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ID:10214942
大小:938.51 KB
页数:76页
时间:2018-06-12
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1、GYNECOLOGICALINFECTIONSANDABNORMALITIESSFCWARDJointSpecialOperationsMedicalTrainingCenterDysmenorrheaMostcommoncauseofpelvicpaininfemales.Definition-menstrualpainEtiology-Obstructionandanatomicalcervicalstenosis,fibroids,anteflexionofuterus,PIDEndocrine-excessiveproduc
2、tionofprostaglandinswhichintensifyuterinecontractions.DysmenorrheaManagement.NSAIDS(nonsteroidalantiinflammatorydrugs).Oralcontraceptive.Adequaterestandsleepandregularexercisemaybebeneficial.Heating--baths,soaks,showersandheatingpad.Musclerelaxants--PRNforcramping.Prem
3、enstrualsyndrome(PMS)premenstrualtensionDefinition--isadistinctclinicalentitycharacterizedbyaclusterofphysicalandpsychologicalsymptomsthatarelimitedtoaweekor10days,precedingmenstruationandarerelievedbyonsetofthemenses.Premenstrualsyndrome(PMS)premenstrualtensionKnownpr
4、ecipitatingfactorsincludeanincreaseinantidiuretichormoneandaldosteronesecretion,aswellasestrogen-progesteroneimbalance.Premenstrualsyndrome(PMS)premenstrualtensionPMSincreaseswithageandbodyweight.Uncommoninwomenintheirteensandtwenties.Premenstrualsyndrome(PMS)premenstr
5、ualtensionSymptoms.Physical.Painfulandswollenbreast.Bloating.Abdominalpain.Headacheandbackpain.Premenstrualsyndrome(PMS)premenstrualtensionPsychologically.Depression.Anxiety.Irritability.Behavioralchanges.Premenstrualsyndrome(PMS)premenstrualtensionTreatment.Pasttreatm
6、enthasbeensymptomatic.Diureticstoreducefluidretention.Tranquilizerdrugsformoodchanges.Diazepam25mgTIDorally.Analgesicsforpain,mildpainASA600mgorallyQ46hrsPRN.Programofregularsleepandexercise.Premenstrualsyndrome(PMS)premenstrualtensionTreatment.Decreasesaltintaketoreli
7、evebloatingandedema.Drugtherapyshouldbeavoided,whenpossible.PelvicInflammatoryDiseaseDefinition--PelvicInflammatoryDisease(PID)isanyacute,subacute,recurrent,orchronicinfectionoftheoviducts,andovaries,withadjacentinvolvement.PelvicInflammatoryDiseaseSites-itincludesinfl
8、ammationofthecervix(cervicitis)uterus(endometritis)fallopiantubes(salpingitis)andovaries(oophoritis)whichcanextendtot
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