Menopause
Introduction
Introduction During the menstrual period, bleeding occurs in areas other than the uterus such as the nasal mucosa, stomach, intestines, lungs, breasts, etc., called menstruation, also known as "compensated menstruation", "periodic extrauterine hemorrhage." At this time, the amount of menstruation is small, even without menstruation, the amount of snot or vomiting may be more or less. Often accompanied by general malaise, mental disorders, irritability, lower abdominal pain and other symptoms. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: blood in the stool, endometriosis
Cause
Cause of menstruation
Modern medicine: There is a certain relationship between the nasal mucosa and the female reproductive organs. Recently, the olfactory nerves of mammals are closely related to the sexual center, so some scholars regard the nasal mucosa as a component of the original sexual organs. Certain areas of the nasal mucosa are very sensitive to estrogen secretion by the ovaries.
Experimental studies have found that the injection of estrogen into monkeys can make their nasal mucosa congestion, redness, and blood vessels change. Some patients have premenstrual tension, and their nasal mucosa may appear hyperemia, edema and rhinorrhea. It is the performance of this change. The normal menstrual cramps are caused by the cyclical changes of estrogen, which causes the uterine mucosa to shrink, the small arteries to bend and contract extremely, the endometrial surface blood stasis, ischemic necrosis, and bleeding, and menstruation is formed. Due to the sensitivity of the hormonal changes in the nasal mucosa, the above physiological changes also occur, which leads to a cycle of nosebleeds.
Motherland Medicine: The disease is called "sputum spitting" and "reversal". It is believed that hot and cold gas and meridian meridians are the main mechanism of this disease, and the periodic episodes of menstruation are accompanied by menstrual qi and The patient's constitution is closely related. According to the theory of traditional Chinese medicine, women's pre-menstrual or menstrual period blood and blood converge, the blood and sea are full, and the qi is more prosperous. If the patient is in a bad mood, the liver is smoldering, or the lung and kidney are yin, the fire is on fire, or the level is normal. Eating spicy hot and hot, attacking the fire in the stomach, can disturb the pulse, leading to "the heat is rushing, the blood will be smashed", then the blood is overflowing and it is spit.
Prevention
Post-prevention
You can use your fingers to press the Yingxiang point where the nose is opened next to the nose, and you can receive the effect of stopping bleeding. At the same time take Chinese and Western medicine for conditioning and hemostasis.
Of course, the most important thing for patients is to actively carry out the cause treatment, regulate the body, and make menstruation return to normal.
1, the history of blood stasis should be light diet, can not be fed with spicy fried food, so as not to hurt Yin Jin, blood clots.
2, to maintain a good mood, especially before or during menstruation, it is necessary to stabilize the mood to prevent menstrual blood and cause blood stasis.
3, patients with endometriosis should treat the disease at the same time.
4, usually eat more vitamin-rich foods, such as fruits, fresh vegetables, or take vitamin A, vitamin B, vitamin C and other drugs to enhance the resistance of blood vessels.
5, the girl found in the clinical phenomenon of "reversal", with the increase of age, often cured. If compensatory menstruation only occurs 1-2 times, those who are not severe may not be treated. Will heal itself in the future.
Complication
Complications Complications, blood in the stool, endometriosis
Some may be accompanied by vomiting blood, bleeding of the external auditory canal, conjunctival hemorrhage, and blood in the stool.
Symptom
Menstrual symptoms common symptoms nasal gastrointestinal bleeding
Most of the menstruation is caused by endometriosis, and the cause may be related to abnormal epithelial differentiation in each visceral layer. Blood disease is also one of the factors that cause menstruation.
Menstruation is the main feature of the physiological manifestations of sexually mature women. It is a periodic uterine hemorrhage that occurs periodically after the endocrine system is periodically regulated by the endocrine system. It is a normal physiological phenomenon. Menstruation refers to women with regular, contemporaneous nosebleeds before and after menstruation or during menstruation, and some may be accompanied by vomiting blood, external ear canal bleeding, conjunctival hemorrhage, blood in the stool, etc. Modern medicine is called Compensatory menstruation or "alternative menstruation", if this phenomenon occurs repeatedly, it will lead to disorder of the menstrual cycle, and severe cases will cause anemia and affect your health. Since the above organs such as the nasal mucosa are sensitive to estrogen secreted by the ovaries, estrogen can cause telangiectasia and fragility to increase, and thus is prone to rupture and bleeding. Some people think that there is a physiological connection between the nasal mucosa and the female reproductive organs, so the menstrual bleeding is mostly nasal mucosal bleeding. It has also been suggested that endometriosis is the cause of menstruation. This disease is more common in adolescent women.
At present, there is no ideal treatment for menstruation. The general treatment principle is that local lesions are corrected by local lesions, and electrocautery bleeding points and endometriosis are often used. If no obvious local lesions are found, and there are many blood stasis and vomiting blood, progesterone pseudopregnancy therapy or androgen therapy can be used. Some people advocate long-term application of estrogen-progesterone cycle treatment, but the results are not satisfactory.
Examine
Menstrual examination
1. The meninges occurring in the nasal mucosa should be differentiated from the hemorrhage caused by nasal trauma, nasal inflammation, and nasal mucosa tumors. It can be identified by history of trauma, periodicity of bleeding, and nasal examination.
2, other parts of the bleeding should pass the relevant examination, except for the inflammation caused by this place, tumor-related bleeding, should also ask whether the history and bleeding episodes are related to the menstrual cycle.
3, systemic blood disease caused by bleeding and menstrual cycle has nothing to do, through blood, bone marrow puncture and other tests can help diagnose.
4, endometriosis feasible lesion biopsy pathological examination confirmed.
Diagnosis
Diagnostic diagnosis
Compensatory menstruation coincides with menstrual cramps or only periodic compensatory menstruation. If compensatory menstruation and uterine bleeding occur simultaneously, it may be less bleeding in the former and more bleeding in the latter, or vice versa. Some amenorrhea has general malaise and pelvic sensation, and the compensatory menstruation appears, the symptoms disappear, and the bleeding site can be found at the relevant position during the examination. If in the nasal cavity, it shows typical periodic epistaxis. Diagnosis can be diagnosed based on clinical manifestations and biopsy at the site of bleeding. Endometriosis and other lesions must be excluded.
