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高齡產(chǎn)婦的并發(fā)癥有哪些？要如何治療呢？

出處：媽媽育兒網(wǎng) 日期：2020-07-21 12:01:57 編輯：Limbo
不同于年輕的產(chǎn)婦，高齡產(chǎn)婦在產(chǎn)后可能會(huì)出現(xiàn)一些并發(fā)癥狀，需要大家注意的。那么高齡產(chǎn)婦的并發(fā)癥有哪些？要如何治療呢？下面的內(nèi)容一起來(lái)看看吧！

高齡產(chǎn)婦的并發(fā)癥有哪些？

1、妊娠期高血壓
孕媽咪的妊娠期高血壓和年齡、肥胖、遺傳、抗心磷脂抗體陽(yáng)性、高血壓和慢性腎炎有關(guān)。常見(jiàn)癥狀為高血壓、蛋白尿，治療以休息、降壓、解痙、鎮(zhèn)靜為主，如果積極治療病情持續(xù)進(jìn)展，終止妊娠是唯一有效的治療措施。如果能有效控制，分娩方式要權(quán)衡孕媽咪的胎盤功能。
建議:
適度鍛煉、保證充足的睡眠、合理飲食、補(bǔ)鈣和有高凝傾向的孕媽咪孕前或孕后補(bǔ)充阿斯匹林可預(yù)防此疾病。
2、妊娠期肝內(nèi)膽汁淤積癥
此疾病與孕媽咪的高雌激素狀態(tài)有關(guān)，多發(fā)生在妊娠晚期、雙胎妊娠、卵巢過(guò)度刺激及既往使用口服避孕藥的孕媽咪，有明顯的地域和季節(jié)差異。在我國(guó)多發(fā)生在長(zhǎng)江流域，冬季多見(jiàn)。常見(jiàn)癥狀為無(wú)皮膚損傷的瘙癢。膽汁酸的毒性可以引起孕媽咪產(chǎn)后出血和胎兒窘迫。
建議：
孕媽咪在孕晚期要加強(qiáng)胎兒監(jiān)護(hù)，把握終止妊娠的時(shí)機(jī)，可以顯著降低圍產(chǎn)兒死亡率。 分娩方式需要綜合考慮母兒狀態(tài)再進(jìn)行定奪。
3、妊娠期糖尿病
孕媽咪妊娠期糖尿病的高危因素有肥胖、高齡、糖耐量異常、多囊卵巢綜合征、糖尿病家族史。在妊娠中期行糖耐量檢查明確診斷。
建議：
孕媽咪一定要注意飲食控制、適度運(yùn)動(dòng)是治療的關(guān)鍵，如果飲食無(wú)法控制，則需要胰島素治療。

高齡產(chǎn)婦產(chǎn)前就要做好預(yù)防


1、懷孕前需要進(jìn)行體檢。高齡產(chǎn)婦在懷孕期間可能會(huì)出現(xiàn)婦科常見(jiàn)的良惡性腫瘤，比如郭卵巢或者輸卵管囊腫、子宮腺肌癥、宮頸癌等等現(xiàn)象，這些現(xiàn)象有可能合并起來(lái)，出現(xiàn)內(nèi)分泌系統(tǒng)失調(diào)的疾病。比如我們常說(shuō)的高血壓、甲亢、糖尿病等等。當(dāng)然也有可能合并成為其他的系統(tǒng)疾病，比如腰椎間盤突出、膽結(jié)石等等。因此對(duì)于高齡產(chǎn)產(chǎn)婦，在懷孕之前應(yīng)當(dāng)?shù)结t(yī)院就診，排除相關(guān)的疾病。
2、寫在最后：高齡產(chǎn)婦其實(shí)本身生育就存在一定的風(fēng)險(xiǎn)，但是現(xiàn)在醫(yī)療水平這么先進(jìn)，倒不是需要多大擔(dān)心。但是對(duì)于高齡產(chǎn)婦來(lái)說(shuō)，在懷孕期間一定要更加去進(jìn)行產(chǎn)檢，檢查寶寶的各種情況和孕婦身體情況，能夠減少產(chǎn)后出現(xiàn)一些并發(fā)癥狀的出現(xiàn)。
3、 總而言之，高危妊娠與孕媽咪的年齡、營(yíng)養(yǎng)狀態(tài)、孕前體重和有無(wú)基礎(chǔ)性疾病密切相關(guān)。合理飲食、均衡營(yíng)養(yǎng)，補(bǔ)充足夠的維生素和鐵、鈣及各種微量元素。適度運(yùn)動(dòng)、保證充足睡眠，左側(cè)臥位，密切監(jiān)測(cè)胎動(dòng)，積極治療原發(fā)疾病，均可預(yù)防高危妊娠。高危妊娠不是剖宮產(chǎn)的絕對(duì)指證，至于分娩方式需要綜合評(píng)價(jià)孕婦病情、胎兒情況、胎盤功能和宮頸條件，大部分情況下是可以陰道分娩的。

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