The editorial department consults famous Chinese and western doctors! Chen Baoren × Luo talks about the most difficult gynecological disease: endometriosis Q. Why is endometriosis the most difficult gynecological disease? The endometrium may flow back to the intestines and lungs abnormally, and menstrual pain is a typical symptom. Dr. Chen Baoren: Normal endometrium should be peeled off and become menstrual blood, but if it flows back to the myometrium of uterus during peeling, it is called adenomyosis. Reflux to some places like ovaries, commonly known as chocolate cysts. Endometriosis can have different symptoms in different parts of the body, such as diarrhea, constipation, defecation pain or intestinal bleeding, or pain caused by oppression in intimate relationships; If ectopic endometrium runs to the lungs, although it is rare, it may also cause menstrual pulmonary hemorrhage. The biggest trouble caused by endometriosis is dysmenorrhea. It hurts for a day or two at first, but I can persist after taking painkillers. Later, you took more and more painkillers, even when you didn't have menstruation, which was the most annoying place for this disease. Q: What is the good treatment for endometriosis? Adjusting lifestyle and having children can give the body a temporary rest after menopause. Dr. Chen Baoren: We usually give drugs to inhibit endometriosis. There are many new drugs on the market now, but none of them can permanently inhibit them. From the standpoint of western medicine, the most effective way is to have children. After giving birth to a child, you can stop menstruating for about 12 months. In the meantime, it is the best treatment. The reason why this disease is prone to occur is that late childbearing, too much pressure in life and work, dietary deviation and abnormal hormones are also important factors. The treatment of western medicine is to make you live in peace with it. As for other auxiliary methods, I often consult Dr. Luo, because Chinese medicine does have some methods to improve qi and blood or the body. It takes about three to six months to treat endometriosis. It will be much better to continue to cooperate with western medicine for three months, and the symptoms will be very stable after six months. It may recur after stopping the drug, but if there is a birth plan during the treatment of the disease, we will recommend giving birth as soon as possible. Q: Why do you seek Chinese medicine for endometriosis? Dr. Luo: In recent years, the number of people who come to see a doctor in Chinese medicine for endometriosis is also increasing slowly. People who come to Chinese medicine mainly deal with pain. Many people suffer from dysmenorrhea, but they are allergic to western medicine painkillers, or they still feel pain after using large doses of painkillers. Some people feel unwell after eating western medicine, or are unwilling to try it. As long as they see the side effects of drugs, they are afraid to use them. Usually people with the above conditions will come to Chinese medicine for treatment. The treatment of traditional Chinese medicine is mainly to relieve pain, and some painkillers or drugs for removing blood stasis and relieving pain and regulating qi and pain will be used. In addition, it is really recommended to keep fertility. Some people are diagnosed with endometriosis at reproductive age. Maybe they are planning to get pregnant now, so it is not suitable to use some drugs. Chinese medicine should be patient. During the physiological period, we will use different drugs according to different situations. Menstruation is diarrhea, that is, menstrual blood is discharged, but there are many patients with very large menstrual blood volume, so we should be very cautious in the treatment of blood-activating drugs to make menstrual blood clean and not discharged into anemia. When menstruation doesn't come, I will use some drugs that can remove blood stasis, soften and disperse hard masses. When you have menstrual pain, we may help you add some painkillers before menstruation and adjust them during menstruation. Some people may rest for a few months, and then gradually reduce the dosage. Modern medical treatment is multi-pronged, and 80% of patients have improved endometriosis after taking the medicine. Dr. Chen Baoren: The trouble with treating endometriosis is that it is a bit difficult to meet all the conditions of patients. It is not too difficult for my teacher's generation to treat this disease, that is, the whole uterus was removed. But modern people want to minimize the side effects and harm to the body. The best way is not to get this disease in the first place. Many patients think it will take a long time because they are afraid of the side effects of drugs, so they want to operate directly, but I think we can try other ways first. 80% patients can be safely saved after taking the medicine, and some people will cooperate with Chinese medicine to help improve. If it has a great impact on life and there is no surgical alternative, it will still assist in surgical treatment after communication. Modern medical treatment of western medicine can also help treatment in many ways. For example, physical fitness teachers can assist sports training, nutritionists can provide dietary advice, and sleep can be improved by creating a good sleeping environment. The point is that caring for yourself and making yourself happy is the most important treatment direction at present. Adjust endometriosis, control weight, and eat less cold, high-oil, high-calorie and sugary foods. Dr. Luo: Chinese medicine wants to keep the uterus in a relatively healthy state when it regulates gynecological problems. Most girls are weak and cold, so we suggest eating less cold food. Furthermore, we also come to the conclusion that the occurrence of these diseases is related to westernization of diet or obesity, so it is suggested to control weight, pay attention to and control high-fat and high-calorie foods or sugary drinks. Dr. Chen Baoren: Maintenance can be divided into six angles: diet: keep healthy, avoid high-sugar and high-oil foods, and reduce the intake of westernized diets. Clothing: Keep warm and add clothes in time. Traditional Chinese medicine often advocates the concept of warm palace, which is rarely mentioned by western medicine, but it can be observed clinically that if women are cold, their bodies are more likely to go out of condition. Accommodation: The living environment is related to the quality of sleep. We should create a warm and comfortable environment and avoid being too wet, noisy and messy. Good: It's convenient to use your time to walk around more. Getting off the bus one stop earlier is helpful to improve. Yule: Modern people's leisure and entertainment are too static. It is recommended to go outdoors to bask in the sun, which will make you feel very happy. Since the new relationship, some people care more about her, and many patients' health conditions have improved. This is part of the April issue of the Encyclopedia of Gynecological Nursing. Full and exciting content: 7- 1 1 In Taiwan Province, the whole family, Laierfu, OK supermarket, Eslite, Jinshitang and Blog are all selling well in online bookstores! YEATION free shipping special ~