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      羊水过多怎么办

      【导读】羊水是指怀孕时子宫羊膜腔内的液体。妈妈都清楚了解它是维持肚子里胎儿生命活动必不可少的部分,是胎儿的天然屏障。羊水虽然十分之重要,但也并不是量越多就越好。如果出现羊水过多怎么办?为什么会羊水过多?羊水过多吃什么好?羊水过多对胎儿有什么影响?带着这些问题,请继续往下看。

      首先,我们要知道妊娠期间羊水量超过2000ml,则成为羊水过多,它可以通过B检查来得知。在孕妈妈中,发生的概率仅为0.5%—1%。羊水过多还分为急性羊水过多和慢性羊水过多。若羊水量在数日内急剧增多,则为急性羊水过多;若羊水量在较长时间内缓慢增多,则为慢性羊水过多。那羊水过多怎么办呢?

      孕妈妈如果被确诊为羊水过多,建议你选择大医院去接受检查治疗。医生会安排做一个高清晰的B超检出,看看胎儿是否存在畸形。同时还有可能安排做羊水穿刺,看看胎儿是否有遗传性缺陷。

      在剩下的孕期里,孕妈妈还需要定期到医院里做胎心监护和B超检查,密切监控胎儿的生长发育情况。

      在分娩过程中,医生也会密切监控。因为羊水过多,破水时发生脐带脱垂(指脐带从宫颈口脱落出来)或胎盘早剥的风险也会增高,医生会密切监察情况来判断是否需要剖腹产。

      羊水过多的情况都是比较危险的,孕妈妈一定要密切配合医生的建议来进行检查或治疗,为胎儿的健康出生做足准备。

      很多孕妈妈都想了解清楚是什么情况而引致的羊水过多,为什么概率那么小还是会发生在自己的身上。羊水过多的原因比较复杂,目前医学上也不能对每个原因都能解释清楚,以下是轻度到重度羊水过多的一些常见原因:

      1、双胞胎或多胞胎造成羊水过多。

      如果你怀的是双胞胎或多胞胎,也有可能会出现羊水过多。在双胎输血综合征病例中,特别容易出现羊水过多的情况,其中一个胎儿的羊水太少,而另一个又羊水过多。

      2、妊娠期糖尿病导致羊水过多。

      如果你患有妊娠期糖尿病,而且没有很好地控制病情,你可能会羊水过多?;加刑悄虿〉脑懈局?,约有10%被诊断出羊水过多,通常是在孕晚期。

      3、胎儿畸形导致羊水过多。

      在很少见的情况下,由于疾病的原因,尽管胎儿的肾脏不断地产生尿液,但胎儿不再能继续吞咽羊水。导致胎儿出现吞咽困难的原因,可能包括幽门狭窄、唇裂、颚裂或某种胃肠道梗阻等。一些神经障碍也会妨碍胎儿吞咽,比如神经管缺陷或脑积水。

      4、胎儿贫血导致羊水过多。

      在更加少见的情况下,羊水过多还可能是胎儿因为RH血型不合、感染了传染性红斑等疾病而严重贫血的征兆。这两种情况都可以通过子宫内输血来治疗。如果是传染性红斑,可能无需治疗,宝宝就可以自愈。

      孕妈妈一旦确诊为羊水过多,为了肚子里宝宝的健康饮食问题也要开始注意。羊水过多的孕妇多吃什么好呢?

      中医在临床上常用源自《千金要方》的经典药方“鲤鱼汤”来调治孕妇的羊水过多。具体做法如下:

      材料:鲤鱼1条、去内脏、加白术15g、陈皮6g、茯苓15g、当归12g、白芍12g、生姜6g

      做法:煎浓汤,去药材

      用法:饮汤吃鱼,通常服用3—5剂即有明显的效果。

      因鲤鱼肉具有补脾健胃、利水消肿的功能,而白术、茯苓、生姜、陈皮具有健脾理气的功用,配合当归、白芍养血安胎,所以可以达到去水而不伤胎的双重功效。

      另外,羊水过多的孕妇饮食中要尽量少吃盐,多喝喝冬瓜皮汤,白扁豆和赤小豆煎水代茶饮也可用于利水以减少羊水量。

      羊水就像孕育这胎儿生长发育的海洋?!昂K碧?,会使胎儿的生长空间受到局限,引起缺氧甚至因窘迫导致生命危险;而“海水”过多也并非一件好事,因为过多时很容易引发早产、妊娠高血压等并发症。

      一般情况下,羊水过多越严重宝宝的死亡率就越高。在明显的羊水过多患者中新生儿预后较差。尽管B超可以发现明显的胎儿畸形,但是对外表正常的胎儿仍要认真对待,因为部分胎儿畸形B超尚难发现,另外染色体异常的发病率较高。羊水过多者早产、脐带脱垂、胎盘早剥等的并发症的发生率增加,影响胎儿的预后。妊娠合并糖尿病和新生儿红细胞增多症均使胎儿预后不良。

      为了优生优育,孕妈妈对于羊水过多问题一定要特别重视,一旦发现问题,及早前往医院接受正规检查与治疗,以免错过了最佳的治疗时间,导致病情越来越严重。

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