妊娠皮膚病 紝娠皮膚病课件

《妊娠皮膚病 紝娠皮膚病课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、妊娠皮膚病簡介生理的變化Enlargedoftheintermediatelobeofthepituitarygland,themelanocyte-stimulatinghormone(MSH)becameremarkablyelevatedby8weeksgestation常見的變化-Hyperpigmentation90%:skindarkening;MSHandestrogenBeginningearlyinpregnancyandmorepronouncedinnaturallyhyperpig

2、mentedareassuchasareolare,perineumandumbilicusandaxillaeandinnerthigns,LineanigraFace:cholasmaormelasma;50%,sunscreens;Regresspostpartum,dermalmelanosispersistupto10yearsin1/3pts2-5%hydroxquinone,0.1%tretinoingelorcreamor20%azelaicacidcreamcholasmaormelas

3、ma黑斑or肝斑Lineanigra常見的變化-NaviPigmentedcutaneoustumorscommonlyenlargeanddarkenduringpregnancy,leadingtotheirconfusionwithmalignantmelanomas.6%changedindiameteroverpregnancyNoevidencethattheyundergomalignanttransformations常見的變化-HairGrowthGrowinghairphaseisin

4、creasedrelatedtotherestinghairphaseEstrogenprolongthegrowinghairphaseandandrogenscauseenlargementoffolliclesTelogeneffluvium:abrupthairlossbeginning1to4monthspostpartum;selflimitedandrestoredin6to12months常見的變化-VascularchangeAugmentedcutaenousbloodflow:est

5、rogenanddecreasedvascularresistanceSpiderangiomas:2/3whiteand1/10blackPalmarerythema:2/3whiteand1/3blackPapillaryhemangiomas:5%Pregnancygingivitis(epulis):growthofthegumcapillariesPyogenicgranulomaofpregnancy(granulomagravidarum):oralcavityandarisefromthe

6、gingivalpapillaeSpiderangiomasPalmarerythemaPregnancygingivitis(epulis)Pyogenicgranulomaofpregnancy妊娠紋80～90﹪的孕婦懷孕6～7個月後開始產生，除了肚子之外，大腿、腹股溝甚至胸部都有可能出現粉紅或紫紅色萎縮性斑紋。除了荷爾蒙的影響，體重增加太快也是促成原因之一。雖然在產後會慢慢變白、變細，但很多人是無法完全恢復的控制體重含果酸的乳液或其他可促進彈力纖維生成的妊娠霜，來緊緻皮膚，預防妊娠紋產生。倘若妊娠紋

7、已產生，在產後且妊娠紋尚未變白前，可接受脈衝光治療，有改善的機會。Dermatosesofpregnancy1.6%ofwomenhadsignificantpruritusatsometimeduringprengancyPruritusgravidarumPrurutucureticarialpapulesandplaquesofpregnancyHerpesgestationisPruritusGravidarum0.6%pregnancywithpruritus:mildvariantofintr

8、ahepaticcholestasisofpregnancyScratchingandexcoriationskinlesionsHormone,geneticsandenviornmentalfactorsPruriticurticarialpapulesandplaquesofpregnancyPUPPPinUS;Polymorphiceruptionofpregnancy(PEP)inUK1/200singleton,