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      产后恶露反复

      【导读】产后恶露反复是指产后6周恶露未净或伴有不规律子宫出血,也称为恶露延长。顺产和剖宫产均有可能发生,并与产妇产后休养好坏、是否母乳喂养有关。剖宫产后的产妇尤其容易出现产后恶露反复。

      生产后,很多产妇以为只要安心坐月子,其他问题不必烦恼什么??墒遣簧俨救磁龅搅烁髦指餮牟蠖衤段侍?。有些产妇恶露停止几天后又开始有恶露流出的情况,这就是我们说的恶露反复。产后恶露反复的原因是什么呢?

      1、组织物残留

      可因子宫畸形、子宫肌瘤等原因,也可因手术操作者技术不熟练,致使妊娠组织物未完全清除,导致部分组织物残留于宫腔内。此时除了恶露不净,还有出血量时多时少,内夹血块,并伴有阵阵腹痛。

      2、宫腔感染

      可因产后洗盆浴,或卫生巾不洁,或产后未满月即行房事,也可因手术操作者消毒不严密等原因致使宫腔感染。此时恶露有臭味,腹部有压痛,并伴有发热,查血象可见白细胞总数升高。

      3、宫缩乏力

      可因产后未能很好休息,或平素身体虚弱多病,或生产时间过长,耗伤气血,致使宫缩乏力,恶露不绝,恶露反复。

      4、过早进补

      如果新妈妈过早吃麻油鸡(如在第一、二周食用麻油鸡),会导致恶露不易排干净,甚至导致延迟性产后出血,如此容易使血块堆积于子宫内,甚至会有子宫内膜炎与败血症等可能。

      产后恶露反复是由于产时劳伤经脉,导致气血运行失常,而致产后3周以上,断断续续地反复有阴道出血。相当于子宫复旧不良,子宫轻度感染,胎盘、胎膜残留等。产后恶露反复不绝对产妇的身体会造成很大的伤害。产后恶露反复会对产妇的身体造成怎样的危害呢?

      产后恶露反复的危害有:

      1、产后恶露延长会导致局部和全身感染,严重者可发生败血症;

      2、恶露延长还会引起切口感染裂开或愈合不良,甚至需要切除子宫;

      3、恶露延长最要注意,也是最易发生的是晚期产后出血,甚至大出血休克,危及产妇的生命。所以,提倡自然分娩好。

      面对产后恶露反复的问题,不少产妇感到无比烦恼担忧。其实产后恶露反复并不可怕,很多产后妇女都会碰到这样的问题。产后恶露的反复的发生与产后的恢复,产后的清洁卫生与产后的进补有很大的关系。针对这些原因,面对产后恶露反复怎么办?

      1、分娩前积极治疗各种妊娠病,如妊娠高血压综合征、贫血、阴道炎等。

      2、对胎膜早破、产程长者,给予抗菌素预防感染。

      3、分娩后仔细检查胎盘、胎膜是否完全,如有残留者及时处理。检查胎盘胎膜将胎盘平铺,母体面向上,注意各叶能否对合,有无缺损。然后将胎膜提起,检查是否完整,同时注意有无异常血管通过胎膜,如有血管断端者,说明可能有“副胎盘”残留在宫内。如胎盘不完整或大部分胎膜残留,须在严密消毒下,徒手或用器械进入宫腔取出,以防产后出血或感染。如有小部分胎膜残留,可于产后使用宫缩剂促其自然排出。

      4、坚持哺乳,有利于子宫收缩和恶露的排出。

      5、分娩后每日观察恶露的颜色、量和气味,正常的恶露,应无臭味但带有血腥味,如果发现有臭味,则可能是子宫内有胎物残留,应立即治疗。

      6、定期测量子宫收缩度,如果发现收缩差,应该找医生开服宫缩剂。

      7、保持阴道清洁。因有恶露排出,妇女应勤换卫生棉,保持清爽,最好暂时禁止行房,避免受感染。

      8、产后恶露不绝,若怀疑有胎盘残留,应及时去医院就诊,并在医生指导下治疗。

      面对产后恶露反复的问题,我们除了及时到医院检查找出病因接受医生治疗外,产后生活中,注意休息饮食和一些日常生活习惯能更好的帮助康复与预防产后恶露反复的发生。

      产后恶露反复的注意事项:

      1、产后未满50天绝对禁止房事。

      2、使用垫纸质地要柔软,要严密消毒,防止发生感染。

      3、恶露减少,身体趋向恢复时,可鼓励产妇适当起床活动,有助于气血运行和胞宫余浊的排出。

      4、保持室内空气流通,祛除秽浊之气,但要注意保暖,避免受寒。若血热证者,衣服不宜过暖。

      5、卧床休息静养,避免情绪激动,保持心情舒畅,安慰病人,消除思想顾虑,特别要注意意外的精神刺激。

      6、脾虚气弱的病人,遇寒冷季节可增加羊肉、狗肉等温补食品。肝肾阳虚的病人,可增加滋阴食物,如甲鱼、龟肉等。

      7、产后恶露不尽患者要注意阴道卫生,每天用温开水或1:5000高锰酸钾液清洗外阴部。选用柔软消毒卫生纸,经?;辉戮婧湍诳?,减少邪毒侵入机会。

      8、加强营养,饮食总宜清淡,忌生冷、辛辣、油腻、不易消化食物。为免温热食物助邪,可多吃新鲜蔬菜。若气虚者,可予鸡汤、桂圆汤等。若血热者可食梨、橘子、西瓜等水果但宜温服。

      产后的新妈妈身子骨还是比较虚弱的,因此在这段时间应好好护理,以免落下了月子病,产后房事也要尽量往后延一延,毕竟此时子宫还处于恢复状态,若是产后强行行房,那么很容易造成黏膜破裂、子宫内膜感染,造成恶露反复,那么产后吃什么能调理恶露反复呢?下面我们来了解一下产后的一些调理食谱!

      1、小米鸡蛋红糖粥

      原料: 新鲜小米100克,鸡蛋3个,红糖适量。

      做法: 先将小米清洗干净,然后在锅里加足清水,烧开后加入小米;待煮沸后改成小火熬煮直至煮成烂粥;再在烂粥里打散鸡蛋、搅匀,稍稍煮煮放入红糖后即可食用。

      营养功效: 小米营养丰富是产后补养的佳品,与鸡蛋、红糖一起食用可以补脾胃、益气血、活血脉,适用于产后虚弱、口干口渴、恶露不尽等症食用。

      2、山楂红糖饮

      原料:取个大、肉多的新鲜山楂30克,红糖30克。

      做法:先清洗干净山楂,然后切成薄片,晾干备用;在锅里加入适量清水,放在火上,用旺火将山楂煮至烂熟;再加入红糖稍微煮一下,出锅后即可给产妇食用,每天最好食用2次。

      营养功效:山楂不仅能够帮助产妇增进食欲,促进消化,还可以散淤血,加之红糖补血益血的功效,可以促进恶露不尽的产妇尽快化淤,排尽恶露。

      查一查能不能吃
      食物分类
      • ??
      • 选择食物分类
      • 五谷杂粮
      • 食物加工篇
      • 蔬菜/食用菌
      • 肉禽蛋/野味
      • 水果
      • 水产品/海鲜
      • 调味品
      • 饮品/饮料
      • 零食/小吃
      • 豆/乳/奶制品
      • 干果
      • 补品
      • 草药
      适用人群
      • ??
      • 选择适用人群
      • 不限
      • 孕妇
      • 产妇
      • 哺乳期
      • 婴儿
      能不能吃
      • ??
      • 能不能吃
      • 不限
      • 能吃
      • 慎吃
      • 不能吃
      查看结果
      • 索引
      • 产后恶露反复
      • 产后恶露反复的危害
      • 产后恶露反复怎么办
      • 产后恶露反复该注意什么
      • 产后恶露反复吃什么调理
      • 相关百科
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