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href="http://www.ksdcww.com/ask/20200720333950.html" class="question-hyperlink">霉菌困擾了整個(gè)孕期，懷孕期間又不能根治，在順產(chǎn)的時(shí)候?qū)殞氂?/a></h1> <div id="eemymae" class="ml12 aside-cta flex--item print:d-none sm:ml0 sm:mb12 sm:order-first sm:as-end"> <a class="ws-nowrap s-btn s-btn__primary">發(fā)布問題</a> </div> </div> <div id="kvr0z0l" class="d-flex fw-wrap pb8 mb16 bb bc-black-075"> <div id="itfl1zz" class="flex--item ws-nowrap mr16 mb8" title="2020-07-20 16:33"> <span id="rt35yrp" class="fc-light mr2">發(fā)布于：</span>2020-07-20 16:33 </div> <div id="isesc05" class="flex--item ws-nowrap mb8"> <span id="2w3me0h" class="fc-light mr2">瀏覽了</span> 84次 </div> </div> <div class="gu5lpjg" id="mainbar" role="main"> <div id="ipcilyh" class="question"> <div id="mh9sexj" class="post-layout"> <div id="oatrzpg" class="votecell post-layout--left"> <div id="zwvxtbv" class="js-voting-container d-flex jc-center fd-column ai-stretch gs4 fc-black-200"> <button class="js-vote-up-btn flex--item s-btn s-btn__unset c-pointer "> <svg class="svg-icon iconArrowUpLg" width="36" height="36"> <path d="M2 26h32L18 10 2 26z"></path> </svg> </button> <div id="abg5zbj" class="js-vote-count flex--item d-flex fd-column ai-center fc-black-500 fs-title"> 1 </div> <button class="js-vote-down-btn flex--item s-btn s-btn__unset c-pointer "> <svg class="svg-icon iconArrowDownLg" width="36" height="36"> <path d="M2 10h32L18 26 2 10z"></path> </svg> </button> </div> </div> <div id="vouwlle" class="postcell post-layout--right"> <div id="ldetagc" class="s-prose js-post-body"> <p>你好，非常高興為你解答問題，懷孕后由于身體內(nèi)激素水平的變化導(dǎo)致陰道的酸堿平衡被打亂，陰道變得比較適合霉菌的生長(zhǎng)，很多孕媽容易引發(fā)霉菌性陰道炎。</p><p>孕婦得了霉菌性陰道炎能否順產(chǎn)，也是許多孕媽糾結(jié)的事情，應(yīng)該說孕期有霉菌性陰道炎是可以順產(chǎn)的。順產(chǎn)接生前，醫(yī)生會(huì)給陰道進(jìn)行消毒，孩子出生后會(huì)給孩子眼部滴藥水，盡量避免新生兒感染。 </p><p>孕媽有霉菌性陰道炎，理論上講新生兒有可能感染鵝口瘡，因?yàn)榉置溥^程當(dāng)中胎兒經(jīng)過有霉菌的產(chǎn)道，如果有感染的話就會(huì)造成新生兒的鵝口瘡。但一般來說即使新生兒患了鵝口瘡治療也比較簡(jiǎn)單,局部用一些抗霉菌的藥物就可以了。 </p><p>臨床上有霉菌性陰道炎的孕媽順產(chǎn)以后，新生兒感染的幾率并不是很高。</p><p>從醫(yī)學(xué)上來講，霉菌性陰道炎并不是剖腹產(chǎn)的指癥。也就是說，霉菌性陰道炎不是剖腹產(chǎn)的理由。 </p><blockquote class="imghidden"><p>當(dāng)然，孕期發(fā)現(xiàn)有陰道炎還是應(yīng)該進(jìn)行治療，畢竟陰道有炎癥生孩子時(shí)因?yàn)檠装Y使陰道、會(huì)陰處充血并脆弱，容易發(fā)生撕裂傷。 </p><p>希望我的回答能夠幫助到你！<br/></p></p></blockquote> </div> <div id="gju40hb" class="mt24 mb12"> <div id="ieddoga" class="post-taglist d-flex gs4 gsy fd-column"> <div id="1sx4m0p" class="d-flex ps-relative"> </div> </div> </div> <div id="105e0ax" class="post-signature owner flex--item"> <div id="955vl0v" class="user-info "> <div id="uuyer9g" class="user-gravatar32"> <div id="cvg0np8" class="gravatar-wrapper-32"> <img src="/images/face/590.jpg" alt="" width="32" height="32" class="bar-sm" /> </div> </div> <div id="rsj0eps" class="user-details"> <a>長(zhǎng)水一一</a> <div id="phocjt9" class="-flair"> <span id="dclv4ut" class="reputation-score" title="聲譽(yù)分?jǐn)?shù) ">175</span> </div> </div> </div> <div id="wvvqcpw" 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<p>菁媽自己生活在南方，每到春天的時(shí)候，南風(fēng)天的時(shí)候里家里墻上，地板上都會(huì)有很多水，這些水就是空氣中的水分。在過于潮濕的空氣中，也會(huì)滋生各種病原體，特別是霉菌很喜歡這樣天氣。</p><p>每到春天我們的衣服在外面是越曬越濕，衣服曬了幾天穿在身上都會(huì)有一種曬不干的味道，而內(nèi)褲也是一樣，所以甚至沒有過男朋友的女孩子都會(huì)因?yàn)閮?nèi)褲曬不干引起霉菌性陰道炎。而如果結(jié)了婚后，女性的陰道開放后更容易讓霉菌入侵。</p><h1>什么是霉菌？</h1><p>霉菌性陰道炎很明顯的癥狀就是陰道癢而且有豆腐渣性的分泌物，而主要是因?yàn)槊咕鸬模咕步邪咨钪榫菍儆谝环N真菌。</p><p>霉菌的特點(diǎn)是：喜歡濕潤(rùn)的酸性的環(huán)境，比如說我們南天春天里這樣濕度高的情況下，霉菌是很喜歡的。而且在身體免疫力下降時(shí)會(huì)大量的繁殖，加上霉菌會(huì)生出菌絲和孢子，非常頑固，用藥也難以殺死。</p><p>所以可能會(huì)反復(fù)發(fā)作。</p><blockquote class="imghidden"><h1>女性懷孕后為什么容易得霉菌性陰道炎？</h1><p>人說女人事兒多，懷孕后的女人事兒更多。比較說容易感染。而霉菌性陰道炎也是孕婦經(jīng)常會(huì)出現(xiàn)的一種感染，為什么呢？</p><p><span style="font-weight: bold;">1、懷孕后雌激素上升，陰道分泌物增多</span></p><p>懷孕后為了讓胎寶可以更好的在體內(nèi)生長(zhǎng)發(fā)育，一般來說我們的雌激素會(huì)快速的分泌，而雌激素的分泌會(huì)讓我們陰道的分泌物增多，分泌物多就成了霉菌最喜歡的濕潤(rùn)環(huán)境，這樣的環(huán)境有利于霉菌的滋生。</p><p><span style="font-weight: bold;">2、懷孕后身體的免疫力下降</span></p><p>懷孕了全身都為胎兒的生長(zhǎng)發(fā)育做準(zhǔn)備，身體的免疫力會(huì)下降，而霉菌就是在我們身體免疫力下降時(shí)興風(fēng)作浪。</p><p>有些女性在沒懷孕前就已經(jīng)有霉菌的感染，而懷孕后身體免疫力下降就會(huì)出現(xiàn)反復(fù)感染的情況。</p><p><span style="font-weight: bold;">3、懷孕時(shí)不方便用藥</span></p><p>懷孕后我們的考慮胎兒的健康，一些內(nèi)服藥是不方便使用的了，甚至是有些醫(yī)生建議孕早和孕晚不建議用藥，所以不用藥就難治好，反復(fù)發(fā)作就更麻煩了。</p><h1>女性懷孕后得了霉菌怎么辦？</h1><p><span style="font-weight: bold;">1、聽醫(yī)囑</span><br/></p><p>一般我們懷孕時(shí)也會(huì)需要檢查白帶，而懷孕后如果發(fā)現(xiàn)自己陰道有豆腐渣性的白帶加上陰道會(huì)瘙癢的建議也自己去醫(yī)院做一個(gè)白帶檢查，發(fā)現(xiàn)有霉菌的話讓醫(yī)生開一些可以用的藥回去治療。</p><p>一般是用外用的藥物，或者是小蘇打水來清洗。</p><p><span style="font-weight: bold;">2、注意衛(wèi)生</span></p><p>每天早晚都建議換內(nèi)褲，而洗完澡后用吹風(fēng)機(jī)把身體吹干再穿上褲子。而內(nèi)褲馬上清洗并用開水燙過。在太陽(yáng)下爆曬。</p><p><span style="font-weight: bold;">3、提高免疫力</span></p><p>懷孕時(shí)就要不要亂吃亂喝，注意早睡早起不熬夜，這些都是有利于提高免疫力的，我們機(jī)體的免疫力好自然就不容易引起感染了。</p><h1>懷孕時(shí)得了霉菌會(huì)不會(huì)影響順產(chǎn)？</h1><p>這個(gè)主要是看情況，如果說比較嚴(yán)重的話，會(huì)出現(xiàn)產(chǎn)道比較脆弱，順產(chǎn)生孩子容易引起撕裂，而孩子也會(huì)容易引起鵝口瘡，醫(yī)生可能會(huì)不建議順產(chǎn)。</p><p>而如果不太嚴(yán)重還是可以順產(chǎn)的，孩子出來之后要注意口腔的衛(wèi)生，一旦發(fā)現(xiàn)孩子鵝口瘡的話，也可以使用制菌霉素來治療，堅(jiān)持一周一般都可以治好。</p><p><span style="font-weight: bold;">菁媽寄語(yǔ)：媽媽懷孕時(shí)不但會(huì)忍受懷孕時(shí)各種不適，可能還會(huì)引起一些感染，媽媽要及時(shí)發(fā)現(xiàn)，及時(shí)處理，保護(hù)寶寶的健康。</span></p></p></blockquote></div> <div id="rozrv9h" class="mt24"> <div id="0x0xcmk" class="user-info "> <div id="bmlm5td" class="user-gravatar32"> <img src="/images/face/711.jpg" alt="" width="32" height="32" class="bar-sm" /> </div> <div id="fiwa9z5" class="user-details"> <a>彩虹</a> <div id="imln054" class="-flair"> <span id="0r9q0ry" class="reputation-score">416贊</span> </div> </div> </div> </div> </div> </div> </div> <div id="h6xbn9v" class="answer"> <div id="4wcz9v5" 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<p>作為一名工作多年的婦產(chǎn)科醫(yī)生，韓一聲并不能同意題主在前半句提出的觀點(diǎn)。</p><p>妊娠期女性體內(nèi)的激素水平變化巨大，免疫力變?nèi)�，陰道�?nèi)環(huán)境的酸堿度和菌群也會(huì)發(fā)生相應(yīng)的改變，陰道自身的抗菌作用被削弱。所以，懷孕后女性確實(shí)容易發(fā)生真菌感染，而且整個(gè)孕期都不容易完全治愈，及時(shí)暫時(shí)好轉(zhuǎn)也很容易復(fù)發(fā)。</p><p>但是，孕期的真菌反復(fù)不能治愈主要是由于孕期女性沒有接受規(guī)范的檢查和持續(xù)的治療所致，而并非這個(gè)疾病不可治愈。韓一聲就經(jīng)常遇到妊娠期霉菌性陰道炎的患者，并成功地給這些患者解決了病患。</p><p>其實(shí)，臨床工作中已經(jīng)有大量的證據(jù)表明，有好幾種抗真菌藥物對(duì)妊娠過程母體和胚胎及胎兒均沒有不良影響，完全是可以跟未孕女性一樣進(jìn)行藥物治療的。由于本平臺(tái)無法開具藥方，也不能提示藥品名稱，大家可以通過其他途徑向韓一聲咨詢，或者到門診就診。</p><p>另外，在使用抗真菌藥物之后，為了防止妊娠合并霉菌性陰道炎的復(fù)發(fā)，我會(huì)建議患者使用一種獨(dú)特的陰道使用的益生菌泡騰片產(chǎn)品，用于恢復(fù)陰道正常的微環(huán)境。具體產(chǎn)品的名稱和購(gòu)買方式韓一聲也只有從其他途徑告訴大家了。</p><blockquote class="imghidden"><p>如果到臨近分娩的時(shí)候霉菌性陰道炎還沒有治好，那么經(jīng)陰道分娩的胎兒確實(shí)可能受到霉菌性陰道炎的影響。主要的風(fēng)險(xiǎn)在于早產(chǎn)、胎膜早破、新生兒真菌感染等等。</p><p></p></p></blockquote></div> <div id="4v6zqi5" class="mt24"> <div id="hszvz94" class="user-info "> <div id="zfyvpb9" class="user-gravatar32"> <img src="/images/face/429.jpg" alt="" 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class="answercell post-layout--right"> <div id="puvicfq" class="s-prose js-post-body"> <p><p>孕婦在懷孕期間，會(huì)因?yàn)樵屑に氐姆置诙鴮?dǎo)致體內(nèi)平穩(wěn)的激素水平被打亂，再加上孕期孕婦陰道的分泌物會(huì)變多，并且因?yàn)榈挚沽ο陆档脑�，從而容易因�(yàn)樽陨淼挚沽ο陆�，潮濕和陰道�?nèi)酸堿失衡而引起菌群感染。</p><p><span style="font-weight: bold;">霉菌感染指的是霉菌性陰道炎，屬于白色念珠菌。孕婦患上霉菌性陰道炎，如果炎癥較輕可能不會(huì)出現(xiàn)異常反應(yīng)，但是如果炎癥較重，那么孕婦可能會(huì)產(chǎn)生一些異常反應(yīng)。<br/><br/></span></p><h1><span style="font-weight: bold;">霉菌困擾了整個(gè)孕期，懷孕期間又不能根治，在順產(chǎn)的時(shí)候?qū)殞氂杏绊憜幔?/span></h1><p>因?yàn)樵袐D在懷孕后自身的免疫力會(huì)下降，再加上激素原因而導(dǎo)致陰道內(nèi)酸堿失衡很容易給有害菌群可乘之機(jī)，而<span style="font-weight: bold;">霉菌感染在孕期是比較常見的一種情況。</span></p><p>雖然說孕婦霉菌感染是常見的情況，但是霉菌感染并不屬于正常的妊娠癥狀。孕婦患有霉菌感染，很可能會(huì)因此產(chǎn)生一些不適的癥狀，對(duì)生活造成不便。</p><p><span style="font-weight: bold;">并且孕婦患有霉菌感染，不論是對(duì)孕婦來說，還是對(duì)胎兒來說都是有影響的。</span></p><blockquote class="imghidden"><p>孕婦患有霉菌性陰道炎，也就是被念珠菌感染了陰道，而念珠菌是一種真菌，因?yàn)闀?huì)產(chǎn)生孢子和菌絲，所以孕婦能夠感覺到<span style="font-weight: bold; text-decoration-line: underline;">外陰瘙癢</span>，并且還會(huì)分泌<span style="text-decoration-line: underline;"><span style="font-weight: bold;">豆腐渣樣分泌物</span></span>，還可能會(huì)伴有<span style="font-weight: bold; text-decoration-line: underline;">異味。<br/><br/></span></p><p><span style="font-weight: bold;">這些只是孕期患有霉菌性陰道炎對(duì)于孕婦來說的癥狀和影響，同樣的，對(duì)于胎兒來說，一樣有一些風(fēng)險(xiǎn)和影響。</span></p><p>如果孕婦患有霉菌性陰道炎，因?yàn)槊咕腥镜脑�，白色念珠菌群可能�?huì)順著陰道<span style="font-weight: bold;">上行至子宮導(dǎo)致宮腔感染</span>。因此，很可能會(huì)導(dǎo)致<span style="font-weight: bold; text-decoration-line: underline;">胎兒發(fā)育畸形</span>，并且還可能會(huì)造成<span style="font-weight: bold; text-decoration-line: underline;">孕婦流產(chǎn)</span>、<span style="font-weight: bold; text-decoration-line: underline;">早產(chǎn)。</span></p><p>所以，即便是孕婦患有霉菌性陰道炎并沒有出現(xiàn)瘙癢和異味的情況，那么為了胎兒的健康和安全，還是需要積極的配合治療的。<br/><br/></p><h1><span style="font-weight: bold;">因?yàn)樵袐D患有霉菌性陰道炎，那么有很多孕婦會(huì)產(chǎn)生疑問，像這種情況可以進(jìn)行順產(chǎn)嗎。如果順產(chǎn)了會(huì)對(duì)新生兒造成什么影響？</span></h1><p>孕婦患有霉菌性陰道炎，確實(shí)會(huì)對(duì)分娩造成一定的影響的。其中包括<span style="font-weight: bold;">對(duì)孕婦的影響</span>和<span style="font-weight: bold;">對(duì)新生兒的影響。</span></p><ul><li><span style="font-weight: bold; text-decoration-line: underline;">對(duì)孕婦的影響：</span><br/></li></ul><p>因?yàn)樵袐D患有霉菌性陰道炎，所以生殖道內(nèi)會(huì)存在炎癥，如果炎癥較輕，孕婦可能不會(huì)有任何異常好困。</p><p>但是如果炎癥較重，那么不僅孕婦會(huì)出現(xiàn)異常反應(yīng)，還會(huì)因?yàn)檠装Y的因?yàn)閷?dǎo)致生殖道硬<span>，</span>在順產(chǎn)分娩的時(shí)候很<span style="font-weight: bold;">容易發(fā)生撕裂</span>的情況。<br/><br/></p><p></p><p></p><ul><li><span style="font-weight: bold;"><span style="text-decoration-line: underline;">對(duì)</span></span><span style="font-weight: bold; text-decoration-line: underline;">胎兒的影響：</span></li></ul><p>因?yàn)樵袐D患有霉菌性陰道炎，而白色念珠菌群主要是存在于陰道內(nèi)的。而在順產(chǎn)分娩的時(shí)候，胎兒需要通過軟產(chǎn)道。</p><p></p><p>如果孕婦患有霉菌性陰道炎，那么在順產(chǎn)分娩的過程中，新生兒很可能會(huì)在停留在軟產(chǎn)道的時(shí)候而<span style="font-weight: bold;">吸入霉菌到肺部，</span>從而導(dǎo)致<span style="font-weight: bold;">新生兒患上新生兒肺炎。</span></p><p>并且如果是順產(chǎn)分娩，胎兒在軟產(chǎn)道內(nèi)分娩的時(shí)候，會(huì)因?yàn)榻佑|到白色念珠菌而感染從而在出生后<span>新生兒會(huì)患有</span><span style="font-weight: bold;">鵝口瘡。</span></p><p><span style="text-decoration-line: underline;">所以，孕婦如果在孕期患有霉菌感染，<span style="font-weight: bold;">不僅會(huì)對(duì)胎兒造成影響，還可能會(huì)影響順產(chǎn)分娩。但是因?yàn)樵袐D患有霉菌感染并不在剖腹產(chǎn)的指征內(nèi)，所以一般來說患有霉菌感染的孕婦是可以進(jìn)行分娩的。而新生兒鵝口瘡，也是比較容易治療的癥狀。<br/><br/></span></span></p><p><span style="font-weight: bold;">?因?yàn)樵袐D霉菌感染會(huì)影響到胎兒發(fā)育和正常分娩，所以如果孕婦在孕期患上了霉菌感染可以這樣護(hù)理：</span></p><p></p><ol><li>注意飲食，避免吃辛辣的東西。</li><li>注意衛(wèi)生，每天清洗外陰。</li><li>保持干凈，勤換洗內(nèi)衣褲。</li><li>適當(dāng)鍛煉，提高自身免疫力。</li></ol><p>如果孕婦患有霉菌性陰道炎，一定要及時(shí)就醫(yī)。然后根據(jù)醫(yī)生的建議來積極配合治療。<br/><br/></p><p></p><p>因?yàn)樵袐D懷孕后體內(nèi)進(jìn)激素的改變，再加上免疫力的下降，很容易引起白色念珠菌感染。而孕婦患上霉菌性陰道炎可能會(huì)導(dǎo)致胎兒發(fā)育畸形和孕婦早產(chǎn)以及流產(chǎn)的可能。并且在順產(chǎn)分娩的時(shí)候容易引起產(chǎn)婦陰道撕裂，還可能會(huì)導(dǎo)致新生兒患有鵝口瘡。</p><p><span style="font-weight: bold;">因?yàn)槊咕腥緦?duì)于孕婦和胎兒來說并沒有很多不利，所以當(dāng)孕婦患有霉菌性陰道炎時(shí)，一定要注意飲食，避免過于辛辣，還需要注意衛(wèi)生，定時(shí)清洗和換內(nèi)褲，并且要適當(dāng)?shù)腻憻�，提高免疫力。不過最重要的還是要及時(shí)就醫(yī)。</span></p><p></p><blockquote><p>育兒達(dá)人，多平臺(tái)原創(chuàng)作者，集專業(yè)和經(jīng)驗(yàn)于一身的媽媽，專注孕產(chǎn)和育兒方面的解答。歡迎大家關(guān)注我，了解更多！<span style="font-weight: bold;">文|媽媽不好惹，圖|來源于網(wǎng)絡(luò)</span></p></blockquote></p></p></blockquote></div> <div id="qtkzjyy" class="mt24"> <div id="f9izu9m" class="user-info "> <div id="us5mrtu" 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