2021年11月2日星期二

Hemorrhoids attack during pregnancy! What should I do?

The incidence rate of hemorrhoids is about 76%, which can affect the development of the fetus and lead to malnutrition of the fetus.

Hemorrhoids in pregnant women generally show massive bleeding and hemorrhoid core loss, intermittent massive bleeding without pain, blood or jet bleeding during defecation, especially after eating constipation or spicy and irritating food. Hemorrhoids flow out of the anus, pain and sinking, and anal pruritus will occur when secretions stimulate the skin around the anus.

The data quality of pregnant women mainly showed anal discomfort, continuous humidity, cleanliness, itching and hemorrhoid nucleus exposure. It is easy to bleed and accompanied by severe pain. The symptoms of mixed hemorrhoids in pregnant women are internal hemorrhoids and external hemorrhoids.

1. During pregnancy, abdominal pressure increases continuously due to the oppression of uterus and fetus. Especially in the later stage of pregnancy, the inferior vena cava is subjected to more and more uterine compression, which directly affects the blood reflux, leads to the total congestion and expansion of hemorrhoid veins, increases the strength during delivery, aggravates the obstruction of hemorrhoid venous reflux, and causes hemorrhoids.

2. During pregnancy, the estrogen level increases, the sodium in the body is maintained, and the increase of blood vessels with high progesterone level is also one of the inducing factors of hemorrhoids. After pregnancy, diet changes, lack of activity, anal congestion, constipation, easy to get hemorrhoids.

1. Constipation of pregnant women causes difficulty in defecation and excessive force during defecation.

2. The fetus is too large or too many, the uterus becomes larger, and the uterus compresses the veins.

3. If you don't pay attention to the diet of pregnant women and eat too much spicy and stimulating food, the anal and rectal mucosa will be congested.

4. The activity of pregnant women is small, which affects the blood circulation of the whole body, poor pelvic blood circulation, hemorrhoid veins at the bottom of rectum and around anal canal swell.

5. Pregnant women have a small amount of activity, slow intestinal peristalsis, feces stay in the intestinal cavity for a long time, the water in feces is excessively absorbed, the stool is dry, and they exert too much force during defecation, which makes the veins around the anus round.

Symptoms do not need treatment, mainly to improve living habits.

Don't use drugs indiscriminately when you have symptoms. Go to the hospital first. Doctors give priority to conservative treatment and do not recommend surgical treatment for pregnant women. The focus is to reduce symptoms and eliminate symptoms, not cure them.

Acute treatment

Severe pain may occur if twisted hemorrhoids or incarcerated hemorrhoids are not reset in time. After seeing a doctor, the doctor pushes hemorrhoids into the anus and places gauze locally to prevent loss again. When hemorrhoids cannot enter the anus, hemorrhoids have necrosis and infection, and emergency surgery needs to be considered. Choose a safe, simple and effective surgical method.

General treatment

Change the lifestyle, eating habits and defecation habits, keep the stool unblocked and avoid constipation.

Bathing with warm water 2 ~ 3 times a day can reduce inflammation and edema, relieve discomfort and pain around the anus, and the water temperature should not be overheated to avoid scalding. Be careful not to fall when taking a bath.

When hemorrhoids are separated from anus, they should be reset quickly. The anus can be blocked with gauze to prevent further escape, and can prevent imprisonment, necrosis and infection after escape.

Drink more water, drink 1200 ml of water every day, and eat more food. Limit high-fat food and alcohol consumption.

You can do light exercises such as walking slowly.

life style

Try to control abnormal defecation habits such as defecation, sedentary and squatting, so as to minimize defecation time.

Try not to hold your breath when lifting heavy objects.

Pay attention to the cleanliness around the anus, avoid frequent friction, and try not to use soap and other irritants and allergies

According to need, do not need to add warm water detergent, 2~3 times a day, soap and bath lotion in the water.

During pregnancy, people should take the left lying position as far as possible to reduce the pelvic vascular pressure and reduce the occurrence of hemorrhoids in pregnant women.

Emotional psychology

Calm down and be happy

Avoid tension and worry.

Rest and exercise

Ensure adequate sleep time and proper exercise every day. It's OK to walk slowly.

You can eat foods with high cellulose content or take commercially available cellulose supplements orally. Adjust according to stool conditions. While taking cellulose orally, increase the amount of drinking water. Because simple oral cellulose can cause constipation.

habits and customs

Defecation time 3 minutes: the defecation time is reduced to 3 ~ 5 minutes. Stop defecation without defecation for 2 minutes, and use metamorphic agent according to the degree of dryness. (Shakespeare, Hamlet, defecate, defecate, defecate, defecate, defecate)

Defecate once a day: the general defecation frequency is once a day. If the stool is not dry and the defecation is not tired, it can take 2 ~ 3 days. When the stool is dry and difficult to defecate, the tax change can be applied temporarily.

Do not use excessive force during defecation. Do not read books, newspapers or mobile phones during defecation. When defecation is difficult, check whether the stool is dry or constipated.

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