Definition of obstetrics and gynecology (23) abnormal amniotic fluid in fetal appendages

Definition: The amount of amniotic fluid during pregnancy> 2000ml is called excessive amniotic fluid. Possible causes of polyhydramnios include pregnancy comorbidities (gestational diabetes), fetal abnormalities (the most common neurological and digestive tract abnormalities) and multiple pregnancies (especially single amniotic fluid in a single velvet twin), and abnormal fetal appendages ( Placental villous hemangioma diameter> 1 mm, huge placenta, placental sail-like attachment), and another 1/3 cause is unknown, called idiopathic polyhydramnios. Polyhydramnios are divided into acute and chronic polyhydramnios. The former mostly occurs during 20-24 weeks of gestation. The amniotic fluid increases rapidly, and the uterus increases significantly within a few days, producing a series of symptoms. Chronic polyhydramnios mostly occurs in the third trimester and within a few weeks. Slowly increased, pregnant women can adapt. Ultrasound is the most important inspection method for amniotic fluid increase, and the indicators include: vertical depth of amniotic fluid maximum dark area (AFV), >8㎝, 12-15㎝, >15㎝, ​​which are too much, mild too much and severe too much; amniotic fluid Index (AFI): ≥25, 25-35, 36-45, ≥45 are excessive, mild excessive, moderate excessive, severe excessive. In addition, it is possible to consider the cellular or molecular genetic examination of amniotic fluid or umbilical cord fetal cells to understand the number and structure of fetal chromosomes, including minor deletions or duplications of chromosomes. PCR technology to detect whether the fetus is infected with various viruses is also an option. Amniotic fluid too much amniocentesis must account for the risk of rupture of the membrane (premature rupture). Excessive intrauterine pressure and abdominal pressure can make pregnant women appear similar to “abdominal compartment syndrome”; prone to placental abruption, premature rupture of membranes and umbilical cord prolapse; severe perinatal mortality of severe polyhydramnios in the second trimester exceeds 50% ; The incidence of postpartum hemorrhage has increased significantly. Treatment depends first on whether the fetus has abnormalities (structural abnormalities and genetic diseases), followed by the gestational age and the severity of the pregnant woman’s conscious symptoms. If the fetus is severely deformed, consider induction of labor. If the non-severe fetal structural abnormalities, relevant abnormalities correction and prognosis consultation should be carried out. It is best to have an MDT (multidisciplinary consultation) mechanism. Pregnant women and their families make informed decisions. If the fetus is normal, try to find the cause and treat the original disease. Generally left lying position; application of prostaglandin synthetase inhibitor (indomethacin, because it promotes the closure of fetal arterial catheters is not suitable for long-term use after 32 weeks of pregnancy) to inhibit fetal urination and reduce amniotic fluid; severe symptoms can be discharged by abdominal puncture At the same time, the contraction-inhibiting drugs can be repeatedly drained. If the symptoms are serious over 34 weeks, the pregnancy can be terminated; pay attention to the occurrence of umbilical cord prolapse, placental abruption and postpartum hemorrhage during childbirth and postpartum, and deal with them as soon as possible.

Thank you for your consultation appointment: I am diagnosed with slow-grain after pregnancy. Can I give birth and then treat?

Chronic leukemia can occur in anyone, including women in pregnancy. Pregnancy is a good thing, but what should I do if I find that I have chronic myeloid leukemia? Mr. Child or cure first? Director Shi Shurong’s WeChat consultation platform: zkxk9999 cases of chronic myeloid leukemia diagnosed after pregnancy are rare, but not uncommon, but fortunately, the progress of chronic myeloid leukemia is relatively slow, especially for patients who are still in the chronic phase, and my child will be treated again. Not impossible! However, during the illness, whether it will affect the growth and development of the child or whether it will delay the optimal treatment time, this is a question everyone wants to know! Under what circumstances can pregnant women diagnosed with “slow grains” be treated later? Slow granules were obtained during pregnancy. If the condition is chronic, and the results of routine blood tests show that the white blood cells are less than 100×109/L, and the platelets are less than 500×109/L, they can be temporarily untreated and wait for the treatment after delivery. However, it should be noted that no treatment does not mean that the patient will do nothing. Regular review and monitoring of the condition is indispensable, especially in the case of abnormal changes in the blood, it is necessary to consult a hematologist in time to find a solution. What should I do if the white blood cells of slow-grain patients are greater than 100 and the platelets are greater than 500 during pregnancy? The first is to improve blood performance. White blood cells can be filtered regularly to prevent blood viscosity. For patients with high platelets, anticoagulants can be used to prevent them from forming a thrombus. If the patient is not tolerated by the above method or is not effective, he can be injected with interferon alpha after the patient is six months pregnant. Interferon α is not easy to enter the fetus, and the fetus that has been formed at this time is the least harmful. At the same time, even after six months of pregnancy, try to avoid taking tyrosine kinase inhibitors and hydroxyurea, so as not to cause fetal malformations. Under what circumstances is it not recommended for patients to continue pregnancy? If the patient’s condition is already in an accelerated phase or a sudden change period, it is not recommended to continue pregnancy, especially in the acute change period. The condition progresses rapidly, and powerful chemotherapy drugs are often needed to control the condition to avoid threatening the patient’s life. Although chronic myeloid leukemia is not a hereditary disease, the baby will not be inherited, but the diagnosis of chronic leukemia will have a great impact on the patient’s body and psychology. The rapid progress of the disease in the acute change period will also endanger the life of the pregnant woman, let alone Say kid. Therefore, for whether to continue pregnancy, it is necessary to carefully choose according to the actual situation of the patient. More patient communication assistance can follow the WeChat public account: Slow Grain Patient Association

After the fallopian tube is unblocked, you are still infertile. You must know these reasons!

&nbsp.&nbsp.&nbsp. The effect of tubal dredge surgery is affected by many aspects, including hospital equipment, doctor’s technical level, the patient’s own disease severity, etc., will affect the final dredge effect, so despite the dredging Surgery does not mean that the fallopian tubes are completely cleared, but it depends on the final clearing effect. Sometimes infertility is not caused by a single disease, women with tubal incompetence are likely to suffer from other infertility diseases at this time, the tubal is unclogged, and other diseases are not difficult to get pregnant if they are not effectively treated Too. It may also be that the pressure of the couple is too great. Before the fallopian tube was unable to conceive, now the fallopian tube is unclogged, I want to get pregnant as soon as possible, but the more anxious the more I can’t get pregnant, which may cause endocrine in the body It is difficult to get pregnant after rechecking the fallopian tube surgery, but before starting pregnancy preparation, you need to monitor whether the process of follicular development, maturity, and ovulation is normal by B-ultrasound. &nbsp.

When males have strong “fertility”, they generally have these 3 “characteristics”, how many do you account for?

As we all know, after marriage, the most important thing is to get pregnant and have children. But for this matter, there are several happy and sad. Some people feel that it is easy to get pregnant, and even take some measures, but still pregnant unexpectedly, and some people work hard, but still can not see the “crystallization of love.” In fact, when males have strong “fertility”, there are generally these three “features”. How many do you account for? 1. Strong body hair Generally speaking, male body hair represents the secretion of hormones in his body. If a man is in good health, there must be a lot of body hair on the body, and his vitality is also in a relatively good state. If a man with this phenomenon doesn’t have to worry about himself, you must be able to have a particularly cute baby. When will you have it? It’s just a matter of time. Believe in your body~ 2. Healthy body Now people’s lives have begun Well, the men who women generally like to watch in short videos are those with good figure. Nowadays men are very concerned about their figure, and everyone has a habit of fitness. Like a man with a good figure, the resistance in the body must be quite good, and the fertility will be much stronger than other men who do not like sports. However, men who like sports are more likely to get their wives pregnant. 3. The high-density and smooth pregnancy, of course, depends on the ability of men. The ability to bring oneself is sperm. In fact, boys can observe the body at once. After you ejaculate, you can look at the consistency of your sperm. If the consistency of semen is very high, it will make it easier for your wife to get pregnant. Anyway, keeping a good body, quitting smoking and drinking are the most important.

Is the chance of pregnancy after polycystic ovary syndrome high?

  Ovary carries a vital role in female fertility, so ovarian health is directly related to female fertility. If the ovaries are abnormal, it is easy to cause ovulation problems. Patients with polycystic ovary syndrome generally have symptoms of non-ovulation, and it is basically difficult to get pregnant. But in fact, the disease is not serious, or after a timely cure, the patient still has the possibility of pregnancy. Is polycystic ovarian pregnancy more likely?   Polycystic ovarian pregnancy is less likely, but with the continuous improvement of endocrine knowledge and inspection technology, the diagnosis rate of infertility caused by ovarian insufficiency has increased. And as long as patients with polycystic ovary syndrome actively cooperate with treatment, they can still get pregnant normally, don’t worry too much. Women with polycystic ovary syndrome want to get pregnant by first confirming that the hormones are normal. Polycystic ovary syndrome does not necessarily have hormone abnormalities. Some patients may be ovulatory and not ovulatory, but only occasionally do not ovulate. If it is ovulatory, they will have a chance to become pregnant. Generally, after treatment for polycystic ovary syndrome, the chance of pregnancy is 80%. Therefore, patients with polycystic ovary syndrome want to increase the chance of pregnancy, it is best to treat as soon as possible to avoid eventually leading to complete pregnancy.  How to regulate polycystic ovary syndrome    1, life conditioning: women should start from the life aspect after getting sick, such as daily life, patients should maintain regular work and rest every day, and usually should increase the amount of physical exercise, not overwork. In general, pay attention to maintaining sufficient rest time during treatment, pay attention to changes in weather to increase or decrease clothing, and prevent infection by bacteria. 2. Diet conditioning: The diet should be as light as possible, and nutritious foods such as eggs, milk, and meat should also be selected. Foods rich in vitamins and protein should also be used. Tianlun experts recommend that patients usually Foods with low blood sugar should be selected and fatty acids should not be used. 3. Psychological counseling: Many patients have their own adverse factors that will affect the condition. Some patients who do not understand the disease think that they have knowledge of the physical causes, but ignore the psychological counseling, and a small number of patients suffer from depression after the illness. The disease seriously affects the mental health of the patient and is not conducive to the recovery of the body, so it needs to be adjusted in time.  Polycystic ovary syndrome patients need to persevere when conditioning, not for a day or two or a week or two. Even if your polycystic ovary syndrome disease is cured, you need to pay more attention in daily life to avoid the possibility of the disease recurring again. I hope every patient can pay attention to develop good living habits.

How successful is tubal dredge surgery?

When women have tubal obstruction or obstruction, they can often choose dredge surgery in advance to help the fallopian tube recover. However, many patients are curious about the success rate of tubal dredge surgery, so today we will focus on tubal dredge surgery An introduction to the success rate.  After the fallopian tube dredge operation, if the fallopian tube successfully recovers, the patient can use natural pregnancy to prepare for pregnancy. At this time, the success rate of female pregnancy is actually the same as that of normal women.    A normal couple with normal sexual life and no contraceptive measures has a pregnancy success rate of about 15% per menstrual cycle. Similarly, the probability of female pregnancy after successful tubal drip surgery is also at this level. However, it should be noted that the recurrence of tubal blockage is very high, so the time left for the patient to be suitable for pregnancy after dredging is not much, generally between half a year and one year, if it is not pregnant within six months after dredging Baby, then pay attention to whether the fallopian tube is blocked again, and if you have not been pregnant for one year after dredge, then the patient does not have to wait any longer at this time, it is recommended to go to the hospital as soon as possible.  After the fallopian tube dredge operation fails, how should the patient become pregnant?   When the dredge operation fails, the patient wants to get pregnant at this time can only be achieved by being a test tube baby, that is, in vitro fertilization-embryo transfer technology to help achieve. The success rate of test-tube babies will also be affected by age, so if you decide to do test-tubes, it is recommended that couples must seize the time.

Abnormal vaginal bleeding before and after menstruation

 The most important sign of pregnancy is the stop of menstruation, which is known to women. However, recently, a woman came to menstruation normally every month without any problems, but she found out she was pregnant. What is going on?  The “regular holiday” came as scheduled, and I went to exercise after the end. As a result, my abdomen was severely pained. The examination found that I was pregnant for more than a month, which made Ms. Li, 25, unable to figure out.  Ms. Li loves sports and often runs and bikes in the gym. Last week she practiced a spinning bike home and suddenly felt pain in her lower abdomen. She went to a hospital near her home and the doctor initially diagnosed her as pregnant. Ms. Li said immediately: Impossible, these months leave is normal, no matter the time or the amount of bleeding is the same as in the past, although there will be abdominal pain, but because of her dysmenorrhea, abdominal pain is not surprising, not to mention this month’s vacation just After a few days, it is impossible to get pregnant suddenly.  To further confirm whether Ms. Li is pregnant, the doctor did a urine test for it, and the result was positive, confirming the doctor’s inference. It is said that Ms. Li’s pregnancy is an abdominal pregnancy with a low survival rate. Her previous leave and dysmenorrhea are likely to be abdominal pain caused by vaginal bleeding after an abnormal pregnancy, but it is due to the coincidence of the leave time and Li The dysmenorrhea that women are accustomed to makes Ms. Li not aware of this hidden pregnancy.  Remind that women who are in the stage of pregnancy should pay more attention to hidden pregnancy. Abdominal pain before and after menstruation, abnormal vaginal bleeding may be signs of hidden pregnancy. When the above symptoms appear, citizens should use pregnancy test strips for testing in a timely manner, and severe cases need to go to the hospital immediately.

Does obesity affect pregnancy?

In recent years, problems such as endocrine disorders caused by environmental pollution, increased living pressure, delayed childbearing age, and increased abortion have increased. The number of infertility patients in my country is still increasing at an annual rate of 5%. So, in daily life, what bad lifestyles will affect pregnancy? 1. Smoking/drinking men will greatly reduce the quality of sperm if they smoke and drink alcohol, and second-hand smoke will also affect the swing of the fallopian tube cilia of women, which will affect the picking of eggs and the delivery of fertilized eggs. 2. High temperature environment High temperature is not conducive to sperm production, reduce sperm quality, and even kill sperm. 3. High-dose coffee Coffee is a refreshing drink, but drinking a lot of coffee for a long time will prevent the egg from running from the ovary to the uterus. 4. Underweight or overweight not only affects men’s ovulation and ovulation, but underweight may affect pregnancy. 5. Drugs affect some hormones, sleeping pills, painkillers and antipsychotic drugs, which will also affect our normal reproductive system, leading to infertility. Judging from the impact of the above, one of them is alert, that is the problem of obesity! With the influence of economic development and changes in people’s lifestyles, the problem of obesity in modern women is becoming increasingly prominent. So, does obesity affect pregnancy? Obesity patients are far more difficult to become pregnant than normal women. In fact, obesity is an important factor affecting pregnancy. Obesity can affect the body’s endocrine system, which in turn affects the menstrual cycle, leading to infertility. Studies have shown that people with normal weight are significantly more likely to become pregnant within one year of marriage than obese people. The risk of infertility in adult female obese women is 2.84 times that of normal-weight people. The greater the BMI index, the greater the risk of anovulatory infertility. In addition to causing infertility, obesity also has a great impact on pregnancy, which can increase the risk of complications during pregnancy, such as preeclampsia and diabetes. There are many ways to lose weight, such as diet adjustment, exercise, medicine, etc. After weight loss, most patients can restore normal ovulation function and undergo natural pregnancy. The doctor explained: It is recommended to carry out under the guidance of a doctor. Do not blindly diet and take medicine to lose weight, especially if you eat weight loss pills that do not meet the standards or even illegally add, it may bring new health risks. &nbsp.

Knowledge|The production of stretch marks is actually related to genes

&nbsp.&nbsp.&nbsp. For many female friends, stretch marks are a nightmare. After experiencing weight gain, morning sickness and various discomforts during pregnancy, the moment the baby is born will pass. However, stretch marks are difficult to remove once they appear, and will even accompany you for life. In fact, stretch marks have no pathological damage to women, but they will have a certain impact on the image. In a word: ugly. &nbsp.&nbsp.&nbsp.&nbsp. However, not all pregnant mothers will have stretch marks, why? &nbsp.&nbsp.&nbsp.&nbsp. One study included the DNA of more than 760000 women and found that 544 “genetic markers” are related to the occurrence of stretch marks. These genetic markers have their own characteristics, some of which increase the possibility of stretch marks. There are also some that seem to prevent stretch marks. &nbsp.&nbsp.&nbsp.&nbsp. Research has found that people who are prone to stretch marks have less elasticity and less protein content in their cells, which affects skin recovery. Foreign scholar Atwal conducted logistic regression analysis on the incidence and severity of stretch marks in 324 primiparas and believed that: maternal age, basic BMI, weight gain and neonatal weight are several important factors for long stretch marks, of which age is The most prominent factor. Of the 324 mothers, 71 were under 20 years old, 21% of them had severe stretch marks, and the incidence rate was lower than 30 years old. &nbsp.&nbsp.&nbsp.&nbsp. The younger the age, the easier it is to stretch marks. This may sound a bit unconventional, but according to a survey, the proportion of pregnant women in their 20s who have stretch marks is nearly 80%, while the proportion of stretch marks in those over 35 years old is less than 1/3. Therefore, genetic factors cannot be avoided, and weight and age are still controllable. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.About how to reduce stretch marks:&nbsp.&nbsp.&nbsp.&nbsp.1. Persist in moderate exercise during pregnancy, do not lie for a long time, stand for a long time or sit for a long time, especially still Expectant mothers at work should get up and walk around every hour, so as to avoid premature generation of stretch marks as much as possible. Choosing the right age to have children can effectively prevent the occurrence of stretch marks. &nbsp.&nbsp.&nbsp.&nbsp. 2. Stay away from sweets and deep-fried foods: To avoid excessive intake of sweets and deep-fried foods during pregnancy, balanced nutrition should be taken to improve the skin’s skin quality and help the skin appear Relatively flexible. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. What if I already have stretch marks? &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Photon therapy: It is based on the principle of selective photothermal action. The longer pulsed light in the output strong pulse light can penetrate into the deeper tissue of the skin to produce photothermal and photochemical effects, so that the collagen fibers and elastic fibers of the skin can be rearranged and regenerated, and the elasticity can be restored, thereby eliminating or reducing pregnancy. The therapeutic effect of striae. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.Laser removes stretch marks: It is a pigment that quickly and effectively shatters the formation of stretch marks in the form of light. It is quickly excreted with metabolism and automatically repairs the skin and promotes collagen. The proliferation of protein achieves the triple effect of removing pigments, whitening and rejuvenating, and delicate skin. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. For more information on “stretch marks removal”, you can ask me questions.

Is the chance of natural pregnancy of endometriosis high?

Endometriosis does not necessarily cause infertility, some women can still get pregnant naturally, and for endometriosis, pregnancy itself is also a treatment method, and some patients make the endometriosis after pregnancy The site disease was “treated”. Therefore, the probability of natural pregnancy in patients with endometriosis is relatively high. However, this is not to say that patients with endometriosis will be able to conceive naturally. In fact, a considerable number of patients with endometriosis face problems such as pregnancy loss or miscarriage after pregnancy. At this time, they wait blindly. Natural pregnancy is actually a waste of good treatment opportunities, so it is the correct treatment to go to a professional reproductive hospital in time.    Endometriosis causes infertility, which may be caused by the endometrial tissue invading the fallopian tube to cause the fallopian tube to block, or it may be due to the invasion of the ovary to form a cyst that causes ovarian function to decline, resulting in infertility.   For infertility caused by endometriosis, both couples can use test tube baby treatment to help pregnancy. Test tube baby can help patients get pregnant through in vitro fertilization + embryo transfer. In vitro fertilization can avoid the problem of tubal blockage.  The ovulation promotion during the treatment of IVF can help patients with ovarian function to take out mature eggs and solve the problem of infertility caused by no ovulation or continuous ovulation.  Endometriosis is one of the typical indications for test-tube babies, so when women encounter such a situation, they can get a good pregnancy through the treatment of test-tube babies in time.

Repeated abortion? May be caused by immune disorders, patients with rheumatism should be careful

With the two-child policy in recent years, many families earnestly hope that one can be reborn, but not everyone’s pregnancy is smooth sailing, and some even have recurrent miscarriage, especially in patients with rheumatic immune diseases. In fact, rheumatic immune diseases are closely related to fertility. So, what counts as recurrent miscarriage? Under what circumstances is it safe for rheumatic patients to consider pregnancy? What is recurrent miscarriage? Among pregnancy-related diseases, recurrent spontaneous abortion (RSA) is an important type of reproductive health problem. Recurrent abortion refers to the occurrence of spontaneous abortion 2 or more times in a row. The etiology of recurrent miscarriage is very complicated, such as genetic factors, endocrine factors, anatomical factors, etc. may all cause the occurrence of RSA, and with the study of autoimmune diseases and reproductive immunology, immune factors have become more and more The more it is valued. What is the relationship between immune disorders and recurrent miscarriage? Research suggests that autoimmune disorders are an important cause of RSA. Compared with normal pregnant women, the risk of miscarriage, premature delivery, and eclampsia among pregnant women with rheumatic immune diseases is significantly increased. For example, anti-phospholipid antibody syndrome (APS) in rheumatic immune diseases is a type of disease that is often mentioned related to reproductive health. This disease is recognized as the cause of recurrent miscarriage. Positive phospholipid antibody significantly increased the risk of arteriovenous thrombosis, so low-dose aspirin and/or low-molecular-weight heparin are widely used and are believed to increase pregnancy success. Furthermore, such as pregnancy health problems that systemic lupus erythematosus (SLE) patients often pay attention to, pregnancy and SLE affect each other, SLE patients may have aggravated or relapsed conditions during pregnancy, hypertension, preeclampsia, thrombocytopenia, fetus The risk of growth restriction, premature delivery, and neonatal lupus syndrome also increases. In this regard, the Chinese systemic lupus erythematosus research collaboration group expert group recommended that SLE patients plan to become pregnant, must also meet the following conditions: (1) the condition is inactive and stable for at least 6 months; (2) the dose of glucocorticoids is Prednisone less than 15mg/d (or equivalent dose); (3) 24h urine protein excretion is less than 0.5g; (4) No important organ damage; (5) Stop immunosuppressive drugs such as cyclophosphamide, methylamine Pterin, tripterygium wilfordii, mycophenolate mofetil, etc. for at least 6 months; for patients taking leflunomide, it is recommended to undergo drug clearance treatment before stopping the drug for at least 6 months before considering pregnancy. After pregnancy, patients with SLE need to go to the rheumatology and obstetrics department and obstetrics regularly for review. They should take therapeutic drugs on time and on demand. In addition to the use of Western medicine and Western medicine, Chinese medicine has a long-standing understanding of recurrent miscarriage, and it belongs to the category of “slippage”. The treatment of this disease includes two aspects before and after pregnancy; “pre-pregnancy damage” before pregnancy, after pregnancy “There is no cause for misfortune, both prevent pregnancy and change”. Before pregnancy, take Peiyuan Guben and adjust Chongren as the main method. When the patient’s symptoms and immunological indicators improve, and the condition is stable, consider pregnancy. After pregnancy, it is mainly to nourish the kidney and solidify the fetus. The medication should be slow. It should not damage the fetus and the mother. At the same time, pay attention to the adjustment of daily life. Compared with modern medicine, traditional Chinese medicine treatment is more extensive and has less toxic and side effects. It can make up for the shortage of western medicine while treating diseases. Therefore, in the future, Chinese medicine practitioners will further explore the treatment plan of integrated Chinese and Western medicine, and strive to improve the pregnancy rate of rheumatic immune disease patients. The picture comes from the Internet, please contact to delete it, thank you!

What kind of life care should be done for vitiligo during pregnancy

Vitiligo, a disease in today’s life, is very painful for patients. And the disease of vitiligo will not only hurt the skin of patients, but also make patients with vitiligo have some inferiority complex due to white spots on their bodies. Many women around us have been affected by the disease of vitiligo, and vitiligo can also cause great harm to patients and friends. It is even more serious for women during pregnancy. Pay attention, pay attention to actively cooperate with the doctor for treatment, and avoid inducing more serious consequences. However, what care should be taken for vitiligo during pregnancy? There is no prescribed age for the induction of vitiligo. No matter whether it is a man, a woman, a child, an elderly person or a pregnant woman, it is possible to suffer from the disease of vitiligo. For pregnant women, once the care of vitiligo is improper, it is likely to harm the health of vitiligo patients, which will affect the health of the fetus, so I hope everyone can pay attention to it. Pregnancy patients with vitiligo should pay attention to a reasonable diet and do not drink alcohol in their lives. They should also avoid spicy and irritating food. Supplementing the vitamins and trace elements required by the body should also be carried out under the guidance of a doctor. In addition, patients with vitiligo during pregnancy should pay attention to calming down their lives in their lives. Be careful not to be too nervous. Too much tension will also have a great impact on the normal development of the fetus. Vitiligo patients in pregnancy should pay more attention to the doctor. Communicate to understand your own condition. Before taking drugs, you should also pay attention to whether the drugs are harmful to the fetus. This is a good way to reduce the negative factors for the fetus. Vitiligo patients should pay attention to a reasonable diet during pregnancy, do not drink alcohol, do not eat spicy and irritating food, and supplement vitamins and trace elements appropriately under the guidance of a doctor to actively prevent the aggravation of the disease. Vitiligo patients should calm down during pregnancy and do not over-stress. Otherwise, it will affect the normal development of the fetus. Patient friends should communicate with the doctor at any time to understand their condition. Before taking drugs Pay attention to know whether the drug is harmful to the fetus, and reduce the adverse factors for the child. Patients with vitiligo during pregnancy should pay attention to changes in their bodies at any time, pay attention to regular inspections, and pay attention to hospitals in time if they find abnormalities in their bodies. Vitiligo is not an incurable disease, so pregnancy Patients with vitiligo do not need to worry too much, and pay attention to maintaining a good attitude in life. The disease of vitiligo has a very great impact on the patient’s image, and in our lives, once the disease of vitiligo appears on our bodies, we must pay attention to a high degree of attention. Vitiligo patients during pregnancy should pay attention to regular hospital visits and life Attention should be paid to maintaining a good attitude and avoiding the aggravation of vitiligo.

What to do if you have genital warts during pregnancy

   Clinically, many people are infected with condyloma acuminatum after pregnancy, which brings great problems to doctors and also makes patients face painful choices.  A lot of patients come to the hospital and will consult. If they have condyloma acuminatum, can they get pregnant? Can be pregnant, does not affect fertility. The advice to these friends is to be treated within 3-8 months of pregnancy, so as not to affect the fetus during delivery.  Infection of genital warts during pregnancy, the influence of hormones in female receptors on local lesions will increase faster, and it is easy to grow more and larger warts. In order to ensure the healthy development of the fetus, the use of drugs is prohibited. At this time, it is recommended to remove local warts by freezing to temporarily control the hyperplasia. After the cesarean section, the hormones in the body will decline, and the condition will also be reduced. After the body recovers, complete the radical cure of genital warts with the Chinese medicine prescription No. 2011101665723. The above article comes from the WeChat public account “Condyloma Acuminatum Patent Formula”, for reference only, infringement deleted.

To what extent do endometriosis require test tubes?

&nbsp.&nbsp.&nbsp.&nbsp. Endometriosis refers to a series of gynecological diseases and infertility caused by ectopic endometrium that originally grew on the inner wall of the uterus and invaded other reproductive organs or parts. disease. According to the clinical diagnosis and treatment data for many years, more than half of the patients with endometriosis have difficulty in pregnancy. At this time, targeted treatment is needed to make the patient pregnant with the baby smoothly.  Endometriosis also belongs to the treatment range of test tube babies, but not all endometriosis needs to be test tube babies, let’s take a look at which parts of patients need to be test tubes.    First of all, some patients with mild endometriosis can often become pregnant on their own, and after pregnancy, endometriosis will also receive certain treatment. Of course, these patients do not need to do test tubes. In addition, there are some patients with mild endometriosis who can try pregnancy by guiding the same room or artificial insemination if the fallopian tubes are unobstructed and the ovarian function is not dragged down. Under what circumstances do I need to be a test-tube baby? Serious symptoms, endometriosis leading to blocked fallopian tubes, ovarian cysts (hypo-ovarian reserve function), receiving instruction in the same room or artificial insemination to treat pregnancy failure, etc. The baby came to help get pregnant. Endometriosis is also a disease that cannot be underestimated. Many women will want to be pregnant to treat this disease. In fact, not all patients are like this, but in fact most endometriosis Patients need some treatment to get pregnant successfully. Therefore, female patients should not delay treatment for a long time, and seek the correct method of assisting pregnancy as soon as possible to get pregnant as soon as possible.

Causes and precautions of Dr. Cheng Yahui’s popular science

It was difficult to get pregnant, but during the development of the fetus, there was suddenly no fetal heartbeat, no heartbeat, and there was no choice but to stop the development and had to abort, or spontaneous abortion occurred without warning. Many women of childbearing age have similar unfortunate experiences. What is abortion? Under normal circumstances, the entire process of pregnancy starts from the first day of the last menstrual period, and the gestational age is 280 days, that is, 40 weeks. The so-called melon ripening, most gestations are delivered around 40 weeks. If the embryo or fetus has stopped developing before it has the ability to survive, or if the pregnancy naturally ends, we call it spontaneous abortion. What happens before 12 weeks of pregnancy is called early abortion, and what happens after 12 weeks is called late abortion. Spontaneous abortion is very common. After implantation of the embryo in the uterus, nearly 1/3 (31% of the statistical data) spontaneous abortion, of which 80% is early pregnancy, that is, abortion before 12 weeks of pregnancy. There are many reasons for fetal abortion, including abnormal reproductive organs, endocrine disorders, abnormal sperm and semen, infection, abnormal chromosomes, and immune diseases. Therefore, if fetal abortion occurs, these six links should be investigated to find out the reason for fetal abortion, so as to avoid fetal abortion again. Whether it is because of infertility after miscarriage or because you can’t get pregnant after abortion, you should go to the hospital in time to find out the specific reasons and symptomatic treatment, so that you can get pregnant and have a baby. About fetal discontinuation 1. For those with older age and irregular menstruation, it is recommended to check the sex hormones and thyroid function to see how the ovarian reserve function and thyroid function. Abnormal thyroid function can also lead to infertility and miscarriage. 2. If necessary, consider a TORCH screening (that is, toxoplasma, rubella virus, cytomegalovirus, herpes simplex virus, TORCH is the first letter of the English name of the four microorganisms). 3. However, for recurrent miscarriage, that is, two or more consecutive abortions with the same husband, the cause is relatively complicated. In addition to the basic physical examination, a comprehensive investigation of various possible causes should be conducted, and then according to the cause Conduct targeted treatment. 4. The couple should avoid contact with toxic and harmful substances, such as X-rays, lead, insecticides, etc. Husband and wife should quit smoking, quit drinking, drink less coffee, relax, avoid staying up late, and reduce stress.

Parents and friends must see, don’t let your child become the next patient with microtia!

I have encountered many such patients. After being born with microtia, the mother-in-law and husband often blame their mother. They all think that it is the mother who gave birth to the child with one ear. Many mothers are also very wronged and their ears are normal. Why do children have small ear deformities? First of all, to clarify, the exact cause of congenital microtia is not very clear, and may involve various factors such as genetics and pregnancy. But it cannot be said that it is a problem of the father or the mother. There is no evidence to prove that diet, rest, illness, etc. during pregnancy will cause this kind of situation, so don’t let the innocent mother go back! Why do children have small ear deformities? The development time of the baby’s ears begins at 6 weeks of pregnancy. When the pregnant mother is two to three months pregnant, the outer ear contour, middle ear and inner ear of the baby are basically formed. During this period, if there is abnormal development , There will be symptoms of microtia. There are many reasons for the occurrence of microtia, and the medical community has not attributed the specific single cause to the main factors that cause microtia. Environmental, chemical, and genetic factors can lead to the appearance of microtia: 1. The most common environmental factors including environmental factors include Radiation and environmental pollution. Pregnant mothers are infected with pathogenic viruses such as the cold virus, herpes zoster virus, etc. in the early pregnancy, or the pregnant mother has diseases of the immune system, diabetes, etc. may cause the baby to have microtia. 2. Chemical factors Mothers who took anti-cold drugs, antibiotic drugs, hormone drugs or potassium retinoic acid drugs and other chemical drugs in the early pregnancy may also cause microtia. In addition to drugs, frequent exposure of mothers to tobacco and alcohol during pregnancy can also be a susceptible factor for microtia. 3. The genetic probability of the microtia deformity should be determined according to the specific situation. More than one immediate family member suffers from microtia or other ear deformities, indicating that there is a genetic gene for microtia in the family, and the incidence of microtia was significantly increased in the next generation of the patient or the parents who gave birth to the second child again. In general, the odds of microtia in the general population are 1/3000, and those with a family history may increase to 1/1000.

Before pregnancy, a few things must be done!

Pregnancy and childbirth are the top priorities of our women’s lives. So before pregnancy, you must do these few things.   1. Comprehensive physical examination    The time for a comprehensive physical examination before pregnancy is generally best from one quarter to half a year before preparing for pregnancy. This can not only detect whether a woman’s body is pregnant, but also detect some other diseases of the body and prepare for eugenics. 2. Cultivate good eating habits. Everyone knows that pregnant women’s food intake will increase, so before pregnancy, eat foods rich in protein, trace elements, folic acid, and vitamins, and develop good eating habits in advance to achieve pregnancy. During the period of high nutritional intake requirements.   3. Correct bad habits    Avoid smoking and drinking, which not only has an impact on their own health, but also is particularly harmful to babies.  4. Exercise   Pregnancy not only requires physical ability, but also has health requirements for internal organs. The uterus is the cradle for babies. A healthy uterus is more important. Keeping doing uterine exercises every day before pregnancy and other physical exercises will help to better welcome your baby.   5. Maintain a good state of mind    Excessive mental stress will affect the situation of ovulation, thus affecting the success rate of conception. Therefore, when preparing for pregnancy, do not over-stress, maintain a good attitude and relax, this is more conducive to successful pregnancy.

How to solve stretch marks, how to effectively remove stretch marks?

&nbsp. How can female stretch marks be effectively removed? Some people say that stretch marks, even if they don’t look good, are a beautiful gift from babies to their mothers, but they still make Baoma more annoying and sad. When stretch marks are formed, the narrow, concave fine lines are on the abdomen and thighs. The part is not only itchy but also uncomfortable, so how to solve stretch marks, how to effectively remove stretch marks? The following doctors from Hangzhou Time Plastic Surgery Hospital are popular science for everyone. &nbsp.&nbsp. In order to effectively eliminate stretch marks, the most popular way now is to choose laser skin tightening and wrinkle: &nbsp.&nbsp. Choose a professional hospital for treatment, the smart radio wave energy generated by the hospital equipment is transmitted to the deep skin, through focusing It produces heat energy, stimulates the continuous proliferation and reorganization of collagen, and restores the smoothness of the skin of the person seeking beauty to achieve the purpose of firming and wrinkle removal. &nbsp.&nbsp. How to eliminate stretch marks? &nbsp.&nbsp.1. Olive oil: Generally, expectant mothers need to keep rubbing their belly and waist when they are about four months pregnant. The rest of the place does not change much. The factors need to be calculated for the belly and waist. Natural things are better, which is better for the baby; &nbsp.&nbsp.2: Massage: need to massage the skin every day, the time of each massage should be ten minutes, so that the olive oil can be slowly absorbed, the skin will It becomes moist and shiny without greasy feeling; increases the circulation of the skin; after giving birth to the baby, it can also be used for four months to prevent stretch marks. There are no ugly women, only lazy women, if you want beauty, you must stick to the beautiful cause! &nbsp.&nbsp.3. Increasing skin elasticity: Expert introduction: To avoid the occurrence of stretch marks, you need to take care of your daily life. Before pregnancy, you must exercise your body in time, often do massage, and increase skin elasticity. Pay attention to nutrients in time, increase vitamin supplements, and continuously increase your own skin elasticity; &nbsp.&nbsp.4. Post-pregnancy maintenance: pregnant women need to eat foods rich in vitamin C, such as strawberries, vegetables, etc., and milk rich in vitamin B6 And its products. It also requires sufficient sleep time to reduce the appearance of stretch marks on the abdomen; increase the elasticity of the skin. &nbsp.&nbsp.5. Skin care in beauty salons: laser skin firming and wrinkle removal, beauticians who choose beauty as much as possible, such as Hangzhou Time, introduce laser equipment, let experienced doctors personally operate, according to the stretch marks of the beautician , Skin condition to design a treatment plan, easily clean up stretch marks, and give the beauty seeker fair and delicate skin.

How to prevent stretch marks during pregnancy?

&nbsp.&nbsp. How to prevent stretch marks during pregnancy? Nowadays, many beauty-loving women want to become the Dink family and do not want to have children. In fact, it is because pregnancy will not only change the body shape, but also produce unsightly stretch marks. Stretch marks seriously damage the feeling of beauty and affect your mood. So how should you prevent stretch marks during pregnancy? Let the doctors of Hangzhou Time have science for everyone. &nbsp.&nbsp.&nbsp.1. Skin massage: Properly massage the skin to increase the elasticity of the skin, because good skin elasticity is beneficial to withstand changes during pregnancy. &nbsp.&nbsp.2. Reducing sun exposure: Sunlight exposure can increase pregnancy spots, so wear a sunhat and sunscreen when going out in summer to avoid direct sunlight on the skin surface. &nbsp.&nbsp.3, Bathing correctly: During bathing, insist on washing the corresponding parts alternately with cold and hot water to promote blood circulation of the affected part, and apply protective grease after bathing. This method also has a preventive effect and can be used before the plaque grows. &nbsp.&nbsp.4. Weight control: During pregnancy, avoid weight gain too fast, generally do not exceed 10-kg during pregnancy. &nbsp.&nbsp.5, eat more tomatoes: Tomato freckle is because it is rich in lycopene and vitamin C, they are natural antioxidants, often eat some to help freckles and beauty &nbsp.&nbsp.6, vitamin supplements: pregnant women Should eat more foods rich in vitamin C, such as citrus, strawberries, vegetables, etc., should also eat more milk and its products rich in vitamin B6.

Regarding the issue of childbirth and pregnancy in women with epilepsy, you want to know it is here!

 At present, most patients with epilepsy can work and live like normal people after reasonable treatment. But when it comes to having children, there are many questions. In particular, many women with epilepsy ask more about these questions. Professor Wang Chao from the Epilepsy Center of Tangdu Hospital of Air Force Military Medical University will give you a talk about the problems of childbirth and pregnancy in women with epilepsy. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.01. Can epilepsy patients have children?  Epilepsy patients can live a normal life, as long as it is not due to some other diseases caused by seizures, they can all live normally and get married and have children normally. Professor Wang Chao explained: For example, the seizures are actually the same as gastric ulcers. Gastric ulcers are always stomach pains, and seizures may be convulsions or other manifestations, but there is no difference from diseases such as gastric ulcers. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.02. Does pregnancy affect seizures?  Early pregnancy reaction during pregnancy, sleep problems, increased burden of the body during the third trimester and anxiety can increase the frequency of seizures; in addition, due to pregnant women’s concerns about the adverse effects of drugs on the fetus and self-reduction or self-discontinuation of drugs, it will also increase the frequency of pregnancy attacks. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.03. Does seizure affect pregnancy?   90% of pregnant women with epilepsy can obtain normal newborns, but the incidence of premature delivery and pregnancy-induced hypertension is 2 to 3 times that of the normal population. Such as repeated epileptic seizures during pregnancy or convulsions for a long time, can cause trauma to pregnant women and may cause intrauterine hypoxic trauma. In addition, pregnant women taking antiepileptic drugs have a 1 to 2 times higher incidence of fetal congenital abnormalities than the normal population; second, pregnant women taking antiepileptic drugs may cause long-term psychomotor development and cognitive development. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.04. What should you pay attention to during the pregnancy? Professor Wang Chao explained: If you are about to become pregnant, you should go to a regular hospital outpatient clinic to receive doctor’s guidance. Because we know that epilepsy patients may cause some neurological abnormalities in children because of taking medicine. So we need these patients to take folic acid from the first three months of pregnancy. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. How long do you need to take? Normal female pregnancy generally takes folic acid from the pregnancy period to the first three months of pregnancy, but for pregnant patients with epilepsy, it is necessary to get pregnant Folic acid should be taken from the first three months to the entire period of pregnancy. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.05. Can female patients with epilepsy breastfeed?   Almost all antiepileptic drugs can enter breast milk through the blood, but it is generally believed that the benefits of breastfeeding outweigh the disadvantages. Promote breastfeeding. However, it should be noted that the minimum dose of drugs that can control seizures should be taken during lactation, and drugs with a low breast milk pass rate should be selected to reduce the impact on the baby.  We mentioned that during pregnancy and after giving birth to these drugs, it is recommended to take a new generation of antiepileptic drugs, such as oxcarbazepine, levetiracetam, and lamotrigine.   For sodium valproate, we generally do not recommend eating it for female patients of childbearing age. If you have a child in recent years, or if you are married and about to have a baby, we do not recommend taking this medicine because: first, sodium valproate may cause polycystic ovary syndrome in women In addition, it may cause a certain deformity to the child. Therefore, we do not recommend women of childbearing age to eat sodium valproate. But for some patients, it is useless to take other medicines. What should I do if sodium valproate is useful? At this time, we need to control the dosage of sodium valproate under the professional guidance of a doctor to minimize the impact in this regard.