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Tensiunea arteriala inalta din timpul sarcinii este de obicei o afectiune usoara. Daca apare numai in aceasta perioada, se numeste hipertensiune gestationala, si se va regla la cateva saptamani dupa nastere.

Hipertensiune gestationala

Daca tensiunea arteriala iti creste din cauza sarcinii se numeste hipertensiune gestationala. Este vorba de un astfel tip de hipertensiune doar daca tensiunea arteriala creste dupa ce esti insarcinata in saptamana a 20-a. Daca ai tensiune inalta inainte de cea de-a 20-a saptamana de sarcina este probabil sa o fi avut asa si inainte de a fi insarcinata. In acest caz, moasa iti va spune ca ai hipertensiune esentiala, lucru care inseamna ca era preexistenta.

Doctorul va putea sa-ti spuna daca ai tensiunea inalta din masuratorile pe care le ia. Va face doua masuratori consecutive, doar pentru a se asigura. Tensiunea ta este inalta daca de ambele dati este indicat 140/90 sau mai mult.

 

Cat de des intalnita este tensiunea arteriala in timpul sarcinii?

Tensiunea arteriala inalta in timpul sarcinii este destul de des intalnita. Aproximativ una din zece dintre viitoarele mamici este predispusa sa o aiba.

Tensiunea arteriala are mai multe sanse sa se dezvolte daca esti supraponderala. S-ar putea sa vrei sa iti masori indicele masei corporale. Poti sa folosesti calculatorul pe care-l punem la dispozitie in acest scop. Va trebui sa folosesti greutatea pe care o aveai inainte de a fi insarcinata pentru a avea un rezultat corect.

Calcularea indicelui de masa corporala iti va da o idee despre sansele pe car le ai sa dezvolti aceasta afectiune. Greutatea si tensiunea arteriala sunt legate una de cealalta. De exemplu un indice ridicat, de 30 dau mai mult, iti mareste sansele pana la de 4 ori de a avea tensiune arteriala inalta.

 

Tensiunea arteriala inalta din tipul sarcinii este o problema serioasa?

Tensiunea arteriala inalta din timpul sarcinii este de obicei o afectiune usoara. Probabil ca nu-i va cauza nicio problema bebelusului. Oricum, cu cat apare mai repede in timpul sarcinii, cu atat ai sanse mai mari sa dezvolti preeclampsie mai tarziu. Tensiunea arteriala inalta este un simptom al pre-eclempsiei, o conditie care influenteaza functionarea placentei.

Daca placenta nu lucreaza atat de bine cum ar trebui, s-ar putea sa afecteze dezvoltarea copilului tau. Si asta din caua ca s-ar putea ca bebelusul sa nu-si poata lua cantitatea de nutrienti si oxigen de care are nevoie. Doctorul iti va face un test al urinei pentru a vedea daca are proteina, pentru ca impreuna cu o tensiune ridicata, este un simptom al preeclampsiei. Ai sanse mai mari sa dezvolti preeclampsie (hipertensiune indusa de sarcina) daca esti supraponderala.

 

tensiune arteriala in timpul sarcinii

 

Cheia succesului in cazul preeclampsiei este sa o depistezi devreme, astfel ca bebelusul tau sa pota fi monitorizat si tratat. Din acest motiv este important sa mergi la toate consulturile prenatale. Doctorul sau moasa iti vor lua tensiunea la fiecare consultatie. Este important sa verifici, pentru ca probabil nu vei putea sa spui singura daca tensiunea ta este prea inalta.

Daca ai tensiunea prea inalta s-ar putea sa fii sfatuita sa consulti un specialist. Acesta este cazul in care ai hipertensiune gestationala sau hipertensiune preexistenta. S-ar putea sa ti se prescrie medicamente care sunt sigure pentru bebelusul tau, pentru a micsora tensiunea arteriala.

 

Ce se va intampla dupa nastere?

Daca tensiunea arteriala era normala inainte de a ramane insarcinata, este foarte probabil sa te intorci la tensiunea normala intr-un interval de 12 saptamani dupa nasterea bebelusului. Daca nu revine la normal, atunci se poate sa nu fi avut hipertensiune gestationala. Ceea ce ai este hipertensiune preexistenta sau esentiala. Asta inseamna ca va continua si dupa nastere. In acest caz probabil ca doctorul te va sfatui sa iei medicamente, pentru a fi sigur ca tensiunea arteriala ramane la nivelul de siguranta.

 


Iulia Blanaru






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