about blood lipids
outpatient clinics often have pregnant mothers and family members who ask the doctor with a test sheet: "Sister Ma, is the blood lipid high, is it normal?"
today let us talk about blood lipids.
01. What exactly does blood lipids do?
Human blood lipids mainly include cholesterol and triglycerides, which are important components that make up cells. In addition, they can also provide a certain amount of energy for the human body.
02. Why the blood test results show high blood lipids?
The pregnant mother is very careful. When she observes the blood lipid column on her test sheet, she will ask the doctor what to do if the blood lipid is high. After studying today's article, I believe you know how high blood lipids are. It is normal for pregnant women to have high blood lipids. Now let’s talk about why?
Actually, this phenomenon is not difficult to understand: 1. During the first and second trimester, the pregnant mother’s diet increases and insulin secretion increases, so that part of the food intake is converted into fat and stored in the pregnant mother’s body. , Fat will also be decomposed to provide energy, and the products after its decomposition will enter the maternal blood circulation, causing increased blood lipids; 2. In the third trimester, the energy consumed by pregnant mothers will increase compared to the early and middle pregnancy, when fat decomposition will be more , So in general, blood lipids during pregnancy will be higher.
03. Blood lipids are not as high as possible.
High blood lipids are not unlimited. Generally, blood lipids during pregnancy can be controlled within this range:
If blood lipids are abnormally elevated, it will cause a series of adverse reactions, such as obesity, spontaneous preterm birth, Hypertension during pregnancy, diabetes during pregnancy, etc. Severe cases can even lead to severe acute pancreatitis, which threatens the lives of mother and child.
04. Tips to maintain the normal range of elevated blood lipids during pregnancy
Follow the principles of eating small meals and easy digestion during pregnancy. Increase the intake of fresh vegetables and fruits, probiotics, and fermented milk and dairy products to effectively maintain the concentration of blood lipids.
Is left decubitus necessary?
Have you encountered this situation? I wake up in the morning or midnight and find that I am not on the left side. I feel very sad, and even because of the sleeping posture, I cannot guarantee the quality of sleep.
Many pregnant mothers regard the "left side" as the best sleeping position during pregnancy, because this sleeping position will reduce the pressure on the heart and provide enough oxygen for the baby. In fact, the recommended left side position for pregnant mothers is for those pregnant mothers who have a relatively large gestational age and have a larger belly in the third trimester. If the left side position is used, it can prevent the big belly from compressing the inferior vena cava and abdominal aorta, which is beneficial to increase the uterus. Improve blood supply and improve blood circulation, ensure unobstructed breathing, and ensure the blood perfusion of the placenta to provide sufficient oxygen for the baby.
Pregnant mothers in the third trimester cannot sleep on their backs because they are prone to supine hypotension syndrome. For example, when a twin pregnant mother undergoes an ultrasound examination in the third trimester, if the examination takes a long time, she will often feel palpitation, chest tightness, and breathlessness. Feeling that needs to be relieved by sitting up or lying on the side. In fact, this is the occurrence of supine hypotension syndrome, your body will give you a warning signal, you should always pay attention to your body changes, so as to adopt a suitable posture.
The left side position is just a recommendation, especially for pregnant mothers who have a relatively old gestational age, but you do not need to force yourself to rest in this position. If you force yourself to sleep in the left position in the first trimester, it will cause yourself A lot of psychological pressure. A good mood and a good quality of sleep are the first! Interpretation of
urine routine
We all retain urine. Then how do we read this urine routine report?
Many pregnant mothers were puzzled when they got the test sheet. Some people showed urine protein +, trace, and urine sugar + on the test sheet, which made pregnant mothers worry all day.
Urine routine examinations are mainly analyzed and detected by urine analyzer and microscope manual microscopy, which is of great significance for the screening of urinary system, diabetes, and hypertension during pregnancy.
Pregnant mothers can learn to do a preliminary analysis of urine routine test sheets. Urine specific gravity
Urine specific gravity refers to the degree of concentration of urine. If the urine specific gravity is too high, it will often cause urine protein and urine sugar to be positive. This is mainly due to the lack of dilution of the urine material due to the concentration of urine. This situation is often seen in pregnant mothers who drink less water. For example, pregnant mothers often say: "I really can't urinate. It's not easy to squeeze out a little." In this case, the proportion of urine is mostly high.
(1) Glucose
Occasionally urine sugar during pregnancy is normal, possibly due to eating a lot of sugary fruits or drinks. But if urine sugar often appears or the pregnant mother herself has symptoms of diabetes (thirst, weight loss, lack of energy, fatigue), you should pay attention to whether there is a problem with your glucose tolerance, and ask your doctor about this indicator as the key point.
(2) Urine protein
Under normal circumstances, there is very little protein in urine during pregnancy. If the urine protein is positive, it may indicate hypertension during pregnancy; if it persists in the third trimester and the blood pressure rises, hands, feet, Facial edema should be highly vigilant and require hospitalization.
(3) Urinary ketone body
ketone body is a metabolite of fat. When glucose intake is insufficient, fat will be broken down to provide energy, and a large amount of fat will be broken down. Its metabolites cannot be completely metabolized by the liver, and ketone bodies will be produced. Urinary ketone bodies in pregnant women are usually in two situations: one is hungry, and the other is gestational diabetes. Recently, a few pregnant mothers have "trace" in the urine routine ketone body in the outpatient clinic. In this case, it is recommended not to stay urine when you are particularly hungry. You can eat something before you stay.
(4) Bacteria
Under normal circumstances, there will not be a large number of bacteria in the urine. If there are a large number of bacteria at this time, there are usually three reasons: the first is the real infection of the urinary system; the second is the retention The time interval between the urine and the test is too long, and the urine is contaminated by external bacteria; the third is that vaginal secretions contaminate the urine.
(V) White blood cells
Normally, pregnant women have high white blood cells, so don’t panic when your white blood cells are high. This situation may be due to more secretions in your vagina that affect the results of your urine routine. Therefore, it is recommended to drink more water to flush the urethra. Check the urine routine a few weeks later. If the white blood cells continue to be high and are accompanied by vulvar itching and other uncomfortable symptoms, it is recommended to seek medical help.
(six) red blood cells
high red blood cells in the urine routine examination of pregnant women are common in two situations. One is the positive urine occult blood test and the microscope sees many red blood cells, which often indicates the existence of urinary system diseases; the other is occult blood The test is positive but there are not many red blood cells seen under the microscope. This may be because the urine is contaminated by foreign substances, especially during pregnancy, vaginal secretions increase, which may easily cause contamination of urine specimens.
Some pregnant mothers drink a lot of water in order to "squeeze" out their urine during the urine routine. At this time, the urine may be diluted and misdiagnosis may occur.
In summary, pregnant mothers should pay attention to the following points when retaining urine: 1. Drinking water and eating moderately will not affect the routine urine test results, such as foods high in sugar; 2. Pay attention to washing the vulva before retaining urine to avoid the vulva Or vaginal secretions contaminate the urine; 3. Pay attention to the middle part of the urine when retaining urine, because the urine at the beginning and the end may affect the quality of urine.
Do you often hold back urine?
Do you have the habit of holding back urine?
recently encountered several cases of pregnant mothers who had bad results due to holding back their urine. For example, some pregnant mothers have abdominal pain due to holding back urine, and they also have vaginal bleeding. This condition is likely to cause premature uterine contraction; some pregnant mothers have leaking urine because of frequent holding back urine, and need to use hygiene frequently. You can even feel the urine flow out when you smile. For non-pregnant women, holding back urine frequently may cause urinary system infection and affect bladder function, let alone for pregnant mothers?
For pregnant mothers, holding back urine is a “big taboo”. The uterus will increase with the increase in gestational age. If you hold back your urine for a long time, it is easy to retrograde urine and cause urinary system infection. For babies, the pressure of the bladder to press the uterus may cause contractions, leading to vaginal bleeding, miscarriage, and premature delivery.
Everyone’s bladder volume is limited. If you hold back urine, the volume of urine in the bladder will exceed the normal range that it can bear. This will cause the bladder muscles to be overstretched, and its elasticity will become poor and cannot be retained. A lot of urine may cause urine leakage in the long term, and in severe cases, bladder rupture may occur. Do you dare to hold your pee when you see this In order to effectively improve the dilemma of holding urine during pregnancy, we have a few suggestions:
should go to the toilet when you want to urinate, whether you are busy at work or other things, and urinating is also a kind of protection for the urinary system.
Properly hydrate. Some pregnant mothers may feel that they keep running to the toilet, so chooseChoosing to reduce water intake during work is a wrong approach. Pregnant mothers should ensure the intake of water every day to prevent dehydration. You can choose to drink small amounts of water several times during the day, and minimize water intake 1-2 hours before going to bed.
Eat less diuretic foods. Such as watermelon, winter melon and other
supplement sleep. If frequent urination affects the normal sleep of pregnant mothers, the lunch break time can be appropriately increased to ensure adequate sleep.
prepare in advance. If the pregnant mother goes out, she should find the toilet in advance, and don't wait to look for it when she has a bowel movement, which will increase the time for her to hold back urine.
Under special circumstances, prepare sanitary napkins or pads to prevent "emergency events" such as traffic jams.
