Recently, bumped into such several strange cases in the outpatient service work: The case one, Ms. Wang, bowel movement belt blood a half year, treats the very long time according to hemorrhoids not to see the change for the better, sometimes will not take a drug automatically will instead vanish; The case two, Ms. Wu, the nose mucous membrane bleeds repeatedly in March -odd, sometimes links several days to have the nose to be nosebleed every day, leaves the volume of blood not to be many, sometimes may ten days not bleed, Ms. Wu always worried that she has contracted the nosohemia; The case three, Ms. Liu, under the regularity cavity pain a half year -odd, starts to think is takes a chill, also has not cared, moreover pain several days are not also painful, but sound queer are each month want in the pain such several days, regarding this, Ms. Liu worry. These 3 patient’s symptom aggravates in the monthly period, this is their common ground. Finally passes through the gynecology department diagnosis, they contract are the endometrioses sickness. Then, what disease does the endometriosis sickness investigate competes is one kind of? Why front do 3 female patients contract are the endometrioses sickness, but the symptom varies?
What is “the endometriosis sickness”?
??So-called “endometriosis sickness”, is refers to long originally this in the womb most inner layer internal membrane organization, actually exceptionally grows outside the womb tunica intima place. Generally speaking, this kind of long wrong place’s endometrium organization, grows mostly in pelvic cavity’s organization organ, for example: Womb’s muscle level, ovary, oviduct, womb ligament, rectovaginal spots and so on mutual lack of understanding, pelvis’s peritoneum, vagina, cervix of the uterus, lymph gland, appendix and urinary bladder. In the medicine once recorded, in some patient’s navel, chest cavity, lung, four limbs, cerebrum and so on place, even at on abdominal section’s scar, also has discovered the endometrium organization. Therefore, in the human body the dystopia endometrium may say that is really ubiquitous, seizes every opportunity virtually impossible to guard against. In the past, doctors were familiar with according to have difference the spot, divided into the inside and outside two kinds the endometriosis sickness, now, every said that “the endometriosis sickness”, referred to is occurs outside womb’s situation, but grew in the womb muscle level specially is called as “the uterine gland muscle sickness”.
Which people are easy the endometriosis sickness?
??Nearly 20 for many years, the endometriosis sickness has had the increase tendency, although the majority research demonstrated that 75% endometriosis sickness patient, age between 25~45 years old, but in recent years’s medicine report, also discovered that many are smaller than 20 year-old patient, this is because the diagnosis method progresses, the use peritoneoscopy, but shifts to an earlier time the discovery the result. A Japan’s report also confirmed that makes the peritoneoscopy because of gynopathy, confirmed that has the endometriosis sickness patient to have 10% at least.
??Endometriosis’s sickness condition general development is slow, sometimes the initial period and not special symptom, looks like the mild chronic pelvic inflammatory disease, sometimes will assume the recidivity labor pain, but not obvious giving off heat. The pregnancy will cause patient’s menstruation stop, will seem to be the alleviation to this sickness the function, therefore, the medical arena believe and the agreement pregnancy possibly causes the view which the endometriosis will abate.
??Generally speaking, the endometriosis sickness often occurs in the social position is high or the state of business good woman, not common on ordinary poor patient body, therefore Meige doctor calls this sickness illness requiring rest and good food. In the US, are many by white race rich person patient, economical hygienic situation bad black very few trouble this sickness; In addition, also discovered that the patient marries mostly lately, the birth is late, and the child are also few. The modern society is develops toward this kind of direction, no wonder the endometriosis sickness day after day increases.
Which symptoms does the endometriosis sickness have?
??This sickness most common symptom is the painful menstruation, in the patient probably some 1/3 patients has the varying extent painful menstruation. Because some patients the intestinal tract, the urinary bladder or the nerve are oppressed appear the topicality pelvic cavity ache, perhaps the complaint sexual intercourse will not be quick, particularly the cervix or the vagina the patient who will violate, possibly will have the sexual intercourse pain, the constipation as well as the bowel movement pain symptom. Occasionally, the slight pathological change will cause the heavy ache, but the serious pathological change actually may appear without illness, many clinicians Chang Weizhei will plant the inconsistent phenomenon to puzzle, this will concern to a great extent with the morbidity spot. Endometriosis’s cyst may cause the blood to seep out, creates the chemical properties peritonitis, but causes the serious abdominal pain, this kind of situation and the extra-uterine pregnancy breakage and the appendicitis perforation have the similar clinical symptoms, therefore has the scholar to point out that 10% patients will present the acute sickness marquis, needs to open the abdomen investigation diagnosis and the treatment.
??This sickness, if expands and arrives at the intestinal tract, has the part intestinal obstruction, also will have the colic phenomenon; If the pathological change spreads to the vagina or the cervix, then after possibly presents the vagina secretion and the sexual intercourse, bleeds; If occurs in the womb sacrum ligament or the rectovaginal separates, then may touch small and the hard tubercle; If encroaches to the rectum or the urinary bladder, then time menstrual onset, possible synchronize feces and urine row of blood’s phenomenon; Also some pathological changes will expand to the nose mucous membrane or the skin, whenever the monthly period may present the phenomenon which the nose mucous membrane and the skin partial hyperemia will blush, serious may send the hemorrhage.
??In addition, some 75% patient will probably have sterility to appear. The sterile reason until now not bright, possible and the ovary button adhesion as well as the normal ovulation mechanism are disturbed concern. Although the endometriosis sickness also possibly encroaches upon the oviduct, but very little causes blocking.
??Reads this, perhaps many people will ask:
Why will have the endometriosis sickness?
??Sam abdicated after 1921 doctor first made the related endometriosis sickness first report, the medical arena to this kind of disease’s origin has had the different theory and the view.
??Sam abdicates doctor to believe that possibly is in womb’s menstruation from the oviduct backflow to the pelvic cavity, but has this kind of disease. He said that in these backflow’s month menstruation, includes the endometrium organization, will grow in the pelvic cavity reproduces, cervix narrow or womb serious retroflexion patient, will have this kind of disease easily because of the menstruation backflow. Afterward Sam abdicated doctor’s view in many research which and the experiment did obtained the confirmation, namely the month menstruation was unable to flow out in vitro smoothly, but backflow to pelvic cavity time, will possibly cause the endometriosis sickness occurrence.
