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[痛经——其患病率、病因、对受影响女性的影响及可能的治疗方法]

[DYSMENORRHEA - ITS PREVALENCE, CAUSES, INFLUENCE ON THE AFFECTED WOMEN AND POSSIBLE TREATMENTS].

作者信息

Rabinerson David, Hiersch Liran, Gabbay-Ben-Ziv Rinnat

机构信息

Helen Schnieder's Hospital for Women, Rabin Medical Center, Petah Tikva, Israel.

出版信息

Harefuah. 2018 Feb;157(2):91-94.

Abstract

Dysmenorrhea is a common condition among young menstruating women. It is defined as menstrual pains, which sometimes, may be so severe, as to completely cripple the affected woman in every aspect of her daily function. Dysmenorrhea may further cause female infertility problems. This disease is divided into two forms: primary - where no accompanying pelvic pathology is found, and secondary - where pelvic pathology is demonstrated. The most prevalent cause of the latter form is endometriosis. Treatment comprises of medication, such as NSAIDs or various hormonal preparations or several methods of complementary medicine, as well as surgery. Generally, medical and complementary forms of treatment have been found effective in alleviating the pain, while surgery was found effective in treating infertility. Dysmenorrhea, in general, and endometriosis, in particular, has a further immense financial burden on society - both in terms of medical cost, as well as absence from studies or work by young women. To date, no absolute effective treatment, in terms of pain prevention or long standing fertility preservation, has been found.

摘要

痛经是年轻育龄女性的常见病症。它被定义为经期疼痛,有时疼痛可能非常剧烈,以至于会使患病女性在日常生活的各个方面都完全丧失能力。痛经还可能进一步导致女性不孕问题。这种疾病分为两种类型:原发性——未发现伴有盆腔病变;继发性——显示有盆腔病变。后一种类型最常见的病因是子宫内膜异位症。治疗方法包括药物治疗,如非甾体抗炎药或各种激素制剂,或几种补充医学方法,以及手术治疗。一般来说,已发现药物和补充医学治疗形式在缓解疼痛方面有效,而手术在治疗不孕方面有效。总体而言,痛经,尤其是子宫内膜异位症,给社会带来了巨大的经济负担——无论是医疗费用方面,还是年轻女性因之缺课或旷工造成的损失。迄今为止,尚未找到在预防疼痛或长期保持生育能力方面绝对有效的治疗方法。

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