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产后三冲

  指产后因感染,恶露不下等原因引起的三种危重症候。即“败血冲心”,“败血冲胃”,“败血冲肺”,合称“三冲”,这里的“败血”主要是指当下而不下的恶露。

目录

1.产后三冲的发病原因有哪些
2.产后三冲容易导致什么并发症
3.产后三冲有哪些典型症状
4.产后三冲应该如何预防
5.产后三冲需要做哪些化验检查
6.产后三冲病人的饮食宜忌
7.西医治疗产后三冲的常规方法

1. 产后三冲的发病原因有哪些

  后败血冲心:心主血脉而藏神。因为产后耗伤血脉,心气大虚,此时若败血不下,败血上冲于心,扰乱心神,而诱发败血冲心之症。现代医学认为,此症的发生与多种因素有关,有精神病史,社会经历不顺利因素,婚姻家庭有矛盾,个性孤僻,焦虑或难产等。分娩后机体内分泌系统功能急剧变化,产后雌激素含量迅速下降,胎盘类固醇减少,产后皮质酮消失,尿中去甲肾上腺素减少,分娩后恶露涩少、疲劳、子宫复旧不良等因素。

2. 产后三冲容易导致什么并发症

  因为产后恶露涩少,许多废旧物质被机体吸收后,引起产妇机体神经内分泌改变。同时由于细菌感染的存在,孕妇产油发热、腹痛等表现,阴道分泌物常伴有恶臭味,如治疗不及时,可因感染进入血液循环造成脓毒血症的表现,如高热、寒战、抽搐等。

3. 产后三冲有哪些典型症状

  行为及情绪异常,胸闷,腹胀,恶心。本病属于现代医学血所秒速的恶露感染,发生在恶露期的细菌感染,可有发热、恶露的异常(如恶臭味恶露、化脓性恶露以及恶露过早停止等表现)。

4. 产后三冲应该如何预防

  心主血脉而藏神。因为产后耗伤血脉,心气大虚,此时若败血不下,败血上冲于心,扰乱心神,而诱发败血冲心之症。现代医学认为,此症的发生与多种因素有关,有精神病史,社会经历不顺利因素,婚姻家庭有矛盾,个性孤僻,焦虑或难产等。分娩后机体内分泌系统功能急剧变化,产后雌激素含量迅速下降,胎盘类固醇减少,产后皮质酮消失,尿中去甲肾上腺素减少,分娩后恶露涩少、疲劳、子宫复旧不良等因素。

5. What laboratory tests need to be done for postpartum three surges

  This disease belongs to modern medicine's rapid blood stasis in lochia infection, which occurs during the lochia period of bacterial infection, with symptoms such as fever, abnormal lochia (such as smelly lochia, purulent lochia, and early cessation of lochia). Clinical examination should include B-ultrasound, blood routine, vaginal secretion examination, C-reactive protein, erythrocyte sedimentation rate, and other examination items. The degree of infection and the characteristics of the pathogen are determined according to the results of the examination, and targeted treatment is carried out.

6. Dietary taboos for postpartum three surges patients

  First, postpartum three surges food therapy

  1, Slightly roast red beans, decoct the water to drink as tea at will.

  2, Dry lotus leaves (roasted) ground into fine powder, take 10 grams each time, take with child's urine.

  3, Roast rapeseed and mix with an equal amount of cinnamon, grind into fine powder, use vinegar to cook flour, make paste into pills as big as a dragon's eye nucleus, take one or two pills each time, twice a day, take with warm yellow wine to treat postpartum lochia retention and stabbing pain in the blood.

  4, 60 grams of brown sugar, a little tea, mix with hot yellow wine and take it.

  5, Composition: 10-12 grams of Hongqu, an appropriate amount of wine. Method: Decoct the juice and take it warm.

  6, Treatment for poor lochia discharge or amenorrhea in women after childbirth: 250 grams of lotus root, cleaned and cut into small pieces, 12 grams of peach kernel. Put them into an aluminum pot or sand pot (avoid using iron pot) and boil with an appropriate amount of water. Add a little salt to taste after boiling and eat.

  7, Taro Congee: About 250 grams of taro, peeled, sliced, and cleaned, cooked with 100 grams of glutinous rice to make congee. Add oil and salt to taste after boiling and eat. It has the effects of dissipating nodules, relaxing the intestines, and reducing gas. It is suitable for constipation, dry stools, and poor lochia discharge after childbirth.

  8, Peach Kernel and Lotus Root Soup: 250 grams of lotus root, cleaned and cut into small pieces, 10 grams of peach kernel. Put them into an aluminum pot or sand pot (avoid using iron pot) and boil with an appropriate amount of water. Add a little salt to taste after boiling and eat. It has the effect of promoting blood circulation and removing blood stasis. It is suitable for women with poor lochia discharge after childbirth or amenorrhea.

  9, Papaya and Ginger Stewed with Rice Vinegar: About 500 grams of papaya, 30 grams of ginger, 500 grams of rice vinegar. Method: Add papaya and ginger to rice vinegar, stew in a sand pot, and take it in portions.

  It is used for postpartum recovery, which can quickly restore vitality, enhance uterine contraction, and is beneficial for lochia discharge and the elimination of stasis.

  10, Dangshen, Huangqi, Danggui Pork Feet Soup: One pork foot, 20 grams of Dangshen, 15 grams of Huangqi, 15 grams of Danggui, 15 grams of Maidong, 15 grams of Mutong, 10 grams of Jiegeng, a little salt.

  Method: Scrape and clean the pork feet, cut into pieces. Wash Dangshen, Huangqi, Danggui, Maidong, Mutong, and Jiegeng with clean water, put them into clean cloth bags, and tie the bags tightly; put the pork feet and the cloth bags into a sand pot, add an appropriate amount of water, bring to a boil over high heat, then turn to low heat to cook for 1 hour, remove the cloth bags, season and eat. It tonifies Qi and nourishes blood, benefits the stomach and promotes lactation, and is used for postpartum milk failure due to Qi and blood deficiency, with symptoms such as flat chest, pale complexion, dizziness, tinnitus, soreness in the lower back and knees, weakness of the limbs, palpitations, shortness of breath, scanty lochia, and loss of appetite.

  11. Ginger and hawthorn tea: 12 grams of charred hawthorn, 3 slices of ginger, seasonings: 30 grams of brown sugar, method: 1. Clean the hawthorn and ginger slices. 2. Clean the sand pot, add an appropriate amount of water, place it on the fire, boil it, add charred hawthorn, ginger slices, and brown sugar, and boil for about 30 minutes. This tea has the effects of warming the meridians and dispelling cold, resolving blood stasis and alleviating pain, nourishing blood and activating blood, and is suitable for symptoms such as delayed lochia due to cold blood stasis.

  II. Single prescriptions and recipes

  1. Equal parts of rapeseed and cinnamon, appropriate amount of vinegar, fry the rapeseed and cinnamon together, grind into fine powder, cook into paste with vinegar, shape into pills as big as dragon's eye nucleus, take 1-2 pills each time, take with warm yellow wine, three times a day.

  2. 250 milliliters of yellow wine, 6 grams of raw Rehmannia, 10 grams of motherwort, put the wine in a porcelain cup with raw Rehmannia and motherwort, place the porcelain cup in a steaming pot with water, heat and steam for half an hour, then take it.

  3. Hongqu 12 grams, decocted with yellow wine.

  4. Dried persimmon 3 grams, burn to ash and grind into powder, take with yellow wine.

  III. What is good to eat during the postpartum three attacks

  1. The internal blockage of blood stasis is the pathological feature of this disease. Therefore, the diet should be light in taste, such as congee, egg custard, vegetables, etc. Avoid eating cold and greasy foods such as cold drinks, cold dishes, and oils, in order to prevent retaining evil and blood stasis.

  2. Since there is a lot of deficiency after childbirth, it is not advisable to overuse blood-activating and Qi-promoting herbs. It is advisable to eat nutritious and not greasy foods. For example, chicken soup, tangerine beef, yogurt, etc.

  3. The cold and hotness of diet should be adjusted according to the symptoms, otherwise, it will worsen the condition and make the blood stasis difficult to remove. For those with cold congealment, it is advisable to eat spicy and warm foods such as fennel, ginger, lamb, and dog meat, and those with Qi deficiency should not be too warm to prevent heat generation. Those with Qi stagnation should avoid spicy and warm foods.

  4. Recommended ingredients

  (1) Meats:鲤鱼, grass carp.

  (2) Vegetables: Cabbage, lettuce, onion, tomato.

  (3) Fruits: Grapes, honeydew melon, papaya, pitaya.

  (4) Other types: Angelica sinensis, ginseng, Astragalus membranaceus, raw Rehmannia, prepared Rehmannia, rice vinegar.

  IV. What should not be eaten during the best postpartum three attacks

  1. Avoid cold and greasy foods;

  2. Avoid eating spicy and other irritant foods;

  3. Avoid eating hard, rough, and acidic foods;

  4. Avoid eating salty foods;

  5. It is not advisable to eat too much monosodium glutamate after childbirth;

  6. It is not advisable to drink too much tea after childbirth.

7. Conventional methods of Western medicine for treating postpartum three attacks

  I. Prevention

  If the delivery goes smoothly, it is generally possible to wash hair from the first week. This also depends on the health condition of the mother and the sanitation facilities of the family. Keeping the hair clean is very important. Once the hair is dirty, people lose their spirit.

  1. When washing hair at home, after massaging with shampoo, rinse thoroughly, wipe away dirt with a towel carefully, then apply conditioner, rinse with water, and finally dry carefully with a towel.

  1. If you use hair perm, it should be at least one month after childbirth, because the skin becomes sensitive before and after childbirth, and dermatitis caused by perming is not uncommon. Therefore, it is necessary to do a test on the inside of the wrist in advance if necessary, and if there is no reaction, perming can be done safely.

  2. If you use hair perm, it should be at least one month after childbirth, because the skin becomes sensitive before and after childbirth, and dermatitis caused by perming is not uncommon. Therefore, it is necessary to do a test on the inside of the wrist in advance if necessary, and if there is no reaction, perming can be done safely.

  3. Hair loss will increase after 3 months postpartum. There is no need to worry about this kind of hair loss. As long as you get enough rest and ensure nutrition, hair loss can stop. Therefore, the first thing is to ensure that the body gets enough rest, eat enough fat and protein, and also eat some seaweed and other foods every day.

  4. To care for hair, use high-quality shampoo to wash your hair and rinse thoroughly. Then, massage with hair growth shampoo and rinse clean.

  5. When hair loss is particularly severe, it is necessary to visit a dermatologist. Generally, due to easy hair loss after childbirth, combined with postpartum child care and breastfeeding, the physical recovery of mothers also needs some time, so most mothers are accustomed to cutting their long hair during the second and third trimesters of pregnancy. The postpartum hairstyle can be determined according to the mother's preference, and the hairstyle should be simple for easy washing and daily convenience.

  Two, Skin Care

  1. After childbirth, the skin can gradually recover its luster before pregnancy. If the skin still lacks luster after a long time, you should consult a doctor to see if there is any disease.

  2. In this period, sleep is often insufficient due to breastfeeding and taking care of the baby. The key to skin care is to ensure good sleep.

  3. About 3 months after childbirth, if you feel tired, you should not just use cold water to wash your face to refresh yourself, but should go to rest. Make full use of cold cream and nourishing cream. It is best to have a massage and beauty treatment once a week.

  4. Before taking a bath, apply beauty products and wait for a while until the baby's bath is finished, then slowly rinse off.

  5. Once pregnant, the pigmentation of the skin becomes stronger, and this tendency can be seen to some extent during the normal menstrual period. The not very noticeable freckles can be clearly seen. The muscles around the areola and the lower abdomen (midline) generally also become darker. After childbirth, with the passage of time, the pigmentation will naturally fade. So there is no need to worry at all.

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