Treatment for severe swollen feet at 38 weeks of pregnancy

Problems such as severe swelling of feet at 38 weeks of pregnancy are not big, but not small either. With the rapid development of today's life, people have a series of problems while enjoying a modern and high-quality life. Many people suffer from various diseases. I believe that foot diseases are not unfamiliar to everyone. The incidence of this disease in our daily life is increasing, which has brought great troubles to our lives and health, and affected the normal work, study and life of many people. So what are some good ways to treat the situation of constant foot cramps? Let us now learn about the treatment method for severe swollen feet at 38 weeks of pregnancy.

Treatment:

1. Treatment should first find out the cause of lipid metabolism disorders, such as diet, genetics, diabetes, etc., and correct the cause. People who are overweight should lose weight, adjust their diet, eat a low-fat, low-calorie, low-cholesterol diet, and use lipid-lowering drugs. The rash may subside within a few weeks when plasma lipids return to normal. Large nodules can be surgically removed, and subcutaneous lesions can be fulgurated.

2. Surgery is an important treatment for this disease. The affected kidney is usually removed and the patient recovers well after treatment. Since it is difficult to differentiate this disease from renal cancer and renal tuberculosis, misdiagnosis is easy to occur before surgery. In surgical treatment, it is necessary to recognize that the pathological changes caused by the spread of lesions will cause difficulties for surgical operations and increase the risks of surgery. An appropriate surgical plan should be formulated according to the clinical pathological staging to improve the safety and success of the operation.

Kidney-preserving treatments are rarely used, so a correct preoperative diagnosis is very important for choosing the treatment method for this disease. The treatment method of kidney-sparing surgery deserves further study and application.

3. Medication

Currently available drugs for the treatment of fungi include amphotericin B, fluconazole, and flucytosine. Different drugs are required for different fungi, and they can be used in combination. For example, for cryptococcal disease, amphotericin B and fluconazole can be used together to achieve better results.

(1) Amphotericin B is still the drug of choice for the treatment of cryptococcal infections of the central nervous system. If side effects are obvious during medication, the dosage should not be increased. In severe cases, the drug must be stopped for several days. A single dose can last for 24 to 48 hours, so it can be taken once a day or every other day. During treatment, lumbar puncture can be performed weekly and cerebrospinal fluid can be sent for culture. If the culture is negative, treatment can be continued for another 4 weeks. Toxic reactions include fever, chills, nausea, vomiting, loss of appetite, body aches and phlebitis. Some patients may experience varying degrees of liver and kidney damage, thrombocytopenia, arrhythmia and low blood potassium. Adding dexamethasone and promethazine (phenergan) before taking the medication can reduce side effects, but hormones must be used only when the therapeutic dose has been sufficient to avoid the spread of fungi. Cryptococcus neoformans requires thiamine to synthesize the capsule, so thiamine should be avoided during treatment with amphotericin B, and a low-thiamine diet should be followed for more than 3 months.

(2) Flucytosine is effective when taken orally and can cross the blood-cerebrospinal fluid barrier. This drug is best used in combination with amphotericin B, which can not only reduce the toxicity of amphotericin B, but also reduce the emergence of fungal resistance. The full course of treatment is 6 weeks. The most serious side effect is bone marrow suppression, which can be treated with amphotericin B alone.

(3) Miconazole is a broad-spectrum antifungal drug with low toxicity and is relatively safe. It is best to monitor the patient with an electrocardiogram to prevent adverse cardiac reactions.

The above content introduces to us in detail how to treat the situation of severely swollen feet at 38 weeks of pregnancy. Through the above understanding, I believe that everyone has a deeper understanding of health issues. We must learn these contents. When we ourselves have this problem, we can effectively treat it, restore our health as soon as possible, accompany our loved ones more happily, and build a happy family.