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媽咪沒激情 產后惡露多久干凈

出處：網絡收集 日期：2024-07-15 17:05:09 編輯：秩名
產后媽咪沒激情 惡露多久干凈
 
　　媽咪產后都會出現惡露，但是惡露的多少都是因人而異的。有些媽咪常常由于惡露的困境，導致很多尷尬情況的出現。那么，我們就來談談惡露的真實面目是怎樣的?媽咪應該怎樣應對不盡的惡露?
 

什么是產后惡露

　　婦女產后，由陰道排出的瘀血、黏液。產婦分娩后隨子宮蛻膜特別是胎盤附著物處蛻膜的脫落，含有血液，壞死蛻膜等組織經陰道排出稱為產后惡露(或稱惡露不盡、惡露不凈、惡露不絕、產后惡露不盡、產后惡露不絕)。惡露持續(xù)的時間因人而異，平均約為21天，短者可為14天，長者可達6周。
 
　　小編知道不少媽咪的惡露時間可能會有所延長，甚至會反反復復，這樣的現象又是為什么呢?
 

產后惡露反復的原因

　　1、組織物殘留
 
　　可因子宮畸形、子宮肌瘤等原因，也可因手術操作者技術不熟練，致使妊娠組織物未完全清除，導致部分組織物殘留于宮腔內。此時除了惡露不凈，還有出血量時多時少，內夾血塊，并伴有陣陣腹痛。
 
 
　　2、宮腔感染
 
　　可因產后洗盆浴，或衛(wèi)生巾不潔，或產后未滿月即行房事，也可因手術操作者消毒不嚴密等原因致使宮腔感染。此時惡露有臭味，腹部有壓痛，并伴有發(fā)熱，查血象可見白細胞總數升高。
 
　　3、宮縮乏力
 
　　可因產后未能很好休息，或平素身體虛弱多病，或生產時間過長，耗傷氣血，致使宮縮乏力，惡露不絕。
 
　　由于癥狀表現不一，治療也不盡相同。

產后惡露不凈的危害

 
 
　　產后惡露反復是指產后6周惡露未凈或伴有不規(guī)律子宮出血，也稱為惡露延長。
 
　　順產和剖宮產均有可能發(fā)生，并與產婦產后休養(yǎng)好壞、是否母乳喂養(yǎng)有關。剖宮產后的產婦尤其容易出現惡露延長。其危害有：
 
　　1、產后惡露延長會導致局部和全身感染，嚴重者可發(fā)生敗血癥;
 
　　2、惡露延長還會引起切口感染裂開或愈合不良，甚至需要切除子宮;
 
　　3、惡露延長最要注意，也是最易發(fā)生的是晚期產后出血，甚至大出血休克，危及產婦的生命。所以，提倡自然分娩好。

產后惡露不盡怎么辦

　　1、分娩前積極治療各種妊娠病，如妊娠高血壓綜合征、貧血、陰道炎等。
 
　　2、對胎膜早破、產程長者，給予抗菌素預防感染。
 
　　3、分娩后仔細檢查胎盤、胎膜是否完全，如有殘留者及時處理。檢查胎盤胎膜將胎盤平鋪，母體面向上，注意各葉能否對合，有無缺損。然后將胎膜提起，檢查是否完整，同時注意有無異常血管通過胎膜，如有血管斷端者，說明可能有“副胎盤”殘留在宮內。如胎盤不完整或大部分胎膜殘留，須在嚴密消毒下，徒手或用器械進入宮腔取出，以防產后出血或感染。如有小部分胎膜殘留，可于產后使用宮縮劑促其自然排出。
 
　　4、堅持哺乳，有利于子宮收縮和惡露的排出。
 
　　5、分娩后每日觀察惡露的顏色、量和氣味，正常的惡露，應無臭味但帶有血腥味，如果發(fā)現有臭味，則可能是子宮內有胎物殘留，應立即治療。
 
　　6、定期測量子宮收縮度，如果發(fā)現收縮差，應該找醫(yī)生開服宮縮劑。
 
　　7、保持陰道清潔。因有惡露排出，婦女應勤換衛(wèi)生棉，保持清爽，最好暫時禁止行房，避免受感染。
 
　　8、產后惡露不絕，若懷疑有胎盤殘留，應及時去醫(yī)院就診，并在醫(yī)生指導下治療。

產后惡露不凈的注意事項

　　一、產后未滿50天絕對禁止房事。
 
 
　　二、使用墊紙質地要柔軟，要嚴密消毒，防止發(fā)生感染。
 
　　三、惡露減少，身體趨向恢復時，可鼓勵產婦適當起床活動，有助于氣血運行和胞宮余濁的排出。
 
　　四、保持室內空氣流通，祛除穢濁之氣，但要注意保暖，避免受寒。若血熱證者，衣服不宜過暖。
 
　　五、屬血熱、血瘀、肝郁化熱的病人，應加強飲料服食，如藕汁、梨汁、橘子汁、西瓜汁，以清熱化淤。
 
　　六、臥床休息靜養(yǎng)，避免情緒激動，保持心情舒暢，安慰病人，消除思想顧慮，特別要注意意外的精神刺激。
 
　　七、脾虛氣弱的病人，遇寒冷季節(jié)可增加羊肉、狗肉等溫補食品。肝腎陽虛的病人，可增加滋陰食物，如甲魚、龜肉等。
 
　　八、分娩后絕對臥床休息，產后惡露不盡患者要注意陰道衛(wèi)生，每天用溫開水或1:5000高錳酸鉀液清洗外陰部。選用柔軟消毒衛(wèi)生紙，經常換月經墊和內褲，減少邪毒侵入機會。
 
　　九、加強營養(yǎng)，飲食總宜清淡，忌生冷、辛辣、油膩、不易消化食物。為免溫熱食物助邪，可多吃新鮮蔬菜。若氣虛者，可予雞湯、桂圓湯等。若血熱者可食梨、橘子、西瓜等水果但宜溫服。
 

技術貼：怎樣區(qū)別惡露和月經

　　正常惡露
 
　　正常惡露有血腥味，不臭。血性惡露是產后第1~4天內排出的分泌物，量多，色鮮紅，含血液、蛻膜組織及粘液，與月經相似，或稍多于月經量，有時還帶血塊。漿液性惡露是產后第4~6天左右排出的，色淡紅，含少量血液、粘液和較多的陰道分泌物，并有細菌。
 
　　白色惡露
 
　　白色惡露是在產后一周以后排出的較白或淡黃色的惡露，含大量白細胞、蛻膜細胞及細菌，狀如白帶，但較平時的白帶為多。每個產婦雖然都有惡露，但各人排出的量不盡相同，平均總量約為500~1000毫升。各產婦持續(xù)排惡露的時間也不相同，正常產婦約3周左右干凈。
 
　　產后月經
 
　　產后月經的來潮與產后是否哺乳、哺乳時間的長短、產婦的年齡及卵巢功能的恢復能力有一定的關系。產后月經的復潮個體差異也很大，有的產婦產后月經復潮時間在產后一年。一般說來不哺乳者，產婦通常在產后6-10周月經復潮，平均在產后10周左右恢復排卵。哺乳的產婦月經復潮延遲，有的在產褥期月經一直不來潮，平均在產后4-6個月恢復排卵。

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