17/10/09

Dismenorrea o Colico Menstrual (mujeres..! Atentas)

La dismenorea es una irregularidad de la menstruacion. Es considerado como el transtorno ginecológico más frecuente caracterizado por acompañarse de calambres,náusea,vómito,nerviosismo,cansancio,cefaleas (dolor de cabeza),dolor de mamas (senos),entre otros sintomas.Es tan común que muchas mujeres lo consideran normal.

El dolor caracteristico se presenta en la parte baja del abdomen o en la pelvis,mismo que se puede irradiar a las extremidades pélvicas.

Se distinguen dos tipos diferentes de dismenorrea.
  • Primaria:Se presenta en mujeres jóvenes y ésta suele aparecer entre los 6 y 12 meses posteriores a la menarquia (primera regla) la cuela se debe a los efectos prostaglandias (sustancias liberadas por el utero) las cuales provocan contraccion del musculo uterino,incrementando la presion del mismo,disminución del riego sanguineo y dolor.Suele estar presente durante toda la vida fertil de la mujer y tiende a disminuir con la edad y tras el embarazo.Este tipo de dismenorrea lo sufren entre 30% y 50% de las mujeres y tiene un componente ehereditario.Su tratamiento consiste en medidas general para disminuir los sintomas como realizar ejercicios en forma regular,disminuir el consumo de taaco,alcohol y cafeína y tomar muchos líquidos.

  • La dismenorrea secundaria aparece en mujeres mayores de 30 años y generalmente como consecuencia de una enfermedad como la endometrosis,fibromas uterino o por congestion pelvica.A diferencia de la dismenorrea primaria el dolor es más intenso y continuo,suele aparecer hasta una semana antes del ciclo menstrual y éste puede aumentar o disminuir durante el mismo periodo.El tratamiento varia según la causa del problema y de acuerdo a la gravedad.
En los cuadros agudos de Dismenorrea se recomiendan los inhibidores de la prostaglandia que son en general todos los AINEs (anti-inflamatorios no esteroideos),como pueden ser la aspirina,el naproxeno,el ibuprofenoyel paracetamol u actualmente se prefieren los anti-COx2. Otra manera de tratarla es en forma preventiva,utilizando hormonos para inhibir la ovulacion,lo que por lo general da buenos resultados.

Así mismo,las mujeres con dismenorrea se les recomienda aunmentar el consumo de proteinas y disminuir los alimentos dulces,la cafeína y hacer ejercicio regularmente.
En ambos tipos de dismenorrea o cólico menstrual es importante la valoracion médica adecuada para determinar los factores y/ padecimientos que contribuyen a la aparición del cólico menstrual o dismenorrea y dar el tratamiento efectivo que corresponda según el tipo.

Bueno,espero esta entrada les sirva.

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