如何分辨受精卵着床和经前综合症症状

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共同创作者是 Lacy Windham, MD

参考

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经前综合症指的是月经前几天，甚至是前几周出现的一系列生理和心理症状。着床则是受精卵植入母体子宫，也就是说你怀孕了。它们可能在月经周期的同一时间发生，很难区分开来。但是，只要仔细留意，就能发现两者的症状有一些不同。一起来看看吧。

部分 1
部分 1 的 3:

留意受精卵着床和早期怀孕迹象

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    还不到来月经的时候？那么少量出血可能是着床迹象。这通常与普通月经不同，出血量很少，可能看起来就像来月经的头两天。 [1]
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    你可能会在怀孕初期感到腹部绞痛。你可能会在来月经时感到腹部绞痛，也可能在月经前出现这个症状。这是经前综合症的常见症状。着床痛与经痛相似。 [2]
    • 留意腹部绞痛的严重程度。如果特别痛，你应该去看医生。要是疼痛转移到身体另一侧，也应该去看医生。这两种状况都可能意味着身体出问题了。 [3]
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    受精卵着床的其中一个症状是尿频（但并非所有人都会出现这种状况）。 [4] 你的身体会分泌更多人绒毛膜促性腺激素，增加流向膀胱附近的血流，导致尿频。 [5]
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    孕妇可能会觉得头晕，主要是因为激素变化。但是，有的医生认为这也可能是身体正在制造更多血给胎儿的缘故。 [6]
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    有时候，即使是怀孕初期，你可能会比平时更常感到饥饿。如果症状持续超过一两天，可能是受精卵已经着床。 [7]
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    晨吐这个词并不恰当，因为孕妇在孕期中的任何时候都有可能感到恶心和呕吐。早在怀孕后2周就可能出现这个症状。 [8]
  7. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/9\/90\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-7-Version-2.jpg\/v4-460px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-7-Version-2.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/9\/90\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-7-Version-2.jpg\/v4-728px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-7-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    怀孕初期的其中一个症状是突然对某个食物和味道反感。这个症状会引发晨吐（即使你之前很喜欢这个味道或食物）。 [9]
  8. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/7\/7b\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-8-Version-2.jpg\/v4-460px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-8-Version-2.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/7b\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-8-Version-2.jpg\/v4-728px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-8-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    这个症状最常出现在怀孕初期和后期。你可能觉得比平时更容易喘不过气来。不管何时出现这个症状，都必须告诉医生。 [10]
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    有的女性在怀孕不久后，会感到嘴巴里有金属味。经前综合症不会出现这个症状。 [11]
部分 2
部分 2 的 3:

了解经前综合症症状

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    怀孕后期肯定会背部疼痛。但是，如果你想区别怀孕初期和经前综合症的症状，那么背部疼痛更有可能是经前综合症的征兆。 [12]
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    虽然怀孕和经前综合症都会导致情绪波动，但是后者更有可能引发抑郁。如果你觉得有点抑郁，可能不是受精卵着床迹象。 [13]
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    虽然你也可能在怀孕初期感到腹胀，但这个症状更常出现在经前综合症。腹部可能觉得紧绷。 [14]
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    来月经是没有怀孕最重要和明显的迹象之一。 [15] 尝试在日历上标注来月经的日期，这样就能弄清楚下一次来月经的日期。如果某次月经没来，你就知道自己可能怀孕了。
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    想知道到底是怀孕还是经前综合症？最有效的方法就是在家验孕。你可以轻易在药房买到家用验孕工具，它们通常附带容易遵循的指示。 [16]
    • 你可以在应该来月经的2天前，或者在想弄清楚到底是经前综合症还是怀孕时验孕。有的验孕工具声称在应该来月经的2天前，就能测出准确的结果。但是，如果你想得到更明确的结果，不妨等到应该来月经的1周后才验孕。 [17]
    • 大多数时候，验血也只能比家用验孕工具早2天检测到激素。不要为了好奇而要求医生验血，保险不会帮你付这笔费用。 [18]
部分 3
部分 3 的 3:

辨别相似的症状

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    你知道自己平时来月经是怎么样的。不管血量多还是少，你知道自己来月经时会出现什么状况。受精卵着床的出血量会比来月经时少，因为整个子宫内壁并没有剥落，而且不会像来月经那样持续很久。 [19] 你应该只看到零星的血迹，颜色也和来月经时的鲜红色不一样，会比较浅，一般呈粉红色或褐色。 [20]
  2. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/e\/e4\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-16.jpg\/v4-460px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-16.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/e\/e4\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-16.jpg\/v4-728px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-16.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    经前综合症使你的情绪容易波动，但怀孕初期也会这样。 [21] 两种情况都是激素变化造成的。 [22]
  3. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/4\/4b\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-17.jpg\/v4-460px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-17.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/4\/4b\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-17.jpg\/v4-728px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-17.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    经前综合症和怀孕初期都会改变体内激素平衡，使乳房感觉肿胀或有一点痛。如果你怀孕了，乳房可能会更胀。 [23] , [24]
  4. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/b\/b7\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-18.jpg\/v4-460px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-18.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/b\/b7\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-18.jpg\/v4-728px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-18.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    经前综合症和受精卵着床均会使你觉得非常累。你可能早在怀孕的第1周就觉得很累，主要是孕酮增加的缘故。 [25] 但是，经前综合症也会引起激素变化，使你感到疲惫。 [26]
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    激素变化也会引起头痛。所以，怀孕初期 [27] 和经前综合症都可能出现头痛症状。 [28]
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    来月经前，你可能突然很想吃某些食物。 [29] 怀孕初期也会有这样的状况。有时候，孕妇会想吃比较奇怪的食物，但并非每个孕妇都会这样。 [30]
  7. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/1\/1b\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-21.jpg\/v4-460px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-21.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/1\/1b\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-21.jpg\/v4-728px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-21.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    如果是经前综合症，你可能会因为激素变化而便秘或腹泻。 [31] 怀孕也会造成类似的状况，但更有可能引起便秘。另外，这些症状在怀孕后期更严重。 [32]
  8. {"smallUrl":"https:\/\/www.wikihow.com\/images_en\/thumb\/1\/17\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-22.jpg\/v4-460px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-22.jpg","bigUrl":"https:\/\/www.wikihow.com\/images\/thumb\/1\/17\/Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-22.jpg\/v4-728px-Tell-Implantation-Symptoms-from-PMS-Symptoms-Step-22.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"<div class=\"mw-parser-output\"><\/div>"}
    经前综合症症状一般出现在月经前1到2周 [33] ，并在来月经后的2天内消失。 [34] 着床和早期怀孕症状一般发生在月经周期的同一时间，如果受精卵没有着床，子宫内壁就会剥落，开始来月经。 [35]

小提示

  • 如果你可能怀孕了，记得每天摄取含有叶酸的产前维生素，这对健康的胎儿发育十分重要。

警告

  • 如果症状持续，请去看医生，确认自己的身体状况。

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参考

  1. ↑ https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/signs.aspx
  2. ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Am_I_Pregnant
  3. ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Am_I_Pregnant
  4. ↑ http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000583.htm
  5. ↑ https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/signs.aspx
  6. ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Am_I_Pregnant
  7. ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Am_I_Pregnant
  8. ↑ https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/signs.aspx
  9. ↑ http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/symptoms-of-pregnancy/art-20043853
  1. ↑ http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000583.htm
  2. ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Am_I_Pregnant
  3. ↑ http://www.womenshealth.gov/publications/our-publications/fact-sheet/premenstrual-syndrome.html
  4. ↑ http://www.womenshealth.gov/publications/our-publications/fact-sheet/premenstrual-syndrome.html
  5. ↑ http://www.nlm.nih.gov/medlineplus/ency/article/001505.htm
  6. ↑ http://my.clevelandclinic.org/health/diseases_conditions/hic_Am_I_Pregnant
  7. ↑ http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940
  8. ↑ http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940
  9. ↑ http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/home-pregnancy-tests/art-20047940
  10. ↑ http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/implantation-bleeding/faq-20058257
  11. ↑ http://www.webmd.com/baby/guide/implantation-bleeding-pregnancy
  12. ↑ https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/signs.aspx
  13. ↑ http://www.mayoclinic.org/diseases-conditions/premenstrual-syndrome/basics/symptoms/con-20020003
  14. ↑ http://www.womenshealth.gov/publications/our-publications/fact-sheet/premenstrual-syndrome.html
  15. ↑ http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/symptoms-of-pregnancy/art-20043853
  16. ↑ https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/signs.aspx
  17. ↑ http://www.mayoclinic.org/diseases-conditions/premenstrual-syndrome/basics/symptoms/con-20020003
  18. ↑ https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/Pages/signs.aspx
  19. ↑ http://www.womenshealth.gov/publications/our-publications/fact-sheet/premenstrual-syndrome.html
  20. ↑ http://www.nlm.nih.gov/medlineplus/ency/article/001505.htm
  21. ↑ http://www.mayoclinic.org/healthy-lifestyle/getting-pregnant/in-depth/symptoms-of-pregnancy/art-20043853
  22. ↑ http://www.nlm.nih.gov/medlineplus/ency/article/001505.htm
  23. ↑ http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000583.htm
  24. ↑ http://www.womenshealth.gov/publications/our-publications/fact-sheet/premenstrual-syndrome.html
  25. ↑ http://www.nlm.nih.gov/medlineplus/ency/article/001505.htm
  26. ↑ http://www.womenshealth.gov/publications/our-publications/fact-sheet/menstruation.html# b

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