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孕期胃痛呕吐,孕妇胃痛呕吐原因

发布日期:2024-06-07 17:30:57编辑:秩名

孕妇胃疼呕吐 孕妇胃疼呕吐原因 孕妇胃疼呕吐缓解方法

孕妇胃疼呕吐的原因

1.怀孕引起括约肌松弛,胃酸返流所致。怀孕后,由于激素的改变,使得括约肌松弛,吃下去的东西就很容易跑上来(括约肌位于食管与胃的连接处,它使得我们吃进去的东西只能下去不能上来)。致使胃内酸性内容物从胃里返流到食道、喉咙及嘴里,刺激粘膜引起的。
 
  2.在怀孕4个月左右时,子宫增大,同时子宫圆韧带被牵拉,很多准妈妈都会感觉有些腹痛。妊娠中期,宝宝逐渐长大,准妈妈腹腔内压力也随之升高。如果准妈妈的食管裂孔(食管通过此裂孔下行与胃相连)增宽,可能会出现食管裂孔疝,因而腹痛。此时腹痛多伴有胸闷、气短、胸痛、胃里返酸、打嗝等症状。食管裂孔疝在孕期约有30%~50%的发生率,孕晚期有时症状更为明显。
 
  3.逐渐变大的子宫压迫肠胃,致使胃酸更容易返流。妊娠晚期,逐月增大的子宫也会压迫到胃,再加上荷尔蒙使隔离食道和胃的肌肉变得松弛,从而导致胃酸更容易向上翻涌并使胸部产生灼热感。
 
  4.饮食不节暴饮暴食或过食生冷肥甘之品,以致脾胃受伤,食滞中焦,气机不利而产生胃脘疼痛。或因寒凉伤中,胃阳被遏,正邪交争,而胃痛乃作。
 
  5.脾胃虚弱病后脾胃受损或素体脾胃虚弱,中阳不振,寒从内生,以致脾不运化,胃失和降,而发生疼痛。胃阴素虚或病久阴伤,胃失濡养,胃气不和亦能发生疼痛。
 

孕妇胃疼呕吐缓解方法

  1.每天捏一捏小腿肚
 
  部位:小腿肚内侧1/3处的肌肉部分(腓肠肌内侧缘)。
 
  方法:用手捏住上述部分肌肉,拇指与四指相对,稍用力按捏,以自觉有较强的酸痛为度。自上而下按捏,再自下而上按捏。一般以各15—30次为宜。根据疼痛情况,酌情加减。每日可进行1—3次。
 
  注意在按捏过程中,应有揉的动作——酸痛感强,止痛效果好,不可因怕有酸痛感而不用力。
 
  此法对急性发作的胃痛效果较好。慢性胃病发作时,运用此法也同样有效。
 
  2、适当减少饮食量
 
  因为孕期激素和子宫压迫的原因,肠胃功能会减退,而很多孕妇又在孕期实行大补特补”,每天摄入的食物过多,导致胃部超负荷运转,会造成胃痛。所以应适当减少孕妇的饮食,尤其是其中含糖量较高的食物。
 
  3、可以给孕妇吃点玉米面粥
 
  如果孕妇胃疼,可以多给孕妇喝点玉米面粥,如果消化还可以,可以适当加一点小米粥,山药粥(大米和山药对半,山药切的碎一点,煮的时间一定要长,须比平时开锅时间长15分钟以上),尽量不要和单纯的大米粥。不要随意在粥中添加辅料,可以适当加一点大枣。饮食以清淡为主,在胃疼症状减轻后,再逐渐添加高热量高营养的食物。
 
 

孕妇胃疼呕吐检查

  1.常规检查:观察胃痛时的症状,如伴有胸闷烧心、吐酸水、打嗝等症状,可能是食道疾病;假如伴随空腹疼痛、饱胀饿痛、打嗝具酸味、甚至吐血等症状,可能是胃溃疡;以疼痛时间为判断依据,饭后半小时到两小时胃痛可能是胃溃疡。
 
  2.胃镜检查及活组织检查:胃镜检查结合直视下活组织病理检查,是诊断慢性胃炎的主要方法。浅表性胃炎常胃窦部为最明显,多为弥漫性,胃粘膜表面呈红白相间或花纹状改变,有时见散糜烂,常有白色或黄白色渗出物。萎缩性胃炎的粘膜多呈苍白或灰白色,皱壁变细或变平坦,由于胃粘膜变薄,使粘膜下血管可透见呈紫蓝色,病变可弥漫或主要胃窦部。胃液分析:慢性萎缩性胃炎,胃酸分泌常有障碍,尤以胃体部慢性萎缩性胃炎时最严重。
 
  所以,孕妇出现严重的胃疼呕吐,应引起足够的重视,应及时到医院进行检查及治疗,做到防患于未然。怀孕期间,孕妇常常被用药问题烦恼,其实面对生活中的一些日常疾病,主要还是应该以预防为主,这样我们的胎儿在生长发育期间也会更少的受到药物的影响。任何时候孕妈妈们都应该意识到,药物对于孩子是有消极影响的,所以在怀孕期间的用药问题上,孕妇一定要慎重。如果孕妇胃疼需要用药,一定要遵照医生的指示定量按时服用。
 
  孕妇胃疼呕吐治疗
  孕妇在怀孕初期最好不要服用治疗胃病的药物。孕期发生急性胃炎,一般通过禁食、补液等保守治疗是可以自愈的,如出现呕吐可以服用维生素B6。在怀孕3个月后如果出现慢性胃病,情况较严重者(如胃部疼痛持续不能缓解或者有胃溃疡病史,怀疑胃溃疡复发,可能会造成胃出血)可以用达喜来治疗。而其他胃药,如抑酸剂(如西咪替丁、奥美拉唑等)、胃肠促动药(如胃复安、吗丁啉)等即便是在怀孕后期都是禁用或慎用的。
 
  约半数女性在怀孕6周左右就会出现早孕反应,有时也会有恶心、呕吐、胃痛、胃胀等症状。但这一现象跟胃病是要区别对待的,早孕反应严重者一般可适当服用维生素B6或者补充富含维生素B6的食物,但最好不要用胃药。孕期服药很容易使药物通过胎盘被胎儿吸收,当碰到一些不理胎儿生长发育的药物时就可能对胎儿的身体造成危害,甚至流产,因此孕期不管用什么药都应该谨慎,以防不测,当然如果用药不慎出现流产症状,也应视情况让其流掉,这是自然选择的结果,不能一味地保胎,否则可能出现缺陷儿。
 

孕妇胃疼呕吐吃什么好

  1、粥类
 
  一直以来粥类食物都是养胃的首选,各种粥类食物中不仅富含有大量的营养物质,同时还具有易消化易吸收的特点,因此是各种胃肠道疾病患者的最佳饮食首选。其中以南瓜粥以及玉米粥最具有养胃以及缓解胃痛的功效。
 
  孕妇喝点玉米面粥,可以适当加一点小米粥,山药粥(大米和山药对半,山药切的碎一点,煮的时间一定要长,须比平时开锅时间长15分钟以上),尽量不要喝单纯的大米粥。不要随意在粥中添加辅料,可以适当加一点大枣。饮食以清淡为主,在胃疼症状减轻后,再逐渐添加高热量高营养的食物。
 
  2、两种饮品
 
  孕妇胃口不好,或者消化不良,可以多喝一些牛奶,补充营养,安神补脑。不要早晨空腹喝牛奶,而是改在早饭后1-2小时后喝牛奶,胃中有食物防止了空腹喝牛奶的缺点;二是喝奶前先吃一些含淀粉较多的食物,如馒头等,这样可使牛奶在人胃中停留时间较长,牛奶与胃液能够充分发生酶解作用,使蛋白质能够很好的消化吸收。
 
  3、汤水
 
  汤水类食物并不包括粥类食物,但这类食物同样具有很好的养胃以及缓解胃痛等功效,所谓的汤水是由各种食材熬制而成。但注意不要喝过多的肉汤,要想真正的起到养胃的功效,在平时生活中最好是多喝菜汤,比如像菠菜粉丝汤、鸡蛋汤等。
 
  在熬汤的时候一定要注意不要过量的放食盐,以免对肠胃造成再一次的伤害。

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