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別把經痛當正常...恐是子宮出問題 laennec
2020/05/07 07:43:55瀏覽3|回應0|推薦0

別把經痛當正常現象!南投一名年約50歲的楊女士,曾剖腹產4子,平時生理期常感到難以忍受的疼痛,多自行服用止痛藥緩解。但這個月的「好朋友」來量突然相當洶湧,超乎往常。楊女就醫經抽血檢驗發現其血色素竟只有6.4g/dl(正常值約12至16g/dl),嚴重貧血。住院期間仍持續出血,血量超過2000CC,幾近休克。在緊急輸血並安排相關檢查後,確診為子宮內膜異位症,經醫師評估並與楊討論後,將子宮摘除保命,現已康復出院。

替該患者診治的南投醫院婦產科醫師涂品儀表示,一般月經來潮約3至7天結束,經血量約20至80ml,每位女性的月經週期與症狀不盡相同。而子宮內膜異位症是子宮內膜生長在子宮以外的地方,依其生長的地方會造成各種的疾病,如在卵巢便會形成「巧克力囊腫」,在骨盆腔內便會使得器官沾黏而導致不孕。常見的症狀是痛經、經血變多及月經週期不規則等問題。

女性該如何與「好朋友」和平相處?涂品儀指出,平時應規律運動,少吃油炸、加工食品及外食,適時紓發自身壓力,控制好體重、血壓、血糖及血脂等慢性疾病,並且定期至婦產科安排子宮頸抹片檢查。

若月經出血量過多或過少、過久或過短、超過半年未來經、停經後出血、痛經等異常狀況,涂品儀呼籲,應盡早至婦產科就醫,由專業醫師安排相關檢查,進一步了解月經異常的原因,並安排相關治療,由於有些惡性腫瘤或疾病的早期徵兆會顯現在月經異常表現,因此提醒切忌不要自行服用止痛藥緩解甚至是服用坊間偏方,避免加重症狀或者延誤了病情。

涂品儀再次強調,別小看月經週期異常症狀,尤其別以為經血量大、痛經是正常的,這可能是子宮內膜異位、增生、瘜肉、子宮肌瘤等疾病,甚至可能是罕見動靜脈畸形導致。長期經血量大的患者可能會因為長期貧血導致心臟衰竭、心肌病變的可能性。

Don't treat menstrual pain as a normal phenomenon! Ms. Yang, who is about 50 years old in Nantou, has had 4 caesarean sections. She often feels unbearable pain during her normal period of illness and is relieved by taking painkillers herself. But the amount of "good friends" in this month suddenly became quite turbulent and more than usual. Yang female medical examination blood test found that its hemoglobin was only 6.4g / dl (normal value of about 12 to 16g / dl), severe anemia. Hemorrhage continued during hospitalization, and the blood volume exceeded 2000CC, which was almost shocked. After an emergency blood transfusion and arranged related examinations, the diagnosis of endometriosis was confirmed. After being evaluated by a physician and discussed with Yang, the uterus was removed and saved, and was discharged.

Tu Pinyi, a gynaecologist at Nantou Hospital who treated the patient, said that the general menstrual cramps lasted about 3 to 7 days, and the menstrual blood volume was about 20 to 80 ml. The menstrual cycle and symptoms of each woman were not the same. Endometriosis is where the endometrium grows outside the uterus. Where it grows, it causes various diseases. For example, in the ovary, a "chocolate cyst" is formed, which causes the organ to stick in the pelvic cavity. And lead to infertility. Common symptoms are dysmenorrhea, increased menstrual blood, and irregular menstrual cycles.

How do women live in peace with "good friends"? Tu Pinyi pointed out that it is necessary to exercise regularly, eat less fried food, processed food and food, timely release its own pressure, control chronic diseases such as weight, blood pressure, blood sugar and blood lipids, and regularly arrange for Pap smear in obstetrics and gynecology.

If the amount of menstrual bleeding is too much or too little, too long or too short, more than half a year of future menstruation, post-menopausal bleeding, dysmenorrhea and other abnormal conditions, Tu Yiyi appeals, as soon as possible to the obstetrics and gynecology to seek medical treatment, professional doctors to arrange relevant examinations to further understand menstrual abnormalities The reason, and arrange related treatment, because some early signs of malignant tumors or diseases will appear in abnormal menstruation, so be reminded not to take painkillers to relieve or even take prescriptions to avoid aggravating symptoms or delaying the condition.

Tu Pinyi once again stressed, do not underestimate the abnormal symptoms of the menstrual cycle, especially do not think that the amount of menstrual blood, dysmenorrhea is normal, this may be endometriosis, hyperplasia, sputum, uterine fibroids and other diseases, and may even be rare Caused by venous malformations. Patients with long-term menstrual blood volume may have a risk of heart failure and myocardial disease due to long-term anemia.

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