1. What is Moon Disease?
"Moon disease, also known as" postpartum wind, moon tuberculosis, moon tuberculosis, moon rape, moon slander, dry ear disease "and so on. It is a disease caused by the relaxation of muscles and bones, weakness, emptiness inside and outside, and accidental invasion of cold during childbirth. "
It's a bit confusing to read (in fact, I didn't understand it either). The author carefully studied the general situation of the disease in the encyclopedia. Simply put, the moon should be conditioned. If it is not properly conditioned, it may cause moon disease. If you catch cold, feel depressed or share the same room in the second month, it may lead to rheumatism symptoms such as fear of cold, fear of wind and joint pain.
It seems reasonable, so take good care of it! Moreover, all kinds of online posts about moon disease are basically nonsense. The following is a summary of the author's posts and articles about various lunar diseases:
On the third day of confinement, I couldn't help washing my hair. I have a headache! -Moon disease
The confinement exploded, and the joints were sore and lumbago! -Moon disease
Brush your teeth during the month, your teeth are loose and you have a toothache! -Moon disease
Touching cold water during confinement will lead to rheumatism! -Moon disease
All diseases and symptoms related to the moon are lunar diseases. It seems that this month's disease is not a disease at all, but a general term, which brings together all the problems that everyone thinks are caused by poor nursing during the month!
Moreover, the author also found that most of these lunar diseases were not diagnosed by doctors, but netizens automatically classified this situation into the category of lunar diseases.
2. Is there any moon disease?
The author has always advocated scientific evidence-based and looked up a lot of information. Traditional Chinese medicine believes that this is just a folk saying, but in modern medicine, there is no concept of "confinement", let alone "confinement disease", which can only correspond to puerperium and puerperium complications.
The time from the delivery of the placenta to the recovery of all organs of the parturient except the breast to normal non-pregnancy state is called puerperium, which usually takes 6-8 weeks. The time of puerperium is not absolute. If the new mother does not recover well, the puerperium will be prolonged, but it will take at least 6 weeks.
It can be seen that the real confinement is not 30 days in the traditional sense, but 42 days. In addition, during pregnancy, in order to adapt to the development of the fetus and prepare for delivery, great changes have taken place in the whole body and reproductive organs-increased blood volume, endocrine changes such as estrogen and progesterone, and internal organs have been squeezed by the fetus; During childbirth, the fetus also "destroyed" the pelvic floor and the female private parts.
So after the baby is born, the organs of the new mother's body need time to adapt:
It takes about 6 weeks for the organ to return to its original position.
It takes about 6 weeks for the uterus to return to the non-pregnant state.
Female private parts are nervous-about 3 months.
Recovery of circulatory system and blood system-it takes about 2~3 weeks.
Digestive system-about 1~2 weeks.
Endocrine system -65438+ will reach the level of non-pregnancy at 0 weeks after delivery.
Pelvic floor tissue-may return to non-pregnant state during puerperium.
Abdominal tension-about 6-8 weeks.
Urinary system-it takes 2~8 weeks.
This has led to some changes in the body, but these are really not lunar diseases!
These "moon diseases" are not "diseases"
The human body is a very complicated body. After the child is born, the body no longer needs such a high-load operation, and will automatically adjust its function and return to its previous state as soon as possible. These are the necessary stages of recovery.
1 alopecia
Human hair has a certain growth cycle, and the working time of each hair follicle is about 3-6 years. During this period, it can be called growth period, followed by a recession period of 1-2 weeks, when hair follicles begin to shrink, and then a dormant period of 5-6 weeks, when hair falls off. After the remaining hair follicles, they continue to grow and circulate in turn.
Normal people's hair will keep a balance during the growth period and rest period, and about 100 hairs will be lost every day. During pregnancy, due to the increase of estrogen level, more hair is in the growing period and less hair falls off, so you can obviously feel more hair.
However, with the birth of the postpartum baby, the estrogen level suddenly dropped. Those hairs that should be dormant due to pregnancy but still stay in the growth period begin to enter the retrogression period, and then a large number of hairs begin to fall off during the dormancy period. Therefore, the new mother will feel that her hair will fall out after delivery. But don't worry, this situation will return to normal in about half a year. In order to adapt to this embarrassing period, new mothers can tie up their hair, or simply cut short hair.
2 polyuria and night sweats
During pregnancy, the water in the expectant mother's body almost increased by 1.4kg. However, after delivery, the water is useless, and the body position needs to be discharged through the kidneys and sweat glands, so that the frequency of going to the toilet and urine volume increase, and sweating increases. This phenomenon generally improves around 1 week after delivery, and some may need to be adjusted for 2~8 weeks.
3 urinary incontinence
Indeed, for a young woman, urinary incontinence is really embarrassing, but for a new mother who has just given birth, urinary incontinence is a normal thing. This is a kind of stress urinary incontinence, because the pelvic floor muscles, ligaments and fascia become relaxed under the action of pregnancy hormones, and excessive stretching during childbirth leads to the decline of human urine control ability.
With the recovery of pelvic floor tissue in puerperium, this situation will gradually improve. 1 3 of the parturients will improve within1week after delivery, and most of them will disappear completely at the end of puerperium. New mothers can also practice Kegel exercise more to promote the recovery of pelvic floor muscle tension.
A "disease" that is not a "moon disease"
Some diseases considered as "moon disease" actually have nothing to do with confinement, but are related to people, such as loose teeth, arthritis, backache and so on.
1 month brushing your teeth will lose your teeth.
Some people say that you can't brush your teeth in the second month, otherwise your teeth will loosen or even fall off. This is a complete reversal of black and white, and it is easy to loosen your teeth if you don't brush your teeth for a month! We know that during pregnancy, the gums become very sensitive due to the action of hormones, and they are more prone to inflammation and bleeding than those who are not pregnant. For a period of time after delivery, this situation will continue until the endocrine system returns to a non-pregnant state. Pregnant women should pay attention to oral health, and new mothers should of course pay attention to oral health.
Within a few minutes after a meal, the bacteria in the mouth of a normal person will multiply in large numbers, and the food residues left in the mouth will ferment and rot, and mix with the bacteria, which will easily cause oral infections, such as gingivitis and periodontitis, leading to loose teeth, weak chewing and tooth loss.
Therefore, if the new mother's teeth are loose, we should first reflect on whether the oral cleaning work is done properly, instead of blaming brushing. If the looseness is serious, gingivitis or periodontal disease should be considered, and dental examination or treatment is needed.
In addition, in order to prevent this situation, postpartum oral care should be carried out correctly:
Keep brushing your teeth and gargling. Rinse your mouth with mouthwash or warm water on the first day after delivery, and brush your teeth with a soft toothbrush and warm water the next day. Brush your teeth up and down between your teeth, not left and right, to protect your teeth from damage and bleeding.
A cold in February can cause headaches.
Headache is one of the most frequently mentioned diseases of the moon. Most of them are headaches caused by wind and cold in the second month, which are difficult to cure, and they will also have headaches after blowing.
Headache is indeed a common problem in women during pregnancy and postpartum. The most common cause of postpartum headache is tension headache, which is mostly caused by physiological changes such as hormones, lack of sleep, irregular diet, excessive psychological pressure and fatigue, accounting for about 39% of postpartum headache. But this kind of headache can usually be relieved by adjusting mood and living habits, relaxing, resting and massaging.
Part of it is migraine. Most of these women have a history of migraine before pregnancy. During pregnancy, 60~70% migraine will be improved due to the fluctuation of estrogen, but it is easy to recur after delivery. Studies have shown that the recurrence rate of migraine among breast-fed new mothers is much lower than that of bottle-fed mothers.
It can be seen that these two kinds of postpartum headaches are not caused by catching cold or blowing. Of course, some severe postpartum headaches may be caused by diseases, such as preeclampsia, pituitary hemorrhage and cerebral venous thrombosis. If the new mother encounters this headache, don't hesitate to go to the hospital for further examination, investigation of the cause and symptomatic treatment.
If you can't sit well in March, your joints will hurt when it rains.
There are many posts saying that I didn't sit well, my joints hurt and I was sick. It hurts when it rains!
In fact, low back pain, back pain and other joint pains are also common symptoms during pregnancy and postpartum. This kind of pain begins in the third trimester and lasts until the puerperium. This is because:
First of all, the level of progesterone in the body drops sharply after delivery, and the whole body hormones have to go through a rebalancing process. Hormones regulate the metabolism of bones and joints, so that the strength and elasticity of muscles and tendons are reduced to varying degrees, and the joint capsules and ligaments near the joints are relaxed and weakened, resulting in joint pain.
Secondly, the uterus is enlarged during pregnancy, and the center of gravity of the body changes obviously, which changes the stress points of the spine, lower limbs and joints of pregnant women. However, after the child is born, the physical burden is reduced, the center of gravity of the body needs to be readjusted, and the stress points of the joints also need to be readjusted, which is also the cause of joint pain.
Finally, improper posture of the new mother when nursing or holding the baby can easily lead to key pain. For example, looking down at the baby for a long time during breastfeeding puts too much pressure on the neck; Bend over and pick things up directly, causing waist injury.
Therefore, in the postpartum recovery stage, new mothers should also pay attention to posture, protect cervical vertebrae and lumbar vertebrae as during pregnancy, and avoid injuries due to improper movements.
Arm pain is mostly due to insufficient arm strength, which requires holding the baby for a long time, especially the baby's weight will increase day by day, and it will definitely hurt if it is held for a long time. This applies not only to new mothers, but also to many new fathers.
If you can't sit well in April, you will get rheumatism.
Let's take a look at a case shared by Dr. Liang Dongfeng from Department of Rheumatology, Beijing 30 1 Hospital:
Case description: A 27-year-old woman was afraid of the wind after delivery, and her joints and limbs ached for half a year after catching cold. After delivery 1 month, the patient felt pain in joints and limbs when cold or blowing, and felt a cool wind drilling into the joints. At the same time, there are intermittent numbness of limbs, burning sensation around the knee joint, pain around the sternum, intermittent headache and dizziness, often accompanied by insomnia, palpitation, chest tightness and sweating. However, many rheumatism tests are normal.
According to the patient, she has been taken care of by her mother-in-law after giving birth. Due to different living habits, patients are dissatisfied with their mother-in-law in many ways. However, it is hard for her to say more, and she can only hold it in her heart. After a long time, I feel very depressed. I often cry alone and stay up all night.
After these rheumatism symptoms appeared, they were always thought to be caused by cold water during confinement. I've been anxious and irritable because I'm worried about getting worse.
After coming to the clinic, considering the physical manifestations of depression/anxiety, after consultation in the medical psychology department, antidepressants were given. The symptoms gradually improved after taking the medicine, and disappeared completely after 1 month.
Isn't it amazing? Moon disease is actually treated with antidepressants! According to Dr. Liang, almost all cases of "postpartum rheumatism" seen in clinic are accompanied by a depressed/anxious diet, and the antidepressant treatment is effective.
It can be seen that many moon diseases really have nothing to do with the moon, but have a lot to do with people, especially with the new mother's cognition, mood and mentality.
What are the postpartum complications that you really need to be alert to?
Compared with the above problems, puerperal infection should be paid more attention. This is a puerperal disease with an incidence of 6%, which may lead to maternal death. Puerperal infection is a local or systemic infection caused by pathogens invading the reproductive tract during childbirth or puerperium. Its main symptoms are fever, pain and abnormal lochia.
New mothers with weak constitution, malnutrition and anemia during pregnancy need more attention. If there is a low-grade fever for 2~3 days during the puerperium, and then it turns into a high fever, we should consider the possibility of infection. Remember not to use antipyretics during the puerperium, and you need to go to the hospital as soon as possible to find out the cause of fever.
In addition, postpartum depression is also a problem that new mothers should pay attention to, because after giving birth to a child, the hormone level changes greatly, and most new mothers will have severe mood swings. In addition, due to factors such as taking care of newborns, poor sleep, physical changes, and the two-person family becoming the operation of it in the family, negative emotions such as irritability, sadness and anxiety can easily occupy the minds of new mothers, and some trivial things will trigger their sensitive nerves, and they don't know when they will collapse. If she is still confined by confinement at this time, it is easy to have postpartum depression.
3, postpartum qi and blood can prevent moon disease.
Hot moms who just gave birth to Bao Xiao are most concerned about how to feed their children well and lose weight quickly, and sometimes they neglect how to make good use of the puerperium to regulate their bodies. Young people even think that foreigners don't have confinement, and we are not so delicate.
However, Chinese medicine believes that the puerperium is an important period for the recovery of various organs of the body after childbirth. The causes of postpartum diseases are mostly qi and blood loss and insufficient collaterals. If not adjusted in time, it may affect life. Moon disease, also known as "postpartum wind" and "postpartum body pain", often leads to a series of symptoms such as fear of cold, fear of wind, sweating and joint pain due to careless adjustment during puerperium. In fact, lunar disease was very common in ancient times when material was scarce, even in modern times when living conditions were superior.
A few days ago, a 35-year-old patient came to see a doctor. She felt much worse after giving birth to a child eight years ago. As soon as she blows the air conditioner, she feels cold to the bone, headache, scalp numbness and joint pain. She can't go to air-conditioned public places, so she has to resign and even have to sleep in separate rooms with her husband. She has been to the hospital many times, but modern medicine can't do anything about "moon disease". Finally, she came here to see a doctor. After taking traditional Chinese medicine for a period of time, her symptoms such as fear of wind and cold were greatly improved, and her resistance to air conditioning was less, and her life basically returned to normal.
Traditional Chinese medicine believes that it is even more difficult for women to exert their strength with qi during childbirth, especially for the first child, and their muscles and bones are wide open, resulting in damage to their qi and blood. Even if it is a caesarean section, cutting open the uterus to take out the child is also traumatic and bleeding. Therefore, the puerperal pulse is weak and the blood circulation is weak, leading to blood stasis. If you don't feel the cold inadvertently, the wind evil will take advantage of it. If you don't recuperate well in the second month, after a recovery period of about 3 months, your bones and muscles will be sealed, cold pathogens will stay in your body, and you will have obvious symptoms such as chills and bone pain all over your body. Especially the urban women who usually sit for a long time and exercise less, and have insufficient body yang, have poor postpartum self-regulation and recovery ability, and are more prone to the above symptoms.
Female postpartum asthenia and blood stasis. Based on the principle of "not stopping after delivery, but not forgetting after delivery", we can correct their biased constitution and prevent "moon disease" by applying TCM syndrome differentiation and proper nursed back to health. Here, I recommend several classic prescriptions to you:
1. Biochemical soup. 24g of Angelica sinensis, 9g of Ligusticum Chuanxiong, 6g of peach kernel, 2g of dried ginger, 2g of roasted licorice root and appropriate amount of glutinous rice wine can be added for decoction. It can promote blood circulation and nourish blood, dispel cold and remove blood stasis, and is suitable for postpartum women with blood deficiency and blood stasis. Start drinking on the third day after delivery, 1 dose per day, and take it on an empty stomach in the morning and evening for about 2 weeks.
2. Add and subtract Buzhong Yiqi Decoction. 30g of Radix Astragali Preparata and Radix Codonopsis, 65438 05g of Rhizoma Dioscoreae, 65438 00g of Atractylodis Rhizoma, 65438 00g of Radix Angelicae Sinensis, Cimicifuga Rhizoma and Radix Glycyrrhizae Preparata, and 4g of cooked Radix Aconiti Lateralis Preparata. It can tonify the middle energizer and replenish qi, and is suitable for people who are tired and weak and sweat when moving. Daily 1 dose, 3 ~ 5 doses continuously.
3. Siwu Buxue Decoction. Radix Rehmanniae Preparata, Radix Angelicae Sinensis, Fructus Lycii and Mulberry each 65438+/-00g, Radix Paeoniae Alba, Caulis Spatholobi and Radix Astragali each 30g, Colla Corii Asini (chemical) 65438+/-00g, Rhizoma Ligustici Chuanxiong 5g and five Chinese dates. It can nourish blood, soften liver, promote blood circulation and strengthen spleen. Suitable for lying-in women with pale face, blurred vision, numbness of limbs and dry skin. Take 1 dose every day, a total of 5 ~1dose, and take it on an empty stomach in the morning and evening.
Although it is said that it is necessary to recuperate during confinement, many statements are not accurate. Don't be blindly superstitious. The time and conditions for women's physical recovery are different under different modes of production, and some common abnormal situations are actually not catching shadows. As we mentioned above, it is actually a normal physiological reaction. It will be better to recuperate slowly, so don't worry too much.