5/9/08

Kidney disease can pregnant women

After primary treatment of acute nephritis has been recovered, there is no risk of pregnancy in general. However, the best in the clinical manifestations of acute nephritis disappeared three years after the pregnancy, at this time would be even more secure. If no nephrotic syndrome hypertension, renal function can be normal pregnancy. Of course there will be pregnancy proteinuria increased, but the kidney disease itself normally does not deteriorate. If the blood of albumin decreased significantly, may cause fetal weight or premature. In addition, some patients nephrotic syndrome, pregnancy prone to thrombosis, thus leading to other parts of the lesions. Chronic glomerulonephritis patients when a mild hypertension or azotemia time, if the pregnancy, prone to pregnancy-induced hypertension, can easily cause fetal death. So deciding whether to pregnant cautiously. If the pregnancy emerged in the early symptoms of pregnancy-induced hypertension. Termination of pregnancy should be, because even if continued pregnancy, fetal survival more difficult, but the original kidney disease will worsen. IgA nephropathy clinical performance as the main hematuria, susceptible to hypertension in pregnancy. If the pregnancy, should pay great attention to monitoring, periodic inspection to the hospital. Some systemic diseases caused by kidney damage, such as diabetes and kidney disease, pregnancy, generally will not cause kidney deterioration. However, prone to high blood pressure and pregnancy-induced hypertension, can easily cause fetal death. Therefore diabetic kidney patients for pregnant should seriously consider. Suffering from lupus nephritis patients can pregnancy and parenthood, but should be very cautious in complete remission one year after the illness, the doctors agreed to pregnancy, in the entire pregnancy, should have renal and intensive care doctors to give appropriate Treatment.


Generally speaking, if the kidney patients at the following several cases of pregnancy should be careful: ① blood pressure patients, pregnancy easily lead to certain complications, such as heart failure, patients generally can not afford pregnancy; ② moderate renal Damage, serum creatinine to 123-265 μ mol / L, at this time of pregnancy, the original kidney disease and kidney function will deteriorate if serious damage to renal function, serum creatinine超过265 μ mol / L, BUN超过11 mmol / L, , To prohibit pregnant.


Well, some women suffering from kidney disease at the time of the pregnancy how it wants to do »must first understand their condition can tolerance of pregnancy, if your condition is stable, blood pressure and kidney function is normal, and you want one child, You can kidney doctors there to seek the possibility of pregnancy and after pregnancy should be regularly to the hospital for an examination, after 32 weeks of pregnancy, should be checked every week to go to the hospital. Main urine routine examination, blood pressure and kidney function and fetal situation. For high blood pressure, bed rest, if the decline in kidney function, will have to termination of pregnancy.

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