{"id":5634,"date":"2019-12-03T07:03:28","date_gmt":"2019-12-03T07:03:28","guid":{"rendered":"https:\/\/jurmed.ro\/pacienti\/?p=5634"},"modified":"2019-12-03T07:03:28","modified_gmt":"2019-12-03T07:03:28","slug":"dismenoreea-durerea-menstruala","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/","title":{"rendered":"Dismenoreea (durerea menstrual\u0103)"},"content":{"rendered":"<h3>Dismenoreea (durerea menstrual\u0103)<\/h3>\n<p style=\"text-align: justify\">Autor:<\/p>\n<p style=\"text-align: justify\"><strong>Dr. Paul-Doru Cotu\u0163iu<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>medic specialist obstetric\u0103-ginecologie<br \/>\nla Clinica \u2019\u2019Ginecologie 1\u2019\u2019 \u00een Cluj-Napoca<br \/>\n\u2022 <a href=\"http:\/\/www.ginecologultau.ro\/\"><strong>www.ginecologultau.ro<\/strong><\/a><\/li>\n<\/ul>\n<p style=\"text-align: justify\">Dismenoreea reprezint\u0103 termenul pentru durerile ap\u0103rute o dat\u0103 cu menstrua\u021bia. Frecvent aceste dureri se asociaz\u0103 \u0219i cu simptome de ordin general cum ar fi migrenele. Mai mult de jum\u0103tate dintre femei acuz\u0103 dureri \u00een timpul menstrua\u021biei sau perimenstrual, \u00eens\u0103 un procent mult mai mic (\u00een jur de 10%) prezint\u0103 forme severe care s\u0103 le exclud\u0103 o perioad\u0103 de c\u00e2teva zile din via\u021ba social\u0103. Dismenoreea este considerat\u0103 apanajul ciclurilor dureroase, motiv pentru care ea apare cu o frecven\u021b\u0103 mai mic\u0103 la feti\u021be (care au primele cicluri menstruale), frecven\u021ba cresc\u00e2nd o dat\u0103 cu v\u00e2rsta, maximul fiind atins la femeile cu v\u00e2rsta de peste 20 de ani. \u00cen unele cazuri dismenoreea poate diminua sau disp\u0103rea dup\u0103 ce femeia a avut o sarcin\u0103.<\/p>\n<p style=\"text-align: justify\"><u>Semne \u0219i simptome:<\/u> \u2013 except\u00e2nd durerea sem-ne-le \u0219i simptomele generale apar inconstant: l\u00a0durere colicativ\u0103 \u00een dismenoreea primar\u0103; l\u00a0durere constant\u0103 \u00een pelvis sub form\u0103 de tensiune sau cramp\u0103 \u00een dismenoree secundar\u0103; l\u00a0migrene asociate sau nu cu fotofobia; l\u00a0gre\u021buri \u0219i v\u0103rs\u0103turi; l\u00a0diaree sau constipa\u021bie; l\u00a0transpira\u021bii reci, valuri de c\u0103ldur\u0103, hipotensiune arterial\u0103 cu sau f\u0103r\u0103 ame\u021beli; l\u00a0tulbur\u0103ri psihice (anxietate, iritabilitate sau depresie); l\u00a0tendin\u021be de autoizolare sau agresivitate<\/p>\n<p style=\"text-align: justify\"><u>Clasificarea dismenoreei:<\/u> l\u00a0primar\u0103 (idiopatic\u0103); l\u00a0secundar\u0103; l\u00a0precoce; l\u00a0tardiv\u0103.<\/p>\n<p style=\"text-align: justify\"><u>Dismenoreea primar\u0103:<\/u> Nu are o cauz\u0103 organic\u0103 detectabil\u0103 (malforma\u021bii sau patologie ginecologic\u0103), fiind mai frecvent\u0103 la pacientele cu labilitate psihic\u0103 sau la pacientele care au \u00een familie rude cu dismenoree (factorul genetic). Durerea apare \u00een etajul abdominal inferior \u0219i are caracter colicativ, precede cu c\u00e2teva ore apari\u021bia ciclului menstrual \u0219i are o durat\u0103 de 1-2zile. Apare la scurt timp dup\u0103 menarh\u0103 (primul ciclu menstrual) \u0219i se asociaz\u0103 cu ciclurile ovulatorii. \u00cen apari\u021bia dismenoreei primare este incriminat factorul hormonal (un dezechilibru \u00eentre estrogeni \u0219i progesteron) \u0219i producerea \u00een exces a prostaglandinelor (intervin \u00een contractilitatea uterin\u0103 \u2013 produc\u00e2nd contac\u021bii uterine spasmodice , de asemenea explic\u00e2nd \u0219i simptomele generale cum ar fi grea\u021ba sau v\u0103rs\u0103turile).<\/p>\n<p style=\"text-align: justify\"><u>Dismenoreea secundar\u0103:<\/u> Au ca \u0219i cauz\u0103 o patologie \u00een sfera ginecologic\u0103 \u0219i apar dup\u0103 un interval liber de c\u00e2\u021biva ani de la apari\u021bia primei menstrua\u021bii \u2013 menarha. Durerile sunt sub form\u0103 de tensiune sau crampe \u00een etajul abdominal inferior, rareori av\u00e2nd caracter colicativ ca \u0219i \u00een cazul dismenoreei primare. Mai jos redau c\u00e2teva\u00a0 posibile cauze ale dismenoreei secundare. Cauze ale dismenoreei secundare: l\u00a0endome-trioza; l\u00a0malforma\u021bii genitale; l\u00a0BIP (boala inflamatorie pelvin\u0103); l\u00a0fibromul uterin; l\u00a0uter retrovers; l\u00a0purt\u0103tore de sterilet; l\u00a0polipi endometriali sau cervicali; l\u00a0adenomioz\u0103; l\u00a0obstruc\u021bie tubar\u0103; l\u00a0sinechie uterin\u0103; l\u00a0stenoza cervical\u0103<\/p>\n<p style=\"text-align: justify\"><u>Dismenoreea precoce:<\/u> Se declan\u0219eaz\u0103 cu pu\u021bin timp \u00eenainte, \u00een timpul sau imediat dup\u0103 apari\u021bia menstrua\u021biei. Apare mai frecvent \u00een cazul dismenoreei secundare.<\/p>\n<p>Autor:<\/p>\n<p><strong>Dr. Paul-Doru Cotu\u0163iu<\/strong><\/p>\n<ul>\n<li>medic specialist obstetric\u0103-ginecologie<br \/>\nla Clinica \u2019\u2019Ginecologie 1\u2019\u2019 \u00een Cluj-Napoca<br \/>\n\u2022 <a href=\"http:\/\/www.ginecologultau.ro\/\"><strong>www.ginecologultau.ro<\/strong><\/a><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><u>Dismenoreea tardiv\u0103:<\/u> Apare la distan\u021b\u0103 de apari\u021bia fluxului menstrual, uneori dup\u0103 terminarea acestuia. Nu este caracteristic\u0103 pentru disemenoreea primar\u0103 sau secundar\u0103 \u0219i apare mult mai rar dec\u00e2t dismenoreea precoce.<\/p>\n<p style=\"text-align: justify\"><u>Tratamenutul dismenoreei:<\/u> \u00cen cazul dismenoreei secundare concomitent cu tratarea dismenoreei se va trata \u0219i cauza care a dus la apari\u021bia dismenoreei.<\/p>\n<p style=\"text-align: justify\">l\u00a0COC (contraceptivele orale combinate). Av\u00e2nd \u00een vedere c\u0103 o dat\u0103 cu utilizarea lor apare un endometru relativ atrofic care nu mai secret\u0103 cantit\u0103\u021bi mari de prostaglandine reduc durerea ap\u0103rut\u0103 la menstrua\u021bie. Pot accentua migrenele, contraindica\u021biile \u0219i efectele adverse limiteaz\u0103 utilizarea lor la anumite categorii de paciente. l\u00a0Progestativele de sintez\u0103 \u2013 prin inducerea amenorrei (lipsa menstrua\u021biei) suprim\u0103 durerea ce ar apare la menstrua\u021bie. l\u00a0Antiprostglandinele sunt antiinflamatoare nesteroidiene (AINS) \u0219i intervin \u00een blocarea producerii de prostaglandine. Utilizarea lor este limitat\u0103 de patologia digestiv\u0103 concomitent\u0103 (dac\u0103 ea exist\u0103) \u0219i de efectele secundare ale acestora. 1. Aspirina \u0219i Paracetamolul (eficien\u021b\u0103 redus\u0103). 2. Indometacin \u0219i Fenibutazon\u0103 (eficien\u021b\u0103 medie). 3. Ibuprofen, Naproxen \u0219i Piroxicam (eficien\u021b\u0103 superioar\u0103). l\u00a0Inhibitorii de calciu \u2013 Nifedipin. l\u00a0Beta mimetice \u2013 Gynipral. l\u00a0Rezec\u021bia nervului presacrat. l\u00a0Histerectomia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dismenoreea (durerea menstrual\u0103) Autor: Dr. Paul-Doru Cotu\u0163iu medic specialist obstetric\u0103-ginecologie la Clinica \u2019\u2019Ginecologie 1\u2019\u2019 \u00een Cluj-Napoca \u2022 www.ginecologultau.ro Dismenoreea reprezint\u0103 termenul pentru durerile ap\u0103rute o dat\u0103 cu menstrua\u021bia. Frecvent aceste [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[67,155],"tags":[],"class_list":["post-5634","post","type-post","status-publish","format-standard","category-articole","category-obstetica-ginecologie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dismenoreea (durerea menstrual\u0103)<\/title>\n<meta name=\"description\" content=\"Dismenoreea (durerea menstrual\u0103) Autor: Dr. Paul-Doru Cotu\u0163iu medic specialist obstetric\u0103-ginecologie\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dismenoreea (durerea menstrual\u0103)\" \/>\n<meta property=\"og:description\" content=\"Dismenoreea (durerea menstrual\u0103) Autor: Dr. Paul-Doru Cotu\u0163iu medic specialist obstetric\u0103-ginecologie\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/\" \/>\n<meta property=\"og:site_name\" content=\"Jurmed - Pacienti\" \/>\n<meta property=\"article:published_time\" content=\"2019-12-03T07:03:28+00:00\" \/>\n<meta name=\"author\" content=\"Alina\" \/>\n<meta name=\"twitter:label1\" content=\"Scris de\" \/>\n\t<meta name=\"twitter:data1\" content=\"Alina\" \/>\n\t<meta name=\"twitter:label2\" content=\"Timp estimat pentru citire\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/\"},\"author\":{\"name\":\"Alina\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/1203ddfc75cb6a85fecd32186ee55582\"},\"headline\":\"Dismenoreea (durerea menstrual\u0103)\",\"datePublished\":\"2019-12-03T07:03:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/\"},\"wordCount\":699,\"commentCount\":0,\"articleSection\":[\"Articole\",\"Obstetica - ginecologie\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/\",\"url\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/\",\"name\":\"Dismenoreea (durerea menstrual\u0103)\",\"isPartOf\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#website\"},\"datePublished\":\"2019-12-03T07:03:28+00:00\",\"author\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#\/schema\/person\/1203ddfc75cb6a85fecd32186ee55582\"},\"description\":\"Dismenoreea (durerea menstrual\u0103) Autor: Dr. Paul-Doru Cotu\u0163iu medic specialist obstetric\u0103-ginecologie\",\"breadcrumb\":{\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/#breadcrumb\"},\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/dismenoreea-durerea-menstruala\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/jurmed.ro\/pacienti\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Dismenoreea (durerea menstrual\u0103)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/jurmed.ro\/pacienti\/#website\",\"url\":\"https:\/\/jurmed.ro\/pacienti\/\",\"name\":\"Jurmed - Pacienti\",\"description\":\"JURMED \u2013 Jurnal de Sanatate este o publicatie lunara de informare si preventie medicala. 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