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How to lose weight at home. Symptoms and treatment of angina during pregnancy Angina in pregnant women 3rd trimester

During pregnancy, a woman can get any infectious disease, including tonsillitis. Any ailment caused by an infection can adversely affect the development of the fetus. Obstetricians have long known that even with an asymptomatic or oligosymptomatic course of the infectious process in a woman, the pathology in a child can be significantly pronounced. This is due to the intensive reproduction of fetal cells, as a result of which they become more sensitive to the damaging effects of microorganisms and their toxins.

A feature of infectious diseases in pregnant women is the impossibility of using many drugs, since they have a teratogenic effect (proven to affect the fetus) or are poorly understood.

In its development, the fetus goes through stages corresponding to the laying of organs, their development and final differentiation. In terms of timing, these periods conditionally correlate with the trimesters of pregnancy. Consider how angina can affect the fetus at different stages of its growth, as well as the features of the treatment of this disease in each of the trimesters.

First trimester

In the first months of pregnancy, a woman has a greater risk of getting a sore throat than usual. This is due to intense hormonal changes, behavioral changes, pregnancy toxemia. During this period, a woman visits medical institutions more often, where she is exposed to contact with patients.

At the same time, she continues to work, as a result of which she experiences additional stress. Her need for proteins and vitamins increases, which is not always satisfied. As for immunodeficiency, it is not as typical for pregnant women as it is commonly believed. The parameters of immunity in a healthy patient are most often within the normal range.

Manifestations in a woman are typical: the temperature rises quickly, a sore throat appears, signs of intoxication develop.

The causative agent of the disease does not directly affect the fetus. Dangerous are its toxins released into the blood of a woman during inflammation. In addition, hypoxia (lack of oxygen and nutrients) develops during illness.

If a woman falls ill with a sore throat in the first days of pregnancy, the death of a fertilized egg or embryo is not excluded. In later periods, the formation of the placenta is disturbed, primary placental insufficiency develops. Subsequently, it can transform into secondary insufficiency, which is characterized by fetal hypoxia, delayed development, premature birth and other complications of pregnancy.

Fetal deformities can even form if exposure to toxins was at particularly important points in time for the laying of a particular organ. For example, there is a violation of the development of the brain (micro- or hydrocephalus), intracranial calcification ("ossification"), heart defects, impaired limb formation.

The first trimester is the most dangerous in terms of abortion, diseases and fetal developmental disorders due to diseases in the mother.

Second trimester

If a pregnant woman gets a sore throat in the second trimester of pregnancy, then the most common complication she will have is placental insufficiency. As a result, the supply of oxygen and nutrients to the fetus is disrupted, it grows more slowly and develops worse.

In some cases, under the influence of toxins, the developing eyes of the unborn child, chorioretinitis, are observed, in the future this complication can lead to blindness. The fetal liver also suffers, the spleen enlarges.

Polyhydramnios often develops, spontaneous abortion is not excluded, especially when several adverse factors are combined (for example, pregnancy against the background of TORCH infections).

third trimester

In the last months of pregnancy, angina has less of an impact on the developing baby. First, his organs are already largely formed and are not so defenseless against toxic substances. Secondly, a well-formed placenta plays a protective role. Thirdly, the fetus itself is already able to respond to some influences by developing its own protective factors.

However, angina, transferred in the third trimester, can lead to placental insufficiency, fetal growth retardation and premature birth.

On the other hand, the woman herself suffers the most. More often there are early complications: paratonsillar abscess, otitis media, sinusitis and others. The development of late complications is not excluded: damage to the heart, joints, kidneys.

Treatment of angina during pregnancy

Self-treatment of angina when carrying a child is unacceptable. Having discovered the first signs of this disease, a woman should observe bed rest and call a doctor at home. She can't go to the clinic.

Main activities:

daily routine and diet;
local antiseptic preparations;
, antipyretics, painkillers;
vitamins.

Mode and nutrition

During the period of fever, strict adherence to bed rest is necessary. After the temperature has dropped, the state of health has improved, the patient can move around the apartment, but not engage in any vigorous activity. You need to know that for at least 10 days after recovery, a woman is still a source of infection. Therefore, she should limit close contact with children, the elderly, debilitated people, or wear a medical mask.

It is advisable to drink more fluids. Suitable green tea, rosehip broth, unsweetened dried fruit compote, weak black tea with lemon, warm milk. Nutrition should be high in calories, especially during the recovery period. If a woman cannot eat because of a sore throat, she should eat broth, sour-milk products, but not more than 1-2 days, and then switch to regular food. Dishes are best steamed or baked, liquid cereals, pureed soups, steam cutlets, vegetable puree are useful.

Antibacterial therapy

Amoxiclav approved for use

Not all antibiotics can be taken with angina during pregnancy. In the first trimester, their list is extremely limited. The doctor may prescribe drugs from the penicillin group (phenoxymethylpenicillin, ampicillin, amoxicillin), including amoxiclav, which is more resistant to bacterial enzymes. All 4 generations of cephalosporins are approved for use, for example, cephalexin, cefaclor, cefotaxime, cefepime.

Macrolides, in particular, azithromycin, can also be used in the treatment of pregnant women. A short course of administration makes this remedy one of the drugs of choice for angina in pregnant women. In severe cases, with the development of purulent complications, carbapenems, such as meropenem, can be used.

Antibiotic treatment always carries a potential danger to the fetus and mother, so they should be prescribed by a good specialist who can see the line beyond which the undoubted benefits of antibiotics begin to become less harm caused by these drugs.

Unfortunately, the most studied and safest phenoxymethylpenicillin to date does not always help with angina. This is due to the development of microbial resistance to this drug.

Antiseptic preparations for local use

To speed up recovery, relieve symptoms, reduce the risk of complications, a pregnant woman with angina should use local preparations: sprays, inhalations, rinses. Here is a list of the most effective and safe medicines.

Furacilin- an antimicrobial agent that is active against staphylococci, streptococci and other most common pathogens. It is available in tablets and in solution. To prepare a solution of furacilin, you need to dissolve 2 tablets of the drug in a glass of boiling water, cool and gargle several times a day. It is more convenient to use a ready-made solution.

Chlorhexidine

Chlorhexidine- antiseptic, cleanses and disinfects the tonsils, removes purulent plaque from them. Produced in the form of a ready-made solution. For gargling, you need to use a solution at a concentration of 0.05%. If a higher concentration is indicated on the package (0.2% or 0.5%), before use, such a solution should be diluted with warm boiled water in a ratio of 1:4 and 1:10, respectively.

Miramistin- a highly effective modern antiseptic, fully approved for use in pregnant women. It comes in a convenient bottle with a nozzle that sprays the drug deep into the throat. Such irrigation can be carried out several times during the day.

Ingalipt- an antimicrobial drug that also contains thymol, eucalyptus and mint oils. In addition to the antibacterial action, it has analgesic and anti-inflammatory effects. Available in a convenient spray form that is easy to apply to the affected tonsils.

Chlorophyllipt- an extract from eucalyptus leaves, a natural preparation with antimicrobial, anti-inflammatory, antiviral effects. Available in the form of a solution for rinsing, an oily solution for lubricating the tonsils, as well as in the form of lozenges.

You can supplement local therapy with gargles with infusion of chamomile, calendula, lime blossom and other herbs with a disinfectant effect.

It is not worth taking such decoctions inside, since their effect on the body of a pregnant woman can be unpredictable.

Other drugs

A pregnant woman can take paracetamol to reduce fever. With severe sore throat, severe inflammation and swelling, the doctor may prescribe anti-inflammatory drugs, for example, ortofen. And, of course, the patient must take the prescribed vitamins.

Angina during pregnancy in the third trimester is not as dangerous as in the early stages. This is due to the fact that almost all organs of the fetus are already formed. At the end of the pregnancy, the body of the expectant mother is deprived of strength and vitality, and the performance of the immune system is depressed. Angina most often gives complications affecting the cardiovascular system. Also, angina in late pregnancy weakens labor activity.

Causes

Angina is an infectious disease that is caused by certain types of microbes. Usually the causes of the disease are the following factors:

drip-air way (due to non-observance of personal hygiene measures);
often angina appears due to the activation of conditionally pathogenic microflora of the oral cavity. This reduces the overall performance of the immune system;
the disease also manifests itself with already existing inflammations of the ear, nose and mouth: caries, sinusitis, otitis media and others.

Angina or acute tonsillitis can only be delivered by a qualified doctor. He must confirm his diagnosis with laboratory tests, in particular with a smear, as well as confirm complete recovery and ensure deregistration after 2 weeks.

Symptoms

First of all, you need to know that two different forms of angina have their own symptomatic features:

the catarrhal form is characterized by redness of the tonsils and palatine arches, the appearance of mucous secretions;
the follicular variety is characterized by the formation of yellow or white abscesses on the surface of the tonsils;
the lacunar form is characterized by the formation of a film of yellow plaque.

Pregnant women show the following symptoms of acute tonsillitis:

general weakness and chills;
headaches and very fast fatigue;
the temperature rises to 40 degrees;
increased sweating;
pain when probing the lymph nodes;
redness on the tonsils and surface of the throat;
pain when eating;
swelling of the tonsils.

Since, due to hormonal changes, the performance of the immune system is sharply reduced, the bacteria quite easily penetrate the body of a pregnant woman.

With angina, it is necessary to carry out treatment in order to avoid serious complications. You should also be aware that other infections often appear against the background of this disease.

Treatment

Treatment of angina in a pregnant woman should only be adjusted by a doctor. If you start therapy even before the formation of purulent inflammation, you can avoid many complications that affect the fetus in the womb.

The doctor most often prescribes a very gentle treatment that combines the intake of vitamins, certain drugs and alternative methods, if any, are required for a quick and best recovery.

Nutrition

Eating with angina during pregnancy should be light, low-calorie food. It should provide the body of the expectant mother with all the necessary vitamins and minerals. In such situations, doctors advise drinking broths prepared with chicken or vegetables with the addition of white bread croutons. It is also recommended to eat cereals and dairy products. You can not eat the following foods:

too cold or hot;
spicy and sour food;
products containing coarse fibers;
fatty and fried.

If a woman has lost her appetite, then she should be reminded of the need to replenish nutrients in the body. This is due to the presence of the mother's fetus in the womb, which feeds only through the placenta, that is, it is completely dependent on the mother.

Plentiful drink

With angina, you should drink as much liquid as possible, especially boiled warm water and broth. In the early days of the onset of infection, this is especially important. However, a pregnant woman should take into account swelling or kidney problems, if any.

If there is a lot of liquid, then you can quickly bring down the heat. At the same time, slightly warm milk with the addition of honey, cranberry juice, lingonberry juice will help. But in no case should you drink hot drinks, as well as sweet and sour juice-containing liquids, lemonades.

How to bring down the high temperature?

The treatment of angina includes several aspects, but it is very important to reduce the temperature as quickly as possible. This is due to the fact that temperatures above 37 degrees can cause fetal abnormalities. Treatment should be prescribed exclusively by a doctor, since self-selection of drugs can even lead to a deterioration in the condition and disastrous consequences for the fetus.

Going to the doctor with angina should not be delayed. Before visiting a specialist, you can alleviate the condition in the following ways:

warm tea with raspberries, linden or cranberries;
drink plenty of water to avoid dehydration when you have a fever;
wear light clothing, ventilate rooms;
you can wipe the skin with a solution of apple cider vinegar or lemon juice;
gauze soaked in camphor alcohol also works well.

Often it is necessary to use antipyretic drugs made on the basis of paracetamol (for example, Cefecon). But these drugs can only be prescribed by a doctor. Depending on individual characteristics and the course of pregnancy, they are sometimes not allowed to be taken.

It is possible to reduce the temperature with the help of medicines only in situations where a specialist recommends it, and not with any increase in body temperature. When prescribing an antibiotic during pregnancy, most often additional drugs that stop the fever are not required.

Antibiotics for sore throat during pregnancy

Antibiotics are often needed when a sore throat develops in pregnant women. They allow you to stop the reproduction of pathogenic bacteria in the oral cavity and prevent the appearance of purulent processes. Usually in such situations, experts recommend the use of the following drugs:

means of the penicillin group, for example, Amoxiclav;
groups of macrolides, for example, Rovamycin;
groups of cephalosporins, for example, Suprax.

You should know that even these drugs, approved for use during pregnancy, are harmful. Although their harmful effect on the fetus is reduced to minimal limits, there is also no benefit. In addition, with catarrhal angina, after consulting a doctor, local preparations such as Bioparox can be used.

homeopathic treatment

During pregnancy, some doctors advise taking homeopathic medicines to avoid negative effects on the fetus. Homeopathic remedies are: Tonsilgon, Angin-hel. If the performance of the immune system is greatly reduced, then such drugs are unlikely to have any therapeutic effect, but on the contrary, they will only harm. It is also impossible to use this treatment for a purulent form of the disease, since complications and anomalies of the fetus can be obtained.

Lozenges

Most absorbable tablets and lozenges relieve symptoms, but do not cure the disease completely. Based on this, experts recommend taking only those funds that bring a quick effect. This allows you to avoid unnecessary stress and protect the fetus as much as possible. You can take the following drugs: Lizobakt, Faringospet, Travisil, Imudon.

Lubrication of the tonsils

In the treatment of angina, the irrigation method is widely used: Chlorhexidine bigluconate, Miramistin are used for this. They are antiseptics that destroy pathogens and prevent inflammation. However, even such harmless remedies can only be used with the permission of the attending physician.

To treat the tonsils with solutions of these drugs, you can use cotton swabs. When processing, you should not put too much pressure on the tonsils, as you can damage the mucous membrane and make the infection even deeper.

rinses

Rinsing should be applied in the first days of the disease approximately every 2 hours. There are several options for preparing solutions:

a solution of hydrogen peroxide in water;
alcohol tincture of calendula, dissolved in water;
Rotokan diluted in water;
infusions of medicinal plants in water: oak, sage, chamomile, calendula;
Furacilin dissolved in a glass of water.

This procedure can reduce the plaque that forms on the tonsils, which as a result reduces the risk of intoxication. Also, when rinsing, pathogens are removed from the tonsils, pain is reduced and drugs are practically not absorbed into the blood. That is why this method is safe in the treatment of angina in pregnant and lactating mothers.

Folk remedies

There are several methods to cure tonsillitis during pregnancy, eliminating the negative impact on the fetus and the mother's body as a whole. The most effective methods of traditional medicine are as follows:

you should mix flax seeds, linden, chamomile and eucalyptus. This mixture is poured with boiling water and infused for 2 hours. The infusion should cool down. It is recommended to gargle with them for about 2-3 minutes;
well helps resorption of lemon slices. This method allows you to get rid of pathogens under the action of citric acid;
you can make the following mixture: onion, apple, honey. This improves the performance of the immune system. This medicine is recommended to be taken several times a day after meals;
with angina, gargling with beet juice helps well. Freshly squeezed juice should be diluted with apple cider vinegar. It is recommended to rinse several times a day.

Alternative methods of treatment, although safe, should be consulted about their use with your doctor in order to avoid unexpected negative consequences.

Prohibited treatments

There are some treatments that have a negative effect on the development of the fetus, causing improper bone formation and various anomalies:

you can not take antibiotics belonging to the group of tetracyclines;
in no case should you take a drug such as Aspirin;
you can not gargle with drugs that contain iodine;
it is not recommended to take hot foot baths, as they most often provoke a miscarriage;
do not apply alcohol compresses, pepper plasters and mustard plasters. They cause the multiplication of pathogens and do nothing to improve the situation.

A doctor should warn a pregnant woman about such methods of treatment and protect her state of health, giving clear recommendations on drugs and preventive measures.

Consequences and complications

The consequences of angina during pregnancy in the third trimester are very diverse and all severe. This is due to the fact that the woman's body provides 2 organisms with nutrients. With angina in the last stages of pregnancy, the following complications may occur:

myocarditis;
purulent inflammation of the larynx;
meningitis;
intoxication caused by pathogenic bacteria;
inflamed lymph nodes;
pyelonephritis;
heart failure;
weak labor activity.

All the consequences and complications of angina can occur only if the disease was initially started. At the first sign of a sore throat, you should immediately contact your doctor. He will advise alternative methods of treatment, if necessary, and also adjust the intake of the necessary medications.

Prevention

First of all, it should be said that you should not take drugs without a doctor's recommendation - this can seriously affect the health of the mother and child. Only a specialist can say for sure which medicines will ensure the safety of a pregnant woman and help her recover quickly.

To ensure protection against angina, the following preventive measures should be taken before pregnancy and during its course:

improve breathing through the nose;
to prevent diseases of the oral cavity and cure possible diseases;
increase the efficiency of the immune system (you can take mineral-vitamin complexes prescribed by a doctor);
it is recommended to get rid of chronic diseases;
you should take water procedures as often as possible (pool, warm shower in the absence of temperature);
do not smoke, abuse alcohol, take drugs;
it is recommended to rest as much as possible and monitor physical activity;
eat healthy low-calorie foods, fruits, vegetables;
it is recommended to ventilate living quarters;
categorically it is impossible to be nervous;
during pregnancy, walks in the fresh air and light physical activity and exercise are welcome.

When carrying a child, you should regularly engage in the procedure of rinsing the mouth with warm water with the addition of antiseptic preparations. It is not recommended to drink cold drinks, eat ice cream and supercool the body by any means - this has a negative impact on health and often causes a sore throat. In addition, pregnant women should avoid contact with likely carriers of the infection. This will significantly reduce the risk of developing the disease.

At the first symptoms of a sore throat, you should consult a doctor. He will be able to advise the most optimal treatment and conduct the necessary examination, as well as talk about the possible teratogenic effects on the fetus of certain drugs.

How to suspect angina?

The appearance of a sore throat is one of the first clinical signs that make it possible to suspect the presence of an inflammatory process in the region of the tonsils, the posterior pharyngeal wall.

Usually, the next day, malaise begins to disturb, appetite decreases, body aches appear, which is a sign of an intoxication syndrome. Fever initially does not exceed 37.5 degrees (with catarrhal tonsillitis), but can reach 39 degrees in case of purulent tonsillitis. With the progression of the disease, the pathological process extends to the structures surrounding the tonsils, the process of chewing, swallowing, and opening the mouth becomes more difficult.

The catarrhal form is characterized by an increase in the tonsils due to infiltrative processes, swelling. They turn red, but do not have a coating.
Follicular, lacunar forms develop with suppuration of the follicles, which are visualized in the form of grains, with the accumulation of purulent masses in the lacunae. Purulent films appear on the surface of the tonsils. As a result, a pronounced syndrome of intoxication develops.
The ulcerative-necrotic form is manifested by the formation of ulcerative foci on the surface of the tonsils. Plaque acquires a dull, gray color, when you try to remove it, a bleeding wound remains. The process gradually covers the posterior pharyngeal wall, palate, uvula, arches.

Secondary forms of tonsillitis are also isolated, which develop as a complication of the underlying disease, for example, scarlet fever, infectious mononucleosis, enterovirus infection. Among the specific forms of angina, it is worth highlighting the fungal type, Simanovsky-Vincent's tonsillitis.

Treatment of angina

Complex therapy for tonsillitis allows you to achieve good results in a short time, thereby preventing the appearance of undesirable consequences. In order to minimize the burden on the woman's body, eliminate pathogenic microorganisms and reduce the severity of clinical symptoms, it is recommended to adhere to the following directions in treatment:

observance of a certain regimen of the day, nutrition;
fight against streptococcus;
reduction of the inflammatory process, lesions of the tonsils;
prevention of febrile hyperthermia;
strengthening immunity.

Now let's take a closer look at what is included in each item of treatment.

Compliance with the regime

Due to the fact that the immune system of a pregnant woman is weakened, he needs strength to recover, so tonsillitis during pregnancy requires bed rest for up to 10 days. During this period, the pathogen circulates through the bloodstream, so there is a high risk of complications.

Adequate antibiotic therapy allows you to cope with the pathogen in a shorter time, but the body still needs time to recover.

During the acute period, a woman can infect other people, so the use of a medical mask is recommended.

Drinking plenty of water allows you to accelerate the elimination of toxic substances released by pathogenic microorganisms. As a result, the concentration of toxins decreases, the severity of the intoxication syndrome decreases, which leads to a decrease in hyperthermia.

The drinking regimen may include compotes, juices, jelly, fruit drinks. Enveloping properties of jelly prevent further damage to the tonsils, stimulate regenerative processes. In addition, it is worth noting that a full-fledged drinking regimen prevents dehydration of the body associated with increased sweating, shortness of breath.

In the third trimester of pregnancy, the drinking volume should be calculated by the doctor in order to avoid the appearance of edema.

The "pregnant" period, especially after 6 months, is often characterized by edematous syndrome. This is due to the compression of the veins and lymphatic vessels by the enlarged uterus, which makes the outflow of blood from the lower extremities difficult. The size of the uterus shifts the intestines, which causes constipation in a woman, and pain in the lumbar region is due to an increase in the load on the spine.

As for the nutritious diet, a woman is forbidden to follow strict diets, since the body must receive enough nutrients to replenish energy reserves and increase immune protection.

In addition, a pregnant woman must:

avoid stress;
enough time to sleep, rest;
ventilate the room regularly.

In the treatment is prohibited:

independently remove films from the surface of the tonsils, which predisposes the spread of infection, the formation of an open wound;
use procedures involving high temperatures, such as hot compresses, showers, footbaths;
the use of antibacterial agents without prior agreement with the doctor, as well as the premature completion of antibiotic therapy.

Early discontinuation of antibacterial agents leads to reactivation of pathogenic microorganisms, which is manifested by the return of clinical symptoms. It is worth noting that in this case it is advisable to prescribe antibacterial agents of another group, since the pathogen could already develop resistance to previous medications.

The danger of incomplete antibiotic therapy is the preservation of streptococcus in the body, the risk of developing serious complications against the background of mild symptoms.

Antibioticoteria

Treatment of angina involves the use of antibacterial drugs necessary to eliminate the infectious agent. In the case of catarrhal sore throat, systemic antibiotics can be dispensed with, provided early diagnosis, the beginning of an intensive therapeutic course.

If a sore throat occurs, a pregnant woman should immediately start gargling with antiseptic solutions.

Timely initiation of therapy allows you to stop the spread of infection, reduce the inflammatory process. Even if it turns out that this is a common pharyngitis, rinsing will only benefit.

Purulent forms of tonsillitis require the appointment of antibiotic therapy, taking into account the sensitivity of the pathogen. Streptococcus is usually the cause of angina, so drugs are used that have a detrimental effect on it.

Penicillins, for example, Flemoxin, Augmentin, Amoxiclav. They are quite widely prescribed for pregnant women, as they do not have a negative effect on the fetus.
Cephalosporins (Cefalexin, Cefepime, Ceftriaxone, Cefuroxime). They are prescribed in the absence of effect, intolerance to penicillins. Not toxic to the embryo.
Macrolides (Sumamed, Erythromycin) are used in a short course in the absence of the possibility of using the above antibiotics. There is a low risk of side effects, however, in agreement with the doctor, they can be prescribed.

We emphasize that not all antibacterial agents are approved for use in pregnant women in the 3rd trimester:

Doxycycline, tetracycline - easily penetrate the placenta, disrupt the exchange of minerals, deposited in the tooth germs, bones, liver.
Fluoroquinolones (norfloxacin, ofloxacin) after overcoming the placental barrier damage the articular structures (cartilage, ligaments, bones).
Macrolides (clarithromycin, roxithromycin) are toxic to the embryo.
Aminoglycosides (streptomycin, gentamicin) when penetrating the fetus affect the kidneys, hearing organs, which leads to deafness.
Co-trimoxazole (biseptol), when taken in high doses, overcomes the placental barrier, leads to the formation of heart defects, mutations.

Local treatment of affected tonsils

It is possible to act directly on the pathological focus using solutions for topical use. Thanks to regular rinsing, irrigation of the surface of the tonsils, it is possible to prevent the spread of infection and reduce inflammation.

Rinsing should be repeated every 2 hours, alternating with irrigation of the tonsils, resorption of tablet forms of drugs with antimicrobial action. Of the safest, widely used antiseptic solutions, we highlight the following.

Furacilin is an antimicrobial drug that has a detrimental effect on streptococci, staphylococci. To prepare the solution, dissolve 2 tablets in a glass of hot water, cool, use to gargle. Also, the drug is sold in a ready-to-use form.
Chlorhexidine is an antiseptic that allows you to cleanse the tonsils of microbes, purulent films, and reduce inflammation. For rinsing, a ready-made solution of 0.05% is used. If another concentration is indicated, dilution with boiled water is required before use.
Miramistin is a modern antiseptic with high efficiency. For the convenience of irrigation of the tonsils, the bottle is equipped with a special nozzle.
Ingalin is available in the form of a spray, solution, consists of an antiseptic, eucalyptus oil, mint. In addition to antimicrobial action, it has an anti-inflammatory, analgesic effect.
Chlorophyllipt is an extract from eucalyptus leaves. It has anti-inflammatory, antimicrobial action. Releases in the form of a solution, spray, tablets.
For resorption, tablets Lizobakt, Faringosept are prescribed.

From folk recipes, a solution of soda, salt (1 tsp each) per glass of water is used. In the absence of an allergic reaction to iodine-containing drugs, you can add 2 drops of iodine. Rinse twice a day.

Fever control

Angina during pregnancy is often accompanied by hyperthermia. If the temperature reaches 37.5 degrees, a woman is recommended to drink plenty of water, warm showers, wiping the body with a dilute solution of vinegar.

When the temperature exceeds 38 degrees, in addition to the above measures, it is necessary to take antipyretic drugs. Antipyretics should not contain aspirin.

Prolonged febrile / hectic hyperthermia leads to hypoxia, fetal growth retardation, fetoplacental insufficiency, and premature birth.

Prevention

Prevention of tonsillitis involves strengthening the immune system, preventing a decrease in immune protection even at the stage of pregnancy planning. Angina during pregnancy is quite common, but women should try to avoid it. What is needed for this?

A preventive course of therapy for chronic diseases before pregnancy, which will reduce the risk of exacerbation of the pathology, which reduces immune protection.
Treatment of infectious diseases at the stage of pregnancy planning.
Healthy nutrition provides sufficient intake of vitamins, proteins, fats, carbohydrates into the body of the future mother, fetus. Due to this, the development of the embryo takes place according to the gestational age.
Complete rest, sleep.
Reducing the influence of stress to prevent hormonal fluctuations.
Regular airing of the room, wet cleaning, use of a humidifier.
Walks in the park area, trips to the forest, to the sea to change the climate, strengthen immunity.
Dosed physical activity, for example, water aerobics.
Clothing should be appropriate for the weather, which will avoid hypothermia, the negative effects of drafts, and getting wet in the rain.
Compliance with culinary technologies, which prevents the development of toxic infection, dysentery, salmonellosis. It is also recommended not to visit unverified catering places.
Personal hygiene, frequent hand washing.
Using a medical mask when talking to a sick person.
It is necessary to avoid mass gatherings of people, especially during periods of an epidemic.

Finally, I would like to note that a regular preventive examination by an obstetrician-gynecologist makes it possible to diagnose pathology in a timely manner. Timely treatment is the key to a mild course of the disease, preventing the development of severe complications.

Angina during pregnancy is one of those dangerous diseases, complications after which can affect the developing fetus.

It is no secret that during pregnancy a woman's immunity is significantly reduced and the female body is prone to various ailments, including inflammatory processes.

As soon as the expectant mother begins to experience discomfort in the throat: soreness and soreness, headaches, weakness, inflammation and swelling of the tonsils, high fever, joint and muscle pain, this is a reason to immediately consult a doctor.

The essence of the problem

Angina (tonsillitis) is an infectious lesion of the mucous membrane of the tonsils, caused by staphylococcus or streptococcus viruses.

You can get infected with them by airborne droplets or by household means, through dirty products, dishes or hands.

There are the following types of tonsillitis:

Bacterial tonsillitis, caused by adenovirus, is the most common and easily treatable type of sore throat. Accompanied by fever, reddening of the tonsils and pain when swallowing. With timely treatment, recovery occurs in a few days and does not affect the development of the child.
With catarrhal angina, high fever, pain in the joints and muscles, headaches, lack of appetite, fatigue, sore throat when swallowing and talking are noted.
Purulent tonsillitis causes the development of ulcers on the mucous membrane of the tonsils. It has 3 subspecies: follicular - with pustules on the tonsils; lacunar, when a yellow film envelops the tonsils; necrotic - a complicated form of purulent tonsillitis, accompanied by necrosis of the mucous epithelium of the tonsils, is treated by removing the affected tonsils. Purulent tonsillitis during pregnancy is the most dangerous, as it can cause the development of bronchitis, sinusitis, otitis media and have a negative impact on both the mother and the fetus.

Tonsillitis during pregnancy proceeds somewhat differently than in an ordinary person. This is due to hormonal changes that occur in the body in pregnant women.

During this period, the entire immune system of a woman is aimed at preserving the fetus and reacts in a special way to the entry of a harmful virus into the body.

For example, the temperature can rise to 40 °C. The response to medications can also be different.

Symptoms of the disease

Infectious lesions of the tonsils in the initial stages are very similar to a cold or other ailments. To do this, it is necessary to clearly classify the symptoms of the disease:

the temperature rises to 39-40 ºC;
increased sweating;
headaches and pain in the joints;
lymph nodes are enlarged, painful swallowing is noted;
lack of appetite, impotence;
redness of the throat and whitish pustules on the tonsils (with purulent tonsillitis).

The sooner you start treatment of tonsillitis during pregnancy, the more favorable the outcome of the disease. The lack of proper therapy threatens with complications in the heart or kidney system, damage to the joints.

Angina during pregnancy can have undesirable consequences for the mother and child.

The greatest danger is angina in the early stages of pregnancy, since the 1st trimester is an important period for the fetus, during which the development of many organs of the baby occurs.

Possible consequences of angina during pregnancy

In the medical literature there are detailed descriptions of how dangerous tonsillitis is during pregnancy:

a woman develops severe toxicosis, accompanied by frequent, up to 5-7 times a day, bouts of vomiting and dehydration;
purulent tonsillitis during pregnancy in the first trimester can cause fetal developmental disorders;
physiological pathologies of fetal development;
stopping the development of the fetus (fading);
sudden miscarriage and open bleeding.

Tonsillitis and pregnancy in the later stages can cause the development of the following pathologies in the expectant mother:

inflammation of the heart muscle (myocarditis);
brain damage;
damage to the whole body by toxins;
kidney pathology;
violation of cardiac activity;
difficult childbirth due to weakness.

If you know how to treat tonsillitis during pregnancy, all these problems can be avoided, but it is important not to waste time here.

Treatment of angina during pregnancy

It is important to clearly know how to treat angina during pregnancy. First of all - compliance with strict bed rest and drinking plenty of water.

Food should be soft so as not to injure the already inflamed mucous membrane of the tonsils.

Due to the fact that most drugs prescribed for sore throat are contraindicated during the period of bearing a child, the treatment of angina in pregnant women is somewhat different from traditional therapy.

Treatment of tonsillitis in the first trimester

In the first 3 months, the embryo forms the heart, blood vessels, digestive organs, and the nervous system.

During this period, if angina was detected during pregnancy, treatment is complicated by the fact that many drugs cannot be taken because of the risk of harming the developing fetus.

Antibiotics are prescribed of a certain type, harmless to the baby, but after passing the analysis to determine the type of virus and its sensitivity to antibacterial drugs.

It is important to remember that antibiotic use should not be interrupted when improvement occurs for fear of harming the child.

The course must be completed to kill all germs. Otherwise, harmful microorganisms develop resistance to the drug.

Treatment can be done at home. It should include the following aspects:

strict bed rest;
the diet should be dominated by foods containing proteins and vitamin C;
drink plenty of water (at least 100 g of warm water per hour) - tea with honey and lemon, juices, dried fruit compote, non-carbonated mineral warm water. Chicken broth is very useful during this period, which saturates the stomach and at the same time replenishes the loss of fluid;
relieve fever without the use of drugs - wipe with warm water, apply cold compresses to the forehead, wash your face with cool water, only Panadol and Paracetamol can be antipyretic;
Gargle 4-5 times a day with a decoction of chamomile or sage, soda-salt solution;
inhalation with a decoction of chamomile and sage, mint, pine buds, potatoes, but take with caution no more than 3-4 minutes.

Treatment of angina in the 2nd trimester

Angina during pregnancy in the second trimester is treated in the same way as indicated above. The 2nd trimester of fetal development makes it possible to use drugs with local effects directly on the affected areas.

These drugs include Furacilin, Antiangin.

Furacilin is the safest and most effective drug with antibacterial, antiseptic and regenerating effect.

Rinses with a solution of furacilin for 5-6 days completely kill pathogenic microorganisms (2 powdered Furacilin tablets are added to 1 glass of hot water until completely dissolved, rinsed for 4 minutes every 3-4 hours).

However, this remedy in rare cases has side effects - allergies, nausea and vomiting, dizziness, bleeding.

Antiangin lozenges have a good antimicrobial and analgesic effect.

The antiseptic Chlorhexidine contained in the preparation destroys the viruses of pneumococci, staphylococci and streptococci. The effect is felt a few minutes after ingestion.

Therapy for tonsillitis in the 3rd trimester

Treatment of tonsillitis in pregnant women in the third trimester is much easier to treat, since almost all organs in the fetus are already formed.

But the 3rd trimester of pregnancy when infected with viruses is dangerous because the disease can lead to the development of a weakening of labor activity.

Inflammatory processes of the mucous glands in the last stages are treated as follows:

antibiotics are prescribed (Penicillin, Erythromycin, Sumamed, Gentamicin);
local antiseptics - Anti-angin;
gargling and inhalation with pharmaceutical herbs, with the addition of fir, eucalyptus oil, soda-saline solution, Furacilin, Miramistin;
diet therapy - products with a high content of various vitamins, irritating dishes are excluded - salty, spicy, sour.
to flush out toxins from the body - drink plenty of water.

ethnoscience

If a woman has pregnancy and tonsillitis suddenly, there are effective and safe for expectant mothers traditional medicine recipes aimed at relieving pain, inflammation and destroying pathogenic microbes.

In any case, all folk remedies are used after consultation with the attending physician.

Some methods of alternative treatment of pregnant women with angina:

Grind a few lemons in the peel with sugar. Take the present mixture in 1 tsp. 5 times a day. It is a good anti-inflammatory and antiseptic, strengthens the body, saturates it with vitamin C.
Add finely chopped head of garlic to 1 glass of apple juice, boil for 5 minutes. Drink warm up to 3 glasses a day.
In a grated gruel of 1 apple and 1 onion, add 2 tbsp. l. honey. Take 0.5 tsp. 3 times a day.
Decoctions for inhalation - from unpeeled potatoes (with the addition of a few drops of turpentine), a soda-salt mixture with the addition of 2 drops of iodine.
Gargling - with a decoction of chamomile and sage, a solution of propolis (1 tablespoon of propolis in 1 glass of warm water, rinse every hour), infusion of marshmallow (2 tablespoons pour 500 ml of boiling water and leave for 2 hours), beer mixture ( Mix 1 liter of hot beer with 1 glass of yarrow juice, gargle and drink 1 glass 3 times a day), 1 glass of beetroot juice with the addition of 1 tbsp. l. vinegar (rinse 5 times a day), etc.
Throat treatment - with an alcohol-salt solution (mix 100 g of vodka with 2 tablespoons of coarse salt, lubricate the tonsils 6 times every half hour), a mixture of 1.5 g of novocaine, 100 ml of alcohol, 2.5 g of menthol, 1.5 g of anestizine, lubricate the neck 3 times a day and wrap it with a warm scarf.

Prevention of angina in pregnant women

To avoid infection with a sore throat, pregnant women must perform the following procedures and adhere to some rules:

regularly ventilate and humidify the room;
for eating and drinking use individual utensils;
do not communicate with sick people;
strengthening immunity by taking special vitamin and mineral complexes for pregnant women, drinking more fresh fruit juices;
when visiting crowded places, lubricate the nose with oxolin ointment and put on a gauze mask;
compliance with oral hygiene;
timely treatment of diseases of the teeth and oral cavity (stomatitis, caries, gingivitis, etc.);
use of antibacterial personal care products;
if the house has a family member with a sore throat, regularly fumigate the air in the room with aromatic oils of tea tree or fir, eucalyptus, orange;
when using heaters, place water containers in the room.

In the event of the first signs of a sore throat during pregnancy, it is better to consult a doctor without delay.

In no case should you self-medicate, let alone let the disease take its course, in order to avoid unpleasant consequences and the loss of a child.

A feature of infectious diseases in pregnant women is the impossibility of using many drugs, since they have a teratogenic effect (proven to affect the fetus) or are poorly understood.

First trimester

Manifestations of a sore throat in a woman are typical: the temperature rises quickly, a sore throat appears, signs of intoxication develop.

The first trimester is the most dangerous in terms of abortion, diseases and fetal developmental disorders due to diseases in the mother.

Second trimester

Polyhydramnios often develops, spontaneous abortion is not excluded, especially when several adverse factors are combined (for example, pregnancy against the background of TORCH infections).

third trimester

However, angina, transferred in the third trimester, can lead to placental insufficiency, fetal growth retardation and premature birth.

Treatment of angina during pregnancy

Main activities:

daily routine and diet;
antibacterial therapy;
local antiseptic preparations;
anti-inflammatory, antipyretic, painkillers;
vitamins.

Mode and nutrition

Antibacterial therapy

Amoxiclav approved for use

Unfortunately, the most studied and safest phenoxymethylpenicillin to date does not always help with angina. This is due to the development of microbial resistance to this drug.

Antiseptic preparations for local use

Chlorhexidine

You can supplement local therapy with gargles with infusion of chamomile, calendula, lime blossom and other herbs with a disinfectant effect.

It is not worth taking such decoctions inside, since their effect on the body of a pregnant woman can be unpredictable.

Other drugs

Which doctor to contact

If a pregnant woman has a sore throat, she needs to stay at home in bed and call a therapist or family doctor at home. If necessary, an infectious disease specialist, ENT doctor is consulted. It is also necessary to report your disease to the observing obstetrician-gynecologist.

Watch a video on how medications are prescribed during pregnancy and how to take them correctly:

Medications during pregnancy and lactation - Dr. Komarovsky's School

Article rating.

Angina during pregnancy can develop at any time. The danger of the disease lies in the development of early and late consequences for the mother and child. There is also a risk of pathology transition to a chronic course. The method of therapy should be determined by the doctor. Early diagnosis is extremely important for the choice of tactics of conducting a pregnant woman.

Due to the hormonal and physiological changes that occur in the body during pregnancy, in the event of a disease, pregnant women are at greater risk of developing complications.

The greatest danger of a viral or bacterial lesion is in the period up to 12 weeks, when the organs and tissues of the future baby are laid.

Viral tonsillitis, transferred in the second half of pregnancy, is a risk factor for the development of intrauterine infection due to transplacental transmission of the virus to the fetus. Respiratory viruses that cause perinatal damage in 11% of cases can persist and multiply in the placenta, fetal brain and choroid plexuses of the lateral ventricles of the brain.

When an infection occurs during pregnancy, the embryo and fetus are affected not only by pathogens, but also by toxic products that are formed as a result of the metabolism of the mother during the decay of the infectious agent.

Enteroviral infections are quite common. Enteroviruses are transmitted to pregnant women through direct contact with a patient with an intestinal infection or with damage to the upper and lower respiratory tract.

With the development of angina in early pregnancy against the background of influenza or parainfluenza, miscarriages are observed in 25-50% of cases. The frequency of defects is low.

With herpetic sore throat, heart defects, anomalies in the development of the gastrointestinal tract, hydrocephalus, pneumonia, jaundice, and anemia can occur. Also, infection of the fetus with the herpes virus leads to spontaneous abortion, premature birth.

The most common cause of angina is a bacterial infection: staphylococci, streptococci, diplococci, Haemophilus influenzae, anaerobes, spirochetes, chlamydia, mycoplasmas and others.

Among bacterial pathogens, group A beta-hemolytic streptococcus, or pyogenic streptococcus, is of great importance.

The source of infection is a sick person during an exacerbation or a bacteriocarrier. Transmission mechanism: airborne, contact, food. The pathogen can penetrate the fetus through the placenta and cause pathological changes in the developing organs.

Symptoms of angina in pregnant women

Clinical manifestations of angina in pregnant women include:

sore throat, aggravated by swallowing and talking;
an increase in body temperature up to 38 ° C and above;
headache, chills, joint pain, weakness;
fibrinous or purulent plaque on the surface of the tonsils and in the gaps;
enlargement and soreness of the lymph nodes in the region of the angle of the lower jaw.

Angina is especially difficult to tolerate in late pregnancy. Oxygen uptake progressively increases in the second and third trimesters. The growing fetus puts pressure on the diaphragm, making breathing difficult, especially during exercise or movement. Therefore, any inflammatory changes in the upper respiratory tract can affect the general condition, leading to the development of hypoxia in the tissues of the mother and fetus.

Physiological immunosuppression of pregnant women may contribute to the generalization of inflammation and increase the risk of bacterial complications.

Why is streptococcal tonsillitis dangerous for a future mother? The danger lies in the development of early (abscesses, neck phlegmon, otitis media) and late (acute rheumatic fever, myocarditis, polyarthritis, glomerulonephritis) complications, as well as the risk of transition to a chronic disease.

The effect of angina on the embryo, fetus, consequences for the child

When an infection occurs during pregnancy, the embryo and fetus are affected not only by pathogens, but also by toxic products that are formed as a result of the metabolism of the mother during the decay of the infectious agent. Hyperthermia and hypoxia, which occur during an acute inflammatory process, also have an effect.

The consequences of angina in the 1st trimester of pregnancy depend on the gestational age: in the first 6 days after fertilization, the zygote may die or completely regenerate; during the period of embryogenesis and placentogenesis (from 7 days to 8 weeks of pregnancy), fetal death, deformities, and primary placental insufficiency are possible.

Angina in the 2nd trimester is dangerous for the development of sclerotic changes in organs and tissues. The formed pathology of various organs and systems of the fetus with angina in the second trimester of pregnancy can be determined using ultrasound.

The third trimester is characterized by the fact that the fetus acquires the ability to specifically respond to the introduction of the pathogen with leukocyte infiltration, humoral and tissue changes.

The use of antibiotics in pregnant women is possible only in cases where the indications or the expected effect of therapy outweighs the potential risk to the fetus.

In the presence of a purulent-inflammatory focus in the mother's body, for example, an abscess, hematogenous infection of the fetus is possible. At the same time, bacterial damage to the placenta, followed by a violation of the placental barrier, leads to the spread of bacteria through the bloodstream and the development of intrauterine sepsis.

In severe cases, the outcome of an infection that has affected the fetus may be:

death of the fetal egg;
spontaneous abortion;
prematurity (for example, premature birth at 37 weeks against the background of fetal hypoxia);
intrauterine growth retardation;
antenatal death;
placental insufficiency;
impaired adaptation of the newborn;
various manifestations of local and generalized infectious process.

Diagnostics

On examination, pharyngoscopy is performed. The pharyngoscopic picture of acute inflammation of the tonsils is characterized by hyperemia and tissue edema. Purulent plugs are visualized in the lacunae.

In the diagnosis of tonsillitis, the main method is bacteriological culture of the tonsils and oropharynx discharged from the mucous membrane with the determination of sensitivity to antibiotics. In some cases, an additional PCR method (polymerase chain reaction) is required to identify certain fragments of DNA or RNA of pathogen cells.

There is also a method for rapid diagnosis of streptococcal infection, based on the determination of the antigen of group A beta-hemolytic streptococcus, without first isolating a pure culture of the pathogen. The test allows you to determine the presence of bacteria within 5-10 minutes. But in parallel, a classic bacteriological culture is prescribed to confirm the preliminary diagnosis and possible correction of treatment.

How to treat angina and how, only a specialist decides. After examining, taking material for research, the doctor assesses the severity of the patient's condition and determines what can be prescribed at this stage of pregnancy, because not all drugs are safe for the fetus.

A pregnant woman with acute tonsillitis can be observed simultaneously by several specialists: an obstetrician-gynecologist, an infectious disease specialist, an otorhinolaryngologist, a cardiologist, a rheumatologist.

The greatest danger of a viral or bacterial lesion is in the period up to 12 weeks, when the organs and tissues of the future baby are laid.

Treatment of angina at home is carried out after consulting a doctor, as a rule, in the absence of elevated body temperature, which can be regarded as a mild course of the disease with minimal risk to the mother and unborn child.

With an increase in body temperature above 38 ° C, an antipyretic drug that can be drunk at any stage of pregnancy is Paracetamol. It can be taken at 500 mg no more than 4 times a day.

The use of antibiotics in pregnant women is possible only in cases where the indications or the expected effect of therapy outweighs the potential risk to the fetus. At the same time, the appointment of penicillins, inhibitor-protected penicillins, cephalosporins is safe. Tetracyclines, doxycycline, fluoroquinolones, co-trimoxazole and sulfonamides are contraindicated during pregnancy.

Considering what terrible consequences a sore throat can have, it is very important to consult a doctor in a timely manner to select an adequate treatment and prevent complications.

Video

We offer you to watch a video on the topic of the article.

Unfortunately, it is not always possible to spend the entire period of pregnancy without illness. Sometimes, a decrease in immunity makes itself felt, and the body cannot provide proper resistance to viruses and bacteria. One of the most unpleasant diseases is considered to be angina.

Treatment of angina during pregnancy is associated with many nuances, in particular, a particularly scrupulous approach to the choice of antibiotic is required, if necessary, take the drug of this group.

Causes of angina

Where does angina come from in a pregnant woman?

The cause of inflammation of the tonsils will always happen a bacterium or virus. Reduced, against the background of pregnancy, immunity does not cope with protective functions and, as a result, a disease occurs.

Angina during pregnancy develops due to ingestion of:

streptococci or staphylococci (bacterial or purulent);
Coxsackie virus (herpetic);
rhinovirus, influenza virus (viral).

Angina in the first trimester of pregnancy

Angina in early pregnancy is especially frightening, because the baby is still very tiny and it is not known what can harm him more: illness, high fever or antibiotics during treatment.

But fears, in the case of timely seeking medical help, are groundless, even without knowing about her delicate condition, but by conducting classical treatment with medicines under the supervision of a doctor, a woman defeats tonsillitis without harm to the child. The danger is ignoring the disease or placing unjustified hope on traditional medicine. The consequences of angina during pregnancy can manifest themselves:

in placental abruption;
the threat of miscarriage;
frozen pregnancy;
transmission of infection through the bloodstream;
and, as a result, delay and disturbances in the formation of internal organs.

Accordingly, tonsillitis is a serious disease that is not treated by gargling alone. Remember, a sore throat due to your negligence can take the life of a baby!

Purulent tonsillitis is especially dangerous during pregnancy, if the thermometer is steadily rising, it is better to call an ambulance without delay and go to the infectious box of the maternity hospital so that the treatment of purulent tonsillitis is really effective and excludes dire consequences.

Treatment

How to treat angina during pregnancy?

Angina in the first trimester of pregnancy is treated depending on the type of disease detected. For example, the bacterial form most commonly seen in pregnant women is treated with antibiotics. The selection of the drug and its dosage should be carried out only by a doctor, in accordance with the list of permitted drugs.

Permitted antibiotics for pregnant women with angina:

Flemoxin;
Cefazolin;
Sumamed;
Clarithromycin.

Antibiotic treatment of angina during pregnancy requires the addition of local remedies. These can be sprays (Tantum-Verde, Chlorophyllipt, Ingalipt), gargles (Miramistin) or lozenges (Faringosept, Lizobakt).

The only generally accepted factor in the treatment is bed rest, it should be adhered to by everyone, regardless of the form of inflammation.

Angina in the second and third trimester

No less difficult is the situation with the treatment of angina in pregnant women in the second and third trimester. It is also important here to choose the right course of drugs and to withstand the entire course of treatment so that the provocateur of the disease does not have a chance to move through the body. In addition, tonsillitis during pregnancy can not only bring discomfort to everyday life, but also provoke late toxicosis.

There is an opinion that tonsillitis during pregnancy in the second trimester cannot bring absolutely no harm to the baby, because. all its organs and systems are already formed. But this is not entirely true, because it is becoming more and more difficult for a mother’s body to bear a child, the load on organs, bones, joints and immunity is constantly growing, and tonsillitis, unfortunately, takes a lot of strength. A timely visit to the doctor can not only cure the inflammation of the tonsils, but also save energy for the decisive gestation period.

Why is angina dangerous during pregnancy in the second and third trimester?

Angina in pregnant women of the second and third trimester can provoke premature birth, placental abruption, or reduce labor activity if the term of delivery is reached.

Treatment

Angina during pregnancy and its treatment rely solely on medical assistance.

The 2nd and 3rd trimesters exclude heavy drinking, so strongly advised for the treatment of infectious diseases. The reason is the existing threat of edema. In the case of the bacterial nature of tonsillitis, the same antibiotics are required, but if the expectant mother falls ill with a viral angina, antiviral drugs are usually not prescribed.

The most popular local remedy of this period is called Stopangin. Stopangin during pregnancy is allowed from 14 weeks. It can be used in the form of both a rinse solution and a spray.

Gargle from sore throat is taken twice a day, while the solution is not diluted with water. It will take only a tablespoon and 30 seconds of time.

Spray Stopangin during pregnancy is used three times a day, double-clicking on the aerosol applicator.

How to treat a sore throat in the third trimester? Often, the expectant mother is offered temporary hospitalization, because at the end of pregnancy it is quite difficult to cure any disease at home. And it is better not to refuse such an offer, because the body has already given almost all its strength to bear the baby.

Prohibitions in treatment

What can be taken from medicines during this period will certainly be told by the attending physician at a personal meeting, however, it is guaranteed that there will be no such drugs in this list:

Acetylsalicylic acid. The temperature is knocked down exclusively by paracetamol-containing agents.
Streptomycin
Medicines containing iodine, such as Lugol.
Solutions containing alcohol.
Tetracycline
Levomycetin
Biseptol
Septrin
streptocide
Sulfadimezin (Sulfacyl)

In no case should you lower the temperature in cold and even cool water, apply wiping with vinegar and alcohol. It is forbidden to put compresses on the throat and carry out "rubbing". I would like to remind you once again: do not take on self-treatment, your child's life is at stake.

Prevention

What to do in order not to get sick?

Because inflammation of the tonsils is a contagious disease, the main preventive measure is to avoid contact with patients with tonsillitis. Also, the only thing that can be done is to strengthen the immune system: eat rationally and regularly, use special vitamin complexes, avoid passive (not to mention active) smoking and lead a mobile (if there are no obstetric prohibitions) lifestyle. It does not hurt to avoid large crowds of people in the autumn-winter-spring period and use protective masks during epidemics.

practical complete formation of organs, systems of the fetus, so they are not so susceptible to mutations;
good protection of the placenta;
the development of some protective factors in the body of the fetus.

The listed types of protection do not guarantee the absence of complications. There is still a high risk of placental insufficiency, fetal hypoxia, and premature birth.

The catarrhal form is characterized by an increase in the tonsils due to infiltrative processes, swelling. They turn red, but do not have a coating.
Follicular, lacunar forms develop with suppuration of the follicles, which are visualized in the form of grains, with the accumulation of purulent masses in the lacunae. Purulent films appear on the surface of the tonsils. As a result, a pronounced syndrome of intoxication develops.
The ulcerative-necrotic form is manifested by the formation of ulcerative foci on the surface of the tonsils. Plaque acquires a dull, gray color, when you try to remove it, a bleeding wound remains. The process gradually covers the posterior pharyngeal wall, palate, uvula, arches.

observance of a certain regimen of the day, nutrition;
fight against streptococcus;
reduction of the inflammatory process, lesions of the tonsils;
prevention of febrile hyperthermia;
strengthening immunity.

Now let's take a closer look at what is included in each item of treatment.

Compliance with the regime

Adequate antibiotic therapy allows you to cope with the pathogen in a shorter time, but the body still needs time to recover.

During the acute period, a woman can infect other people, so the use of a medical mask is recommended.

In the third trimester of pregnancy, the drinking volume should be calculated by the doctor in order to avoid the appearance of edema.

As for the nutritious diet, a woman is forbidden to follow strict diets, since the body must receive enough nutrients to replenish energy reserves and increase immune protection.

During the period of illness, chicken broth, vegetable, fruit juices, light salads are recommended. Solid, fatty, fried, spicy foods, coffee, carbonated drinks should be excluded from the diet.

In addition, a pregnant woman must:

avoid stress;
enough time to sleep, rest;
ventilate the room regularly.

In the treatment is prohibited:

independently remove films from the surface of the tonsils, which predisposes the spread of infection, the formation of an open wound;
use procedures involving high temperatures, such as hot compresses, showers, footbaths;
the use of antibacterial agents without prior agreement with the doctor, as well as the premature completion of antibiotic therapy.

The danger of incomplete antibiotic therapy is the preservation of streptococcus in the body, the risk of developing serious complications against the background of mild symptoms.

If a sore throat occurs, a pregnant woman should immediately start gargling with antiseptic solutions.

Timely initiation of therapy allows you to stop the spread of infection, reduce the inflammatory process. Even if it turns out that this is a common pharyngitis, rinsing will only benefit.

Penicillins, for example, Flemoxin, Augmentin, Amoxiclav. They are quite widely prescribed for pregnant women, as they do not have a negative effect on the fetus.
Cephalosporins (Cefalexin, Cefepime, Ceftriaxone, Cefuroxime). They are prescribed in the absence of effect, intolerance to penicillins. Not toxic to the embryo.
Macrolides (Sumamed, Erythromycin) are used in a short course in the absence of the possibility of using the above antibiotics. There is a low risk of side effects, however, in agreement with the doctor, they can be prescribed.

We emphasize that not all antibacterial agents are approved for use in pregnant women in the 3rd trimester:

Doxycycline, tetracycline - easily penetrate the placenta, disrupt the exchange of minerals, deposited in the tooth germs, bones, liver.
Fluoroquinolones (norfloxacin, ofloxacin) after overcoming the placental barrier damage the articular structures (cartilage, ligaments, bones).
Macrolides (clarithromycin, roxithromycin) are toxic to the embryo.
Aminoglycosides (streptomycin, gentamicin) when penetrating the fetus affect the kidneys, hearing organs, which leads to deafness.
Co-trimoxazole (biseptol), when taken in high doses, overcomes the placental barrier, leads to the formation of heart defects, mutations.

Furacilin is an antimicrobial drug that has a detrimental effect on streptococci, staphylococci. To prepare the solution, dissolve 2 tablets in a glass of hot water, cool, use to gargle. Also, the drug is sold in a ready-to-use form.
Chlorhexidine is an antiseptic that allows you to cleanse the tonsils of microbes, purulent films, and reduce inflammation. For rinsing, a ready-made solution of 0.05% is used. If another concentration is indicated, dilution with boiled water is required before use.
Miramistin is a modern antiseptic with high efficiency. For the convenience of irrigation of the tonsils, the bottle is equipped with a special nozzle.
Ingalin is available in the form of a spray, solution, consists of an antiseptic, eucalyptus oil, mint. In addition to antimicrobial action, it has an anti-inflammatory, analgesic effect.
Chlorophyllipt is an extract from eucalyptus leaves. It has anti-inflammatory, antimicrobial action. Releases in the form of a solution, spray, tablets.
For resorption, tablets Lizobakt, Faringosept are prescribed.

Fever control

When the temperature exceeds 38 degrees, in addition to the above measures, it is necessary to take antipyretic drugs. Antipyretics should not contain aspirin.

Prolonged febrile / hectic hyperthermia leads to hypoxia, fetal growth retardation, fetoplacental insufficiency, and premature birth.

A preventive course of therapy for chronic diseases before pregnancy, which will reduce the risk of exacerbation of the pathology, which reduces immune protection.
Treatment of infectious diseases at the stage of pregnancy planning.
Healthy nutrition provides sufficient intake of vitamins, proteins, fats, carbohydrates into the body of the future mother, fetus. Due to this, the development of the embryo takes place according to the gestational age.
Complete rest, sleep.
Reducing the influence of stress to prevent hormonal fluctuations.
Regular airing of the room, wet cleaning, use of a humidifier.
Walks in the park area, trips to the forest, to the sea to change the climate, strengthen immunity.
Dosed physical activity, for example, water aerobics.
Clothing should be appropriate for the weather, which will avoid hypothermia, the negative effects of drafts, and getting wet in the rain.
Compliance with culinary technologies, which prevents the development of toxic infection, dysentery, salmonellosis. It is also recommended not to visit unverified catering places.
Personal hygiene, frequent hand washing.
Using a medical mask when talking to a sick person.
It is necessary to avoid mass gatherings of people, especially during periods of an epidemic.

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How to lose weight at home. Symptoms and treatment of angina during pregnancy Angina in pregnant women 3rd trimester

First trimester

Second trimester

third trimester

Treatment of angina during pregnancy

Mode and nutrition

Antibacterial therapy

Antiseptic preparations for local use

Other drugs

Causes

Symptoms

Treatment

Nutrition

Plentiful drink

How to bring down the high temperature?

Antibiotics for sore throat during pregnancy

homeopathic treatment

Lozenges

Lubrication of the tonsils

rinses

Folk remedies

Prohibited treatments

Consequences and complications

Prevention

How to suspect angina?

Treatment of angina

Compliance with the regime

Antibioticoteria

Local treatment of affected tonsils

Fever control

Prevention

The essence of the problem

Symptoms of the disease

Possible consequences of angina during pregnancy

Treatment of angina during pregnancy

Treatment of tonsillitis in the first trimester

Treatment of angina in the 2nd trimester

Therapy for tonsillitis in the 3rd trimester

ethnoscience

Prevention of angina in pregnant women

First trimester

Second trimester

third trimester

Treatment of angina during pregnancy

Mode and nutrition

Antibacterial therapy

Antiseptic preparations for local use

Other drugs

Which doctor to contact

Symptoms of angina in pregnant women

The effect of angina on the embryo, fetus, consequences for the child

Diagnostics

Video

Causes of angina

Angina in the first trimester of pregnancy

Treatment

Angina in the second and third trimester

Treatment

Prohibitions in treatment

Prevention

Compliance with the regime

Fever control

What else to read

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