{"id":5231,"date":"2023-06-07T14:49:21","date_gmt":"2023-06-07T06:49:21","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=5231"},"modified":"2023-06-07T14:49:51","modified_gmt":"2023-06-07T06:49:51","slug":"%e7%b6%93%e7%97%9b%e4%b8%8d%e9%9c%80%e8%a6%81%e5%bf%8d%e8%80%90%ef%bc%81%e4%b8%ad%e9%86%ab%e4%be%86%e5%b9%ab%e5%bf%99","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/?p=5231","title":{"rendered":"\u7d93\u75db\u4e0d\u9700\u8981\u5fcd\u8010\uff01\u4e2d\u91ab\u4f86\u5e6b\u5fd9"},"content":{"rendered":"\n

\u6587\/\u4e2d\u897f\u6574\u5408\u91ab\u7642\u79d1 \u9673\u5a49\u923a \u91ab\u5e2b<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

\u7d93\u75db\u662f\u4ec0\u9ebc\uff1f<\/strong><\/p>\n\n\n\n

\u3000\u3000\u53c8\u7a31\u751f\u7406\u75db\uff0c\u6307\u5728\u7d93\u671f\u6216\u6708\u7d93\u524d\u5f8c\u5e7e\u5929\uff0c\u51fa\u73fe\u4e0b\u8179\u75d9\u6523\u6027\u75bc\u75db\uff0c\u75db\u611f\u53ef\u80fd\u653e\u5c04\u5230\u5927\u817f\u6216\u8170\u80cc\u90e8\uff0c\u751a\u81f3\u56e0\u5287\u75db\u800c\u660f\u53a5\uff0c\u5e38\u4f34\u6709\u5641\u5fc3\u3001\u5614\u5410\u3001\u8179\u7009\u3001\u982d\u6688\u3001\u5168\u8eab\u4e4f\u529b\u7b49\u75c7\u72c0\uff0c\u5f88\u5927\u7a0b\u5ea6\u7684\u5f71\u97ff\u5973\u6027\u751f\u6d3b\u548c\u5de5\u4f5c\u3002\u800c\u7814\u7a76\u6307\u51fa\uff0c\u8d85\u904e50%\u7684\u5973\u6027\u90fd\u66fe\u6709\u904e\u7d93\u75db\u7684\u7d93\u9a57\u3002<\/p>\n\n\n\n

\u70ba\u4ec0\u9ebc\u6703\u7d93\u75db\uff1f<\/strong><\/p>\n\n\n\n

\u3000\u3000\u7d93\u75db\u4e00\u822c\u53ef\u5206\u70ba\u539f\u767c\u6027\u548c\u7e8c\u767c\u6027\u5169\u985e\u3002<\/p>\n\n\n\n

\u539f\u767c\u6027\u75db\u7d93(Primary dysmenorrhea)\uff1a<\/strong><\/p>\n\n\n\n

\u3000\u3000\u591a\u5c6c\u5148\u5929\u6027\uff0c\u6307\u9aa8\u76c6\u8154\u53ca\u5b50\u5bae\u5167\u6c92\u6709\u75c5\u7406\u56e0\u7d20\u5b58\u5728\uff0c\u901a\u5e38\u958b\u59cb\u65bc\u9752\u6625\u671f\uff0c\u51fa\u73fe\u5728\u521d\u7d93\u5f8c1-2\u5e74\uff0c\u5e38\u898b\u65bc\u672a\u5a5a\u6216\u672a\u751f\u80b2\u7684\u5e74\u8f15\u5973\u6027\u3002\u75bc\u75db\u572812\u81f372\u5c0f\u6642\u5167\u5c31\u6703\u6162\u6162\u6e1b\u8f15\u3002\u56e0\u70ba\u751f\u7406\u671f\u9593\u88fd\u9020\u904e\u591a\u524d\u5217\u817a\u7d20(PGF2-\u03b1,PGE2)\uff0c\u4f7f\u5f97\u5b50\u5bae\u5f37\u70c8\u6536\u7e2e\u53ca\u8840\u6d41\u6e1b\u5c11\uff0c\u5c0e\u81f4\u5b50\u5bae\u7f3a\u8840\uff0c\u56e0\u800c\u5f15\u8d77\u50cf\u75d9\u6523\u7684\u6536\u7e2e\u7d5e\u75db\u3002\u800c\u524d\u5217\u817a\u7d20\u4e5f\u6703\u523a\u6fc0\u8178\u5b50\u8815\u52d5\uff0c\u4f7f\u60a3\u8005\u7d93\u671f\u5bb9\u6613\u62c9\u809a\u5b50\uff0c\u9084\u6703\u51fa\u73fe\u982d\u75db\u3001\u5641\u5fc3\u7b49\u4e0d\u9069\u3002<\/p>\n\n\n\n

\u7e8c\u767c\u6027\u75db\u7d93(Secondary dysmenorrhea)\uff1a<\/strong><\/p>\n\n\n\n

\u3000\u3000\u591a\u5c6c\u5f8c\u5929\u6027\uff0c\u60a3\u8005\u5be6\u969b\u6709\u9aa8\u76c6\u8154\u7684\u75c5\u8b8a\uff0c\u4e00\u958b\u59cb\u4e26\u7121\u75db\u7d93\uff0c\u4e4b\u5f8c\u56e0\u67d0\u7a2e\u75be\u75c5\u800c\u5f15\u767c\uff0c\u591a\u898b\u65bc\u5df2\u5a5a\u7684\u4e2d\u5e74\u5973\u6027\u3002\u75db\u611f\u5e38\u59cb\u65bc\u6708\u7d93\u524d1\u81f32\u9031\uff0c\u6301\u7e8c\u5230\u7d93\u671f\u7d50\u675f\u5f8c\u5e7e\u5929\u3002<\/p>\n\n\n\n

\u3000\u3000\u56e0\u70ba\u9aa8\u76c6\u8154\u5167\u75be\u75c5\u6240\u5c0e\u81f4\uff0c\u6700\u5e38\u898b\u5982\u5b50\u5bae\u5167\u819c\u7570\u4f4d\uff0c\u5176\u5b83\u5305\u542b\u9aa8\u76c6\u8154\u767c\u708e\u3001\u5b50\u5bae\u808c\u7624\u3001\u5b50\u5bae\u5167\u819c\u606f\u8089\u3001\u5375\u5de2\u6216\u8f38\u5375\u7ba1\u767c\u708e\u3001\u5b50\u5bae\u5167\u907f\u5b55\u5668\u6216\u5b50\u5bae\u8178\u9053\u6cbe\u9ecf\u7b49\u3002<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

\u897f\u91ab\u6cbb\u7642\u65b9\u5f0f<\/strong><\/p>\n\n\n\n

  • \u975e\u985e\u56fa\u9187\u985e\u6d88\u708e\u6b62\u75db\u85e5(NSAIDs)<\/strong>\uff1a\u662f\u7b2c\u4e00\u7dda\u7528\u85e5\uff0c\u85c9\u7531\u6291\u5236\u524d\u5217\u817a\u7d20\u751f\u6210\u4ee5\u6cbb\u7642\u7d93\u75db\u3002\u61c9\u5728\u75bc\u75db\u767c\u4f5c\u4e4b\u524d\u6216\u7576\u4e0b\u53ca\u6642\u670d\u7528\uff0c\u5728\u6708\u7d93\u958b\u59cb\u524d24-48\u5c0f\u6642\u4f7f\u7528\uff0c\u4e26\u5728\u7d93\u671f\u6301\u7e8c3-5\u5929\u3002(\u5c0d\u6bd4\uff1a\u5e38\u7528\u4e4bAcetaminophen\uff0c\u56e0\u5c0d\u5468\u908a\u7d44\u7e54\u524d\u5217\u817a\u7d20\u7684\u6291\u5236\u4f5c\u7528\u5fae\u5f31\uff0c\u5c0d\u56b4\u91cd\u7d93\u75db\u6548\u679c\u4e0d\u5f70\u3002)<\/li>
  • \u53e3\u670d\u907f\u5b55\u85e5(oral contraceptives, OCPs)<\/strong>\uff1a\u7531\u96cc\u6fc0\u7d20\u548c\u9ec3\u9ad4\u6fc0\u7d20\u6240\u7d44\u6210\uff0c\u85c9\u7531\u6291\u5236\u6392\u5375\u3001\u6e1b\u5c11\u6708\u7d93\u91cf\uff0c\u4f86\u6291\u5236\u524d\u5217\u817a\u7d20\u7522\u751f\u3002\u5e38\u9808\u670d\u7528\u4e09\u500b\u9031\u671f\u4ee5\u4e0a\u624d\u80fd\u7de9\u89e3\u7d93\u75db\u3002<\/li>
  • \u5b50\u5bae\u5167\u6295\u85e5\u5668(Mirena)<\/strong>\uff1a\u5728\u5b50\u5bae\u5167\u7de9\u7de9\u91cb\u51fa\u9ec3\u9ad4\u7d20\uff0c\u907f\u5b55\u53ca\u7de9\u89e3\u7d93\u75db\u3002<\/li>
  • \u624b\u8853\uff1a<\/strong>\u5305\u62ec\u85a6\u9aa8\u524d\u795e\u7d93\u5207\u9664\u8853\u3001\u5b50\u5bae\u5207\u9664\u7b49\u3002<\/li><\/ul>\n\n\n\n

    \u4e2d\u91ab\u5982\u4f55\u770b\u5f85\uff1f<\/strong><\/p>\n\n\n\n

    \u3000\u3000\u4e2d\u91ab\u7684\u6cbb\u7642\u6703\u56e0\u4eba\u800c\u7570\uff0c\u6839\u64da\u75db\u7684\u6642\u9593(\u7d93\u524d\u6216\u7d93\u5f8c)\u3001\u75db\u7684\u90e8\u4f4d\u3001\u75db\u7684\u6027\u8cea\u3001\u7d93\u8272\u4e0d\u540c\u800c\u6709\u6578\u7a2e\u5206\u985e\uff0c\u6bcf\u500b\u4eba\u90fd\u6709\u91cf\u8eab\u6253\u9020\u7684\u6cbb\u7642\u65b9\u5f0f\uff01<\/p>\n\n\n\n

    1.\u6c23\u6eef\u8840\u7600\u578b\uff1a<\/strong>\u7d93\u524d\u6216\u7d93\u671f\u4e2d\u4e0b\u8179\u6709\u9663\u767c\u6027\u8139\u75db\uff0c\u60c5\u7dd2\u8b8a\u52d5\u6642\u75bc\u75db\u52a0\u91cd\uff0c\u6708\u7d93\u6709\u8840\u584a\uff0c\u80f8\u60b6\u7169\u8e81\uff0c\u4e73\u623f\u8139\u75db\uff0c\u8179\u8139\uff0c\u7d93\u524d\u75c7\u5019\u7fa4\uff0c\u591a\u898b\u65bc\u751f\u6d3b\u58d3\u529b\u5927\u6216\u5bb9\u6613\u7dca\u5f35\u8005\u3002<\/p>\n\n\n\n

    \u2192\u758f\u809d\u7406\u6c23\u3001\u5316\u7600\u6b62\u75db\u3002<\/p>\n\n\n\n

    2.<\/strong>\u809d\u9b31\u5316\u706b\u578b\uff1a<\/strong>\u7d93\u524d\u6216\u7d93\u671f\u5169\u5074\u5c11\u8179\u8139\u75db\uff0c\u7d93\u91cf\u591a\u5448\u9bae\u7d05\u8272\uff0c\u80f8\u60b6\u7169\u8e81\uff0c\u4e73\u623f\u8139\u75db\u660e\u986f\uff0c\u53e3\u4e7e\u53e3\u6e34\uff0c\u7d93\u4f86\u66b4\u8e81\u6613\u6012\u3002<\/p>\n\n\n\n

    \u2192\u6e05\u71b1\u89e3\u9b31\u3001\u5316\u7600\u6b62\u75db\u3002<\/p>\n\n\n\n

    3.<\/strong>\u5bd2\u6fd5\u51dd\u6eef\u578b\uff1a<\/strong>\u5c0f\u8179\u51b7\u75db\uff0c\u8170\u75e0\u624b\u8173\u51b0\u51b7\uff0c\u7d93\u8840\u91cf\u5c11\u5448\u6697\u8910\u8272\uff0c\u4f34\u6709\u8840\u584a\uff0c\u6708\u7d93\u5ef6\u9072\uff0c\u71b1\u6577\u80fd\u7de9\u89e3\u75db\u611f\u3002<\/p>\n\n\n\n

    \u2192\u6eab\u7d93\u6563\u5bd2\u3001\u6d3b\u8840\u6b62\u75db\u3002<\/p>\n\n\n\n

    4.<\/strong>\u6c23\u8840\u4e0d\u8db3\u578b\uff1a<\/strong>\u5c0f\u8179\u5fae\u5fae\u96b1\u75db\uff0c\u7d93\u671f\u5f8c\u534a\u75db\u611f\u52a0\u91cd\uff0c\u5e38\u611f\u75b2\u618a\u3001\u982d\u6688\u3001\u5fc3\u60b8\u7b49\u3002<\/p>\n\n\n\n

    \u2192\u5065\u813e\u76ca\u6c23\u3001\u990a\u8840\u6b62\u75db\u3002<\/p>\n\n\n\n

    \u4e2d\u91ab\u5982\u4f55\u7de9\u89e3\uff1f<\/strong><\/p>\n\n\n\n

    \u79d1\u5b78\u4e2d\u85e5\u6216\u6c34\u714e\u85e5\uff1a<\/strong>\u8a3a\u8108\u5f8c\u4f9d\u500b\u4eba\u8b49\u578b\u8655\u65b9\uff0c\u5f9e\u9ad4\u8cea\u6539\u5584\u7d93\u75db\u539f\u56e0\uff0c\u964d\u4f4e\u7d93\u4f86\u4e0d\u9069\u611f\u4e26\u4e14\u9810\u9632\u5fa9\u767c\u3002<\/p>\n\n\n\n

    \"\"<\/figure><\/div>\n\n\n\n

    \u7a74\u4f4d\u91dd\u7078\uff1a<\/strong>\u4f9d\u8b49\u578b\u9078\u53d6\u5408\u8c37\u3001\u4e09\u9670\u4ea4\u3001\u4e2d\u6975\u3001\u95dc\u5143\u3001\u814e\u4fde\u3001\u516b\u9ace\u7a74\u7b49\u7a74\u4f4d\uff0c\u53ef\u5e73\u65e5\u4fdd\u5065\u8abf\u6574\u6c23\u6a5f\u4ee5\u53ca\u6025\u6027\u671f\u6b62\u75db\uff0c\u82e5\u662f\u4e0d\u6562\u5617\u8a66\u91dd\u7078\uff0c\u53ef\u4ee5\u63a1\u7528\u7a74\u9053\u6309\u6469\u6216\u5916\u6577\u7078\u7642\u818f\u3002<\/p>\n\n\n\n

    \u8cbc\u7078\u85e5\u818f\uff1a<\/strong>\u9078\u53d6\u7a74\u4f4d\u5916\u7528\u8cbc\u6577\uff0c\u6703\u6709\u6eab\u71b1\u7684\u6696\u548c\u611f\uff0c\u91dd\u5c0d\u7d93\u75db\u3001\u7d93\u671f\u8170\u75e0\u3001\u5641\u5fc3\u5614\u5410\u611f\u7684\u5973\u751f\u80fd\u6709\u4e0d\u932f\u7684\u7642\u6548\u3002<\/p>\n\n\n\n

    \u7d93\u75db\u7684\u81ea\u6211\u4fdd\u5065<\/strong><\/p>\n\n\n\n

    \u73ab\u7470\u82b1\u8336\uff1a<\/strong>\u6e96\u5099\u73ab\u7470\u82b110\u516c\u514b\u8207\u9069\u91cf\u51b0\u7cd6\uff0c\u518d\u7528\u958b\u6c34\u6c96\u6ce1\u6210\u8336\u98f2\u3002\u73ab\u7470\u82b1\u8336\u53ef\u505a\u70ba\u5973\u751f\u5e73\u65e5\u4fdd\u990a\u7684\u98f2\u54c1\uff0c\u80fd\u5920\u89e3\u9b31\u3001\u758f\u7406\u6c23\u8840\u3002<\/p>\n\n\n\n

    \u7d05\u8c46\u6696\u6696\u5305DIY\uff1a<\/strong><\/p>\n\n\n\n

    • \u6750\u6599\uff1a\u7d05\u8c46200g\uff0c\u767d\u828d\u3001\u827e\u8349\u3001\u5c0f\u8334\u9999\u3001<\/li>
    • \u4e7e\u8591\u3001\u5ef6\u80e1\u7d22\u54043\u9322\u3002<\/li>
    • \u65b9\u5f0f\uff1a\u5e03\u888b\u5305\u7d81\u7dca\uff0c\u4e0d\u53ef\u4ee5\u7528\u91d8\u66f8\u6a5f\uff0c\u653e\u5165\u5fae\u6ce2\u7210\u4ee5\u4e2d\u706b\u5fae\u6ce22-3\u5206\u9418\uff1b\u6216\u7528\u96fb\u934b\uff0c\u5916\u934b\u4e0d\u52a0\u6c34\u52a0\u71b1\u7d042-5\u6b21\uff1b\u7092\u934b\u4e7e\u7092\u52a0\u71b1\u4ea6\u53ef\u3002\u653e\u5728\u809a\u81cd\u4e0b3\u540b\u71b1\u6577(\u7d041\u500b\u624b\u638c\u5bec\uff0c\u6216\u662f4\u6307\u5bec)\u3002<\/li>
    • \u53ef\u81ea\u88fd\u4e2d\u85e5\u6696\u6696\u5305\u901a\u7d61\u6696\u5bae\u3001\u7de9\u6025\u6b62\u75db\u53c8\u74b0\u4fdd\uff0c\u5b55\u5a66\u3001\u76ae\u819a\u75c5\u60a3\u5247\u4e0d\u9069\u7528\u3002<\/li><\/ul>\n\n\n\n

      \u9ed1\u5de7\u514b\u529b\uff1a<\/strong>\u9ed1\u5de7\u514b\u529b\u542b\u6709\u53ef\u63d0\u9ad8\u8166\u5167\u8840\u6e05\u7d20(serotonin)\u3001\u8166\u5167\u5561(endorphine)\u6fc3\u5ea6\u7684\u6210\u4efd\uff0c\u6703\u8b93\u4eba\u611f\u5230\u7cbe\u795e\u6109\u6085\u3001\u5fc3\u60c5\u597d\u3002\u4f46\u6ce8\u610f\u4e0d\u53ef\u4ee5\u5403\u592a\u591a\uff0c\u56e0\u70ba\u5167\u542b\u5496\u5561\u56e0\u53ef\u80fd\u5c0e\u81f4\u7d93\u75db\uff0c\u4e14\u7576\u5fc3\u5403\u51fa\u80a5\u80d6\u8ca0\u64d4\u3002<\/p>\n\n\n\n

      \u5c11\u62bd\u83f8\u3001\u6e1b\u5c11\u5496\u5561\u56e0\u7684\u651d\u53d6<\/strong><\/p>\n\n\n\n

      \u751f\u6d3b\uff1a<\/strong>\u7d93\u671f\u98f2\u98df\u6ce8\u610f\u907f\u958b\u751f\u51b7\u6cb9\u70b8\u3001\u7a7f\u8457\u6ce8\u610f\u4e0b\u534a\u8eab\u4fdd\u6696\uff0c\u5c24\u5176\u662f\u96d9\u8173\u3002<\/p>\n\n\n\n

      \u904b\u52d5\uff1a<\/strong>\u591a\u904b\u52d5\u53ca\u505a\u745c\u73c8\u7b49\u4f38\u5c55\uff0c\u8b93\u5b50\u5bae\u8154\u8840\u6db2\u5faa\u74b0\u9806\u66a2\uff0c\u5c31\u6bd4\u8f03\u4e0d\u6703\u56e0\u7600\u8840\u800c\u75bc\u75db\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

      \u6587\/\u4e2d\u897f\u6574\u5408\u91ab\u7642\u79d1 \u9673\u5a49\u923a \u91ab\u5e2b \u7d93\u75db\u662f\u4ec0\u9ebc\uff1f \u3000\u3000\u53c8\u7a31\u751f\u7406\u75db\uff0c\u6307\u5728\u7d93\u671f\u6216\u6708\u7d93\u524d\u5f8c\u5e7e\u5929\uff0c\u51fa\u73fe\u4e0b\u8179\u75d9\u6523\u6027\u75bc\u75db\uff0c\u75db […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[18,372,371,220],"class_list":["post-5231","post","type-post","status-publish","format-standard","hentry","category-22","tag-18","tag-372","tag-371","tag-220"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/5231"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5231"}],"version-history":[{"count":2,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/5231\/revisions"}],"predecessor-version":[{"id":5239,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=\/wp\/v2\/posts\/5231\/revisions\/5239"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5231"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5231"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/cshmagazine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}