{"id":2095,"date":"2016-12-10T01:46:12","date_gmt":"2016-12-10T01:46:12","guid":{"rendered":"https:\/\/guiadagravida.com\/?p=2095"},"modified":"2018-02-26T13:23:05","modified_gmt":"2018-02-26T13:23:05","slug":"hiperemese-gravidica","status":"publish","type":"post","link":"https:\/\/guiadagravida.com\/hiperemese-gravidica\/","title":{"rendered":"Hiper\u00eamese grav\u00eddica"},"content":{"rendered":"<h2>Hiper\u00eamese Grav\u00eddica: conhe\u00e7a os sintomas e causas<\/h2>\n<p>O <a href=\"https:\/\/guiadagravida.com\/enjoo-na-gravidez\/\">enjoo na gravidez<\/a> \u00a0\u00e9 um sintoma normal, que n\u00e3o traz consequ\u00eancias de maior, com a exce\u00e7\u00e3o de algum inc\u00f4modo e mal-estar transit\u00f3rios. No entanto, quando as crises de v\u00f4mito se tornam t\u00e3o frequentes ao ponto da gestante perder peso e ficar desidratada,\u00a0o mais prov\u00e1vel \u00e9 tratar-se de\u00a0hiper\u00eamese grav\u00eddica.<\/p>\n<h2>O que \u00e9 Hiper\u00eamese Grav\u00eddica?<\/h2>\n<p>A hiper\u00eamese grav\u00eddica caracteriza-se por um quadro de v\u00f4mitos persistente que conduz \u00e0\u00a0desidrata\u00e7\u00e3o, perda de peso e desequil\u00edbrio electrol\u00edtico. Este ocorre geralmente antes das 20 semanas de gravidez.<\/p>\n<p>As chances de ocorr\u00eancia deste quadro cl\u00ednico situam-se entre os 0,3\u00a0e os\u00a02,3%, sendo mais frequente na primeira gravidez e nos casos de gravidez de g\u00eameos.<\/p>\n<p>Al\u00e9m da desidrata\u00e7\u00e3o grave e perda de peso, que pode chegar aos 10% nos casos mais graves, podem tamb\u00e9m ocorrer d\u00e9fices nutricionais, uma vez que a maior parte dos alimentos ingeridos n\u00e3o chega a ser absorvida, devido \u00e0 frequ\u00eancia excessiva dos v\u00f4mitos.<\/p>\n<p>Se n\u00e3o for devidamente diagnosticada e controlada, a hiper\u00eamese grav\u00eddica pode colocar\u00a0em risco tanto a sa\u00fade da m\u00e3e como do feto.<\/p>\n<h2>Como reconhecer os sintomas da hiper\u00eamese grav\u00eddica<\/h2>\n<figure id=\"attachment_2097\" aria-describedby=\"caption-attachment-2097\" style=\"width: 640px\" class=\"wp-caption alignnone\"><img class=\"wp-image-2097 size-full\" src=\"https:\/\/guiadagravida.com\/wp-content\/uploads\/2016\/12\/enjoo-gravidez.jpg\" alt=\"Enjoo gravidez\" width=\"640\" height=\"427\" srcset=\"https:\/\/guiadagravida.com\/wp-content\/uploads\/2016\/12\/enjoo-gravidez.jpg 640w, https:\/\/guiadagravida.com\/wp-content\/uploads\/2016\/12\/enjoo-gravidez-300x200.jpg 300w, https:\/\/guiadagravida.com\/wp-content\/uploads\/2016\/12\/enjoo-gravidez-100x67.jpg 100w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-2097\" class=\"wp-caption-text\">Foto: <a href=\"http:\/\/www.bigstockphoto.com\/\" rel=\"nofollow\">Bigstock.com<\/a><\/figcaption><\/figure>\n<p>Uma vez que\u00a0a hiper\u00eamese grav\u00eddica pode afetar significativamente a sa\u00fade da gestante e do beb\u00ea, \u00e9 importante prestar aten\u00e7\u00e3o\u00a0aos sinais de alerta mais comuns,\u00a0procurando ajuda m\u00e9dica no caso de ocorr\u00eancia de\u00a0um ou mais dos seguintes sintomas:<\/p>\n<ul>\n<li>V\u00f4mitos e n\u00e1usea persistentes<\/li>\n<li>Perda de peso<\/li>\n<li>Desidrata\u00e7\u00e3o<\/li>\n<li>Produ\u00e7\u00e3o excessiva de saliva<\/li>\n<li>Sensa\u00e7\u00e3o de fraqueza<\/li>\n<li>Tontura ou dor de cabe\u00e7a<\/li>\n<li>Pris\u00e3o de ventre<\/li>\n<li>Press\u00e3o arterial baixa<\/li>\n<li>Pulsa\u00e7\u00e3o elevada<\/li>\n<\/ul>\n<h2>Diagn\u00f3stico da hiper\u00eamese<\/h2>\n<p>Entre outros procedimentos, \u00a0poder\u00e1 ser recomendada a realiza\u00e7\u00e3o de\u00a0exames complementares como an\u00e1lises de sangue e n\u00edveis de eletr\u00f3litos para determinar o n\u00edvel de desidrata\u00e7\u00e3o ou ainda a realiza\u00e7\u00e3o de uma ultrassonografia para detectar uma poss\u00edvel gesta\u00e7\u00e3o m\u00faltipla.<\/p>\n<p>Dependendo do n\u00edvel de desidrata\u00e7\u00e3o, o tratamento poder\u00e1 ser feito\u00a0em regime de internamento hospitalar\u00a0at\u00e9 que os sintomas desapare\u00e7am. No entanto, em boa parte dos casos o tratamento pode ser realizado em regime ambulat\u00f3rio, permitindo\u00a0\u00e0 gestante regressar a casa ap\u00f3s os tratamentos.<\/p>\n<h2>Causas da hiper\u00eamese grav\u00eddica<\/h2>\n<p>Tal como no caso do enjoo, as causas da hiper\u00eamese n\u00e3o s\u00e3o totalmente conhecidas. Suspeita-se, no entanto, de uma rela\u00e7\u00e3o com\u00a0os n\u00edveis\u00a0da Gonadatrofina\u00a0Cori\u00f4nica Humana\u00a0(hCG) e Estrog\u00eanio, que poder\u00e3o causar o aumento da frequ\u00eancia das n\u00e1useas.<\/p>\n<h2>Riscos\u00a0da hiper\u00eamese grav\u00eddica<\/h2>\n<p>Se o tratamento da hiper\u00eamese for feito corretamente, os riscos para a sa\u00fade da m\u00e3e s\u00e3o m\u00ednimos. No entanto, nos casos em que o tratamento \u00e9 inadequado\u00a0poder\u00e1 haver, entre outros, o risco de <a href=\"https:\/\/guiadagravida.com\/anemia-na-gravidez\/\">anemia<\/a>, falha renal e subnutri\u00e7\u00e3o.<\/p>\n<p>Al\u00e9m dos riscos para a sa\u00fade da m\u00e3e, existe um risco elevado de <a href=\"https:\/\/guiadagravida.com\/parto-prematuro\/\">parto prematuro<\/a> e baixo \u00e0 nascen\u00e7a nos beb\u00eas cujas m\u00e3es sofram de hiper\u00eamese.<\/p>\n<h2>Tratamento da hiper\u00eamese grav\u00eddica<\/h2>\n<p>O tratamento da hiper\u00eamese grav\u00eddica \u00e9 feito\u00a0com antiem\u00e9ticos e reposi\u00e7\u00e3o de flu\u00eddos, que nos casos mais severos poder\u00e1 ser feita atrav\u00e9s da administra\u00e7\u00e3o de soro, no hospital.<\/p>\n<p>Quando \u00e9 poss\u00edvel o tratamento em casa, as recomenda\u00e7\u00f5es\u00a0s\u00e3o semelhantes aos casos de enjoo matinal:<\/p>\n<ul>\n<li><a href=\"https:\/\/guiadagravida.com\/beber-agua-na-gravidez\/\">Ingest\u00e3o de l\u00edquidos<\/a><\/li>\n<li>Aumento da frequ\u00eancia das refei\u00e7\u00f5es, distribuindo-as ao longo do dia e optando por ingerir pequenas quantidades em\u00a0cada refei\u00e7\u00e3o.<\/li>\n<li>Exerc\u00edcios de relaxamento para al\u00edvio da n\u00e1usea<\/li>\n<li>Em alguns casos, poder\u00e1 ser aconselhada a suplementa\u00e7\u00e3o de vitamina B6, que tem um efeito positivo no controle da n\u00e1usea<\/li>\n<\/ul>\n<h2>Progn\u00f3stico da hiper\u00eamese grav\u00eddica<\/h2>\n<p>Com o devido acompanhamento m\u00e9dico, o\u00a0progn\u00f3stico da hiper\u00eamese grav\u00eddica \u00e9 geralmente positivo. Normalmente, ocorre uma diminui\u00e7\u00e3o progressiva dos sintomas, tendendo os memos a desaparecer completamente por volta das 16 semanas.\u00a0Embora em alguns casos a n\u00e1usea possa\u00a0persistir at\u00e9 ao final da gravidez, as complica\u00e7\u00f5es s\u00e3o extremamente raras.<\/p>\n<h2>Em resumo<\/h2>\n<p>A hiper\u00eamese grav\u00eddica \u00e9 uma complica\u00e7\u00e3o do enjoo caracter\u00edstico da gravidez. Define-se por v\u00f4mitos persistentes, perda de peso e desidrata\u00e7\u00e3o, que podem afetar negativamente a sa\u00fade da gestante e do feto.<\/p>\n<p>No entanto, com o devido acompanhamento m\u00e9dico as complica\u00e7\u00f5es resultantes da hiper\u00eamese grav\u00eddica s\u00e3o raras.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A hiper\u00eamese grav\u00eddica \u00e9 uma complica\u00e7\u00e3o do enjoo, que provoca desidrata\u00e7\u00e3o e aumenta o risco de parto prematuro. Conhe\u00e7a os sinais em nosso artigo.<\/p>\n","protected":false},"author":2,"featured_media":2096,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false},"categories":[2,13,16],"tags":[61,51,62,39,30],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.13 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Hiper\u00eamese grav\u00eddica: aprenda a reconhecer os sintomas!<\/title>\n<meta name=\"description\" content=\"A hiper\u00eamese grav\u00eddica \u00e9 uma complica\u00e7\u00e3o do enjoo, que provoca desidrata\u00e7\u00e3o e aumenta o risco de parto prematuro. 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