Can pregnancy induced hypertension eat new pain?

summary

Hypertensive disorder complicating pregnancy is a special disease in pregnancy, including hypertensive disorder complicating pregnancy, preeclampsia, eclampsia, chronic hypertension with preeclampsia and chronic hypertension. The incidence rate is 9.4% in China and 7% to 12% abroad. It is one of the main causes of morbidity and mortality of pregnant women and perinatal infants. Now let's take a look at the treatment of pregnancy induced hypertension, understand the pregnancy induced hypertension can eat new pain?

Can pregnancy induced hypertension eat new pain?

Treatment 1. General treatment, rest, close monitoring of mother and child status, intermittent oxygen, diet including adequate protein, heat, unlimited salt and liquid, appropriate salt limit for systemic edema. 2. Antispasmodic magnesium sulfate is the first choice for the treatment of PIH. We should monitor the blood magnesium concentration, and pay attention to the following points: (1) pay attention to the urine volume ≥ 25ml / h, knee reflex and breathing. (2) Use respiratory resistance drugs with caution. (3) When accompanied with cardiomyopathy, magnesium sulfate should be used with caution. (4) Intravenous drip is better than bolus. (5) Pay attention to the relationship between body weight and dose and flow velocity. 3. Expansion of blood volume does not advocate the use of expansion agent, only for severe hypoproteinemia, anemia. Albumin, plasma and whole blood can be used.

4. Hypotension (1) hydralazine can block α - adrenoceptors, dilate peripheral blood vessels and decrease blood pressure. The advantage is to increase cardiac output, renal and cerebral blood flow. The adverse reactions were rapid heart rate, facial flushing, nausea, palpitations and other discomfort. (2) Sulfamethoxine salicylic acid ammonia derivatives have competitive antagonistic effects on α - and β - adrenergic receptors. The advantages are good antihypertensive effect, decreased vascular resistance, increased renal blood flow and no decrease in placental blood flow. It can promote fetal maturation, reduce platelet consumption and increase the level of prostacyclin. (3) Nifedipine is a calcium channel antagonist. It can prevent extracellular calcium from penetrating into the cell membrane and inhibit the release of intracellular sarcoplasmic reticulum calcium into the cytoplasm. The result of pharmacological action is to dilate the blood vessels of the whole body and decrease the blood pressure. In addition, due to the inhibition of smooth muscle contraction, it not only reduces blood pressure, but also helps to prevent threatened preterm birth in patients with PIH accompanied by weak uterine contraction. (4) Methylproline angiotensin converting enzyme (ACE) inhibitor. (5) Sodium nitroprusside sodium nitroprusside metabolites (cyanide) can combine with the hydrogen group of red blood cells and have toxic effects on the fetus. Postpartum use when other antihypertensive drugs are ineffective, generally not for pregnancy. Blood pressure was monitored during medication. (6) Prazosin α - adrenergic receptor blockers. 5. Sedation: sedative can be given to those who are nervous, anxious or have bad sleep. For severe eclampsia or eclampsia, need to use a strong sedative to prevent eclampsia. (1) Diazepam (diazepam). (2) Sleeping pills. (3) Others: amital sodium, morphine, phenobarbital and barbital sodium. 6. Diuresis is not recommended in general, but only for patients with systemic edema, acute heart failure, pulmonary edema or hypervolemia with potential pulmonary edema. 7. Treatment of eclampsia: control convulsion, correct hypoxia and acidosis, control blood pressure, terminate pregnancy after convulsion. 8. Timely termination of pregnancy (1) induction of labor is suitable for patients with cervical ripeness after disease control. (2) Cesarean section is suitable for those who have obstetric indications, whose cervix condition is not mature, can not give birth through vagina in a short time, fail to induce labor, whose placenta function is obviously decreased or whose fetus is in distress.

Baixintong (nifedipine controlled release tablets), produced by Bayer medical and health company of Germany, has clinical indications of hypertension, coronary heart disease and chronic stable angina pectoris (exertional angina pectoris). There are many kinds of antihypertensive drugs for hypertension, but there are few varieties suitable for pregnant women. Bayashin belongs to calcium antagonist, which is mainly used to dilate blood vessels to reduce blood pressure. It is suitable for pregnant women, and has no effect on the fetus. Do not change the drugs by yourself. The drugs of ARB and ACEI are forbidden for pregnant women.

matters needing attention

1. Increase the intake of dietary protein: during pregnancy, the daily intake of protein should be about 60-80g, and sufficient protein can be obtained through lean meat, eggs, beans and bean products. 2. Eat more fish, cereals and fresh vegetables: fresh water fish such as crucian carp, eel, blue and white fish and autumn fish are rich in 20 C 5 dilute acids, which are helpful to improve metabolism, improve microvascular circulation and inhibit platelet aggregation; cereals and fresh vegetables can not only increase the intake of food cellulose, prevent constipation, reduce blood lipid, but also supplement a variety of life support It is beneficial to the prevention and treatment of pregnancy induced hypertension. 3. Pay attention to the supplement of food calcium: food calcium intake is of great significance in the prevention and treatment of pregnancy induced hypertension, because insufficient calcium intake can lead to hypocalcemia, increase the permeability of calcium ion, promote the transmembrane influx of calcium ion, cause micro artery vasoconstriction, increase blood pressure, and aggravate the condition of pregnancy induced hypertension. Therefore, the intake of milk, fish and seafood should be increased during pregnancy in order to increase the absorption of food calcium and avoid the occurrence of hypocalcemia and pregnancy induced hypertension due to insufficient calcium intake. 4. Limit the intake of foods containing saturated fatty acids: the total daily intake of lipids should be controlled below 60g, especially the intake of saturated fatty acids and cholesterol. Vegetable oils, such as vegetable oil, soybean oil, corn oil and peanut oil, are the main lipids. In addition, fish oil can also improve the lipid deposition of vascular wall, which is beneficial to the prevention and treatment of pregnancy induced hypertension. 5, eat less salt, control the total calories of diet *: excessive intake of sodium can cause water and sodium retention and increase blood pressure. It is necessary to limit the intake of salt. The daily intake of salt should be controlled at around 8~10 grams. Too much heat can make the weight of pregnancy too large and increase the incidence rate of pregnancy induced hypertension. Therefore, pregnant women should pay attention to the control of weight gain, the whole pregnancy should not exceed 12 kg.