Is it a serious illness of hemoptysis in menstruation?Those who are getting worse and more serious should be careful

If a girl, hemoptysis when you come to menstruation, where do you think the problem will be?

Lung?Bronchus?Uterus?

Combined with the history of the medical history, the answer may be the uterus, because there is a disease called endometriosis.

The endometriosis is referred to as endometriosis. In simple terms, it is that the endometrium tissue that should have grown in the uterine is wrong and run to other parts of the body.The clinical incidence is about 10%to 15%.

Those who have seen popular science should know that endometrium is affected by hormones and periodic shedding bleeding. This is the origin of menstruation.

The endometrium with a long error position will also be affected by hormones and fall off bleeding. It may grow hemoptysis in the lung/chest. It may be diarrhea in the intestine, and the naked eye hematuria may appear in the ureter.

As for why the endometrium tissue runs to other parts, it is currently not clear, but there is a general speculation that during menstruation, some menstrual blood and endometrial tissue will return to the pelvic cavity through the fallopian tubes and settle in a pelvic cavity.This is the theory of menstrual blood reverse flow.

(Purple spots are the areas of endometrium planting, which originated from literature [3])

However, this speculation cannot explain the pelvic disease, such as lungs, so some scholars believe that endometrium can spread to the distant through lymphatic and veins through lymphatic and veins.

In other words, the endometrium has entered the blood system. As the intermediary (blood) looks at the house (the plant), you can pick a residence in any part of the body.

Of course, these are the current speculation. The real reason is unknown. For our ordinary people, understanding its symptoms and treatment is the focus.

The ectopic endometrium can run to any part of the body, but it prefers to stay in the pelvic orgasm and wall peritoneum.

Common symptoms are dysmenorrhea, block or nodules, abnormal menstruation, infertility, etc. There are also about 25%of patients without symptoms.

Dysmenorrhea

Dysmenorrhea is the main symptom of endometriosis, manifested as secondary dysmenorrhea, and gradually aggravated with the progress of the disease (exacerbation).

Patients will feel that the pain is getting worse and worse, which may be much more painful than last year.

Block or nodule

As mentioned earlier, running to the endometrium of other opponents will bleed during the menstrual period. If there are exported parts such as lung and ureter, it will show the movement of "hemoptysis" and "hematuria" to discharge blood from the body.

If it is a part that cannot be "exported" by the ovary, a cyst will form, which is stored with old menstrual blood, also called chocolate cysts.

(Figure source Veer)

Generally speaking, most internal diseases have nodules or blocks.

Menstrual abnormalities

Some patients may have symptoms such as increasing menstruation, extension of menstruation, and incomparable menstruation.

Infertility

According to statistics, 30%~ 50%of patients with internal diseases are combined with infertility, and the incidence of infertile women’s merging internal disease is 6-8 times that of general childbearing age, and there is obvious repetitive or early abortion tendency.

In addition, internal diseases are likely to change evil.

According to reports, the incidence of malignant changes in end diseases is 0.7%to 1%so far, and most of them occur in ovarian (ovarian cancer related to internal diseases).

Some scholars believe that this is an underestimated number, and the incidence of evil changes may be higher.

If you are mild patients with fertility, priority treatment is given to drug treatment, including non -steroidal anti -inflammatory drugs and hormone drugs:

Non -sterite anti -inflammatory drug

This is a type of anti -inflammatory, heat -relieving, analgesic drugs, including ibuprofen, Patto, and Sumin.

It can be used to relieve pain caused by endometriosis, but it will not shrink or prevent the growth of endometriosis. The cure is not cured, and it is usually used with other treatment.

Hormone

Including oral contraceptives, progesterone, etc., "amenorrhea" or "fake pregnancy" caused by taking it for a long time, causing molting the endometrial tissue, and then the endometrium atrophy, also known as "fake menopamental therapy".

If the symptoms after drug treatment have not improved, or if the condition is relatively severe, there are three common surgical methods: the common surgical method:

Conservative surgery

About 75%of the visible ectopic endometrial lesions were removed, and about 75%of the people underwent the operation were reduced within a few months after the operation.

Suitable for patients with fertility, but the postoperative recurrence rate is about 40%. It is recommended that patients pregnant as soon as possible or take medicine to reduce recurrence as soon as possible.

Semi -root treatment

Remove the uterus and lesions and retain the ovaries. It is suitable for patients who want to retain ovarian endocrine function. The recurrence rate is low.

Cure

Remove the whole uterus, bilateral accessories, and all the visible lesions of the naked eye, suitable for patients with older and non -fertility requirements.

In recent years, the incidence of internal diseases in clinical disease has a significant upward trend. If you have related symptoms (dysmenorrhea is getting worse and more severe, infertility after marriage, etc.), you need to seek medical treatment in time.Treatment is relatively simple.

(There is a family group that tastes)

〔references〕

[1] Robert S SCHENKEN, md.endometriosis: Pathogenesis, Epidemiology, and Clinical Impact.uptodate

[2] Robert S SCHENKEN, md.endometriosis: Treatment of Pelvic Pain.uptodate

[3] Robert S SCHENKEN, MD.Patient Education: Endometriosis (Beyond The Basics) .uptodate

[4] Lang Jinghe. The history, status and development of endometriosis and development [J]. China Practical Gynecological and Magazine, 2020,36 (03): 193-196.

[5] Dai Yi, Lang Jinghe, Zhu Lan, Cold Jinhua. The current and future of endometriosis diagnosis and treatment [J]. Chinese science: Life science, 2021,51 (08): 1017-1023.

[Disclaimer]

The data update of this article was updated on November 08, 2022

Originally created by "Professor Yang Xichuan of Dermatology", it aims to be popular for readers

The popular science content cannot replace the doctor’s diagnosis and treatment, for reference only

If you have skin problems, please consult the doctor in time

Some pictures source networks, if there is any infringement, please contact and delete

[Planning Team]

Planning/Editor: Gina Responsible Editor: YELLOW & Jeing Review: Li Yun

Ovulation and Pregnancy Test Strips Combo Kit 25+100


Posted

in

by

Tags: