今天小編分享的親子經驗:孕期得了陰道炎,該怎麼辦?,歡迎閱讀。
輕微的陰道炎要注意日常清潔
陰道菌群也有自我調節作用,如果白帶只是較平時稍有改變,外陰沒有瘙癢疼痛,這種情況不需要治療,通過自身平時的生活調整都會好轉。
注意每天清洗外陰、保持會陰清潔幹燥、勤換内褲,先觀察 3 天。
症狀嚴重建議就醫檢查
如果經過 3 天的日常護理清潔依然沒有好轉,白帶異常加重或者瘙癢疼痛,或者白帶沒有恢復正常,建議及時就醫檢查白帶常規。
必要的話,醫生也可能會開具一些藥物治療,比如克黴唑陰道片、甲硝唑等。考慮到對胎兒的影響,所有藥物需要在醫生的指導下使用,孕媽媽不要自己用藥。
參考文獻
[ 1 ] National guideline for the management of vulvovaginal candidiasis. Clinical Effectiveness Group ( Association of Genitourinary Medicine and the Medical Society for the Study of Venereal Diseases ) . Sex Transm Infect 1999; 75 Suppl 1:S19. [ 2 ] Klebanoff MA, Hauth JC, MacPherson CA, et al. Time course of the regression of asymptomatic bacterial vaginosis in pregnancy with and without treatment. Am J Obstet Gynecol 2004; 190:363. [ 3 ] Michael Postelnick, BPharm,Yeast Infections in Pregnancy: Recommended Treatments.medscape. 2016 July 29. [ 4 ] Pasternak B, Wintzell V, Furu K, et al. Oral Fluconazole in Pregnancy and Risk of Stillbirth and Neonatal Death. JAMA 2018; 319:2333. [ 5 ] American Academy of Pediatrics Committee on Drugs. Transfer of drugs and other chemicals into human milk. Pediatrics 2001; 108:776. [ 6 ] Riggs MA, Klebanoff MA. Treatment of vaginal infections to prevent preterm birth: a meta-analysis. Clin Obstet Gynecol 2004; 47:796. [ 7 ] Joesoef MR, Hillier SL, Wiknjosastro G, et al. Intravaginal clindamycin treatment for bacterial vaginosis: effects on preterm delivery and low birth weight. Am J Obstet Gynecol 1995; 173:1527. [ 8 ] Caro-Pat ó n T, Carvajal A, Martin de Diego I, et al. Is metronidazole teratogenic? A meta-analysis. Br J Clin Pharmacol 1997; 44:179.
本文專家
魯超
合作專家
馬鞍山市婦幼保健院婦產科主治醫師
左緒磊
審核專家
上海百佳婦產醫院
婦產科主任醫師
策劃制作
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