Pregnancy is just like calamity. Pregnant mothers always encounter such problems.
Some pregnant mothers will have the problem of itching of the skin. They can’t help scratching all day long, and they are unable to sleep at night. In severe cases, they can’t even fall asleep. After trying a variety of methods, they have to go to the hospital for help.
When pregnant mothers have unknown skin itching, they must first be alert to intrahepatic cholenecaste accumulation during pregnancy.
This is a disease -specific disease during pregnancy. The incidence ranges from 0.1%to 15.6%. Combined with clinical manifestations and blood drawing tests, most of them can be diagnosed: Emptor serum total bile acid ≥10 μmol /L, ≥40 μmol /L are severe severe; There are also some pregnant women’s serum bile acid levels are normal, but they are only manifested as abnormal liver function.The characteristics of itching have no obvious rash on the surface of the skin; itching first starts from the palm, feet, or navel, and can gradually spread to the limbs, torso, and facial faces; most people feel that itching at night is more obvious.More than 70% occur in the late pregnancy, with an average of 30 weeks of pregnancy, and a few appear in the second trimester.Itching is mostly relieved 24-48 hours after childbirth, and a few lasted more than 48 hours.Who is easy to obtain? There are chronic hepatobiliary basic diseases: such as hepatitis C, gallbladder stones or cholecystitis; oral contraceptive history; there is a family history of the family history of the hepatoplastics during pregnancy or the history of the disease;Pregnant women with multiple pregnancy and pregnant women who have artificial insemination and pregnancy.The impact on pregnant women and fetuses at all on pregnant women: resulting in a reduction in absorption of fat -soluble vitamin K, causing abnormal coagulation function and bleeding after production during childbirth.Effect on fetus: Due to the toxic effects of biliary acid, the mortality rate of siege babies can be increased, which can cause premature birth, amniotic fluid turbidity, fetal hypoxia, neonatal intracranial hemorrhage, and even sudden fetal death.
Therefore, once diagnosis is diagnosed, timely treatment is required.Some drugs (bears or bile acid or combined with S-adenosine eggine) can be used orally to improve itching symptoms and reduce the level of gallic acid. Pregnant women with abnormal liver function also need to use liver protection drugs to apply stones to relieve itching symptoms. Each time1-2 weeks of review of liver function and total bile acid; pregnant women with poor treatment effects or worsening of some oral drugs need to be hospitalized.
Pregnant mothers need to follow the requirements of the doctor’s examination, and at the same time, at home, they need to closely monitor the fetal movement.Institute of hospitalization in the third trimester needs to be hospitalized in advance.One thing that needs to be emphasized is
This disease is not a indicator of cesarean section. Pregnant mothers do not need to be overly anxious. They must require cesarean section to take childbirth. Only those who have severe illness, or merge multi -fetal pregnancy and some serious complications (such as early eclampsion) can be considered.The cesarean section terminates pregnancy.
During pregnancy, due to the changes in hormone levels, the skin will become sensitive, dry weather, excessive cleaning of the skin, loss of surface oil, and over time, the skin will become dry and easy to be dedivined, and then the symptoms of itching of the skin will appear., The limbs and even the whole body, there is no obvious rash on the surface of the skin, there may be scratching marks after scratching.Solution
Appropriately reduce the number of shower times and duration, and the water temperature should not be too high. Apply skin dew or moisturizing cream in time within 3 minutes after the shower. Try to wear cotton loose and comfortable clothing to avoid scratching to avoid itching or further cause bacterial infection.
The increase in vaginal secretions slightly during pregnancy is a normal physiological phenomenon, but if the amount of leucorrhea is significantly increased, the tofu dregs or the smell of smell, or the vulvar itching, vulvar swelling and pain, you need to perform leucorrhea -related examinations, including leucorrhea routine and routine andVaginal secretion pathogen examination.
Common vaginitis during pregnancy includes bacterial vaginal disease, trichomonas vaginitis, and mold vaginitis, especially the latter is the most common.Repeated vaginitis during pregnancy may cause premature breakthrough and premature birth, so it should be checked and regulated as soon as possible.In daily life, you need to change your clothes and wash diligently, dry in the sun or disinfect at high temperature.
Pregnancy
It is more common, the incidence is 1/200, and it can appear in the third trimester or after giving birth. It is better to cause the abdominal stretch marks and less accumulate the navel. Considering the excessive stretching of the abdomen, the changes in immune factors and hormone levels of the abdomen.Those who have increased too much for pregnancy, multi -pregnancy and pregnancy.
Pregnancy polyphonic rash is not found to have an impact on the fetus.The treatment of the preferred and low -efficiency steroid ointment with local external use is combined with mild moisturizing products to relieve symptoms.Pregnancy -oriented pegs
Rarely, the incidence is 1/50000, and it can appear in the middle or late pregnancy. The most significant feature is that the rash first appears in the skin of the navel and abdomen. There may be blisters in the acute stage.Risk of premature birth or fetal growth.
Treatment of steroid ointment with low -efficiency steroids in the treatment; pay attention to the supplement of calcium and vitamin D.Pregnancy characteristic dermatitis
Including pregnancy norris, pregnancy itching folliculitis and eczema.The rash is diversified, and the common feature is dry skin and severe itching.The most representative eczema dermatitis often appears in elbow nests, nests, faces, eyelids, and necks.
Maltic dermatitis can apply external preparations containing antipruritic components (such as mints, etc.) on the basis of applying skin moisturizers, and use weak effects and medium -effective glucocorticoid preparations as appropriate.
Drug allergies
The shape of the rash is diverse, but there is usually a clear history of medication. It usually occurs within 1 to 6 hours after the use of the drug. There are also allergic reactions a few days after medication.Intervention and even hospitalization.Other system diseases
Such as uremia, poor control of lymphoma, and diabetes. These diseases can be accompanied by itching symptoms of skin, but there is no obvious rash manifestation. In terms of treatment, the help of corresponding specialists must be sought.
Itchy skin does not allow small visual skin during pregnancy. Do a good job of moisturizing the skin, try not to scratch, and do not use the medicine blindly. As soon as possible, consult the obstetrician to investigate the accumulation of the internal cholecotic stasis during pregnancy.You can seek the help of dermatologists.
During the treatment period, the diet should be light; eat more fresh vegetables, fruits, fruits, milk, soy milk, soymilk and other foods; pay attention to rest and psychological pressure regulation, because psychological factors also affect people’s sensitivity to stimuli, and it is more likely to produce itching.
Periodic check -ups, perfection monitoring at home, and medical treatment in a timely manner.
Chen Peng, Liu Xinghui, Wu Lin. During the interpretation of the guidelines of the internal cholecotic stasis in the pregnancy [J]. Practical obstetrics and gynecology magazine, 2019, 35 (02): 103-105. He Jing, Yang Huixia, Duan Tao, Liu Xinghui, Qi Hongbo. Pregnancy During the diagnosis and treatment of cholesticus accumulation in the liver (2015) [J]. Clinical hepatitis gallbladder magazine, 2015, 31 (10): 1575-1578 Zhang Xiaoling, Gao Min, Yang Chunjun, Liu Shengxiu, Zhou Wenming, Li Hui, Lin Da, Linda, Wang Peiguang. 1 case of pregnancy-oriented pectiles [J]. China Dermatology Magazine, 2012, 26 (4): 344-345.bechtel Ma. PRURITUS in Pregnancy and ITS Management. Dermatol Clin. 2018, 36 (36 (36 (36 (36 (36): 259-265.
About the Author
Zheng Fangyuan, the attending physician of Hangzhou Obstetrics and Gynecology Hospital, graduated from a master’s degree in the obstetrics and gynecology hospital affiliated to Fudan University.
