During pregnancy, there can be such a state where women need supplementation of potassium. But, like any other drugs, they can be taken only on prescription. It is particularly important to comply with the rule in the first trimester of pregnancy.

Appointment asparkama in early pregnancy

Asparkam - is a source of potassium, essential to all cells of our body, but especially in need heart muscle (myocardium), which operates non-stop life. Potassium located mostly within cardiac muscle cells, and other mineral - sodium - is cells, in the intercellular space. The balance between sodium and potassium, contributes to the fact that the cell is maintained constant osmotic pressure. But if a person loses a lot of liquid, with him it loses potassium and sodium, as a result of osmotic pressure in the myocardial cells is disturbed, which affects its operation.

In the first and early second trimester of pregnancy in women often develop early toxicosis of pregnancy, which include nausea, vomiting, drooling significant. As a result, a woman can lose a lot of fluids, and with it, and potassium. Low levels of potassium in the blood is called hypokalemia. This condition is manifested as fatigue, weakness, drowsiness, lethargy, dry skin, decreased skin sensitivity. It appears bloating, increased vomiting (vomiting have supported hypokalemia), low blood pressure, tachycardia Tachycardia - the body to the limit? .

In such cases, therapeutic measures are usually aimed at the restoration of potassium deficiency. Women are prescribed asparkam tablets depending on the severity of the phenomenon of early pregnancy toxemia by one to two tablets three or four times a day for at least three weeks.

If early toxemia of pregnancy is very difficult and takes a woman loses a lot of liquid, then it is sent for treatment to a hospital, where asparkam already introduced intravenously - drip or bolus. Intravenous asparkama dangerous because the rapid introduction may cause an overdose, so asparkama solution with 5% glucose Glucose: The energy source   bolus administered at 5 ml per minute, and drip - 25 drops per minute.

Elevated levels of potassium in the blood is called hyperkalemia - a state even more dangerous than hypokalemia. Hyperkalemia appears drowsiness, confusion, pain in muscles of arms, legs and abdomen. Characterized by pain in the language. There are paresis and paralysis (immobilization of muscles), including the intestine, reduces blood pressure, the heart contracts less often than normal (bradycardia), heart failure can occur. To compensate for hyperkalemia is usually introduced with solutions of sodium and calcium salts - they are antagonists of potassium.

When jerking of the limbs

In the second and third trimesters of pregnancy, women are often the body begins to lack the minerals that go into the construction of organs and tissues of the fetus. With a lack of minerals such as potassium, magnesium and calcium in a woman may develop skeletal muscle jerking. Most of these jerking occur in the calf muscles, and accompanied by a sharp soreness. Seizures often begin at night during sleep Dreams: how to understand our dreams   and very frightening women.

In order to remove such seizures enough to stand up and look a bit like. In convulsions studied blood on its content of minerals. If a seizure is hypokalemia, the inside asparkam assigned by one to two tablets three times a day for at least three weeks.

When toxicosis second half of pregnancy

Toxicosis second half of pregnancy (gestosis) are the result of impaired circulation in the smallest blood vessels (capillaries). Poor circulation in the capillaries leads to stagnation of blood in them and exudation of fluid from blood vessels into the extracellular space, that is, the formation of edema. Initially, edema are invisible, they are called "hidden edema." Such swelling detected by weekly weighing woman. Then the swelling becomes apparent, if not treated, preeclampsia comes the second stage - increased blood pressure and changes in the kidneys, which manifest the appearance of protein in urine The protein in the urine - a sign of danger, which should not be underestimated . In the absence of adequate treatment can occur brain injury - the last stage of the disease (pre-eclampsia and eclampsia), which is accompanied by high blood pressure, severe headache, convulsions and coma.

Treatment of gestosis begin as early as possible in the stage hidden edema. Appointed first salt-free diet, and if that does not work, then diuretics. At the same time, together with the fluid the body loses large amounts of potassium. Therefore, diuretics, or potassium-sparing appointed, or in conjunction with diuretics, potassium prescribers, such as asparkam. Asparkama dose in this case is adjusted individually.

Galina Romanenko

Monural - modern effective antibiotic that is used for urinary tract infections, without causing significant side effects. Suffice single dose Monural inside in order to completely destroy the bacterial flora in the lower urinary tract.

Why pregnant women are prescribed Monural

Physiological feature of pregnancy is reduced immunity. This is necessary to ensure that the mother's body and the baby could be together during the pregnancy, and the mother's body does not reject the baby as a foreign body.

Another feature is that under the influence of the main pregnancy hormone - progesterone Progesterone - norm and pathology   decreased motor activity of smooth muscle, which is located in the internal organs. This physiological mechanism is necessary in order to avoid shrinking the muscles of the uterus - this can lead to miscarriage Miscarriage - can you protect yourself from it? . But together with the uterine muscles lose the ability to actively shrink and other muscles, e.g., the urinary tract and intestines. This leads to the fact that in the urinary tract (including bladder) urine stagnates and constipation - these two problems will be accompanied by a woman throughout pregnancy.

Thus, the combination of low immunity and stagnation of urine in the urinary tract leading to the fact that a woman's body are prerequisites for the development of urinary tract infections. Most often, such an infection occurs or acute cystitis Acute cystitis: Treat treated responsibly   (inflammation of the bladder) or bacteriuria - appearance in the urine of large amounts of bacteria. And then, and more dangerous because the infection may move to the kidneys and begin pyelonephritis Pyelonephritis - kidney disease   - A serious illness, which hurt pregnant women is extremely undesirable. That's why pregnant women constantly examine and identify signs of lower urinary tract infections treated. Today, for the treatment of these infections most often used Monural.

What Monural and how it acts on the body of a pregnant woman

Monural (active ingredient - fosfomycin) - a broad-spectrum antibiotic that is used to treat infections of the lower urinary tract. Monural has bactericidal (kills bacteria) activity against most bacteria that cause urinary tract infections. Its mechanism of action is based on the fact that it inhibits the action of an enzyme involved in the synthesis of substances necessary for the construction of the bacterial cell wall, causing their death.

Monural rapidly absorbed from the gastrointestinal tract into the blood stream, but does not bind to blood proteins and intact kidney enters and accumulates in the urine where it can remain for one - two days after oral administration.

It is proved that Monural has no teratogenicity (ability to cause congenital malformations) and embryotoxic (toxic effects on the fetus) action, so it can be prescribed to pregnant women. Like any other antibiotic Monural may appoint a doctor and in the presence of indications for its reception. That is why the instructions to the drug is a phrase that is very embarrassing for some women (sometimes they even refused because of this from the reception Monural): "the use of the drug during pregnancy and lactation is possible only if the expected treatment benefit outweighs the potential the risk of teratogenicity. "

But a pregnant woman should know that the instructions are written for doctors and decide you can or can not assign this drug. Of course, it is better during pregnancy, do not take drugs, but it does not always work, because the infection can cause the body to mother and child more harm. Still, it does not take Monural in the first 12 weeks of pregnancy: In this period of time there is a bookmark tissues and organs of the fetus and any undesirable effects of the drug.