Sunday, August 26, 2012

Can the pulmonary tuberculosis patient be pregnant? 's general knowledge

Can the pulmonary tuberculosis patient be pregnant? 's general knowledge
During woman's gestation, the functions of metabolism, blood circulation, immunity, endocrine and respiratory system change certainly, adversely affect tuberculosis. For instance early to happen sick, vomit pregnancy period and appetite fail etc. react, will influence pregnant woman's nutrition to absorb, aggravate the tuberculosis condition; Pressure drop suddenly and diaphragm drop in the belly give a birth, make the lung organized expanding, in addition, organism resistance is low after giving a birth, can cause pulmonary tuberculosis to worsen. According to the clinical materials, the worsening rate of postpartum of pulmonary tuberculosis of serious disease can reach 52%. Pulmonary tuberculosis' danger to foetus also old, tuberculosis fungus competent to sow scattered through blood, invade foetus in the body, make foetuses infected with tuberculosis. In addition, because pregnant woman's hyperpyrexia, lung function are reduced,etc. a series of tuberculosis, make foetuses present oxygen deficiency, malnutritive, often causing development to be slow, miscarries, premature delivery or stillborn fetus.
Everything takes its time to ripe to need the pregnant woman consumes the growth that more organism energy satisfied the foetus, if this stage does not treat pulmonary tuberculosis, will aggravate the pregnant woman's condition rapidly, issue also can pass others to in move about by pulmonary tuberculosis. If therapeutic in period of pregnancy, patients would need to take antituberculotic incessantly for a long time. Such as Streptomycin, can enter foetus' body through the placenta, may cause the neonatal dysaudia, often cause foetus' deformity or death; Rifampin is used in gestation in 3 months of initial stage, it is possible to the foetus happens odd-shapedly; Although use isonicotinyl hydrazine (isoniazid) Safer with second amine cube alcohol, but can see the person who uses a large amount of isonicotinyl hydrazine in the whole gestational period on clinic, it is still possible to cause lopsidedly. In addition pulmonary tuberculosis patient go on the X-ray perspect or make film frequently in the course of treating, the X-ray is harmful to pregnant woman and foetus. So look in terms of any one, it suffers from pulmonary tuberculosis to be pregnant to have no profit mother and baby.
If find that has suffered from pulmonary tuberculosis after being pregnant, should let the doctor make a diagnosis and give treatment in time. If it was more serious pulmonary tuberculosis that suffered from or with more serious gestation reaction, through the persons who fail to respond to any medical treatment actively, should stop gestation in gestation in 3 months and had better do induced abortion in early days, can also adopt rice manage ketone or the intersection of lilac daphne and the intersection of terpene and membrane go on medicines miscarry while being non-. A planted agent avoids gestation, treat the focus, consider gestation in tuberculosis activity.
Non-activity type pulmonary tuberculosis, the persons who do not have great change of lung function yet, the development of the foetus has not been obviously influenced, can continue gestation under the doctor's guardianship. Should try hard to avoid the radioactive rays in pregnancy period, gestation is early if there is the response, must treat in time. Because Streptomycin is relatively great to the foetus' toxicity, should avoid using. Because isonicotinyl hydrazine, rifampin have certain poisonous side reaction on liver, should reexamine liver function and blood routine regularly during the treatment period, and insist on treating under the guidance of doctor, can't stop medicines without authorization. In addition, gestation and strengthening nutrition during the treatment period, guarantee sufficient rest and sleep. The condition of the person who produces future trouble may be aggravated, should grasp the lung change in time, pay attention to keeping a lookout. Pulmonary tuberculosis patient should not feed with breast milk, in order to prevent medicine from to be incomplete to influence babies through the breast milk while being malicious. Still should notice the baby isolates from mother at the same time, and inoculate neonate after being born in against Bacillus Calmette-Guerin in time, in order to strengthen immunity that children are infected with to tuberculosis.
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