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孕期胃痛嘔吐，孕婦胃痛嘔吐原因

出處：網(wǎng)絡(luò)收集 日期：2024-06-07 17:30:57 編輯：秩名
孕婦胃疼嘔吐 孕婦胃疼嘔吐原因 孕婦胃疼嘔吐緩解方法

孕婦胃疼嘔吐的原因

1.懷孕引起括約肌松弛，胃酸返流所致。懷孕后，由于激素的改變，使得括約肌松弛，吃下去的東西就很容易跑上來（括約肌位于食管與胃的連接處，它使得我們吃進(jìn)去的東西只能下去不能上來）。致使胃內(nèi)酸性內(nèi)容物從胃里返流到食道、喉嚨及嘴里，刺激粘膜引起的。
 
　　2.在懷孕4個(gè)月左右時(shí)，子宮增大，同時(shí)子宮圓韌帶被牽拉，很多準(zhǔn)媽媽都會(huì)感覺有些腹痛。妊娠中期，寶寶逐漸長(zhǎng)大，準(zhǔn)媽媽腹腔內(nèi)壓力也隨之升高。如果準(zhǔn)媽媽的食管裂孔（食管通過此裂孔下行與胃相連）增寬，可能會(huì)出現(xiàn)食管裂孔疝，因而腹痛。此時(shí)腹痛多伴有胸悶、氣短、胸痛、胃里返酸、打嗝等癥狀。食管裂孔疝在孕期約有30%～50%的發(fā)生率，孕晚期有時(shí)癥狀更為明顯。
 
　　3.逐漸變大的子宮壓迫腸胃，致使胃酸更容易返流。妊娠晚期，逐月增大的子宮也會(huì)壓迫到胃，再加上荷爾蒙使隔離食道和胃的肌肉變得松弛，從而導(dǎo)致胃酸更容易向上翻涌并使胸部產(chǎn)生灼熱感。
 
　　4.飲食不節(jié)暴飲暴食或過食生冷肥甘之品，以致脾胃受傷，食滯中焦，氣機(jī)不利而產(chǎn)生胃脘疼痛?；蛞蚝疀鰝校戈柋欢?，正邪交爭(zhēng)，而胃痛乃作。
 
　　5.脾胃虛弱病后脾胃受損或素體脾胃虛弱，中陽不振，寒從內(nèi)生，以致脾不運(yùn)化，胃失和降，而發(fā)生疼痛。胃陰素虛或病久陰傷，胃失濡養(yǎng)，胃氣不和亦能發(fā)生疼痛。
 

孕婦胃疼嘔吐緩解方法

　　1.每天捏一捏小腿肚
 
　　部位：小腿肚內(nèi)側(cè)1/3處的肌肉部分（腓腸肌內(nèi)側(cè)緣）。
 
　　方法：用手捏住上述部分肌肉，拇指與四指相對(duì)，稍用力按捏，以自覺有較強(qiáng)的酸痛為度。自上而下按捏，再自下而上按捏。一般以各15—30次為宜。根據(jù)疼痛情況，酌情加減。每日可進(jìn)行1—3次。
 
　　注意在按捏過程中，應(yīng)有揉的動(dòng)作——酸痛感強(qiáng)，止痛效果好，不可因怕有酸痛感而不用力。
 
　　此法對(duì)急性發(fā)作的胃痛效果較好。慢性胃病發(fā)作時(shí)，運(yùn)用此法也同樣有效。
 
　　2、適當(dāng)減少飲食量
 
　　因?yàn)樵衅诩に睾妥訉m壓迫的原因，腸胃功能會(huì)減退，而很多孕婦又在孕期實(shí)行大補(bǔ)特補(bǔ)”，每天攝入的食物過多，導(dǎo)致胃部超負(fù)荷運(yùn)轉(zhuǎn)，會(huì)造成胃痛。所以應(yīng)適當(dāng)減少孕婦的飲食，尤其是其中含糖量較高的食物。
 
　　3、可以給孕婦吃點(diǎn)玉米面粥
 
　　如果孕婦胃疼，可以多給孕婦喝點(diǎn)玉米面粥，如果消化還可以，可以適當(dāng)加一點(diǎn)小米粥，山藥粥（大米和山藥對(duì)半，山藥切的碎一點(diǎn)，煮的時(shí)間一定要長(zhǎng)，須比平時(shí)開鍋時(shí)間長(zhǎng)15分鐘以上），盡量不要和單純的大米粥。不要隨意在粥中添加輔料，可以適當(dāng)加一點(diǎn)大棗。飲食以清淡為主，在胃疼癥狀減輕后，再逐漸添加高熱量高營(yíng)養(yǎng)的食物。
 
 

孕婦胃疼嘔吐檢查

　　1.常規(guī)檢查：觀察胃痛時(shí)的癥狀，如伴有胸悶燒心、吐酸水、打嗝等癥狀，可能是食道疾病;假如伴隨空腹疼痛、飽脹餓痛、打嗝具酸味、甚至吐血等癥狀，可能是胃潰瘍;以疼痛時(shí)間為判斷依據(jù)，飯后半小時(shí)到兩小時(shí)胃痛可能是胃潰瘍。
 
　　2.胃鏡檢查及活組織檢查：胃鏡檢查結(jié)合直視下活組織病理檢查，是診斷慢性胃炎的主要方法。淺表性胃炎常胃竇部為最明顯，多為彌漫性，胃粘膜表面呈紅白相間或花紋狀改變，有時(shí)見散糜爛，常有白色或黃白色滲出物。萎縮性胃炎的粘膜多呈蒼白或灰白色，皺壁變細(xì)或變平坦，由于胃粘膜變薄，使粘膜下血管可透見呈紫藍(lán)色，病變可彌漫或主要胃竇部。胃液分析：慢性萎縮性胃炎，胃酸分泌常有障礙，尤以胃體部慢性萎縮性胃炎時(shí)最嚴(yán)重。
 
　　所以，孕婦出現(xiàn)嚴(yán)重的胃疼嘔吐，應(yīng)引起足夠的重視，應(yīng)及時(shí)到醫(yī)院進(jìn)行檢查及治療，做到防患于未然。懷孕期間，孕婦常常被用藥問題煩惱，其實(shí)面對(duì)生活中的一些日常疾病，主要還是應(yīng)該以預(yù)防為主，這樣我們的胎兒在生長(zhǎng)發(fā)育期間也會(huì)更少的受到藥物的影響。任何時(shí)候孕媽媽們都應(yīng)該意識(shí)到，藥物對(duì)于孩子是有消極影響的，所以在懷孕期間的用藥問題上，孕婦一定要慎重。如果孕婦胃疼需要用藥，一定要遵照醫(yī)生的指示定量按時(shí)服用。
 
　　孕婦胃疼嘔吐治療
　　孕婦在懷孕初期最好不要服用治療胃病的藥物。孕期發(fā)生急性胃炎，一般通過禁食、補(bǔ)液等保守治療是可以自愈的，如出現(xiàn)嘔吐可以服用維生素B6。在懷孕3個(gè)月后如果出現(xiàn)慢性胃病，情況較嚴(yán)重者（如胃部疼痛持續(xù)不能緩解或者有胃潰瘍病史，懷疑胃潰瘍復(fù)發(fā)，可能會(huì)造成胃出血）可以用達(dá)喜來治療。而其他胃藥，如抑酸劑（如西咪替丁、奧美拉唑等）、胃腸促動(dòng)藥（如胃復(fù)安、嗎丁啉）等即便是在懷孕后期都是禁用或慎用的。
 
　　約半數(shù)女性在懷孕6周左右就會(huì)出現(xiàn)早孕反應(yīng)，有時(shí)也會(huì)有惡心、嘔吐、胃痛、胃脹等癥狀。但這一現(xiàn)象跟胃病是要區(qū)別對(duì)待的，早孕反應(yīng)嚴(yán)重者一般可適當(dāng)服用維生素B6或者補(bǔ)充富含維生素B6的食物，但最好不要用胃藥。孕期服藥很容易使藥物通過胎盤被胎兒吸收，當(dāng)碰到一些不理胎兒生長(zhǎng)發(fā)育的藥物時(shí)就可能對(duì)胎兒的身體造成危害，甚至流產(chǎn)，因此孕期不管用什么藥都應(yīng)該謹(jǐn)慎，以防不測(cè)，當(dāng)然如果用藥不慎出現(xiàn)流產(chǎn)癥狀，也應(yīng)視情況讓其流掉，這是自然選擇的結(jié)果，不能一味地保胎，否則可能出現(xiàn)缺陷兒。
 

孕婦胃疼嘔吐吃什么好

　　1、粥類
 
　　一直以來粥類食物都是養(yǎng)胃的首選，各種粥類食物中不僅富含有大量的營(yíng)養(yǎng)物質(zhì)，同時(shí)還具有易消化易吸收的特點(diǎn)，因此是各種胃腸道疾病患者的最佳飲食首選。其中以南瓜粥以及玉米粥最具有養(yǎng)胃以及緩解胃痛的功效。
 
　　孕婦喝點(diǎn)玉米面粥，可以適當(dāng)加一點(diǎn)小米粥，山藥粥（大米和山藥對(duì)半，山藥切的碎一點(diǎn)，煮的時(shí)間一定要長(zhǎng)，須比平時(shí)開鍋時(shí)間長(zhǎng)15分鐘以上），盡量不要喝單純的大米粥。不要隨意在粥中添加輔料，可以適當(dāng)加一點(diǎn)大棗。飲食以清淡為主，在胃疼癥狀減輕后，再逐漸添加高熱量高營(yíng)養(yǎng)的食物。
 
　　2、兩種飲品
 
　　孕婦胃口不好，或者消化不良，可以多喝一些牛奶，補(bǔ)充營(yíng)養(yǎng)，安神補(bǔ)腦。不要早晨空腹喝牛奶，而是改在早飯后1-2小時(shí)后喝牛奶，胃中有食物防止了空腹喝牛奶的缺點(diǎn);二是喝奶前先吃一些含淀粉較多的食物，如饅頭等，這樣可使牛奶在人胃中停留時(shí)間較長(zhǎng)，牛奶與胃液能夠充分發(fā)生酶解作用，使蛋白質(zhì)能夠很好的消化吸收。
 
　　3、湯水
 
　　湯水類食物并不包括粥類食物，但這類食物同樣具有很好的養(yǎng)胃以及緩解胃痛等功效，所謂的湯水是由各種食材熬制而成。但注意不要喝過多的肉湯，要想真正的起到養(yǎng)胃的功效，在平時(shí)生活中最好是多喝菜湯，比如像菠菜粉絲湯、雞蛋湯等。
 
　　在熬湯的時(shí)候一定要注意不要過量的放食鹽，以免對(duì)腸胃造成再一次的傷害。

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