Constipation is a common physical condition in our lives, but many friends do not pay special attention to constipation. If there is no bowel movement for a long time, it can usually be solved by taking some laxatives. However, if you stop passing gas at the same time as defecation, and even have symptoms of nausea and vomiting, you need to pay attention at this time, because it is very likely that you have intestinal obstruction. Intestinal obstruction is a disease caused by blockage of certain substances in the intestine. This disease is relatively common in clinical practice, especially for pregnant women, who are very prone to intestinal obstruction. Pregnant women are more difficult to treat because of the baby in their bodies. So, what should pregnant women do if they have intestinal obstruction? 1. Conservative observation Non-strangulated intestinal obstruction should be treated conservatively first. Including temporary fasting, gastrointestinal decompression, fluid replacement and blood transfusion, and application of antibiotics. In the early stages of sigmoid volvulus, an anal tube can be carefully inserted to vent gas or multiple small enemas can be performed to expel gas and feces from the intestinal cavity at the twisted site. However, it may cause miscarriage or premature birth, so attention should be paid to prevention and treatment. 2. Surgical treatment: If symptoms do not improve and obstruction is not relieved after 12 to 24 hours of conservative treatment, surgical treatment should be performed. During the operation, the site of strangulation and obstruction and the extent of the lesion should be thoroughly determined to determine the surgical approach. 3. Obstetric treatment ① Those who want to retain their pregnancy should be given tocolytic treatment; ② Those with early intestinal obstruction who improve with conservative treatment and whose obstruction is relieved can continue the pregnancy. Cases that require intestinal obstruction surgery are often in serious condition and are not suitable for continuing the pregnancy. They can have an elective abortion; ③ In the case of intestinal obstruction in mid-pregnancy, if there is no obstetric indication, there is no need to induce labor to terminate the pregnancy, but some cases will result in spontaneous abortion; ④ In late pregnancy, the enlarged uterus often affects the progress of intestinal obstruction surgery, so a cesarean section should be performed first, and most of them can give birth to a live baby. I believe you already know what to do if a pregnant woman has intestinal obstruction. In fact, no matter who you are, you should pay attention to preventing intestinal obstruction, develop the habit of regular bowel movements, and pay attention to abdominal massage and exercise to prevent the occurrence of intestinal obstruction. If the symptoms of intestinal obstruction are more serious, surgical treatment is required. |
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