Swelling during pregnancy - where the norm, and where the disease?
Swelling in one degree or another always accompanies pregnancy.But it can be a manifestation of a natural pregnancy and the initial stage of severe complications of second half of pregnancy - preeclampsia.To understand where the norm, and where the disease will obstetrician-gynecologist of female consultation, that this woman is there to be observed.
Swelling in normal pregnancy
When pregnancy occurs, the woman abruptly changing hormones.First of all, almost ten times increased blood levels of the female hormone progesterone Progesterone - norm and pathology .The main purpose of progesterone during pregnancy - containment of the contractility of the uterus, ie the prevention of miscarriage Miscarriage - whether it can be insured? .But progesterone has another peculiarity: it contributes to the delay of salt and fluid in the body and the formation of edema, so some swelling of tissues in a pregnant woman almost always there.
cause of edema in healthy pregnant women can also increase during pregnancy blood volume.Therefore, a pregnant woman almost always slightly swollen hands and feet.But we must remember that the swelling may be a sign of pregnancy complications, so a pregnant woman should always be under the supervision of a doctor of female consultation.
In order to reduce the swelling in normal pregnancy, you need to follow certain rules: do not eat salty and spicy food, wear uncomfortable shoes and clothes contracting, it is necessary to combine moderate exercise with rest (preferably with raised legs), and spend more timein the open air.
Edema as a symptom of preeclampsia
In the second half of pregnancy the woman's condition can be complicated by preeclampsia - toxicosis, which is due to the fact thatoccurs spasm of small blood vessels and fluid from them begins propotevat into surrounding tissue.This is manifested by the fact that pregnant women appear swelling.Spasm of the blood vessels causing blood disorder of individual organs, especially the kidneys and the brain, which affects the further course of preeclampsia: increased blood pressure, urine protein appears a large number (it should not be at all), come changes in the brain (brokenconsciousness appear cramps, etc.).If a woman in time will not be helped, it may die.
swelling are the first sign of preeclampsia, a condition called hydrocephalus pregnant.They may initially be hidden and shown only too rapid weight gain (more than 350 g per week), and then become apparent: first appear in the feet and gradually climb up, grabbing the first upper and lower limbs, and then the abdomen, neck andface.The skin in the area of edema becomes dry, hard.The woman in this case may not feel discomfort, however at this time should be taken to ensure that the condition is not aggravated and preeclampsia are not moved to the next, more dangerous stage.
Treatment slight swelling performed on an outpatient basis, but if, despite treatment, the condition does not improve, the pregnant woman is sent to the hospital.This woman must be protected from stress, limit physical activity.Appointed by diuretics, sedatives herbal prophylactic treatment of intrauterine fetal hypoxia fetal hypoxia - the consequences of lack of oxygen in the body and delay its development.If no improvement is still not coming, then for large pregnancy premature delivery is carried out.
Preventing the emergence and further development of preeclampsia pregnancy is regular prenatal doctor's supervision.
What else can cause swelling in pregnant
During pregnancy, a woman can become complicated for any chronic disease.The appearance of edema may be associated with varicose veins varicose veins - the operation is inevitable? , with chronic kidney disease and heart.
Varicose veins are caused by overstretching of the walls of veins and stagnation in their blood, which promotes the formation of thrombi (blood clots that close the vein lumen and impair circulation).Since during pregnancy increases sharply blood volume, the blood from the veins more active propotevaet into surrounding tissue, causing edema.To prevent varicose veins of pregnant women are advised to wear special elastic stockings.
Kidney and heart can also cause edema: patients bodies can not cope with the increased load that occurs during pregnancy.So now recommended for all women with pre-conceived routine examination and treatment in order to prevent any aggravation of diseases during pregnancy.