Being pregnant is a very happy thing. This is such a happy thing, especially for those expectant mothers who have already entered into marriage and are preparing to give birth to new life. But we also know that after women become pregnant, their body functions and other aspects will undergo major changes. For example, some women will experience fever during pregnancy. Is this normal? What should we do if this phenomenon occurs? 1. Why does the body feel hot in early pregnancy? Generally speaking, if you are pregnant, you will first experience amenorrhea. In the early stages, under the influence of progesterone hormone in the body, your body temperature tends to rise. Usually, you will have symptoms of body heat accompanied by cold surface. As the pregnancy time increases, you will often experience early pregnancy reactions. Because each person's physique is different, the early pregnancy reactions are different. The body may feel hot in early pregnancy. Due to physiological reasons, the body temperature may rise in the early stages of pregnancy. The body temperature is generally higher than usual in the early stages of pregnancy. It is not very obvious in the late stages of pregnancy and is normal. I feel feverish, but when I measure my body temperature it is not a fever. It is a bit similar to the symptoms of a cold. After pregnancy, the basal body temperature of pregnant women will rise by about 0.3-0.5 degrees compared to normal people, so it is not surprising that pregnant women are particularly afraid of heat. So there is no need for expectant mothers to worry too much. 2. Auxiliary examination of fever It is necessary to selectively analyze and judge based on the clinical manifestations according to the specific circumstances. Such as blood routine, urine routine, pathogen examination (direct smear, culture, specific antigen antibody detection, molecular biology detection, etc.), X-ray, B-ultrasound, CTMRI, ECT examination, tissue biopsy (lymph node liver, skin millet membrane), bone marrow puncture, etc. Diagnostic treatment has no diagnostic value for most patients with fever. In view of clinical treatment problems, diagnostic treatment can be performed for patients with long-term fever of unknown cause, except for tumors. However, one must be cautious and choose drugs with strong specificity, definite efficacy and minimal side effects, such as metronidazole for treating amoebic hepatitis and antimalarial drugs for treating malaria. Most of the drugs used for diagnostic treatment are antibiotics, antiprotozoal drugs, antirheumatic drugs, etc. These drugs have side effects (such as drug fever, rash, liver function damage, hematopoietic organ damage, etc.). If used improperly, they will delay the disease. It should be noted that this method has its limitations. As far as diagnosis is concerned, the results of specific treatments are generally more negative than confirmatory. If the suspected malaria patient does not respond to regular treatment with chloranil, the possibility of malaria is considered very small. 3. Inspection items for fever The human body temperature shown on the thermometer: 36-37℃ is normal; 37-38℃ is fever; 38-39℃ is high fever; above 40℃ may be a dangerous high fever. Test items include: blood routine, urine routine, erythrocyte sedimentation rate, blood potassium, sodium, chloride test, liver function, kidney function, CO2 binding capacity test, blood culture and drug sensitivity test, blood Widal reaction, Weil-Fisch reaction, blood smear to check for malarial parasites, cerebrospinal fluid routine, biochemistry and culture. What medicine should I take when I have a fever during early pregnancy? Pregnant women must take medication under the guidance of a doctor and must not take medication on their own. Because it is not only related to the medicine itself, but also to the pregnancy process. Generally speaking, fever in pregnant women can be treated with acetaminophen. Each dose of acetaminophen can last for 6 hours, which means it can be taken 4 times within 24 hours. Ibuprofen, Bupleurum injection, etc. can be used. Indomethacin is a contraindicated antipyretic drug for pregnant women, and aspirin should not be used after 32 weeks of pregnancy. It has been reported that indomethacin-type drugs can cause premature closure of the ductus arteriosus in the fetal heart. In addition, if there is no clear evidence of bacterial infection when pregnant women have a cold, do not use antibiotics. Because antibiotics can pass through the placenta and affect the fetus, there is a 20%-40% chance of causing harm to the fetus and they should be taken under the guidance of a doctor. The pathogen that causes fever itself is more harmful to the mother and fetus than the fever itself. Therefore, when a pregnant woman has a fever, it is important to find out the cause of the fever and prescribe the right medicine, which is more important than simply reducing the fever. |
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