Pregnancy in patients with chronic nephritis, kidney disease specialist talks
after renal check carefully checked, and then determine whether the
pregnancy.
Renal blood flow during pregnancy than usual significantly increased in the
glomerular hyperperfusion, hyperfiltration state, pregnancy vivo coagulation
factors and the fiber factor changes so that the body in a hypercoagulable
state, these changes for normal kidney no significant effect, but for patients
with chronic nephritis, can kidney burden, leading to the original kidney
disease aggravated, so that deterioration of renal function. When chronic
nephritis women pregnancy, compared with normal women prone to pre-eclampsia and
other serious complications of pregnancy, a great danger to the survival of the
fetus and pregnant women, patients with chronic nephritis care must be taken
during pregnancy.
Before pregnancy in the hospital for a series of checks, especially renal
check, the nephritis stable condition, with normal renal function, blood
pressure is not high, not much urine protein and kidney pathological examination
of small lesions can be considered. Membranous nephropathy women, even
pathological changes the lighter nor should pregnancy, clinical data have
revealed that part of the pregnancy were at an early stage no obvious
abnormalities, but to the middle and late renal function occurred deteriorated
sharply, even life-threatening.
Patients with lupus nephritis satisfactory control, under the circumstances,
considering pregnancy. Occult nephritis in general pregnancy, the whole process
of pregnancy must be placed under the close monitoring of renal medicine,
obstetrics and gynecology practitioner, and stopped in the middle and late
pregnancy to go to work, pay attention to rest. Majority of patients with latent
nephritis safe pregnancy and childbirth, but a small number of pregnant women
during pregnancy increased nephritis, these women need to terminate the
pregnancy, the decision shall be made by the physician.
However, it should be noted that even if the kidney function in patients with
chronic nephritis relatively stable, preferably ships, pregnancy is still
possible to make nephritis exacerbations. Therefore, pregnancy must be closely
observed, attention to edema and changes in blood pressure, urine and kidney
function tests.
In early pregnancy, medium-term need to hospital for examination once every 2
weeks to 32 weeks after the week check order to identify problems and timely
treatment. During pregnancy, such as urine protein and (or) high blood pressure,
you should stay in bed, and treatment under the guidance of a doctor. If the
decline in renal function, we must first analyze the reasons, to see whether the
complicated pyelonephritis, for excessive diuretic-induced dehydration and the
presence of high blood pressure. If these reasons need for timely treatment;
corrective above reasons renal function continued to decline, or can not find
other incentives lead to renal dysfunction, should be timely termination of
pregnancy, to ensure the safety of pregnant women.
For the safe delivery of nephritis maternal postpartum need to seriously
rest, not tired, maternal and child care and care should, on a regular basis to
the Department of Nephrology, check blood pressure, routine urine tests, renal
function, in order to prevent some patients in the postpartum busy parenting
ignore self-protection leaving nephritis deterioration.
