Mononucleosis during pregnancy
In the first stage, mononucleosis is an acute infectious disease caused by infection with the Epstein-Barr virus from the herpes group. The virus has an effect on the enlargement of lymph nodes, but the lymph nodes of the neck are most affected.
An increase in important organs of the spleen and liver is observed, inflammatory processes occur in the heart muscle, changes in the functions of the kidneys, in the lung tissue. The nervous system suffers. Atypical mononuclear cells and antibodies synthesized by these cells appear. The body's immune resistance decreases.
The immune system weakens and becomes overly susceptible to attacking microbes, which often leads to complications, inflammation of the hepatic bile ducts (cholangitis), otitis media, tonsillitis and other diseases. The infection is transmitted by airborne droplets through personal belongings, through close contact with a sick person or with a carrier of the virus.
It happens that the incubation period lasts from 1 week to several weeks. The route of penetration of the virus is the nasopharynx or pharynx, because of this, the first symptoms of the onset of the disease are mistakenly confused with angina. Gradually, the disease progresses and inflammation of the tonsils, edema of the adenoid tissue, pain when swallowing, fever, decreased appetite, and general weakness are found.
In this case, the disease can manifest itself in a mild form, when its course remains unnoticed. And in severe form with temperatures up to 40 ° C, greatly enlarged lymph nodes, unbearable headache, painful and enlarged liver, and this can be seen visually, it protrudes from under the ribs. The spleen also enlarges, in some cases its rupture is possible.
Changes in the body lead to the development of jaundice, pneumonia, neurological disorders, skin rash, and abdominal pain. Mononucleosis can only be confirmed by a blood test. Because according to the complaints of patients, it is impossible to establish a disease that has common symptoms with many infectious diseases.
Even if the infection occurred a long time ago, the virus can remain latency for a long time and not detect itself. And to provoke a disease precisely during the period when a woman is preparing to become a mother, at this time the woman's body is especially vulnerable to various infections. The end of winter is a dangerous season with a lack of heat and vitamins, during this period people begin to sneeze and cough often, but it is sometimes difficult to recognize what is the cause of such phenomena.
If a sore throat is sore, then it can be mistaken for a mild acute respiratory infection, but in the case of a sore throat, it is necessary to find out what is it - an ordinary sore throat or mononucleosis? The appearance of sore throat, as a rule, is promoted by streptococci or staphylococci, and mononucleosis is a monocytic lymphoid cell disease, and it cannot be cured by traditional types of antibiotics. In addition, improper treatment can have very serious harmful complications.
If the diagnosis is established correctly and the treatment is correctly selected, the disease lasts 1-3 weeks, although with a difficult course it can drag on for 6-8 weeks. The patient's condition improves or worsens from time to time. Re-infection with infectious mononucleosis occurs extremely rarely, after the disease recedes, a stable immunity is developed in the body.
Increased fatigue, general weakness, and a feeling of severe fatigue persist for several weeks or even months. The body is fully restored in six months. With a mild course of mononucleosis, treatment is often not given due attention. Negligence can provoke the development of a chronic form. This leads to a weakening of the immune system, weakness and fatigue, and problems with sleep. The appearance of nausea, diarrhea, vomiting is possible.
What is the specificity of the symptoms of infectious mononucleosis? The fact that during the planning period of pregnancy or while carrying a child, women do not pay attention to them. The disease can manifest itself as cystitis. It is necessary to take into account all the unpleasant consequences of mononucleosis, women, especially before the planned pregnancy, should definitely be examined.
Mononucleosis is an insidious disease that is very dangerous during pregnancy. Doctors are unanimous in the opinion that pregnancy is undesirable for 6 months or even a year after the illness, not only by the mother, but also by the father. An infectious lesion causes complications of pregnancy, its failure. Appearing in pregnant women, mononucleosis causes great harm to the fetus, affects the well-being of the woman, the course of pregnancy and the development of early miscarriage.
Most often, doctors raise the question of artificial termination of pregnancy. The mild form of mononucleosis is usually treated with antihistamines, gargling, and nasal drops. In severe cases, you must be in a hospital under the supervision of a doctor. There, effective drugs are prescribed, such as interferon, to reduce the likelihood of developing chronic mononucleosis.
It is important to stay in bed, at temperatures above 38 ° C to drink antipyretic drugs, not to overheat with wraps, to drink a lot of fluids. Do not lubricate the throat or try to get rid of plaque from the tonsils with foreign objects, these procedures can cause the development of an abscess.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".