Monthly very rarely pass unnoticed for well-being. Most women from the first days of the menstrual period experience pain in the abdomen, weakness, general malaise. Sometimes the sensations reach such a force that they force them to bed rest. This pathology is called algodismenorrhea, the code for μb 10 divides it into several diagnoses depending on the manifestations and causes. Another name for the disease is algomenorrhea.
As manifested pathology
According medstatistiki 10% of girls and women has a diagnosis algomenorrhea. This is primarily a strong paroxysmal pain in the lower abdomen, accompanied by other signs. It is caused by natural contractions of the smooth muscles of the uterus for critical days.
The defining cause of medical ailment is called an excessive amount of prostaglandins. These substances are synthesized by the body, they are designed to stimulate the activity of the uterus, so that the old mucosa can be torn off and brought out. But their excessive amount provokes spasms of the vessels of the endometrium and the whole small pelvis.
Stagnation of blood in the veins leads to oxygen deficiency in the tissues, irritation of the nerve roots and pain. Strengthen its calcium salts, accumulated in cells. They cause an increase in intrauterine pressure, which increases the intensity and frequency of organ contractions.
If a woman with horror waits for critical days, pre-tuning to pain, she will have a pathology sooner than a more balanced person.
Maintenance of algodismenosis in women with different psychoemotional features
When diagnosing "algodismenorrhea", microbes pay attention to the concomitant malaise symptomatology. The reaction of the body to the pain may differ depending on the vegetative status of the patient:
- With the active functioning of the sympathetic department of the CNS, there are migraine-like symptoms, nausea, fever, chills, and .The woman is also worried about vascular manifestations: heart pain, tachycardia, weakness and dizziness. Do not lag behind and glitches in the work of digestion: colic in the intestines, constipation. The skin becomes pale. This is accompanied by anxiety, insomnia, can develop to a depressive state;
- The predominance of parasympathetic type of perception of pain leads to increased salivation with subsequent vomiting, slowing of the heart rhythm, fainting, a feeling of lack of air. In women with similar vegetative features, edema of the tissues with PMS and weight gain are strongly pronounced, diarrhea, flatulence are observed. They are apathetic during critical days, sleepy;
- For the mixed type, weakness, shortness of breath, low fever, pressure surges, head and heart pains are characteristic. The emotional background in critical days in women is unstable: attacks of irritability pass into apathy, can be replaced by anxiety, sleep is disturbed.
Types of the disease
The algodismenorrhoea depends on the vegetative status of the microbe 10 divides into the primary and secondary. A more narrow diagnosis has in mind in this case the reasons for its occurrence. The latter in the classification is algodismenorea, unspecified, in which there are no obvious grounds for the sensations, it goes under the number 94.6.
Primary
Primary algomenorrhea, the code for μb 10 No. 94.4, is found in adolescents and young women. It makes itself felt in a year and a half after the first months that have come, that is, together with the stabilization of ovulation and the acquisition of a regularity cycle. Pain manifests with the onset of menstruation, captures not only the lower abdomen, but also gives to the area of the sacrum, the inner space of the thighs. Other already mentioned signs are also acute.
Similar is more often at thin, with a thin bone of girls, suffering besides a vegeto-vascular dystonia, emotional, timid. In some of them, hypoplasia of the uterus is detected during the examination, but in general, the algmenomenia μB 10 No. 94.4 occurs in cases when the genitals are not distinguished by any anomalies.
Secondary
The secondary form of pathology is acquired. Over the years, a woman may not know the problems with menstruation. But the diseases of the reproductive organs can lead to such features of their development that the excretion of menstrual flow is difficult, and intolerable pain arises. Algodismenorea secondary code for μb 10 is numbered 94.5 and appears as a result:
- of Endometriosis. When cells similar to the components of the uterine mucosa extend beyond the body, as well as into its layers, their cyclic development does not differ from normal ones. That is, when menstruating, they are withdrawn, forcing to strengthened contractions of the organ, affecting the neighboring areas of the small pelvis and abdominal cavity. Therefore, more nerve endings are involved in the process;
- Myoma. Located on the way out of menstrual flow, it provokes stagnation of blood. This causes the myometrium to contract more actively, enhancing sensations;
- Chronic inflammatory diseases of the uterus, after which it is possible to form within the body of the adhesions or change its position. In both cases, the excretions can not be removed without hindrance;
- Use of an intrauterine contraceptive. Spirals provoke an increase in the production of prostaglandins. And these substances increase the amplitude and frequency of movements of the smooth muscles of the uterus;
- Damage received during childbirth, abortions. Because of them, too, the appearance of mechanical obstacles to the torn menstrual mucus;
- Varicose veins in the small pelvis. The protrusion of their walls, swelling of the tissues intensify the oscillations of the nerve roots, and consequently, pain sensations.
We recommend that you read an article on back pain in menstruation. You will learn about the causes of discomfort in the back, possible diseases, ways to eliminate painful sensations.
How else to classify the algodismenorei
The code of microbiode algodismenorea compels us to pay attention also to such parameters as the strength of the painful sensations, the severity and the peculiarities of the course of the malaise. According to these criteria, it is divided into
- Light. Pain in critical days is weak, practically not interfering with daily life, not requiring the use of drugs;
- Moderate. Feelings interfere with working capacity, but are removed with the use of analgesics;
- Heavy. The pain is intense, it is supplemented by the whole complex of symptoms, working capacity is practically at zero. At this degree of pathology, analgesics hardly help, the effect of their use is weak and short-lived.
With the diagnosis of "algomenorrhoea," μB divides the state and on the
- Compensated, in which the intensity of pain remains at the same level during many cycles;
- Decompensated when the sensations increase with each passing year or even more often.
In all cases there are ways to get rid of it or, at least, to stabilize the state for the time of critical days.