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PostSubject: high pressure   Thu May 03, 2007 6:52 am

Proteinuriya was so late clinical sign that approximately 5 to 10% of women against the backdrop of pre-eclampsia appear before convulsions, and then protein in the urine. From this it follows that every woman with a clear preeklampsiey is a typical symptom of kidney damage and that the injuries secondary. Particularly, it is important to emphasize that eclampsia and eclampsia develops, and for up to 20 weeks. pregnancy because of the puzyrnogo skidding. Prizhiznennaya kidney biopsy has revealed that the clinical diagnosis of pre-eclampsia by 55% of women combined with morphological kidney injuries (nefroskleroz, glomerulonefrit, medicine). The proteinurii precede changes such as increasing the concentration of urea and creatinine in blood plasma. However, these tests are not specific. In pre-eclampsia diagnosis should be taken into account well-known risk factors : first pregnancy (among povtornorodyaschih this diagnosis can be eliminated by 50%, and among multiparous-70%), a chronic kidney disease, manifested proteinuriey and swelling, hypertension hypertension, age 25 and after 35 years. The scientific literature has become appear term "light" womb, which was favourable outcomes, as the basis of this diagnosis is one more blood pressure. The combination of low cardiac ejection and gipovolemii considered a syndrome "gipoperfuzii". Depending on the change of central hemodynamics emit several types of currents pre-eclampsia : I type is characterized by low pressure in the pulmonary artery, a low heart ejection and high overall flaccid sosudistym resistance. Type II is characterized by high pressure in the pulmonary arteries, high heart ejection and high overall sosudistym resistance. III type is characterized by normal pressure in the pulmonary arteries, high heart ejection, but low overall flaccid opposition. Type IV is highly cordial release, high pressure in the pulmonary artery, normal or increased volume of plasma. Most pregnant with gestosis are expressed in varying degrees, but all signs point : gipovolemiya and thus increase the concentration of all, centralization circulatory, gipoksemiya, disorders of the circulatory system in vital organs, brain, kidney, liver. This, in turn, is linked to the deterioration of rock properties of blood mikrotromboza existence, the emergence of diffuzionno-perfuzio noy platsentarnoy deficiency, as well as the inadequacy of the kidneys, heart, lungs.

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