產檢的常見問題中,妊娠癢疹排在前幾名,有些產婦求診許多醫療院所,問題還是沒有解決。
長期的抓癢會使皮膚破皮,流血,二度細菌感染。患處表皮增厚,苔蘚化,嚴重者會導致失眠,疲憊,憂鬱而影響工作與生活。
妊娠癢疹泛指與懷孕有關的皮膚搔癢,常伴隨孕期結束而病情逐漸消退。好發的高峰期落在懷孕中末期。影響約十分之一的孕婦。
妊娠癢疹在臨床上有許多可能的鑑別診斷 如 多形性癢疹,異位性癢疹,搔癢性毛囊炎,肝內膽汁鬱滯性疹或妊娠水泡疹 (“類天疱瘡疹“)
其中最常見的是多形性癢疹:它的特徵是在妊娠紋上出現搔癢的丘疹及蕁麻疹狀皮膚斑。約一半的初產婦會從腹部擴展至胸部及背部,沒有波及到臉部及肚臍。通常不會發生在手或腳的末端。我們通常都會給予局部藥膏治療。
雖然大部分與妊娠有關的癢疹對母體及胎兒無影響,但是也有少部分癢疹有潛在的母胎風險,及下一胎孕期復發的可能。如上述分類中的妊娠水泡疹 (“類天疱瘡疹“),它屬於一種罕見的自體免疫性疾病,長全身性水泡,可能生下低體重新生兒,早產或新生兒疱疹性皮膚炎。應及早給皮膚科醫師檢查與治療。還有肝內膽汁鬱滯性疹: 孕婦膽汁酸過高,肝功能異常,血中維他命K濃度低(容易產後大出血),有可能發生早產或胎兒缺氧,羊水胎便染色,甚至死產或造成新生兒呼吸窘迫症候群。有這樣疑慮的時候會做更多的檢查並可能需要住院觀察與肝膽內科會診。
雖然只是癢,但下次記得告訴您的婦產科醫師,我們願意傾聽任何的”小問題“。
註:皮膚疹的圖片不甚討喜,謹將我認為較有公信力的網站附上,供大家參考。
https://dermnetnz.org/topics/skin-problems-in-pregnancy/
=========================================
Itchy rash is one of the most common complaints that I see at prenatal clinics. Some women’s itchiness persists despite multiple treatments and doctors’ opinions. Whilst chronic scratching may lead to skin thickening or recurrent infections, itchiness can severely affect the quality of life of mothers by causing insomnia, tiredness and even depression.
Itchy rash of pregnancy most commonly occurs during second to third trimesters, then improves postpartum. It affects about 10% of the pregnant women.
The differential diagnosis of these itchy rashes is broad, including but not limited to polymorphic eruption of pregnancy (its long acronym is “PUPPP” but I won’t bore you with this), atopic eczema, prurigo of pregnancy, cholestatic pruritis and pemphigoid gestationis. Other diagnoses like contact dermatitis or scabies are not uncommon during pregnancy but I consider them as diagnoses not specific to pregnancies.
The ones that i see the most are polymorphic eruption of pregnancy, it is characterised by raised rash of multiple shapes (polymorphic) especially over the striaes on the tummy. In about half of the mothers with first baby the rash will extend to the chest and the back, however, the face and the belly button are often spared. Also it does not affect hands or feet. Treatment is usually topical.
Although most itchy rashes of pregnancy are not serious, some (although rare) can be quite serious that requires close monitoring and consultation with dermatologists or internal medicine physicians. For example, “pemphigoid gestationis” is a rare autoimmune skin disease during pregnancy that causes bullous eruption all over the body. This is due to formation of antibodies against mother’s skin, and sometimes these antibodies can cross the placenta and affect the babies. Another serious skin condition is cholestatic pruritis, it is due to build up of bile salts in the body from abnormal liver function, which can sometimes lead to a myriad of systemic and fetal complications if not treated.
Remember to tell your obstetrician and gynaecologists about your itchiness. We are here to listen to all of your concerns and worries.
同時也有2部Youtube影片,追蹤數超過36萬的網紅LADIES FIRST,也在其Youtube影片中提到,Due to popular demand, we're bringing back Expecting Soon! Liz answers your burning questions, reveals the baby name and gives all the updates about w...
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【祝你好孕】好生養不只是屁股大
⭐平和體質最有生產力
⭐改善體質好孕自然來
#星期二提升正能量
打造好孕體質
「醫師,甚麼是好孕體質?」
從中醫角度來看,好孕體質就是平和體質:體內陰陽調和、氣血旺盛、月經正常、精力充沛及心理質素良好。不過因為先天和飲食、生活習慣影響,平和體質實屬少見,不過我們可以留意身體症狀,配合飲食和生活細節,令體質趨至平衡,增加懷孕機會,男女雙方都適用啊!
面青唇白型
症狀:面色偏白、手腳冰冷、怕冷、月經量少色淡、吃了生冷食物後易出現痛經等。
改善方法:少吃生冷,適量進食人參、黨參、紅棗、北芪、桂圓等能溫補氣血的食物。注意保暖,避免穿露臍裝、短褲。忌做劇烈運動,建議慢跑或健步至微微出汗即可。
✔推介米水:紅豆米水
疲累多汗型
症狀:多汗、痰多、胸悶、容易疲倦、食少腹脹、大便稀爛不成形、白帶量多、月經週期延遲等。
改善方法:少吃生冷、甜膩食物,適量進食薏米、淮山、白扁豆、赤小豆、茯苓等健脾祛濕食物,每天飲用米水。多做運動出汗排走濕氣。
✔推介茶療:濕重、水腫腫
嚴重怕冷型
症狀:口淡、面色偏白、浮腫、嚴重怕冷、嗜睡、凌晨時分容易腹瀉、小便量多、大便稀爛、月經量少色黯淡質稀
改善方法:少吃生冷、適量進食南瓜、合桃、羊肉、黨參、薑等溫陽散寒食物。多曬太陽,適量進補,每天飲用米水,進行強度小的運動至微微出汗。
✔推介茶療:紅粉緋緋
心煩氣躁型
症狀:多打嗝或放屁、經常嘆氣、情緒鬱悶、入睡困難、大便不調、經期前乳房脹痛、經量少色偏暗有血塊等。
改善方法:少吃辛辣、重口味食物,適量進食白蘿蔔、蓮藕、絲瓜、猴頭菇、陳皮等疏肝解鬱食物,適量飲用玫瑰花、茉莉花茶。避免熬夜,多做運動疏發肝氣,尋找適合自己的減壓方法。
✔推介茶療:疏肝
熊貓眼型
症狀:容易有黑眼圈、暗瘡印、臉色唇色紫暗、肢體容易瘀、容易周身疼痛、月經多血塊及痛經等。
改善方法:少吃生冷、刺激性食物,適量進食黑木耳、黑豆、山楂、益母草、田七等活血化瘀的食物。適量飲用花茶疏肝理氣,多做伸展運動有助加強血液循環。
✔推介茶療:黑眼圈
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Getting the body ready for conception
“Doctor, what constitutes a good body for pregnancy?”
From Chinese medicine perspective, a body ready to conceive should be one with neutral constitution. This is where the yin and yang are balance, blood and the qi are rich in the body, menstruation cycle is normal, and the person is energetic and psychologically fit. However, due to congenital factors, diet, and lifestyle, having a body with neutral constitution is uncommon. In order to restore the balance in the body, both men and women should observe signals the body sends out, and adjust our diet and lifestyle accordingly. This will increase the chances of getting pregnant!
Type: pale complexion
Symptoms: pale face, cold hands and feet, aversion to cold, menstrual fluid is low in volume and light in color; develops menstrual pain after eating raw and cold food.
Tips to improve: consume less raw and cold food, appropriately consume ginseng, Codonopsis root, red date, Astragalus root and dried longan, as they can warm and replenish the qi and the blood. Be sure to keep warm, avoid wearing shorts and clothes that will expose the belly button. A slow jog or walk to sweat out a little can also help improve the condition.
✔Rice Water Recommendation: Red Bean Rice Water
Type: fatigue and heavy sweating
Symptoms: heavy sweating, produces excessive phlegm, fatigue, poor appetite and stomach bloating, mushy stools, excessive vaginal discharge, and delay in menstrual cycle.
Tips to improve: avoid foods that are raw, cold, sweet and filling. Consume an appropriate amount of barley, Chinese yam, white hyacinth bean, rice bean and poria that can help strengthen the spleen and eliminate dampness; drink rice water every day; exercise more and sweat it out to get rid of dampness from the body.
✔Beauty Tea Recommendation: Edema & Dampness
Type: aversion to cold
Symptoms: tastelessness, pale face, edema, afraid of cold, lethargy, prone to nocturnal diarrhea, excessive urination volume, mushy stools, menstrual fluid low in volume and dull in color.
Tips to improve: consume less raw and cold food; appropriately consume pumpkin, walnut, mutton, Codonopsis root and ginger that can warm the yang and eliminate cold. Enjoy moderate sun exposure, nourish the body appropriately, drink rice water every day; carry out short but moderately vigorous exercise to sweat it out.
✔Beauty Tea Recommendation: Blushing
Type: ill-tempered
Symptoms: burping and farting, sighing, feeling depressed, insomnia, obstructed defecation, swelling of the breasts before menstruation, menstrual fluid low in volume, in dark color and has blood clots
Tips to improve: reduce the consumption of spicy and heavy food; appropriately consume ingredients that can soothe the liver, such as white radish, lotus root, luffa, monkey head mushroom and dried orange peel; drink rose tea and jasmine tea. Avoid staying up late, exercise regularly to promote the circulation of qi in the liver, and identify the stress-relieving methods that might suit you best.
✔Beauty Tea Recommendation: Stress
Type: the ‘panda eyes’
Symptoms: gets dark eye circles easily, acne scars, dull purplish facial complexion and lips, easy bruising, body ache, blood clots in menstrual discharge, and menstrual pain.
Tips to improve: avoid eating raw and cold food, as well as food that contains stimulating substances; appropriately consume black fungus, black bean, Chinese Hawthorn, motherwort (‘yi mu cao’) and Panax Notoginseng (‘tian qi’), as they can invigorate the blood and clear stasis; drink floral herbal tea to soothe the liver and the qi; do more stretching exercises to improve blood circulation.
✔Beauty Tea Recommendation: Dark Circle
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#男 #女 #我畏冷 #我疲憊 #我枯燥 #我煩躁 #我有壓力 #氣虛 #血虛 #痰濕 #陽虛 #氣滯 #血瘀
pregnant belly button 在 CheckCheckCin Facebook 的精選貼文
【胃氣成日脹住】噯氣已成日常習慣?
⭐有噯氣代表胃狀況不佳
⭐嘗試健脾胃改善狀況
#星期三CheckCheckMail
食滯胃氣有臭味
陳生:「平日食飽都會有胃氣走出來,最近更加頻密,而且帶有臭味,是胃病嗎?」
CheckCheckCin:氣從胃中上逆,中醫稱之為「噯氣」,胃氣以降為順,胃氣上逆的話代表「胃失和降」,如果胃氣帶有腐臭味,多為食滯所致,如果進食過量或進食不定時,脾胃未能及時消化,食物渣滓阻塞於胃臟停滯不前,就會容易出現噯氣、胸悶鬱結、食慾不振、大便有酸腐臭味甚至便秘症狀。
遇上食滯情況就需要消食導滯,飲用由穀芽、麥芽、陳皮沖泡的茶療,有助紓緩因飲食不節引起的消化不良及胃脹不適。亦可以按壓中脘穴,有和胃健脾、紓緩胃脹、胃痛的作用。
麥芽穀芽陳皮茶
功效:行氣消滯,紓緩因飲食不節引起的消化不良、胃脹不適等症狀。
材料:麥芽6克、穀芽6克 、陳皮6克
做法:材料洗淨,將陳皮切絲。把所有材料放入茶袋,放入保溫瓶,加入熱開水沖洗茶袋,把水倒掉,再加入熱開水焗20分鐘即可。
注意:麥芽能回乳,哺乳期婦女不宜飲用。
中脘穴
位置:位於腹部,胸骨下端與肚臍連接線中點,肚臍直上約6隻手指位。
功效:和胃健脾,紓緩胃痛、胃脹、腹痛、消化不良等症狀。
注意:不宜於飯後兩小時內進行。
✔推介茶療:山楂烏龍茶
材料:水、山楂、冰糖、白毫烏龍
功效:減肥消脂,行氣活血。適合消化不良、暗啞肌膚、色斑、肥胖。
注意:此茶偏酸,胃酸倒流、容易胃痛不適者不宜空腹飲用。適合月經前飲用;月經期間、孕婦不宜。
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Odor from food stagnancy in stomach
“I tend to burp after each meal, it seems to happen more frequently these days, and the burps have an odor. Do I have some kind of stomach disease?”
CheckCheckCin: From Chinese Traditional Medicine’s understanding, gas from the stomach that moves upwards in the body is belching (‘ai qi’). Stomach gas normally travels downwards, if it moves at the opposite direction, this means you are experiencing a disorder that prohibits the gas from propelling downwards. Gas that has a rancid odor is most probably caused by food stagnation.
If we consume food excessively or have irregular meals, the spleen and stomach are unable to process them on time, food particles can stagnate inside in the stomach and cause people to belch, experience tightness and discomfort in the chest, appetite loss, constipation, and produce foul-smelling stools.
When this happens, we need to clear the stagnation. Use rice sprout, malt, and dried citrus peel to make tea; drinking it can help relieve indigestion and bloating. You can also massage the ‘zhong wan’ acupoint, as it can soothe the stomach and strengthen the spleen, relieve bloating and pain in the stomach.
Millet sprout tea with malt and dried citrus peel
Effects: promotes qi and aids digestion, relieves symptoms of indigestion, bloating and discomfort due to poor eating habits
Ingredients: 6g malt, 6g millet sprout, 6g dried citrus peel
Preparation: Rinse all ingredients thoroughly and place into thermos. Rinse with hot water once. Then add in hot water again and steep for 15-20 minutes. You can re-brew until its flavour weakens. For best results, drink consecutively for 2-3 days for two weeks.
Note: This tea is not suitable for ladies who are breastfeeding as malt can decrease breastmilk supply.
Central Venter (Zhong Wan) Point
Location: located in the abdomen, below the ribs in the midpoint between rib cage and belly button, about 6 finger widths above the belly button
Effects: alleviate symptoms of abdominal pain, poor appetite and digestive system pain
Note: Suggest to press 2 hours after meal
✔Herbal Tea Recommendation: Chinese Hawthorn Tea
Ingredients: Water, Hawthorn, Rock Sugar, Oolong Tea
Effects: Aids weight loss and improves fat-burn, regulates qi to enhance blood flow. Suitable for indigestion, dull complexion, skin discoloration and chubbiness.
Note: This tea is sour in taste so it is not suitable for those with acid reflux or prone to abdominal discomfort. It should not be consumed with empty stomach. Due to its ability to activate blood and relieve stasis, it is also not suitable for pregnant ladies
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Tsim Sha Shui|Shop L216, 2/F, Star Annex, Star House, 3 Salisbury Road, Tsim Sha Tsui
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#男 #女 #我胖了 #胃脹
pregnant belly button 在 LADIES FIRST Youtube 的最佳貼文
Due to popular demand, we're bringing back Expecting Soon! Liz answers your burning questions, reveals the baby name and gives all the updates about what its like in her final trimester. Who's excited for her to reveal what's in her hospital bag?
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pregnant belly button 在 Bubzvlogz Youtube 的最佳貼文
Hello Youtube Family,
Today’s Vlog:
I Would Never Forgive Myself,
What My Life Has Come To…
Happy Little Helper
Belly Button Gone
Emotional & Pregnant
Sorry vlogs have been a little slow. Tim only got back from Hong Kong today so I have spent the past 12 days being a little more occupied. I have really been trying to limit my driving since and now that Tim is back, I'm going to avoid it as much as possible. I thought I was lucky enough this pregnancy to not get leg cramps so much. From past experiences, I avoid them happening by not pointing my toes. However, I completely forgotten about this while driving. For the first time of my life, I lost control of my right leg while driving and it was so scary knowing I had little infants with me in the car. If anything happened, I would never forgive myself. I know I was probably just being dramatic (again) but it was a little wake up call for me to be safe than sorry. I am thankful because Isaac has been such a good little chap while daddy was away. We actually had such an awesome time these two weeks. I think the beautiful weather put us both in an extra happy mood.
Ps. Thank you Emily Norris for the Addis spray mop recommendation! I USE IT EVERYDAY and I LOVE IT!!!
Ps. Anyways, I'm craving fried chicken.
Have a wonderful week everyone!
Love, the Bubz family xo
Subscribe to my Vlog channel for daily doses of HAPPINESS!
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Feb 14, 2021 - Explore Ben Gates's board "Pregnant Belly button pop" on Pinterest. See more ideas about maternity fashion, maternity clothes, pregnant ... ... <看更多>
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