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痛经与月经病的关系

月经病患者多因痛经求医,中医多以温经、行气、活血化瘀等治疗,配合中药内服调理,回复气血顺畅,舒缓经痛,改善月经失调等。

女性来经时,会出现痛经现象,这不可轻视,可能是子宫内膜异位的症状,痛经虽普遍,但并不是“正常”的表现。有些女性痛经多年,求治后才发现子宫内膜异位至卵巢内,形成囊肿,手尾更长。

中医认为,正常月经应是无痛、不苦。如果人体气血顺畅,可将子宫内膜“化掉”成血流出体外,不会有血块的气滞表现。

月经病患者多因痛经求医,中医多以温经、行气、活血化瘀等治疗,配合中药内服调理,回复气血顺畅,舒缓经痛,改善月经失调等。

患者有哪些症状?

子宫内膜组织每月会正常剥落,随经血排出体外后,再周而复始生长。而子宫内膜异位是指具有生长功能的子宫内膜组织,出现在子宫腔壁以外的身体其他部位如卵巢、腹腔、输尿管、直肠凹陷位置或膀胱,而引起妇科疾病。患者的不适感包括:

经痛

经前出现剧烈疼痛、胀痛,痛感可能延至肛门、大腿,严重时会四肢发冷、呕吐等;来经后,痛楚稍减缓、消失。因部分子宫内膜组织可能着床在直肠凹陷位置,性交时也会引起疼痛,然而25%此症患者可以没有痛经的症状。

月经失调

大约15至30%患者会出现经量越来越多,经期越来越长的情况。

不孕

由于子宫内膜组织在不正常的位置生长,可能导致输卵管闭塞,又或卵巢不能正常排卵,减低受孕几率。

直肠刺激症

因子宫内膜组织有可能着床在直肠凹陷位置,经期时会感觉便意,在肛门、会阴部位出现胀痛,引发腰腹疼痛,症状在经期后消失。

该如何应对痛经?

  1. 稳定情绪有助内生殖器官的正常运作;相反的,情绪波动会影响经期,甚至使子宫收缩加剧,增加痛经的困扰。
  2. 经期前或中期,应避免寒食,包括日常饮食中偏寒的番茄、西芹、西洋菜等。
  3. 如果身体机能正常,免疫机制可清除处于不正常位置的子宫内膜组织。如体质弱,容易积累成疾。因此月经期间,应尽量减少坐浴和进行剧烈运动,以避免增加经血逆流的机会。