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14 Cards in this Set
- Front
- Back
Menorrhagie
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heavy and long bleeding
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Polymenorrhea =
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short menstrual cycle
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Oligomenorrhea =
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long menstrual cycle
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Metromenorrhagia =
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irregular long and heavy bleeding
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premenstrual syndrome, type 1-4
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Type I.- in the midlle of the cycle
Type II.- second third of the cycle Type III.- midlle and second half Type IV.- same as typ I + peri menstrual period |
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premenstrual syndrome
1) who 2) def 3) when |
1) 25-33% of the female population 30-45 years
2) Definice : cyklic, repetitive – changes - 3) second half of the cycle |
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etiology of premenstral syndrome
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• High oestrogens, low progesterons
• Hyperprolaktemy • hypokalcemie, deficit vitamins • High aldosteron, higher activity renin angiotensin system |
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premenstrual syndrome - clinical
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• Depresion, anxiety,
• Breast pain • Oedemas • GIT issues • Head ache |
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premenstrual syndrome - examination
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• Ultrasound
• Organic issues (hyperprolaktemy, endometriosis) |
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premenstrual syndrome - therapy
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• Non- farmacologic
• Dealing with organic issues …. • Dietetic and water metabolism |
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pharmacologic therapy of premenstrual syndrome
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• diuretics
• nesteroid antiflogiscs (dysmenorea) • bromokriptin (breast pain) • suplementation of the Ca2+ |
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hormonal therapy of premenstrual syndrome
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o COC,
o gestagens (Depo-provera) o Analogs GnRh |
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psychopharmacologic therapy of premenstrual syndrome
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SSSRI- sentralin, citalopram)
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surgical therapy of premenstrual syndrome
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bilateral oophorektomy (the surgical removal of ovaries)
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