Crohn disease - chronic granulomatous inflammation of the small intestine, often terminal part. Meets and segmental loss of other portions of the gastrointestinal tract, and even secondary nodal involvement, liver, skin, joints. Cause of the disease is unknown. Crohn disease is a progressive character, exacerbations are replaced by remissions. In less severe health does not suffer severe course of the disease leads to disability.

The main complaint - it's a pain in the abdomen and diarrhea. Cramping after eating near the navel or in the right iliac region can simulate appendicitis. Localization of pain depends on the area of the affected intestine. Persistent diarrhea and loss of appetite leading to weight loss patients.



Diagnosis Crohn disease in pregnancy is difficult because X-ray examination of the intestine is contraindicated. Sigmoidoscopy may be used in which the picture is sometimes diagnosed granulomatous colitis.

Most researchers believe that pregnancy worsens Crohn disease. Relapses most often occur in the first trimester of pregnancy, after abortion or childbirth. This is due to increased levels of steroid hormones in the second and third trimesters of pregnancy, which is sharply reduced after birth. Some patients with mild disease, no significant changes in the state during pregnancy.

Influence of Crohn disease on pregnancy affects a high frequency of miscarriage. Obstetric complications occur more often if a woman has an exacerbation of the disease during pregnancy. Even during remission of the disease complications such as anemia, gipoproteinemiya, weight loss, electrolyte abnormalities, vitamin deficiencies, and especially partial intestinal obstruction, intestinal stenosis, fistulas can not affect the development of the pregnancy and the fetus.

Pregnancy in women with Crohn disease is acceptable in the presence of stable remission of the inflammatory process. Worsening of the disease is an indication for termination of pregnancy.

Treatment
Drugs exist which allow to keep under control of Crohn disease. They relieve inflammation of the intestine and prevent relapse. In mild cases Crohn disease is sufficient purpose antidiarrheal drugs. The treatment regimen selected for each patient individually. This allows you to extend the period of remission. Worsening of the disease is usually treated with intravenous administration of corticosteroids.

Surgical intervention is necessary in the case of complications of the disease. Usually carried out removal of the affected bowel or expansion of its tapered portion.

Most pregnant women with Crohn's disease may become pregnant and have healthy children. During the first three months of pregnancy can occur exacerbation. For a part of the drugs used in Crohn disease, pregnancy is not a contraindication.