Source | Jiangxi Maternal and Child Health Hospital
In the past two days, 11-year-old Xiaomeng has suffered from bleeding after menstruation. Xiaomeng's mother was very anxious and quickly took Xiaomeng to Jiangxi Maternal and Child Health Hospital emergency department for medical treatment.
11-year-old Xiaomeng has a menstrual period in May this year. She has frequent menstruation at the beginning. Each time, she has menstruation once every 15 days. In November, Xiaomeng's menstruation was endless, and vaginal bleeding for 11 consecutive days, causing Xiaomeng's face to be pale and her qi and blood are weak.
Xiao Meng's mother heard from a friend that a girl had just had her period and menstrual disorders were normal and had not been taken seriously. In the past two days, she found that Xiao Meng's vaginal bleeding was not only not clean, but the amount of bleeding was increasing. Oral hemostatic drugs were not effective in the local clinic, and vaginal bleeding continued. Xiao Meng's mother then took Xiao Meng to the hospital for medical treatment.
The doctor found that Xiaomeng had pale face, accelerated heartbeat, and continued vaginal bleeding. The emergency check for hemoglobin showed that it had dropped to 53g/L, and the coagulation function was abnormal. The diagnosis was: "Abnormal uterine bleeding - abortional aovary bleeding, severe anemia" .
After admission, Gynecology Chief physician Guo Jiubai's diagnosis and treatment team immediately gave the girl medicine to stop bleeding, correct Anemia and anti-infection, and after comprehensive treatment, vaginal bleeding gradually decreased. After 4 days of treatment, the girl was completely cleaned and discharged from the hospital. The girl returned to her former health and happiness. The big stone hanging in the heart of the child's mother finally landed on the ground.
mentions abnormal uterine bleeding during adolescence. Most parents may think that it is normal for girls to have menstruation and menstrual abnormalities and does not require treatment. In fact, this is not the case. The abnormal uterine bleeding during "adolescent" is not taken seriously, which may affect the child's physical and mental health and learning, and may even cause serious blood loss to endanger life.
In clinical practice, I often encounter a little girl who just had her period, and the amount was very large, and the parents did not pay attention to it. It was not sent to the hospital for treatment until the girl had a large vaginal bleeding, which caused very serious anemia.
Abnormal uterine bleeding during puberty
Abnormal ovarian abnormal uterine bleeding during puberty The pathogenesis of the hypothalamus-pituitary-ovarian axis (HPO axis) has not yet fully matured to form a regular ovulation cycle. Menstrual menarche only indicates that the hypothalamus-pituitary-ovarian axis has successfully established a functional relationship, but it still takes some time to establish a solid relationship between the ovulation cycle.
Therefore, Mentality does not mean development and maturity. It often takes several years for the HPO axis to mature from menarche to development.
During the development and maturity process, the HPO axis is unstable and prone to dysfunction. Adolescent girls are susceptible to changes in various internal and external environments (such as intense exercise, mental stress, diseases, etc.) and have abnormal menstruation. 85% of the menstrual cycles in one year after menarche are aovoid type, and only 56% of the menstrual cycles in four years after menarche are ovoid type. The clinical manifestations are irregular uterine bleeding, varying length of bleeding, and varying amount of bleeding, which often leads to varying degrees of anemia, and in severe cases, even causing shock to , seriously affecting the patient's quality of life.
How to identify abnormal uterine bleeding
Normal menstruation is Endometrium Affected by ovarian function periodic shedding bleeding. The menstrual cycle is calculated from the first day of menstrual bleeding, not from the clean menstruation! The interval between the first day of the two menstrual bleeding is one menstrual cycle. The normal menstrual cycle is 21-35 days, the average is 28 days, the menstrual period is 2-8 days, and the menstrual volume is 20-60mL.
Normal menstruation has obvious regularity and self-limiting nature. When the menstrual cycle, menstrual period and menstrual volume have significantly changed, it is menstrual abnormality and requires medical treatment.
Abnormal uterine bleeding treatment in adolescence
1 In the early stage of clinical treatment, compound oral contraceptives atrophy of the endometrium and large doses of estrogen to repair the endometrium. According to the bleeding situation, tranexamic acid , Chinese medicine and other drugs can be used at the same time to stop the bleeding. If necessary, blood transfusion and coagulation should be promoted to correct anemia and prevent infection; the later adjustment cycle treatment is 3-6 months to prevent recurrence and help establish an ovulation cycle. Early detection and early treatment are extremely important for the prognosis of female patients in adolescence.
It is unnecessary to get hormones bigger. It is not scary and necessary to use medication safely under the guidance of a doctor.
Actively prevent abnormal uterine bleeding during adolescence
Parents should reduce the occurrence of causes from the source:
1. Urge children to arrange their life and study reasonably, relax their mood, and pay attention to the combination of work and rest.
2. Pay attention to proper nutrition, do not overeat or diet to lose weight, eat less raw, cold, spicy and irritating.
3. Keep the vulva clean and dry, change your underwear frequently, avoid bathing and swimming during menstruation, and prevent infection.
Once abnormal situation occurs
See medical treatment in time
