Inflammation of the lungs (pneumonia) in pregnant women is found, and it is not uncommon, as it contributes to the state of the body during pregnancy. Pneumonia is not a cause for termination of pregnancy, but it must be treated, otherwise complications can be at his mother's side, and by the child.
What changes in the body of a pregnant predispose to pneumonia
First of all, this decline under the influence of hormonal immunity, resulting in starts to actively proliferate pathogenic microflora, which may be the causative agent of infection. In addition, immune disorders can lead to an increased risk of acute respiratory infections, including viral. A pneumonia often is a complication of viral infection.
In the body of the pregnant woman there are other changes that affect the processes of emergence and development of pneumonia in pregnant women. For example, during pregnancy there is redness and swelling of the mucous membranes of the upper respiratory tract, increased allocation located in the area of mucus glands. This leads to the fact that from the first days of pregnancy a woman may appear sneezing, nasal congestion, nasal bleeding.
In the second half of pregnancy, the growing uterus more props diaphragm and chest causes women to grow in volume. This adversely affects the function of the heart and lungs and may cause insufficient supply of tissues (including tissues of the respiratory tract) oxygen. With a lack of oxygen in the tissues of the metabolism
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and further reduced immunity.
Changes in the kidneys leads to the fact that the elimination of salts is disturbed, which has an alkalizing effect on the body, increases blood oxygen saturation and reduces carbon dioxide.
External predisposing factors for the development of pneumonia in pregnant women are hypothermia, unfavorable epidemic situation of viral infections, smoking, alcohol abuse, drugs, toxic substances, immunodeficiencies (eg, HIV infection), taking medications that reduce immunity (eg, glucocorticoid hormones).
How to start pneumonia in pregnant women
Pneumonia - an infectious-inflammatory disease that can be caused by infectious agents of bacterial, viral, fungal, mycoplasma, chlamydia and other origin. It is found that pneumonia in pregnant women (as well as all other humans) are most often caused by Streptococcus pneumoniae, which is often a part of the pathogenic microflora of humans. Infection may begin after hypothermia, stress
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or high physical exertion.
Another common cause of pneumonia is viral infection. Complications of influenza (adenovirus infection, etc.) may become as viral pneumonia, and bacterial, which is attached to the inflammatory process. In some cases, after suffering flu in a woman may develop severe staphylococcal pneumonia and pneumonia caused by Pseudomonas aeruginosa and Pneumocystis. Sometimes the disease is a mixed infection.
These infectious agents as mycoplasma, chlamydia
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Legionella, some of the most aggressive types of pneumococci, staphylococci, streptococci can enter the woman's body by airborne droplets from the patient.
There is also an endogenous (internal) path of infection. When the infectious agent gets into the airways of other foci of infection through the bloodstream (Pseudomonas aeruginosa, Escherichia coli, and so on).
How is
In the first half of pregnancy, pneumonia can occur, as usual, accompanied by high fever, shortness of breath, cough. Sometimes, due to lower immunity pneumonia in pregnancy is erased, without significant temperature and cough. Such flow is dangerous, because a woman can not pay proper attention to the disease. This leads to complications in the form of a lung abscess, pleurisy and suppurative complications in the cardiovascular system. It may not affect the treated pneumonia, a condition of the child: the originator of intrauterine infection can get to the hearth with blood.
Sometimes because of violations of immunity for pneumonia becomes protracted, and the current treatment does not give the complete disappearance of the foci of inflammation in the lungs (according to X-ray examination) during the month.
In the second half of pregnancy is more severe pneumonia, shortness of breath because this invokes not only pneumonia, but the physiological characteristics of the state of pregnancy. Especially hard it can proceed viral and viral-bacterial pneumonia.
The diagnosis of pneumonia in pregnant women must be confirmed by X-ray and laboratory tests. Treatment is carried out by means of drugs, including antibiotics
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, Has no adverse effect on the fetus.
Galina Romanenko