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宝妈怀孕期间皮肤瘙痒怎么办？孕妇皮肤瘙痒有什么办法？

发布日期：2024-06-11 12:36:51编辑：秩名


孕妇皮肤瘙痒怎么办

因为孕期女性激素的变化，而导致孕妈妈们变得格外敏感，尤其是皮肤。孕期孕妇皮肤瘙痒的情况其实并不少见，尤其在腹部和乳房的周围。因为怀孕导致孕妇的皮肤被拉撑，因此感觉稍有瘙痒感。另外，荷尔蒙的变化也是引起皮肤瘙痒的原因之一。引起孕妇皮肤瘙痒症的原因有很多种，孕妇在治疗的时候也需要根据症状采取相应的措施。那么，孕妇皮肤瘙痒怎么办？
 
1、首先孕妇要减轻自己的精神负担，避免因瘙痒导致情绪激动、烦躁、焦虑不安，应该冷静下来采取相应的缓解措施。
 
2、孕妇最好不要搔抓止痒。不断搔抓后，皮肤可能会发红并出现抓痕，使表皮脱落出现血痂，日久会导致皮肤增厚、色素加深，继而加重瘙痒，甚至还能引起化脓性感染。
 
3、勤换内衣内裤。保证自己的衣物干净也能让自己感觉更舒适。
 
4、防止食物刺激，少吃辣椒、生姜、生蒜等刺激性的食物。海鲜的摄入更要适量，因海鲜能加重皮肤瘙痒的症状。
 
5、洗澡时切忌用温度过高的水或使用碱性肥皂使劲擦洗，这样也会加重瘙痒的症状。
 
6、孕妇需在医生指导下用药，局部瘙痒可外涂薄荷酚、樟脑霜、樟酚酊、樟脑扑粉。必要时可短期选用副作用小的激素药膏，如艾洛松等。全身瘙痒可短期适当服用镇静剂或脱敏剂，如口服扑尔敏片，口服或静脉注射葡萄糖酸钙。当然要对症下药，用药前先了解自己皮肤瘙痒的原因，不可乱用药。

 

孕妇皮肤瘙痒正常吗

孕妇皮肤瘙痒症很常见，那么，孕妇皮肤瘙痒正常吗？会影响孕妇和胎儿的健康吗？其实，不少孕妇在怀孕期间都有出现皮肤瘙痒的症状，严重时甚至因剧烈的瘙痒而难以入睡。这不仅仅会影响孕妇的健康，对胎儿的发育也有一定的影响，所以应该及时诊治。孕妇皮肤瘙痒症的具体症状是否正常仍需要看具体的症状和原因，如果仅仅是因为孕期体内激素变化而引起的轻微瘙痒是正常的，如果是因为其他体内病因引起的则需要治疗了。
 
尤其是到了怀孕后期，大多数孕妇的肚皮都会痒，但基本都并不严重，因为这仅仅是因胎儿的长大使得皮肤产生妊娠纹而引起瘙痒。这一种瘙痒也属于无影响的皮肤瘙痒。但是有另外的一些病症引起的瘙痒则需要注意了，如胆汁郁积性瘙痒症、妊娠型类天疱疮、疱疹样脓痂疹和妊娠期丘疹皮肤炎。这些瘙痒症都是对孕妇和胎儿会造成一定影响的。因此，孕妇如果感到皮肤瘙痒严重，并非是正常的妊娠纹引起的瘙痒，最好及时前往医院治疗，以免耽误治疗时机，导致更加严重的后果。
 

孕妇皮肤瘙痒的原因

孕妇皮肤瘙痒问题可大可小，具体就要看孕妇皮肤瘙痒的原因到底是哪一种了。从怀孕到生产后1个月左右，约有1/5的准妈妈会有皮肤瘙痒的问题。而这些皮肤问题大部分与怀孕并无直接关系，反而是由一些皮肤疾病，例如湿疹、荨麻疹、药物疹以及细菌感染所造成的，与怀孕没有直接关系。所以在治疗前，应该先排出这些常见的皮肤病因，再怀疑是否单纯是因妊娠而引起的皮肤瘙痒等问题。孕妇皮肤瘙痒主要分为两种，一种是无影响的皮肤瘙痒，另外一种则是有影响的皮肤瘙痒。
 
对孕妇没有太大影响的症状引起的皮肤瘙痒有：
 
1、多型性妊娠症
 
这种症状一般在怀孕期间才会出现，发生原因可能因妈妈对胎儿的免疫反应所导致，这类皮肤疾病多属良性，对胎儿和妈妈本身的健康并不会造成影响。
 
2、妊娠痒疹
 
孕妇身上会出现红色或淡粉红色丘疹，患者会感到瘙痒，生产后会逐渐痊愈。一般与怀孕期间激素变化以及外来刺激物等因素有关，对胎儿和妈妈并无明显影响。
 
3、痒性毛囊炎
 
孕期间常见的痒症。 患者皮肤会出现一颗颗小丘疹或小脓包，一般在上半身，容易出现在怀孕第4-9月，产后消失。
 
4、妊娠皮疹
 
通常在怀孕4-9个月之间发生，皮肤上会出现小红疹，常发于四肢，看起来像虫咬，对胎儿无健康。
 
对孕妇有影响的症状引起的皮肤瘙痒有：
 
1、胆汁郁积性瘙痒症
 
多发生在怀孕后期。因肝脏代谢与胆汁郁积问题产生的瘙痒症状，严重时会出现黄疸、肝功能异常、胆酸升高等现象，也可能因此导致死胎、早产。不过此疾病的发生几率并不高，约在0.02%-2.4%。
 
2、妊娠型类天疱疮
 
通常发生在怀孕后期。属自体免疫性疾病，是一种罕见疾病，症状为腹部出现很痒红疹或水泡，而后迅速扩散，可能引发胎儿早产或低出生体重。发生率约为1/60000-1/40000。
 
3、疱疹样脓痂疹
 
属于一种脓疱型干癣，孕妇皮肤会有脓疱，而且可能会发热、发冷，抽血检查会发现有血钙下降情形，也可能造成死胎、早产、流产。
 
4、妊娠期丘疹皮肤炎
 
这种炎症的发生率很低，全身各部位都可能发病。患病时全身皮肤会出现疹子，病因仍不清楚，但可能会造成流产或胎死腹中。
 

孕妇皮肤瘙痒用什么药

孕妇皮肤瘙痒多出现在妊娠中后期以后，且瘙痒的程度轻重不一。怀孕期间你的皮肤上出现了任何一种疹子，都要告诉医生。不论这种疹子是否和怀孕直接有关，最好都由医生来进行确诊。孕妇皮肤瘙痒的症状一般只有到分娩后才能减轻直至消失，孕期可以适当用药。
 
如果只是一般的皮肤疾病引起的瘙痒，可使用百草堂百卉膏，这种药膏适用于婴幼儿细菌性引起的湿疹、奶癣、尿布疹、皮炎、瘙痒、痱子、烧烫伤及蚊虫叮咬等。局部瘙痒可外涂薄荷酚、樟脑霜、樟酚酊、樟脑扑粉。必要时可短期选用副作用小的激素药膏，如艾洛松等。孕妇如果出现全身瘙痒可短期适当服用镇静剂或脱敏剂，如口服扑尔敏片，也可口服或静脉注射葡萄糖酸钙。
 
如果孕是孕妇怀孕引起的瘙痒症，如胆汁郁积性瘙痒症、妊娠型类天疱疮、疱疹样脓痂疹和妊娠期丘疹皮肤炎等，都应该及时前往就医，切勿随意用药。

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