Menstruation - explanation of nouns

Menstruation - explanation of nouns
[Sum up ]Menstruation (dysmenorrhea) ,Or walk among menstrual period around being menstrual period, lower abdomen convulsion pain appears, and there is uncomfortable whole body, the persons who influence daily life seriously. Divide primarily and plant with then sending two. Fail to find there are the pelvis organs through detailed gynecological clinical examination, called primary menstruation, call functional menstruation too. Continue taking place menstruation and mean the person who has obvious pathological change of genitals, such as membrane malposition disease, pelvic inflammatory disease, tumour,etc. in the uterus.
[Diagnose ]The diagnosis of the primary menstruation, lie in getting rid of the possibility that continues taking place menstruation mainly. Should inquire medical history in detail, what has been noticed pain beginning time, type and characteristic. According to: First menses has illness coming on in the next 1- 2 years; The blood of period appears or begin to ache before this in several hours, pain is less than 48- 72 hours in duration; Pain properties belong to convulsion or give a birth to produce aching similarly; Pair examines jointly in the gynaecology or the anus is examined negatively. Can obtain the diagnosis of the primary menstruation.Continue the repeated pelvis inflammation of diagnosis of taking place menstruation and break out in the history, the intersection of menstrual cycle and abnormality, menorrhagia, put the intersection of palace and of birth control device, sterility medical history, contribute to, continue diagnosis of menstruation of taking place etc..Examine jointly through pair and three is examined jointly, can find some causes of disease which cause the menstruation, such as uterus deformity, uterus skin tumour, ovarian tumour, pelvic inflammatory disease piece,etc.. Anus examine lay one's hand on the intersection of uterus and the intersection of sacrum and the intersection of ligament and the intersection of tubercle and form increase thick, to diagnose the intersection of membrane and malposition disease particularly important in the uterus in early days.Other inspections: If erythrocyte sedimentation rate, leucorrhea bacterium train, Ultrasonography B pelvis scanning, oviducal radiography of uterus, diagnosing dilatation and curettage, employ one of mirrors of palace, laparoscopy to define the pathogenic factor of menstruation early finally. The tiny focus that one of mirrors omits of the palace when can find dilatation and curettage to check, such as small skin tumour, polyp, ulcer,etc., and offer the valuable diagnosis basis, can go on after examining and shaving.
[Treat the measure ]
Primary menstruation (1) Generally treat: Carry on physical training, build up health. Pay attention to the life law on ordinary days, strike a proper balance between work and rest, appropriate nutrition and sufficient sleep. Pay attention to the propagation and education with physiological period, persuade through explaining, dispel patient's fear, anxiety and mental burden. Strengthen the hygiene in menstrual period, avoid moving, being overworked and preventing catching cold vigorously. (2) Inhibit ovulating: If patient like, control, bear, oral administration practise contraception slice then In order to treat the first-selected medicine of the primary menstruation. By oral contraceptive,90% more than symptom can relieve,may because grow to inhibit membranes inner, period quantity is reduced, it causes the uterus activity to weaken that PG quantity drops to the normal level. Can try obeying 3- 4 cycles in treatment, if curative effect is satisfied, can continue taking; If symptom can not be improved obviously, can add and formate inhibitors appropriately with PGs. Because of take in whole the intersection of menstrual cycle and administration, take place effect only in 1- 2 days of the end such as cycle, unless need to practise contraception at the same time, is seldom welcomed by the patient. (3) Prostaglandin synthetic inhibitor (PGSI) : To the patient unwilling to practise contraception, should choose PGSI, PGs of membrane formate, reduces amplitude and frequentness that the uterus shrinks notably in it inhibits from, but does not influence the hypophysis - ovarian axle function, the supersession side reaction that will not take place like oral contraceptive either, so long as began to take before pain breaks out, lasted 2- 3 days, it is its greatest advantage. But must try out one stage, to confirm most satisfactory medicine kind and most suitable dosage of everybody's curative effect. Can reach BanNian to adjust stage sometimes while trying out.Commonly used PGSI can be divided according to its chemical constitution: Indole Yin thiazole: If Indometacin, inflammation ache quiet (benzyrin) : 25mg, taking 3- 6 times every day or 50mg, 3 times of Japan; Kill all kinds of acid: First kill acid, wet pain (ponstan) Piao, name of goods, ,First dosage 500mg, 250mg later, once every 6- 8 hour, chlorine is killed impractically, the goods name resist inflammation efficaciously, Fluorine goes out impractically, first dosage 400mg, 200mg later, once every 6- 8 hour; Benzene third acid derivative: Impractical to different man benzene third, goods famous cloth Lip river are fragrant (ibuprofen) ,400mg, 4 times of Japan, A oxygen naphthalene third sour sodium salt, it is grown (naproxan) that goods famous naphthalene are general ,First dosage 500mg, 250mg later, once every 6- 8 hour; Phenylbutazone: Phenylbutazone or hydroxyl phenylbutazone, first dosage 200mg, 100mg later, once every 6- 8 hour.Above-mentioned 4 medicine can absorb quickly, take in the first 48 hour not passing through, but because period comes for time of tide often there is a difference, should generally give medicine 3 days before graduating period, in order to guarantee curative effect, the relieving rate is about 70%. Such as change, use above-mentioned medicine, can up to 9% while being efficient. There are digestive tract ulcer and taboo of persons who are sensitive to the aforesaid. Side reaction relatively slight, majority ability receive. The intersection of Indometacin and intestine react incidence to be relatively high, can happen dizzy tired weak sense, the intersection of person who have a headache and symptom only among them, so that treat the a lot of persons who stop medicines midway. Kill all kinds of acid or the intersection of benzene and third sour the intersection of derivative and one medicine, A long in duration in the intersection of oxygen and the intersection of naphthalene and third sour function especially, its sodium salt reaches the high value in the blood rapidly, therefore have an effect fast, side reaction is small, in order to select its medicine for use clinically at most at present.When PGSI consumption is greater, more serious side reaction appears once in a while, so should notice, stop using medicine if necessary. Known side reaction is as follows, gastrointestinal symptom: Indigestion, heartburn, nausea, abdominal pain, constipation, melenic disease that vomit, suffers from diarrhoea and are caused by the fact that the digestive tract bleeds; Nerve centre symptom: Have a headache, giddy, dizzy, eyesight is fuzzy, dysaudia, agitation, depression, lethargy and somnolence; Other symptoms: Damage rash, edema, bronchospasm, liquid retention, liver renal function ' Transaminase raises, jaundice, proteinuria, hematuria) . (4) - receptor excitant: Through receptor at the excitement skin cell membrane, activate sour ring enzyme of adenosine, then raises cAMP content in cells. Promote the omentum albumen phosphorylation of skin quality on one hand, strengthen the combination of Ca ++; On the other hand it is active to inhibit myosin light chain kinase, lead to the fact the skin of uterus is relaxed, menstruation is relieved rapidly, but there is side reaction of increasing the quick heart rate, raising blood pressure at the same time.The medicines of 2 receptors of excited uterus alone of clinical practice in recent years, side reaction is reduced notably. 2 receptor excitant of commonly used is as follows, the different man's Epinephrine of hydroxy first, the fairy (sulbutamol) of breathing heavily of the goods name easily And among hydroxy different man Epinephrine,would rather breathe heavily (terbutalin) easily hydroxy among goods name . Give medicine method to have oral administration, angry the intersection of fog and suck, the intersection of skin and lay, intramuscular injection and intravenous to give medicine,etc..Should use and inject the law while paining vigorously: It is easy breathe heavily fairy 0.1- 0.3mg,it is quiet note or among last 0.25- 0.5mg, hypodermic injection, it is every one 4- 8 hour hydroxy easily. It is middle, pains slight can take orally,is it easy let's breathe heavily by hour such as 2- 4mg/6 such as fairy or among last hour such as 2.5- 5mg/8 hydroxy easily, the also annoying fog sucks 0.2- 0.25mg, once every 2- 4 hour. Suck with angry fog better, use medicine quantity to be little to get up result to be fast. The angry fog should be paid attention to while sucking: The big mouth finishes breathing out being angry at first; Inlet medicinal solution into while beginning to inhale deeply; Finish inhaling and get rid of angry 3- 4 seconds; Then it is breathed out slowly that the roll lip will be angry. Daily quantity sucks 2 each time, can maintain for 4- 6 hours. But generally reflect 's receptor excitant curative effect is not very satisfied with, and there is side reaction of palpitation, trembling,etc., therefore fail to be generally adopted. But it is convenient that the angry fog law is employed, function is fast, can still try. (5) The calcium passway blocks pharmaceuticals: This kind of medicine interferes with Ca ++ and penetrates the cell membrane, and prevent Ca ++ to release in the stock and loosen the smooth muscle to shrink from cells, it is an important progress on the cardiovascular disease treatment. Employ nitre benzene pyridine (Nifedipine, Promised Land of Nicaragua is flat) ,The goods name: Regret definitely, it is 20- 40mg primary without being treated for menstruation. The uterus shrinks and weakens or disappears in 10- 30 minutes after giving medicine, muscles shrink in amplitude, frequency, duration and drop, the basic tension is reduced, pain to lighten at the same time, lasts 5 hours, there is no special side reaction. (6) Vitamin B6 and magnesium- Amino acid chelate compound: Utilize vitamin B6 to promote magnesium ion (Mg ++) Through the cell membrane, increase the function of Mg ++ density in the thick liquid of afterbirth, to treat primary menstruation. Daily quantity 200mg, can see magnesium content of erythrocyte to increase notably 4 weeks later. Can also share with magnesium - amino acid chelate compound, each kind of every 100mg, takes 2 times every day, treats for 4- 6 months, severity and duration of menstruation present going on decline. (7) Cotton phenol and Chinese medicine: Cotton phenol 20mg acetic acid, takes once every day, uses together for 3- 6 months, it is more than 95% to treat the curative effect of primary menstruation. But may produce obvious side reaction, such as weak, palpitation, nausea, edema, dizzy, hectic, apocleisis, penetrating diarrhoea,etc., the serious one can also reduce the blood platelet, hypokalemia disease,etc.. Chinese medicine has Indian bread pills or peach kernels of cassia twig that bears the angry soup, daily quantity 5g, divide and is inferior to early, 30min took before dinner, it takes 30 days continuously. Someone reports the relieving rate can reach 80%, has not found that there are side reaction such as digestive tract symptom and rash.Then sending menstruationThe treatment principle of continuing taking place menstruation is that pathological change that is for causing menstruation carries on the specific treatment.Menstruation caused by one of birth control devices of palace, can employ PGs synthetic inhibitor treatment, can reduce the period amount while relieving menstruation. There is a birth control device with progesterone in recent years, can make PGs content in the blood of period drop, in order to relieve the menstruation severity; The yet prominent patient to curative effect should take out the birth control device, use other contraceptive instead.
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