FISIOLOGIA DEL EMBARAZO

FISIOLOGíA DEL EMBARAZO Obstetricia Lucía Alejandra Pérez Mejía Mexicali B.C a febrero de 2007

FISIOLOGíA DEL EMBARAZO ,[object Object],[object Object],[object Object],[object Object]

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

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Disposición de las células musculares ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Tamaño, forma y posición ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Riego sanguíneo útero placentario ,[object Object],[object Object],[object Object],[object Object],[object Object]

Control del riego sanguíneo Uteroplacentario ,[object Object],[object Object],[object Object],[object Object],[object Object]

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

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

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

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Vagina y periné ,[object Object],[object Object],[object Object],[object Object]

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

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Cambios vasculares ,[object Object],[object Object],[object Object]

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

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

Aumento de peso ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

METABOLISMO DEL AGUA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

METABOLISMO DE PROTEÍNAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

METABOLISMO DE CARBOHIDRATOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

METABOLISMO DE GRASAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

METABOLISMO DE ELECTROLITOS Y MINERALES ,[object Object],[object Object],[object Object],[object Object]

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Hemoglobina y hematocrito ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Coagulación ,[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]

Proteínas reguladoras ,[object Object],[object Object],[object Object],[object Object]

Cambios Anatómicos en la Cavidad torácica Disminuida Rigidez de la pared torácica Aumentado o igual Volumen de cierre Aumentado 2 cm Diámetro transversal Aumentado de 69º a 103º Ángulo SubesternaL Aumentada Excursión diafragmática Elevado 4 cm Diafragma

Cambios en volúmenes y capacidades producidos en la 2da Mitad del embarazo 300 ml Disminuido Volumen Residual (VR) 200 ml Disminuido Volumen espiratorio de reserva (VER) 200 ml Aumentado Volumen Corriente (VC) 300 ml Aumentado Volumen inspiratorio de reserva (VIR) Cantidad Modificación Volúmenes

Cambios en volúmenes y capacidades producidos en la 2da Mitad del embarazo No Alterada Capacidad Pulmonar Total 300 ml Aumentada Capacidad Vital (VC + VIR + VER) 500 ml Disminuida Capacidad Residual Funcional (VR + VER) 500 ml Aumentada Capacidad Inspiratoria de reserva (VC + VIR) Cantidad Modificación Capacidades

Equilibrio ácido base y gases sanguíneos 3-4 0,07 Déficit de base 18-21 24-30 Bicarbonato (mEq/litro) 7,40-7,45 7,38-7,44 pH arterial 25-30 35-40 PCO2 (mm Hg) 101-104 98-100 PO2 (mm Hg) Grávida No Grávida

Vesícula biliar Acción de la progesterona en el musculo liso biliar. Disminuyen transporte intraductal de ácidos biliares Hipoactividad Vesícula biliar Colestasis Prurito gravídico Cálculos biliares

FISIOLOGIA DEL EMBARAZO

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