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These four kinds of kidney patients can not get pregnant, because it can trigger kidney failure. For female whose creatinine level is below 177, blood pressure is under 140, and 24h urine protein is stabilized under 1g for long term

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These Four Kinds of Kidney Patients Can Not Get Pregnant

2018-12-15 03:07

These Four Kinds of Kidney Patients Can Not Get PregnantThese four kinds of kidney patients can not get pregnant, because it can trigger kidney failure.

For female whose creatinine level is below 177, blood pressure is under 140, and 24h urine protein is stabilized under 1g for long term, they can have their child.

But the follow 4 kinds of kidney patients are not recommended for pregnancy.

1. Patients with moderate or severe proteinuria. (24h urine protein is over 1g/24h)

2. Kidney failure patients with high creatinine level over 186. Because severe kidney damage has led to hormonal changes in the body, fertility declines. And even with successful pregnancies, you are more likely to result in intrauterine stunting and premature birth. Especially for Diabetic Nephropathy patients, they may have increased proteinuria and irreversible renal function decline, so pregnancy is not recommended.

3. Patients with high blood pressure. When blood pressure is lowered, they can get pregnant.

4. Some Lupus Nephritis patients who have a high activity of lupus and get relapse frequently. It is likely for them to have premature birth, pulmonary embolism and disease relapse after getting pregnant. And pregnancy should be considered at least 6 months after complete remission of the disease.

What to do if kidney patients get pregnant?

Some drugs that kidney patients in the daily cannot be used after pregnancy.

1. Antihypertensive drugs that can not be used

Some ACEI and ARBs, such as captopril, enalapril, irbesartan, valsartan, etc. Especially ACEI, it can cause fetal malformation.

Calcium antagonists, such as nifedipine, are ideal antihypertensive agents during pregnancy. Labetalol can be used as a second-line drug.

2. Steroids that can not be used.

Dexamethasone and betamethasone can not be used, because they may cause fetal dysplastic, malformation, abortion, and fetal cardiovascular problems. Avoid other hormones that can harm the fetus through the placenta.

So if you have to use hormones, prednisone is recommended to have a smaller effect.

3. Immunosuppressants that can not be used.

(1) nucleotide synthesis inhibitors (cyclophosphamide, mycofenolate, leflunomide, etc.) are contraindicated drugs for pregnant patients with kidney disease, which may lead to fetal bone marrow suppression and structural abnormalities.

(2) Protein immunosuppressants, such as rituximab and thymoglobulin, which are commonly used in clinical practice. Pregnant patients with kidney disease are not suggested to take them, because they may enter the placenta.

(3) Hydroxychloroquine is not yet certain whether it can be used or not, so pay attention.

Note: the above information on the 4 kinds of kidney patients who can not get pregnant is intended for informational purposes only. For specific suggestions, please consult a physician.

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You can take a look at this patient's report. His creatinine was 1028 and urea level was 39.7 on 2018-12-11; creatinine level was reduced to 331 and urea was 16.1 on 2019-1-5. After about 25 days' treatment in our hospital, his creatinine level was reduced by 697, and urea was reduced by 23.6. Hope his condition gets better and better.

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Proteinuria is a common symptom of kidney disease

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It can make your urine foamy. Although it does not make you feel uncomfortable, it can impair your renal function and make your kidney disease worse. Conventional treatment such as steroids and immunosuppressants can hardly make it negative. In our hospital, systemic Chinese medicine treatment can help you turn it negative. Look at this picture, bubbles in urine become less and less with our treatment going on.