Algomenorrhea yog qhov kev mob tshwm sim tshaj plaws ntawm kev coj khaub ncaws nrog cov tsos mob tshwm sim tam sim no. Lawv yog concentrated nyob rau hauv lub cheeb tsam ntawm lub sacrum, sab nraub qaum, thiab lub plab mog, nyob rau hauv tej rooj plaub, localization tej zaum yuav nyob rau hauv lub duav. Cov kev xav tsis zoo tuaj yeem tshwm sim tsis yog thaum lub sijhawm lub voj voog, tab sis kuj yog ob peb hnub ua ntej nws.
Txoj kev xav
Algomenorrhea yog ib qho mob hnyav ntawm kev coj khaub ncaws, uas tus poj niam mob hnyav dua. Nws tuaj yeem tshwm sim los ntawm qhov tshwm sim ntawm kev yug menyuam, kev rho menyuam, pathologies ntawm lub tsev menyuam thiab cov khoom siv, vim muaj kev cuam tshuam hormonal. Kev kho mob algomenorrhea nrog tshuaj nyob ntawm qhov ua rau nws.
Statistics
Ntau tshaj li ib nrab ntawm lub sijhawm tus poj niam ntsib kev mob thawj hnub ntawm nws lub voj voog lossis txawm tias 10-12 teev ua ntej pib. Lawv tshwm sim rau 1-2 hnub, tom qab ntawd lawv maj mam ploj mus. Cov kev xav tsis zootej zaum yuav mob, stabbing, nyob rau hauv daim ntawv ntawm contractions nyob rau hauv lub lumbar cheeb tsam, qhov quav los yog zais zis.
Feem ntau yog qhov mob me me uas tsis cuam tshuam rau kev loj hlob thiab kev ua haujlwm. Kev tsis xis nyob muaj zog tau sau tseg hauv yuav luag 23% ntawm cov poj niam. Hauv qhov no, muaj kev tso zis ntau zaus, ua daus no, xeev siab, mob taub hau thiab tsis muaj zog. Nyob rau hauv lub xeev no, ib tug poj niam yuav nyuaj siab, ua chim siab thiab ntxhov siab vim. Tib lub sijhawm, kev ua tau zoo txo qis, thiab yuav tsum tau siv tshuaj tshwj xeeb.
Kev mob ntau dhau tshwm sim hauv kwv yees li 15% ntawm cov neeg mob. Muaj qhov tsis muaj zog hauv lub cev, muaj qhov nce hauv lub cev kub. Muaj mob taub hau, ua tsis taus pa, ntuav, raws plab, tachycardia, mob plawv. Nyob rau tib lub sijhawm, cov poj niam poob lawv txoj haujlwm ntawm lub neej. Noj tshuaj kho mob tsis pab.
Yog vim li cas
Primary algomenorrhea feem ntau raug rau cov poj niam hluas uas muaj kev coj khaub ncaws tsis zoo. Rau cov laus cov neeg sawv cev ntawm kev sib deev tsis muaj zog, cov yam ntxwv hauv qab no yog cov yam ntxwv ntawm qhov no:
- me ntsis excitability;
- impulsivity;
- kev xav.
Nyob rau hauv cov ntxhais hluas, tus kab mob no tshwm sim los ntawm kev cuam tshuam hauv keeb kwm ntawm hormonal nrog nce qib ntawm norepinephrine, adrenaline thiab dopamine hauv lub cev. Hauv cov poj niam, kev tsim cov serotonin hauv cov kua cerebrospinal nce.
Secondary algomenorrhea tau pom nyob rau hauv cov neeg yug menyuam. Tus kab mob tuaj yeem tshwm sim los ntawm kev rho menyuam, nrog rau cov hauv qab noyog vim li cas:
- muaj cov kab mob sib kis ntev;
- siv sijhawm ntev ntawm cov khoom siv hauv lub cev;
- kev ua haujlwm gynecological.
Nyob rau hauv rooj plaub no, ntau yam pathologies ntawm lub cev xeeb tub, suav nrog uterine fibroids, yuav raug sau tseg.
Qhov ua rau tus kab mob tuaj yeem yog endometriosis thiab varicose veins hauv thaj chaw pelvic. Qhov mob yog mob hauv qhov xwm txheej, txuas ntxiv mus tas li kev coj khaub ncaws, tuaj yeem muab rau lub qhov quav.
Tsis tas li ntawd, qhov ua rau ntawm tus kab mob tuaj yeem cuam tshuam nrog ntau yam txheej txheem tshwm sim hauv lub cev:
- endocrine;
- psycho-emotional;
- exchange;
- vegetovascular.
Tej zaum yuav tsis nco qab, mob pob qij txha, khaus khaus, mob taub hau, xeev siab thiab ntuav.
Algomenorrhea code hauv ICD
Nyob rau tom kawg, txhua tus kab mob muaj nws tus lej, uas yog siv hauv ntiaj teb kev xyaum. Algomenorrhea hauv ICD-10 tau muab peb tus lej:
94.4 - thawj;
94.6 - unspecified;
94.5 - theem nrab.
Symptoms of algomenorrhea
Cov tsos mob tseem ceeb ntawm tus kab mob yog mob plab hauv plab. Lwm tus yog raws li hauv qab no:
- tawm hws ntau dhau;
- o ntawm ceg thiab lub ntsej muag;
- tsis xis nyob hauv qab;
- mob taub hau zoo li migraine;
- cem quav thiab raws plab;
- kiv taub hau;
- hloov siab;
- xov xwm;
- txo qis hauv kev ua haujlwm;
- kev qaug zog.
YYog tias pathology txhim khotiv thaiv keeb kwm yav dhau los ntawm cov kab mob gynecological, cov tsos mob tshwm sim ntau dua li qhov tshwm sim tom kawg.
Algomenorrhea yog ib qho mob uas muaj ob hom: thawj, uas lub cev nqaij daim tawv ntawm qhov chaw mos hauv lub cev tsis hloov, thiab theem nrab, tshwm sim los ntawm kev cuam tshuam ntawm pathologies hauv plab hnyuv. Txhua tus ntawm lawv muaj nws tus yam ntxwv cov tsos mob.
Hom kab mob tseem ceeb feem ntau pom hauv cov ntxhais hluas thiab tshwm sim nws tus kheej 1-1.5 xyoo tom qab pib kev coj khaub ncaws. Mob syndromes tuaj yeem tshwm sim ob peb teev ua ntej nws pib lossis thawj hnub. Nyob rau tib lub sijhawm, contractions yog tsim nyob rau hauv lub plab mog, txuas mus rau sab nraub qaum thiab sab hauv ncej puab. Cov tsos mob tau teev saum toj no yog cov yam ntxwv ntawm ob qho tib si, tab sis nrog thawj algomenorrhea lawv tau hais tsawg dua.
Daim ntawv thib ob feem ntau tshwm sim vim kev loj hlob ntawm adenomyosis thiab yog, cuam tshuam rau nws, nws cov tsos mob. Kev hnov mob tsis txaus ntseeg tau hais ntau dua, lawv lub sijhawm yog 2-3 hnub tom qab pib kev coj khaub ncaws. Qhov no hloov txoj hauj lwm thiab cov duab ntawm lub tsev menyuam. Qhov no yog cov yam ntxwv ntawm cov poj niam tom qab 30 xyoo.
Degrees
Raws li cov tsos mob thiab tshwm sim, pathology muab faib ua peb qib:
- Maj - thaum cev xeeb tub, qhov mob me me thiab luv, qhov tseem ceeb thiab kev ua haujlwm tsis txo qis.
- Nruab nrab - mob hnyav hauv plab plab, tso zis ntau zaus, ua daus no, xeev siab, mob taub hau, tsis muaj zog hauv lub cev, kev nyuaj siab, kev mob hnyavnoj qab haus huv.
- Mob hnyav - qhov mob dhau los ua ntse, tshwm sim hauv qab nraub qaum thiab plab, qhov kub thiab txias nce, muaj lub plawv thiab mob taub hau, raws plab, xeev siab, ntuav, tachycardia, thaum lub zog ua haujlwm thiab qhov tseem ceeb tau txo qis. Qhov kev kawm no tau sau tseg feem ntau nyob rau hauv congenital pathology ntawm qhov chaw mos.
Pib daim ntawv
Nws feem ntau tshwm sim thaum lub sij hawm kev loj hlob ntawm poj niam lub cev. Kev tshwm sim yog pom nyob rau hauv thawj xyoo tom qab pib ntawm kev coj khaub ncaws. Hauv qhov no, tus kab mob tuaj yeem tshwm sim hauv ob hom:
- pab nyiaj - nrog tib lub cev mob hnyav rau lub sijhawm ntev;
- decompensated - nrog maj mam nce tsis xis nyob.
daim ntawv no yog qhov zoo tshaj plaws rau cov poj niam uas muaj lub cev asthenic thiab lub siab tsis ruaj khov.
Primary algomenorrhea yog vim li cas hauv qab no:
- kab mob ntawm lub tsev menyuam uas khaws cov ntshav hauv nws cov kab noj hniav, uas ua rau cov leeg mob hauv hom mob hnyav;
- ntau yam pathologies ntawm lub hauv nruab nrab lub paj hlwb, raws li qhov tshwm sim ntawm qhov mob yog pom tau tias exacerbated;
- genital tuberculosis, uas ua rau muaj kev puas tsuaj ntawm qhov chaw mos - qhov no, qhov mob tshwm sim tau pom thaum thawj coj khaub ncaws, thaum qhov chaw ntawm lawv qhov chaw tsis muaj tseeb;
- dysplasia vim kev txhim kho tsis zoo ua ntej yug ntawm cov ntaub so ntswg sib txuas, uas ua rau muaj kev hloov pauv hauv pob txha thiab cov hlab ntsha.ceg ceg - pom nrog tsis muaj magnesium.
Kev kuaj mob thaum kuaj gynecological, ultrasound ntawm lub plab hauv plab, kev txiav txim siab ntawm cov tshuaj hormones.
Yuav kom hom nyiaj them poob haujlwm tsis dhau los ua decompensated, koj yuav tsum txuag tus menyuam thawj zaug. Tom qab yug me nyuam, tus kab mob no tuaj yeem ploj mus ntawm nws tus kheej. Yog tias tsim nyog, sau tshuaj thiab kho lub cev.
secondary form
Nws tshwm rau cov poj niam tom qab lawv muaj 30 xyoo. Nws yog tus yam ntxwv los ntawm tus kab mob nruab nrab mus rau hnyav nrog hnyav hnyav.
Qhov ua rau cov kab mob algomenorrhea thib ob yog txuam nrog cov kab mob ntawm lub plab mog. Cov no suav nrog:
- ntshai hauv lawv;
- khoom siv hauv tsev;
- qog ntawm lub appendages thiab uterus;
- leeg nthuav dav;
- endometrial polyps;
- mob hauv qhov chaw mos.
Tsis tas li ntawd, kev ua haujlwm ntau dhau tuaj yeem ua qhov laj thawj rau nws txoj kev loj hlob - ob lub hlwb thiab lub cev.
Kev kuaj mob nrog kev pab ntawm ultrasound, X-ray, endoscopic thiab ntsuas ntsuas. Kev kho mob yog tsom rau kev tshem tawm qhov ua rau muaj tus kab mob. Yog tias tsim nyog, ua haujlwm.
Diagnosis
Nyob rau hauv nws qhov kev siv, nws yog ib qho tsim nyog los kuaj xyuas cov kab mob uas ua rau muaj kev loj hlob ntawm tus kab mob no. Kev kuaj mob muaj nyob rau hauv kev ua cov dej num hauv qab no:
- kuaj gynecological - hauv daim ntawv thib ob, kev nce hauv tsev menyuam, o, infiltrates,uas tsis tau cim thaum lub sij hawm thawj;
- kuaj zis thiab ntshav;
- Ultrasound txhawm rau txheeb xyuas cov kab mob sib kis, piv txwv li, o ntawm lub appendages, muaj fibroids, cysts, qog;
- MRI rau daim ntawv thib ob txhawm rau kuaj pom neoplasms;
- encephalography txhawm rau txheeb xyuas CNS pathologies nrog mob taub hau hnyav thaum lub caij coj khaub ncaws;
- Kev kuaj mob laparoscopy yog ua thaum yav dhau los siv txoj kev kho mob tsis zoo.
Kev kho mob
Nyob ntawm qhov mob hnyav, hom kab mob, qhov ua rau nws tshwm sim, thiab cov tsos mob. Qhov zoo tshaj plaws yog txoj kev kho etiotropic txhawm rau txheeb xyuas thiab tshem tawm qhov ua rau tus kab mob. Tom qab ntawd, kev kho mob thiab cov tsos mob tau ua tiav.
Thaum kho thawj daim ntawv, qhov sib npaug hormonal yog thawj zaug coj mus rau qhov zoo. Siv cov tshuaj hauv qab no los kho algomenorrhea:
- tswj kev yug menyuam;
- Yprogestins.
Qee zaum tom qab yug me nyuam, tsis tas yuav siv tshuaj, qhov mob yuav ploj mus ntawm nws tus kheej.
Thaum muaj kev ua txhaum cai hauv lub cev lossis lub cev tsis zoo hauv lub plab hauv plab, kev phais yog ua.
Thaum tus neeg mob txhawj xeeb txog tus kab mob no, cov tshuaj uas koom nrog pawg NSAIDs, antispasmodics lossis analgesics tau sau tseg. Nrog lawv pab, lawv txo qhov mob thiab muaj kev kho mob ntawm concomitant pathologies. Kev zoo siab thiab kev ntxhov siab raug tshem tawm los ntawm kev siv tshuaj sedative.
Ntxiv rau, cov kev kho tsis yog tshuaj siv tau:
- diadynamic tam sim no;
- kev kho mob;
- massage;
- ultrasound;
- shortwave diathermy;
- kub;
- ua pa ua pa;
- phonophoresis;
- electrophoresis nrog trimecaine, magnesium sulfate thiab novocaine.
massage treatment
Tshuaj kho mob tuaj yeem siv los txo cov tsos mob ntawm tus kab mob. Massage nrog algomenorrhea tuaj yeem ua rau acupressure. Ua li no, koj yuav tsum nrhiav ib qho chaw nyob nruab nrab ntawm lub hauv caug ntawm sab hauv ntawm txhais ceg thiab pob taws, uas yog nias rau 1-2 feeb clockwise rau sab laug ceg, ces ntawm sab xis.
Nws kuj tseem siv tau los zaws lub nraub qaum. Ua li no, muab 2 lub pob me me, uas tau muab tso rau hauv ib lub hnab ntaub so ntswg, muab tso rau hauv txhua sab ntawm tus txha nraub qaum hauv qab ntawm lub nraub qaum thiab pw ntawm lawv. Cov tom kawg yog nias thiab dov nrog kev pab ntawm nraub qaum rau ob peb feeb.
Koj tuaj yeem ua acupressure. Nyob rau hauv nws nkag siab lub massage ntawm active cov ntsiab lus. Massage yog ua raws li hauv qab no ntawm lawv:
- nrog koj tus ntiv tes xoo rau hauv qab ntawm thaj chaw inguinal thiab hauv qab ntawm lub dab teg hauv txoj haujlwm yooj yim, tsis hloov nws nrog tib tus ntiv tes, nias rau ntawm sab hauv sab hauv nruab nrab ntawm ceg qis, hauv nruab nrab ntawm nraub qaum thiab ntawm lub coccyx - tuav koj tus ntiv tes ntawm txhua qhov taw tes rau 10 vib nas this, ces maj mam tso mus;
- a taw tes nyob 4 ntiv tes saum pob taws ntawm sab hauvceg;
- hauv caug los tuav tus ncej puab, nias lub luj tshib ntawm sab nraud mus rau hauv caug ntawm tus ncej puab, thiab los ntawm sab hauv - rau ntawm lub plab mog.
Kev Tiv Thaiv
Nws yog ib qho tsim nyog yuav tsum ua kom muaj kev sib haum xeeb nrog kev xav, lub cev thiab lub hlwb. Kev tiv thaiv ntawm algomenorrhea nrog kev ua haujlwm ntau dhau yog tshem tawm cov tawv nqaij thiab tswj kev ntsuas kev ua neej. Tib lub sijhawm, cov neeg sawv cev ntawm kev sib deev tsis muaj zog yuav tsum:
- tshawb xyuas thiab kho cov kab mob ntawm lub plab pelvic;
- muaj kev ntsuas kev sib deev lub neej;
- tsim nyog ua koj noj;
- tawv lub cev;
- ua raws li cov cai ntawm kev tu tus kheej.
Qhia ntau cov zaub thiab cov zaub mov, calcium, magnesium, txwv cov khoom noj ntsev thiab caffeine rau hauv cov zaub mov ob peb hnub ua ntej pib kev coj khaub ncaws.
Nyob hauv kaw
Algomenorrhea yog ib qho mob uas tshwm sim hauv cov poj niam uas mob thaum thawj hnub ntawm kev coj khaub ncaws. Muaj cov ntawv thawj thiab theem nrab. Qhov thib ob feem ntau yog vim muaj kev loj hlob ntawm adenomyosis thiab yog ib qho zoo rau cov poj niam tom qab 30 xyoo. Thawj yog pom nyob rau hauv cov ntxhais hluas. Raws li kev kho mob, kev kho tshuaj feem ntau yog siv, nrog rau qee txoj hauv kev uas cuam tshuam tsis zoo rau lub cev. Lawv suav nrog massage. Txhawm rau tiv thaiv tus kab mob, nws yog ib qho tsim nyog, ua ntej ntawm tag nrho cov, txhawm rau txheeb xyuas thiab kho cov kab mob ntawm lub plab hauv plab kom raws sijhawm.
