缁锛灏藉揩ョ姝㈢

х缁冲澶濮濞浠戒扮楹荤缁ワ涓涓′棣涓甯娲涔杩绫绘绯绯锛蹇涓浣虫璧疯垮寰炬《糕涓哄ュ浜х瀛绉涔濡绉荤锛澶ф涓借浜锛剧被姝㈢х稿涓锛杈80%锛涓瀹ㄦт寰濂斤搴璇ユ缁不绗╋㈢跺姝わ涓轰涔璁稿濂崇借寰浣跨ㄦ杩涔宸

杩灏辫浠х缁璇磋捣浜

х缁锛ㄨ涓哄缁村瀹虹锛prostaglandin, PG锛楂筹虹釜澶у瀵艰寸缁朵腑PGF2伪锛PGF2伪辩歌哥琛╋ㄦ缁ㄦ涓娉瀛瀹虹娴搴楂锛缁跺变瀹辫斤瀛瀹缁磋锛浠朵腑涓ょ虹琚惧拌娑蹭腑锛PGF2伪浼瀵艰村瀹钩婊杩搴剁缉锛浠ュ琛绠＄锛浠瀵艰村瀹己琛锛缂烘哀锛姝ゅ璧风缁姝ゅ锛杩澶虹杩ヨ娑插惊锛杩浼寮璧峰琛绠″娑绛躲

绉诲涔剧被姝㈢涔灏辨浠父璇寸甯娲姘革茶ｉ革锛浠ュ垮规锛杩绫昏╅杩惰辩稿板虹杩姝ュ搴锛㈣浜锛浼瀵艰寸缁虹PGF2伪辩哥琛╋辩歌杞涓哄虹锛瑕姘у讹Cyclooxygenase, COX锛涓剧被姝㈢藉氨COX-2锛浠浣垮虹娉锛姝ら垮缁虹

COX瀹舵涓绉宸ラ讹负COX-1锛COX-2COX-3锛朵腑COX-3COX-1绐浣锛浠ヤ琚О涓COX-1B锛变绉剁缁杩锛姝や缁剧被姝㈢涓ょ朵璧锋朵锛浜病骞蹭涔COX-1灏辫涓璧疯汉锛COX-1骞朵寸缁浼锛ㄨ澶轰钩ㄧ╃涓箍娉瀛璧风涓淇″浼瀵硷缁存缁缁绋虫锛浠ュ淇ゆ绮锛稿娉锛浣介跺浣杩涔负浠涔璁稿浼缁剧被姝㈢ㄥ婧＄锛板剧被姝㈢濡缇搴凤濉ユ甯绛锛瀵COX-1朵ㄨ杩寮变COX-2朵姝ゅ烘х稿浜寮剧被姝㈢

ｄ锛璇村拌锛澶у娌℃涓浠朵锛

㈢惰浜杩涔澶锛缁缃绁搁姝ｆ虹锛剧被╁存瀵瑰虹锛ｄ杩宀涓绠锛涓哄ュ浜姝㈢杩冲ョ楠诲

虹PGF2伪寮璧蜂缁剧被姝㈢介绘PGF2伪锛翠藉共宸茬PGF2伪姝わ褰璁稿濮濞浠濮缁跺锛PGF2伪宸茬惧拌娑蹭腑浜锛姝ゆ舵介绘村PGF2伪锛宸茬惧扮娈绯荤缁缁琛娑蹭腑虹锛界韬繁伴浠ｈ阿灏瀹浠㈡哄浠ユ涓ヤ娈垫堕村肩杩涓存缁

姝わ2005骞达垮ぇ濡浜х诲(SOGC)轰涓浠藉轰惊璇诲璇锛充不缁锛Primary Dysmenorrhea Consensus Guideline锛锛杩浠芥涓剧被姝㈢涓虹缁不棣锛涓村绌朵腑锛剧被姝㈢甯稿ソ锛璁や负锛ら瀛ㄧ蹇锛剧被姝㈢褰浣涓虹瑙ｅх缁楂娲昏川棣瑕娈点充剧被姝㈢浣跨ㄦ涓℃敞椤癸

1.ㄦ缁濮1~2澶╁濮涓烘锛娉棰娴ㄦ锛浠ュㄧ跺濮虹剁充娇ㄣ

2.涓╀椋浠ュ交瀵硅烘锛ㄨ村娑蹭ュ浠ュ交瀵硅剧变舵缁堕翠匡╃ㄤ浼灞寰寰涓ラ锛

3.姝ょ被╃ㄥ杩澶寸锛＄.

褰讹ㄨ涓垮琚涓烘剧被姝㈢涓峰ソ垮缁斤涓杩杩涓凡缁充

灏界х缁箍涓烘琛锛冲浠ョО寰涓甯歌濡绉娉剧涔涓锛浣澶濂冲瀛变己涔稿宠璇锛姝ょ瀹涓璁稿濂崇浼蹇ㄦ甫ョ凤姣瑙蹇靛ㄦ戒娣卞ヤ汉蹇锛瀵艰翠璁稿濂崇涓戒ㄥ蹇跺姝㈢涓烘╋浣跺锛宸茬杩浜ㄨ浣虫舵轰讹涔涓瑕藉涔轰浜ワ瀹ㄥ浠ユ轰ㄦ村ぇ绋搴交涓锛浣ㄦ蹇姝㈢ㄤ缁浜涓澶у锛姝㈢ユ猴ㄨｄ氨涓ｄ濂界浜

充浜姘寸浼缁规锛稿跨浼缁娉锛寰惧拌锛寰诲璇锛骞舵病浠や汉淇℃缁璁猴姝よ绫绘夸唬娉ㄤ瑕杩涓姝ユ充ギ浜瀹э绮惧缁稿冲骞挎绀句璁ゅ骞朵浠ｈ〃纭涓ユ肩璇冲ㄥ浠缁锛璇寰涓澶

锛浣锛ュ悍灏剧锛