Everyone knows that pregnancy can be swelling and why some women relate to their appearance a few lightly. However, the swelling edema strife. They may be an option rules (rarely), and can talk about any heart disease or kidney disease. Finally, in the second half of pregnancy edema can be a sign of incipient serious complication - preeclampsia.
What is edema and why they appear in pregnant women
Edema - is excessive accumulation of fluid in tissues and cavities of the body, manifesting an increase in tissue, a change in physical properties (elasticity) and disorders of the edematous tissue. Liquid swelling accumulates in the intercellular space, and the broken fluid and electrolyte balance in the cells.
The reason for exit of fluid in the intercellular space is the delay kidney sodium, which has a feature to attract water. Sodium accumulates in the body due to the increased secretion of aldosterone (a hormone of the adrenal cortex, contributes to the accumulation of sodium ions), which occurs against decrease in cardiac output (heart can not cope with its load) and blood volume.
Swelling of tissues easily infected, which creates additional difficulties during pregnancy. Overall swelling becomes visible at a delay of more than 2-4 liters of liquid, which means that there is a latent phase of edema
Prevention and treatment of edema - it is important to understand the root cause
At the heart of all violations of edema pregnant women is a spasm of small blood vessels, reducing blood volume, changes in clotting and blood flow. This leads to a decrease in blood supply to the tissues, which can not function properly. Most sensitive to the lack of blood supply to the brain and kidneys. The placenta also undergoes changes that cause intrauterine growth retardation
Fetal development - week after week
Symptoms of edema in pregnant women
Swelling in pregnancy they are initially hidden and manifest themselves in the form of weight gain. If a pregnant woman regularly visits his doctor, he promptly pay attention to it and take appropriate action. If you do not pay attention, it will soon become apparent swelling, begin to form in the ankles, and then spread up to the waist, genitals, abdominal wall, hands them clearly visible with a change in body position, as they are displaced.
Edematous skin dry, soft, pale, sometimes (when expressed edema) brilliant. The general condition and well-being of pregnant women while often remains good, no shortness of breath, but blood volume is reduced.
A pregnant woman says she edema: shoes and rings are close, facial features blurred, swollen eyelids. In the morning the swelling is not as noticeable, because at night the liquid evenly distributed throughout the body. During the day are especially noticeable swelling in the legs: when pressed with your finger on the surface of the pit is formed which lasts for quite some time.
If time does not detect and treat the swelling, then join them other signs of preeclampsia - high blood pressure, protein in the urine, disorders of the central nervous system. This condition is very dangerous for both the mother and the fetus.
As you can reveal hidden edema?
Most often it is possible to identify using weekly weighing, weight gain more than 300 g per week it indicates that the body liquid starts to accumulate. If there is no obvious weight gain and edema suspicion persists, the calculation is carried out drunk and allocated liquid per day. Normally, the daily amount of the discharged liquid is not less than 0, 75 the total number of drunk liquid.
About water retention in the body and may indicate a rapid increase in the ankle joint.
For diagnostic purposes, sometimes to the inner surface of the forearm is injected intradermally a small amount of saline solution, which forms at the site of a small blister. In healthy people, the blister resolves within hours edema lasts much longer (blister test).
Treatment of edema pregnant
When identifying hidden edema woman doctor prescribes a diet with restriction of salt and fluid. The food is better to cook without salt, add some salt and then gently (no more than 5 grams per day). Exclude fried, fatty and spicy foods. Fluid (together with the first cold) need to use no more than 1 liter per day.
In order to strengthen the walls of blood vessels appointed ascorbic acid, rutin, and other drugs that can be used for pregnant women. Sometimes prescribed herbal diuretics (such as bearberry).
Typically, the initial signs of swelling of these measures is sufficient. But if the swelling is increasing, they are joined by high blood pressure
Blood pressure - dangerous if his swing?
and protein in the urine
The protein in the urine - a sign of danger, which should not be underestimated
, Treatment is usually continued in the department of pathology of pregnant maternity hospital.