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Hiperemesis gravídica - Treatment

Nombres alternativos

Náuseas persistentes en el embarazo; Vómitos persistentes en el embarazo

Tratamiento:

Las comidas pequeñas y frecuentes y el consumo de alimentos secos, como galletas, pueden ayudar a aliviar las náuseas simples.

Usted debe beber mucho líquido. Aumente los líquidos durante los momentos del día cuando sienta menos náuseas. El agua de soda, la gaseosa de jengibre u otras aguas efervescentes pueden servir.

Se ha demostrado que la vitamina B6 (no más de 100 mg al día) disminuye las náuseas a comienzos del embarazo.

La medicación para prevenir las náuseas está reservada para los casos en que el vómito es persistente y tan profuso que presenta un riesgo potencial para usted y el feto. En casos graves, a usted la pueden llevar al hospital, donde le administrarán líquidos por vía intravenosa.

Expectativas (pronóstico):

Las náuseas y el vómito generalmente alcanzan su punto máximo entre las semanas 2 y 12 de gestación y desparecen hacia la segunda mitad del embarazo. Con adecuada identificación de los síntomas y cuidadoso seguimiento, esta afección rara vez ofrece complicaciones serias para el bebé o la madre.

Complicaciones:

Demasiado vómito es dañino debido a que lleva a la deshidratación y al aumento deficiente de peso durante el embarazo.

Los problemas psicológicos o sociales pueden estar asociados con este trastorno del embarazo y, si existen, es necesario identificarlos y abordarlos apropiadamente.

Situaciones que requieren asistencia médica:

Consulte con el médico si está en embarazo y presenta náuseas y vómitos intensos.

  • Reviewed last on: 6/5/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Hepatic and gastrointestinal diseases. In: Gabbe SG, Niebyl JR, Simpson JL. Obstetrics: Normal and Problem Pregnancies. 5th ed. New York, NY: Churchill Livingstone; 2007:Chap.43

Jewell D, Young G. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2003;(4):CD000145

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