10 analysis and countermeasures of major difficult diseases during pregnancy

7 good methods, pregnant mommy wintering, analysis 10 major intractable diseases during pregnancy and countermeasures.

In the process of pregnancy, pregnant mommy will inevitably have discomfort symptoms. In addition to the changes of hormones in the body, the growth of the fetus also brings a burden to the mother. Therefore, Chinese medicine and western medicine jointly put forward the analysis and coping methods of common symptoms during pregnancy, so that expectant mothers can spend 10 months of pregnancy easily and happily, and spend every day!

In fact, these symptoms are all related to the changes of parturient. Generally speaking, pregnancy is divided into three stages: before pregnancy, during pregnancy and after pregnancy. The most common discomfort in the early stage is frequent urination, but some people only appear in the later stage. The first factor causing frequent micturition is the rapid growth of uterus in early pregnancy, which makes the uterus lean forward and oppress the bladder, thus causing frequent micturition; The second reason is that organs become more sensitive due to the massive secretion of luteinizing hormone. There are also some pregnant mothers who urinate frequently during the third pregnancy, which may be caused by abdominal pressure.

In addition to frequent urination, pregnant mothers in the first trimester will feel uncomfortable. According to Dr. Zheng Yang's analysis, not only will hormonal changes make * * sensitive, but the proliferation of new mammary ducts will also make mothers feel a little pain. As for the heartburn, flatulence, constipation and other problems that often occur in the second trimester, it is also because of hormones. Because hormones can relax intestinal muscles and even gastric sphincter, it is easy to have gastroesophageal reflux and heartburn; Or let the intestines relax and slow down, leading to constipation of pregnant mommy.

Cramps are more likely to occur in the middle and late stages, except that the uterus compresses the aorta, resulting in poor blood circulation. When a large amount of blood is delivered to the uterus, insufficient blood circulation in the lower limbs can also cause cramps. Moreover, cramps are often not necessarily calcium deficiency, but mostly hypoxia.

Poor spleen and lung function and poor water regulation are easy to cause edema.

What is a bad pregnancy? As far as Chinese medicine is concerned, there was a special book on pregnancy in October as early as the Warring States Period, but by the Song Dynasty, gynecology of Chinese medicine had flourished, and there were many records on how to deal with pregnancy. Dr. Yang explained: "Chinese medicine has a so-called' bad pregnancy', including flatulence, burning sensation, nausea, vomiting, fatigue and other uncomfortable symptoms. 」

It is actually very simple to analyze these causes from the perspective of Chinese medicine. Traditional Chinese medicine classifies the five internal organs according to the five elements of wood, fire, earth, gold and water, while the five internal organs of traditional Chinese medicine are somewhat similar to those of western medicine, but they are not exactly the same. Take the kidney as an example, it is used as a urinary system or a detoxification and filtration system in western medicine. However, in addition, Chinese medicine also includes the scope of reproduction, and reproductive endocrinology is mainly kidney in Chinese medicine. Therefore, a large part of the operation of the kidney during pregnancy must dominate the regulation of fetal growth and endocrine.

In the concept of five elements, aquatic wood, the kidney belongs to water and the liver belongs to wood, so the kidney will nourish the liver. However, when the kidney is busy providing the growth of the fetus, such as coping with the endocrine changes during pregnancy, it will also make the kidney busy and it is difficult to take care of the liver. When the energy of the kidney can't be transmitted to the liver, and the kidney water can't nourish the liver wood, the liver qi will become more rebellious, and the parts dominated by the liver, such as fascia or blood, will become drier, which will easily cause cramps and make the skin drier.

In addition, in the five elements, wood will cover the soil, and liver-qi will affect the stomach and spleen with soil, which will not only cause indigestion, heartburn and flatulence in pregnant women, but also cause edema. Dr Zheng Yang Dao explained that in Chinese medicine, the spleen and lungs are responsible for the transport and regulation of water in the body. If spleen-qi deficiency and lung-qi deficiency, spleen-lung function is not good, and water regulation is not good, it is easy to cause edema.

Common pregnancy 10 1. limit

According to statistics, about 90% of pregnant women will have leg cramps's condition, which usually occurs in the second and third trimester of pregnancy. Zhu Yilin, an attending obstetrician in Wan Fang Hospital, pointed out: "The cause is not entirely caused by calcium deficiency. Due to poor blood circulation of pregnant women, the temperature of limbs drops and cramps occur. The reason why it is easy to happen in the middle of the night is that the temperature of the limbs will drop when sleeping, which will make the circulation worse.

Mitigation method

Keeping warm+supplementing calcium As for cramps, most people will take calcium supplements to improve them, but I wish doctors that the most effective way is to keep warm. Medical research shows that keeping warm is better than supplementing calcium. However, although these methods can reduce cramps, it is difficult to avoid them completely.

But when leg cramps, the quickest way to relieve it is to straighten your feet and pull your toes in the direction of your body, so that the muscles of your calf will be pulled away, and then * * * will not * * when the symptoms are relieved.

Redness or pain. It is recommended to see a doctor. If the leg is red, swollen or painful, even if it is difficult to walk, it is accompanied by foot edema, or even if the instep temperature is different and the symptoms are aggravated, it may be venous thrombosis. Dr. Zhu Yilin explained: "When venous thrombosis is blocked, the blood circulation becomes worse and the foot temperature drops. The symptoms are not as simple as cramps. Therefore, it may cause pregnant mommy's foot pain all day; It's hard to step on the ground when walking. Usually, venous thrombosis is related to family inheritance, and the problem of familial thrombosis is easy to occur during pregnancy. Generally speaking, whether there is venous thrombosis can be diagnosed by ultrasound. However, the incidence of venous thrombosis in yellow race is lower, which is more common in white race.

Cramp is not necessarily calcium deficiency.

The second trimester has passed the uncomfortable stage of morning sickness and has gradually adapted to the changes in the body. In addition, the stomach will not be too inconvenient to move, so it is the most comfortable period for pregnant mommy during the whole pregnancy. However, with the end of pregnancy, many pregnant mothers will have edema or varicose veins due to poor circulation caused by oppression. It is suggested that pregnant mothers with these problems can occasionally get up and exercise, lift their legs and feet, promote circulation, and avoid eating too salty (sodium has the property of grasping water, which is easy to cause water to stay in the body and cause edema), or occasionally drink red bean water to help eliminate edema.

The way of prevention

Regarding the methods to prevent cramps, Dr. Dao said, "Usually, you can pat your heel to promote blood circulation in lower limbs. He explained that it is easy for pregnant women to lift their feet to promote blood circulation in the first five months of pregnancy, but it may be difficult in the later stage of pregnancy because of the large abdominal bulge. So you can pedal a small chair, pat the heel with your palm, promote the circulation of lower limbs and relax the achilles tendon for about 5 ~ 10 minutes. In addition, you can also relax your waist to prevent cramps. The best way to relax is to lie on the bed, swing your knees 90 degrees vertically and then swing slowly from side to side, but not too reluctantly or too fast. Cramp is not necessarily calcium deficiency, so there is no need to supplement calcium tablets. Dr. Yang pointed out: "In fact, calcium-containing plants are also good sources of calcium. Plants with hard roots, such as spinach and kale, have high calcium content, so they can also be considered for intake, which is more natural. If the cramp attacks repeatedly, it is very troublesome, you can consult a professional Chinese medicine practitioner and do some physical conditioning and suggestions.

Exercise usually increases the demand for calcium in the fetus in the late pregnancy, and also leads to calcium deficiency in pregnant women, which is prone to cramps. Therefore, it is recommended to supplement calcium to keep warm. In addition, it is also recommended to walk more in daily life, and not to stand, sit or keep the same posture for a long time. In addition, you can also engage in some sports, too little leg exercise will cause cramps, and the most ideal exercise is walking or walking in the water. Dr. Zhu Yilin explained: "Because each mother's weight is different, some mothers are overweight and have a heavy burden on walking knees. You might as well consider taking a walk in the water. As for climbing stairs, it is not recommended, because pregnant mommy has a heavy knee burden unless she is ready to enter the production stage.

Prevention of wounds caused by beriberi However, I wish the doctor to remind that it is more common for some pregnant mothers to suffer from beriberi in outpatient clinics. It may be because of broken skin during pregnancy and poor immunity, which leads to redness and swelling of the whole foot and even cellulitis. Therefore, pregnant women with beriberi need to pay more attention to cleaning to prevent the wound from getting bigger or tearing, especially beriberi is prone to cracking and infection.

2. Dry and itchy skin

The reason why pregnant mommy is prone to dry and itchy skin, Dr. Zhu Yilin pointed out: "Cholestasis in the liver is caused by hormonal effects; In addition, excessive weight gain in a short period of time can also cause dryness, itching and discomfort, so it can be based on the principle of moisturizing and relieving. However, itching usually returns to normal after delivery.

The way of prevention

Moisturize and pay attention to the water temperature to reduce dry and itchy skin. It is suggested that the bath water temperature should not be too high and should be kept between 38℃ and 40℃. The most important thing is to moisturize the skin. In addition, if you find pustules or severe rashes on your skin, you'd better see a doctor, because a few rashes are caused by special virus infections. However, if the skin is only dry and itchy, don't be too nervous.

Dr. Zheng Yang Dao added, "Because the blood is dry during pregnancy, the humidity in the body is insufficient indirectly, so the temperature of hot water should not be too high. Besides keeping moisture, you should also try to avoid spicy fried food. 」

3. Excessive secretion-it may be an infection or a broken water.

Due to the drastic changes in hormones during pregnancy, * * * is prone to produce watery secretions. If the color is yellow, red, or brown, or even similar to cheese, it has a smell, which can cause discomfort, such as redness, itching and pain. It is recommended to see a doctor. Dr. Zhu Yilin explained: "Poor immunity during pregnancy is easy to cause infection. However, the common infection of pregnant women is caused by sexual life. 」

Although you can have sex when you are pregnant, you should always use condoms to reduce the chance of infection. As for the other kind of secretion, it is because of the broken water, and the water volume of some people is slowly oozing out bit by bit; However, some people lose a lot, so when they feel more secretions than usual, it is better to go to a doctor for a diagnosis.

On the issue of secretion, Dr. Zheng Yang said from the perspective of Chinese medicine: "Chinese medicine divides leucorrhea into five colors: blue, red, yellow, white and black, and the most common one is leucorrhea. He further explained that there is a "belt pulse" in the eight meridians of TCM, which is mainly responsible for maintaining the strength of the uterus. Chinese medicine has made it very clear when it comes to the name of "leucorrhea", that is, "weak pulse" leads to unclean secretion, hence the name "leucorrhea".

When the binding force of the pulse is insufficient, many problems will occur, such as postpartum prolapse of the lower abdomen or uterine prolapse. Usually, some pulsed injuries lead to insufficient strength to maintain uterine ligaments. As for the internal manifestations, there are more leucorrhea and more secretions. Dr. Yang pointed out: "Because the pulse is next to the second pulse of Ren Du, its original function is to biochemical menstrual blood, but when the pulse-taking ability is not enough to transform menstrual blood, it will become secretion. If too much secretion makes you uncomfortable, and the color is yellow-green, and the taste is very strong, it is recommended to let a doctor diagnose and treat it according to syndrome differentiation.

Whether pregnant or not, irrigation is not recommended.

The way of prevention

Probiotics are in prevention, and probiotics are sold during pregnancy. Medical research has found that probiotics can prevent water break and infection; In addition, if you usually need to wear pure cotton, try not to use pads; Wear loose and breathable clothes. In addition, Dr. Zhu Yilin specially reminded: "Whether pregnant or not, lavage is not recommended. 」

Wear loose clothes

Dr. Zheng Yang Tao also explained: "Pregnant women should try to avoid wearing * * * clothes, because it is too tight, which will make the blood circulation of lower limbs poor and airtight, leading to infection. In traditional Chinese medicine, patients with leukorrhagia due to spleen deficiency can use Wandai decoction to improve leucorrhea. Wandai decoction contains some traditional Chinese medicines for invigorating spleen and benefiting qi. The function of spleen is strengthened, which can help the body to deal with moisture and improve leucorrhea, but it still needs professional Chinese medicine to judge.

4. heartburn and flatulence

During pregnancy, intestinal peristalsis will slow down, and digestive ability will deteriorate, leading to flatulence, indigestion and constipation. Moreover, due to the low tension of esophageal sphincter, food will easily run to the esophagus, resulting in gastroesophageal reflux and burning sensation. Dr. Zhu Yilin pointed out: "It is especially obvious in the third trimester of pregnancy, because the stomach becomes bigger and the abdominal pressure increases, which makes it easier to have reflux. 」

The way of prevention

A small amount of meals, do not eat before going to bed, it is recommended to eat a small amount of meals; And with the increase of pregnancy weeks, the pillow should be raised when sleeping. Try not to eat for 3 hours before going to bed. Dr. Zhu pointed out: "Especially avoid eating before going to bed. Once you eat too much and eat delicately, heartburn will get worse the next day. If you feel hungry before going to bed, you might as well eat some vegetables, konjac and so on. And choose light liquid food as much as possible to reduce gastroesophageal reflux; In addition, eat more and eat less. In addition, it will be more comfortable to put a pillow on your back instead of lying in bed immediately after eating. Dr Zheng Yang added, "A small amount of dried tangerine peel or orange peel can be boiled and drunk to improve the symptoms of flatulence. 」

5. Edema

During pregnancy, the osmotic pressure in plasma will drop, resulting in sodium ion stagnation and water stagnation, especially in lower limbs such as ankles and calves, especially in the afternoon. Maybe it's not so serious in the morning, but it's even more serious in the afternoon. Dr. Zhu Yilin pointed out: "Pregnant women will inevitably have slight edema, but we should pay attention to whether there are other problems, such as edema caused by hypertension and pre-eclampsia. Therefore, doctors usually check urine sugar and urine protein during prenatal examination. If it is only simple edema of the lower body, it is mostly because of the change of osmotic pressure and abdominal bulging, which leads to the deterioration of blood circulation.

The way of prevention

Exercise+* * * Generally speaking, you can apply hot compress and soak your feet before going to bed at night, then * * * for a while, lift your feet for 5 minutes before going to bed, and wear elastic socks during the day; As for a light diet, Dr. Zhu Yilin said: "In addition, some activities should be arranged appropriately, such as walking and walking, to avoid the deterioration of leg circulation. 」

You can drink Buzhong Yiqi Decoction. Dr. Zheng Yang explained: "Pregnant women with spleen and lung qi deficiency are prone to edema, which can be modified by Buzhong Yiqi Decoction. But some people think that you can drink corn stigma soup or red bean soup to promote diuresis. In this regard, Dr. Yang explained: "Red bean soup can relax the pelvic cavity and promote diuresis. Corn beard soup is also helpful for edema symptoms, but it should be moderate. In fact, the main problem of edema comes from lung deficiency or spleen deficiency, which leads to insufficient venous return and difficult water metabolism. Therefore, it is suggested to treat spleen and lung, so that the pipes and circuits carrying water in the body can have the strength to operate.

lose hair

Eating black sesame seeds to examine hair loss from the perspective of traditional Chinese medicine. Because hair is blood, when blood has enough nutrition, hair will grow healthily. Furthermore, what is related to hair is the kidney. Dr Zheng Yang Dao pointed out: "After pregnancy, the operation of renal function becomes busy and the blood is dry, so it is easy to sacrifice hair and cause alopecia. I suggest eating some black sesame seeds. 」

The reason is that hair loss is caused by kidney water deficiency and blood dryness. Many pregnant women's hair will grow back slowly after giving birth, so this can be adjusted slowly after confinement, so don't worry too much. Unless the hair loss is serious like a ghost shaving, the cause of hair loss is not so simple at this time. It is recommended to see a doctor for examination.

In principle, there are many cases of postpartum alopecia, but alopecia during pregnancy is not common. Dr. Zhu Yilin pointed out: "Most women will have more hair during pregnancy, and because of their slow metabolism, they will lose less hair. However, postpartum metabolism becomes faster, resulting in a large number of hair loss from 4 months to 1 year and a half. But then the hair will grow back, but it will become thinner, which makes people mistakenly think that there is less hair. In addition, there will be more fine hairs, such as armpits and navel.

7. constipation

Constipation is also prone to occur during pregnancy, which is due to slow intestinal peristalsis from the perspective of western medicine; From the perspective of traditional Chinese medicine, it is because of the weakness of qi and blood that intestinal peristalsis slows down. Hemorrhoids, on the other hand, are caused by the depression of qi, especially in the late pregnancy, when abdominal pressure becomes larger, it will squeeze backwards and cause hemorrhoids. Dr. Tao pointed out: "From the perspective of Chinese medicine, it is also caused by qi deficiency of spleen and lung. 」

8. gasp

Uncomfortable symptoms often appear in the third trimester, such as low back pain, frequent urination and even panting. Dr. Yang explained that wheezing is that the abdominal bulge presses upward against the diaphragm, which reduces the effective area of the chest when breathing. In addition, there is a large amount of blood in the abdomen for centralized oxygen supply, and the demand for pregnant women to carry weight and consume oxygen even increases. This can not only reduce the inhaled oxygen, but also increase the demand for oxygen consumption, and the body will naturally have a compensatory response to breathing.

9. Low back pain

In addition, the weight of the abdomen is 10 kg, which is a huge burden for the mother. In addition, the secretion of luteinizing hormone will relax the pelvis and ligaments, and the center of gravity will change because of pregnancy, which will pull the pelvis and cause low back pain. Dr. Yang also specially reminded pregnant mothers to avoid carrying heavy objects and standing for a long time.

Oral cleaning and health care during pregnancy are very important.

10. Oral diseases

Pre-pregnancy oral examination Dr. Zhu Yilin pointed out: "Oral cleaning and health care during pregnancy are very important. She said that many pregnant women have to brush their teeth, rinse their mouths and floss their teeth after three meals because of inflammation or tooth decay, gums or nasal mucosal swelling. If there is inflammation in the gums, it must be treated as soon as possible. In addition, it is best for women who plan to get pregnant to have dental examination and treatment before pregnancy. During pregnancy, dentists can only treat symptoms, not deep treatment.

7 tricks, let pregnant mommy spend the winter 1. Avoid a hot and dry diet. From the perspective of traditional Chinese medicine, Dr. Zheng Yang said that every year's qi has the dirty qi of the main palm. This year is a non-birth year. Wang governs the bladder meridian palm and Chen governs the stomach meridian palm, which indicates that the energy of bladder meridian and stomach meridian will be stronger.

When the bladder and stomach are full of energy and there are many fetuses in the abdomen, it will aggravate the discomfort during pregnancy. Therefore, frequent urination, heartburn and flatulence of pregnant women will be more obvious this year. When you enter 12 months, you should pay attention to digestive tract problems such as small intestine and large intestine, and avoid greasy and hot food. As for heavenly stems and earthly branches 20 13, it is the fourth year, where the kidney governs and the heart governs. Therefore, pregnant women who are pregnant next year should pay more attention to urinary tract, frequent urination, low back pain and depression.

2. Wash your hands frequently. Because pregnant mommy has low immunity, it is easy to catch a cold. Therefore, Dr. Zhu Yilin reminded: "Wash your hands frequently, and you must rub them with soap for more than 60 seconds before flushing, instead of just spraying alcohol for disinfection. Pregnant women often think that alcohol disinfection is enough for convenience, but some bacteria can't be killed with alcohol.

A good mood of pregnant mommy is the best tonic.

3. Onion dressing In addition, wear a mask when going to public places; As far as clothing is concerned, try to be light, soft and warm, and don't wear too thick. Because pregnant mommy's body temperature changes greatly, sometimes she is afraid of heat or cold, so it is suggested to use onion dressing method to add and subtract clothes with her body temperature.

Dr Zheng Yang Dow added, "Clothes should be made of breathable and loose materials, and tights should be avoided. After all, there is a heavy physical and mental burden during pregnancy, so it is necessary to reduce the physical burden and psychological pressure as much as possible. In fact, pregnant women are not so afraid of cold in the case of high hormone concentration, but they still need to prevent colds. Especially if pregnant women are infected with influenza, it will increase the complexity of treatment, and the risk of infection should be minimized.

4. Adequate sleep For pregnant mothers, the later the pregnancy, the quality of sleep will be affected by abdominal bulge. Go home from work and take a nap, or take a lunch break at noon.

5. Moderate diet Winter is the season of tonic. Dr. Zhu Yilin specially reminded pregnant mothers to eat moderately and not to gain too much weight, with an average of 9 ~ 12 kg. In particular, the digestive ability of pregnant women's gastrointestinal tract is poor, and it is easy to vomit and diarrhea after eating a big meal, so the diet should be moderate and temperate.

The second pregnancy adds 300 calories a day.

In addition, Dr. Zhu pointed out: "After the second pregnancy, the daily calories will increase by 300 calories. Therefore, pregnant mommy should not deliberately eat a lot and make up a lot because she is pregnant. 300 calories is equivalent to a loaf of bread. In principle, you don't need to increase your diet for the first pregnancy, just eat normally, and only increase 300 calories every day after the second pregnancy.

6. Balanced Nutrition As for nutritional supplements, Dr. Zheng Yang Dao pointed out: "Modern people are rich in nutrition and there is no need to supplement health care products. In fact, vitamins, folic acid, iron and other nutrients needed by the fetus can be taken from natural food. Like oranges and tomatoes, it is rich in vitamin C; Meat, eggs and cereals contain vitamin B group; As for vitamin E, it can be obtained from green plants such as fish and broccoli.

However, I wish the doctor to remind me: "Vegetarian pregnant mothers advise pregnant women to take vitamin supplements. Anemia is prone to occur during pregnancy. Vitamin iron in pregnant women improves anemia. In addition, they also contain vitamin C or calcium, which can supplement nutrition in time.

7. Keep a good mood Finally, Dr. Yang suggested: "Keep a happy mood every day to face and accompany the growth of the fetus. Especially now, most of them are dual-employee families, so pregnant moms should not give themselves too much work pressure, which will help themselves and the fetus physically and mentally. The happy mood of pregnant mommy every day is the best tonic for the fetus and irreplaceable prenatal education. 」

Zhu Yilin Education: Department of Medicine, Taipei Medical College Experience: Resident of Obstetrics and Gynecology, Wan Fang Hospital/Chief Physician of Obstetrics and Gynecology, Wan Fang Hospital Current position: Full-time attending physician of Obstetrics and Gynecology, Wan Fang Hospital.

Yang Zhengdao Education: Bachelor of Chinese and Western Medicine in Chang Gung Memorial Hospital Experience: Training of Western Medicine Specialist in Chang Gung Memorial Hospital/Pediatric Resident in Chang Gung Memorial Hospital Chinese Medicine Branch/Pediatric Chief Physician in Chang Gung Memorial Hospital Chinese Medicine Branch Current position: Attending physician in Chinese medicine department of Chang Gung Memorial Hospital.

Interview and writing/Wei Consultation/Zhu Yilin, the attending physician of obstetrics and gynecology in the hospital, Yang Zhengdao, the attending physician of traditional Chinese medicine in Chang Gung Hospital, the makeup of Janice, the model/gentle pregnant mommy/Cai Photography/Lemon Lane Pavilion.

* For more details, please refer to: Mommy Baby 20 12/65438+ February mababy/