Pregnancy - a special physiological condition, accompanied by a deep restructuring of all types of exchange. Against the background of a restructuring of women often show signs of anemia (anemia), which can not but affect the health of the unborn child. It is therefore important during pregnancy undergo examination prescribed by the doctor. Healthy Pregnancy before women are often accompanied by the development of anemia, pregnancy often reveals latent diseases. At the same time pregnant women found common forms of anemia that are prevalent among the population in general.
From the true anemia must be differentiated state, which often occurs in pregnant women - disproportionate dilution of the blood increasing the volume of plasma (liquid component acellular part of blood). This state is called hemodilution (sometimes called physiological anemia during pregnancy, despite the fact that anemia is not relevant).
The blood volume in pregnant women increases by about 1/5, while in the 16th week of pregnancy revealed an increasing tendency to decrease the number of red blood cells and hemoglobin. The reasons for this phenomenon are not yet fully understood, apparently such a condition does not manifest itself, however, is not peculiar to hemodilution usually healthy women with uncomplicated pregnancies.
True anemia in pregnant women more often zhelezodifitsitnoy and B12 deficiency.
Iron deficiency anemia pregnant
Iron deficiency anemia is the first among anemia in pregnant women, it is found in nearly one-third of pregnant women. The reason for this deficiency anemia is usually a lack of iron - iron produced food worse absorbed by the body of a pregnant woman. During pregnancy, the female body requires 900-1100 mg of iron per day. At the same time the needs of the fetus and placenta construct spent almost half of that amount. The lower the iron enters the woman's body (or absorbed from the gastrointestinal tract), the faster the anemia, and the spent iron stored by the body for future use, which is stored in special depots.
Depletion of the reserves of iron, frequent childbirth, prolonged breast-feeding
Breastfeeding - a personal choice
feeding, prolonged disturbance of diet, parasitic diseases (eg, worm infestation). It also has the value of a deficit of some vitamins (A, D, C, B group). Oppression of red blood cell production also contributes to increased blood levels of the female sex hormones estrogen.
Pregnant women with low hemoglobin and red blood cells are considered as patients with iron deficiency anemia, which is manifested in pregnancy as well as in other patients. For this anemia characterized by pale skin and mucous membranes, facial puffiness, fatigue, physical fatigue, weakness, shortness of breath with movement, frequent dizziness
Dizziness - if the ground is slipping from under his feet
, noise in ears. Chronic oxygen deficiency (iron is part of hemoglobin, which carries oxygen to the tissues) causes damage to the liver, kidneys, heart muscle, and especially - the brain. All of these changes can not affect the body of the child. For example, insufficient supply koslordom brain can give serious complications of the central nervous system of the newborn child.
Pernitsiozopodobnaya B12 (folic) deficiency anemia pregnant
This type of anemia occurs when a lack of vitamin B12 and folic acid, it is found most often in the period from December to April. The disease starts mainly in the second half of pregnancy, at least - in the postpartum period, leading to a sharp decrease in the formation of red blood cells in normal (or increase) the content of hemoglobin. After delivery, recovery usually occurs, but it is possible worsening in subsequent pregnancies.
This anemia begins slowly, sometimes joined by disorders of the gastrointestinal tract. Unlike true pernicious anemia severe lesions of the nervous system is not observed, occasionally marked the emergence of sensory disturbances.
B12 (folic) deficiency anemia is dangerous for both the pregnant woman and the fetus, as it can lead to premature birth and stillbirth.
Treatment of anemia in pregnant women
Treatment of anemia in pregnancy depends on the type of anemia. If iron deficiency is recommended at the same time prescribe drugs containing iron, copper and cobalt (eg gemostimulin or ferkoven). Recommended foods rich in iron that can be absorbed in the human body - animal protein (meat, fish, eggs, fish roe).
When B12 (folate) deficiency anemia in pregnant women are appointed by vitamin B12 and folic acid
Folic acid - the value is hard to overestimate
When the treatment is required to take into account the interests of the fetus, which develops under conditions of lack of oxygen, vitamins and metabolic disorders. Therefore vitamins are introduced to the maximum dose, also carried out additional oxygenation (oxygen saturation of the tissues of the pregnant woman) and treatment of metabolic disorders
Metabolism: The basis of life of all living things
Anemia of pregnancy should be promptly identified and being treated, or this condition can seriously affect the development of the fetus.