Swelling of the legs during pregnancy in the third trimester
One of the reasons for the worries of a pregnant woman andthe doctor, her supervisor is swelling. Edema during pregnancy is not only an aesthetic picture, but they also add a lot of inconvenience. Often swelling occurs in the third trimester of pregnancy and is a symptom of a dangerous disease - gestosis. But not always edema is of a pathological nature. How can they be distinguished?
Development of edema is associated with impairedwater-salt metabolism, irregular outflow of blood and lymph through the veins of the legs, increased permeability of the vascular wall and thickening of the blood. This mechanism of the onset of edema is inherent in gestosis, in which there is an increase in blood pressure and proteinuria (protein in the urine).
There are four degrees of severity of edema:
- the first degree - the appearance of edema on the legs;
- the second degree is edema of the feet, lower legs, lower abdomen;
- the third degree - occurrence of edemas on arms or hand, occurrence of pastosity of the face;
- the fourth degree - generalized edema (dropsy).
Most often, edema develops from 30 weekspregnancy. With gestosis, edema occurs after 20 weeks, in the morning, the legs become "cotton", dyspnea, weakness and fatigue appear. Because of swelling, a pregnant woman can not stay on her feet for long, shoes become tight, rings are not removed and not worn (ring symptom). When pressing on the lower leg a hole is formed, which disappears not immediately. But not always swelling is manifested visually. About hidden hypostases says an increase in body weight of more than 300-400 grams. in Week.
The McClure-Aldrich test is very characteristic. The essence of this sample is to inject 0.25 ml of physiological solution intradermally. Normally, the resorption of the papule occurs in 45 minutes. If its resorption is delayed, this indicates a latent edema.
As already noted - swelling is not alwayspathology. At the end of pregnancy, the enlarged uterus presses on the lower vena cava, which creates an obstacle to the flow of blood from the veins of the lower limbs. In addition, the large uterus squeezes the ureters, as a result, fluid retention occurs. In women with varicose veins during long walking or standing on the legs, the feet and shins swell by the evening. Another type of physiological edema is constitutional. They arise in women with low growth and increased body weight.
How to deal with edema?
After determining the cause of edemaa natural question arises: "How to deal with pathological edema (gestosis). First of all, you need to decide on a diet. The food should be balanced and full. Food should contain an increased amount of protein (meat, fish, chicken), as with gestosis, there is a deficiency, which leads to an increase in vascular permeability.
Do not forget about carbohydrates - thisenergy material, in the case of their lack of energy, proteins will be consumed. Fats are also needed for energy production and as a building material for the fetal organs.
Restricting fluid and salt only aggravatesdevelopment of edema. Fluid per day should be at least 1.5 liters. But pickled, marinated and spicy dishes are better to exclude. Limit the intake of sweet and carbonated drinks (Coca-Cola, lemonade). They lead to fluid retention in the body, creating a vicious circle of edema development.
Avoid prolonged standing or walking. In the morning, it is necessary to lift your legs up (in a horizontal position). A vigorous foot massage is effective. Kidney tea and other herbs can be taken only as prescribed by the doctor. Diuretic drugs taken for the treatment of edema caused by gestosis, is strictly prohibited.
Author: Sozinova Anna
Specially for the site Mama66.ru