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AD levogogo adrenal adenoma and pregnancy

admin — Sun, 23 May 2010 21:39:52 +0000

Question: I am 23 years old, weight 60 kg. , height 173, for 7 years there is a high pressure 160-170/110-130, although I have no head does not hurt, no weakness, I work and running around in the mornings. Recently held a survey and find out that I have a left adrenal adenoma measuring 0.9 cm We accept normodipin snizilov and pressure to 140/90, while reducing pressure to 126/87 feel sluggish. Doctors offer to get tested after 6 months. The question: "Can I now get pregnant and give birth to a child?" Doctors do not advise me to say that possible stroke or heart attack and the child may be born with otkloneniyali. Is this true?

Answer: (22. 02. 07) It is necessary, so to speak, to confide algebra: To evaluate the condition of the arteries fundus (which indirectly predicts the future state of the vessels of the placenta), the index of left ventricular mass with echocardiography and, above all results of a thorough registration of a hand-blood pressure. Therefore reproduce the old message. * To obtain representative systematic data necessary for prompt medical decisions (in the primary examination to establish the inherent level of AD patients, in assessing the effectiveness of the drug, dosage), the patient is recommended to measure blood pressure alone (http://doktor. Ru / qa / davlenie / article. html? id = 51939) at least twice a day – morning and evening during the week before the visit to the doctor – and record the results of all measurements. Each procedure must include 4 Metering: 3 – in a sitting position (after 5-minute rest intervals between 30 s), one extra dimension – in 1-2 minutes after the transition to standing position. To avoid the effect of reducing blood pressure after meals, all measurements are made before or after 3 hours after meals. In the days of self-measurement of blood pressure patients must observe in his diary all the events that may affect the level of blood pressure – time activity and medication, food, and during sleep.

sympatho-adrenal crises pregnancy

admin — Sat, 08 May 2010 21:36:58 +0000

Question: HELLO. I am 31 years old. Second pregnancy. The first was successful. He was born a healthy baby (naturally). Now I have a problem. Since 2003, the IRR of the sympathetic-adrenal crisis. Neurologists gave the nod to pregnancy, although the gynecologists persuaded to interrupt. Pregnancy developed normally. On ultrasound there are no deviations from the norm as the fetus and placenta (yet). Now 27 weeks. Seizures are repeated once a month and a half. Last from 1,5 to 3 hours. Sometimes during an attack is just a strong tachycardia, and sometimes with tachycardia + Rescue pressure jump (highest in the entire pregnancy rose 1 time to 150/90). And so during an attack is 130/90. But tachycardia is almost always 100-110, it is sometimes hard to breathe. During the seizures is 130-150. My question: Is it dangerous to give birth naturally, in this situation, because the head of the LCD and proffesor to whom sent, also only recommend caesarean. But I suspect that they just reinsured. Maybe you have had experience with childbirth. Or at least, if you can, write in the percentage of risk / safety in my case a natural delivery. Thank you very much for your reply.

Answer: If I say: 50% to 50% for certain medical institutions and 25% and 75% for others, this is for you?

Gestosis or hypertension

admin — Sat, 08 May 2010 21:00:50 +0000

Question: Now I am at 36 weeks! Already 2 times lay in pathology at 28 and 35 weeks of a diagnosis-gestosis, and both times for 2 days! (Took tests, saw eufilin and released home.) In early pregnancy, blood pressure was 110 70 120 80. now rises to 140 90 and sometimes held out all day and then again comes back to normal! I am 21 years old, weight 93 kg. Throughout pregnancy gained 10 kg. Recently I noticed some swelling in the feet and fingers. I watched the optometrist, eye-to-order, with the age of 16 are diagnosed with the IRR on the hyper. type. Doctor in LCD constantly afraid gestosis, placental abruption and other troubles, so that by leaving her in tears! I smoke the whole pregnancy. I bought a tonometer, pressure measured at home by 10 times a day. jumps from 120 80 140 90! I feel generally good! I subscribed to atenolol, but I did not drink it (very terrible anatatsiya). Pugh eufilin and kanefron. Please'll show what all still with me, gestosis or hypertension? And if I could drink Papazol (heard that he gently lowers the pressure)? THANK YOU!

Answer: These figures do not require taking blood pressure medication, provided that other indicators are satisfactory (eg, protein in urine). For details, see us in the relevant section.

Lie down, or not?

admin — Thu, 29 Apr 2010 21:00:10 +0000

Question: I have always had the pressure of 120-130 at 80-90. Now 36 weeks pregnant pressure of 130-145 at 80-90, swelling of legs, in my opinion is not strong. His legs hurt, if many seem to go after the rest, but swelling remains. Pressure dopegidom not reduced, but without the drug becomes higher. Uzi in the norm, at CTG ikala baby, they said again, the doctor issued it is a sign of hypoxia. Weight gain around 500-700gr per week, but not leaps and evenly. Will I be hospitalized. In the hospital badly do not want to, because I feel very well. And what to do there? "In the best case to relieve edema. About albuminuria now – I do not know, for all time was never. Does it make sense now to go the hospital or may be still until the 38th week or wait? "I have no husband feel bad, very worried, can not eat, and beginning to smoke. And if the long put, I'm afraid I would be hysterical on this basis, then I Dalen only honey. drugs and will be reduced.

Answer: In the hospital it makes sense to go in if there will make something impossible in the conditions of home and ambulatory. That is, you need to gospitalizitsii treated as writing about the use of certain drugs during pregnancy: "the application is only possible when the anticipated benefits exceed the potential risks.

Pregnancy and increased pressure

admin — Thu, 29 Apr 2010 15:36:33 +0000

Question: I am on the 35th week of pregnancy. Pregnancy second. Begun to increase pressure 130/80, 130/90. One day the pressure was kept all day, but generally ranges 120/80, 125/80, 130/80. Therapist appointed atenalol. I did not take, because in the instructions it is contraindicated in pregnancy. SEBA feel normal, urinalysis is good, no edema. Before that cost the soothing drugs (adonis bromine). Do I need to take drugs that reduce the pressure at 130/80. If so, what – not to harm the baby? Thank you.

Answer: No need.

Pregnancy and Hypertension

admin — Tue, 27 Apr 2010 21:39:58 +0000

Question: Recommend please what to do. I have a vegetative-sosudistadiya dystonia by hypertonic type (hypertension 1st) with 9 years old, I am now 30 years old. I have a child 5 years old, first pregnancy ended kesorevym section with increasing pressure up to 160 / 100. After that I passed all the examinations, in principle, everything is normal. Now I take medication to maintain the optimum pressure, I have bad ponizhaetsya lower pressure (sometimes 120 / 100), with the kidneys, everything is normal. I would like a second child. As for my position is it possible to get pregnant, and what medications to take during pregnancy? ? ? (Dopegit bad lowers blood pressure) Is there a risk? ? Without admission medicinal pressure me rises to 145 (150) / 100 (but not always). It happens rehko drops to 110/80. Thank you.

Answer: The situation is approximately the same as described in the message the other day: http://doktor. ru/qa/46086/qa. html? id = 64514. And the answer may be the same. Dopegit poorly reduces the pressure now because it is not essential hypertension and the need for it, probably not. Moderate (up to 160/100) increased blood pressure during pregnancy, nothing says, hypertension is pregnant after giving birth at all.

Prepparaty at VGSD

admin — Fri, 23 Apr 2010 15:00:01 +0000

Question: The doctor prescribed me pills Dopegid with increasing pressure higher than 130, those 132 and above, at the half at night. TC last pregnancy at the end of pregnancy, I was sent to hospital with the LCD on the ambulance on suspicion of prememplaksiyu. She believed that it was necessary to keep the pressure stable to prevent a recurrence. na21 week of pregnancy. Kardilogo decided IRR of hypertonic type. But I do not want to take a lot of preparratovtk it can be Opsa to the fetus. Do you think: Can I take Dopegid for pain or pressure from 140? Or thus maintain the normal pressure?

Answer: In the upper (systolic) blood pressure above 140 against the background of pregnancy to take prescription dopegit possible.

High pressure

admin — Sun, 11 Apr 2010 15:36:39 +0000

Question: Zdravstvuite in the last days of pregnancy podskachilo pressure of 180/120, (my blood pressure no higher than 130/80) made an urgent caesarean. after discharge to vtoroi week asleep podnyalos do160 / 106 went to the doctor-prescribed medicines, prinimat kazhdyi den. My parents did not pressure. friends say that the pressure naposlednih Recently burden should proiti tcherez 3.4 mesyatsa after birth. I fully obsledovalas-all in order, and even at the last pregnancy I mesyattse silno swollen. WISH TO uznat ischeznet if my blood pressure as they say in 3-4mes?. seytchas I take pills. WISH to have Choroszcz pressure without taking pills, when pills depresses me, I am 29 years old sa pregnancy gained 23 kg, 80kg seitchas vvshu with growth 162sm. htelos to know whether such cases? And whether my blood pressure in order without taking pills?

Answer: The pressure is normalized and without drugs, faster – if you reduce body weight. Other measures: http://doktor. ru / qa / davlenie / article. html? id = 51966.

What to do?

admin — Wed, 07 Apr 2010 21:36:10 +0000

Question: doctor! I am 35 years old, two children. Pregnancy was normal, gave birth to herself. In January of this year, died in the womb of my child (within 32 weeks). I had high blood pressure (140/90). When nervous disorders 150/110, where it was taken up only when you visit the LCD. Keep appointments with normal blood pressure, measured pressure, it was high, my ambulance and taken to the hospital, I refused, went home, there is normal blood pressure (120/70). Then, still lay on the treatment. Kololi me papaverine, dibasol, sibazol or Sibazon (as it is called), poured eufelin, magnesium, after which blood pressure rose even worse, aktovegin, given clonidine. Protein in the urine during the whole pregnancy has never been, hemoglobin, 123-140. Abdomen never been ill. I was 2 times for screening, the cardiology and in the regional hospital. In the heart of everything was normal, screening showed no abnormalities, everything was fine. When lying on the preservation of the regional hospital, asked from which blood pressure rises, said that the nervous system. Work with me uneasy, a teacher. At the moment I am pregnant again. Terribly afraid of visiting a doctor, I'm afraid that all over again. I do not want to lose a child. Yesterday pressure was 140/90, head ache a little. Please, suggest what to do, what to do. Thank you in advance. Paradise.

Answer: Blood pressure 140-150/90-100 can not be a cause of fetal death and violations of pregnancy. Try to calm down, the pressure jumps at the doctor – series for pregnant phenomenon ( "white coat hypertension" occurs in 30% of cases). The work you do, indeed, not the healthiest (http://doktor. Ru/qa/46086/qa. Html? Id = 56477).

Pressure does not drop

admin — Wed, 07 Apr 2010 21:00:39 +0000

Question: doctor. I am 28 years old, overweight, hypertension 2 degrees, 12 weeks of pregnancy. Increasing pressure from 4-5 weeks of pregnancy (it was hot and work very stuffy) to 150/110 (115). I managed to lie in a hospital. Optic fundus of hypertonic type, sight 100%. Pew dopegid 3r/den. Like normalized to 120/80. Now again begins to rise. After receiving the drug at 7:30 to 11 o'clock already under pressure 150/110. When receiving the drug falls 130/104. After two hours, three after applying pressure again begins to increase 137 (139) / 100 (107). Tonometer is always with me, clearly in control. How can we reduce the diastolic blood pressure? Since dopegid reduces upper right and lower left almost in the same position. I recommended doctor kidney tea courses for 10 days / month. I decided to give up salt. Things to do in order to bear a child without complications for him and for me. Doctors recommend an abortion, but I отриц. Rhesus and it is actually the last chance to have a child.

Answer: From the salt has long had to be abandoned. Despite the formal contraindication, midwives are widely used to treat hypertension after the first trimester of pregnancy (!) Sc. calcium antagonists, the 1 st and 2 nd generation. Their international non-profit name: verapamil, nifedipine, diltiazem, nicardipine, isradipin.