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寶媽懷孕期間皮膚瘙癢怎么辦？孕婦皮膚瘙癢有什么辦法？

出處：網絡收集 日期：2024-06-11 12:36:51 編輯：秩名

孕婦皮膚瘙癢怎么辦

因為孕期女性激素的變化，而導致孕媽媽們變得格外敏感，尤其是皮膚。孕期孕婦皮膚瘙癢的情況其實并不少見，尤其在腹部和乳房的周圍。因為懷孕導致孕婦的皮膚被拉撐，因此感覺稍有瘙癢感。另外，荷爾蒙的變化也是引起皮膚瘙癢的原因之一。引起孕婦皮膚瘙癢癥的原因有很多種，孕婦在治療的時候也需要根據癥狀采取相應的措施。那么，孕婦皮膚瘙癢怎么辦？
 
1、首先孕婦要減輕自己的精神負擔，避免因瘙癢導致情緒激動、煩躁、焦慮不安，應該冷靜下來采取相應的緩解措施。
 
2、孕婦最好不要搔抓止癢。不斷搔抓后，皮膚可能會發紅并出現抓痕，使表皮脫落出現血痂，日久會導致皮膚增厚、色素加深，繼而加重瘙癢，甚至還能引起化膿性感染。
 
3、勤換內衣內褲。保證自己的衣物干凈也能讓自己感覺更舒適。
 
4、防止食物刺激，少吃辣椒、生姜、生蒜等刺激性的食物。海鮮的攝入更要適量，因海鮮能加重皮膚瘙癢的癥狀。
 
5、洗澡時切忌用溫度過高的水或使用堿性肥皂使勁擦洗，這樣也會加重瘙癢的癥狀。
 
6、孕婦需在醫生指導下用藥，局部瘙癢可外涂薄荷酚、樟腦霜、樟酚酊、樟腦撲粉。必要時可短期選用副作用小的激素藥膏，如艾洛松等。全身瘙癢可短期適當服用鎮靜劑或脫敏劑，如口服撲爾敏片，口服或靜脈注射葡萄糖酸鈣。當然要對癥下藥，用藥前先了解自己皮膚瘙癢的原因，不可亂用藥。

 

孕婦皮膚瘙癢正常嗎

孕婦皮膚瘙癢癥很常見，那么，孕婦皮膚瘙癢正常嗎？會影響孕婦和胎兒的健康嗎？其實，不少孕婦在懷孕期間都有出現皮膚瘙癢的癥狀，嚴重時甚至因劇烈的瘙癢而難以入睡。這不僅僅會影響孕婦的健康，對胎兒的發育也有一定的影響，所以應該及時診治。孕婦皮膚瘙癢癥的具體癥狀是否正常仍需要看具體的癥狀和原因，如果僅僅是因為孕期體內激素變化而引起的輕微瘙癢是正常的，如果是因為其他體內病因引起的則需要治療了。
 
尤其是到了懷孕后期，大多數孕婦的肚皮都會癢，但基本都并不嚴重，因為這僅僅是因胎兒的長大使得皮膚產生妊娠紋而引起瘙癢。這一種瘙癢也屬于無影響的皮膚瘙癢。但是有另外的一些病癥引起的瘙癢則需要注意了，如膽汁郁積性瘙癢癥、妊娠型類天皰瘡、皰疹樣膿痂疹和妊娠期丘疹皮膚炎。這些瘙癢癥都是對孕婦和胎兒會造成一定影響的。因此，孕婦如果感到皮膚瘙癢嚴重，并非是正常的妊娠紋引起的瘙癢，最好及時前往醫院治療，以免耽誤治療時機，導致更加嚴重的后果。
 

孕婦皮膚瘙癢的原因

孕婦皮膚瘙癢問題可大可小，具體就要看孕婦皮膚瘙癢的原因到底是哪一種了。從懷孕到生產后1個月左右，約有1/5的準媽媽會有皮膚瘙癢的問題。而這些皮膚問題大部分與懷孕并無直接關系，反而是由一些皮膚疾病，例如濕疹、蕁麻疹、藥物疹以及細菌感染所造成的，與懷孕沒有直接關系。所以在治療前，應該先排出這些常見的皮膚病因，再懷疑是否單純是因妊娠而引起的皮膚瘙癢等問題。孕婦皮膚瘙癢主要分為兩種，一種是無影響的皮膚瘙癢，另外一種則是有影響的皮膚瘙癢。
 
對孕婦沒有太大影響的癥狀引起的皮膚瘙癢有：
 
1、多型性妊娠癥
 
這種癥狀一般在懷孕期間才會出現，發生原因可能因媽媽對胎兒的免疫反應所導致，這類皮膚疾病多屬良性，對胎兒和媽媽本身的健康并不會造成影響。
 
2、妊娠癢疹
 
孕婦身上會出現紅色或淡粉紅色丘疹，患者會感到瘙癢，生產后會逐漸痊愈。一般與懷孕期間激素變化以及外來刺激物等因素有關，對胎兒和媽媽并無明顯影響。
 
3、癢性毛囊炎
 
孕期間常見的癢癥。 患者皮膚會出現一顆顆小丘疹或小膿包，一般在上半身，容易出現在懷孕第4-9月，產后消失。
 
4、妊娠皮疹
 
通常在懷孕4-9個月之間發生，皮膚上會出現小紅疹，常發于四肢，看起來像蟲咬，對胎兒無健康。
 
對孕婦有影響的癥狀引起的皮膚瘙癢有：
 
1、膽汁郁積性瘙癢癥
 
多發生在懷孕后期。因肝臟代謝與膽汁郁積問題產生的瘙癢癥狀，嚴重時會出現黃疸、肝功能異常、膽酸升高等現象，也可能因此導致死胎、早產。不過此疾病的發生幾率并不高，約在0.02%-2.4%。
 
2、妊娠型類天皰瘡
 
通常發生在懷孕后期。屬自體免疫性疾病，是一種罕見疾病，癥狀為腹部出現很癢紅疹或水泡，而后迅速擴散，可能引發胎兒早產或低出生體重。發生率約為1/60000-1/40000。
 
3、皰疹樣膿痂疹
 
屬于一種膿皰型干癬，孕婦皮膚會有膿皰，而且可能會發熱、發冷，抽血檢查會發現有血鈣下降情形，也可能造成死胎、早產、流產。
 
4、妊娠期丘疹皮膚炎
 
這種炎癥的發生率很低，全身各部位都可能發病?；疾r全身皮膚會出現疹子，病因仍不清楚，但可能會造成流產或胎死腹中。
 

孕婦皮膚瘙癢用什么藥

孕婦皮膚瘙癢多出現在妊娠中后期以后，且瘙癢的程度輕重不一。懷孕期間你的皮膚上出現了任何一種疹子，都要告訴醫生。不論這種疹子是否和懷孕直接有關，最好都由醫生來進行確診。孕婦皮膚瘙癢的癥狀一般只有到分娩后才能減輕直至消失，孕期可以適當用藥。
 
如果只是一般的皮膚疾病引起的瘙癢，可使用百草堂百卉膏，這種藥膏適用于嬰幼兒細菌性引起的濕疹、奶癬、尿布疹、皮炎、瘙癢、痱子、燒燙傷及蚊蟲叮咬等。局部瘙癢可外涂薄荷酚、樟腦霜、樟酚酊、樟腦撲粉。必要時可短期選用副作用小的激素藥膏，如艾洛松等。孕婦如果出現全身瘙癢可短期適當服用鎮靜劑或脫敏劑，如口服撲爾敏片，也可口服或靜脈注射葡萄糖酸鈣。
 
如果孕是孕婦懷孕引起的瘙癢癥，如膽汁郁積性瘙癢癥、妊娠型類天皰瘡、皰疹樣膿痂疹和妊娠期丘疹皮膚炎等，都應該及時前往就醫，切勿隨意用藥。

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