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怀孕时瘙痒:原因和治疗

您可能会发现自己在怀孕期间会发育发痒的原因有很多,而且通常是完全正常的(尽管非常令人讨厌)的副作用。怀孕期间您体内的激素变化和血液供应意味着您的皮肤会变得更加敏感,而伸展皮肤也可能导致不愉快的瘙痒。

By Mumsnet HQ|最后更新了2021年6月4日

There are plenty of reasons you might find yourself developing itchy skin during pregnancy, and it\u2019s often a perfectly normal (albeit extremely irritating) side-effect of being upduffed. Hormonal changes and blood supply in your body during pregnancy mean that your skin can become more sensitive, and stretching skin can also be a cause of unpleasant itchiness.<\/p>","value":"

There are plenty of reasons you might find yourself developing itchy skin during pregnancy, and it\u2019s often a perfectly normal (albeit extremely irritating) side-effect of being upduffed. Hormonal changes and blood supply in your body during pregnancy mean that your skin can become more sensitive, and stretching skin can also be a cause of unpleasant itchiness.<\/p>"},{"meta_id":107336,"post_id":7338,"meta_key":"body","meta_value":"a:7:{i:0;s:7:\"content\";i:1;s:3:\"mpu\";i:2;s:7:\"content\";i:3;s:5:\"image\";i:4;s:7:\"content\";i:5;s:3:\"mpu\";i:6;s:7:\"content\";}","value":["content","mpu","content","image","content","mpu","content"]},{"meta_id":107340,"post_id":7338,"meta_key":"body_0_content","meta_value":"

If the itching is very bad \u2013 to the point that it's impacting on your sleep or distracting you \u2013 it's worth flagging to your GP or midwife, as unbearable itching can be a symptom of cholestasis<\/a>. Cholestasis is a liver condition and can be pretty serious, but detected early and monitored by your doctor, both you and your baby should be perfectly fine.<\/p>","value":"

If the itching is very bad \u2013 to the point that it's impacting on your sleep or distracting you \u2013 it's worth flagging to your GP or midwife, as unbearable itching can be a symptom of cholestasis<\/a>. Cholestasis is a liver condition and can be pretty serious, but detected early and monitored by your doctor, both you and your baby should be perfectly fine.<\/p>"},{"meta_id":517981,"post_id":7338,"meta_key":"_edit_last","meta_value":"21","value":"21"},{"meta_id":517982,"post_id":7338,"meta_key":"_expiration-date-status","meta_value":"saved","value":"saved"},{"meta_id":517983,"post_id":7338,"meta_key":"_edit_lock","meta_value":"1622823512:21","value":"1622823512:21"},{"meta_id":520292,"post_id":7338,"meta_key":"_metadata_meta_title","meta_value":"field_5ff8482f6b791","value":"field_5ff8482f6b791"},{"meta_id":520293,"post_id":7338,"meta_key":"_metadata_meta_description","meta_value":"field_5ff848406b792","value":"field_5ff848406b792"},{"meta_id":520294,"post_id":7338,"meta_key":"metadata_do_not_allow_indexing","meta_value":"0","value":"0"},{"meta_id":520295,"post_id":7338,"meta_key":"_metadata_do_not_allow_indexing","meta_value":"field_60255d5f751c0","value":"field_60255d5f751c0"},{"meta_id":520296,"post_id":7338,"meta_key":"metadata","meta_value":"","value":""},{"meta_id":520297,"post_id":7338,"meta_key":"_metadata","meta_value":"field_5fd3830066848","value":"field_5fd3830066848"},{"meta_id":520298,"post_id":7338,"meta_key":"show_sponsored_content_disclaimer","meta_value":"0","value":"0"},{"meta_id":520299,"post_id":7338,"meta_key":"_show_sponsored_content_disclaimer","meta_value":"field_6070087df5508","value":"field_6070087df5508"},{"meta_id":520300,"post_id":7338,"meta_key":"_standfirst","meta_value":"field_5fd38e9e96b76","value":"field_5fd38e9e96b76"},{"meta_id":520301,"post_id":7338,"meta_key":"content_author","meta_value":"8069","value":"8069"},{"meta_id":520302,"post_id":7338,"meta_key":"_content_author","meta_value":"field_5fd379f22a693","value":"field_5fd379f22a693"},{"meta_id":520303,"post_id":7338,"meta_key":"hero_image","meta_value":"13296","value":"13296"},{"meta_id":520304,"post_id":7338,"meta_key":"_hero_image","meta_value":"field_6006f13821768","value":"field_6006f13821768"},{"meta_id":520305,"post_id":7338,"meta_key":"_body_0_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":520306,"post_id":7338,"meta_key":"body_1_id","meta_value":"1","value":"1"},{"meta_id":520307,"post_id":7338,"meta_key":"_body_1_id","meta_value":"field_605356a45ac1b","value":"field_605356a45ac1b"},{"meta_id":520308,"post_id":7338,"meta_key":"body_2_content","meta_value":"

If your skin has changed<\/h3>

If your skin has changed shape, colour or texture since you became pregnant, the itching could be due to a flare-up of a pre-existing condition, such as eczema, scabies or a fungal infection. Do see your GP, who'll be able to diagnose these and advise you on treatment.<\/p>

There is also a chance you may have developed a pregnancy-specific dermatological complaint, like the ones below.<\/p>

Prurigo of pregnancy<\/h4>

Prurigo of pregnancy consists of itchy lumps and bumps appearing on any part of your body, and it can occur at any point in your pregnancy. It's fairly common and not serious \u2013 but do see your GP for confirmation. You'll be treated with moisturiser, and in more extreme cases, a steroid cream.<\/p>

PUPP \u2013 Pruritic Urticated Papules of Pregnancy (Polymorphous eruption of pregnancy)<\/h4>

Ah, an unattractive name for what is, we must confess, a rather unattractive (but relatively common) condition. First-time mothers or those expecting twins are more likely to be affected, and it occurs in the third trimester (27 weeks onwards) but clears up on its own after birth. You'll see itchy lumps of varying sizes, initially appearing alongside stretch marks on your abdomen, and then spreading to your legs and arms. It can look quite alarming, and it's best to get examined by your GP. They might shine a fluorescent light on your abdomen to confirm the diagnosis.<\/p>

Here's the good news though \u2013 despite its alarming appearance, PUPP isn't serious. It can be pretty uncomfortable though, so you'll want to use a moisturiser to soothe it, and if it's severe, your GP might recommend topical steroids or antihistamines \u2013 but don't apply these unless your doctor has advised you to.<\/p>

Pemphigoid Gestationis<\/h4>

Pemphigold Gestationis is a much rarer skin condition, which usually occurs in the second trimester, but can occur at any point in pregnancy, and even occasionally after you've had your baby. It presents as itchy lumps, bumps, hives and blisters on the abdomen and possibly other parts of the body (ouch). Seek advice from your GP, who may advise that you see a dermatologist for diagnosis and treatment.<\/p>","value":"

If your skin has changed<\/h3>

If your skin has changed shape, colour or texture since you became pregnant, the itching could be due to a flare-up of a pre-existing condition, such as eczema, scabies or a fungal infection. Do see your GP, who'll be able to diagnose these and advise you on treatment.<\/p>

There is also a chance you may have developed a pregnancy-specific dermatological complaint, like the ones below.<\/p>

Prurigo of pregnancy<\/h4>

Prurigo of pregnancy consists of itchy lumps and bumps appearing on any part of your body, and it can occur at any point in your pregnancy. It's fairly common and not serious \u2013 but do see your GP for confirmation. You'll be treated with moisturiser, and in more extreme cases, a steroid cream.<\/p>

PUPP \u2013 Pruritic Urticated Papules of Pregnancy (Polymorphous eruption of pregnancy)<\/h4>

Ah, an unattractive name for what is, we must confess, a rather unattractive (but relatively common) condition. First-time mothers or those expecting twins are more likely to be affected, and it occurs in the third trimester (27 weeks onwards) but clears up on its own after birth. You'll see itchy lumps of varying sizes, initially appearing alongside stretch marks on your abdomen, and then spreading to your legs and arms. It can look quite alarming, and it's best to get examined by your GP. They might shine a fluorescent light on your abdomen to confirm the diagnosis.<\/p>

Here's the good news though \u2013 despite its alarming appearance, PUPP isn't serious. It can be pretty uncomfortable though, so you'll want to use a moisturiser to soothe it, and if it's severe, your GP might recommend topical steroids or antihistamines \u2013 but don't apply these unless your doctor has advised you to.<\/p>

Pemphigoid Gestationis<\/h4>

Pemphigold Gestationis is a much rarer skin condition, which usually occurs in the second trimester, but can occur at any point in pregnancy, and even occasionally after you've had your baby. It presents as itchy lumps, bumps, hives and blisters on the abdomen and possibly other parts of the body (ouch). Seek advice from your GP, who may advise that you see a dermatologist for diagnosis and treatment.<\/p>"},{"meta_id":520309,"post_id":7338,"meta_key":"_body_2_content","meta_value":"field_5ff5e32e00b35","value":"field_5ff5e32e00b35"},{"meta_id":520310,"post_id":7338,"meta_key":"body_3_title","meta_value":"","value":""},{"meta_id":520311,"post_id":7338,"meta_key":"_body_3_title","meta_value":"field_602a92c901c21","value":"field_602a92c901c21"},{"meta_id":520312,"post_id":7338,"meta_key":"body_3_image_image","meta_value":"13306","value":"13306"},{"meta_id":520313,"post_id":7338,"meta_key":"_body_3_image_image","meta_value":"field_5ff70e497941a","value":"field_5ff70e497941a"},{"meta_id":520314,"post_id":7338,"meta_key":"body_3_image_text","meta_value":"","value":""},{"meta_id":520315,"post_id":7338,"meta_key":"_body_3_image_text","meta_value":"field_60103b17570e9","value":"field_60103b17570e9"},{"meta_id":520316,"post_id":7338,"meta_key":"body_3_image_width","meta_value":"full","value":"full"},{"meta_id":520317,"post_id":7338,"meta_key":"_body_3_image_width","meta_value":"field_5ff70e497941b","value":"field_5ff70e497941b"},{"meta_id":520318,"post_id":7338,"meta_key":"body_3_image","meta_value":"","value":""},{"meta_id":520319,"post_id":7338,"meta_key":"_body_3_image","meta_value":"field_5ff70e4979419","value":"field_5ff70e4979419"},{"meta_id":520320,"post_id":7338,"meta_key":"body_4_content","meta_value":"

Are there any home remedies I can try to relieve my itching?<\/h3>

Applying lots of moisturiser at regular intervals is your best bet for keeping the itch at bay \u2013 keeping a supply in the fridge and applying it cold can be very soothing. Any moisturiser will do, but try to go for mild and unperfumed ones such as E45 and Bio-Oil.<\/p>

Frequent tepid baths and wearing loose cotton clothing can also help soothe your itching and enable the air to get to your skin. Try to avoid getting too hot or too cold, and you may find that steering clear of applying perfume or using perfumed soaps and lotions helps too. Lotions with calamine and aqueous cream with menthol can also help \u2013 and here are some remedies that Mumsnetters recommend for beating the itch in pregnancy:<\/p>

女人发痒

如果瘙痒非常糟糕 - 以至于它会影响您的睡眠或分散您的注意力 - 值得向您的GP或助产士标记,因为难以忍受的瘙痒可能是cholestasis。胆汁淤积是一种肝脏状况,可能很严重,但是早日检测并被您的医生监测,您和您的婴儿都应该很好。

如果你的皮肤变了

如果你的皮肤改变了形状,颜色或纹理since you became pregnant, the itching could be due to a flare-up of a pre-existing condition, such as eczema, scabies or a fungal infection. Do see your GP, who'll be able to diagnose these and advise you on treatment.

您也有可能出现特定于妊娠的皮肤病学抱怨,如以下情况。

Prurigo of pregnancy

Prurigo of pregnancy consists of itchy lumps and bumps appearing on any part of your body, and it can occur at any point in your pregnancy. It's fairly common and not serious – but do see your GP for confirmation. You'll be treated with moisturiser, and in more extreme cases, a steroid cream.

幼犬 - 怀孕的核尿布丘脑(怀孕的多态喷发)

啊,我们必须承认的是一个没有吸引力的名称,这是一个相当吸引人的(但相对常见)的条件。初次的母亲或期望双胞胎的人更有可能受到影响,并且发生在第三个孕期(27周开始),但出生后自行清理。您会看到各种尺寸的发痒的团块,最初出现在腹部妊娠纹并张开,然后张开到腿和手臂上。它看起来很令人震惊,最好由GP检查。他们可能会在您的腹部上发光荧光,以确认诊断。

Here's the good news though – despite its alarming appearance, PUPP isn't serious. It can be pretty uncomfortable though, so you'll want to use a moisturiser to soothe it, and if it's severe, your GP might recommend topical steroids or antihistamines – but don't apply these unless your doctor has advised you to.

Pemphigoid Gestationis

Pemphigold Gestationis is a much rarer skin condition, which usually occurs in the second trimester, but can occur at any point in pregnancy, and even occasionally after you've had your baby. It presents as itchy lumps, bumps, hives and blisters on the abdomen and possibly other parts of the body (ouch). Seek advice from your GP, who may advise that you see a dermatologist for diagnosis and treatment.

Woman rubbing in moisturiser

我可以尝试缓解我的瘙痒吗?

Applying lots of moisturiser at regular intervals is your best bet for keeping the itch at bay – keeping a supply in the fridge and applying it cold can be very soothing. Any moisturiser will do, but try to go for mild and unperfumed ones such as E45 and Bio-Oil.

频繁的温暖浴室和穿松散的棉质衣服也可以帮助您舒缓瘙痒,并使空气能够进入皮肤。尽量避免变得太热或太冷,您可能会发现,转向不涂香水或使用香水肥皂和乳液也有帮助。带有灾难和薄荷醇的乳液的乳液也可以帮助 - 以下是妈妈们建议在怀孕中敲打瘙痒的一些补救措施:

  • “唯一停止瘙痒的是Weleda妊娠纹按摩油。”
  • “采用灵活的冰袋。They worked wonders for me when I itched like mad during my pregnancies!”
  • “I've been using郁郁葱葱的梦奶油,这很不错,它的薰衣草很舒缓。手臂,肚子,胸部……做到了!”
  • “As odd as it sounds, try胚层or a standard over-the-counter cream that has an anaesthetic in – it dulls the itch a tiny bit. Also helps to have cool showers and leave your bump out at night (this requires imaginative positioning of duvet…)”
  • “尝试松焦油肥皂(or coal tar soap) – you can buy it online. If you lather it all up and then let it dry on the skin for a while before washing it off, it does take the edge off the itching. I found it really helpful at night – it calmed it down enough for me to be able to sleep, at least.”
  • “I used calamine cream and it really worked.”
  • “我的皮肤敏感,在怀孕期间情况恶化 - 我每天都在洗澡E45 Bath并使用头和肩膀anti-itch shampoo helped, but didn't fix it.”
  • “唯一帮助我的是将一些小苏打溶解在温水中,然后用法兰绒将其在我皮肤发痒的部分上摩擦。”

Finally, it goes without saying – do try not to scratch your skin too much, as this can lead to further irritation.

If your skin has not changed but you're still very itchy

在怀孕期间没有皮疹的严重瘙痒可能是胆汁淤积的症状 - 尽管令人困惑的是,一些胆汁淤积的女性确实会出现皮疹。最好的建议是提及您的助产士或GP的任何严重瘙痒。

Does my itchy skin have something to do with my baby's gender?

las,不 - “只是一个老妻子的故事。

When should I see my doctor about itchiness during pregnancy?

即使他们看起来很琐碎,也总是最好对您的医生或助产士提出任何担忧。他们将能够就潜在治疗的建议并监测您的病情,以防您在整个怀孕期间发生任何变化。

Can itchiness harm my baby?

在大多数情况下,您的痒感对您的宝宝没有影响 - 在您试图避免抓住自己的皮肤的同时,它们会继续在子宫内部愉快地生长。但是 - 如前所述 - 严重的瘙痒可能表明cholestasis, so (and we're beginning to sound like a broken record) it's worth flagging it to your doctor or midwife.

我在怀孕时还会看到其他哪些皮肤变化?

The many joys that come with pregnancy include a variety of skin changes – you may developstretch marks, dark patches or linea nigra – a vertical line along your belly which darkens during pregnancy.

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