Cambios fisiologicos en el embarazo

[object Object],[object Object],[object Object],[object Object],[object Object]

TRACTO GENITAL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],S. Chadwick

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Metabolismo hídrico ,[object Object],[object Object],[object Object],[object Object],[object Object]

Metabolismo proteico ,[object Object],[object Object],CATABOLISMO Hb

Hipoglucemia leve de ayuno e hiperglucemia pospandrial, + HIPERINSULINEMIA con disminución de glucagon. Ac. grasos

METABOLISMO GRASO ,[object Object],[object Object],[object Object],Por efecto hepático del estradiol y progesterona. Disminuyen los niveles , después del parto con distinta velocidad

Cambios hemáticos ,[object Object],[object Object],[object Object],[object Object],[object Object],Hb <11g/dl en gestación avanzada debe considerarse patológica. X deficiencia de Hierro

Metabolismo de Hierro ,[object Object],[object Object],[object Object],[object Object],*la producción de Hb fetal no se ve deteriorada , ya que la placenta obtiene el HIERRO suficiente de la madre , aun cuando presente anemia grave.

Función inmunitaria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COAGULACION AUMENTAN LAS [ FACTORES DE COAGULACION ] y fibrinógeno 300-600mg/dl Edo. activo PROTEINAS REGULADORAS DISMINUIDAS

Sistema Cardiovascular ,[object Object],[object Object],[object Object],[object Object],RVP Y FC

CORAZÓN ,[object Object],[object Object],[object Object],[object Object],[object Object]

RUIDOS CARDIACOS ,[object Object],[object Object],[object Object],[object Object],[object Object]

VALORES HEMODINAMICOS FACTOR EMBARAZADA POSPARTO CAMBIO PAM (mmHg) 90 + 6 86 + 8 S/C PVC (mmHg) 4 + 3 4 + 3 S/C FC (latidos/min) 83 + 10 71 + 10 + 17% GC (L/min) 6.2 + 1 4.3 + 0.9 +43% RVS(din/seg/cm -5 ) 1210 + 266 1.530 + 520 -21% RVP(din/seg/cm -5 ) 78 + 22 119 + 47 -34% Índice de trabajo sistólico VI 48 + 6 41 + 8 S/C

RENINA-ANGIOTENSINA ,[object Object],[object Object],[object Object]

PROSTAGLANDINAS ,[object Object],[object Object],[object Object],[object Object],[object Object]

PROGESTERONA Y METABOLITOS ,[object Object],[object Object]

[object Object],[object Object],[object Object]

RESPIRATORIO FACTOR 10 semanas 24 semanas 36 semanas Posparto 6-10semanas FR 15-16 16 16-17 16-17 V. Corriente (mL) 600-650 650 700 550* Ventilación minuto(L) - - 10.5 7.5* Capacidad vital(L) 3.8 3.9 4.1 3.8 Capacidad inspiratoria (L) 2.6 2.7 2.9 2.5 Vol. Residual espiratorio(L) 1.2 1.2 1.2 1.3 Vol. residual(L) 1.2 1.1 1 1.2*

URINARIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gastrointestinal ,[object Object],[object Object],[object Object]

ENDOCRINO ,[object Object],[object Object]

PROLACTINA ,[object Object],[object Object]

[object Object],[object Object]

TIROIDES ,[object Object],[object Object],[object Object]

Hormona liberadora de tirotrofina ,[object Object]

Triyodotironona inversa(RT3) ,[object Object],[object Object]

PARATIROIDES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

SNC ,[object Object],[object Object],[object Object]

Cambios fisiologicos en el embarazo

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Cambios fisiologicos en el embarazo