DysmenorrheaIs a common and frequently occurring gynecological , causes more complex pathogenesis , repeated large , intractable , especially in the early period of unmarried young women and girls more common , the performance of women during menstruation or pass around , most started menstruating orVaginal bleedingHours before , recurrent abdominal pain , Leng Tong , burning , tingling , dull pain , falling pain, cramps , spastic pain , tearing, pain , lower back pain until sacral , and even involving the thigh and foot , last 1 / 2 to 2 hours. Many parts of the lower abdominal pain , weight may or shares within the radiation to the lumbosacral anterior . About 50 % of patients associated with systemic symptoms : breast tenderness , anal bulge ,scare-3166 chest tightness, irritability , sadness, irritability , insomnia, scared ,HeadacheDizziness , nausea, vomiting , stomach painDiarrhea, Lassitude , pale , cold extremities , cold sweat dripping , collapseSyncopeAnd other symptoms. In severeAbdominal painAfter the attack , to moderate degree of paroxysmal pain, some for 12 to 24 hours . Disappeared after the outflow of blood flow , may occasionally need to stay in bed for 2 or 3 days were . Its high incidence , scope , period of close to great pain , causing serious impacts on women’s work and learning , reduces the quality of life.
Primary pain often occurs when a ovulation period , so usually during the first 1 ~ 2 years of menarche no symptoms or only mild discomfort . Severe spastic pain occurred in more than 1 to 2 years after menarche in young women. If a regular dysmenorrhea or later began to occur after 25 -year-old spastic dysmenorrhea , should consider the presence of other anomalies .
dresses
Primary pain usually go away after delivery , or gradually fade away with age at marriage .
Diagnosis
1 , five kinds of Chinese medicine dysmenorrhea Syndrome Syndrome : Qi stagnation , cold and dampness stagnation , damp heat stasis of qi , liver and kidney loss .
2 , Western dysmenorrhea diagnosis and classification of “primary “and” secondary “:
( 1), primary dysmenorrhea , means a gynecological examination , genital no obvious pathological lesions, mostly occurred in 2-3 years after menarche of adolescent girls or young women have been birth .
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The diagnosis of primary dysmenorrhea
Primarily to exclude the possibility of secondary dysmenorrhea . A detailed history should pay attention to the time the pain started , type and characteristics . According to :
① 1 ~ 2 years after menarche onset ;
② in case of menstrual blood or a few hours before the start of this pain , the pain does not last more than 48 to 72 hours;
③ spastic pain of such a nature or similar childbirth labor pain ; ④ doublet gynecology clinic or negative rectal examination . Diagnosis of primary dysmenorrhea can be drawn .
(2 ) secondary dysmenorrhea , genital obvious organic lesion by gynecological examination , B -type ultrasonic imaging,LaparoscopicTechnologies such as checkPelvic inflammatory disease, uterine cancer , endometriosis lesions induced dysmenorrhea .
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The diagnosis of secondary dysmenorrhea
Recurrent episode of pelvic inflammatory disease , irregular menstrual cycle , menorrhagia , intrauterine IUD placement , a history of infertility diagnosis helps secondary dysmenorrhea .
Together through consultation and triple dual diagnosis , you discover some of the leading causes of dysmenorrhea , such as uterine malformations ,Uterine fibroids, Ovarian cancer, pelvic inflammatory disease and other blocks . Was palpable on rectal examination the uterus sacral ligamentNodulesLike thickening , early diagnosisEndometriosisParticularly important.
Other tests : such as erythrocyte sedimentation rate ,LeucorrheaBacterial culture , b super- pelvic scan , hysterosalpingography , diagnostic curettage , the last applicationHysteroscopy, Laparoscopy can be clear as soon as possible causes of onset dysmenorrhea . Curettage hysteroscopy can be found when the omission of small lesions , such as small fibroids , polyps ,UlcerAnd so on, while providing valuable diagnostic evidence can be carried out after curettage .
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3 , according to degree of dysmenorrhea can be divided into three degrees :
(1 ) mild : menstrual or abdominal pain before and after the obvious , with lower back pain, but can persist in the work , no systemic symptoms, sometimes serving painkillers .
(2 ) moderate : abdominal pain before and after the menstrual period or , with lower back pain, nausea and vomiting , limbs not warm , stay with the pain measures of pain .
(3 ) severe : abdominal pain before and after the menstrual period or , feel restless , serious impact on work, study and daily life, must stay in bed , with lower back pain, pale , cold sweat dripping limbs Jueleng , vomiting, diarrhea, or anal Bulge , with no significant pain relief measures .
TCM diagnosis
1 . Evidence : The line of poor , Shaofu pain . Such as abdominal pain refused to accept , by color purple and there are the blood clots , lower blood clots or relief of pain , the pulse astringent for blood stasis ; inflation even in pain, or swelling with Xiong Xie , chest Pan evil, pulse string for the stagnation of qi .
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Treatment of dysmenorrhea : Take Conception Vessel , full lunar Meridian . Mm needle with a reducing method , modest use of moxibustion .
Prescription : Intermediate , times liao , ground plane , Sanyinjiao .
2 . deficiency syndrome : abdominal pain by more than the net , the pain of endless potential rain ; Shaofu soft hi, by , through reduced ; each limb with backache tired , pay less , dizziness ,Palpitations, pulse , thin, pale tongue .
Treatment of dysmenorrhea : Take responsibility, Du , foot Shao and Meridian . Mm with reinforcing method of acupuncture and moxibustion .
Prescription : Vital , Shenshu , Guan Yuan , Zusanli big Hz .
AlertDysmenorrheaMay mask big problems
Dysmenorrhea pain time from 12 days to continue throughout the period , there are serious patients also have symptoms of non- menstrual period . Is so painful , some women still selected the patience , persistence can be described as stubborn , because they think that dysmenorrhea is not a big deal diseases. Some women will gradually reduce the symptoms of dysmenorrhea , especially from the time menstruation dysmenorrhea who will after marriage or after childbirth are likely to alleviate symptoms . Pain may be more important for those , who more and more time pain , timely treatment is the right choice .
Suggested by dysmenorrhea diseases can be broadly divided into the following categories :
1 . period of low back pain may be due to the uterus or other disorders caused by posterior .
2 . menstrual fever , lower abdominal pain may be suffering from fallingPelvic inflammatory disease。
3 . Chenganhongse normal menstrual blood , if blood is light dark brown color , orSmellChanges in hyperthermia and under the same timeAbdominal pain, You may suffer from endometritis .
4 . If dysmenorrhea more severe , longer duration , may sufferEndometriosis。
The disease manifested as dysmenorrhea , if left untreated , the consequences could be very serious. Fan doctors have admissions over a 30 -year-old patient , to endure years of dysmenorrhea , suffering from ovarian chocolate examination revealedCyst. Dysmenorrhea because she did not realize the seriousness of the disease is not treated in time, until the malignant disease , although the operation was successful , but after six months or died.
In addition , some patients with health care products , or “little tricks ” temporary pain relief , such as: every night before going to bed drink a glass of hot milk, add spoon of honey , and consciously mitigate or even eliminate the pain dysmenorrhea . In fact this approach is a secondary treatment for the most successful , because both potassium and magnesium in foods can ease the mood , suppress pain, helps the body relax , eliminate psychological tension , reduce stress . But doctors emphasize that these functions must not replace medical care and treatment.