Obstetrician explains that the immune system is directly related to the emergence of preeclampsia, as well as other conditions
THE preeclampsiaEither gestational hypertension, can take place in any pregnant woman during the second half of pregnancy or up to six months after childbirth. The condition is severe and represents 10% to 15% of the mother maternal deaths all over the world. The data of the World Health Organization (WHO) and the Brazilian network of hypertension studies in pregnancy (RBEHG) estimate that the disease causes 80,000 maternal deaths and 500,000 fetal deaths per year.
For the obstetric Dr. Bruna Pitalga, PreeClampsia is the most cruel disease in pregnancy. “The result of wrong ideas, with changes in all the systems of the human body involved, preeclampsia can be considered the opposite of pregnancy. If this is the balance, this is the complete imbalance,” he says.
According to the expert, the immune system plays a fundamental role in pregnancy. This is because, together with the endocrine system, it provides information so that, after meeting the egg and sperm, the embryo is implanted in the uterus and the mother’s body receives the child in a controlled and planned way. “When the immune system is unbalanced, this response happens wrongly and the placenta is not adequately distributed,” he explains.
What can cause preeclampsia?
Therefore, the conditions that interrupt the perfect functioning of the immune system are risk factors for preeclampsia and therefore need follow-up and treatment during prenatal care. According to the doctor, the The gestational age and advanced maternalFor example, it is a risk factor. “It is known that over 40 years there are changes related to the production of steroid hormones, microbiota and immune system,” he says.
THE obesity and overweight They can also lead to the disease because they are proinflammatory drugs and unbalance the immune system. Just like gestational or pre-establishment diabetes and chronic hypertension, which are often related to the inflammation of the body. “In clinical practice, it is very common to detect the existence of hypertension superimposed in cases of preeclampsia,” says the midwife.
In the same way, according to Dr. Bruna, Autoimmune diseases They are risk factors for preeclampsia because they trigger changes in signals of significance. “The correlation between autoimmune diseases and preeclampsia has already been demonstrated by multicenter work, systematic and met-analysis reviews and clinical practice, in particular among professionals who are used to performing high-risk prenatal care,” he says.
Another triggering factor of preeclampsia, according to the obstetrician, is the In vitro fertilization (IVF). “A woman who is pregnant after assisted fertilization does not have a metabolic report just like those who have a” normal “, physiological pregnancy,” he says.
The midwife explains that it is not only the technique that contributes to preeclampsia, but also to the profile of those who submit. “Usually, they are patients over 40, who, due to age, have chronic metabolic diseases such as gestational diabetes and hypertension,” he explains.
Other factors that increase the risk of the disease
The obstetric doctor also lists other factors that can also increase the risk of preeclampsia. I am:
- Primiparity (first pregnancy);
- Kidney diseases;
- Very short or long gestation intervals;
- Preeclampsia cases between first degree relatives
- Preeclampsia in previous pregnancies;
- Very large Placentas;
- Restriction of intrauterine growth;
- Change in ultrasound examination with Doppler;
- Changes in the Angiogenic factors.
Treatment
Since the disease is linked to the inflammation of the body, its treatment consists of anti -inflammatory measures, says Bruna. An example is the use of the AAS drug (acetylsalicylic acid), which acts by controlling some factors with A2 cyclossigenases (an inflammatory enzyme). “For better results with this therapy to be achieved, your prescription should be made before 16 weeks of gestation and at least 100 mg of dose (150 mg has been evaluated in more recent studies),” he says.
However, the best treatment remains prevention, highlights the obstetrician. Therefore, Bruna suggests to women who, before pregnancy, lose weight, control autoimmune diseases, the circadian cycle and, in particular, the deficiencies of vitamins and minerals such as vitamin D and magnesium. “The health of women and their child depends on these attitudes,” he says. Finally, the doctor underlines that pregnant women should always ask for medical advice before adopting any measure.
Source: Terra
Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.
