Dysmenorrhea and how do care?

Dysmenorrhea is divided into two categories of primary and secondary, the former means genital mutilation no organic lesion of dysmenorrhea, which means due to pelvic organic diseases such as endometriosis, pelvic inflammatory disease or cervical stenosis caused by Dysmenorrhea.

Primary dysmenorrhea prevalent among young people, the pain and the uterine muscle activities enhanced the uterine spasm of excessive tension enhancements and the shrinkage.

Clinical menstrual period following abdominal pain is a major performance, most are located in the lower abdomen pain or emission to the middle of the lumbosacral, genital and anal, gynaecological examinations without exception found that sometimes reach the uterus excessive forward flexion or excessive retroverted flexor.

Dysmenorrhea nursing objectives are: 1. the patient's pain relief.

2. the patient before menses and menstrual period without fear. 3. patients in menstrual period get enough rest and sleep.

Nursing measures:

1. health education

(1) for menstrual health, including menstruation hygiene, menstrual prohibit sexual life, strengthen the menstrual protection, prevention of influenza, that reasonable rest and adequate sleep, strengthen nutrition.

(2) to pay attention to psychological care, concern and understanding the patient's discomfort and fear, clarify the menstrual period there may be some physiological responses and stomach pendant swelling and mild lumbar acid, on physiological knowledge, Dysmenorrhea pain unbearable is the provision of non-narcotic analgesic treatment.

2. to relieve symptoms

(1) local eating hot and abdomen and hot beverages such as hot soup or hot tea.

(2) taking painkillers: If every menstrual practices taking analgesics, prevention of drug dependence and addiction.

(3) drug treatment: there are two kinds of medicines can be effective in the treatment of primary dysmenorrhea, oral contraceptives and prostaglandin synthetase inhibitors.

Contraceptives are suitable for the requirements of contraception women, after administration of Dysmenorrhea can inhibit the growth of endometrium; make menstrual suppression reduced; drugs, the lack of corpus luteum ovulation, no endogenous progesterone, and progesterone stimulates endometrial biosynthesis required PG, thereby reducing menstrual blood PG concentration.

(4) applications of biofeedback method: enhance the patient's sense of self control, allowing the body to relax, to unlock Dysmenorrhea.

Nursing assessment:

1. the patient complained of pain relief, and the ability to enumerate, pain-relief measures.

2. the patient's fear of behavior and decrease, in the heart of physical signs and physical comfort.

3. patients describe a good sleep in menstrual period.

(Edit: Zheng Yan internships, MD)