Acute pharyngitis during pregnancy. How and how to cure pharyngitis in pregnant women. Three degrees of chronic pharyngitis

According to statistics, nasopharyngitis is the most common disease of pregnant women. Almost every expectant mother at least once in all 9 months is faced with nasopharyngitis. And although a simple runny nose may seem harmless, it actually indicates the presence of more serious diseases.

Most often, nasopharyngitis of pregnant women occurs due to the following factors:

  • biological (viruses, bacteria, fungi);
  • allergic (dust, pollen, food allergens, animal hair);
  • mechanical (trauma).

Factors contributing to the development of nasopharyngitis during pregnancy can be called:

  • damage to the integrity of the mucous membrane of the nasopharynx,
  • enlargement of the nasopharyngeal tonsils (adenoids),
  • deformity of the nasal septum,
  • hypothermia of the body of a pregnant woman,
  • lack of vitamins
  • immunodeficiencies,
  • bad environment,
  • consumption of highly chilled food and drinks,
  • stress,
  • smoking.

In all these cases, there is a weakening of local and general immunity, which creates favorable conditions for the growth and development of microorganisms, which cause nasopharyngitis in pregnant women.

Symptoms

The severity of clinical signs in pregnant women with nasopharyngitis depends on its form. It can be acute and chronic. The following symptoms are characteristic of the acute form of the disease:

  • feverish state,
  • headache,
  • feeling of itching in the nose,
  • sneezing,
  • secretion of a large amount of clear liquid,
  • dry throat,
  • feeling of sore throat,
  • dry cough.

In the absence of proper treatment of nasopharyngitis, the expectant mother may experience the following symptoms:

  • secretion of sputum in the nasopharynx,
  • secretion of mucus from the nose,
  • moist cough,
  • dyspnea,
  • nasal voice,
  • lymphadenopathy.

If nasopharyngitis is caused by exposure to an allergen, then the following changes are observed in a pregnant woman:

  • hyperemia and inflammation of the nasopharynx,
  • swelling of the nose,
  • severe runny nose,
  • feeling of itching in the eyes and nose,
  • slight cough.

The following clinical signs are characteristic of the chronic form of nasopharyngitis:

  • feeling of sore throat,
  • pain when swallowing
  • feeling of a lump in the throat,
  • copious discharge of clear fluid
  • bad breath.

Diagnosis of nasopharyngitis during pregnancy

Diagnosis of nasopharyngitis begins with a medical examination of the pregnant woman. The doctor collects data for anamnesis, and also examines the oral cavity, pharynx and nose. If necessary, the specialist prescribes the following procedures:

  • blood donation for general analysis,
  • rhinoscopy (anterior and posterior),
  • pharyngoscopy,
  • submission of biomaterial for microbiological examination,
  • delivery of provocative tests to determine the allergen.

With the help of anterior rhinoscopy, the doctor can examine the condition of the nasal cavity, lower passage and septum. Posterior rhinoscopy requires anesthesia, so it is not recommended for pregnant women.

In order to examine the tonsils, the back of the pharynx and the tongue, the specialist conducts a pharyngoscopy. To do this, he uses artificial light, a spatula and a nasopharyngeal mirror.

Microbiological examination is necessary to determine the pathogen and select the most effective antibiotic. The same goes for the provocative test.

Complications

In the absence of drug treatment, nasopharyngitis in a future mother may be complicated by the addition of bacterial microflora. This leads to the development of diseases such as:

  • otitis,
  • tracheitis,
  • bronchitis,
  • pneumonia,
  • sinusitis,
  • laryngitis.

Most often, these diseases are observed in pregnant women with weak immunity. Nasopharyngitis is especially dangerous if the expectant mother suffers from asthma and other chronic diseases of the respiratory system. Sometimes the acute form turns into chronic nasopharyngitis, which can cause hearing problems in a pregnant woman.

Complications can be avoided only if the pregnant woman seeks medical help in time and takes the doctor's recommendations seriously.

Treatment

What can you do

If any disease occurs, the expectant mother should consult a doctor. Even such, at first glance, frivolous, trouble, like a runny nose, requires qualified treatment. A pregnant woman should remember that the pathological processes occurring in her body also affect the development of the fetus.

What does a doctor do

You should not be afraid of going to the doctor and prescribing complex pharmacological drugs. All that a doctor can advise a pregnant woman is:

  • half bed,
  • maintaining the optimal temperature and humidity in the room,
  • peace for the vocal cords,
  • plentiful warm drink,
  • exclusion from the diet of salty and sour foods,
  • proper nutrition,
  • rinsing with decoctions of sage and chamomile.

If necessary, the doctor may prescribe the following physiotherapy procedures:

  • ultraviolet irradiation,
  • ultrahigh frequency therapy,
  • quartz.

In normal cases, nasopharyngtitis is treated with:

  • antiviral drugs,
  • antihistamines,
  • antipyretics,
  • astringents,
  • inhalations,
  • antibiotics,
  • irrigation with sea water.

Prevention

The expectant mother should carefully monitor her health. This will help prevent deterioration of the condition as well as effects on the fetus. Prevention of nasopharyngitis during pregnancy is as follows:

  • in avoiding contact with carriers of infections,
  • in regular ventilation of premises,
  • in air humidification
  • in dietary compliance,
  • in observing the rules of personal hygiene,
  • in maintaining a healthy lifestyle,
  • in strengthening the immune system.

During the period of bearing a child, the mother's body works with a vengeance, protecting not only herself, but also the unborn baby. The immune system can not cope with such a load, which leads to colds. Pharyngitis during pregnancy is a common reason for visiting a doctor. After all, the main route of transmission of most bacteria is airborne.

Inflammation of the pharyngeal mucosa may not disturb the mother's condition, but it is dangerous for the unborn child. Knowing the main symptoms and causes of the disease will allow you to consult a doctor in time, avoiding the development of complications.

When bacteria or viruses enter the body, the cells of the immune system are the first to react, destroying microbes. During pregnancy, the mother's defenses are weakened, the risk of infection increases.

The immediate causes of the development of pharyngitis include:

  • bacteria. The most common causative agents of inflammation of the pharynx are streptococci, staphylococci, chlamydia, Klebsiella.
  • Viral pharyngitis occurs in 70% of cases. The disease develops against the background (adenoviral, rhinovirus infection, influenza, parainfluenza).
  • Fungi and protozoa are the cause of inflammation in immunocompromised patients.
  • Allergic reactions lead to swelling, redness of the pharynx.
  • Injury to the mucous bones from fish, rough food in the presence of foci of infection ends with the development of pharyngitis.

There are predisposing factors that weaken the immune system, contribute to the unhindered spread of bacteria.

This group includes:

  • Hypothermia.
  • Cold drinks inhibit the activity of protective cells that are located in the tonsils.
  • Smoking, including passive smoking, leads to irritation of the mucous membrane, impairs blood circulation.
  • Polluted or dry air, harmful chemical fumes contribute to the development of pharyngitis during pregnancy.
  • Foci of infection in the oral cavity - untreated teeth, stomatitis. The spread of bacteria occurs by contact.

Symptoms

Clinical manifestations depend on the severity, the state of the woman's immune system. Symptoms may be mild, not disturb the general well-being. In this case, there is a risk of missing the onset of the disease, not starting treatment on time. Therefore, if there are even minor complaints, it is necessary to visit a doctor.

The main manifestations of pharyngitis:

  • Feeling of itching, burning, the presence of a foreign body in the throat. There is a desire to clear your throat, to remove this discomfort. Symptoms are worse at night, reaching a maximum in the morning. The explanations are quite simple - during sleep, many breathe through their mouths, the air dries out the mucous membrane, aggravating the situation.
  • Dry cough. Sputum is rarely formed, this is due to the addition of tracheitis,.
  • The temperature rises to subfebrile figures (37-38 ° C) only in acute course.
  • Enlargement, soreness of the submandibular lymph nodes.
  • Decreased efficiency, drowsiness, headache, poor appetite are due to intoxication.

How dangerous is it?

The disease for the mother can pass without a trace, for the unborn child it is a big risk. Fever, cough, intoxication affect the condition of the fetus. Drugs are another danger. Most drugs are prohibited during pregnancy. Treatment requires effort and time without the use of potent substances.

Bacteria or viruses infect the respiratory system, the oxygen content in the blood decreases. Develops, increases the risk.

If pharyngitis occurs in the early stages of pregnancy, you must contact the clinic. Self-medication is prohibited. The organs and systems of the fetus are not yet formed, any toxic effect leads to developmental anomalies,.

Which doctor should I contact with pharyngitis during pregnancy?

The treatment of pharyngitis in pregnant women is carried out by a general practitioner, a therapist. If necessary, a woman is sent for a consultation to an ENT specialist, an obstetrician-gynecologist.

Diagnostics

Diagnosis is an important process that affects the further treatment of pharyngitis during pregnancy. It is necessary to determine the leading syndrome, assign additional research methods.

Diagnostics consists of several stages:

  • Collection of complaints. The doctor listens to the patient, determines important and minor symptoms.
  • Inspection. It is necessary to assess the condition of the posterior pharyngeal wall, tonsils. The mucosa in most cases is edematous, redness, granularity is observed. The submandibular lymph nodes are drawn into the process. On palpation, they are painful, enlarged.
  • Bakposev from the throat is taken to determine the pathogen, its sensitivity to antibiotics.

Treatment

Many women are wondering - how to treat pharyngitis during pregnancy? The answer is simple: you need to contact the clinic and diligently follow all the appointments of a specialist. It is forbidden to take any drugs on their own. The same applies to medicinal herbs, as some of them increase, increase the risk of premature birth.

The greatest efficiency is achieved with a combination of drug treatment, adherence to the regimen, and the use of traditional medicine recipes.

To relieve sore throat, perspiration and cough, it is recommended to follow a few rules:

  • For the duration of the illness, ensure peace for the patient; in case of acute pharyngitis during pregnancy, bed rest is indicated.
  • Preference is given to sparing nutrition. Spicy, salty, sour foods are excluded. No less important is the temperature regime. Too hot or cold food additionally irritates the pharyngeal mucosa, worsening the situation.
  • Plentiful warm drink (comote, milk) helps to remove microbes and toxins from the body.
  • It is recommended to observe voice rest, do not talk loudly, do not shout. With an exacerbation, it is better to be silent for several days.
  • It is necessary to periodically humidify the air in the room.

During illness, sweet drinks and foods should be avoided. Sugar is a great breeding ground for bacteria.

Folk methods

There is an opinion that herbs bring only benefits, they cannot harm. It's a delusion. During pregnancy, a woman's body reacts sharply to any substances. Therefore, before using folk remedies, you should consult a doctor.

Be sure to read what is included in the collection of herbs. It is forbidden to use peppermint, wormwood, ginseng, sage, St. John's wort, nettle during pregnancy. These plants can provoke fetal hypoxia, increase uterine tone.

For gargling use decoctions, calendula, lemon balm, raspberry leaves. Pharmacies sell ready-made solutions that are diluted with warm water.

Propolis has proven itself well. It has an antibacterial effect, relieves swelling, inflammation, and soothes the mucous membrane. The easiest way is to put a small piece into the oral cavity until completely dissolved. You can prepare an extract of propolis to lubricate the tonsils, a decoction for rinsing, or simply add it to tea.

Medical treatment

If the symptoms progress, the woman's condition does not improve, the doctor prescribes medication.

The main groups of drugs that are used for pharyngitis in pregnant women:

  • Antiseptics for gargling (Chlorophyllipt).
  • Antipyretics () with an increase in temperature.
  • Resorption of lozenges with anti-inflammatory action (, Strepsils).
  • are prescribed according to strict indications, when the benefits outweigh the possible consequences. An antibacterial drug for topical use, for example, has fewer side effects.

Complications

With an untimely visit to a doctor, a weak immune system, pharyngitis turns into a chronic protracted course. Bacteria with blood flow or contact enter other organs, which leads to the progression of inflammation.

The most common complications include:

  • Abdominal abscess.
  • As the infection spreads, laryngitis, tracheitis, and bronchitis develop.
  • In severe cases, it occurs.
  • Inflammation of the cervical lymph nodes, salivary, parotid glands.

Forecast

Pharyngitis is not dangerous for a woman's life. Timely diagnosis and treatment lead to full recovery. The impact on the unborn child in such cases is minimal. The main task is to prevent the development of complications.

Features of prevention

During pregnancy, it is necessary to pay increased attention to strengthening the immune system, to exclude all provoking factors for the development of pharyngitis.

  • Refuse cold drinks, ice cream, especially in winter.
  • Have your own mug, fork, spoon. Wash dishes thoroughly before use.
  • Humidify the air in the room.
  • Avoid contact with sick people, public places during influenza epidemics.
  • Visit the dentist on time, take care of oral hygiene.

Do not underestimate pharyngitis, especially during pregnancy. When the first symptoms appear, you should consult a doctor. Untimely diagnosis and self-treatment lead to serious complications in the mother, in the worst case, to malformations or loss of the child.

Useful video about taking medications during pregnancy

I like!

As a rule, inflammation of the mucous membrane of the pharynx does not threaten any serious consequences. But if a pregnant woman falls ill with pharyngitis, she needs to carefully consider her health. After all, the disease can affect the health of the child and lead to serious complications.

  • acute pharyngitis;
  • chronic.

In turn, acute pharyngitis is divided into:

  • viral;
  • bacterial;
  • fungal;
  • traumatic;
  • allergic;
  • chemical.
Stages of chronic pharyngitis

Chronic is subdivided into:

  1. catarrhal. It is characterized by hyperemia and edema of the mucous membrane.
  2. Hypertrophic and granulosa. Against the background of general inflammation of the mucosa, foci of proliferation of lymphoid tissue, or granulomas, are determined.
  3. atrophic. This form is characterized by atrophy of the mucous membrane and vessels of the pharynx.

During pregnancy, there is a natural decrease in a woman's immunity. It is during this period that she is at an increased risk of developing infectious diseases. As a rule, acute pharyngitis most often develops in pregnant women.

An acute process in the pharyngeal mucosa may be the first symptom of measles rubella, scarlet fever or measles. The causative agents of these diseases have a teratogenic effect, that is, they cause the development of defects in the child.

Causes

The causes of pharyngitis in pregnant women are often viruses and bacteria. The most common causative agent of the acute form of the disease are rhinoviruses. Less commonly, coronaviruses, adenovirus and influenza virus become the primary factor in the development of inflammation.

However, the purely viral nature of the disease is very rare. As a rule, a bacterial infection also joins during pregnancy. Bacteria can enter the body not only from the surrounding air or food. The source may be foci of inflammation in neighboring organs with sinusitis, or dental caries.

In addition, in rare cases, the cause of the development of the disease can be:

  1. Fungal infestations.
  2. Cold air. Hypothermia of the pharyngeal mucosa contributes to the development of infection.
  3. Burning with alcohol solutions or inhaling chemicals. Pharyngitis of chemical origin is often found when working in hazardous industries.
  4. Smoking.
  5. Injuries of the mucosa when eating hard food or ingestion of foreign bodies. For example, when a fish bone gets stuck in the throat.
  6. Allergy.

Chronic inflammation of the pharyngeal mucosa often develops in people with difficulty in nasal breathing with prolonged use of vasoconstrictor drugs. In this case, postnasal syndrome develops. Periodic narrowing of the vessels of the mucous membrane of the pharynx, in combination with bacteria and viruses, creates favorable conditions for the development of a chronic inflammatory process.

Symptoms

Acute and chronic forms of the disease have similar clinical symptoms:

  • pain when swallowing;
  • sensation of a foreign body;
  • dryness and.

One of the symptoms of pharyngitis is redness of the palatine arches and the posterior pharyngeal wall.

In addition, acute inflammation is accompanied by:

  • general malaise;
  • rise in temperature;
  • body aches;
  • sore throat, which may radiate to the ears. The upper cervical lymph nodes increase and become painful when palpated;
  • reddening of the palatine arches and the posterior pharyngeal wall. The palatine tonsils with isolated pharyngitis are not involved in the inflammatory process.

Viral pharyngitis is characterized by seasonality and the manifestation of general symptoms of malaise: fever, weakness, aching limbs, lack of appetite. Bacterial pharyngitis is characterized by a greater severity of local disorders of the pharyngeal mucosa without obvious general symptoms of a cold. Separate purulent foci may appear on the mucous membrane.

Chronic inflammation is rarely accompanied by symptoms of intoxication, only during an exacerbation. With prolonged processes in the pharynx, a dry cough joins. It is more superficial, in contrast to coughing with tracheobronchitis.

Causes and symptoms of pharyngitis (video)

Danger for pregnant woman and child

Dangerous during the period of bearing a child are viruses and bacteria that caused the disease. As a result of their vital activity, toxins are released that can have a damaging effect on the fetus in the early stages of pregnancy.

Viruses and their toxins penetrate the placental barrier and have a damaging effect on the fetus. Their influence is especially dangerous in the first trimester of pregnancy, when there is an active laying of the child's organs. In addition, the placenta is formed closer to 12 weeks of pregnancy. Until this time, the baby's body is much less protected from the harmful effects of infections.

The result of a viral infection in the first trimester may be a spontaneous abortion or miscarriage.

After 12 weeks, infection can lead to:

  • termination of pregnancy;
  • intrauterine infection of the fetus;
  • feto-placental insufficiency, which results in chronic oxygen starvation and developmental delay of the child;
  • placental abruption.

Timely contact with a specialist will help to avoid the negative consequences of pregnancy.

Diagnostics

The diagnosis is made on the basis of questioning the patient and pharyngoscopy. As additional methods, bacterial culture and blood tests are used.

  1. The survey helps to determine the form of the disease. The doctor finds out what could cause the development of pharyngitis.
  2. On examination, the condition of the mucous membrane of the pharynx is assessed: color, the presence of edema and mucus, vascular pattern, the presence or absence of granulomas. The presence of pustules indicates a bacterial origin of the disease. If there are pinpoint bruises on the hyperemic mucosa, this indicates that the causative agent of pharyngitis in a particular case is group A hemolytic streptococcus.
  3. Bacterial seeding of the contents of the pharynx and nasal passages is carried out to more accurately determine the pathogen. Unfortunately, the results of the analysis will be ready only after 7 days, so this diagnostic method is not decisive for the choice of tactics for treating the disease.
  4. A blood smear for the determination of atypical monocytes is examined for differential diagnosis with infectious mononucleosis.

Treatment during pregnancy

Before starting the treatment of pharyngitis, it is necessary to provide a gentle regimen for the pharyngeal mucosa. For this you need:

  • exclude solid, hot, as well as spicy and spicy dishes from the diet;
  • eat more vegetables, fruits, cereals and dairy products;
  • increase the amount of fluid you drink. Drinks should be warm;
  • eat food in the form of puree.

Important! The use of physiotherapy procedures during pregnancy is contraindicated.


Spray Bioparox is used as a topical treatment for pharyngitis

In addition to diet and heavy drinking, in the treatment of pharyngitis in pregnant women use:

  1. Local treatment - spray Bioparox and Tonzipret (preparation from herbal ingredients).
  2. Inhalations. Eucalyptus leaves are kept in a water bath for half an hour in a saucepan with a closed lid. Then inhale the vapors by mouth for 10 minutes. This procedure should be carried out every 3 hours.
  3. Antibacterial therapy. Assign only in case of complications (tracheitis with purulent sputum, pharyngeal abscess).
  4. Gargling:
    • solutions of antiseptics (miramistin, furacillin);
    • decoctions and infusions of sage, chamomile, eucalyptus and calendula.

Decoctions for rinsing are prepared at the rate of 1 tbsp. l. dry herbs in a glass of water. The liquid must be washed in a water bath for half an hour, then cooled and filtered. Gargle should be 3-4 times a day.

Infusions are easier to prepare: dry grass is poured with a glass of boiling water and insisted for half an hour. Gargle after cooling the solution 3-4 times a day.

It is important to remember that the traditional method of warming the legs in a hot bath is contraindicated for pregnant women. Such stimulation of the reflexogenic zones of the feet can lead to uterine contractions and abortion.

warm tea Dairy products Kashi Fruit Vegetables

Forecast and prevention

With timely access to a doctor and the absence of complications, the symptoms of pharyngitis disappear within a week. The health of the unborn child also depends on the provision of qualified assistance.

To avoid inflammation of the pharyngeal mucosa, pregnant women should:

  1. Avoid crowded places, especially during epidemics of viral infections.
  2. Observe the regime of the day and often be in the fresh air.
  3. Ventilate the house and humidify the air in the room during the cold season.
  4. Eat well.
  5. Timely treat foci of chronic infections (caries, tonsillitis).
  6. Do not drink alcohol and do not smoke.

Usually, people do not go to the doctor so often if they have a sore throat and pain when swallowing without a fever. But in a pregnant woman, pharyngitis of viral origin can cause serious consequences for the child. Therefore, at the first symptoms of the disease, you need to contact a specialist as soon as possible.

What in ordinary life does not cause trouble, when carrying a child, sometimes turns into serious consequences. Even a minor illness requires full attention. During pregnancy, pharyngitis is one of the most unpleasant ailments. It is recommended to familiarize yourself with the possible consequences and methods of treatment in advance.

Pharyngitis is a simple inflammation in the pharynx. It does not pose any danger to the average person, but pregnant women are subject to certain risks. The body is weakened, supporting the mother and fetus, and the woman becomes vulnerable. In a neglected form, you can get rhinitis, nasopharyngitis, sinusitis and many other complications. Due to the general weakness of the body, it is recommended to treat the disease with medicines with caution.

First trimester

The first trimester of pregnancy is one of the most difficult. Separately, the first gestation is noted. It is recommended to closely monitor the state of your own health and regularly check with your doctor. The danger of pharyngitis during the bearing of an unborn child is a possible intoxication of the fetus and childbirth before the due date. However, in the first trimester, the fact is more correctly called a miscarriage.

Second trimester

The second stage of pregnancy is not so dangerous for the fetus, but it is undesirable for the mother to catch any diseases. All the forces of the body are thrown to support the life of the unborn baby. There is a danger of poisoning the mother's body.

third trimester

The most dangerous part of pregnancy. With complications of pharyngitis, premature birth, poisoning of the fetus through the placenta and abnormal development of mental abilities are possible. In this period, it is recommended to carefully monitor health and apply a set of preventive measures.

The third trimester is also dangerous because, in case of complications in the development of the fetus, the health problems of the mother are 100% guaranteed.

With pharyngitis, it is now very important to see a doctor. Under no circumstances should you self-medicate, even folk, natural remedies. Treatment must be fully coordinated with a specialist.

Causes of the disease

There are not so many causes of pharyngitis, and often in small doses the effects are not terrible. But under adverse conditions, the development of the disease is provoked:

  • bacteria of the class streptococci, staphylococci, chlamydia, klebsiella are the most common causes of the development of this disease;
  • in 50% of cases, pharyngitis develops under the influence of viruses, for example, SARS;
  • fungus - the first pathogen in a weakened body;
  • also, the disease is often caused by an allergic reaction;
  • mechanical effect on the mucosa.

Important! Pregnant women should reduce communication with a possible source of infection, infected people. It is recommended to visit the clinic in a mask.

Pharyngitis classification

Pharyngitis is a serious disease, which, in turn, is also divided into two main categories. The possibility of treatment and the appointment of drugs depends precisely on the form of the disease and what caused it. Varieties of the disease have a fairly extensive list.

Important! Treatment depends entirely on the correct diagnosis. It is the diagnosis that is recommended to pay reverent attention. During the initial examination and consultation with a doctor, you should be extremely honest. The information during the examination determines how quickly and by what means recovery will be achieved.

Forms of the disease

The course of the disease occurs in two forms: acute and chronic. Each is expressed in individual nuances and requires a careful approach. The form is revealed during the initial examination, based on the symptoms and the presence of an early disease.

Spicy

Acute pharyngitis - is formed by prolonged exposure to the mucous tissues of the pharynx:

  • low temperatures (from 5 degrees Celsius and below);
  • domestic and industrial chemical emissions;
  • various viruses and infections;
  • fungi in all forms;
  • harmful microbes.

However, despite the name, acute pharyngitis is easily treatable. It is an undesirable process for pregnant women, but, with proper and timely care, it quickly recedes.

Chronic

This form of the disease is difficult to treat. Leaks, creating great discomfort. And many times more dangerous than acute for pregnant girls with weak immunity.

Basically, this form is formed from incomplete or untimely treatment of the acute form. External stimuli are also a common cause of the disease. The main thing is cold, but even at 30 degrees below zero, a chronic form rarely forms immediately. Only with extremely long exposure.

Varieties

Also, depending on the cause of the disease, pharyngitis is divided into 5 key varieties:

  1. Traumatic pharyngitis - obtained during external mechanical influences. These include: tissue and mucosal damage, may appear after surgery, when foreign bodies enter. Pharyngitis is also caused by both active and passive smoking.
  2. Pharyngitis caused by the work of harmful bacteria. Due to weakened immunity after the winter period, the main time for the development of the disease is spring. Often pregnant women become infected with bacterial pharyngitis when communicating with already infected babies.
  3. In the conditions of pollution of large cities, it often develops. This inflammation of the pharynx is usually formed when exposed to industrial gases, dyes, exhaust gases.
  4. Fungal pharyngitis is provoked by a viral or bacterial infection on the mucous membrane. It progresses under the influence of low temperatures and reduced immunity.
  5. The most common type of disease is viral. The development of the disease mainly occurs during the period of infection with other colds and flu. Infection occurs by airborne droplets.

Disease danger

Even a harmless disease often poses a kind of danger to a pregnant woman. Since the fetus is not yet formed and is completely dependent on the mother, it is recommended to be attentive both to the disease itself and the consequences, and to the treatment of the disease.

For mum

Mother's neglect of developing pharyngitis threatens with serious complications and the transition to other forms and stages of the disease. So, the infection from the pharynx quickly spreads to the nose, ears. Often provokes the activation of sinusitis or otitis media.

Also, at a consistently high temperature, there is a risk of general intoxication of the body, which subsequently contributes to the development of diseases of the joints and the cardiovascular system. Such consequences will not remain aloof from the development of the unborn baby.

For the fetus

For the future baby, pharyngitis is mainly a danger due to possible intoxication. Bacteria from the pharynx enter the stomach, where they are absorbed and can reach the fetus. If the mother can be cured by acting with antibiotics and other topical agents, then things are not so simple with the child.

Symptoms of the disease

Depending on the form of pharyngitis, the symptoms differ only in the intensity of manifestation. You can make a general list of characteristic processes that accompany the disease:

  • perspiration, unpleasant dryness;
  • the temperature reaches 38 degrees;
  • cervical lymph nodes are prone to increase in the present period;
  • hoarseness accompanied by cuts in the throat;
  • dry cough often accompanies the chronic form.

Important! A pregnant woman should be attentive to her own health so that her illnesses do not affect the development of the fetus. At the first signs of the manifestation of the disease, you should immediately consult a doctor.

Diagnostics

The most important stage in the treatment of the disease is the diagnosis. Identification of the disease is carried out by:

  1. Interviews with the patient. At this stage, it is important, without hiding even the slightest deviations from the norm of health, to tell about the complaints to the attending physician.
  2. Primary inspection. In the presence of pharyngitis, enlarged tonsils are expressed. Redness of the mucosa, swelling, granularity appears. The cervical lymph nodes are also examined. Most often they are enlarged, and painfully react to palpation.
  3. If necessary, a culture tank is taken to determine the cause of pharyngitis and the absence of an allergy to antibiotics.

Which doctor should I contact?

If you suspect pharyngitis, a pregnant woman, for starters, should seek advice from a leading general practitioner. Further, if necessary, a referral is given for an additional examination at the ENT. If there is a threat of exposure to the fetus, it is important to visit an obstetrician-gynecologist.

Despite the results of an additional examination, the doctor observing the pregnancy is required to notify other doctors about the conclusion.

Treatment methods for the disease for pregnant women

Treatment of pharyngitis during pregnancy is characterized by the motto "Do no harm." In healing, mainly natural components are used, physiotherapy, and only then medicines are used. However, despite the treatment regimen, it is recommended to follow a few rules, in any case:

  • rest must be observed, girls with a chronic form of the disease are shown bed rest;
  • it is recommended to take care of nutrition, excluding spicy, salty, excessively hot or cold;
  • an important factor is the excretion of microbes through urination, it is recommended to drink plenty of fluids.

Also, during treatment, sugary drinks and foods should be completely excluded from the diet. Since excess sugar acts as a suitable environment for the development of microbes.

Medical therapy

During the treatment of pharyngitis in pregnant women, the use of potent drugs is not implied, since they have more side effects. The main part of drug treatment is:

  • antiseptic preparations for regular gargling (furatsilin, chlorophyllipt);
  • in the presence of high temperatures, paracetamol is used;
  • lozenges to facilitate swallowing and have an anti-inflammatory effect;
  • Antibiotics are prescribed as a last resort and mainly for topical application.

Important! Due to the threat of fetal intoxication, drugs are prescribed mainly for local use, which do not have strong properties. In case of serious treatment, daily supervision by the attending physician is recommended.

Physiotherapy

A popular method of treating pharyngitis during pregnancy is inhalation using a medical nebulizer. In the absence of equipment, you can use the "old-fashioned method" and breathe over the steam with your mouth open. The time for breathing procedures is usually from 5 to 15 minutes.

Traditionally, sodium chloride is used for physiotherapy, but drugs, herbal decoctions and essential oils can also be added. When adding the last component, you should strictly follow the proportions. It is not recommended to use more than 3 drops of oil at one time.

Gargling

Undoubtedly, gargling is considered an effective way to treat pharyngitis. It is recommended to perform the procedure 2 to 5 times a day, preferably after meals. Rinsing is also the least harmful to the fetus, since the treatment is directed, local.

Preparations can be used both medical (chlorophyllipt) and folk. Decoctions of chamomile and water with the addition of propolis are popular. The rinse solution should be freshly prepared, but not hot.

Folk methods

Alternative methods of treating pharyngitis at the initial stage are considered effective. Good help:

  • natural honey and propolis;
  • decoctions and infusions based on chamomile, raspberry leaves, sage;
  • teas with rose hips, lingonberry or sea buckthorn jam;
  • essential oil of eucalyptus and fir.

Propolis and oils are intended to lubricate a sore throat. Use a cotton swab soaked in the solution. And the rest of the ingredients are designed to boost immunity and kill the remaining microbes.

Warm drink and diet

With pharyngitis, it is impossible, in order to avoid worsening the situation, to additionally irritate the mucous membrane. Therapists urge to maintain a diet and temperature regime. Dishes are preferably liquid, but not hot. Low temperatures are also excluded.

You should also give up cold lemonades and other carbonated drinks. Despite the fact that extreme temperatures “soothe” the throat for a while, then the disease worsens.

What Not to Do

With pharyngitis, in no case should you:

  1. No heating or hot baths. If during the normal course of the disease such a method is an excellent prevention, then during pregnancy this approach can provoke premature birth or miscarriage.
  2. Carefree drinking herbal teas and infusions. They can also affect the development of the fetus or cause difficulties during pregnancy.
  3. It is also not recommended to abuse essential oils and inhalations. It is important that this applies to the oil of thuja, sage, wormwood.

Possible Complications

Pharyngitis is especially dangerous in the first stages of pregnancy, during the bearing of the first fetus and at an early age, since the body consumes most of the energy and is not able to adequately fight inflammation. In the first trimester, with improper or untimely treatment, pharyngitis threatens with a natural termination of pregnancy.

At a later date, among the possible complications are:

  • hypoxia - oxygen starvation of the fetus;
  • premature birth;
  • intoxication of the unborn baby.

Forecast

However, with a weakened immune system, the rehabilitation period is often delayed. Allergic pharyngitis is treated mainly by eliminating the allergen, respectively, the process will last until the irritant disappears.

Chronic pharyngitis requires a longer period and a careful approach to treatment. Also, the chronic form implies a period of remission and renewed inflammation, so treatment can be protracted. This adversely affects the pregnant body as a whole.

Preventive measures

is the only way to avoid the disease. Doctors-therapists recommend taking care of health and advise:

  • get seasonal vaccinations against flu and colds;
  • carry out hardening of the body, however, it is recommended to do this in advance, in the warm season;
  • dress warmly, paying careful attention to the throat and head;
  • exercise and preferably outdoors.

Pharyngitis is not as terrible as a disease during childbearing. However, with timely treatment, the risk of complications is minimized. Doctors recommend, even with intermittent, but periodic symptoms, contact them.

Pharyngitis is a fairly common disease. It refers to acute infectious diseases and can cause significant discomfort. Pharyngitis during pregnancy is especially dangerous, since the disease can complicate the process of bearing the fetus and there is no way to fully use all the drugs for therapy.

The disease can easily flow into a chronic form and provoke the occurrence of serious complications. That is why, the question of how to treat pharyngitis during pregnancy and what the consequences of the disease may be is of interest to many women.

Pharyngitis as a disease is a significant inflammatory process that occurs in the back of the pharynx. It can be acute or chronic in nature. The acute form of the pathology occurs abruptly and lasts for several days. The disease manifests itself in the form of malaise, dryness and sore throat, and an increase in temperature. It is provoked by viruses or bacteria, so it often occurs against the background of colds.

During pregnancy, the risk of infection increases significantly, since the immune system is sufficiently weakened.

The chronic form proceeds for a long time with periodic exacerbations.

Causes

The disease can be provoked by various factors, in particular such as:

  • not fully treated colds;
  • pathology of ENT organs;
  • very cold drink;
  • cold or polluted air;
  • caries;
  • smoking.

The causative agents of the disease can be rhinovirus, herpes viruses, influenza, adenovirus and others. Often, initially there is a viral infection, and then various kinds of fungi and bacteria join, which provokes an exacerbation.

Symptoms

Acute pharyngitis in pregnant women occurs as a result of exposure to the pharyngeal mucosa of certain adverse factors. In the chronic form, the disease is formed with prolonged irritation of the pharyngeal mucosa or with incorrect treatment of the system form.

The acute form of the disease is characterized by such signs as:

  • perspiration and discomfort in the throat;
  • increase in temperature;
  • inflammation of the lymph nodes in the neck;
  • swelling of the posterior pharyngeal wall;
  • hoarse voice.

In the case of a chronic form, along with these signs, a dry, strong cough may appear. In addition, no increase in temperature is observed.

Danger during pregnancy

This disease is not considered a very dangerous pathology, however, pharyngitis in early pregnancy, especially in the 1st trimester, can lead to complications and even provoke fetal fading. In the first trimester, treatment should be carried out very carefully, since it is during this period that all the organs and systems of the child are formed. However, if you start therapy in a timely manner and strictly follow all the rules and recommendations of the doctor, then this can be avoided.

Pharyngitis can have a negative effect on the fetus in the later stages of pregnancy, as there may be swelling of the placenta, which leads to hypoxia of the child. As a result of this, in the future, the baby may be far behind in weight and development.

In the last months of pregnancy, pharyngitis can provoke the onset of premature birth, which is why it is very dangerous. During the bearing of a child, all the prescriptions and recommendations of the doctor must be observed, since only he can assess the possible risks for the woman and the unborn child.

Timely contact with the doctor and proper treatment will help to avoid negative consequences.

Diagnostics

The diagnosis is made on the basis of a patient interview and pharyngoscopy. In addition, bacterial culture and clinical blood tests may be prescribed.

The survey helps to determine what could provoke the disease and establish its form. During the examination, the general condition of the pharyngeal mucosa and the presence of pustules are assessed, as this allows you to determine the nature of the course of the disease.

For a more accurate determination of the pathogen, a bacterial culture of the contents of the nasal passages and pharynx is performed.

Features of treatment

Treatment of pharyngitis during pregnancy must necessarily be comprehensive and with the use of the most gentle and safe drugs. All medicines should be prescribed only by the attending physician, indicating the dosage and course of therapy, since some drugs and herbs can be dangerous to the fetus.

During the treatment you need:

  • provide peace to the throat;
  • drink plenty of warm liquids;
  • make a warm bandage on the throat;
  • ensure the right microclimate in the house;
  • stick to a diet.

Medical

Drug treatment of pharyngitis in pregnant women involves taking antiseptics and anti-inflammatory drugs. These can be various lozenges, aerosols that help eliminate infections in the throat and relieve inflammation.

If acute pharyngitis is observed during pregnancy, then medications such as:

  • Decatylene;
  • Ingalipt;
  • Bioporox;
  • Efizol and others.

However, before starting treatment, you need to consult a doctor, as some drugs are contraindicated in the first trimester. If, with pharyngitis, a bacterial infection is attached, then antibiotics are additionally prescribed, although they are highly undesirable during pregnancy.

Chronic pharyngitis during pregnancy cannot be completely cured, however, following a special diet, boosting immunity and maintaining a healthy lifestyle can achieve long-term remission.

Folk methods

Pharyngitis during pregnancy is treated quite well with the help of folk remedies, however, some herbs have contraindications and can increase the tone of the uterus, so you need to consult a doctor first.

As traditional medicine, they are very well suited:

  • inhalation with potato vapors;
  • warm compresses on the throat;
  • lubrication of the pharynx with Lugol or iodine;
  • rubbing with essential oils;
  • garlic tincture.

Sea buckthorn helps to eliminate inflammation and swelling of the pharyngeal mucosa very well, but it is worth remembering that sea buckthorn oil during pregnancy may be contraindicated, since in some cases it provokes allergic reactions if intolerance to this remedy is observed. Folk remedies are quite well suited for treatment during breastfeeding. However, when feeding, you should not use products that can change the taste of milk, as the child may refuse it. If pharyngitis is observed with hv, then it is advisable not to use drugs for treatment.

To minimize the unpleasant consequences of pharyngitis, it is necessary to start treating the disease as soon as possible, immediately after the first signs appear.

Loading...Loading...