2021年11月15日星期一

How to alleviate hemorrhoids during pregnancy?

Apply ointment when taking a bath, and give priority to adjusting diet and defecation habits

Liu Yan, anorectal and attending physician of Zhongda Hospital Affiliated to Southeast University.

As the saying goes, "ten people nine hemorrhoids". Pregnant women suffering from hemorrhoids will be very embarrassed, the treatment will affect the fetus and breast milk, and the incurable disease will make the pain unbearable.

The incidence rate of incidence rate incidence of perianal diseases, 20~24 years old incidence rate 62%, 30~38 age incidence rate 77%, and the incidence of late pregnancy incidence are higher. The incidence rate of incidence of hemorrhoids, pregnancy and delivery, the incidence of 1 births and the incidence rate of disease were 3 and 81%, respectively. On the other hand, the incidence rate of haemorrhoids was 62%.

Allegations during pregnancy are related to the following factors. With the growth of the fetus, the uterus increases and compresses the abdominal blood vessels. The hormones secreted by pregnant women are easy to relax the smooth muscle of the blood vessel wall. The increase of abdominal pressure compresses the intestine, causing hemorrhoids or aggravating the original hemorrhoids. During pregnancy, the amount of exercise is small, and dietary changes will lead to dry stool, poor defecation, anal injury, external hemorrhoids, anal fissure and other diseases. Many people think that intensive exercise in the later stage of pregnancy is easy to produce, but excessive exercise, especially walking too much, will increase the swelling feeling of hemorrhoids. For women in late pregnancy, exercise appropriately and walk for no more than 1 hour.

"Confinement" is also a high incidence season of hemorrhoids. The continuous and violent increase of abdominal pressure during delivery will lead to basin subsidence, venous congestion and induce or aggravate hemorrhoids. Coupled with a variety of complementary foods, it will cause fire, postpartum constipation, hemorrhoids or deterioration.

In the face of hemorrhoids, many pregnant women choose patience in order not to affect the development of the fetus. In fact, there are hip baths and topical ointments. If you have bleeding symptoms, don't forget to apply cold compress. Repeated bleeding after conservative treatment will cause anemia, dizziness, dyspnea, fatigue, mental discomfort and other symptoms, affect the health of pregnant women and fetuses, and require surgical treatment. Therefore, it is best to carry out it at the end of pregnancy and postpartum.

In order to prevent hemorrhoids, pregnant women should eat more fresh fruits and vegetables rich in fiber, such as apples, cooked bananas and pitaya. Do not eat spicy food. Develop the habit of regular defecation. Don't play with your mobile phone and read books when defecating. Pay attention to local cleaning after defecation or before going to bed, and often exercise your anus. Don't stay too long. Lie on your side to reduce the pressure on the pelvic vessels. Pregnant women should pay attention not to abuse musk, borneol, motherwort, hemostatic and other stimulants. If the symptoms worsen, you must immediately receive anorectal diagnosis and treatment in a regular hospital.

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