2010年10月21日星期四

Five easy to get wrong the women's movement gynecological

Many women have had the same experience, that is, during a period of training, the overall parts of the body often feel pain, such as the lower abdomen, joints, back and so on. Experts point out that exercise can help in better health, but because of the unique physical structure and the female reproductive cycle, if the exercise properly, could lead to several gynecological diseases.

Menstrual abnormalities
According to the survey, the girls engaged in more physical activity, menstrual abnormalities account for a large proportion, more performance for the delayed menarche, irregular cycles, secondary amenorrhea, and the later age at menarche, the greater the amount of exercise. The reason was mainly due to intense exercise suppression of hypothalamic function, resulting in dysfunction of the endocrine system and affect the normal sex hormone levels, thereby interfering with the formation and normal menstrual cycle.


Excessive exercise causes the body fat reduction. The women need a minimum amount of fat in order to maintain the operation period. If the weight is lower than normal body weight should be 10% to 15%, or body fat percentage is too low, less than 17% of body weight, the body of estrogen lack of raw materials, manufacture of fat to normal levels of estrogen, thereby interfering with normal formation and menstrual cycle. Fat level is low and may cause the body to normal estrogen into another kind of activity of estrogen. The inactive estrogen, can not pass information to the brain, so the menstrual function stop there. Rigorous training will not only lose weight, but the body can also cause a lot of pressure.

 
Ovarian rupture
Violent activities, snatch weight, abdominal compression, collision can cause ovarian rupture, which appears lower abdominal pain, and even spread to the whole abdomen. Ovarian rupture generally occurs in the menstrual cycle, 10 to 18 days, of which 80% of the corpus luteum or corpus luteum cyst rupture, abdominal puncture blood.

Ruptured ovarian follicle is mature ovarian or luteal package for some causes structural damage, bleeding, severe cases can cause a lot of intraabdominal bleeding. Can be divided into two types, one is follicle rupture, the other is the corpus luteum or luteal cyst rupture. Is, unmarried women may occur to the most common age for childbearing period.

 
The diagnosis of ovarian rupture was asked in detail about the main menstrual history, menstrual cycle, ovarian rupture time and have a certain relationship can be used as the main basis for diagnosis. Mostly ruptured ovarian corpus luteum or luteal cyst rupture, which occurred in the ovulation period, more than the end of the menstrual cycle, 1 week, even in the first menstrual period, two days sick. For patients with follicular rupture often occurs in mature follicles, and thus the general incidence of the tenth day of the menstrual cycle to eighteen days. Ovarian rupture ovarian dysfunction patients without a history of general, most with ovulatory cycles. Abdominal tenderness not obvious, but bimanual pelvic tenderness is very obvious, with the menstrual history, and more can make a diagnosis. After the onset of any history of sexual intercourse, the more likely.

 
Uterine prolapse
Women do overload exercise, especially weight lifting and other training can increase abdominal pressure, causing a temporary decline in the uterus, there will be no uterine prolapse. If the long-term overload exercise, uterine prolapse occurs. Some test, uterus of normal weight women, 20 kg, the cervical position did not change significantly; weight 40 kg, the cervix have significant downward shift.

Uterine prolapse, also known as uterine prolapse, uterine wall contraction can not be a good recovery, drooping into the vagina, the serious possibility of out into the body. The usual symptoms of uterine prolapse, or at least have a sense of falling (the lower abdomen have something to fall out of the feeling), usually will be lower back pain, severe bladder and rectum will be a drag, but there will be frequent urination, urine or feces is not clean solution not ring true feeling.

 
Uterine prolapse is due to the pelvic ligaments and muscle bulk or degradation of Punta, taboo supporting the uterus and uterine prolapse into the vagina so. Because women in pregnancy or childbirth, remote damage to the uterine ligaments and muscles. If a previous pregnancy or childbirth a few women, it is more easily suffer from uterine prolapse. If it is slightly down, the cervix is still in the vagina, the cervix will be out into the genital serious position, the whole a more serious will be out into the vagina outside of the uterus.

 
The uterus in pregnant women based on the feeding pocket fetal tissue, in peacetime is fixed in the pelvic cavity, but once, after sagging for various reasons, can cause a variety of uncomfortable symptoms. Include:

 
1, a sense of pelvic pressure, lower abdomen to heavy fall feeling.
2, are lower back pain.
3, pain during intercourse.
4, because the bladder before the uterus after the rectum, so once the sagging bladder or bowel may occur obstacles.
5 patients with severe lower body will feel a prominence.
6, due to uterine prolapse occurred in patients with severe walking difficulties.

 
Endometriosis
Vigorous exercise has the potential to menstrual blood reflux from the uterus into the pelvic cavity, with the blood flow within the endometrial debris may be planted in the ovaries, forming cysts. Had endometriosis, patients often appear progressive worsening dysmenorrhea, but also a common cause of infertility.

 
Endometriosis is a chronic disease, even with surgical treatment, removal of all visible signs of the future, there may once again formed. If it is diagnosed through surgery for endometriosis, or if the doctor suspected endometriosis but saw no need for surgery, then you have the choice of drug therapy, this treatment is very useful On the one hand to maximize the protection of fertility, on the other hand the impact of endometriosis will be limited to the minimum level. In order to maximize the chance of natural pregnancy, you and your doctor should consider the use of inhibitory drugs, until their children are ready pregnant.

 
For suppression of chronic endometriosis, in particular, is to preserve their fertility for those women, it is recommended to try to use oral contraceptives. Estrogen is the main endometriosis growth stimuli, and progesterone is the most important inhibitor of this growth. The overall effect of oral contraceptives with the progesterone effect is similar. Class effect of progesterone to the uterus of normal endometrium thinner, so that shrinking endometriosis. Some researchers believe that the possibility of occurrence become inverted by the small, but it will be down by the further spread of endometriosis. Other effective treatment for chronic diseases including medroxyprogesterone acetate injectable contraceptives, which is a subcutaneous injection, namely, a progesterone drug, injected once every 12 weeks, or with daily oral approach with other progestogen-only drugs treatment. Gonadotropin-type stimulants, the most common is leuprolide acetate can be used for endometriosis drug short-term effective treatment, because this doping can effectively shut down almost all the production of this hormone. This short-term treatment with the menopausal side effects and side effects similar to those related to (such as hot flashes), but these drugs also stimulate the negative long-term side effects of menopause, mainly osteoporosis. For these reasons, the use of gonadotropin drugs are generally not more than 3 to 6 months, therefore not suitable for chronic treatment.

 
Diet can also affect symptoms, and affect the development of endometriosis. Already small study shows that diet can also reduce and endometriosis-related inflammation and scarring level. If you already have endometriosis, you should pay attention to your diet, these elements will be discussed in Chapter 7.

 
Even surgery has been used successfully to solve the problem of endometriosis, we recommend pregnant or soon after surgery or drug treatment and to consider changes in diet control the development of endometriosis, until their ready to try pregnancy.

 
Genital trauma
Activities, inadvertently, such as with the bicycle seat vulva, rungs, or other hard object collision prone vulva hematoma, serious injuries to the urethra and vagina, and even the pelvic. Large labia vulva loose subcutaneous tissue, rich and superficial venous plexus, by collision force can easily lead to rupture of blood vessels, resulting in a larger area of bleeding.

Thin tender skin girls vulva, perineum and very rich in blood vessels, if not careful hit the rough stuff, and to easily cause bleeding. Now most of lively girls, some girls and he likes gymnastics and dance, and some parents who used to live crotch pants for girls to wear, increasing the opportunities for girls, genital trauma.

 
Not only the outward genital bleeding after injury, but also the rapid flow of blood, subcutaneous tissue, hematoma formation, increasing, pain, and some pressure urethra, anus, resulting in bowel and bladder problems and abdominal bloating. Blood is a good medium, if there is bacterial invasion, it is easy hematoma caused by infection.

 
In order to prevent girls genital trauma, the girl walking activities must not wear pants crotch, do not step on uneven ground running and jumping on the large, learning dance, gymnastics when you have to preserve. Case of genital trauma, do not panic, should be immediately sent to hospital for treatment, wash the wound, remove the clot and suture the wound. If the only tissue injury, skin is not broken, hematoma not too much, did not continue to develop, and bed rest at home, cleaning the vulva, apply cold water bags, and promote swelling, reduce pain and inflammation with antibiotics to prevent infection. Poor urine, and can be placed in a catheter, generally keep 48 to 72 hours until the tissue edema, urinary tract are not oppressed, pulling the catheter. Treatment of the above treatment, the need for doctor's guidance.

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