Hypermenstrual Syndrome yog ib qho teeb meem tshwm sim los ntawm ntau tus poj niam. Rau ib qho laj thawj lossis lwm qhov, qhov ntim ntawm qhov tso tawm thaum cev xeeb tub nce, qee zaum nce mus txog kev loj hlob los ntshav loj. Ntau tus neeg mob xav paub ntxiv txog cov kab mob no, yog li lawv tsim nyog xav txog.
Hypermenstrual syndrome: nws yog dab tsi? Cov ntaub ntawv dav dav
Ntau tus poj niam ntsib teeb meem zoo sib xws thiab, raws li, xav paub ntxiv. Hypermenstrual Syndrome (ICD-10 code N92.0) yog ib qho teeb meem uas tshwm sim los ntawm kev nce ntshav tawm. Ntxiv mus, raws li kev txheeb cais, kev coj khaub ncaws nyob rau hauv cov ntaub ntawv no kav ntev tshaj li xya hnub. Txawm li cas los xij, txhua yam no tshwm sim thaum cev xeeb tub, tsis muaj los ntshav ntawm lub sijhawm no, thiab cov poj niam zoo li qub.
Qhov laj thawj tseem ceeb ntawm pathology
Hypermenstrual syndrome tsis yog kab mob ywj pheej, feem ntau nws tsuas yog cov tsos mob ntawm lwm tus kab mob. Qhov ua rau mob tuaj yeem sib txawv heev thiab koj yuav tsum paub koj tus kheej nrog lawv cov npe:
- Qee lub sij hawm hnyav qhia tias muaj cov txheej txheem inflammatory hauv lub tsev menyuam thiab zes qe menyuam. Nyob rau hauv lem, o, raws li txoj cai, yog tshwm sim los ntawm cov kev ua ntawm pathogenic microflora, yog li ntawd, cov kab mob kis tau los ntawm kev sib deev yuav tsum raug xam tias yog cov feem ntau txaus ntshai.
- Hypermenstrual syndrome feem ntau yog tshwm sim ntawm pathologies ntawm endocrine system.
- Cov xwm txheej pheej hmoo suav nrog kev raug mob thiab kev phais pelvic yav dhau los.
- Muaj ib yam li iatrogenic hypermenstrual syndrome. Hauv qhov no, qhov ua rau yog kev siv tsis raug ntawm cov tshuaj tiv thaiv coagulants, estrogens, tshuaj tiv thaiv hormonal.
- Hypermenstrual Syndrome tej zaum yuav tshwm sim los ntawm cov kab mob organic ntawm zes qe menyuam thiab tsev menyuam. Piv txwv li, profuse tawm thiab los ntshav thaum cev xeeb tub yuav qhia tau tias muaj cov qog nqaij hlav ntawm lub tsev menyuam, endometriosis, cov txheej txheem hyperplastic, xws li, piv txwv li, tsim ntawm endometrial polyps, kev loj hlob ntawm glandular hyperplasia. Qhov ua rau muaj xws li cov qog ua haujlwm hormonally nyob rau hauv zes qe menyuam, nrog rau muaj cov txheej txheem malignant hauv cov ntaub so ntswg ntawm lub tsev menyuam thiab lub cev ntawm lub tsev menyuam.
- Qhov ua rau muaj xws li kis mob thiab somatickab mob, mob hnyav heev.
- Nws tsis tuaj yeem tshem tawm qhov ua tau ntawm tus neeg mob muaj kab mob hematological, tshwj xeeb, leukemia, hemorrhagic diathesis, thrombocytopenia.
Txawm li cas los xij, nws tseem ceeb heev los txiav txim siab qhov ua rau hypermenstrual syndrome - kev kho kom raug yog nyob ntawm nws.
Cov xwm txheej pheej hmoo: dab tsi tuaj yeem ua rau qhov tsis zoo?
Peb twb tau them cov laj thawj tseem ceeb ntawm tus mob hypermenstrual. Txawm li cas los xij, muaj qee yam uas nws muaj / cuam tshuam tuaj yeem ua rau qhov xwm txheej hnyav dua.
Piv txwv li, nws tsis pub leejtwg paub tias kev ntxhov siab thiab kev ntxhov siab cuam tshuam ncaj qha rau theem ntawm cov tshuaj hormones. Kev ntxhov siab tas li tuaj yeem ua rau qhov xwm txheej hnyav dua, cuam tshuam rau kev coj khaub ncaws.
Cov xwm txheej txaus ntshai kuj suav nrog:
- nyob rau hauv cov xwm txheej tsis zoo (piv txwv li ib puag ncig muaj kuab lom);
- haus luam yeeb thiab lwm yam cwj pwm phem;
- kev nyab xeeb hloov pauv;
- tsis khoom noj khoom haus (piv txwv li, kev noj zaub mov nruj feem ntau nrog beriberi).
Cov tsos mob twg los saib xyuas?
Nws yog ib qho tsim nyog yuav tsum tau hais tam sim ntawd tias sai npaum li tus poj niam nrhiav kev pab los ntawm kws kho mob, nws yooj yim dua los kho qhov xwm txheej thiab zam qhov tshwm sim tsis zoo. Hypermenstrual syndrome yog tus cwj pwm los ntawm lub sijhawm ntev: lawv kav ntev tshaj li xya, tab sis tsawg dua kaum ob hnub.
Lub ntim ntawm kev coj khaub ncaws ntau zuj zus. Pathology yog hais txog yog hais tias, thaum lub sij hawm lub hli, tus neeg mob poobtsawg kawg yog 200-250 ml ntawm cov ntshav. Raws li txoj cai, cov poj niam thaum lub sij hawm teem sij hawm nrog gynecologist yws tias cov ntaub so ntswg thaum cev xeeb tub yuav tsum tau hloov yuav luag txhua teev. Txawm li cas los xij, cyclicality yog khaws cia, uas yog, kev coj khaub ncaws rov qab nrog qee zaus. Qee lub sij hawm muaj algomenorrhea, thaum cev xeeb tub nrog mob hnyav rub hauv plab plab (qee zaum qhov tsis xis nyob yog qhov qhia tau tias tus neeg mob tsis nco qab).
Cov ntaub ntawv twg tuaj yeem ua rau pathology?
Hypermenstrual syndrome, DUB (dysfunctional uterine bleeding), yog ib qho teeb meem tshwm sim heev. Lawm, xws li pathology tuaj yeem ua rau ntau hom, thiab nws tsim nyog paub koj tus kheej nrog lawv cov yam ntxwv:
- Hyperpolymenorrhea yog tus cwj pwm los ntawm kev tawm mus ntev, tawm ntau heev.
- Menorrhagia yog ib yam kab mob uas tshwm sim los ntawm qhov tshwm sim ntawm lub tsev menyuam los ntshav, tab sis tsuas yog thaum cev xeeb tub.
- Metrorrhagia yog nrog los ntawm qhov pom ntawm qhov pom thiab txawm los ntshav tawm sab nraud lub sijhawm ntawm kev coj khaub ncaws.
- Menometrorrhagia yog ib yam kab mob uas tshwm sim los ntawm cov tsos mob los ntshav ob qho tib si thaum cev xeeb tub thiab lub caij nyoog.
- Acyclic los ntshav yog tus yam ntxwv los ntawm qhov tsis muaj lub sijhawm: los ntshav tshwm sim nws tus kheej, nws tsis tuaj yeem kwv yees li qhov tshwm sim.
Qhov no yog qhov kev faib tawm uas tsim los ntawm cov kws kho mob zoo li. Hypermenstrual syndrome tuaj yeem ua rau ntau hom,nrog rau cov tsos mob ntxiv (piv txwv li, mob plab, qaug zog, kiv taub hau). Txawm li cas los xij, nws yog qhov txaus ntshai uas tsis quav ntsej txog qhov teeb meem, nws yog qhov zoo dua yog hu rau gynecologist sai li sai tau.
Muaj Teeb Meem
Qee zaus hypermenstrual syndrome qhia tias muaj cov kab mob loj heev uas, yog tias tsis kho, tuaj yeem ua rau muaj kev phom sij txaus ntshai hauv ntau lub cev.
Yog tias cov ntu ntawm lub cev qis qis, ces lawv tsis ua rau muaj kev phom sij rau kev noj qab haus huv. Txawm li cas los xij, kev poob ntshav tsis tu ncua tuaj yeem ua rau muaj kev txhim kho ntawm cov hlau tsis muaj peev xwm anemia. Feem ntau cov poj niam yws tias ua tsis taus pa hnyav, kiv taub hau, tsis muaj zog heev.
ntsuas ntsuas
Kev kho mob hypermenstrual syndrome feem ntau nyob ntawm qhov ua rau nws tshwm sim. Yog li ntawd, thaum muaj qhov teeb meem zoo li no, kev kuaj mob kom raug yog qhov tseem ceeb heev. Thaum lub sij hawm kuaj xyuas, tus kws kho mob yuav sau cov ntaub ntawv hais txog qhov muaj qhov tsis ua tiav hauv kev coj khaub ncaws, qhov tshwm sim ntawm qee yam kab mob ntawm lwm lub cev.
Thaum kuaj gynecological, koj tuaj yeem txiav txim siab qhov muaj cov kab mob inflammatory ntawm lub cev xeeb tub. Pelvic ultrasound yog qhov yuav tsum tau ua, nws yuav pab ntsuas qhov mob ntawm lub tsev menyuam thiab zes qe menyuam. Cov qauv coj los ntawm qhov chaw mos thiab lub ncauj tsev menyuam nrog kev kuaj kab mob ntxiv, uas ua rau nws muaj peev xwm kuaj tau cov kab mob sib kis. qhia paubyog kev kuaj PCR, nrog rau kev soj ntsuam ntawm qib ntawm cov tshuaj hormones poj niam txiv neej thiab cov thyroid hormones.
Kev kuaj ntshav biochemical pab txiav txim seb muaj hlau deficiency anemia. Ib txoj kev tshawb no yog ua los ntawm cov ntshav txhaws. Qee lub sij hawm kuaj mob curettage raug sau nrog kev tshuaj xyuas histological ntxiv, nrog rau hysteroscopy.
Basic Principles of Therapy
Nws yuav tsum nkag siab tias kev kho mob ntawm hypermenstrual syndrome ncaj qha nyob ntawm qhov ua rau pathology. Lawm, muaj cov teeb meem cuam tshuam thiab teeb meem (piv txwv li, anemia) kuj yuav tsum raug coj mus rau hauv tus account.
Yog tias hypermenstrual syndrome tau tsim tawm tsam keeb kwm yav dhau los ntawm hormonal ntshawv siab (tshwj xeeb, kev hloov pauv hauv qib ntawm cov tshuaj hormones poj niam txiv neej), ces cov neeg mob tau muab tshuaj hormonal (cov tshuaj tiv thaiv qhov ncauj yog qhov zoo rau qhov no). Intrauterine cov cuab yeej thiab cov hormonal contraceptive rings yog siv rau adenomyosis thiab lwm yam pathologies ntawm lub cev xeeb tub.
Yog tias muaj uterine fibromyoma, ces tus kws kho mob, tom qab kuaj xyuas kom meej, tuaj yeem sau ntawv ua haujlwm. Nyob rau hauv lub xub ntiag ntawm ntau thiab loj hlob polyps nyob rau hauv lub tsev menyuam, kev phais yuav tsum tau tshem tawm.
Tau kawg, koj yuav tsum tau ua tib zoo saib xyuas tus neeg mob. Nws yog ib qho tseem ceeb rau normalize noj zaub mov, pw tsaug zog thiab so, kawm tiv nrog kev ntxhov siab. Cov neeg mob kuj tau sau cov vitamin complexes (tshwj xeeb tshaj yog, folic thiab ascorbic acid) thiab tshuaj ntxiv hlau los tiv thaiv cov hlau tsis muaj ntshav liab.
Yog hais tias peb tham txog kev kho mob, ces nyob rau hauvNyob rau hauv cov mob hnyav tshaj plaws, cov kws kho mob pom zoo kom noj cov tshuaj hemostatic, tshwj xeeb tshaj yog cov tshuaj uas muaj tranexamic acid, dicynone.
Puas muaj kev tiv thaiv zoo?
Hypermenstrual syndrome tsis yog ib qho kab mob ywj pheej. Nws cov tsos qhia tau hais tias pathologies los ntawm kev ua me nyuam thiab / lossis endocrine system. Tsis muaj kev tiv thaiv tshwj xeeb. Cov kws kho mob tsuas yog pom zoo kom cov poj niam mus kuaj gynecological ob zaug hauv ib xyoos, txawm tias tsis muaj kev ua txhaum cai. Nws yog ib qho tseem ceeb heev uas yuav tsum khaws daim ntawv qhia hnub ntawm kev coj khaub ncaws, thiab yog tias muaj qhov ua tsis tiav me ntsis, hu rau tus kws kho mob tshwj xeeb.
