No need to worry, Mom. After all, skin problems during pregnancy only mild in nature. Can often disappear on their own even after giving birth
Certainly almost all pregnant women experience skin disorders, whether just itching to brown stripes extending around the abdomen.
According to dr. Hasnah Siregar, Sp.OG skin disorder that occurs during pregnancy can be caused by various factors. "Could be due to hormonal, the stretching of skin due to increased body fat and enlarged, or increased body metabolism," explained the expert in obstetrics and gynecology from RSIA Hermina Jatinegara.
Similar disclosed dr. Erni Bachtiar, Sp.KK from the same hospital, all skin disorders during pregnancy are essentially due to hormonal changes. "Especially the problem of balancing the hormones estrogen and progesterone." Precisely because of these hormonal changes then it may arise pruritus.
(Hives), hyperpigmentation (dark color spots), and sometimes arise fungus in the folds of the body due to enlargement of the body, as in the crease under the breast, stomach, and body folds such as groin and so forth.
Because the cause is more to hormonal problems, then there are women who have problems with her skin and some are not problematic. "So it is highly individualized," said Hasnah.
However, it is clear Hasnah and Erni matching, skin disorders during pregnancy usually occurs in the superficial layer or the epidermis layer of skin. Generally also not too dangerous, both for mother and fetus, it just looks ugly in the skin.
Only drug use should remain cautious. Never could have an impact on the fetus, such as premature birth, miscarriage, stunted growth, or the baby was born dead. Well, whatever the skin complaints that often appear during pregnancy? We follow the following topics:
* Sense of Itching
The most frequently experienced and quite disturbing because the mother became pregnant could not sleep soundly, or can not do the activity well. Moreover, the itching can occur at any gestational age. "It usually begins in the first trimester and often arise in body areas, such as the stomach. But sometimes also spread to the whole body, "said Erni.
Itching during pregnancy is also often appear in women who are talented allergy called urticaria pruritus. "The skin will look like biduran, reddish bump-bump, both small and great," said Hasnah.
Well, itching is more pronounced when carded. "The skin will arise such as watery or pus and smelly. Also when a scratch mark on the entrance wound, the bacteria can cause secondary infections. "That is why, when the itching, you should not have to be scratched because it can arise small wounds. "To overcome this, anti-itch cream basting it," advises Hasnah.
When itching is caused by allergic factors, pregnant women should keep the allergen (trigger factors), for example, shrimp, crab, or other fish species. "You do not have to worry about not going to get their protein intake. After all, food that contains protein not only the foods that trigger the allergy. "Well, can not be consumed protein can be replaced with other foods, such as beef, chicken, or eggs.
* Slight-blackish spots
Hormonal influences also make the skin appear darker or darker than the surrounding color is called hyperpigmentation, which is also known as cholasma gravidarum. The emergence of indeterminate, there is in the early trimester, there is also emerging in the next trimester. "This skin disorder is not too dangerous, really. It's just that the skin looks so ugly. Some disappear by itself after birth. There is also a scar, "said Erni.
Blackish spots most often found in the abdomen in the form of striae nigra (brown lines). After giving birth turns into striae alba (white). "The sign is what can be a trait that the woman had given birth," said Hasnah.
If hyperpigmentation occurs in first pregnancies, while continuing Erni added, "could be the next pregnancy will reappear."
Unfortunately, until now there has been no attempt to prevent hyperpigmentation most efficacious. Well, the hyperpigmentation that persisted, it needs special care after birth; to retain moisture and elasticity so as not to cause severe skin.
* Mushrooms
Weight gain during pregnancy is one factor the onset of candidiasis cutis (skin fungus), it appears reddish, odorless, and discharge, and cause intense itching. This could lead to secondary infections. "Moreover, when conditions are not good mothers, less well nourished, have a great talent allergies, and do not pay attention to hygiene factors, for example, indiscriminate scratching in state hands dirty," said Hasnah.
Hormonal influences also cause skin fungus can flourish. If not treated, then at the time of birth in the birth canal may have mushrooms and baby can become infected.
A fungal skin disorders also arise due to metabolic problems, for example, pregnant women with diabetes. Therefore, the light Hasnah, weight gain should not be too excessive. Thus, the folds on his body did not grow much.
Fungi can grow because of vaginal discharge. Indeed, as long as no smell and cause itching, fair when a woman has vaginal discharge. But, when this liquid discharge pregnant often more so that cause itching. "Well, can result in infection in the outer genital area when scratched," said Erni.
Therefore, the suggestion Erni, mothers should open on the treating doctor to be treated early. "If it can not be more severe complications arise, for example, external genitalia will be broken or lead to malignancy," added Hasnah.
* Acne
Sometimes it disappears during pregnancy. But, it could be even worse. "In women who are gifted as hormonal acne, the acne can appear even worse." Nevertheless, we recommend that acne is not in the "who tinkers". "Just to be more diligent in cleaning the baby's face with soap or cleanser," advises Hasnah.
When to require treatment, medication should be enough from the outside only without oral medication. Let smeared, must be careful though, lo. "Creams containing corticosteroids should not be used in a long time. Although just a little, there remains an intense absorption, "said Erni.
* Herpes
There are different types of herpes that can arise during pregnancy; herpes zoster, herpes simplex I and II. Herpes zoster is a kind of chicken pox, but the attacking limb; only in parts of the body left or right of course. "Symptoms appear the pain and heat in the area of skin that will arise spots of red and watery in large quantities, according to the innervation of the skin. Transmission through the skin of the patient or through the air for talking, for example, "said Erni.
Herpes simplex I attacked the waist up. While Simplex II attacked the waist down, most of the genital area. "Usually because of the sexual relationship. Symptoms are the same as type I, but more often a recurrence. "
* Andeng-andeng
Because of hormonal factors during pregnancy, then existing moles in pregnant women can be aroused and later enlarged.
The enlarged shape with a darker shade can lead to malignancies, such as tumors or melanoma (skin cancer). "Just this skin disorder rarely occurs," said Hasnah.
* Dermatoisitis
Is a skin inflammation that involves the muscle tissue so it is deeper than the outer skin layer. "All the bones and the members of the movement was going to hurt." Usually the manifestations of the skin, visible red, itchy, and there is secondary infection of pus.
Dedeh Kurniasih
THE IMPORTANCE OF MAINTAINING HEALTH SKIN
During pregnancy the skin of health care should be carried out more than usual because of hormonal problems. The important note include:
* Factor hygienic
Bathing twice a day and lather your body properly. In addition, because the mother is often sweating, should not be lazy to change clothes. Mothers should also consume lots of water to replace perspiration and body moisture to stay awake.
* Recipes doctor
Immediately to the doctor when experiencing vaginal discharge smelly and itchy, so as not to spread or expand. Use the-counter skin cream is fine, as long as it does not contain cortisone.
Every now and then is okay to clean the vaginal area with warm water betel. "Because water betel leaves more to clean from germs, not to treat the disease," explains dr. Hasnah Siregar, Sp.OG.
* Provision of vitamin skin
No need, really. Vitamins will be beneficial when administered appropriately, for example, vitamin E given to mothers that are difficult to eat vegetables or fish.
* Eat vegetables and fruits
Vegetables and fruits are very good for skin elasticity. Expand also consume fruits that contain vitamins A and C.
* Clean the area folds
Do not be shy and lazy to always clean the pubic area, also in folds like the armpits, under breasts, and behind the ears. This area should be cleaned and scrubbed with a right.
* Do not go straight to bed
Get used to clean the vagina after having sex with their husbands.
* Get enough sleep
The skin also needs a break. Thus, preferably before bed, facial skin should be cleaned from the remnants of cosmetics. Avoid the use of cosmetics that contain ingredients of silver and lead. These substances can affect not good for the fetus.
BEST TREATMENT
If a skin disorder that arises until there is an infection or complications, then the treatment will be difficult. Should be handled by a specialist in obstetrics and gynecology as well as a dermatologist.
Use of drugs can be a skin disease tablets, compress liquid, cream, or ointment. What is clear, is not advised to use medicines that contain cortisone, prednisone, and steroid kortiko. "Because it can interfere with fetal development and cause birth defects in babies," explains dr. Hasnah Siregar, Sp.OG.
Handling skin disorders during pregnancy is the same as not pregnant, that is with topical or external medications and if necessary with oral medication. "Yet to be seen taking drugs, whether contrary to the age of her pregnancy or not? Therefore, there are certain drugs that should never be given in the first trimester or drugs should not be granted for a period of time. "When you continue to use drugs, then the mother should continue to be under the supervision of a dermatologist and gynecologist. "
The duration of treatment of skin, this depends on the type of illness. "If a new skin disorder arises, it is usually quite treatable with topical medication alone," said dr. Erni Bachtiar, Sp.KK
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