2014年8月8日星期五

Female diabetic nephropathy may be pregnant?

First, patients with following circumstances can not be pregnant:
1 nephrotic syndrome due to low serum albumin, often leading to fetal growth retardation and preterm children.

2 patients with moderate renal insufficiency and fetal growth retardation high incidence of preterm birth, pregnant women may be progressive renal function deterioration.

3 secondary renal diseases such as lupus nephritis patients after pregnancy, may induce or aggravate the condition, it should be very careful. Another example is patients with diabetic nephropathy, prone to pregnancy preeclampsia, preterm delivery, fetal malformation, a huge children and fetal respiratory distress syndrome, it should not be pregnant.

The reason people with diabetic nephropathy two women can not become pregnant, some:
1 When women pregnant midnight, not ...... human protein in vivo blood circulation will increase more than one-third of pre-pregnancy about. And due to the increased volume of blood circulating through the kidney diet treatment guidelines should be based on the patient's renal function and proteinuria levels to determine the status order. The increased blood flow also corresponds, therefore pregnant after kidney salts knot. Dirty burden. This is very easy to aggravate kidney disease.

2 and because the function of the kidneys caused by kidney disease decline within the parent may affect fetal development. When there will be serious fetal growth retardation, may also appear miscarriage, stillbirth, stillbirth.

Third, diabetes experts suggest that for patients with diabetic nephropathy have been pregnant at the same time should also be noted:

A proper diet. Excessive intake of adverse diabetes rehabilitation; intake of too little, adverse fetal growth and development. So, you should specify a recipe, please nutritionist, both help control the disease in pregnant women, but also conducive to fetal growth and development.

2, oral hypoglycemic agents during pregnancy should avoid through the placenta to reach the carcass, resulting in neonatal hypoglycemia or teratogenic, or even death.

3, light condition can be controlled through diet blood sugar within the normal range; severe illness, and can be prescribed insulin injections.

4, on a regular basis to check for obstetrics and endocrinology, including check eyes, kidney function, B-, placental function and fetal conditions. If it is found fundus, deterioration of renal function should immediately terminate the pregnancy.

5, pregnant women, it is best to control blood sugar in the normal range, if the pregnancy through smoothly, well-controlled diabetes, pregnant women without complications, fetal monitoring shows normal, you can wait for natural labor; If pregnant women have vascular disease, pregnancy, 37 in a 38 weeks should be considered abortion. Otherwise, there will be dangerous for pregnant women themselves.

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