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"准爸爸的陪伴对孕妈很重要。可以做这些：尽量陪着去产检，一起了解宝宝的情况；承担家务，特别是铲猫砂、搬重物、做饭；晚上帮她按摩腿脚、垫好孕妇枕；和她一起学分娩和新生儿护理知识，准备待产包；每天和宝宝说说话、讲故事；多听她倾诉，别说「别人都这样」。孕晚期保持电话畅通，提前规划好去医院的路线。", "href": "topic/zhunbaba/" +}, +{ +"q": "NT 检查查什么？要注意什么？", +"tag": "产检", +"a": "NT 是孕 11～13+6 周做的一次 B 超，测量宝宝颈后透明层的厚度，用来早期筛查唐氏综合征等染色体问题和部分心脏等结构异常，可联合早期血清筛查评估。它是筛查不是诊断：结果在正常范围也不能排除所有问题，后面的唐筛或无创 DNA、20～24 周大排畸照常做；结果偏厚也不代表宝宝一定有问题，医生会建议进一步检查。检查不用空腹，穿宽松衣服，窗口期短要提前预约。", +"href": "topic/nt/" +}, +{ +"q": "糖耐怎么做？没过怎么办？", +"tag": "产检", +"a": "糖耐（75g 口服葡萄糖耐量试验）一般在孕 24～28 周做：前 3 天正常吃饭，空腹至少 8 小时，先抽空腹血，再喝 75g 葡萄糖水，1 小时、2 小时各抽一次。标准是空腹低于 5.1、1 小时低于 10.0、2 小时低于 8.5mmol/L，任一项达到或超过就诊断为妊娠期糖尿病。没过别慌：少量多餐、饭后散步、自测血糖，控不住再在医生指导下用药。产后 4～12 周要复查糖耐。", +"href": "topic/tangnai/" +}, +{ +"q": "大排畸什么时候做？能看出什么？", +"tag": "产检", +"a": "大排畸就是胎儿系统超声，一般在孕 20～24 周做，这时宝宝器官基本长好、羊水多，最容易看清。不用空腹，一般也不用憋尿。它主要查宝宝身体结构：头颅、脊柱、心脏、腹壁、内脏、面部和四肢，重点排除无脑儿、严重脊柱裂、单腔心等严重畸形，同时看胎盘、羊水和脐带。它看不出染色体问题，也查不了听力、视力和智力，不能代替唐筛或无创。宝宝体位不好没看全很常见，按医生安排复查即可。", +"href": "topic/paiji/" +}, +{ +"q": "胎心监护怎么做？多久做一次？", +"tag": "产检", +"a": "胎心监护（NST）是孕晚期常规检查：半躺着，肚子上绑两个探头，记录宝宝心跳和宫缩，每次约 20 分钟，宝宝睡着可延长到 40 分钟。一般孕妈 37 周起每周做 1 次，34 周起医生可能按情况安排；有妊娠期糖尿病、高血压、胎动减少等情况的，常从 32～34 周开始，频率听医生的。做之前吃点东西、上个厕所。「无反应型」不等于有问题，医生会延长或复查。满 41 周要住院评估。", +"href": "topic/taixin/" +}, +{ +"q": "孕期腿抽筋怎么办？", +"tag": "身体", +"a": "孕期腿抽筋多见于孕中晚期、夜里，和腿部疲劳、受凉、血液回流慢有关，缺钙只是可能原因之一。抽筋时把腿伸直，脚尖往自己方向勾，按揉小腿肚，缓过来后热敷几分钟。平时睡前拉伸小腿、温水泡脚，夜里给小腿保暖，别久站久坐；每天喝奶 300～500g，加豆腐、深绿叶菜，孕中晚期钙需要约 1000mg/天。要不要额外补钙、补镁听医生的。如果一侧小腿持续疼痛、红肿发热，要尽快就医排除下肢静脉血栓。", +"href": "topic/choujin/" +}, +{ +"q": "孕期水肿正常吗？怎么消？", +"tag": "身体", +"a": "孕中晚期脚踝、小腿水肿很常见，多是子宫压迫下肢静脉、体内水分增多引起的，特点是久站久坐后加重、傍晚明显、睡一夜能消退，一般不用治疗。缓解办法：别久站久坐，每小时起来活动一下；休息时把腿垫高，睡觉多左侧卧；清淡饮食，盐每天不超过 5g，但水照常喝，不要靠少喝水消肿。如果脸和手突然肿、休息后不消、一周体重涨超过 1kg，或伴头痛、眼花、血压升高，或一条腿肿痛，要及时就医。", +"href": "topic/shuizhong/" +}, +{ +"q": "孕期贫血怎么办？", +"tag": "身体", +"a": "孕期血红蛋白低于 110g/L 就算贫血，最常见的是缺铁性贫血。血红蛋白正常但铁蛋白低于 30μg/L，也说明铁储备快用完了。日常孕中晚期每天多吃 20～50g 红肉，每周 1～2 次动物血或肝，搭配维 C 果蔬；浓茶、咖啡和钙别和补铁一起吃，红枣菠菜补不上来。查出贫血要在医生指导下补铁，定期复查，血红蛋白恢复后也别马上停，补多久听医生的。", +"href": "topic/pinxue/" +}, +{ +"q": "孕期腰酸背痛怎么缓解？", +"tag": "身体", +"a": "孕期腰酸背痛很常见，多半是肚子变大、重心前移、韧带变松和体重增加引起的，孕中晚期最明显。缓解先从姿势入手：别久坐久站，每 30～60 分钟换个姿势；坐时腰后垫靠枕；睡觉侧卧、两膝夹枕；拿东西先蹲下；穿低跟软底鞋。每天活动 30 分钟，散步、游泳、孕妇瑜伽都可以，再加几组骨盆摇摆、猫式伸展，腰背温热敷也有帮助。止痛药要在医生指导下用。若腰酸伴规律腹紧、出血流水、发热尿痛或腿麻无力，要及时就医。", +"href": "topic/yaotong/" +}, +{ +"q": "妊娠期糖尿病要紧吗？怎么控糖？", +"tag": "身体", +"a": "妊娠期糖尿病很常见，控制好了，大多数母婴都能平安；不控制会增加巨大儿、子痫前期等风险。孕 24～28 周做 75g 糖耐量，空腹、1 小时、2 小时达到 5.1、10.0、8.5mmol/L 任一项即诊断。控糖目标：空腹 <5.3，餐后 1 小时 <7.8 或 2 小时 <6.7mmol/L。先靠少食多餐、粗细搭配、餐后散步 30 分钟；不达标再在医生指导下用药。产后 4～12 周复查糖耐量。", +"href": "topic/rentangbing/" +}, +{ +"q": "孕期血压高怎么办？", +"tag": "身体", +"a": "孕期同一只手臂两次测得收缩压≥140 或舒张压≥90mmHg 就算血压高，要尽快告诉医生；达到 160/110，或出现持续头痛、眼花、上腹痛、突然水肿、胎动减少，要马上去医院。在家测量前静坐 5 分钟，坐好、手臂和心脏齐平，连测两次取平均，固定时间记录，产检时给医生看。日常每天盐不超过 5g、多休息。降压药吃不吃、吃多少都听医生的，别自己停药或换药；产后 42 天也要复查血压。", +"href": "topic/gaoxueya/" +}, +{ +"q": "孕期白带增多正常吗？", +"tag": "身体", +"a": "怀孕后雌激素升高、阴道和宫颈分泌增多，白带变多很常见，正常的白带是乳白色或透明、稀薄、没有明显异味，外阴也不痒。如果白带像豆腐渣、发痒，或灰白稀薄有鱼腥味，或黄绿色起泡沫，可能是阴道炎；带血丝，或持续流出清水样液体，要警惕出血或破水，及时就医。日常穿透气的棉质内裤、每天更换，用温水清洗外阴即可，不要冲洗阴道，也不要自己买药用，孕期用药要在医生指导下进行。", +"href": "topic/baidai/" +}, +{ +"q": "孕期感冒发烧能吃药吗？", +"tag": "身体", +"a": "孕期普通感冒多数靠休息就能好：多喝温水、睡够、吃清淡，鼻塞可用生理盐水洗鼻，嗓子痛用淡盐水漱口，一周左右会好转。别自己买复方感冒药，别捂汗、试偏方。发烧先物理降温（温水擦身、少穿），体温到 38℃以上或烧不退就去医院，退烧药在医生指导下用，比硬扛更安全。突然高烧、浑身酸痛可能是流感，孕妈容易变重，要尽早就医。流感疫苗孕期任何阶段都能打。已经吃过药的，带上药盒问医生。", +"href": "topic/ganmao/" +}, +{ +"q": "孕期水果吃多少？哪些要少吃？", +"tag": "营养", +"a": "孕期水果每天 200～350g 左右就够，大约 1～2 个拳头大：孕早期和孕中期 200～300g，孕晚期可到 350g。最好在两餐之间整个吃，比饭后一大盘血糖更平稳。果汁不能代替水果，果干、蜜饯糖分浓缩要少吃；荔枝、龙眼、榴莲、葡萄、芒果这类很甜的可以吃，但量要算进当天总量里。腐烂或切开久放的别吃。血糖偏高或确诊妊娠期糖尿病的，吃多少听医生或营养科的。", +"href": "topic/shuiguo/" +}, +{ +"q": "孕期能吃螃蟹、海鲜吗？", +"tag": "营养", +"a": "能吃。螃蟹、虾、贝类和鱼都是优质蛋白，深海鱼还含 DHA，「螃蟹寒凉会流产」没有科学依据。关键是新鲜、熟透：死蟹不吃，蟹要蒸到肉全熟、蟹黄凝固，贝类要煮到开口后再多煮几分钟。生鱼片、醉蟹醉虾、生蚝刺身这类生的或半生的别吃，容易感染寄生虫和细菌。鱼每周吃 2～3 次，优先三文鱼、鳕鱼、沙丁鱼等，鲨鱼、旗鱼、大眼金枪鱼这类大型鱼汞多，少吃。对海鲜过敏的别吃。", +"href": "topic/haixian/" +}, +{ +"q": "产假有多少天？怎么休更合适？", +"tag": "职场", +"a": "按国家《女职工劳动保护特别规定》，生育产假 98 天，其中产前可以休 15 天；难产增加 15 天，多胞胎每多一个宝宝增加 15 天；怀孕未满 4 个月流产休 15 天，满 4 个月流产休 42 天。各地在此基础上还有延长，天数和节假日怎么算以当地规定为准。孕期产检时间算劳动时间，7 个月以上不加班、不上夜班。建议先问清当地政策和生育保险，37 周前交接好工作，产后假尽量休足。", +"href": "topic/chanjia/" +}, +{ +"q": "孕期要穿防辐射服吗？手机电脑有影响吗？", +"tag": "生活", +"a": "孕期不需要穿防辐射服。手机、电脑、电视、微波炉、Wi-Fi 等日常电器产生的是非电离辐射，能量很低，在国家标准限值内正常使用，目前没有证据表明会伤害胎儿，防辐射服也起不到额外保护作用。真正要留心的是久坐久看屏幕带来的眼睛疲劳、腰背酸痛、睡眠变差，每用 1 小时起来活动一下，睡前少刷手机。需要拍 X 光、做 CT 等检查时，提前告诉医生自己怀孕了，由医生评估要不要做、怎么防护。", +"href": "topic/fushe/" +}, +{ +"q": "孕期能开空调、用电热毯吗？", +"tag": "生活", +"a": "孕期空调和电热毯都能用，关键是别过冷过热。空调调到 26℃左右，出风口别对着人吹，出汗后先擦干再进空调房，隔几小时开窗通风，入夏前清洗滤网，空调房干燥要多喝水。电热毯产生的低频电磁场目前没有可靠证据会伤害胎儿，要防的是过热和烫伤：睡前预热、上床关掉或调最低档，别整夜开。热水袋、暖宝宝隔布用，别贴肚子。桑拿、温泉和长时间热水泡澡会让体温升高，孕期尤其孕早期要避开；燃气炭火取暖一定要通风。", +"href": "topic/kongtiao/" +}, +{ +"q": "孕期护肤品、化妆品怎么选？", +"tag": "生活", +"a": "孕期护肤做减法：温和清洁、保湿、防晒照常做，甘油、透明质酸、神经酰胺这类保湿成分都能用；防晒先靠帽子、伞等遮挡。要停的是维 A 酸、视黄醇等维 A 酸类和氢醌，高浓度刷酸、激光、注射等医美也等产后。淡妆可以，当天卸干净；染烫和美甲尽量少做，避开孕早期、选通风处。挑产品看成分表，不必追「孕妇专用」，新品先小范围试。手心脚心痒得厉害要尽快就医，查肝功能和胆汁酸。", +"href": "topic/hufu/" +}, +{ +"q": "孕期还能开车吗？", +"tag": "生活", +"a": "身体舒服、没有医生特别交代的话，孕期可以开车。关键是系对安全带：肩带从两乳之间斜过、贴着肚子侧边，腰带压在肚子下方、贴住胯骨，别勒在肚子上；座椅往后调，胸口离方向盘保持 25cm 左右，安全气囊别关。孕早期犯困、孕吐时少开；孕晚期肚子顶到方向盘、反应变慢就别开；有宫缩、破水去医院时千万别自己开。每开 1～2 小时停下来走走。哪怕是轻微碰撞，也要去医院检查。", +"href": "topic/kaiche/" +}, +{ +"q": "孕期能泡澡、泡温泉吗？", +"tag": "生活", +"a": "孕期不建议泡温泉、蒸桑拿、汗蒸：水温常在 40℃ 上下，体温升高快，孕早期长时间体温升高可能增加胎儿神经管缺陷风险，孕中晚期还容易血压下降、头晕摔倒，公共水质也难保证。日常以温水淋浴为主，水温温热不烫，15 分钟内洗完；地面放防滑垫，开点门或排风，别锁门洗太久。家里泡澡要谨慎，孕晚期、破水、阴道出血、发烧时别泡，想泡先问产检医生。", +"href": "topic/paozao/" +}, +{ +"q": "胎教有用吗？怎么做？", +"tag": "宝宝", +"a": "目前没有可靠证据说明胎教能让宝宝更聪明，但它并非没用：宝宝大约孕 24 周前后能听到声音，常听到的妈妈声音出生后更熟悉；更重要的是让妈妈放松、让爸爸早点参与，这对孕期和亲子关系都有好处。做法很简单：每天找个安静时段和宝宝说说话、读段故事，听自己喜欢的舒缓音乐，音量像平常说话就好，不要把耳机贴在肚子上；孕中晚期可以轻轻抚摸肚子回应胎动。有先兆早产、前置胎盘、宫缩频繁等情况时，抚摸前先问医生。", +"href": "topic/taijiao/" +}, +{ +"q": "胎位不正怎么办？", +"tag": "宝宝", +"a": "头朝下才算胎位正，臀位、横位、斜位都算不正。孕 30 周前宝宝空间大、翻身频繁，多数会自己转正，不用急。30～36 周按时产检复查；膝胸卧位、艾灸等方法效果证据不足，要做先问医生，千万别自己推肚子。到 36～37 周仍是臀位，医生会评估能否做外倒转。足月仍臀位，多数选择剖宫产，少数条件合适的可试产；横位必须剖宫产。臀位一旦破水，立即平躺、垫高臀部，尽快去医院。", +"href": "topic/taiwei/" +}, +{ +"q": "B 超说宝宝偏大或偏小，怎么办？", +"tag": "宝宝", +"a": "B 超说宝宝偏大或偏小先别慌。单项数值差一两周很常见，和父母体型遗传有关；B 超估重本身也有约 10%～15% 的误差。真正要关注的是估重或腹围低于同孕周第 10 百分位（偏小），或高于第 90 百分位（偏大）。先请医生用孕早期 B 超核对孕周，再间隔 2 周以上复查看增长趋势。偏小一般查脐血流、羊水和血压，偏大查血糖和体重增长。别拼命大补也别节食，每天数胎动，胎动明显减少要尽快就医。", +"href": "topic/daxiao/" +}, +{ +"q": "到了预产期还没动静怎么办？", +"tag": "准备", +"a": "别着急。预产期只是按 40 周推算的日子，孕 37 周到 41 周 6 天出生都算足月，正好在预产期当天生的是少数。过了预产期要按医生安排加密产检，做胎心监护、B 超看羊水，每天数胎动。一般满 41 周就要住院，由医生评估宫颈并引产，别拖到 42 周（过期妊娠）。等待期间照常散步、吃好睡好，别自己试催产偏方。出现规律宫缩、破水、见红量多或胎动减少，马上去医院。", +"href": "topic/guoqi/" +}, +{ +"q": "临产有哪些信号？什么时候去医院？", +"tag": "准备", +"a": "临产有三个信号：见红、破水、规律宫缩。见红多是少量血丝，常在 1～2 天内临产，可以在家观察，但出血像月经一样多或鲜红要马上去医院。破水不管有没有宫缩都要立刻出发，垫上护垫尽量躺着去。宫缩不规律、休息后缓解多是假宫缩；规律且越来越密、每次 30 秒以上才是真的，头胎约 5 分钟一次就出发，二胎及以上一规律就去。胎动明显减少、剧烈腹痛也别等。", +"href": "topic/linchan/" +}, +{ +"q": "月子怎么坐？要注意什么？", +"tag": "准备", +"a": "“月子”医学上叫产褥期，约 6 周。老规矩很多不用守：可以洗澡（淋浴为主，剖宫产等伤口愈合）、刷牙洗头，房间常开窗通风，只是别对着风口吹，衣被不捂。尽早下床活动，能减少血栓、促进恢复。吃得多样不过量，比孕前每天多吃一些鱼禽蛋瘦肉，奶类喝到 400～500ml，汤要撇油。恶露一般 4～6 周干净。产后 42 天母婴一起去医院复查。出血多、发热、伤口红肿、情绪持续低落超过 2 周，要及时就医。", +"href": "topic/yuezi/" } ] diff --git a/guangchang/index.html b/guangchang/index.html index 6c664c0..f0fb03c 100644 --- a/guangchang/index.html +++ b/guangchang/index.html @@ -402,8 +402,8 @@ button{font:inherit;color:inherit;border:0;background:none;padding:0;cursor:poin
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