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新婚女子每次月经用4包卫生巾 医生打开子宫后惊呆了

2017-08-11 20:35:41   中国青年网

照理说普通的腹部B超就能照出肌瘤,为什么直到长了这么多肌瘤王女士都没有查出过。原来王女士认为自己结婚前没有性行为,不需要做妇科检查,就连基础的腹部B超也一并省去了,而过多的月经正是子宫肌瘤在向她示威。

为什么子宫肌瘤会导致月经增多,陈学军解释道,王女士的整个子宫都长满了瘤子,如果把瘤子比成葡萄,她的子宫就是一个长满了葡萄的大葡萄串,而子宫总体积达到正常子宫体积的五倍,几乎看不到正常的子宫肌层。这时子宫就像失去了弹性的皮筋,无法收缩,控制月经闭合的血管就失灵关不上了。

一个月使用超过三包卫生巾

提示月经量太多了

当下,陈学军做出了诊断,让王女士先用药停掉月经,三个月后再办理住院,做手术切除肌瘤。

当王女士领完药,前往动车站回家途中,意外发生了。由于当时正值经期,王女士发现自己下面血流止不住,“我整个人就跟血崩了一样,心悸出冷汗感觉下一秒就要晕倒,连忙打车回医院。”

看到重返医院的王女士虚脱成这样,医生赶紧给她用上止血收宫的药,并收治进病房。

经推算,陈学军指出王女士的月经出现量在400-500毫升左右,再这样下去不出半年,造血系统就可能跟不上失血,导致意外发生。

陈学军介绍,一般情况下,女性月经一个周期的出血量应该在80毫升左右,天数在5天左右。血量超过100毫升、天数在七天以上,或者带血块的出血在三天以上则为月经过多。以卫生巾的用量大概估计,正常的用量是平均一天换四五次,每个周期不超过两包(每包10片计)。假如用3包卫生巾还不够,而且差不多每片卫生巾都是湿透的,就属于月经量过多。严重时可继发贫血。

对此,一旦出现月经过多,不明原因的贫血一定要引起注意,排查是否由子宫肌瘤引起。女性中有20%的人患有子宫肌瘤,但是80%-90%的子宫肌瘤患者是没有症状的。发现子宫肌瘤是否需要一切了之,陈学军认为,需要对子宫肌瘤的大小、位置、数量、是否恶变,是否对生活造成影响等情况进行评估,然后根据评估结果制定个性化方案。

另外,无论有无生育,有无性生活,25岁以上的女性都应该每年做一次腹部B超。

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