『第 143 楼』:
使用 LLM 解释/回答一下
药物的话乌鸡白凤丸听说不错，但是大多数月经不调都是有人为原因的。
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月经不调是泛指各种原因引起的月经改变，包括初潮年龄的提前，延后，周期、经期与经量的变化，是妇女病最常见的症状之一。
引起月经不调的原因有两大类：
1、神经内分泌功能失调引起：主要是下后脑--生茶杯-卵巢轴的功能不稳定或是有缺陷，即月经病。
2、器质病变或药物等引起：包括生殖器官局部的炎症、肿瘤及发育异常、营养不良；颅内疾患；其他内分泌功能失调如甲状腺、肾上腺皮持功能异常、糖尿病、席汉氏病等；肝脏疾患；血液疾患等。使用治疗精神病的药物；内分泌制剂或采取宫内节育器避孕者均可能发生月经不调。某些职业如长跑运动员容易出现闭经。此外，某些妊娠期异常出血也往往被误认为是月经不调。
临床上诊断神经内分泌功能失调性的月经病，必须要排除上述的各种器质性原因。
每个月的那几天，都是女性颇为烦恼的日子。有规律、无疼痛地过了还算好，如果碰到不按规律“办事”的时候，更够女性朋友们烦的了。许多女性发生月经失调后，只是从子宫发育不全、急慢性盆腔炎、子宫肌瘤等妇科疾病去考虑，而忽视了生活因素。殊不知，许多你往往没意识到的不良习惯，都可能是导致月经失调的罪魁祸首。
检查自己不良的生活方式及习惯，是跟月经失调彻底说Bye～bye的前提！
罪魁祸首一：压力
每天的工作节奏让25岁的李娜行色匆匆，一次，李娜惊讶地发现刚刚拜访后离开十多天的“好朋友”又再度降临。为什么一个月中会有两次呢？仔细想想，好长时间以来月经就不太“循规蹈矩”了，有时提前，有时推后，量也比以前多了。
医生在排除了器质性病变的可能后，询问了李娜的生活情况，并肯定地告诉她，是她长期压力过大导致了精神紧张，从而使内分泌紊乱，改变了月经的规律。
专家分析：正值生育年龄的女性，如果长期处于压力下，会抑制脑下垂体的功能，使卵巢不再分泌女性荷尔蒙及不排卵，月经就会开始紊乱。同样，长期的心情压抑、生闷气或情绪不佳，也会影响到月经。
温馨小贴士
1.缓解精神压力，可从事一些全身运动，如游泳，跑步，每周进行一至二次，每次30分钟。
2.多食用一些有减压作用的菜肴，如香蕉、卷心菜、土豆、虾、巧克力、火腿、玉米、西红柿等。
罪魁祸首二：贪凉
许妍是个喜欢打扮的女孩子，即使是在冬天，她也常常穿得很单薄，属于典型的“要风度不要温度”的贪靓一族。而且，她还和很多都市女孩子一样，寒冬的日子也吃冰激凌。许妍的我行我素让月经不再按时造访了，有时一个多月或是两个月来一次，量也比以前少了许多。
专家分析：女性经期受寒，会使盆腔内的血管收缩，导致卵巢功能紊乱，可引起月经量过少，甚至闭经。
温馨小贴士
1.经期要防寒避湿，避免淋雨、涉水、游泳、喝冷饮等，尤其要防止下半身受凉，注意保暖。
2.不妨在食谱中添加大葱、豆类、南瓜、大蒜、生姜、栗子、橘子等食物；另外，醋、酱、植物油、辣椒、胡椒等调料及炖牛肉、鸡肉高汤，都对这种情况引起的月经不调有一定作用。
罪魁祸首三：电磁波
呼机、手机、商务通，一个都不能少；DV机、电炒锅、无绳电话、吸尘器……阿云的生活被电器所包围。但阿云的“好朋友”却不像这些电器一样听她指挥，而是时多时少，袭击的时间也没有规律，令阿云很是烦恼。
专家分析：各种家用电器和电子设备在使用过程中均会产生不同的电磁波，这些电磁波长期作用于人体会对女性的内分泌和生殖机能产生坏影响，导致内分泌紊乱，月经失调。
温馨小贴士
1.日常操作电脑时，要做好防护。
2.在手机上装个免持听筒对话器是比较安全的选择。当然，最好不要长时间使用手机。
3.少用微波炉，冰箱不宜放在卧室里。讲究电器的科学使用，尽量避免多种电器同时开启使用，持续使用时间不可过长，次数不宜过频。
4.多吃一些胡萝卜、豆芽、西红柿、瘦肉、动物肝脏等富含维生素A、C和蛋白质的食物，经常喝些绿茶，都能有效预防和减轻电磁污染对人体的危害。
罪魁祸手首四：便秘
朱莉供职于外企，工作节奏快，午餐通常是叫外卖或到附近的快餐店解决，所吃的食物也大多是主食和肉类，水果、青菜很少。渐渐地，朱莉有了便秘，后来一向准时的月经也开始捣乱了。朱莉很不解：难道月经变得不正常也与吃快餐有关吗？
专家分析：便秘可能会引起女性月经紊乱。直肠内大便过度充盈后，子宫颈会被向前推移，子宫体则向后倾斜。如果长时间反复发生子宫后倾，阔韧带内的静脉就会受压而不畅通，子宫壁会发生充血，并失去弹性。若子宫长久保持在后倾位置，就会发生腰痛、月经紊乱。
温馨小贴士
1.甜蜜药方：取麻油、蜂蜜各一匙，搅拌后服用，可滋润肠胃、促进肠胃蠕动。
2.每日早起空腹喝一碗或两碗热菜汤，对治便秘有显著疗效。
3.杜仲茶是便秘者的上好饮品，可解除便秘、减少脂肪。每天早晚或饭后喝柠檬汁，能增进肠胃消化，减肥并有软便功效。
4.核桃、酸奶、青梅干都是润肠通便的零食；少食用咖啡和多吃香蕉也能起到促进排便的作用，但过量食用会弄巧成拙。
罪魁祸首五：滥用药
英子平时总爱感冒、咳嗽，为了快点康复，她总是吃很多药，有时还要医生给她打抗生素针剂。刚开始病很快就好了，但后来“低级药”就不起作用了，只好用更高级更新的抗生素。与此同时，她发现自己的月经开始推迟来临。
专家分析：滥用或经常大量使用抗生素，对女性而言可致月经失调、不排卵、闭经，这可能是药物抑制和伤害了人自身的抵抗力，导致了机体功能障碍。
温馨小贴士
1.良好的自身免疫力会帮助你抵抗轻微的小病。
2.不要随便给抗生素“升级”。一旦用了高级的抗生素，再用低级的就不起作用了，因为病菌对其已产生了耐受力。因此，用药应询问医生，“升级”要慎重。
罪魁祸首六：蹦迪
王可是都市时尚生活的实践者，经常下班后与朋友或同事去蹦迪，乐此不疲。在震耳欲聋的音乐环境中时间呆得长了，听力似乎有些下降，但更令王可惊奇的是，月经的周期也发生了变化，间隔有时长有时短，这倒底是怎么回事呢
专家分析：噪声会导致女性机能紊乱，对月经和生育能力均有不良影响
温馨小贴士
尽量选择清静的地方聚会，减少对噪声的接触。可以缩短每次光顾迪吧的时间，或在自己家中开party。
罪魁祸首七：吸烟
璐璐常叼着雪茄烟、摩根吞云吐雾，后因连续几个月的月经不调到医院诊治，最后医生给她开出的药方是：戒烟。这使她惊讶极了。
专家分析：烟草中的尼古丁能降低性激素的分泌量，从而干扰与月经有关的生理过程，引起月经不调。每天吸烟1包以上的女性，月经不调者是不吸烟妇女的3倍。
温馨小贴士
1.改变不良生活习惯，果断地戒烟。
2.适量补充维生素C。维生素C能够减轻吸烟对身体的危害，可服用一些药片，或多吃橘子、橙子、猕猴桃等水果。
月经不调治疗的饮食宜忌
1．水果类：瓜类（西瓜、小玉、香瓜、哈蜜瓜）、橘子、水梨、蕃茄、椰子、杨桃、葡萄柚、荔枝、芒果、香蕉、龙眼等。
◎上述生冷或燥性水果请尽量少食，月经期间则避免食用。
2．冰凉饮料及冰冻物（布丁、果冻等）。（30分后，待凉后可少服。）
◎热咖啡和热茶一般没有限制。
3．蔬菜类：萝卜、空心菜、大白菜、苦瓜等，这些蔬菜一般在热煮时已有加葱、蒜、姜、豆豉等配料，寒性已减少，所以上述蔬菜可以食用。
（二）月经不调治疗的平时注意事项
1．请养成运动习惯，运动可以增强体力，促进血循，并可减少服药时间。
2．在水上活动或一般运动后，请速擦干身体着衣，勿贪凉吹风；若不慎淋雨应尽速吹干头发及换衣保暖；月经期间应避免水上活动。
3．日常作息——不要熬夜，以免影响生理节律及内分泌协调性。
4．情绪保持平和，紧张焦虑也会使卵巢功能紊乱。
（三）月经不调治疗的注意事项
1．月经不调治疗的疗程为三个月，第四个月停药观察月经周期情形，一般规律服药后治疗一个疗程后即可恢复正常。
2．月经不调治疗期间，若有感冒，请停服调经药物，等感冒好后再服。
3．月经不调治疗期间，若有服其它药物类（白凤丸、四物汤等），请告知医师。
4．月经恢复正常后，请特别节制生冷瓜果、冰凉饮料，以免复发。
5．调经须较长时间配合，请耐心服用药物。
Regarding medications, Wuji Baifeng Pill is said to be good, but most menstrual irregularities have human causes.
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Menstrual irregularities generally refer to changes in menstruation caused by various reasons, including the advance, delay of the menarche age, changes in the cycle, menstrual period and menstrual volume, and are one of the most common symptoms of women's diseases.
There are two major categories of causes of menstrual irregularities:
1. Caused by neuroendocrine dysfunction: mainly the unstable or defective function of the hypothalamus-pituitary-ovarian axis, that is, menstrual diseases.
2. Caused by organic lesions or medications, etc.: including local inflammation, tumors and developmental abnormalities of reproductive organs, malnutrition; intracranial diseases; other endocrine dysfunction such as abnormal thyroid and adrenal cortical function, diabetes, Sheehan's disease, etc.; liver diseases; blood diseases, etc. The use of drugs for mental illness; endocrine preparations or those using intrauterine devices for contraception may all cause menstrual irregularities. Certain occupations such as long-distance runners are prone to amenorrhea. In addition, some abnormal bleeds during pregnancy are often mistakenly regarded as menstrual irregularities.
Clinically, to diagnose neuroendocrine dysfunctional menstrual diseases, it is necessary to rule out the above various organic causes.
Every month, those days are quite a troublesome time for women. If it passes regularly and without pain, it's还算 good. If it doesn't follow the rules, it's enough to trouble women friends. Many women, after having menstrual disorders, only consider gynecological diseases such as underdeveloped uterus, acute and chronic pelvic inflammatory disease, uterine fibroids, etc., and ignore life factors. Little do they know that many bad habits you don't realize often may be the culprits leading to menstrual disorders.
Checking your bad lifestyle and habits is the premise to say Bye～bye to menstrual disorders thoroughly!
The number one culprit: stress
Li Na, who is 25 years old, is in a hurry with her daily work rhythm. Once, Li Na was surprised to find that her "good friend" who had left more than ten days after the visit came again. Why would there be two times in a month? After thinking carefully, her period has not been "regular" for a long time. Sometimes it comes early, sometimes it comes late, and the amount is more than before.
After ruling out the possibility of organic lesions, the doctor asked Li Na about her life situation and definitely told her that it was her long-term excessive stress that led to mental tension, thus causing endocrine disorders and changing the regular pattern of menstruation.
Expert analysis: For women of childbearing age, if they are under long-term stress, it will inhibit the function of the pituitary gland, so that the ovary no longer secretes female hormones and does not ovulate, and menstruation will start to be disordered. Similarly, long-term depression, sulking or bad mood will also affect menstruation.
Warm tips
1. To relieve mental stress, you can engage in some full-body exercises, such as swimming, running, once or twice a week, 30 minutes each time.
2. Eat more dishes with stress-relieving effects, such as bananas, cabbages, potatoes, shrimps, chocolates, hams, corns, tomatoes, etc.
The number two culprit: being greedy for cold
Xu Yan is a girl who likes to dress up. Even in winter, she often wears very thinly and belongs to the typical "fashion over temperature" group. Moreover, she, like many urban girls, eats ice creams in cold winter days. Xu Yan's self-will made her period not come on time. Sometimes it comes once every one or two months, and the amount is much less than before.
Expert analysis: When women catch cold during menstruation, the blood vessels in the pelvic cavity will contract, leading to ovarian dysfunction, which can cause too little menstrual flow or even amenorrhea.
Warm tips
1. Keep warm and avoid getting wet during menstruation. Avoid getting caught in the rain, wading in water, swimming, drinking cold drinks, etc. Especially prevent the lower body from getting cold and pay attention to warmth.
2. You may add foods such as scallions, beans, pumpkins, garlic, ginger, chestnuts, oranges, etc. in the recipe; in addition, seasonings such as vinegar, soy sauce, vegetable oil, chili peppers, peppers, and stewed beef and chicken stock all have a certain effect on menstrual irregularities caused by this situation.
The number three culprit: electromagnetic waves
Pager, mobile phone, personal digital assistant, none can be less; DV machine, electric frying pan, cordless phone, vacuum cleaner... A Yun's life is surrounded by electrical appliances. But A Yun's "good friend" is not as obedient as these electrical appliances. Instead, it comes in large or small amounts, and the attack time is not regular, which makes A Yun very troubled.
Expert analysis: Various household appliances and electronic devices will all generate different electromagnetic waves during use. These electromagnetic waves acting on the human body for a long time will have a bad impact on women's endocrine and reproductive functions, leading to endocrine disorders and menstrual irregularities.
Warm tips
1. When operating the computer daily, do a good job in protection.
2. It is a relatively safe choice to install a hands-free earpiece on the mobile phone. Of course, it is best not to use the mobile phone for a long time.
3. Use the microwave oven less, and the refrigerator should not be placed in the bedroom. Pay attention to the scientific use of electrical appliances, try to avoid using multiple electrical appliances at the same time, the continuous use time should not be too long, and the frequency should not be too frequent.
4. Eat more foods rich in vitamin A, C and protein such as carrots, bean sprouts, tomatoes, lean meat, animal liver, etc., and often drink some green tea, which can effectively prevent and reduce the harm of electromagnetic pollution to the human body.
The number four culprit: constipation
Julie works in a foreign enterprise, has a fast work rhythm, and usually orders takeout or solves it at nearby fast food restaurants for lunch. The food she eats is mostly staple food and meat, and there are few fruits and vegetables. Gradually, Julie has constipation, and then her period, which was always on time, started to make trouble. Julie doesn't understand: Could it be that the irregular menstruation is also related to eating fast food?
Expert analysis: Constipation may cause women's menstrual disorders. After the rectum is overly filled with stool, the cervix will be pushed forward, and the uterus will be tilted backward. If uterine retroversion occurs repeatedly for a long time, the veins in the broad ligament will be compressed and not unobstructed, the uterine wall will be congested and lose elasticity. If the uterus remains in the retroverted position for a long time, low back pain and menstrual disorders will occur.
Warm tips
1. Sweet prescription: Take a spoonful of sesame oil and honey each, stir and take it, which can moisten the intestines and promote intestinal peristalsis.
2. Drink a bowl or two bowls of hot vegetable soup on an empty stomach every morning, which has a significant curative effect on treating constipation.
3. Eucommia ulmoides tea is a good drink for constipated people, which can relieve constipation and reduce fat. Drink lemon juice in the morning and evening or after meals every day, which can enhance gastrointestinal digestion, lose weight and have the effect of softening stools.
4. Walnuts, yogurt, dried green plums are all snacks for relieving constipation; eating less coffee and more bananas can also promote defecation, but excessive consumption will backfire.
The number five culprit: excessive use of medications
Yingzi usually loves to catch colds and coughs. In order to recover quickly, she always takes a lot of medicines, and sometimes even asks the doctor to give her antibiotic injections. At first, the disease got better quickly, but later the "low-level medicines" didn't work, so she had to use more advanced and new antibiotics. At the same time, she found that her period started to be delayed.
Expert analysis: Excessive or frequent large-scale use of antibiotics can cause menstrual disorders, anovulation, and amenorrhea for women. This may be because the drugs suppress and damage their own resistance, leading to dysfunction of the body.
Warm tips
1. A good self-immunity will help you resist minor illnesses.
2. Don't randomly "upgrade" antibiotics. Once you use advanced antibiotics, the low-level ones won't work anymore because the germs have developed resistance to them. Therefore, when taking medicine, you should consult a doctor, and "upgrading" should be done with caution.
The number six culprit: dancing at discos
Wang Ke is a practitioner of urban fashionable life. She often goes dancing with friends or colleagues after work and enjoys it. After staying in the deafening music environment for a long time, her hearing seems to have decreased a bit, but what surprises Wang Ke even more is that the cycle of her period has also changed, with intervals sometimes long sometimes short. What on earth is going on
Expert analysis: Noise can cause women's dysfunction, and has adverse effects on menstruation and fertility.
Warm tips
Try to choose a quiet place for gatherings and reduce exposure to noise. You can shorten the time of visiting discos each time, or have a party at your own home.
The number seven culprit: smoking
Lulu often smokes cigars and Morgan and puffs clouds and mists. Later, because of consecutive several months of menstrual irregularities, she went to the hospital for diagnosis and treatment. Finally, the doctor prescribed her the prescription: quit smoking. This surprised her extremely.
Expert analysis: Nicotine in tobacco can reduce the secretion of sex hormones, thus interfering with the physiological processes related to menstruation and causing menstrual irregularities. For women who smoke more than 1 pack of cigarettes a day, the incidence of menstrual irregularities is 3 times that of non-smoking women.
Warm tips
1. Change bad living habits and resolutely quit smoking.
2. Supplement vitamin C appropriately. Vitamin C can reduce the harm of smoking to the body. You can take some tablets or eat more fruits such as oranges, tangerines, kiwis, etc.
Dietary taboos for the treatment of menstrual irregularities
1. Fruits: melons (watermelon, Xiaoyu, cantaloupe, Hami melon), oranges, pears, tomatoes, coconuts, carambolas, grapefruits, lychees, mangoes, bananas, longans, etc.
◎Please try to eat less of the above raw or dry fruits, and avoid eating them during menstruation.
2. Cold drinks and frozen things (puddings, jellies, etc.). (After 30 minutes, you can take a little after it is cooled.)
◎There are generally no restrictions on hot coffee and hot tea.
3. Vegetables: radishes, water spinach, Chinese cabbages, bitter gourds, etc. These vegetables generally have added scallions, garlic, ginger, fermented black beans and other ingredients when cooked, and the cold nature has been reduced, so the above vegetables can be eaten.
(2) Daily precautions for the treatment of menstrual irregularities
1. Please develop the habit of exercise. Exercise can enhance physical strength, promote blood circulation, and can reduce the time of taking medicine.
2. After water activities or general exercise, please dry your body quickly and put on clothes, don't be greedy for cooling and blowing; if you accidentally get caught in the rain, please dry your hair and change clothes to keep warm as soon as possible; menstruation should be avoided Water activities during the period.
3. Daily work and rest - don't stay up late, so as not to affect the physiological rhythm and endocrine coordination.
4. Keep a peaceful mood, and nervous anxiety will also cause ovarian dysfunction.
(3) Precautions for the treatment of menstrual irregularities
1. The course of treatment for menstrual irregularities is three months. Stop taking the medicine in the fourth month to observe the menstrual cycle. Generally, after regular medication, the normal menstrual cycle can be restored after one course of treatment.
2. During the treatment of menstrual irregularities, if you have a cold, please stop taking the menstrual regulation medicine, and take it again after the cold is cured.
3. During the treatment of menstrual irregularities, if you are taking other medicines (Baifeng Pill, Siwu Tang, etc.), please inform the doctor.
4. After menstruation returns to normal, please especially control raw fruits and vegetables, cold drinks, so as not to relapse.
5. Menstrual regulation needs to be coordinated for a long time, please take the medicine patiently.
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