11/09/2021
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Postpartum abdominal muscle separation . 产后的腹肌分离
Why do abdominal muscles sometimes separate during pregnancy?
During pregnancy, the growing uterus stretches the muscles in the abdomen. This can cause the two large parallel bands of muscles that meet in the middle of the abdomen (re**us muscles) to become separated by an abnormal distance — a condition called diastasis recti or diastasis recti abdominis.
Diastasis recti might cause a bulge in the middle of the abdomen where the two muscles separate. The condition might be noticeable only when the abdominal muscles are tense, such as when you move from lying down to sitting up. Diastasis recti can weaken the abdominal muscles, causing lower back pain and making it difficult to lift objects or do other routine daily activities.
four types of pregnant women:
🤰Pregnant and lying-in women of advanced age
🤰Maternal mothers with macrosomia, polyhydramnios, and multiple pregnancies
🤰Pregnant women who lack exercise and gain excessive weight
🤰Pregnant women with multiple pregnancies
Generally speaking, the separation of re**us abdominis prefers those mothers with weak abdominal muscles or high pressure on the abdomen.
Repair re**us abdominis separation after delivery
So how long can it be repaired after delivery?
First of all, let's talk about the normal delivery. After the delivery of lochia is clean, there is no uterine prolapse, and there is no inflammation of the pelvic and abdominal cavity, the repair operation can be carried out, generally 20-25 days after delivery.
Caesarean section, you need to wait until the wound is fully healed, there is no redness, swelling, itching or pain before you can start to treat. Usually this time takes half a year, or even longer, because even if the outside grows well, it is not certain whether the internal abdominal organs have grown well. Especially before the operation, when detecting the stinging phenomenon of pressing, it still cannot be operated.
腹肌分离在怀孕的过程中，随着胎胞长大，并且胎胞是充盈的，有一定硬度，胎胞一直往前顶，使腹部白线变得更加伸展和变薄。
到达妊娠后期，胎胞就会顶着腹直肌往两边撑开，使它们离开了腹直肌鞘，就产生了空隙或分离。虽然症状是叫做腹直肌分离症，其实有腹直肌分离问题时，同时最深层的腹横肌与最外层的腹外斜肌也肯定是分离了的，甚至同时体内的各脏器也是被挤压到了四周围的。
腹直肌分离也是挑人的，它比较青睐四类孕产妇：
🤰高龄孕产妇
🤰巨大儿、羊水过多和多胎妊娠的孕产妇
🤰缺乏锻炼、体重增长过快的孕产妇
🤰多次妊娠的孕产妇
综合看，腹直肌分离偏好选择那些腹部肌肉力量弱或腹部受到的压力大的妈妈。
修复产后腹直肌分离
那么产后多久之后可以进行修复呢？
首先讲顺产，产后恶露排干净了，无子宫脱垂现象，盆腹腔无积液炎症，就可以进行修复操作，一般是产后20-25天后。
剖腹产的，则需要等到伤口完全长好，没有任何红肿发痒疼痛现象，才能开始着手调理。通常这个时间需要半年，甚至更久之后，因为就算外面长好了，也不能确定腹内的器官有没有长好。特别是在操作前，检测按压有刺痛现象的时候，依然还是不能操作。
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