Treatment of dropsy of pregnant women is reduced mainly to the elimination of edema. When concealed edema appears, it is usually enough that the pregnant woman spends most of the day in a horizontal position, which in itself contributes to a slight increase in diuresis. The amount of fluid entering the body is limited to 600-800 ml per day. Diet hypochlorous - consumption with food 3-5 g sodium chloride, food is recommended with sufficient protein and potassium. If the latent edema does not disappear, the pregnant woman can be prescribed hypothiazide 25 mg 1-2 times a day.

With edema of the first degree, in addition to these measures, diuretic drugs. Most often prescribed hypothiazide 25 mg 2-3 times a day. Given the large loss of potassium ions in the urine, it is necessary to prescribe potassium chloride 1 g 3-4 times a day or in a 3% solution of 1 st. 3-4 times a day, or potassium orotate 0.5 g 2-3 times a day. Instead of hypothiazide, you can assign a more active analogue - cyclomethiazide 0.5-1 mg 2-3 times a day or furosemide 40 mg 3 times a day. These drugs are prescribed 4-5-day cycles at intervals of 2-3 days. If the effect is insufficient, these preparations can be combined with other diuretics. In the intervals between cycles it is recommended to take ammonium chloride. Simultaneously with diuretics appoint a concentrated 40% glucose solution intravenously for 20-40 ml with 5 ml of 5% solution of ascorbic acid, with edema of the second degree - concurrently with cocarboxylase (50-100 ml). If necessary, between the cycles of taking diuretic drugs, you can prescribe the introduction of a 2.4% solution of euphyllin 5-10 ml intravenously in 10-20 ml isotonic sodium chloride solution.

With edemas of the second degree, the daily dose of hypothiazide is increased, the treatment package includes osmotherapy. In such cases, appoint mannitol (0.5-1 g / kg in a 10-20% solution mixed with a solution of glucose and vitamins).

In the complex of therapy it is necessary to add preparations of dextrans - polyglucin intravenously, drip 100-200 ml. In cases of hypoproteinemia in pregnant women with edema of the second degree, protein preparations or plasma. It is most rational to use concentrated plasma (75-100 ml of the prepared solution from the bottle of dry plasma), with a significant decrease in the albumin-globulin blood ratio, to assign protein, albumin.

With dropsy of the third degree, the same complex of therapy is used, but, taking into account the more pronounced acidosis phenomena, it is better to dissolve the dry plasma with a 5% solution of sodium hydrogencarbonate.

If during hydrotherapy of pregnant women the main efforts during treatment are aimed at enhancing diuresis, regulation of water-salt metabolism, then in the case of monosymptomatic gestosis in the form of hypertension, removal of the vascular spasm, normalization of the increased tone of the blood vessels, decrease in the reactivity of the vascular wall.

When pregestos with the phenomena of hypertension, the pregnant woman is hospitalized in a hospital, the treatment-and-protective regime is prescribed, the strict diet is observed. From medicamental treatment apply the combined preparations combining antispasmodic, hypotensive and diuretic effects: papaverine - 0,02, diuretin - 0,1 g, dibasol - 0,02, 1 powder 3 times a day. Assign sodium bromide - 3% solution of 1 st. 3 times a day. To reduce reflex excitability, psychoemotional tension, to improve sleep, appoint tranquilizers - elenium, diazepam - 1 tab 2-3 times a day (elenium - 5-10 ml 2-3 times a day, diazepam - 5 mg 2 times a day ).

In combination with these drugs you can apply no-shpu - to 0.04 g 2-4 times a day.

At a systolic blood pressure of about 150 mm Hg. Art.. And diastolic about 90 mm Hg. Art.. Usually combine sedative, spasmolytic drugs with dibazolom - 2 ml of a 0.5% solution 2 times a day intramuscularly. You can also appoint a halide - 0.05 g in a pellet, 2-4 times a day, intramuscularly 2 ml 2.5% solution 2 times a day. At the same time patients receive intravenously 40% glucose solution with ascorbic acid at the same doses as in the treatment of dropsy of pregnant women.

In pregnant women with blood pressure figures from 150/100 to 175/115 mm Hg. Art.. The effect is given by a combination of tranquilizers, but-spines with preparations of rauwolfia-reserpine - 0.1-0.25 mg 2-3 times a day or raunatin 2 mg 3 times a day. Dibazol is administered 2 ml of a 0.5% solution 2-4 times a day intramuscularly or intravenously; Ornid - 0.5-1 ml of 5% solution intramuscularly 2-3 times a day or pyrilene 5 mg 2-3 times a day, or ganglaron to 0.04 g 3-4 times a day, intramuscularly - to 2 ml of a 1.5% solution. Of ganglioblokatorov appoint also temochin 0,001-0,002 g 3 times a day, pentamine 0,5-2 ml 5% solution intramuscularly 2-3 times a day, benzogelsonium 0.1 g 3-4 times a day; Euphyllin is injected with 10 ml of a 2.4% solution intravenously; Diprasin 0,025 g 2-3 times a day, intramuscularly, 1 ml of a 2.5% solution 2 times a day or diphenhydramine 0,05 g 2 times a day, intramuscularly, 1 ml of 1% solution 2 Once a day. Of the infusion therapy, reopolyglucin is used - up to 400 ml, haemodesis - up to 200 ml - intravenously, drip.

To improve liver function shown methionine 0.25 g of 3 times a day, lipokain 0.3 grams 3 times per day. If necessary, according to the indications, a 0.025% solution of strophantin is prescribed for 0.5-1 ml intravenously, 0.06% solution of Korglikona for 0.5-1 ml intravenously, panangin - 1 dragee 3 times a day.

To correct hypoproteinemia, concentrated plasma is used intravenously, 100 ml of a 20% solution of albumin intravenously, 3-6 ml of a 10% solution of gamma-globulin intramuscularly.

From non-pharmacological therapy use electroanalgesia, oxygen therapy.

At arterial pressure above 170-175 / 110-115 mm Hg. Art.. It is necessary to take urgent measures to reduce it. To this end, along with preparations of rauwolfia intramuscularly administered ganglion blocker pentamine for 1-2 ml of 5% solution, droperidol - 1-2 ml of 0.25% solution intravenously, diazepam - 2 ml 0.5% solution intravenously. Ampoule preparation rauwolfii rousedil (analog of reserpine) is administered intravenously 2.5-5 mg 0.25% with 20 ml of 40% glucose solution. Dibazol is administered up to 6 ml of 0.

5% solution intramuscularly, papaverine - 2 ml of 2% solution intravenously; Sodium oxybutyrate - 10-20 ml of 20% solution intravenously; Diprasine - 1 ml 2.5% solution intravenously. As a part of the infusion therapy, a solution of rheopolyglucin up to 400 ml is used, haemodes up to 200 ml, solution of concentrated plasma, 100 ml of 20% albumin solution, 5% sodium hydrogen carbonate solution, cocarboxylase -100 ml, ascorbic acid and B vitamins, Sigetin - 1% solution of 2-4 ml.

Health. Sumy. Ua.