Nausea and vomiting during pregnancy, that is, early pregnancy reactions, are common diseases during pregnancy, with high incidence.About half of pregnant women in the early pregnancy will cause nausea and vomiting. These symptoms are mostly in 4 weeks of pregnancy, and the most severe at 9 weeks of pregnancy; 60 % of pregnant women have eased their symptoms 12 weeks after 12 weeks of pregnancy, and 91 % of pregnant women are relieved after 20 weeks of pregnancy.10%of pregnant women continue nausea and vomiting throughout pregnancy.
Pregnancy vomiting is the most serious stage of pregnancy and vomiting. It is manifested as persistent vomiting. The detection of urinary ketone body is positive, and the weight loss exceeds 5 % of the weight before pregnancy.It may be accompanied by abnormal electrolytes, thyroid function, and liver function. Often delays or insufficient treatment for the safety of medication during the early pregnancy, resulting in a serious complications of pregnant women, even endangering the mother’s life, and being forced to terminate pregnancy.
Why is nausea and vomiting during pregnancy?
The cause of the disease is unknown, which is related to various factors, such as genetic factors, placenta factors, endocrine factors (hydatis in the pregnant woman’s velvetic gonadotropin (HCG), increased estrogen), gastrointestinal dyskinesia, pylori infection, excessive mental stress, excessive mental stress, mental tension, and excessive mental tension, and excessive mental tension, and excessive mental tension, and excessive mental stress, mental tension, and excessive mental stress, mental tension, and excessive mental tension, and excessive mental tension.The spirit and social factors such as anxiety, anxiety and living environment may participate.
Is pregnancy drama vomiting harm?
Pregnant women have frequent vomiting. Insufficient nutrition and energy supply required, the body will mobilize fat tissue to break down the supply, and the ketone body will produce correspondingly.The accumulation of ketone body in the pregnant woman will cause ketoic acid poisoning, excreted from the urine, and the ketone body will occur in routine urine.In addition, vomiting will discharge a lot of water, vitamins and electrolytes, and unable to eat, which will lead to dehydration, vitamin deficiency and electrolyte disorders, and even visual impairment, exercise disorders, etc.
How to treat nausea and vomiting during pregnancy?
1. Non -drug treatment
1. Rest and diet change is the most basic treatment of nausea and vomiting during pregnancy:
①Moly meals to avoid stomach fullness.
② Avoid spicy and greasy foods; eat light, dry food or high -protein snacks and salty biscuits in the early morning.
③ Too much liquid foods are more likely to promote gastrointestinal disorders, leading to nausea and vomiting, so you can drink a small amount of liquid between two meals.
④ The smell of hot food can promote nausea and vomiting, so take cold food.
⑤ Try to avoid contact with vomiting smell, food or additives, and flashes that can easily induce vomiting
The American Academy of Obstetrics and Gynecology recommends ginger as a non -drug treatment method for treating nausea and vomiting during pregnancy.It is reported that ginger contains gingerin and gingerin. They can inhibit choline energy M3 receptors and 5-hydroxylidin receptors and act on gastrointestinal tract as gastrointestinal dopamine and serotonin antagonists to enhance gastric power.In addition, ginger can inhibit the growth of Helicobacter pylori, and Helicobacter pylori may be the pathogenic factor of nausea and vomiting during pregnancy.
3. Acupuncture therapy
Many studies have been reported that acupuncture therapy applications can reduce the occurrence of nausea and vomiting, but the effect is uncertain, but as a safe treatment method, it is worth trying.
4. Supplement vitamin B1
Early vitamin B1 supplementation can reduce the mortality rate, especially the occurrence of Wenny’s encephalopathy.
Treatment of nausea and vomiting during pregnancy starts from prevention.Recommended vitamins before January before pregnancy can reduce the incidence and severity of nausea and vomiting in pregnancy.
5. Varicized liquid supplement
Correct dehydration and electrolyte disorders, intravenous drip glucose, glucose saline, physiological saline, electrolyte solution of about 3000 mL, including vitamin B6100 mg, vitamin B1100 mg, vitamin C2 ～ 3g, continuous infusion for at least 3 days, maintaining daily urine ≥ ≥ ≥ daily.1000ml.
2. Drug treatment
1. The use of vitamin B6 single drug treatment or combined with Dopsicain to treat nausea and vomiting during pregnancy. In 2013, it passed the American Food and Drug Administration (FDA) certification. It is safe and effective. It is recommended as a first -line medication.
2. Antimamines (such as Doramin and benzenrara) can effectively control the symptoms of nausea and vomiting during pregnancy.
3. Dopamine antagonist (such as metharine), stomach Fu An is considered to be a three -line therapy for NVP.It does not increase the risk of congenital malformations, low birth weight, premature or perinatal during pregnancy during pregnancy.The use of stomach recovery is limited by its side effects, including the risk of drowsiness, dizziness, muscle tension, and chronic use of delayed motor disorders.
4. Various pheasine drugs (such as israzine) can relieve the symptoms of nausea and vomiting, and use them in the first three months of pregnancy to increase the risk of birth defects.In several studies, the use of albenzine during pregnancy is not found to be related to teratogenic effects, although it has side effects of anticholine energy, including dry mouth, drowsiness and sedation.Therefore, it is considered to be the second -tier treatment of NVP, especially as a substitute for Domothlamin.
5.5-hydroxylin receptor 3 inhibitors (5-HT3, such as Angdan Siqiong) The effectiveness and safety evidence of nausea and vomiting during pregnancy are limited. RecentlyFor the safety of the fetus, but its absolute risk is very low, weighing the advantages and disadvantages.
6. Anticated drug
During pregnancy, gastric burning and gastric acid refractory response were treated, because some studies reported that the symptoms of gastroesophageal reflux disease were related to the increase in the severity of nausea and vomiting during pregnancy.Anticuria -containing or calcium anti -acid agents are recommended as first -line therapy for gastric acid reflux and gastric burning during pregnancy. They can be used to treat nausea and vomiting during pregnancy. These drugs are not found.
7. The last means of nausea of nausea during glycotopodia hormones.
It is used to treat refractory pregnancy vomiting cases, and the treatment effect is inaccurate. Three months of pregnancy uses corticosteroids to display. Infants exposed to the drug are slightly increased.At present, there is no clear guidance guidelines for the use of corticosteroids to treat nausea and vomiting during pregnancy, and its use is still controversial.
(Non -drug treatment and first -line treatment plan)
It is worth noting that if nausea and vomiting occur during pregnancy, similar symptoms caused by other diseases need to be ruled out.If you are diagnosed with reactions during pregnancy, the above non -drug treatment is used. If it cannot be relieved, the first -line drug treatment plan can be used: vitamin B6 combined with Dopsicain treatment.Through the above methods, it is still impossible to alleviate, and pregnant women have frequent nausea and vomiting. The weight loss is more than 5%compared with pre -pregnancy. Electrolytic disorders and other symptoms should be visited to the hospital in time. Once the diagnosis is confirmed, it is necessary to be hospitalized.