it defines with Painful menstruation the strong pains the tight abdomens and the cross-shaped neighbourhood, sometimes about character of pains the kolkowych. Affections these step out before menstruation usually near at hand as well as on beginning monthly bleeding. Painful menstruations are affection many women very sometimes, about so large intensification, that they force to staying in bed by 1 - 3 days. Painful menstruation can disturb considerably woman's normal life, be at school the cause of sickness absence and work.
the Affections appear the most often in eve or first day of bleeding. They get smaller next day with rule gradually and they disappear, they can however to keep by all the time the duration of menstruous bleeding. Pain can have different intensification: as early as from dyskomfortu in grounds of abdomen, the feeling of gravitation in first day the monthly bleeding of meringues of additional symptoms, to intensive strong pain, cramp, lasting even several days, often with żołądkowo-jelitowym diarrhoea, the pain of backs as well as the pain of head. Different symptoms this weakness and the fatigue, nausea and the vomitings, alimentary disorders under figure of bloat, constipations or the diarrhoeas as well as the irritability and depressive tune.
there are menstruous pains About 40% women's dorosłych, from this 10% of reason of intensification of affection stays in bed by 1-3 days, co month. Be painful menstruation this the the most frequent individual cause of absence of młodych women in work at school.
it Distinguishes oneself organic causes and functional painful menstruation.
organic Causes:
functional Causes:
prostaglandyny With certainty large meaning in formation painful menstruation have and some leukotrieny. The place in second phaze of menstruous period has the growth of rigor of estradiolu ( the hormone), stimulating the synthesis the prostaglandyn, which are responsible for pronouncement the pain team.
Repeating oneself painful menstruations are signal, it it that was one should was answer to gynaecologist's doctor, to to exclude the anatomical anomalies of reproductive arrangement or change sick leave.
Doctor carries out conversation (interview) with patient as well as investigation. On basis of interview, the investigation as well as the diagnosis can put the additional investigations. If it will turn out, that the cause of painful is menstruation mental deficiency of uterus, defective building of uterus, her tyłozgięcie or the excessive antecurvature, endometrioza, myoma of uterus or the chronic inflammable states of genital organs, tells about secondary painful menstruation wówczas (tzn. such which has evident primitive cause). The secondary painful menstruation steps out after period earlier painless the menstruation (usually after 20 year of life).
Often however investigation does not show from the norm which would can be cause of this type of affection no deviations. In such case doctor recognizes primitive painful menstruation (primitive, because there is no no different sickness cause giving affection in figure painful menstruation).
the Primitive painful menstruation usually steps out at the girls' młodych (usually before 20 year of life) from first bleeding, or several months after first bleeding monthly, in moment of appearing of periods the owulacyjnych (that is ovulation). It speaks this the za hormonal cause of pain affections: the excess of prostaglandyn, and co the also excessive cramp action of uterus for this goes and the difficulty in emptying from blood the uterus. The reduced flow of blood by uterus calls out the ischaemia the mięśniówki, which be liberates the production of tissue hormones and it causes the pain affections. To have also the meaning the intensive tone of sympathetic arrangement maybe here.
Possible it is, that the primitive painful menstruation will disappear from at a run the time or after first childbirth ( the laxity of neck, psychical factor). It it was affirmed was, that the most suffering on primitive painful menstruation women, then the woman who did not give birth yet.
Secondary painful menstruation (and so having sickness cause, as np. inflammable states, endometrioza – patrzeć: organic causes) it requires the treatment of basic disease.
If pain symptoms are very nagging, if painful menstruation contributes to deterioration of comfort of life considerably, you should answer to doctor ( diagnosis will establish) and to undertake proper treatment. Sposobić the treatment painful the should menstruation to be settled severally always, in dependence from degree of intensification of pain affections and the coexisting diseases.
If the organic causes step out, and so the secondary painful menstruation, the causal taking the a cure, having on aim curing the basic disease applies (np. the antiphlogistic treatment in inflammations the genital organ, operating in intensified endometriozie, opening in his narrowing the channel of neck of uterus).
it complies Different methods, when causes have functional character. Doctors apply the different groups of medicines to treatment painful miesiaczkowania: the inhibitors of synthesis of prostaglandyn, medicines the reassuring, hormonal medicines, the betamimetyki, spazmolityki as well as the blokery of calcium channel.
How do to help me extemporaneously, in time of pain? Effective analgesic medicines are from group of niesterydowych antiphlogistic medicines (tzw. NLPZ), which they brake the production of prostaglandyn. This Ibuprom, Ketonal, Paracetamol are. Acid be unadvisable acetylosalicowy (np. Aspirin), because bleeding can enlarge he and to prolong time his duration. Diastolic medicines are next group how drotaweryna (np. Just - spa forte). The warm coverings bring on abdomen relief ( the diastole of blood vessels).
also gentle herb reassuring medicines were Applied can was as well as herb infusions from camomile, raspberries' lists or mint on 2-3 days before spodziewaną menstruation ( they have gentle diastolic working). Important also suitable diet is: the avoidance the inflating dishes, sharply spiced, salty the and ciężkostrawnych, the strong coffee and the tea on thing of herb infusions or the mineral water.
If pain during menstruation appears, after earlier painless periods, was one should suddenly be successful on gynecological investigation.
the Medicine in many incidents can help in getting rid of unpleasant affections, worsening the comfort of life considerably. Painful menstruation can be treated effectively. The of affection connected from painful is menstruation causes very many, therefore the basis of proper is treatment the obviously personal examining by doctor the patient and the complying to medical recommendations then. The correc therapeutic conduct contributes to considerable improvement of comfort of life patients.