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      孕妇发烧怎么办

      【导读】孕妇发烧时,妈咪都很担心发烧发热会对宝宝产生不良影响,国外曾有学者证实,“高热”是胎儿致畸的重要影响因素之一,认为在孕早期不论何种原因导致的孕妇体温升高,如中暑、高温作业、洗热水澡等都会危害胎儿。因此,妈咪发现自己发烧时都会变得束手无助。下面妈网百科为你分解担忧,孕妇发烧有办法。

      孕妇发烧了怎么办?一般来说孕妇在怀孕后身体抵抗力都会比较弱,比较容易感冒发烧。短暂性轻度发烧对胎儿是不会造成什么大的影响和伤害的,如果孕妇高烧持续到24小时就有可能对胎儿造成不良的影响。因此是必须考虑到医院就诊,按照医生的指导用药了。

      如果孕妇体温未超过38.5℃,可考虑以物理方法如温水擦拭等来退烧孕妇发烧了怎么办?

      1、物理降温:一般而言,若孕妇的体温未高过摄氏38.5度以上,且无明显的不适症状,就可以考虑以物理方法帮忙退烧如:冰枕、散热贴片、温水擦拭如用温毛巾反复擦身,在腋窝、额部和腹股沟部放置冰袋等等。

      2、退烧药:尽量不用,至于何时才考虑使用药物,也因人而异,但若体温高于摄氏38.5度以上且合伴有不舒服的症状时,则可以考虑在医生的指导下使用药物辅助,否则会伤害胎儿。

      3、对症下药:必须特别重申的是,造成发烧的病原对母体及胎儿的伤害,比发烧更重要,所以,孕妇发烧时,重要的是找出发烧的病因,对症下药,这比单纯退烧来的更重要。

      发烧感冒一般表现为头痛发热、咳嗽、疲劳无力、肌肉酸痛、食欲不振等对于孕妇有着不少的影响。为了缓解病情,孕妇一般会采取吃药,虽说在怀孕期间孕妇最好不用药,如果是有用药的必要,必须要在医生的指导下用药,不能盲目私自用药,因为它不仅和药品本身有关,还和孕程有关。那么孕妇发烧可以吃什么药?

      1、孕妇发烧可以用对乙酰氨基酚治疗,每次服用一剂对乙酰氨基酚,药效可持续6小时,即24小时内可服用4次。布洛芬类、柴胡注射液等可用。

      2、消炎痛是孕妇禁忌退热药,阿司匹林孕32周后也不宜使用。曾有报道,吲哚美辛类药物会导致胎儿心脏的动脉导管过早闭合。

      3、孕妇感冒如果没明确的细菌感染证据,不要用抗菌素。因为抗菌素可通过胎盘作用于胎儿体内,有20%~40%的可能性对胎儿构成危害,要在医生指导下服用。

      孕妇的体温比一般人高,因为她新陈代谢速率较快,体温就会略高于平日0.5℃,因此,孕妇的体温上升至37.5℃以上,就考虑是否有发烧的可能了;若是体温超过38.5℃时,且持续超过24小时,就会增加胎儿发生神经管缺损(如无脑儿)的机会。因此必须要做好降温退烧的措施。

      发烧对胎儿或母体的伤害,并不会大于病因本身所造成的伤害,如发烧是由德国麻疹感染所引起,那么病毒对胎儿的伤害(例如畸形),会远超过发烧本身所造成的热伤害。

      在早孕期之后,如果是有流感引起的发烧一般是不会对宝宝造成之间的影响的,不过孕妇会因为流感而很严重。所以,孕妇应该接种流感疫苗来预防。但如果孕妇身体健康,普通的孕期感冒发烧不会对孕妇或胎儿造成太大的影响。

      孕妇处于生理期特殊时期,一旦发现孕妇发烧必须做好退烧降温措施,用体温计测量体温,每间隔20分钟做一次测量,并做好测量结果记录。下面是孕妇发烧降温的方法:

      1、多喝白开水,由于发烧会消耗热量,体内水分蒸发,盐分就会丢失,所以孕妇最好多喝水如此既能及时补充水分又有利于体内代谢物和毒素的排泄。如出汗太多的妈妈可在水中加入适量的白糖和碘盐,维持体内糖分与水分的平衡。

      2、充分休息,由于是特殊时期的孕妇感冒发烧时更需要充分休息,以减少体力消耗,且保持室内空气流通,减少油腻食物的摄入。

      3、温水擦?。何滤猎∮欣谄し粞芾┱?,有利于散热,用温水擦拭全身时要注意保温,如发冷、脉搏改变都要马上停止;不要贪凉用冷水擦拭,冷水擦拭会导致皮肤血管收缩,更不利于散热。

      4、冰敷,冰敷这种方法一直存在争议,特别是畏寒、打寒战的孕妇最好不要使用冰敷,有人说冰敷可能会引起小孩皮肤的毛细血管收缩,阻碍散热。

      5、盐水漱口,如孕妇发烧出现咽喉感染可用盐水漱口,对咽喉感染会有一定的疗效。

      6、饮食平衡,多吃水果和蔬菜,合理的饮食可以为身体提供维生素、矿物质、蛋白质等,对身体恢复有好处哦!

      在很多时候当我们发烧了都会想到通过选择用药进行退烧,由于孕妇处于生理期特殊时期,在用药方面是比较格外小心注意点,因为它不仅和药品本身有关,还和孕程有关。有一些药物孕妇是不可以随便服用的,那么孕妇发烧用药有哪些禁忌呢?

      1、消炎痛:消炎痛会引起胎儿再生障碍性贫血。

      2、青霉素:能够破坏胎儿的红细胞,也会引起严重黄疸,甚至胎儿死亡等。

      3、安定:有导致女胎男性化的特征,可能会导致胎儿畸形。

      4、维生素D:维生素D大量服用可能会引起高钙血症和智力发育迟缓等

      5、过量维生素C和E:英国最新研究发现,孕妇过量服用维生素E和C对胎儿是有所伤害的,不仅有腹中死胎的可能,还有造成妊娠毒血症,而且还增加了重量轻的婴儿几率。

      6、利血平:利血平能够引起新生儿中毒,甚至缺氧性死亡。

      7、杜冷丁、吗啡:杜冷丁能够导致新生儿窒息,吗啡也会抑制新生儿呼吸。

      所以准妈妈用药时一定要仔细阅读说明书,最好是咨询医生用药。

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