1. Patients with severe dysmenorrhea should be treated in the emergency room, and codeine, atropine and other analgesic and spasmodic drugs can be given. 4 ml of 2% procaine can also be used to block Qugu point or acupuncture Zhongwan, Guanyuan and Sanyinjiao points to relieve pain. Those with severe nausea, vomiting or collapse can be supplemented with liquid and glucose as appropriate, and injected with antiemetic and sedative drugs.
2. Prevention In order to prevent the next dysmenorrhea attack, endocrine therapy or PGSI can be taken.
(1) Endocrine therapy: The main purpose is to relieve pain by inhibiting ovulation. In the past, large doses of estrogen or methyltestosterone were used, but now oral contraceptives are used instead. After taking birth control pills, the growth of intima is inhibited, and the menstrual flow is reduced, so the production and release of prostaglandin are also reduced; Moreover, due to the inhibition of hypothalamic-pituitary-ovarian axis function, the estrogen level in vivo is equivalent to that in the early follicular phase, and the PG content in endometrium is also the lowest at this time. 90% of patients can have a significant effect. Suitable for people with contraceptive needs. However, if the drug is ineffective within 3 ~ 4 months, PGSI should be used instead or in addition.
(2)PGSI: non-steroidal anti-inflammatory drugs. Inhibit the synthesis of prostaglandin by inhibiting cyclooxygenase, and relieve dysmenorrhea. Many studies have proved that the content of PG in menstrual blood does decrease after taking medicine. These drugs are absorbed quickly. It takes 45 ~ 60 min to take effect. It does not inhibit ovulation and luteal function, and has no adverse effect on metabolism. It is enough to take 1 ~ 3 days when the pain occurs. The effective rate is 60% ~ 90%. The incidence of side effects is about 5%. The severe reaction was below 1%. Common symptoms include digestive tract symptoms (loss of appetite, nausea), nervous system symptoms (headache, irritability) and allergic symptoms (rash). Contraindications are digestive tract ulcer, history of bronchospasm or allergic constitution. This medicine is suitable for patients who have no contraceptive requirements.
There are five commonly used PGSI: aspirin, phenylbutazone, indomethacin, deacidification and aryl diacid. The latter two categories are mainly used for dysmenorrhea. Commonly used flufenamic acid, 0.2g each time, 3 times a day; Mefenamic acid, 0.25g each time, 4 times a day; Naproxen, 0.25g each time, 1 ~ 3 times a day; Ibuprofen, 0.2g each time, 3 times a day. Wait a minute.
3. Other literatures reported that nifedipine, a calcium antagonist, was 20 ~ 30 mg each time, and terbutaline, a β2 adrenergic receptor agonist, could be used to treat dysmenorrhea, but clinical trials were insufficient. Deaminoethyl oxytocin, a vasopressin inhibitor, is also worth studying as a new treatment scheme. Tongjing powder can warm meridians, remove blood stasis, regulate qi and relieve pain. Sun Ningquan and others reported that the effective rate was 87.37%, and the concentration of PGF2 a in menstrual blood also decreased after taking the medicine. The formula is: cinnamon 3g, Rhizoma Sparganii 10g, Rhizoma Curcumae 10g, Flos Carthami 10g, Radix Angelicae Sinensis 10g, Radix Salviae Miltiorrhizae 10g, Oletum Trogopterori 10g and Radix Aucklandiae/kloc-0. Make into granules, each dose is divided into 2 bags, each bag is 10g, and it is taken from the first two days to the third day, each time is 1 bag, twice a day. Surgical treatment, such as anterior sacral neurectomy, has been abandoned. Cervical dilatation is not suitable for unmarried patients, and its effect is short-lived, so it has been rarely used. Treatment of patients with severe mental factors can play an auxiliary role.
See a doctor and take some medicine to promote blood circulation. It hurts because it can't flow out, okay?
Dysmenorrhea can not be cured by western medicine, but by Chinese medicine, depending on the conditioning in life. Generally, you should avoid eating cold food, especially ice. Not to mention the physiological period, you can't touch cold water.
The following information is for reference:
About dysmenorrhea
Menstrual pain is an experience that many women have experienced. It is a cramping feeling caused by severe contraction of the uterus, just like a calf cramp caused by a quick run.
Generally, dysmenorrhea lasts only one or two hours, not more than one day at most, and can be recovered after a short rest, but pathological dysmenorrhea may last for two or three days, so that it can't move or even go into shock.
According to the survey results of members of the Endometriosis Association, many women who suffer from menstrual pain do not want to be women in their next life, and regard their "friends" every month as painful expectations and as "the end of the world".
There are many symptoms of menstrual pain, among which lower abdomen tearing pain is the most common (more than half). Others such as colic, abdominal distension, dull pain, backache, numbness and swelling, and many people also have nausea, diarrhea and headache. This kind of pain will last all day, even a few days. No wonder many people say they want to dig out their stomachs! 〃。
Many people suffer from pathological dysmenorrhea, the so-called pathological dysmenorrhea is the pain caused by diseases in the pelvic cavity; For example, endometriosis is the most common pathological dysmenorrhea, accounting for about 50%. Other diseases include: uterine inflammation (pelvic inflammatory disease), uterine adenoma, and hysterointestinal adhesion. The diagnosis methods of pathological dysmenorrhea include detailed medical history, pelvic examination, ultrasound examination, blood screening, etc. Most of the causes of dysmenorrhea can be found out.
Come out, but for some minor ailments; Women who have never had sex; When you encounter some dead ends, you may need to rely on further laparoscopic surgery to make a definite diagnosis.
Generally, menstrual pain can be tolerated in one day. Some people will use hot compress to lower abdomen, drink hot drinks, sugar water, take a hot bath and so on. To improve the pelvic blood circulation and relieve a lot of pain.
It is also recommended by many people to temporarily forget the feeling of contractions when sleeping. If none of these methods can effectively improve menstrual pain, then drugs are the second line of defense. Most painkillers can appropriately inhibit menstrual pain. If it doesn't work, antispasmodic drugs or mild sedatives can be added. But there will still be a certain proportion of people who can't simply jump out of this trouble. At this time, we need to think seriously: Is it because the problems in the body can't be solved that it will cause such serious symptoms?
Do you need laparoscopy or long-term medication to improve your condition? Asking for help in the hospital is the best way.
Conditioning of dysmenorrhea
Any abdominal pain, backache, fall before and after menstruation is not suitable for dysmenorrhea. Primary dysmenorrhea refers to dysmenorrhea without pelvic organic diseases, which is not harmful to health. Secondary dysmenorrhea is caused by some genital diseases, among which endometriosis, adenomyosis, submucous myoma of uterus and cervical obstruction are the most common. After examination and treatment by a doctor, dysmenorrhea will disappear naturally if the cause is removed.
In addition to seeking medical treatment, patients with dysmenorrhea also need self-regulation on weekdays. The principle of self-regulation lies in improving their physique and increasing their resistance. In view of this, we must pay attention to the rules of life, exercise moderately, have balanced nutrition, get enough sleep and be happy in our daily life. That's easy to say. Did you do it?
Diet and nutritional therapy for dysmenorrhea;
People with dysmenorrhea mainly manifested as low back pain, abdominal pain and breast swelling pain should eat more foods rich in vitamin B 1 and B2 on weekdays, such as brown rice, germ rice, liver, almonds and dairy products, or take Ritalin F as a supplement to B 1 and B2. However, people suffering from pelvic congestion and pain in the lower abdomen uterus and ovaries are advised to eat more foods rich in vitamins C and E, such as yellow-green vegetables, oranges, lemons, walnuts, almonds and wheat germ, so as to improve pelvic blood circulation and relieve the pain of pelvic congestion.
As for people with abdominal pain during menstruation, they should pay special attention to diet and nutrition on weekdays, eat less cold and greasy food, and can use vitamin B group, yogurt, super family and so on to regulate the stomach. Dysmenorrhea caused by anemia often occurs dizziness, tinnitus and abdominal pain. Iron, dark green vegetables or occasional brandy can be supplemented, and dysmenorrhea can be gradually improved.
Physical therapy for dysmenorrhea:
During dysmenorrhea, some people think that hot compress of abdomen with hot water bottle can relieve the pain. People with this constitution can soak in hot springs or take a hot bath every day, about 1 hour, and massage the navel (about palm width) at the same time in the bath, which has a good effect on improving pelvic blood circulation and eliminating blood stasis (congestion). It is not suitable to take a bath only during menstruation. At this time, you can press your thumb under the umbilicus of the two horizontal fingers (this is the Zhongji point), generally 10 to 20 minutes, which can relieve or eliminate dysmenorrhea.
Simple herbal tea therapy:
Dysmenorrhea accompanied by chills in limbs, when the face is green and the lips are white, you can take the same amount of ginger (or dried ginger), jujube and brown sugar for warm decoction. If the dysmenorrhea is serious and you obviously refuse to press it, you can make safflower San Qian and brew 300 ㏄ hot water as tea, 1-2 times a day, which can eliminate the discomfort caused by blood stasis.
Delicious food supplement:
If dysmenorrhea feels cold in the abdomen or likes hot compress, you can eat half a catty of mutton, five yuan of angelica and five yuan of ginger, and properly season the stewed meat. Dysmenorrhea with light blood volume, dizziness and soreness of waist and knees can be stewed with angelica, astragalus, quarter chicken, ribs and polygala tenuifolia.
As for menstrual pain, accompanied by the feeling of heavy abdomen, you can stew a quarter of chicken with Yu Sheng soup (Korean ginseng, Astragalus, Angelica, San Qian, Chuanxiong, Radix Rehmanniae, San Qian, Radix Paeoniae Alba and San Qian), which is very delicious.
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Treatment and conditioning of dysmenorrhea
Yang Yuande, an expert outpatient of the Affiliated Hospital of Liaoning College of Traditional Chinese Medicine, said: In recent years, primary dysmenorrhea has an increasing trend in clinic because girls are early in puberty and pursue slimming.
First, we should believe that dysmenorrhea can be completely cured. Life should be regular and ensure adequate sleep. Wash your hair and feet without cold water.
2. Mu Yi Jujube Tea: Take motherwort 15g, jujube 30g and brown sugar, and decoct once a day, once in the morning and once in the evening.
3. Massage method: The patient lies on his back in bed, first rubs his hands hot, then puts them on his abdomen, first massages 60 ~ 100 times from top to bottom, then massages 60 ~ 100 times from left to right, and finally massages 60 times in circles, preferably once every morning and evening.
Four. External application method: 5 grams of Radix Aconiti and 5 grams of Radix Aconiti Kusnezoffii are ground into fine powder, and then applied to the part with less abdominal pain with onion juice and honey for 2-3 hours. Once a day.
Acupuncture: The best time for acupuncture is before or during dysmenorrhea. The main acupoints are spleen meridian, blood sea, ground machine and Sanyinjiao, and the needle is kept 1 hour. Once a day, 1 ~ 3 times can relieve pain.
It can be cured in three menstrual cycles.
Yin Jiabao of Yizheng Hospital of Traditional Chinese Medicine in Jiangsu Province also introduced a method of taking sneeze with traditional Chinese medicine: Soap Ying 30g, Borneolum Syntheticum10g * * * ground into very fine powder, put a little in the palm of your hand, cover your nose and breathe, sneeze frequently, and then sweat slightly to relieve pain, 2-3 times a day.
The Department of Integrated Traditional Chinese and Western Medicine of Ye Yi Hospital in China, Qingshan District, Wuhan pointed out in particular that some girls form excitement focus in the cerebral cortex, and once they have menstruation, they will feel abdominal pain. Therefore, first of all, be cheerful and don't have fear. You can take painkillers for severe pain, or you can take some Chinese patent medicines orally, such as Wuji Baifeng Pills and Xiaoyao Pills. Acupuncture or auricular acupuncture also has certain curative effect, and there are a few intractable dysmenorrhea.
Under the guidance of a doctor, patients can use hormones to inhibit ovulation and relieve pain.
Yuan Huimin and Sun Jinran of Binzhou Health School in Shandong Province conducted a research on the topic of "Prevention and treatment of irregular menstruation (dysmenorrhea) after girls enter school" in 65438-0998. A questionnaire survey was conducted among girls in Grade 98 and Grade 99. About 40% of girls have dysmenorrhea in different degrees. Through the lectures and treatment of menstrual hygiene and mental hygiene, good results have been achieved. Method:
1 Shexiang Zhuanggu Plaster is applied to Guanyuan point (three inches below the umbilicus) and Sanyinjiao point (three inches above the medial malleolus) respectively, and it is changed every 2-3 days/time.
2 Ear points such as uterus, kidney, liver, endocrine and Shenmen are selected by pressing beans at ear points. Take Semen Vaccariae (seed), stick it on the above points with adhesive tape, and press it with thumb and forefinger 3 ~ 5 times a day. Replace it every 3 ~ 5 days.
3. Make the self-made Tongjing powder into paste, fill the umbilical eye, and apply the musk bone-strengthening ointment externally, changing the medicine every 2 ~ 3 days.
The above three methods are all applied one week before menstrual cramps and dysmenorrhea, and Chinese patent medicines such as Aifu Nuangong Pill, Wuji Baifeng Pill and Danggui Pill can also be taken orally to regulate menstruation and promote blood circulation.
Guo Fuxing, the outpatient department of epidemic prevention station in Xingguo County, Jiangxi Province, skillfully used nifedipine to treat dysmenorrhea. The treatment of dysmenorrhea is mainly analgesia and sedation. The use of steroid hormone contraceptives and prostaglandin antagonists is effective, but it is not the best strategy for patients with recurrent attacks. I use nifedipine and indomethacin to treat severe dysmenorrhea, with quick onset and little side effects. It can be cured after three courses of treatment without recurrence. Nifedipine 20 mg, taken sublingually, the pain disappeared in 5 ~ 10 minutes. Three times a day; Indomethacin 50 mg, three times a day, 7 days as a course of treatment. Nifedipine can reduce intracellular calcium concentration, relax uterine smooth muscle, and indomethacin can reduce the release of prostaglandin, so it has a satisfactory effect on relieving dysmenorrhea.
Deputy Chief Physician Tian of gaogang district People's Hospital in Taizhou City, Jiangsu Province introduced several kinds of drugs and prescriptions for dysmenorrhea:
For mild patients with qi stagnation and blood stasis, Xiaoyao Pill, motherwort cream, Sanqi Tablet and Yunnan Baiyao can be used to remove blood stasis and relieve pain.
For those who feel cold in the cold uterus for the first time, ginger and brown sugar can be used to boil soup to drive away the cold, and Artemisia argyi leaves can be fried with hot cloth and applied to the lower abdomen, which is simple and effective.
Damp-heat accumulation type usually takes Longdan Xiegan Pill and Fule Granule. Avoid spicy and hot food, such as pepper, ginger, barbecue, fat and sweets.
Mu Yi Bazhen Pill, Danggui Yangxue Ointment and Wuji Baifeng Pill can be taken for deficiency of both qi and blood. Wuji Baifeng Pill is a product for invigorating qi and nourishing blood, regulating menstruation and stopping leukorrhagia, and is not suitable for dysmenorrhea caused by qi stagnation and blood stasis, cold-dampness stagnation and damp-heat accumulation.
For liver and kidney yin deficiency, Liuwei Dihuang Pill can be taken, and those who get angry can take Baizhi Dihuang Pill, and avoid spicy, hot, fragrant, dry and yin-consuming foods such as pepper and ginger. Eat more flesh-and-blood products such as soft-shelled turtle, eel, liver and kidney, yam, medlar and mulberry.
Wang Anfu from Donghu Health Center, Liquanzhuang Township, Laixi City, Shandong Province provided a simple treatment method for dysmenorrhea: 1. One end of the meridian therapeutic instrument was attached to Sanyinjiao point, and the other end was placed at Zhongchong point, and it dispersed for ten minutes. 2. For those who are impatient or don't leave, apply Shangshi Zhitong ointment, the acupoint is the same as 1, and add Jinji tablets or Gynecological Qianjin tablets, 6 tablets each time, before meals, one day. Premenstrual pain, use it when it hurts;
Menstrual pain, used on the first day of menstruation.
Shang Xiuhua, a clinic in Longhe Village, Ganyu County, Lianyungang City, Jiangsu Province, provided a method, suggesting a try: take two petals of family-grown Chinese rose, add appropriate amount of brown sugar and take it with boiling water, once a day, after menstruation is clean, and take it for 7 days in the next menstrual period without pain.
How to recuperate dysmenorrhea
Symptoms such as lower abdominal pain, headache, nausea, dizziness, general fatigue and fatigue that occur at the same time or before menstrual cramps are called dysmenorrhea. According to the investigation report of a medical authority in Britain, 80% of women in the world have dysmenorrhea in different degrees, which shows that there are a large number of them. Some people are patient and can live as usual, while others are in unbearable pain. Normal lower abdominal pain is caused by uterine contraction, which hardly needs treatment, but sometimes the pain is caused by uterine diseases, so special attention must be paid.
Although dysmenorrhea exists, you should pay attention to your diet in your normal life before menstruation. Adjustment of daily life and self-care will greatly reduce the probability of dysmenorrhea;
First of all, grasp your emotions, let them not fluctuate too much, and face life and work calmly. Because before menstruation comes, there will be some signs: such as increased facial oil, acne, sleepy eyes, irritability, chest and abdomen pain and so on.
Second, eat more calcium-rich foods and chocolate candy. When the tide comes, the body needs a lot of calcium to relieve uterine spasm and avoid dysmenorrhea. Chocolate candy can raise blood sugar in the body, thus relieving the nervous system.
Thirdly, Chinese herbal medicine can be used for conditioning, such as taking Chinese herbal medicine or Shu Ya dysmenorrhea navel patch. Eating Chinese herbal medicine is generally considered to be more troublesome. The convenient and easy method is to stick dysmenorrhea navel on navel before menstruation, which can also relieve and eliminate pain. In addition, we should also pay attention to exercise in peacetime, don't catch cold in the lower body, and avoid eating cold and irritating food before menstruation.
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1, primary dysmenorrhea, mostly occurring in adolescent girls, lower abdominal pain or low back and leg pain, will pass before menstruation or the first day of menstrual cramps, about 1-2 days later.
But some girls and women have severe pain and spasmodic pain, accompanied by nausea, vomiting and dizziness, and need to stay in bed.
2. Secondary pain often occurs before menstruation or on the first day of menstrual cramps. The pain lasts for several hours to 2-3 days, and the degree of pain varies. Some are very serious, pale, sweating, nausea, vomiting and even syncope. Some people also have frequent urination and urgency. The pain is mostly in the lower abdomen, scattered in the lower leg, and sometimes accompanied by low back pain. The pain of endometriosis increases with each month.
3, membranous dysmenorrhea, obvious pain on the second to third day of menstruation. When the membranous intima tissue is discharged together with menstrual blood, the pain disappears immediately.
What should people with dysmenorrhea do?
All patients with dysmenorrhea should go to the hospital for examination, check the general situation, and do gynecological examination. Unmarried girls should do anal examination, mainly to check whether there are special lesions and abnormalities in vulva, vagina, uterus and ovary. Patients with secondary dysmenorrhea should be examined for endometriosis. In addition, according to the pain symptoms and gynecological examination, it is necessary to do basic body temperature measurement, vaginal smear examination, estrogen and progesterone determination and B-ultrasound examination to clarify the cause of dysmenorrhea.
Have enough rest and sleep during menstruation. At this time, it is best to avoid mental stimulation, don't lose your temper in a hurry, and keep your spirit happy. Don't use cold water, eat cold food. Keep the vulva clean during menstruation, and it is forbidden to share the same room; This can avoid inflammation of reproductive organs, and dysmenorrhea can be alleviated or painless.
Dysmenorrhea is completely treatable and should be treated step by step according to the causes of pain. For spasmodic pain, sedatives or acupoint injections of traditional Chinese medicine should be used under the guidance of a doctor. Anti-prostaglandin drugs such as indomethacin can also be used to relieve pain, but morphine and demerol should not be used.
Traditional Chinese medicine believes that the essence of dysmenorrhea is qi stagnation, menstrual stagnation and uterine contraction, which leads to pain. Therefore, the treatment should be based on regulating qi, making qi and blood smooth and painless, and using Huoxue Tiaojing Zhitong Decoction. Angelica essence can be taken before and during menstruation, and also has an effect on dysmenorrhea.