What is the reason bleeding
1. Functional bleeding
Abnormal uterine bleeding, bleeding can be too much, too little, too frequent or irregular, or postmenopausal bleeding. Abnormal bleeding in women, about 25% are caused by organic disease. The remaining 75% were caused by the impact of the regulation of the reproductive system hormone disorders. These hormones are the hypothalamus, pituitary, in women of reproductive age are common, this type of bleeding, called functional uterine bleeding. Before puberty and after menopause vaginal bleeding, bleeding is not normal.
Medically abnormal uterine bleeding no systemic or genital organic disease occurs is called dysfunctional uterine bleeding, often referred to as dysfunctional uterine bleeding. DUB into ovulatory and anovulatory DUB DUB categories, anovulatory DUB most common, accounting for about 85%. Women from menarche beginning to the end of amenorrhea, dysfunctional uterine bleeding can occur. It has reported that 20% of adolescent dysfunctional uterine bleeding, DUB growth accounted for 30% of premenopausal dysfunctional uterine bleeding accounted for 50%.
2. caused by organic diseases
Vaginal bleeding: the vulva, vaginal injury, sexual abuse, vaginitis (including infections caused by foreign body), uterine infection, or abnormal blood clotting diseases, such as leukemia, thrombocytopenia can cause vaginal bleeding. In addition, cancer and benign tumors, such as uterine fibroids, adenomyosis, having hormone secretory function of ovarian cancer, also can cause vaginal bleeding. Sometimes urethra prolapse may also cause bleeding.
3. vaginal diseases caused by
Vaginal cancer vaginal diseases, for example, when the vaginal wall surface of the tumor may be due to infection and necrosis of time, can cause irregular bleeding, but generally not a lot of bleeding.
4. The six common reasons
1 reason, many women taking oral, often miss one or two half-way without stopping, which would cause endometrial exfoliation and bleeding. When taking hormone therapy to regulate menstruation or bleeding, because without stopping there as such a situation. Therefore, women taking birth control pills, the best under the guidance of a doctor, to avoid health jeopardized.
Cause 2, in the muscular uterine fibroids can deform factor increases, leaving the intimal area increases menorrhagia and bleeding for too long. The contraction of the uterus fibroids impede or affect the blood supply causing chronic pelvic congestion, so that more than bleeding.
Cause 3, uterine fibroids with the presence of anovulatory ovarian or endometrial hyperplastic polyp formation, resulting in menorrhagia. If with chronic pelvic inflammatory disease, it may lead to increased congestion leaving menstruation.
Reason 4, benign uterine bleeding is one of the reasons, especially in the uterine cavity lump protruding fibroids, and endometrial polyps. Because these tumors or blood vessel-rich surface, or covering their uterus on endometrial thick blood vessels, but also because these vessels are periodically generated, it is easy bleeding.
Reason 5, submucosal fibroids may be because the mucosal surface area is increased and the occurrence of ulcers and infections, local congestion caused by menorrhagia, too frequent, and irregular menstruation than dripping bleeding.
Cause 6, menopause, irregular menstruation.
Tuesday, July 12, 2016
Urinary symptoms and coping
Normal adult daytime urination 4-6 times, 0-2 times a night, significantly increased frequency of urination said. Frequent urination is a symptom, not a disease. A variety of reasons can cause increased frequency of urination, but no pain, also known as frequent urination. Causes more frequent urination, including neuropsychological factors, weak after the illness, parasites. Except for children with urinary tract infections need, vulva or penis local inflammation. Chinese medicine, frequent urination in children is mainly due to physical weakness, kidney qi, bladder constraint incompetence, not due to its chemical declared. In addition too tired Insufficiency two dirty all true, is not on the virtual system, the virtual earth can not make water, air bladder weakness flowers, and frequent urination occurs. Therefore, frequent urination mostly Xu Zheng, need to rest, eat foods rich in plant organic active alkali foods, eat less meat, eat more vegetables.
First, the volume increases: When the volume increases, frequency of urination will increase accordingly. In physiological conditions, such as drinking lots of water, eating watermelon, drinking beer, because the increase in the amount of water, filtered through regulation and the role of the kidneys, urine output increased frequency of urination has increased, giving rise to frequent urination. In pathological conditions, such as part of diabetes insipidus patients more drinking, more urine, urination and more. But no urination discomfort.
Second, inflammation: inflammation within the bladder, nerves feel the threshold value decreases, the urine center in the excited state, resulting in frequent urination, and decreased urine output (adult <300 500="" acute="" amp="" an="" as="" can="" children="" chronic="" commonly="" cystitis="" dermatitis="" dysuria="" especially="" far.="" font="" frequency="" frequent="" go="" head="" important="" in="" inflammation="" irritation="" is="" known="" ldquo="" ml="" more="" obvious.="" of="" often="" others="" package="" penis="" prostatitis="" pyelonephritis="" rdquo="" second="" simultaneously="" such="" symptom="" symptoms="" the="" therefore="" three="" to="" tract="" tuberculosis="" urethritis="" urgency="" urinary="" urination="" vulva="" with="">
Third, non-inflammatory stimulation: such as urinary calculi, foreign bodies, usually with urinary frequency as the main performance.
Fourth, reduced bladder capacity: such as bladder lesions, pregnancy increased uterine pressure, tuberculosis, bladder contracture or large bladder calculi.
V. neuropsychiatric urinary frequency: frequent urination found only in daylight or at night before going to sleep, often seen in the case of hysteria or nervous patients. At this time also accompanied by urgency, dysuria.
1, the control diet, avoid excessive intake of acidic substances, increased acidic. Acid-base balance of the diet for prevention of frequent urination is a very important aspect. Diet should eat foods rich in plant organic active alkali foods, eat less meat, eat more vegetables. Qiama rich in plant organic active alkali, can quickly rid the body of toxic acid, so acid-base balance, maintaining a healthy body, reducing pressure on the kidney. Meanwhile Qiama also rich in flavonoids, can effectively repair kidney detoxification function.
2, to regular outdoor exercise in the sun to do more exercise more sweat, can help rid the body of excess acid, and more fresh air to reduce the risk of disease. Contribute to people's health.
3, maintain a good mood, do not have too much psychological pressure, the pressure is too heavy can cause deposition of acidic substances, affecting the normal metabolism. Appropriate to regulate mood and stress itself can maintain a weak alkaline, so frequent urination, away from everyone.
4, life to the law, irregular habits of people, such as the night singing karaoke OK, playing mahjong, night out and other living without the law, will increase the acidic. Virus easily invade. It should develop good habits, so as to maintain a weak alkaline, so far from their viruses.
5, away from tobacco and alcohol. Tobacco, alcohol is a typical acidic foods, unrestrained smoking, drinking, the body can easily lead to acidification.
6, not to eat contaminated food, such as contaminated water, crops, poultry, fish balls, eat some organic food, to prevent the disease from the mouth.
First, the volume increases: When the volume increases, frequency of urination will increase accordingly. In physiological conditions, such as drinking lots of water, eating watermelon, drinking beer, because the increase in the amount of water, filtered through regulation and the role of the kidneys, urine output increased frequency of urination has increased, giving rise to frequent urination. In pathological conditions, such as part of diabetes insipidus patients more drinking, more urine, urination and more. But no urination discomfort.
Second, inflammation: inflammation within the bladder, nerves feel the threshold value decreases, the urine center in the excited state, resulting in frequent urination, and decreased urine output (adult <300 500="" acute="" amp="" an="" as="" can="" children="" chronic="" commonly="" cystitis="" dermatitis="" dysuria="" especially="" far.="" font="" frequency="" frequent="" go="" head="" important="" in="" inflammation="" irritation="" is="" known="" ldquo="" ml="" more="" obvious.="" of="" often="" others="" package="" penis="" prostatitis="" pyelonephritis="" rdquo="" second="" simultaneously="" such="" symptom="" symptoms="" the="" therefore="" three="" to="" tract="" tuberculosis="" urethritis="" urgency="" urinary="" urination="" vulva="" with="">
Third, non-inflammatory stimulation: such as urinary calculi, foreign bodies, usually with urinary frequency as the main performance.
Fourth, reduced bladder capacity: such as bladder lesions, pregnancy increased uterine pressure, tuberculosis, bladder contracture or large bladder calculi.
V. neuropsychiatric urinary frequency: frequent urination found only in daylight or at night before going to sleep, often seen in the case of hysteria or nervous patients. At this time also accompanied by urgency, dysuria.
1, the control diet, avoid excessive intake of acidic substances, increased acidic. Acid-base balance of the diet for prevention of frequent urination is a very important aspect. Diet should eat foods rich in plant organic active alkali foods, eat less meat, eat more vegetables. Qiama rich in plant organic active alkali, can quickly rid the body of toxic acid, so acid-base balance, maintaining a healthy body, reducing pressure on the kidney. Meanwhile Qiama also rich in flavonoids, can effectively repair kidney detoxification function.
2, to regular outdoor exercise in the sun to do more exercise more sweat, can help rid the body of excess acid, and more fresh air to reduce the risk of disease. Contribute to people's health.
3, maintain a good mood, do not have too much psychological pressure, the pressure is too heavy can cause deposition of acidic substances, affecting the normal metabolism. Appropriate to regulate mood and stress itself can maintain a weak alkaline, so frequent urination, away from everyone.
4, life to the law, irregular habits of people, such as the night singing karaoke OK, playing mahjong, night out and other living without the law, will increase the acidic. Virus easily invade. It should develop good habits, so as to maintain a weak alkaline, so far from their viruses.
5, away from tobacco and alcohol. Tobacco, alcohol is a typical acidic foods, unrestrained smoking, drinking, the body can easily lead to acidification.
6, not to eat contaminated food, such as contaminated water, crops, poultry, fish balls, eat some organic food, to prevent the disease from the mouth.
Friday, July 1, 2016
Male genital warts treatment
Male genital warts treatment must be integrated: therapeutic incentives (prepuce, gonorrhea), improve immunity, antiviral. Generally as long as adhere to standardized comprehensive treatment are cured. Physical therapy may also be used, such as laser, electrocautery, freezing and so on. First, the need for increased immunity.
1. Surgical treatment
Treatment incentives: prepuce, gonorrhea. For single, small area warts can be surgically removed; on the huge warts and can be used Mohs's surgery. When surgical biopsy freeze damage if excision.
2. Cryotherapy
The use of low-temperature -196 ℃ liquid nitrogen, freezing method using pressure treatment of genital warts, and promote wart tissue necrosis. This law applies to a small number, a small area of genital warts. 1 to 2 times a feasible treatment interval of one week.
3. Laser treatment
Usually CO2 laser using cauterization treatment of genital warts, this therapy is ideal for penis or perianal warts. For single or small number of multiple warts possible one-time treatment of multiple warts or large area of 2 to 3 times a viable treatment interval is usually one week.
4. electrocautery treatment
High frequency electric knife excision EA or warts. This treatment applies to a small number, a small area of genital warts.
5. The microwave treatment
Microwave surgery, lidocaine local anesthesia, the rod-shaped probe tip of radiation directly to the wart genital warts insert substrate, when you see the wart smaller, darken, when the soft to hard, the completion of the solidification heat radiation, namely withdrawable probe. Solidification of the lesions can clamp the clip removed. To prevent recurrence, can repeat the bottom of the remaining base solidified again.
6.β- ray treatment
This method is effective, no pain, no injury, less side effects, recurrence rate, in clinical promotional value.
7. Drug Therapy
(1) podophyllin this therapy is suitable for warts moist areas, such as occurred in the prepuce and the glans never circumcision surgery genital warts. With 20% podophyllin tincture applied to lesions at or before treatment to protect the quality of oil antibacterial cream normal skin or mucous membrane lesions around, and then applicator. 4 to 6 hours after treatment with 30% boric acid water or soapy water. If necessary, repeat after 3 days of medication. The drug is a drug of choice for treatment of this disease abroad, usually with once more.
(2) drugs to kill the virus is present, the macrocyclic triterpenoids main principle is the main treatment, macrocyclic triterpenoids can kill hidden in the skin and mucous membranes of the HPV virus. These drugs long course of treatment, the wart off slower, but the recurrence rate is very low.
(3) abrasives or disinfectant commonly 30% to 50% trichloroacetic acid, dichloroacetic acid, or saturated, or 18% peracetic acid. With 10% salicylic acid, acetic acid or 40% formaldehyde, 2% liquefied phenol, 75% ethanol mixed solution of distilled water 100ml, dispensing topically, for the glans, perianal warts, daily or every other day, with good results. 20% of available iodine disinfectants treated, or 2.5% to 5% iodine was injected into the base of the wart or treated with benzalkonium bromide, or with topical 0.1% to 0.2%, the latter must comply with systemic therapy.
(4) ①5- anticancer drug fluorouracil (5-Fu) 2.5% ~ 5% fluorouracil wet compress treatment of penile, perianal genital warts. Polyethylene glycol can also be used as a substrate was added 5% of its dry mass of 5-Fu powder made of suppository treatment of genital warts male urethra. 5-Fu substrate can also be injected, multi-batch injection may. ② thiotepa is mainly used for 5-Fu treatment failure urethral warts, side effects have urethritis. 10mg FDA also added 10ml saline soak the affected area, treatment of male penis, the glans Coronal warts. Mainly used after other methods of treatment, there are remnants of the wart or recurrence. This solution may be further diluted twice partial immersion, to prevent recurrence. ③ colchicine can be 2% to 8% saline solution treated, treatment of penile warts, superficial erosion can occur after coating.
1. Surgical treatment
Treatment incentives: prepuce, gonorrhea. For single, small area warts can be surgically removed; on the huge warts and can be used Mohs's surgery. When surgical biopsy freeze damage if excision.
2. Cryotherapy
The use of low-temperature -196 ℃ liquid nitrogen, freezing method using pressure treatment of genital warts, and promote wart tissue necrosis. This law applies to a small number, a small area of genital warts. 1 to 2 times a feasible treatment interval of one week.
3. Laser treatment
Usually CO2 laser using cauterization treatment of genital warts, this therapy is ideal for penis or perianal warts. For single or small number of multiple warts possible one-time treatment of multiple warts or large area of 2 to 3 times a viable treatment interval is usually one week.
4. electrocautery treatment
High frequency electric knife excision EA or warts. This treatment applies to a small number, a small area of genital warts.
5. The microwave treatment
Microwave surgery, lidocaine local anesthesia, the rod-shaped probe tip of radiation directly to the wart genital warts insert substrate, when you see the wart smaller, darken, when the soft to hard, the completion of the solidification heat radiation, namely withdrawable probe. Solidification of the lesions can clamp the clip removed. To prevent recurrence, can repeat the bottom of the remaining base solidified again.
6.β- ray treatment
This method is effective, no pain, no injury, less side effects, recurrence rate, in clinical promotional value.
7. Drug Therapy
(1) podophyllin this therapy is suitable for warts moist areas, such as occurred in the prepuce and the glans never circumcision surgery genital warts. With 20% podophyllin tincture applied to lesions at or before treatment to protect the quality of oil antibacterial cream normal skin or mucous membrane lesions around, and then applicator. 4 to 6 hours after treatment with 30% boric acid water or soapy water. If necessary, repeat after 3 days of medication. The drug is a drug of choice for treatment of this disease abroad, usually with once more.
(2) drugs to kill the virus is present, the macrocyclic triterpenoids main principle is the main treatment, macrocyclic triterpenoids can kill hidden in the skin and mucous membranes of the HPV virus. These drugs long course of treatment, the wart off slower, but the recurrence rate is very low.
(3) abrasives or disinfectant commonly 30% to 50% trichloroacetic acid, dichloroacetic acid, or saturated, or 18% peracetic acid. With 10% salicylic acid, acetic acid or 40% formaldehyde, 2% liquefied phenol, 75% ethanol mixed solution of distilled water 100ml, dispensing topically, for the glans, perianal warts, daily or every other day, with good results. 20% of available iodine disinfectants treated, or 2.5% to 5% iodine was injected into the base of the wart or treated with benzalkonium bromide, or with topical 0.1% to 0.2%, the latter must comply with systemic therapy.
(4) ①5- anticancer drug fluorouracil (5-Fu) 2.5% ~ 5% fluorouracil wet compress treatment of penile, perianal genital warts. Polyethylene glycol can also be used as a substrate was added 5% of its dry mass of 5-Fu powder made of suppository treatment of genital warts male urethra. 5-Fu substrate can also be injected, multi-batch injection may. ② thiotepa is mainly used for 5-Fu treatment failure urethral warts, side effects have urethritis. 10mg FDA also added 10ml saline soak the affected area, treatment of male penis, the glans Coronal warts. Mainly used after other methods of treatment, there are remnants of the wart or recurrence. This solution may be further diluted twice partial immersion, to prevent recurrence. ③ colchicine can be 2% to 8% saline solution treated, treatment of penile warts, superficial erosion can occur after coating.
Genital warts
There are different subtypes of HPV. The most common cause of genital warts and other HPV have 6,11. HPV is easy to survive and reproduce in the human body warm and humid conditions, so the external genitalia and anus are most prone to infection site. Dissemination of the following ways:
1. sexual contact
The main route of transmission. So the disease in a sexual relationship disorder crowd prone.
2. indirect contact
Some patients may be due to less contact with the patient used items spread of disease, such as underwear, towels, bath, toilet circle.
3. MTCT
Delivery process occurs through the birth canal and the baby's throat papillomatosis spread and so on.
The incubation period is 1-8 months, an average of three months, mainly in the sexually active population.
1. Typical warts
Genital and perianal predilection sites, more common in male foreskin, frenulum, Coronal, glans, urethra, penis, anus, rectum and the scrotum, more common in women in the size of the labia, after joint, vestibule, clitoris, cervix and perianal. Even outside the visible parts of the genital and perianal, such as the armpits, the navel, mouth, breast and toes and so on. Vaginitis female and male prepuce is a contributing factor to the occurrence of genital warts.
Early damage to small reddish papules, then gradually increase increase, single or clustered distribution, moist and soft, uneven surface, was papillary, cauliflower or chicken coronavirus projections. Red or dirty gray. Roots often pedicle, and prone to erosion exudate, easy to touch the bleeding. Purulent lesions often crack between smoldering, causing fetid, and may cause secondary infection due to scratching. The disease often have no symptoms, some patients may appear foreign body sensation, pain, itching, or painful sexual intercourse. Genital warts can occur in rectal pain, bloody diarrhea, tenesmus.
2.HPV subclinical
Refers to HPV infection in the clinic is not visually recognizable, but the acetic acid white test (with 5% acetic acid solution was found wet smear or partial white), pathological or nucleic acid detection techniques to discover evidence of HPV infection.
3. Relationship with Tumor
A large number of epidemiological data indicate, HPV infection (primarily high-risk HPV, such as HPV-16,18-type) and the incidence of genital cancer are closely related, such as cervical cancer, penile cancer.
General prognosis is good after treatment. But no matter what method of treatment, they are likely to recur.
1. sexual contact
The main route of transmission. So the disease in a sexual relationship disorder crowd prone.
2. indirect contact
Some patients may be due to less contact with the patient used items spread of disease, such as underwear, towels, bath, toilet circle.
3. MTCT
Delivery process occurs through the birth canal and the baby's throat papillomatosis spread and so on.
The incubation period is 1-8 months, an average of three months, mainly in the sexually active population.
1. Typical warts
Genital and perianal predilection sites, more common in male foreskin, frenulum, Coronal, glans, urethra, penis, anus, rectum and the scrotum, more common in women in the size of the labia, after joint, vestibule, clitoris, cervix and perianal. Even outside the visible parts of the genital and perianal, such as the armpits, the navel, mouth, breast and toes and so on. Vaginitis female and male prepuce is a contributing factor to the occurrence of genital warts.
Early damage to small reddish papules, then gradually increase increase, single or clustered distribution, moist and soft, uneven surface, was papillary, cauliflower or chicken coronavirus projections. Red or dirty gray. Roots often pedicle, and prone to erosion exudate, easy to touch the bleeding. Purulent lesions often crack between smoldering, causing fetid, and may cause secondary infection due to scratching. The disease often have no symptoms, some patients may appear foreign body sensation, pain, itching, or painful sexual intercourse. Genital warts can occur in rectal pain, bloody diarrhea, tenesmus.
2.HPV subclinical
Refers to HPV infection in the clinic is not visually recognizable, but the acetic acid white test (with 5% acetic acid solution was found wet smear or partial white), pathological or nucleic acid detection techniques to discover evidence of HPV infection.
3. Relationship with Tumor
A large number of epidemiological data indicate, HPV infection (primarily high-risk HPV, such as HPV-16,18-type) and the incidence of genital cancer are closely related, such as cervical cancer, penile cancer.
General prognosis is good after treatment. But no matter what method of treatment, they are likely to recur.
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