a shrink-eyed reflux. It does not affect the course of pregnancy, does not harm the fetus, one to cause discomfort to the patient. The reasons for the occurrence of the reflux are several: a decrease in intra-abdominal space due to increased pressure from the increasing uterus, as well as the effect of progesterone that reduces the tone of the lower esophageal sphincter.
The complex of medical measures includes psychological conversations, an elevated position of the upper body during rest, more frequent fractional food intake, the use of antacids before bedtime and after meals. Effectively appointment of metoclopramid (reglan), as it increases the tone of the lower esophageal sphincter (NSP) and has a controversial action. Antacids such as magnesium and aluminum hydroxide preparations can be used (15-30 ml inside several times a day after meals).
Panish disease (YAB) usually arises before pregnancy. Much less often this pathology is diagnosed during pregnancy for the first time. The nature of the course of the disease is usually or not changed, or even some improvement in well-being is noted. The suspicion of the YAB arises when the patient complains about dyspepsia, epigastric pain, passing after meals or antacids. First, you can conduct an empirical antacid treatment. If it does not lead to an improvement in the patient's condition, it is necessary to conduct an x-ray-contrast study or endoscopy of the upper gastrointestinal departments. The basis of treatment is also a more frequent fractional meal, an exception from the diet of irritating products, alcohol and a refusal of smoking.
peptic disease can be complicated by gastrointestinal bleeding. For its treatment, the title-gastral evacuation of blood and lavage with ice water is produced; If necessary, the replenishing transfusion of blood products. Permanent monitoring of the state of the fetus is needed in accordance with its gestational age. With the ineffectiveness of conservative events, surgery is performed.
Pregnant vomiting is the release of gastric contents (chimus) through the oral cavity as a result of the reduction of the smooth muscles of the gastrointestinal tract and the abdominal press, which arose during the gestation and associated with it. The symptom is preceded by discomfort in the throat and behind the sternum, nausea, high savory. It is often observed when, it may occur during pathological pregnancy and related diseases of the digestive tract. To clarify the causes of the appearance of the symptom, an ultrasound study, endoscopy, pressure gauge, laboratory tests are carried out. To eliminate disorders, non-drug methods, prokinetics, sedatives are used.
Dyspeptic phenomena, including vomiting, arise in the first half of the gestation from the overwhelming majority of women. Basically, they are associated with natural changes in the hormone and nervous regulation of the digestive tract, but may be caused by the pathologies of the gastrointestinal tract, exacerbated against the background of pregnancy. For pregnant women, the absence of third-party impurities in the vomit masses is characteristic. The pre-separated stomach indicates a serious illness that requires a specialist consultation.
With a mild degree of disorder, the symptom is noted up to 5 times a day, the vomit is called sharp chemical smells, aromas when cooking. In some pregnant women, jumping (regurgitation) of gastric content occurs immediately after awakening. Before vomiting there is a strong nausea, "com in the throat", possibly abundant salivament. Jumping chimus brings a little relief, but the fenders are preserved almost constantly. Pregnant women are trying less, so as not to cause vomit urge, so the weight loss is characterized up to 2 kg per week.
vomiting 8-10 times throughout the day is observed at. Women complain on, lack of appetite, discomfort when eating. Pumping masses are scarce, sometimes contain bile impurities. The worsening of the condition is evidenced by the increase in jerking up to 20 times a day, accompanied by painful nausea, sleep disorders. At the same time, the reception of both foods and liquids is disturbed, pregnant women are rapidly thin. The emergence of such symptoms indicates a severe degree of toxicosis, at which the future mother is shown hospitalization in the hospital.
The wrath is manifested in the second-third trimesters when the growth of the uterus contributes to an increase in intra-abdominal pressure. Jumping of acidic gastric content usually occurs in a horizontal position and under the slopes of the body forward. Before a vomit act, the future mother feels burning in the throat, behind the sternum, nausea. Upon completion of vomiting, pregnant women note the feeling of acidic lifting in the oral cavity. Jumping chimus with gastric juice is often accompanied by strong pain in the chest, which indicates a developmental.
During the period of tooling the child in the female body, changes in neurohumoral regulation occur, the restructuring of the internal organs, which provokes the development of various pathological conditions. Some of these diseases is manifested by vomiting, which occurs both reflexively with irritation of the receptors of the wall of the digestive tract, and due to the damage to the nervous apparatus. The symptom is usually detected in the second half of pregnancy, combined with others. Most often vomiting of pregnant women cause:
Pregnant Vomiting (Hyperemesis Gravidarum) - pathological condition in the first half, attributed to. There is more than half of pregnant women, but only 8-10% of them need treatment. The sooner it arises, the hardest flows. Excessive longitudes can be complicated by weight loss.
Pregnant vomiting occurs about 50-60% of pregnant women, but no more than 8-10% of them need in treatment. Disassemble the severity of the vomiting of pregnant women. The earlier the vomiting of pregnant women, the hardest it proceeds.
1 degree - light shape of pregnant women. The overall state is remaining. The frequency of vomiting does not exceed 5 times a day. Vomiting is a randomatom, can be caused by meal or unpleasant smells. Loss of body does not exceed 2-3 kg. Temperature of the body, the humidity of the skin of the mucous membranes remains normal. The pulse frequency does not exceed 80oud / min. Arterial pressure does not change, clinical urine tests of the iconic remain normal.
Treatment of light shape of vomiting of pregnant women, as a rule, an outpatient control of the dynamics of body mass of pregnant and mandatory retesting urine on the content of acetone. Vomiting of pregnant moderate weights require treatment in the hospital.
Complex therapy of vomiting of pregnant women includes drugs affecting Nationality, normalizing endocrine and exchange disorders (in particular, water-electrolyte balance), antihistamines, vitamins. Adjustment It is necessary to observe the medical and security regime. It is impossible to place the ward of two similar patients to the ward, since a recurrent woman can make a relapse of the disease under the influence of a patient with continuing.
To normalize the CNS function, electrosone or electro-analgesia are used. The duration of exposure is 60-90 minutes. The course of treatment consists of 6-8 sessions. For the purpose of exposure to the central nervous system, hypinomumgichelipium can be used. A good effect gives various versions of reflexotherapy.
To combat the dehydration of the body, infusion therapy in the amount of 2-2.5 liters per day is used for detoxification and recovery. Daily wage 5-7 days introduced a solution of Ringer-Locke (1000- 1500 ml), 5% solutionGlucose (500-1000 ml) with ascorbic acid (5% solution 3-5 ml) by yinsulin (at the rate of 1 U. insulin by 4.0 g dry matter glucose). Albumin (10 or 20% solution of patrol 100-150 ml) is used to correct hypoproteinemia, plasma. In case of violation of the KS, the recommended introduction of sodium hydrocarbonate (5% solution). In the results of dehydration and loss of salts, as well as the deficiency of the albuminization of patients is rapidly improved.
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