Itching during pregnancy: possible trouble
pregnancy and childbirth is accompanied not only positive but also negative moments in a woman's life.One of these troubles is itching that occurs during pregnancy.Itching in pregnancy may be a sign of any disease or symptom independent.Itching during pregnancy can not be attributed to complications often arise, but it can not be called rare.As a rule, itching no negative effects on the fetus and self disappears within a week or two after birth.But before we begin to deal with this unpleasant sensation should consult a doctor and undergo the necessary examination.
human skin contains a huge number of sensitive nerve endings that are sensitive to the slightest stimulus (touch, vibration, chemicals).Sometimes mechanical irritation or chemical substances cause itching, which is accompanied by an unbearable desire to comb the site of stimulation.If itching associated with allergic and inflammatory reactions in the skin begins to form histamine - a biologically active substance which irritates nerve endings.Additionally, histamine increases blood flow to the affected area, causing swelling Prevention and treatment of edema - it is important to understand the root cause of tissue, which is manifested by redness and swelling.In the pathology of the liver and biliary tract are deposited in the skin bilirubin and bile acids, which also leads to itching.
main causes of itching during pregnancy can be divided into three groups:
- skin disorders (atopic, contact or allergic dermatitis, fungal infections, and others);
- stretching pregnant;
- cholestasis of pregnancy.
Stretch marks, or striae pregnancy arise as a result of tissue distension due to the rapid increase in abdominal circumference.But stretch marks appear not only on the abdomen, often they are localized in the breast that is associated with the preparation of (increase) in breast-feeding.Contributing factors of stretch marks is a great weight of the fetus, multiple pregnancy, obesity, and polyhydramnios.In recent years, there is evidence that stretching due to a change in hormonal status during pregnancy.Elevated levels of estrogen Estrogen - the key to healthy bones reduces amino acid in the dermis, resulting in reduced production of elastin and collagen.As a result, the skin loses its elasticity and becomes atrophied in small areas to form "scars" or stretch marks.
stretch marks is accompanied by severe itching, but other symptoms (redness, swelling) are not available.Help relieve itching light massage (stroking, tingling), moderate exercise, special preparations against stretch marks.
cholestasis of pregnancy
emergence of cholestasis of pregnancy is also associated with increased levels of estrogen.Estrogens lead to stagnation of bile in the liver, increasing the allocation of bile acids, which are hitting the skin, causing itching.Itching appearing in cholestasis so pronounced that leads to disruption of the emotional state.As a rule, itching in cholestasis pregnancy intensifies at night that disturb sleep Dreams: how to understand our dreams .The disease usually occurs in the second half of pregnancy.Contributing factors of cholestasis are diseases of the liver and gall bladder (cholelithiasis, jaundice).Often the appearance of the itch is accompanied by jaundice and pain in the right upper quadrant.In the biochemical analysis of blood increased bilirubin and liver function tests (ALT and AST).
For relief of itching, you should regularly take a warm shower or sponge oneself down with a damp towel (to remove irritating the skin of bile acids).After hygiene procedures should be lubricated irritated place neutral milk or body oil.Because of the positive effects of medicinal products has cholestyramine, activated charcoal Activated carbon - old but indispensable , homeopathic remedies.To improve liver functions are assigned hepatoprotectors (Essentiale, CARS).
differential diagnosis of itching during pregnancy is carried out with numerous skin diseases.According to the testimony of a pregnant appointed consulting dermatologist and infectious diseases, which determine further management of patients.