更年期(qi)(qi)宮(gong)血刮宮(gong)是指在更年期(qi)(qi)出現異常(chang)子宮(gong)出血而(er)進行刮宮(gong)手術的(de)(de)一(yi)種處理方(fang)法。然而(er)，這種方(fang)法存在一(yi)定(ding)的(de)(de)危害和風險，以下是一(yi)些具體(ti)的(de)(de)原因：
1.手術風(feng)險：刮宮(gong)(gong)(gong)手術是一(yi)種切開子宮(gong)(gong)(gong)內(nei)膜(mo)，清除(chu)子宮(gong)(gong)(gong)內(nei)的不正常組織的手術。手術本身存在出血、感(gan)染(ran)、損傷子宮(gong)(gong)(gong)和(he)其他(ta)器官的風(feng)險。
2.子宮(gong)穿(chuan)孔：在刮宮(gong)手術中，有(you)可能(neng)會發生子宮(gong)穿(chuan)孔，即手術器(qi)械刺穿(chuan)子宮(gong)壁進(jin)入腹(fu)腔(qiang)。這可能(neng)導(dao)致腹(fu)腔(qiang)感染、腹(fu)腔(qiang)器(qi)官損(sun)傷和腹(fu)腔(qiang)出血等嚴重后果。
3.不完全(quan)刮(gua)宮(gong)：在刮(gua)宮(gong)手(shou)術中(zhong)，可(ke)能無法完全(quan)清除所有異常組織，導致(zhi)癥狀復(fu)發或病情加重。
4.不適當(dang)的處理(li)(li)：對于(yu)更年期異(yi)常(chang)子宮出(chu)血的處理(li)(li)，血刮宮并不是唯一的選擇(ze)。根(gen)據具體情況，可以選擇(ze)服用荷(he)爾蒙療(liao)法(fa)(fa)或(huo)(huo)其他藥物治療(liao)。選擇(ze)不當(dang)的處理(li)(li)方法(fa)(fa)可能導致癥(zheng)狀(zhuang)無(wu)法(fa)(fa)緩解或(huo)(huo)出(chu)現(xian)其他不良反應。
在處(chu)理更年期功血刮宮(gong)時，應考慮避免上述(shu)危害：
1.綜合(he)(he)評估：在決定是否進行(xing)刮宮(gong)手(shou)術之前，應進行(xing)綜合(he)(he)評估，包括詳細的(de)病史詢問、體格檢查(cha)和必要的(de)檢查(cha)（如血液(ye)檢查(cha)、超聲檢查(cha)等），以確定是否需要手(shou)術治療。
2.權衡利(li)弊：醫生(sheng)應將刮宮手(shou)術的利(li)弊告知(zhi)患(huan)者，并向其提供其他治療選擇的信息。患(huan)者和(he)醫生(sheng)應共同決(jue)定最合(he)適的治療方(fang)法，并在(zai)手(shou)術前充分溝通和(he)做好準(zhun)備。
3.選擇合(he)適的(de)醫生(sheng)和醫院：刮宮手(shou)術(shu)(shu)是一種重要(yao)的(de)手(shou)術(shu)(shu)，應(ying)選擇有經(jing)驗(yan)、技術(shu)(shu)嫻熟(shu)的(de)專科醫生(sheng)進行(xing)操作，同時選擇有良好手(shou)術(shu)(shu)設施和設備的(de)醫院，以(yi)降低手(shou)術(shu)(shu)風險。
4.術(shu)(shu)后護理：術(shu)(shu)后應嚴格按醫(yi)囑進行護理和康復(fu)，定期復(fu)診，并及時向醫(yi)生匯報任何異常癥狀。
總(zong)之，了解更年期(qi)宮血刮(gua)宮的(de)危害(hai)及處理(li)方法是非常(chang)重要(yao)的(de)。患者和醫(yi)生應充分溝通，共(gong)同決定最(zui)(zui)合(he)適的(de)治療方式，并選擇(ze)有(you)經(jing)驗的(de)醫(yi)生進行手(shou)術(shu)，以最(zui)(zui)大限(xian)度地減少手(shou)術(shu)風險。同時，術(shu)后(hou)的(de)護理(li)和康復也是非常(chang)重要(yao)的(de)，應遵循醫(yi)生的(de)指(zhi)導和建議進行。
更(geng)(geng)年(nian)(nian)(nian)(nian)期功(gong)(gong)血(xue)(xue)(xue)(xue)治療(liao) 月(yue)經(jing)(jing)(jing)(jing)是(shi)婦(fu)女(nv)(nv)的(de)(de)(de)主要生(sheng)理特征，月(yue)經(jing)(jing)(jing)(jing)又是(shi)婦(fu)女(nv)(nv)健康 與(yu)(yu)否的(de)(de)(de)一(yi)(yi)面鏡子(zi)。而安(an)徽(hui)省(sheng) 46歲(sui)的(de)(de)(de)楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)近年(nian)(nian)(nian)(nian)來(lai),每逢經(jing)(jing)(jing)(jing)期就(jiu)會膽顫心(xin)驚,如臨(lin)大敵。 自從步入40歲(sui)以后(hou)，就(jiu)出(chu)(chu)(chu)現(xian)(xian)月(yue)經(jing)(jing)(jing)(jing)紊亂現(xian)(xian)象，常(chang)常(chang)幾(ji)十天一(yi)(yi)潮,經(jing)(jing)(jing)(jing)期冗長(chang)，經(jing)(jing)(jing)(jing)量也(ye)較多、經(jing)(jing)(jing)(jing)常(chang)需要服(fu)用激(ji)素藥等止血(xue)(xue)(xue)(xue)藥才勉(mian)強止血(xue)(xue)(xue)(xue)。最近幾(ji)年(nian)(nian)(nian)(nian)，楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)感(gan)覺病情(qing)明(ming)顯加(jia)重(zhong)，行(xing)經(jing)(jing)(jing)(jing)時(shi)，出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)不(bu)(bu)(bu)止，吃藥效(xiao)果不(bu)(bu)(bu)明(ming)顯，需到(dao)醫(yi)(yi)院做(zuo)診(zhen)斷(duan)性(xing)(xing)刮宮(gong)(gong)(gong)(gong)(gong)才能(neng)(neng)止血(xue)(xue)(xue)(xue)。幾(ji)年(nian)(nian)(nian)(nian)中因(yin)(yin)月(yue)經(jing)(jing)(jing)(jing)不(bu)(bu)(bu)止先后(hou)做(zuo)過(guo)5次(ci)(ci)診(zhen)斷(duan)性(xing)(xing)刮宮(gong)(gong)(gong)(gong)(gong)手術(shu)(shu)(shu)。（更(geng)(geng)年(nian)(nian)(nian)(nian)期功(gong)(gong)能(neng)(neng)失(shi)(shi)調(diao)性(xing)(xing)子(zi)宮(gong)(gong)(gong)(gong)(gong)出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)，簡稱(cheng)更(geng)(geng)年(nian)(nian)(nian)(nian)期功(gong)(gong)血(xue)(xue)(xue)(xue) ，它是(shi)因(yin)(yin)卵巢(chao) 功(gong)(gong)能(neng)(neng)衰(shuai)(shuai)退(tui)引起(qi)的(de)(de)(de)子(zi)宮(gong)(gong)(gong)(gong)(gong)出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)，所以稱(cheng)為功(gong)(gong)能(neng)(neng)失(shi)(shi)調(diao)性(xing)(xing)子(zi)宮(gong)(gong)(gong)(gong)(gong)出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)，那些因(yin)(yin)子(zi)宮(gong)(gong)(gong)(gong)(gong)肌瘤等器質性(xing)(xing)疾(ji)病引起(qi)的(de)(de)(de)子(zi)宮(gong)(gong)(gong)(gong)(gong)出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)，不(bu)(bu)(bu)能(neng)(neng)稱(cheng)為功(gong)(gong)能(neng)(neng)失(shi)(shi)調(diao)性(xing)(xing)子(zi)宮(gong)(gong)(gong)(gong)(gong)出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)。）因(yin)(yin)多年(nian)(nian)(nian)(nian)更(geng)(geng)年(nian)(nian)(nian)(nian)期功(gong)(gong)血(xue)(xue)(xue)(xue) 病，長(chang)期大量出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)，楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)已(yi)經(jing)(jing)(jing)(jing)嚴重(zhong)貧血(xue)(xue)(xue)(xue),頭(tou)昏、眼花,渾身乏(fa)(fa)力(li)等癥(zheng)狀(zhuang)。而且還(huan)出(chu)(chu)(chu)現(xian)(xian)了胃(wei)口差。多次(ci)(ci)刮宮(gong)(gong)(gong)(gong)(gong)后(hou)，醫(yi)(yi)生(sheng)曾多次(ci)(ci)建議楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)行(xing)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)除(chu)(chu)(chu)術(shu)(shu)(shu)，但(dan)楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)擔心(xin)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)除(chu)(chu)(chu)后(hou)會影(ying)響夫妻感(gan)情(qing),一(yi)(yi)直難下決心(xin)。后(hou)得知(zhi)，因(yin)(yin)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)除(chu)(chu)(chu)時(shi)，子(zi)宮(gong)(gong)(gong)(gong)(gong)動脈的(de)(de)(de)切(qie)斷(duan)而影(ying)響卵巢(chao)的(de)(de)(de)血(xue)(xue)(xue)(xue)液供(gong)應，使(shi)原(yuan)本(ben)已(yi)經(jing)(jing)(jing)(jing)開(kai)始衰(shuai)(shuai)退(tui)的(de)(de)(de)卵巢(chao)加(jia)速衰(shuai)(shuai)退(tui)的(de)(de)(de)進(jin)(jin)程(cheng)，提(ti)前(qian)進(jin)(jin)入絕經(jing)(jing)(jing)(jing)狀(zhuang)態(tai)，并(bing)由(you)此(ci)促(cu)使(shi)機(ji)體產生(sheng)絕經(jing)(jing)(jing)(jing)后(hou)的(de)(de)(de)一(yi)(yi)系列病理改變，會帶來(lai)新的(de)(de)(de)煩惱與(yu)(yu)痛苦(ku)，便下定(ding)決心(xin)不(bu)(bu)(bu)做(zuo)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)除(chu)(chu)(chu)術(shu)(shu)(shu)。去年(nian)(nian)(nian)(nian)冬天，楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)突然大出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)，血(xue)(xue)(xue)(xue)崩止不(bu)(bu)(bu)住，去醫(yi)(yi)院檢(jian)查，醫(yi)(yi)生(sheng)告知(zhi)行(xing)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)除(chu)(chu)(chu)術(shu)(shu)(shu)方能(neng)(neng)止血(xue)(xue)(xue)(xue)，無其(qi)他好的(de)(de)(de)辦(ban)法(fa)了。楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)的(de)(de)(de)臉上開(kai)始烏云密布，唉聲嘆氣，生(sheng)怕切(qie)除(chu)(chu)(chu)子(zi)宮(gong)(gong)(gong)(gong)(gong)后(hou)，這個(ge)罪（更(geng)(geng)年(nian)(nian)(nian)(nian)期功(gong)(gong)血(xue)(xue)(xue)(xue) 病）是(shi)到(dao)頭(tou)了，之后(hou)還(huan)會不(bu)(bu)(bu)會出(chu)(chu)(chu)現(xian)(xian)更(geng)(geng)嚴重(zhong)婦(fu)科疾(ji)病。就(jiu)在行(xing)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)除(chu)(chu)(chu)術(shu)(shu)(shu)前(qian)一(yi)(yi)個(ge)星期，聽說了白(bai)主任(ren) 固(gu)本(ben)安(an)宮(gong)(gong)(gong)(gong)(gong)止血(xue)(xue)(xue)(xue)湯 ，當時(shi)抱(bao)(bao)著活(huo)馬當死馬醫(yi)(yi)治的(de)(de)(de)心(xin)理，心(xin)想治不(bu)(bu)(bu)好就(jiu)做(zuo)子(zi)宮(gong)(gong)(gong)(gong)(gong)切(qie)除(chu)(chu)(chu)手術(shu)(shu)(shu)，詳細病情(qing)告知(zhi)白(bai)主任(ren)后(hou)，抱(bao)(bao)著釋(shi)然心(xin)態(tai)服(fu)用固(gu)本(ben)安(an)宮(gong)(gong)(gong)(gong)(gong)止血(xue)(xue)(xue)(xue)湯 ,服(fu)用第三天，血(xue)(xue)(xue)(xue)止住，患者大吃一(yi)(yi)驚，欣喜若(ruo)狂，立刻與(yu)(yu)我(wo)們(men)進(jin)(jin)行(xing)聯系，告知(zhi)病情(qing)，后(hou)服(fu)藥二療(liao)程(cheng)告愈。現(xian)(xian)在楊(yang)女(nv)(nv)士(shi)(shi)(shi)(shi)月(yue)經(jing)(jing)(jing)(jing)已(yi)經(jing)(jing)(jing)(jing)正常(chang)了，貧血(xue)(xue)(xue)(xue)也(ye)得到(dao)了糾正，頭(tou)暈、乏(fa)(fa)力(li)等癥(zheng)狀(zhuang)已(yi)消失(shi)(shi)。隨訪尚未復發(fa)。 白(bai)氏中醫(yi)(yi)為診(zhen)療(liao)提(ti)供(gong)更(geng)(geng)專(zhuan)(zhuan)業的(de)(de)(de)保障(zhang)。我(wo)診(zhen)所特別(bie)開(kai)設了專(zhuan)(zhuan)家(jia)在線(xian)免(mian)費咨詢(xun)服(fu)務，由(you)在線(xian)大夫為您解答相關疾(ji)病問(wen)題，根據病情(qing)給(gei)予專(zhuan)(zhuan)業的(de)(de)(de)個(ge)性(xing)(xing)化(hua)的(de)(de)(de)指導意見(jian)，提(ti)出(chu)(chu)(chu)專(zhuan)(zhuan)業的(de)(de)(de) 更(geng)(geng)年(nian)(nian)(nian)(nian)期功(gong)(gong)血(xue)(xue)(xue)(xue)治療(liao)方案。
功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)也是(shi)一(yi)(yi)種女(nv)性(xing)(xing)常(chang)(chang)見的(de)(de)(de)(de)(de)婦科癥狀，出(chu)(chu)(chu)現這種疾(ji)病(bing)往往會(hui)給患(huan)者(zhe)帶(dai)來極大的(de)(de)(de)(de)(de)困(kun)擾，因(yin)(yin)(yin)此有(you)很(hen)多女(nv)性(xing)(xing)都有(you)這樣(yang)一(yi)(yi)個疑問(wen)，功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)可(ke)(ke)(ke)(ke)以(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)好(hao)嗎？專家指(zhi)出(chu)(chu)(chu)，功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)是(shi)可(ke)(ke)(ke)(ke)以(yi)(yi)治(zhi)(zhi)(zhi)(zhi)(zhi)好(hao)的(de)(de)(de)(de)(de)，只要(yao)進(jin)(jin)行(xing)(xing)(xing)正(zheng)(zheng)規(gui)的(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)，配合(he)(he)好(hao)醫(yi)生(sheng)(sheng)，治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)并不(bu)(bu)(bu)困(kun)難(nan)。 太(tai)原(yuan)(yuan)中(zhong)山(shan)醫(yi)院(yuan)專家介紹 ，對(dui)(dui)于(yu)(yu)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)，要(yao)根據患(huan)者(zhe)出(chu)(chu)(chu)現功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)原(yuan)(yuan)因(yin)(yin)(yin)、功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)類型(xing)等(deng)(deng)，對(dui)(dui)癥對(dui)(dui)因(yin)(yin)(yin)進(jin)(jin)行(xing)(xing)(xing)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)。而(er)對(dui)(dui)于(yu)(yu)不(bu)(bu)(bu)同(tong)年(nian)齡的(de)(de)(de)(de)(de)患(huan)者(zhe)、不(bu)(bu)(bu)同(tong)的(de)(de)(de)(de)(de)內(nei)(nei)膜(mo)(mo)病(bing)理(li)(li)、生(sheng)(sheng)育要(yao)求等(deng)(deng)各個方(fang)(fang)面(mian)的(de)(de)(de)(de)(de)不(bu)(bu)(bu)同(tong)，確定(ding)相應的(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)原(yuan)(yuan)則(ze)(ze)、方(fang)(fang)法(fa)、藥物和(he)監測。 根據功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)出(chu)(chu)(chu)現的(de)(de)(de)(de)(de)時期(qi)(qi)(qi)，可(ke)(ke)(ke)(ke)分為(wei)青春(chun)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)和(he)更(geng)年(nian)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)，因(yin)(yin)(yin)此對(dui)(dui)于(yu)(yu)不(bu)(bu)(bu)同(tong)的(de)(de)(de)(de)(de)人(ren)，對(dui)(dui)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)的(de)(de)(de)(de)(de)最佳方(fang)(fang)法(fa)也會(hui)有(you)所不(bu)(bu)(bu)同(tong)。 系統的(de)(de)(de)(de)(de)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)包括(kuo)：祛除(chu)病(bing)因(yin)(yin)(yin)、迅(xun)速止(zhi)血(xue)(xue)(xue)(xue)(xue)、調(diao)(diao)(diao)(diao)(diao)整(zheng)月(yue)經(jing)(jing)、恢(hui)復功(gong)(gong)(gong)(gong)能和(he)避(bi)免復發等(deng)(deng)方(fang)(fang)面(mian)。 青春(chun)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao) 對(dui)(dui)于(yu)(yu)女(nv)性(xing)(xing)青春(chun)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)原(yuan)(yuan)則(ze)(ze)，是(shi)迅(xun)速止(zhi)血(xue)(xue)(xue)(xue)(xue)和(he)止(zhi)血(xue)(xue)(xue)(xue)(xue)后調(diao)(diao)(diao)(diao)(diao)整(zheng)建立正(zheng)(zheng)常(chang)(chang)月(yue)經(jing)(jing)周(zhou)期(qi)(qi)(qi)，防(fang)止(zhi)復發及改(gai)善(shan)一(yi)(yi)般(ban)情(qing)(qing)況，糾正(zheng)(zheng)貧(pin)(pin)血(xue)(xue)(xue)(xue)(xue)，不(bu)(bu)(bu)能進(jin)(jin)行(xing)(xing)(xing)診(zhen)刮，以(yi)(yi)免造成身(shen)體上的(de)(de)(de)(de)(de)傷害(hai)。可(ke)(ke)(ke)(ke)以(yi)(yi)給與激(ji)素(su)(su)止(zhi)血(xue)(xue)(xue)(xue)(xue)，一(yi)(yi)般(ban)可(ke)(ke)(ke)(ke)選(xuan)用(yong)(yong)(yong)(yong)性(xing)(xing)激(ji)素(su)(su)即(ji)孕激(ji)素(su)(su)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)。 需要(yao)注意的(de)(de)(de)(de)(de)是(shi)，激(ji)素(su)(su)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)要(yao)在醫(yi)生(sheng)(sheng)的(de)(de)(de)(de)(de)指(zhi)導(dao)下進(jin)(jin)行(xing)(xing)(xing)，且激(ji)素(su)(su)止(zhi)血(xue)(xue)(xue)(xue)(xue)后要(yao)著力(li)于(yu)(yu)調(diao)(diao)(diao)(diao)(diao)整(zheng)月(yue)經(jing)(jing)，不(bu)(bu)(bu)能依賴激(ji)素(su)(su)，否則(ze)(ze)會(hui)加(jia)(jia)(jia)重內(nei)(nei)分泌紊(wen)亂(luan)的(de)(de)(de)(de)(de)狀況。調(diao)(diao)(diao)(diao)(diao)整(zheng)月(yue)經(jing)(jing)可(ke)(ke)(ke)(ke)選(xuan)用(yong)(yong)(yong)(yong)中(zhong)藥調(diao)(diao)(diao)(diao)(diao)理(li)(li)，副作(zuo)用(yong)(yong)(yong)(yong)少(shao)，改(gai)善(shan)飲(yin)食(shi)習(xi)慣和(he)生(sheng)(sheng)活水(shui)平，適當鍛煉(lian)，增(zeng)(zeng)加(jia)(jia)(jia)血(xue)(xue)(xue)(xue)(xue)液循環，對(dui)(dui)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)很(hen)有(you)幫(bang)助(zhu)。 更(geng)年(nian)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao) 更(geng)年(nian)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)應將內(nei)(nei)分泌失調(diao)(diao)(diao)(diao)(diao)調(diao)(diao)(diao)(diao)(diao)理(li)(li)、全身(shen)支持療(liao)(liao)(liao)法(fa)與情(qing)(qing)緒調(diao)(diao)(diao)(diao)(diao)控有(you)機結合(he)(he)起來。以(yi)(yi)止(zhi)血(xue)(xue)(xue)(xue)(xue)、調(diao)(diao)(diao)(diao)(diao)整(zheng)周(zhou)期(qi)(qi)(qi)、減(jian)少(shao)經(jing)(jing)量(liang)(liang)，防(fang)止(zhi)子宮(gong)內(nei)(nei)膜(mo)(mo)病(bing)變為(wei)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)原(yuan)(yuan)則(ze)(ze)。 1、止(zhi)血(xue)(xue)(xue)(xue)(xue)：更(geng)年(nian)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)可(ke)(ke)(ke)(ke)以(yi)(yi)使(shi)用(yong)(yong)(yong)(yong)的(de)(de)(de)(de)(de)止(zhi)血(xue)(xue)(xue)(xue)(xue)方(fang)(fang)法(fa)有(you)刮宮(gong)、孕激(ji)素(su)(su)內(nei)(nei)膜(mo)(mo)脫落法(fa)、合(he)(he)成激(ji)素(su)(su)內(nei)(nei)膜(mo)(mo)萎縮法(fa)及止(zhi)血(xue)(xue)(xue)(xue)(xue)劑。長時間用(yong)(yong)(yong)(yong)孕激(ji)素(su)(su)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)止(zhi)血(xue)(xue)(xue)(xue)(xue)，可(ke)(ke)(ke)(ke)加(jia)(jia)(jia)用(yong)(yong)(yong)(yong)雄(xiong)激(ji)素(su)(su)作(zuo)為(wei)輔助(zhu)療(liao)(liao)(liao)法(fa)，可(ke)(ke)(ke)(ke)減(jian)少(shao)盆腔(qiang)充血(xue)(xue)(xue)(xue)(xue)和(he)增(zeng)(zeng)強子宮(gong)張力(li)，減(jian)少(shao)出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)量(liang)(liang)。 2、改(gai)善(shan)一(yi)(yi)般(ban)情(qing)(qing)況、糾正(zheng)(zheng)貧(pin)(pin)血(xue)(xue)(xue)(xue)(xue)： 輕(qing)度貧(pin)(pin)血(xue)(xue)(xue)(xue)(xue)者(zhe)可(ke)(ke)(ke)(ke)口(kou)服鐵劑，重度貧(pin)(pin)血(xue)(xue)(xue)(xue)(xue)者(zhe)應臥(wo)床休(xiu)息，除(chu)補(bu)充鐵劑之(zhi)外，還應該少(shao)量(liang)(liang)多次輸血(xue)(xue)(xue)(xue)(xue)，并要(yao)注意加(jia)(jia)(jia)強營養，補(bu)充維生(sheng)(sheng)素(su)(su)。如果女(nv)性(xing)(xing)出(chu)(chu)(chu)血(xue)(xue)(xue)(xue)(xue)的(de)(de)(de)(de)(de)時間太(tai)長，為(wei)防(fang)止(zhi)感染(ran)(ran)，則(ze)(ze)需加(jia)(jia)(jia)用(yong)(yong)(yong)(yong)抗生(sheng)(sheng)素(su)(su)。 3、抑(yi)制內(nei)(nei)膜(mo)(mo)生(sheng)(sheng)長，防(fang)止(zhi)癌變： 適用(yong)(yong)(yong)(yong)于(yu)(yu)更(geng)年(nian)期(qi)(qi)(qi)功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)伴內(nei)(nei)膜(mo)(mo)增(zeng)(zeng)生(sheng)(sheng)過(guo)長，或(huo)合(he)(he)并子宮(gong)肌(ji)瘤(liu)、子宮(gong)內(nei)(nei)膜(mo)(mo)異位(wei)癥者(zhe)，如丹那唑、內(nei)(nei)美通、三苯氧胺及促(cu)性(xing)(xing)腺激(ji)素(su)(su)釋放激(ji)素(su)(su)激(ji)動劑等(deng)(deng)。 4、手術(shu)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)： 適用(yong)(yong)(yong)(yong)于(yu)(yu)內(nei)(nei)膜(mo)(mo)腺瘤(liu)樣(yang)增(zeng)(zeng)生(sheng)(sheng)、不(bu)(bu)(bu)典型(xing)增(zeng)(zeng)生(sheng)(sheng)的(de)(de)(de)(de)(de)近絕經(jing)(jing)期(qi)(qi)(qi)女(nv)性(xing)(xing)或(huo)反復治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)無效者(zhe)。可(ke)(ke)(ke)(ke)行(xing)(xing)(xing)宮(gong)腔(qiang)鏡手術(shu)破壞內(nei)(nei)膜(mo)(mo)，以(yi)(yi)避(bi)免子宮(gong)切除(chu)，對(dui)(dui)于(yu)(yu)疑診(zhen)癌變者(zhe)應做(zuo)子宮(gong)切除(chu)。 功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)不(bu)(bu)(bu)治(zhi)(zhi)(zhi)(zhi)(zhi)療(liao)(liao)(liao)對(dui)(dui)患(huan)者(zhe)的(de)(de)(de)(de)(de)危害(hai)是(shi)很(hen)大的(de)(de)(de)(de)(de)，月(yue)經(jing)(jing)異常(chang)(chang)不(bu)(bu)(bu)僅改(gai)變了陰道正(zheng)(zheng)常(chang)(chang)的(de)(de)(de)(de)(de)弱酸(suan)性(xing)(xing)環境，破壞陰道的(de)(de)(de)(de)(de)酸(suan)堿平衡，而(er)且病(bing)原(yuan)(yuan)菌(jun)侵入后不(bu)(bu)(bu)能被殺死(si)，從(cong)而(er)導(dao)致(zhi)陰道的(de)(de)(de)(de)(de)感染(ran)(ran)。另外功(gong)(gong)(gong)(gong)血(xue)(xue)(xue)(xue)(xue)時宮(gong)頸(jing)口(kou)多處于(yu)(yu)松弛狀態，細(xi)菌(jun)有(you)機會(hui)上行(xing)(xing)(xing)，造成上行(xing)(xing)(xing)感染(ran)(ran)。
功(gong)(gong)能性子宮出(chu)血(xue)(xue)是(shi)婦(fu)科常(chang)見病(bing)之一，約50％發生在更(geng)(geng)(geng)年(nian)(nian)期(qi)(qi)(qi)(qi)。也(ye)就(jiu)是(shi)常(chang)說的(de)(de)更(geng)(geng)(geng)年(nian)(nian)期(qi)(qi)(qi)(qi)功(gong)(gong)血(xue)(xue)，更(geng)(geng)(geng)年(nian)(nian)期(qi)(qi)(qi)(qi)婦(fu)女(nv)出(chu)現月(yue)經(jing)不(bu)規則，檢查后(hou)排除妊(ren)娠、腫(zhong)瘤、炎(yan)癥(zheng)、外(wai)(wai)傷和(he)血(xue)(xue)液(ye)系統疾病(bing)，并確定(ding)子宮內無節育器(qi)就(jiu)可(ke)診斷(duan)為更(geng)(geng)(geng)年(nian)(nian)期(qi)(qi)(qi)(qi)功(gong)(gong)血(xue)(xue)。一般認(ren)為功(gong)(gong)血(xue)(xue)是(shi)由于神經(jing)內分泌(mi)失調引起的(de)(de)。其(qi)主(zhu)要表現就(jiu)是(shi)月(yue)經(jing)的(de)(de)改(gai)變，包括周(zhou)期(qi)(qi)(qi)(qi)和(he)量(liang)(liang)的(de)(de)改(gai)變。有以(yi)下(xia)的(de)(de)特(te)點。更(geng)(geng)(geng)年(nian)(nian)期(qi)(qi)(qi)(qi)功(gong)(gong)血(xue)(xue)的(de)(de)治(zhi)(zhi)療(liao)原則是(shi)止血(xue)(xue)調整(zheng)周(zhou)期(qi)(qi)(qi)(qi)，減(jian)少經(jing)量(liang)(liang)，下(xia)面介(jie)紹幾(ji)種治(zhi)(zhi)療(liao)方法。1.診斷(duan)性刮(gua)宮是(shi)更(geng)(geng)(geng)年(nian)(nian)期(qi)(qi)(qi)(qi)功(gong)(gong)血(xue)(xue)首選的(de)(de)止血(xue)(xue)措施，將子宮腔(qiang)內刮(gua)出(chu)的(de)(de)組織送(song)病(bing)理組織學檢查，除外(wai)(wai)子宮內膜癌變，又可(ke)以(yi)止血(xue)(xue)。對年(nian)(nian)齡(ling)稍大或久治(zhi)(zhi)不(bu)愈(yu)的(de)(de)病(bing)人要采(cai)取分段(duan)診刮(gua)，也(ye)就(jiu)是(shi)說將子宮頸管(guan)和(he)子宮腔(qiang)刮(gua)出(chu)物(wu)分別(bie)送(song)檢。2.止血(xue)(xue)藥(yao)(yao)治(zhi)(zhi)療(liao)。3.孕酮類藥(yao)(yao)物(wu)。4.雄激(ji)素(su)(su)(su)治(zhi)(zhi)療(liao)。為了減(jian)輕盆腔(qiang)充血(xue)(xue)，并對抗(kang)雌激(ji)素(su)(su)(su)的(de)(de)作(zuo)用(yong)(yong)，也(ye)可(ke)服(fu)用(yong)(yong)雄激(ji)素(su)(su)(su)，如甲基睪丸素(su)(su)(su)。用(yong)(yong)雄激(ji)素(su)(su)(su)治(zhi)(zhi)療(liao)要注意(yi)病(bing)人的(de)(de)年(nian)(nian)齡(ling)應接近停經(jing)期(qi)(qi)(qi)(qi)，每月(yue)藥(yao)(yao)量(liang)(liang)不(bu)超過300毫克。5.避孕藥(yao)(yao)物(wu)治(zhi)(zhi)療(liao)。許多(duo)更(geng)(geng)(geng)年(nian)(nian)期(qi)(qi)(qi)(qi)的(de)(de)婦(fu)女(nv)誤認(ren)為自己在采(cai)取避孕措施，其(qi)實(shi)在這里口服(fu)避孕藥(yao)(yao)物(wu)的(de)(de)一個作(zuo)用(yong)(yong)是(shi)調整(zheng)周(zhou)期(qi)(qi)(qi)(qi)，另一個作(zuo)用(yong)(yong)是(shi)減(jian)少月(yue)經(jing)量(liang)(liang)。
陜(shan)西(xi)省人(ren)民醫(yi)院中(zhong)醫(yi)科(ke)曹(cao)(cao)曉菊：診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)性(xing)(xing)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)又叫(jiao)診(zhen)(zhen)(zhen)刮(gua)(gua)，是(shi)(shi)通過(guo)刮(gua)(gua)取(qu)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)作病(bing)(bing)(bing)理檢查(cha)，其目(mu)的(de)(de)是(shi)(shi)刮(gua)(gua)取(qu)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)腔內(nei)(nei)(nei)(nei)容物(wu)做病(bing)(bing)(bing)理檢查(cha)協助診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)。 你(ni)這(zhe)(zhe)個年齡出現(xian)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)出血(xue)(xue)(xue)，更年期功(gong)血(xue)(xue)(xue)的(de)(de)可(ke)(ke)(ke)能性(xing)(xing)比(bi)較大，醫(yi)生(sheng)要(yao)求你(ni)做診(zhen)(zhen)(zhen)刮(gua)(gua)，是(shi)(shi)為(wei)了判(pan)斷(duan)(duan)(duan)出血(xue)(xue)(xue)的(de)(de)性(xing)(xing)質(zhi)。 陜(shan)西(xi)省人(ren)民醫(yi)院中(zhong)醫(yi)科(ke)曹(cao)(cao)曉菊：最近這(zhe)(zhe)幾天(tian)多休息，少活(huo)動。 診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)性(xing)(xing)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)是(shi)(shi)婦科(ke)一(yi)項常(chang)用的(de)(de)、重(zhong)要(yao)的(de)(de)診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)技術(shu)，目(mu)的(de)(de)是(shi)(shi)以(yi)(yi)診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)為(wei)目(mu)的(de)(de)的(de)(de)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)術(shu)，通過(guo)刮(gua)(gua)取(qu)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)等(deng)(deng)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)腔內(nei)(nei)(nei)(nei)容物(wu)送(song)病(bing)(bing)(bing)理檢驗(yan)，以(yi)(yi)明確病(bing)(bing)(bing)變(bian)性(xing)(xing)質(zhi)，以(yi)(yi)便及(ji)時(shi)制定治療計劃，此(ci)外，刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)術(shu)還有很(hen)好的(de)(de)止血(xue)(xue)(xue)作用。 有些(xie)(xie)婦科(ke)病(bing)(bing)(bing) ，如月經周期紊亂(luan)、經量過(guo)多、經期延長等(deng)(deng)，均可(ke)(ke)(ke)通過(guo)診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)性(xing)(xing)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)術(shu)及(ji)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)的(de)(de)病(bing)(bing)(bing)理檢查(cha)，了解(jie)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)是(shi)(shi)否(fou)異常(chang)，如子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)增生(sheng)或增生(sheng)過(guo)長、子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)分泌不良，有時(shi)還會發現(xian)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)非典型(xing)增生(sheng)過(guo)長或子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)癌等(deng)(deng)。 對絕(jue)經后子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)出血(xue)(xue)(xue)的(de)(de)婦女，診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)性(xing)(xing)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)可(ke)(ke)(ke)以(yi)(yi)排除或確診(zhen)(zhen)(zhen)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)腔及(ji)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)頸管內(nei)(nei)(nei)(nei)的(de)(de)癌瘤。有些(xie)(xie)不孕癥的(de)(de)患(huan)者也(ye)可(ke)(ke)(ke)通過(guo)診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)性(xing)(xing)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)來了解(jie)體(ti)內(nei)(nei)(nei)(nei)的(de)(de)內(nei)(nei)(nei)(nei)分泌狀況、有無排卵及(ji)子(zi)(zi)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)內(nei)(nei)(nei)(nei)膜(mo)(mo)病(bing)(bing)(bing)變(bian)等(deng)(deng)情況。 診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)性(xing)(xing)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)說為(wei)了做病(bing)(bing)(bing)理檢驗(yan)，其結果是(shi)(shi)疾(ji)病(bing)(bing)(bing)診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)十(shi)分重(zhong)要(yao)的(de)(de)依據，對于某些(xie)(xie)疾(ji)病(bing)(bing)(bing)，屬于金標準(zhun)，這(zhe)(zhe)也(ye)是(shi)(shi)B超、X線、CT等(deng)(deng)方法，都(dou)是(shi)(shi)不能替代的(de)(de)。 當醫(yi)生(sheng)建(jian)議做診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)性(xing)(xing)刮(gua)(gua)宮(gong)(gong)(gong)(gong)(gong)(gong)(gong)(gong)的(de)(de)時(shi)，就是(shi)(shi)需(xu)要(yao)對疾(ji)病(bing)(bing)(bing)性(xing)(xing)質(zhi)進行(xing)判(pan)斷(duan)(duan)(duan)，對疾(ji)病(bing)(bing)(bing)的(de)(de)診(zhen)(zhen)(zhen)斷(duan)(duan)(duan)治療有幫助的(de)(de)，患(huan)者應(ying)該積極(ji)配合。
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