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宝妈怀孕前检查出单纯疱疹病毒还可以怀孕嘛？

发布日期：2024-06-19 10:09:13编辑：秩名


单纯疱疹病毒能怀孕吗？

稍微了解单纯疱疹病毒的人都会忌惮它对孩子身体健康的影响，很多准备怀孕的人或许都想了解带有单纯疱疹病毒是否能怀孕，一起来了解下！
 
由于单纯疱疹病毒病症较为复杂，而且可以再身体多处引发，很多医生是不建议带有单纯疱疹病毒的人在治愈前怀孕的。
 
据了解，单纯疱疹病毒对胎儿，与新生儿的影响都特别大，对胎儿致畸率非常高。许多报道指出，在怀孕早期感染(尤其是原发性感染者)单纯疱疹病毒可通过胎盘引起胎儿病毒血症、自发性流产、死胎、先天畸形、宫内发育迟缓或早产，也可呈隐性感染或持续带病毒状态等。
 
也许事实更能说话，美国曾有报道成人口唇单纯性疱疹对新生儿的致死率17.6%，一定要治好了再要宝宝，以后也不要让有单纯性疱疹接处新生儿。
 
但是也不是那么绝对！因为单纯疱疹病毒如果IgM阳性，表示孕妇近期可能有“TORCH”感染(或称原发性感染)，有引起胎儿畸形的可能；如果IgG阳性，往往表示过去有过“TORCH”感染，对胎儿的影响不大，在我国育龄妇女中，大约有90%左右的人群风疹和巨细胞病毒IgG为阳性。
 

妊娠期单纯疱疹病病毒对胎儿的影响

怀孕了出现了单纯疱疹病病毒，最是让准妈妈们难过，先来了解下妊娠期单纯疱疹病病毒对胎儿的影响有哪些!
 
妊娠期合并单纯疱疹病毒感染，有局部感染和全身感染两种。前者症状较轻，局部感染多发生在面部、手足、唇角、生殖器、眼睛等部位，感染之处可见米粒大小的水疱，几个或十几个连在一片，伴有发热或局部淋巴结肿大。全身感染多数病情危急，可出现贫血，及神经、呼吸、循环系统的严重病变。对胎儿的影响包括：
 
1、妊娠合并单纯疱疹病毒感染可造成胎儿宫内感染，死胎和流产率增加。
 
2、妊娠早期合并单纯疱疹病毒感染，可经胎盘和生殖系统传染，引起胎儿宫内感染而致畸形，如小头畸形、小眼球、视网膜发育不全及脑钙化等。
 
3、孕妇原发性单纯疱疹病毒感染者，早产率增高，早产儿单纯疤疹病毒检比率也明显高于足月儿，这与病毒引起妊娠免疫力下降有关。
 
4、胎儿中枢神经系统感染单纯疱疹病毒时，可引起胎儿死亡和畸形。
 
5、孕妇受到单纯疱疹病毒感染时，经阴道分娩，可使新生儿感染疤疹性结膜炎、角膜炎；全身感染者可出现黄疽、紫绀、呼吸困难、休克、嗜睡、痴病和昏迷。
 

孕妇得了单纯性疱疹怎么办?

有孕妇在在怀孕期间出现了单纯性疱疹病毒，十分慌张，小编建议马上寻找专业的医生进行咨询治疗！毕竟病情的轻重有很大的区别。具体来看个案例！
 
病患：两天口唇处起泡，后来到卫生院去检查，医生说是单纯性疱疹，但因为已怀有身孕(时间不长，最多一两个月),所以医生不敢给她进行治疗。请问，孕妇得了这种病应该怎么办？这种病如果不治疗的话会不会有不好的后果？
 
医生：孕妇被感染的第一次，对胎儿影响比较大，如果是转阴后再感染，对胎儿的影响是很小的。单纯疱疹病毒在怀孕期间感染，约10%的胎儿会被感染，可能会影响胎儿器官发育，可能导致新生儿疱疹综合征。
 
临近生产的准妈妈，对于隐匿性感染单纯疱疹病毒患者，可于分娩前作羊水检查，以确定有无单纯疤疹病毒宫内感染，以选择分娩方式。
 
为预防胎儿和新生儿经阴道分娩时感染单纯疤疹病毒，无论产妇是原发性还是复发性生殖系统感染单纯疤疹病毒，均应剖宫产取出胎儿。
 

单纯疱疹病毒孕前检查

已经有了一定备孕知识的人知道，怀孕前必查“病毒四项”，其中就包括单纯疱疹病毒检查！
 
有专家表示：“病毒四项”是一项检测先天性梅毒、乙肝病毒、沙眼衣原体、风疹病毒、巨细胞病毒以及单纯疱疹病毒的检查，如果你感染了这其中的任何一种病原微生物中的一项，都很容易造成流产、早产、死胎、胎儿畸形或残疾儿。
 
同时需要提示的是，病毒四项检查最好在怀孕前半年进行，这样可以避免一些不必要的悲剧的发生。但是如果感染了这些病毒，只要在医生指导下治疗，大部分人都可以安全孕育下一代的。
 
通常有药物预防可以通过减少母体HSV感染或降低对新生儿的传播的可能性可减少HSV的垂直传播。阿昔洛韦慢性阻遏性治疗，能减少潜伏的生殖器和口唇HSV感染的复发。
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