Xiaohua (pseudonym) was pregnant for 4 months and was taken to the hospital because she could not stand and walk. She's in a terrible situation. She is 1.7 meters tall and weighs only 46 kilograms. In just four months, her weight has plummeted by 22 kilograms. She is so weak that she can't lift her hands and feet, let alone walk. It is really distressing!
Xiaohua has been living in the dormitory since she resigned, and started a very irregular diet, take-away, drinks and bread, and didn't like drinking water.
Because of her low education level and no common sense of pregnancy, she didn't know she was pregnant at first.
With the vicious circle of neglect of thought, irregular diet and aggravated vomiting, Xiaohua couldn't walk a month ago, but now she can't sit still and can only lie down.
When the roommate saw that the situation was not good, she immediately called 120 to take Xiaohua to the hospital. Found Xiaohua pregnant 19 weeks! Or twins! At the same time, moderate anemia, hypoproteinemia and hypokalemia are combined, and the situation is not good.
Encephalopathy caused by vomiting during pregnancy is related to this vitamin.
What the hell is going on here? In order to find out the cause, the doctor gave her a head CT examination, considering the nervous system disease: Wernicke encephalopathy?
Doctor: Wernicke encephalopathy is an acute neuropsychiatric syndrome caused by vitamin B 1 deficiency. The main clinical manifestations are "extraocular muscle paralysis, ataxia, mental and consciousness disorder". There are many reasons for this disease, such as chronic alcoholism, hyperemesis gravidarum, anorexia nervosa and so on. It may lead to insufficient intake or increased consumption of vitamin B 1, which may lead to Wernicke encephalopathy. If not treated in time, it may progress to coma or even death. Magnetic resonance imaging (MRI) of the head is the most valuable examination method for diagnosing WE at present.
Treatment plus exercise Xiaohua stood up again.
Xiaohua's final diagnosis: severe malnutrition with emaciation, muscular atrophy, vitamin B 1 deficiency (Wernicke encephalopathy), hyperemesis gravidarum with metabolic disorder.
On the 7th day of admission (one lower limb can be slightly lifted, but still can't leave the bed).
During hospitalization, Xiaohua needs to supplement vitamin B 1, vitamins and albumin, and the nutrition department also provides her with nutritious meals every day to strengthen nutritional support. The rehabilitation and physiotherapy department carries out refined physical exercises and sit-ups for her every day.
During Xiaohua's hospitalization, the nurses and sisters were also worried a lot. Because Xiaohua used diapers for a long time, it became a habit over time, resulting in disuse urinary incontinence, followed by pressure ulcers and incontinence dermatitis, which increased the difficulty of nursing. In this regard, the nursing group implemented holistic nursing from the aspects of spirit, psychology, life, skin care, limb function rehabilitation and nutrition management.
After 22 days of careful nursing, Xiaohua's spirit and appetite gradually improved, her face was ruddy, she answered questions to the point, her hands and feet could be lifted by herself, she could sit on her own feet, and she could walk with AIDS. Compared with when she was admitted to the hospital, she is completely different!
Vomiting during pregnancy is not really melodramatic! All pregnant mothers should know this knowledge.
Nausea and vomiting during pregnancy: more than 80% of pregnant women will have it. It usually appears in the 4- 10 week of pregnancy, and the symptoms are the most serious around the 9 th week. 50% of pregnant women can be relieved in 14 weeks of pregnancy, and 90% of pregnant women will be relieved after 22 weeks of pregnancy. Hyperemesis gravidarum: If you have long-term malignant vomiting during pregnancy, you may suffer from hyperemesis gravidarum, weight loss exceeding 5% before pregnancy, dehydration and electrolyte imbalance. This is a serious nausea and vomiting during pregnancy. Doctors and patients are often worried about the safety of medication in early pregnancy, which leads to serious complications of pregnant women, even endangering their mothers' lives and forcing them to terminate their pregnancy. As long as it is identified early and handled correctly, encephalopathy caused by hyperemesis gravidarum like Xiaohua can be avoided.
Pregnancy vomiting tips:
1, the goal is to ensure that you can eat enough. 2. Take two key micronutrients: iodine (150 micrograms per day) and folic acid (at least 400 micrograms per day). 3. Patients diagnosed with long-term vomiting should take vitamin B 1 supplement. 4. It is suggested to start vitamin supplementation before pregnancy 1 month. 5. Measures to alleviate nausea and vomiting during pregnancy: rest and avoid sensory stimuli such as odor, high temperature, humidity and flash that may aggravate symptoms; Eat less and eat more, to avoid full stomach; Avoid spicy and greasy food; Eat light, dry food or high-protein snacks and salty biscuits in the morning.