妊娠瘙痒性荨麻疹样丘疹及红斑 PUPP.肚皮四肢痕痒

BrendaSiew

我在28周时患上PUPP,
（Pruritic Urticarial Papules and Plaques of Pregnancy）妊娠瘙痒性荨麻疹样丘疹及红斑 痛苦难堪，24小时都在痒，肚皮痒，四肢痒，背后痒。。。
白天忙于工作，还好。一到晚上，简直是煎熬。躺也不是，睡也不是，一个晚上至少要起床几次冲凉，涂药。
患pupp的几率很低，我看的医生们也告诉我，他一年都没遇到那么一个。 可，我就那么幸运的，我成为了那1-2%的人。

唯，幸运的是pupp一般只会长在胸部已下的地方，不会长在脸上。

看了几个医生，答案都一致，没有危险，但也没有药医，只能涂些steroid cream , 和服用anti histamine(抗敏感，会有睡意，让患者晚上好睡些）。
一般医生都会给"H-cort cream", " Betnovate cream". 我个人对H-cort敏感，涂了皮肤变得更加红肿，痕痒，而且蔓延得很快，一整片肚皮好像被烫伤，又红又烫的。唯有停用，然后拼命涂 pure aloe gel来soothing皮肤。

另一个医生给betnovate cream, 涂了状况改善了很多。（ 注： 一支Rm15左右，老公去pharmacy买时，pharmacist还问是不是拿来涂pupp的，他说最近也有另一个孕妇常来跟他买，答案也是一样，只能等到孩子出生，才能真正断根。试过去另外一家，店家说也有人来扫货，一次过买10支，他也好奇为什么买那么多）

正当我调整好心情接受事实时，在30周-31周时，突然间好了。
以下为我的总结，
1. 痕痒时不可以抓痒，因为抓了会导致微血管爆裂，情况会更严重，而且蔓延得很快， 最可怕是会留疤。
2.停止用肥皂，我就去gurdian买了Pinetasol pine oil soap free solution来洗澡，味道很重，可是可以帮助减轻痕痒。
3.饮食方面尽量清淡些，我个人消化一向来不好，怀孕后有heart burn/胃酸倒流的情况，食道有被灼伤的感觉。唯有多吃蔬果，吃得清清淡淡，少吃辛辣，少吃海鲜/肉类/蛋/奶等容易导致敏感的食物。就连每星期定时服用的燕窝也停了。
4.多喝水，然后我一星期会喝1-2次的椰水（kosong的）
5.皮肤红肿痕痒时，就涂pure aloe vera gel来镇定皮肤，干了过后才涂betnovate cream(类固醇膏）。偶尔也会涂些calamine lotion,不过calamine lotion带有酒精（menthol),涂了一瞬间冰冰凉凉的，过后皮肤会比较干，水分随着酒精蒸发掉了。
6.冲凉一定要冲冷水，尽量避免冲热水，热水会使微血管膨胀，并加重皮肤问题。

现在好得7788了，希望接下来平平安安，皮肤美美的渡过最后几个星期的时间，然后宝宝平安健康出世。
我更希望同样患有pupp的姐妹们早日康复。

BrendaSiew

http://www.whattoexpect.com/pregnancy/whose-body/skin-rashy.aspx
PUPPPS

PUPPPs, short for pruritic urticarial papules and plaques of pregnancy is the most common skin rash found in pregnant women. Normally occurring around 35 weeks gestation, PUPPPs tends to only happen to woman during her first pregnancy, and more commonly when she is expecting a boy. PUPPPS has many other names, most commonly is PEP (polymorphic eruption of pregnancy) found in the United Kingdom, late-onset prurigo of pregnancy, toxemic rash of pregnancy and toxic erythema of pregnancy. PUPPPs occurs in 1 out of 200 first-time pregnancies on average, and has extremely notable signs and symptoms.

The itchiest stage lasts about one week, however the itch ‘never really goes away’ as explained by previous sufferers. Even though PUPPPs is extremely uncomfortable, doctors and experts alike have not found any threats to mom or baby.
Signs and Symptoms of PUPPPs

Many women find that the itching part of PUPPPs is what is so difficult. Although, PUPPPs does cause distinguishing red marks on the abdomen, there are specific details a woman should pay attention too before diagnosis to determine whether or not she is suffering from this condition.

    Color appearance changes over time
    Very itchy
    Redness
    Small blisters
    Eczema-like lesions
    Appears on abdomen first
    Is not found on the belly button
    Stretching of the skin, stretch marks are generally the first sign

The appearance of PUPPPs has been described as bumpy, itchy papules that turn to red, scalded skin with welts over time. They begin as though they are stretch marks, then as time passes, the rash begins to become bumpy, red, and bigger. As mentioned above, oddly there is never a rash on the belly button, only around it on the abdomen. From the abdomen, the rash will begin to spread to all parts of the body including the chest, legs, feet, neck, armpits and face of the expectant mother.
Cause of PUPPPs

Unfortunately there is no known cause of PUPPPs, however experts and doctors do see similarities in cases. These similarities, although they are not specific causes, include:

    Women carrying boys (70% of sufferers deliver boys)
    First pregnancy
    Carrying multiples (twins, triplets, etc.)
    Hypertension

One thing that most experts agree on is that this is a pregnancy-related condition. It only happens to women during their first pregnancy, and generally when they are carrying either multiples or males. If a woman is at or past her term (37 weeks) she may or may not want to consider being induced to help the condition.
Treating PUPPPs

Depending on the severity of PUPPPs, doctors usually use topical moisturizing creams or aqueous ointments to help treat mild cases. Corticosteroid creams and ointments are usually used when the condition has reached extreme severity, and if the condition is too out of control, the doctor will treat the patient with oral corticosteroids. Antihistamine tablets may be prescribed to provide relief from the itchiness, however they are not said to work as well as the corticosteroid creams and ointments. The important thing to remember is that after delivery of your baby, the condition and symptoms go away within a week or so. Still, not all women are so lucky and continue to experience symptoms during their postpartum period.

Other times, women prefer to use home remedies to treat their PUPPPs. Aloe and oatmeal baths are said to help soothe the itch, while decreasing the red appearance of the condition. Ice packs can also take down the redness and swelling (if any). Wearing baggy clothes can also help prevent discomfort when you’re pregnant, and especially if you’re prone to skin rashes such as PUPPPs. The sun, heat, warm water and clothing can aggravate the rash, so staying cool is essential to help contain the itch and other symptoms.

pilipalal

谢谢分享！

snoopy83

之前我在大概24周也是这样皮肤敏感。。。。
幸好2-3个星期后好了。。。
真的痒很辛苦

我搽医生给的药膏，冲凉用Eubos，然后用不大热的水冲凉，一直叫自己不可以抓。。。。
难熬啊。。。

Yukikoko

我生产前两星期肚皮,四肢奇癢无比,痛苦到。。。。。

YnG'z

我现在21周也是遇到这个问题，真的非常痒啊～ 应该只有睡着的时候不痒。两只手都被红点覆盖到好像有疙瘩那样 今天医生给了calamine lotion 可是擦了在冷气房整个皮肤干到紧绷更加痒了～ 救命啊～

yilim56

YnG'z 发表于 4-9-2015 10:17 PM
我现在21周也是遇到这个问题，真的非常痒啊～ 应该只有睡着的时候不痒。两只手都被红点覆盖到好像有疙瘩那 ...

你可以试看看用松焦油肥皂，看到国外许多孕妇都推荐用这肥皂冲凉来舒缓瘙痒和红疹。
我是皮肤敏感，用这肥皂几天后觉得比较没那么痒了。要用冷水，很痒时一天用2-3次

YnG'z

yilim56 发表于 14-10-2015 02:59 PM
你可以试看看用松焦油肥皂，看到国外许多孕妇都推荐用这肥皂冲凉来舒缓瘙痒和红疹。
我是皮肤敏感，用这 ...

谢谢你的建议，上次的发痒过了大概一个星期就自然好了（期间我也换了沐浴用品，目前使用橄榄油based的手工皂）希望一切保持现状就好

yilim56

YnG'z 发表于 18-10-2015 10:30 AM
谢谢你的建议，上次的发痒过了大概一个星期就自然好了（期间我也换了沐浴用品，目前使用橄榄油based的手 ...

不客气，我也是曾经深深感受到瘙痒的痛苦啊。。哈哈
这里是那肥皂的网址VluvGreen facebook，我到现在还用着。有需要的mm可以去看看。
很高兴你摆脱了发痒的日子，祝你一切安好哦！

YnG'z

yilim56 发表于 18-10-2015 12:29 PM
不客气，我也是曾经深深感受到瘙痒的痛苦啊。。哈哈
这里是那肥皂的网址https://www.facebook.com/VluvG ...

好的，非常感谢你