How to get hemorrhoids during pregnancy? The origin of embarrassing hemorrhoids during pregnancy;
During pregnancy, in order to ensure the nutritional supply of the fetus, the blood flow of pelvic artery increases. With the development of the fetus, the uterus increases day by day, which will oppress the pelvic cavity and hinder the blood return in the hemorrhoid blood vessels. In addition, pregnant women often have difficulty defecating or constipation, which causes congestion in the hemorrhoid venous plexus at the lower end of rectum and anus, which can induce hemorrhoids or aggravate hemorrhoids.
Hemorrhoids generally appear in the late period of 28 ~ 36 weeks of pregnancy, especially before delivery 1 week, constipation will occur, leading to local varicose veins and hemorrhoids. This is because the pelvic blood supply increases during pregnancy. As the fetus grows up day by day, the uterus expands, which in turn compresses the veins, resulting in blocked blood return. Coupled with the relaxation of pelvic tissue during pregnancy, it promotes the occurrence and aggravation of hemorrhoids.
The harm of hemorrhoids during pregnancy;
In order to ensure the growth of the fetus, pregnant women need adequate nutrition more than ordinary people. Hemorrhoids often bleed repeatedly, which can lead to anemia, dizziness, shortness of breath, fatigue, poor mental health and other symptoms. When internal hemorrhoids or mixed hemorrhoids develop to a certain extent, they can go out of the anus. Because hemorrhoids are getting bigger and bigger, even if the abdominal pressure of pregnant women increases slightly, such as walking and coughing, hemorrhoids can't get out and can't participate in activities, which increases the mental and physical burden of women in the second trimester.
In addition, due to the gradual increase of abdominal pressure, especially in the third trimester of pregnancy, many pregnant women have edema of lower limbs, dilatation of superior and inferior anal veins, and aggravation of blood stasis. Finally, in the process of natural childbirth, they hold their breath hard, so that the abdominal pressure rises sharply, leading to hemorrhoids edema, eversion, prolapse or incarceration, which is difficult to return, bringing great pain to the parturient and even affecting the physical and mental health of the whole puerperal period and maternity leave. The probability and harm of pregnant women suffering from hemorrhoids is far greater than that of the general population, which is quite dangerous to pregnant women themselves and the fetus in their bellies.
Ways to avoid hemorrhoids:
1, pregnant women should keep their stools unobstructed to prevent constipation. In addition to adequate nutrition, pregnant women should also eat more cellulose-rich vegetables to help increase intestinal peristalsis.
2. Promote anal blood circulation and help venous return. Choose a good hemorrhoid ointment, and pay attention to the ingredients of the ointment that are harmless to the fetus. In addition, pregnant women can also massage Changqiang point at the tip of coccyx by hand before going to bed.
3. Pregnant women should avoid bad stimulation to rectum and anus, and treat intestinal inflammation and other anal diseases in time. Pregnant women should not drink a lot.
4, do some anal health care, such as levator ani exercise. Do it every day 10? Lifting the anus for 30 times will shrink the anus consciously, enhance the strength of pelvic floor muscles and blood circulation around the anus, which is beneficial to defecation and prevent hemorrhoids.
5. If hemorrhoids come out during defecation, it is necessary to deal with them in time: wash the anus, lie on the bed, pad the buttocks, put some cooking oil on soft toilet paper or gauze, hold oil paper in your hand, gently push the hemorrhoids into the depths of the anus, and then plug it into the anus. Don't get up right away, do anal lifting exercise 5? 10 minutes. If the hemorrhoids come out when walking or coughing, then after the above treatment, use multiple layers of gauze at the anal orifice to increase fixation. In addition, 1% can be used? 2% soda water sitz bath, every night/kloc-0 times, keep the vulva clean.
The method of treating hemorrhoids:
(1) Sit in warm water to reduce exercise and lie flat. This may be the best treatment for hemorrhoids in pregnant women? Prescription? Although there is no medication. Sit bath 2 ~ 3 times a day. If the confinement is too big and it is difficult to squat, you can lie on your side and apply hot compress.
(2) prevent constipation.
(3) Choose safe drugs. Maizhiling is a plant extract, which is relatively safe and can improve microcirculation, reduce swelling and relieve pain. The external application of Golden Ointment has a very good detumescence effect, and it is all Chinese medicine ingredients, and the external application has little effect on the fetus. Compound Jieleng acid suppository can stop bleeding.
(4) Chinese medicine sitz bath. Reference prescription: Galla Chinensis 15g raw Platycladus orientalis leaves 15g Sophora flavescens 30g mirabilite 10g Scutellaria barbata 10g Saposhnikovia divaricata 15g Cortex Phellodendri 30g Radix Paeoniae Rubra 15g raw licorice 10g. Soak in water for 5 ~ 10 minutes each time, twice a day.
(5) surgery. Surgery can be considered as a last resort. Before the operation, we should first do a good job in the patient's ideological work, try to relax and eliminate tension. The position of the operation should be left lateral position, which can increase placental blood flow, reduce uterine activity and relax uterine muscles, thus reducing spontaneous contractions. Local anesthesia is the main anesthesia, procaine or lidocaine is selected as anesthetic, and the dose should be strictly controlled below 400mg. Surgery and postoperative dressing change should be gentle, and it is forbidden to repeatedly and rudely examine the anus, because the stimulation of anal examination can stimulate the secretion of prostaglandin and oxytocin, and at the same time, the sensitivity and contractility of the uterus are gradually enhanced when the pregnancy enters the late stage. After operation, 500 ~ 1000 ml balanced solution can be injected intravenously to expand blood perfusion of uterus and placenta and reduce uterine activity.