Swelling during pregnancy: education and treatment
Edema during pregnancy have long been a byword.Virtually none of the pregnant woman is not passed this phenomenon.Doctors are still debating whether to consider the appearance of puffiness norm or pathology, and what kind of swelling can be attributed to the last statement.And yet, the appearance of edema should alert a woman and she should immediately inform your doctor.Most often swelling during pregnancy is a sign of the terrible diseases of pregnant women - preeclampsia, which is why obstetricians closely monitor the weight gain of women and the presence or absence of her edema.
mechanism of formation of edema during pregnancy
Over the entire period of pregnancy, a woman gains weight of ten kilograms.Almost half of this gain (about four to five kilogram) occur in the fluid that accumulates mainly in the subcutaneous fat and connective tissue.
water retention in women begins gradually, usually in the first trimester of pregnancy, this process is negligible.In the future, a future mother begins to notice that the skin of hands, feet and abdomen becomes less elastic and resilient and gets loose look.Then there is swelling of the face, and in the last months of pregnancy appear swollen feet swelling of the legs - do not leave without attention and arms, lumbar region and abdomen.The characteristic symptom is the formation of edema pits on the skin tibia in front, where the muscles are not available.It appeared not immediately filled pit and disappears.In addition, the hidden (invisible) and obvious swelling indicates a sharp increase in weight.
Physiological edema are classified as "safe" edema.Their appearance is explained by two factors.Firstly, during pregnancy increases a woman's need for fluid.Secondly, during the childbearing in women accumulate sodium, which is known to be able to attract water.Thus, the inclination expectant mothers to fluid retention and sodium leads to the formation of edema.Provoke physiological edema may the following factors: use of salty foods (pickles, sauerkraut, salted fish), hot weather, fatigue and physical stress.After removing the precipitating factors physiological swelling disappear.
Abnormal swelling is a sign of the disease, as a rule, late toxicosis, or preeclampsia.There are four degrees of preeclampsia:
- first degree
first degree is called edema pregnant.Observed swelling in the legs, arms, abdominal wall, lower back.Swollen face, eyes resemble slits.There excessive weight gain, weakness, fatigue.The woman says that he can not remove the wedding ring (ring sign), put on shoes.
- second degree
second degree - is a nephropathy pregnant.It joins edema high blood pressure Blood pressure - dangerous if his swing? , a protein found in the urine, in severe cases, its content is very significant.In the absence of or inadequate treatment of nephropathy goes into the third degree of preeclampsia.
- third degree
third degree is called preeclampsia.By the above symptoms align signs ischemic attack: headache Headache: causes and complications , flies flashing before my eyes, tinnitus, nasal congestion, nausea Nausea - there may be problems with the nervous system and Other.
- fourth degree
most dangerous condition - eclampsia.It is characterized by the appearance of generalized convulsions in pregnant and loss of consciousness.In the absence of an emergency may be fatal, as the fetus and women.
treatment of edema of pregnancy
Fluid restriction when an edema is impractical, otherwise the body begins to accumulate water "in reserve", which only aggravates the process.Pregnant women should consume daily about one and a half liters of fluid (including soups and vegetables).The diet should reduce salt intake (food should be salted insufficiently).Get rid of the physiological edema help cool foot bath, foot massage, raised limb of the body in a horizontal position.It is recommended that at least three times a day for 20 minutes to lie on your left side.In this position, improving renal blood flow.Once a week is useful to arrange fasting days (apple or cottage cheese).With the progression of the disease have resorted to medication.