Settle of pregnancy merger hepatitis
The period of pregnancy women merge the hepatitis be more familiar.Pregnancy after, the demand for developping because of fetus, the glycogen metabolism in the gravida liver reinforcement, the liver burden aggravate, than ordinary people more easy infectious disease toxicity hepatitis.According to the inquisition, the virus hepatitis right and wrong of the gravida merger gravida of 600%, but the merger is serious explosion the hepatitis then is a non- gravida of 6600%.The virus hepatitis of the gravida merger of the mortality is 12%, rather than the gravida is only 0.57%.In the meantime, the gravida suffers from a virus hepatitis to return a pole to probably infect the virus to the fetus.
The hepatitis has influence to the pregnancy
The early trimester of pregnancy takes place a virus hepatitis, can make pregnancy reaction, gestation reaction, aggravate such as the symptoms, such as nausea and emesis…etc.;The late trimester of pregnancy takes place a virus hepatitis and more and easily pregnancy-induced hypertension syndrome, PIH happen.The filial generation infection of the trimester of pregnancy virus hepatitis rate is 25% to go to 40.36%.According to the inquisition, the first Yun quarter, maternal B liver surface antigen masculine gender, its filial generation is subjected to the infection rate as 10%, the second Yun quarter is 76%.Suffer from the gravida of virus hepatitis, the prognosis of the condition severity fetus is worse, have a miscarriage, premature delivery, fetal death and neonate, newborn of the mortality obviously increases.
The pregnancy has influence to the hepatitis
The pregnancy women are the easy feelings of hepatitis, and once suffering from after the hepatitis a condition is also more heavy.Give birth to baby hypoxia and metabolism disorder that physical strength depletion, injury and hemorrhage, bleeding of process cause, can urge the liver histogenesis of pathological changes a necrosis.A great deal of data confirms that the pregnancy obviously has poor influence to the virus hepatitis, particularly pregnancy anaphase, the jaundice hepatitis evolve into the acute or second acute yellow liver Wei Suo is more than doing not be pregnant period and die of illness a rate to increase.The cardinal death reason is a hepatic coma, the shock and top alimentary canal hemorrhage, bleeding etc. of the postpartum hemorrhage.Someone thinks that the gravida virus hepatitis more easily changes into chronic hepatitis.
The gravida got how the hepatitis process
The hepatitis is acute to expect and should lie a bed rest, the Diet is proper and simple elegance, when it’s necessary vein infusion with promise absorb of liquid and calorie.Forbid an usage to have the drug of damage to the liver action, such as the different sooty mold Pian, rifampicin within drug of the anti- tuberculosis, to ammonia group sodium salicylate, the psychosis uses the chloropromazine, diazepam in the medicine, the tetracycline, Huang amine…etc. in the anti-virus drug.Can’t drink beverage of imply the alcohol, can’t even at will drink alcohol.Want to notice complement vitamin b 1, B6, B12, C, K etc., and vitamin C the action help the hepatocyte, liver cell to repair and improve a liver action.
Whether the trimester of pregnancy acute virus hepatitis needs to terminate a pregnancy or not, opinion still disunity.Someone think carrying on terminating pregnancy surgical operation will aggravate liver burden and make the condition worsen.Someone before thinking 12 turnovers: pregnancy, should at aggressive treat hepatitis of in the meantime, practice artificial abortion, induced abortion Shu is proper.Medium, the merger hepatitis of the later period pregnancy sufferer, the surgical operation leads to produce endanger more and greatly, generally not proper termination pregnancy.
The delivery, parturition expect and the puerperium point pay attention to hemorrhage, bleeding and infect, the patient has to go a regular hospital to give birth to baby, as far as possible fight for a vagina delivery, parturition, don’t be wrong to mistaken for cesarean section more safe.Puerperium should strengthen personal sanitation, if keep private parts to sweep, frequently change dress trousers, keep indoor air to circulate, must attain an after meal gargle, brushed teeth to sweep by keeping an oropharynx, oral part of pharynx department before sleep.The Diet wants to compare a general gravida to take more care, don’t eat stale food.
The infant should immediately insulate a nursing after be born on all sides, namely the parturient, puerpera can’t get in touch with an own kid.Most likely imply a hepatitis virus inside parturient, puerpera mother milk, so can’t breast feed.The postpartum returns to milk, should not take an estrogen, E and the in order to prevent injures a liver action.
If have already known to suffer from hepatitis before the Yun, should avoid pregnancy and half year then can be pregnant at least after treating to recover from illness.
Cut off a female baby a dissemination
If the mother is B liver patient, perhaps and only is the carrier of B liver virus, the B liver virus within her blood composition then and probably spreads to the infant.This kind of dissemination mainly in the process of give birth to baby in occurrence, but very few is inside uterus to infect.How cut off a female baby a dissemination?The most effectively accurate way is to expand a B liver vaccination.The concrete way of doing is:The infant whom the male gravida of the HBsAg give birth to baby, namely gave to inject the immunoglobulin of the B type hepatitis 1(200 international unit, IUs) at that time in the birth, two turnovers after again had a B liver vaccine, henceforth a month and six months again inject a dose of same respectively.If have no B liver immunoglobulin, then have a B liver vaccine for 24 hours after the infant be born, then inject again once after a month and six months respectively.The prophylactic immunization which values a B liver vaccine is only one can keep kid from encounter the bitter of B liver of measure.
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September 19th, 2007 at 2:19 pm