Pregnancy-induced hypertension

Pregnancy-induced hypertension, pregnancy-induced hypertension syndrome that is also in the past said gestosis, preeclampsia, pregnant women specific illnesses, mostly in the 20 weeks of pregnancy and the postpartum two weeks, or about 5% of all pregnant women. Some of them, accompanied by proteinuria or edema, a serious condition will have a headache, blurred vision, upper abdominal pain and other symptoms. Without proper treatment, may cause systemic spasm and even coma. Depending on the degree of symptoms, can be divided into mild, moderate and severe.

(A) mild PIH this stage for several days to several weeks, gradually developing or rapidly deteriorating. The following are the symptoms of performance:

1. edema: is the earliest symptom of pregnancy-induced hypertension. It showed only the beginning of weight gain (recessive edema), and then gradually developed into the clinically visible edema.

2. Hypertension: before 20 weeks of pregnancy is not high blood pressure, elevated blood pressure after 20 weeks of pregnancy up to 17.3 / 12KPa (130 / 90mmHg) above, or more basic blood pressure 4 / 2KPa (30 / 15mmHg), or ≥140 / 90mmHg .

3. proteinuria: After appearing in blood pressure, or no trace. Normal pregnant women should not have proteinuria.

(B) moderate PIH Blood pressure increased further, but not more than 21.3 / 14.7KPa (160 / 110mmHg), increased urinary protein, accompanied by edema, may have mild symptoms such as dizziness.

(Iii) severe pre-eclampsia and eclampsia PIH include. BP Chaoguo 21.3 / 14.7KPa (160/110 mmHg), urinary protein ~ ++ more than ten, varying degrees of edema, headache, vertigo and other symptoms, severe cases, convulsions, coma.

1. In addition to these three major pre-eclampsia symptoms, dizziness, headache, visual disturbances, abdominal discomfort, nausea and vomiting, chest tightness, and represents the further development of intracranial lesions. At this time the blood pressure more in the 21.3 / 147 KPa (160/110 mmHg) or more, and more severe edema, oliguria, increased urine protein, convulsions may occur at any time, should be actively treated to prevent preeclampsia.

2. ≥160mmHg systolic or diastolic blood pressure ≥110mmHg.

3. urinary protein ≥5g / 24h urine, or urine protein +++ ~ ++++ visible, recurring.

4. On the basis of the above-eclampsia severe symptoms, the seizure, coma or accompanied. A few patients the disease progresses rapidly, preeclampsia symptoms may not be significant, but the sudden convulsions occurred more time before late pregnancy and labor, when a small number of production, less can also occur within 24 hours of delivery.

5. renal insufficiency: PIH decreased urine output <500ml bun="" day="" elevated=""> 5.36mmol / L, creatinine> 91.6μmol / L.

6. DIC was chronic progress, decreased platelets, fibrin degradation products (FDP) increased thromboembolic symptoms and bleeding tendency.

7. Impaired renal function: GPT or (and) bilirubin, synthesis of coagulation factors disorders, patients may have hepatomegaly, hepatitis but should be excluded.

8. Pulmonary edema: patients with shortness of breath, facial cyanosis, pulmonary rales, cough or spit foamy sputum.

9. myocardial ischemia or heart failure; patients with palpitations, shortness of breath, rapid heart rate, can not be supine, ECG showed ST segment depression.
TCM treatment

1. The sixth massage

(1) rub with two hands on both sides of the friction head 36 times each.

(2) wipe with both hands index finger, middle finger and ring finger of the pulp, wipe from the middle of the forehead to the temple to both sides of each 36 times.

(3) roll hands fist, fist eye facing the corresponding lower back, scroll up and down 36 times a little harder, rolling margin as large as possible.

(4) rub two overlapping palm cross, affixed to the abdomen to navel as the center, clockwise, counterclockwise rubbing 36 times.

(5) Mount massage Fengchi (occipital protuberance down between recess and mastoid, between the upper trapezius and sternocleidomastoid muscle), CHD (palm center), Hoku (hand on the back of the first between the two metacarpal, near the midpoint of the first metacarpal 2), Neiguan (forearm, wrist 2 inches) each 36 times.

In addition, there are some simple massage, blood pressure is better, the patient can choose according to their specific situation.

2. The sub-surface wiping bath rub your hands, wipe from the forehead to the temporal mandibular premenstrual along the ear, repeated 20 to 30 times.

3. Massage the nail in the nail root root the thumb of the hand to the other hand thumb and index finger grip, turn the rub, and then, toward the edge of the nail from the root mean direction slowly rub down, not excessive force, suck when the gas to relax, breath pressure, as far as possible to get up early, midday, before bedtime 3 times, so that blood vessels dilate, blood pressure drop.

4. The method of massage Yongquan is located was sitting on the bed with both hands to push the thumb Yongquan foot from the root, after a partial thermal operation is terminated, 1 or 2 times a day.

5. bath waist on palms fingers close together, tight at the back of the spine on both sides, pressing down from the coccyx to the hip place, each 20 times.

6. Shun Qi hands flat on the chest, palms affixed to the chest, nose deep breath, then exhale with the mouth, ask your hands slowly down to the lower abdomen, repeated 10 times.

7. Pinch sharp rise in blood pressure palm, palm pinched as emergency relief measures. Start with the right start, press the right palm with your left thumb, and keep pressing upward from the palm to the fingertips, and then returns the palm, until each fingertips to press. Then press the still left palm.

The above is only for reference, if necessary, please consult a physician or a related medical institutions.