The main goal of treatment of a pregnant woman with early gestosis is the normalization of the processes of excitation and inhibition in the central nervous system.

Also, the treatment is aimed at combating dehydration, starvation, intoxication of the body, provides for the restoration of metabolism and the functions of the most important organs. In a hospital pregnant create medical protective regime in terms of physical and emotional rest, which often leads to cessation of vomiting without further treatment. Of great importance are good care, silence, electrosleep and electroanalgesia. An obligatory component of treatment is psychotherapy.

Methods of action on the nervous system include treatment with sodium bromide and caffeine. The use of these drugs contributes to the restoration of impaired cortical dynamics and the relationship between the cortex and the subcortex. Sodium bromide can be administered in the form of micro enema: 30-50 ml of a 4% solution of 1 times a day. Caffeine is administered by 1 ml of a 10% solution 2 times a day subcutaneously. If the patient keeps food, caffeine is prescribed orally 0.1 g 1-2 times a day. As drugs that have an antiemetic and sedative effect, apply etaperazin, droperidol, tserukal, novocaine.

Etaperazine refers to neuroleptics, has a pronounced antiemetic effect. Assign 0,004-0,008 g 3-4 times a day. Treatment is carried out under the control of arterial pressure.

Cerucal refers to the means acting on the central nervous system, it also has a powerful antiemetic effect, in addition, it has a regulating effect on the functions of the gastrointestinal tract. Apply 1 tablet (10 mg) 2-3 times daily before meals; Intramuscularly and intravenously injected 1 ampoule (2 ml - 10 mg of the drug) 1-2 times a day.

Droperidol belongs to the group of neuroleptics, along with other properties has antiemetic effect. The drug is administered intramuscularly 2.5-5 mg (1-2 ml) 1 time per day (with the introduction of the presence of an anesthesiologist).

Novocaine is administered intravenously daily with 10 ml of a 0.5% solution. B vitamins, ascorbic acid, etc. are also prescribed..

Great importance is the fight against starvation and dehydration of the body. The patient should take food lying down, in small portions. If the food is not digested, glucose is administered intravenously - 30-50 ml of a 40% solution, the dropwise enema is used from an isotonic sodium chloride solution with glucose - per 1 liter of an isotonic solution of 100 ml of a 40% solution of glucose. By dropping enemas injected to 1.5-2 liters of isotonic solution. With prolonged use of glucose, it is recommended that small doses of insulin. The composition of parenteral nutrition also includes the introduction of 20-40 ml of 40% glucose solution with 100-200 ml of ascorbic acid and vitamins of group B, the introduction of cocarboxylase intravenously at 0.05-0.1 g (3-6 ml) from 40 % Solution of glucose.

In cases of severe form of early toxicosis, parenteral nutrition includes protein preparations - a solution of hydromuine, polyamine, aminoplasmol. Drugs are administered intravenously, drip, slowly in a daily dose of up to 500 ml.

In infusion therapy for the purpose of plasma-substituting and detoxification action includes:.

Preparations based on dextran - a solution of polyglucin, injected intravenously, drip 400 ml; Rheopolyglucin - also administered intravenously, drip 400 ml; With a pronounced dehydration, it is expedient to add reagolyglyukin an isotonic solution of sodium chloride or a 5% solution of glucose;.

Preparations based on polyvinylpyrrolidone - hemodez, enterodesis. The mechanism of action of haemodesis is due to the ability of low molecular weight polyvinylpyrrolidone to bind toxins circulating in the blood and to rapidly remove them from the body. The solution is pre-heated to +36 ° C; Gemodez injected intravenously, drip at a speed of 40-80 drops per minute, in a volume of up to 300 ml once; Enterodesis (the drug is available as a powder) is administered orally at a dose of 5 g 1-3 times a day.

Before use, dissolve 5 g of powder (1 h. ) In 100 ml of boiled water;.

Saline solutions - in addition to the isotonic sodium chloride solution, use Ringer-Locke solution, intravenously, dropwise, in a volume of up to 300 ml per day.

To eliminate metabolic acidosis, it is recommended to inject sodium bicarbonate (sodium bicarbonate) intravenously with 100-150 ml of a 5% solution (possibly an enema).

Health. Sumy. Ua.

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