"Deep reading, if high blood pressure is not well controlled during pregnancy, people will die?"
What tests should I do for high blood pressure during pregnancy? What should I treat?
This episode reads deeply for all pregnant mothers, and prepares the topic of "Investigation and Treatment of Hypertension During Pregnancy", quickly take out your small book and remember the key points.
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Interrogation
The doctor's consultation mainly includes, is it the first pregnancy? Have you had high blood pressure before? Is there kidney disease, diabetes? Whether there is basic information such as headache and blurred vision.
Consultation information can be helpful in diagnosing hypertension during pregnancy.
Blood pressure is measured
Measuring blood pressure can find out if a pregnant mother has high blood pressure and how severe it is.
Before measuring blood pressure, rest quietly for at least 5 minutes.
If the measured blood pressure value of the pregnant mother is less than 140/90mmHg, it means that there is no hypertension during pregnancy;
If the measured blood pressure is higher than 140/90mmHg, repeat blood pressure measurements are required at intervals of 6 hours or more.
The retest results are still high, indicating that there is hypertension during pregnancy and the need for timely medical attention.
Urinalysis
If routine urine examination finds that the protein content in the urine is elevated, that is, proteinuria has appeared, indicating that there is a problem with the filtering function of the kidneys.
Proteinuria is an important indicator of the severity of gestational hypertension, and it can determine whether and how much kidney damage has been caused by gestational hypertension.
Therapeutic article
The treatment of hypertension during pregnancy is aimed at controlling the condition, prolonging the gestational age, and ensuring the safety of the mother and child as much as possible.
Hypertension during pregnancy should be rested more often, and antihypertensive therapy should be given if necessary; Pregnancy with chronic hypertension is mainly to lower blood pressure and prevent the occurrence of eclampsia.
If eclampsia occurs, convulsions should be prevented in the early stage, the mother-fetus situation should be closely monitored, and the pregnancy should be terminated as soon as possible after the condition is controlled.
General treatment
To treat hypertension during pregnancy, pregnant mothers should pay attention to rest, ensure sleep, ensure protein and calorie intake, and avoid overwork.
drug therapy
Antihypertensive drugs
The main purpose of drug antihypertensive is to prevent serious maternal and fetal complications such as cardiovascular and cerebrovascular accidents and placental abruption.
Oral antihypertensive drugs are preferred for hypertension in pregnancy, and commonly used drugs are labetalol, nifedipine, and nimodipine.
If the blood pressure control of oral drugs is not ideal, intravenous administration can be used, and commonly used drugs include nitroglycerin.
During the medication, the doctor will closely monitor the blood pressure to ensure that the blood pressure is not less than 130/80mmHg to ensure that the placenta has an adequate blood supply.
magnesium sulfate
Magnesium sulfate can inhibit the function of the nervous system, relax skeletal muscles, and play a calming and antispasmodic effect.
When it is necessary to control eclampsia tics or prevent eclampsia from convulsing again, magnesium sulfate can be used.
Magnesium sulfate can inhibit convulsions but does not lower blood pressure, and it needs to be used in combination with antihypertensive drugs.
After talking about investigation and treatment, "Special Topic of Hypertension During Pregnancy" will come to an end, pay attention to "Deep Reading Video", remember to like and forward! Mmmmmm