Dr. 琼斯: Horrible periods are the burden of being a woman, right? But sometimes, really 沉重的时期 are a sign of something serious, and you should get help. 这是博士. Kirtly Jones from obstetrics and gynecology at University of Utah Health, and this is 范围.
播音员: Covering all aspects of women's health, this is The Seven Domains of Women's Health with Dr. Kirtly Jones在Scope上报道.
Dr. 琼斯: 好吧, 作为对血癌意识的一部分, we are looking at what could be signs of cancer that should seek medical attention and evaluation. Al虽然 沉重的时期 are common and there are many causes, some 沉重的时期 can be a sign of 血癌.
大出血：白血病的症状
最近, 2的研究,000 pre-menopausal women with leukemia revealed that 1 in 10 had heavy vaginal bleeding. 对大多数女性来说, 她们阴道大量出血, 沉重的时期, for the months leading up to their diagnosis of leukemia. But other symptoms, such as fatigue or easy bruising or a fever, brought them to the doctor. But for about 1% of them, this was bleeding. It was this bleeding that brought them to the diagnosis of leukemia.
Al虽然 leukemia is a cancer of white blood cells, when the white blood cells multiply abnormally, they take over the bone marrow and displace the cells that make red blood cells. 和 more importantly, in this case they can replace the cells that make platelets. Platelets are these magic little pieces in our blood that help us make a clot.
Now, complicating this problem of low platelets in some 血癌s is that 化疗 因为白血病经常消灭血细胞, 好的血细胞和坏的血细胞, so that 化疗 itself leads to the low platelets and heavy vaginal bleeding. 通常, 虽然, the medical team knows about this risk in advance and gives women medications to stop their periods before 化疗.
月经来潮的原因?
Low platelets, or platelets that don't work are a common cause of heavy vaginal bleeding. It's one of the most common causes for vaginal bleeding that requires transfusion in teenagers.
Al虽然 leukemia can be a cause of low platelets, there are other blood problems that can cause low platelets, 比如血小板抗体, 叫做自体免疫性血小板减少症, 一个大词, 但是当你仔细分析这个词的时候, the autoimmune means that you're making immunities or antibodies to yourself, and thrombocytes are the cells that make thrombi, 或凝块, 这些血小板.
和 penia means you don't have enough of them. 自身免疫性血小板减少症. A blood test that shows low platelets will lead to more tests that can find out the cause and help with treatment.
What Is Considered Heavy Menstrual Bleeding?
那么什么是月经大量出血呢? Women put up with a lot and are often embarrassed to seek help and figure that 沉重的时期 are just a woman problem.
Soaking more than two extra heavy pads or tampons each hour for several hours is too heavy. Passing clots bigger than a quarter for part of your period is too heavy.
和, 当然, if you can't clot because you don't have enough platelets or clotting factors, 这样你就不会凝血, 这不是什么征兆. But anyway, heavy bleeding that's soaking through your protection for hours at a time is too heavy. 当然, enough bleeding that you're now dizzy when you stand up means that you need to get help today.
何时寻求医疗救助
There are many causes of heavy menstrual bleeding, and some of them are part of a serious underlying medical problem. If you or your daughter or granddaughter or a friend have really heavy menstrual bleeding, 你应该做个评估.
如果这个问题发生在一个年轻女孩身上, she may be afraid to bring it up because of embarrassment or because she doesn't want a pelvic exam. 事实上, 适合年轻女性, 评估通常是通过血液检查, 如果需要检查子宫, 可以使用超声波.
For older women, the problem-causing heavy bleeding is more likely to be a uterine problem, such as 子宫肿瘤, but everyone with really 沉重的时期 gets an evaluation of their blood and their platelets and their clotting factors. Sometimes heavy vaginal bleeding can be a sign of liver or kidney disease, 其他血液检查也会有所大发娱乐.
Be aware that very 沉重的时期 can be a sign of more than just a female problem and get help. Getting the right diagnosis can help with the treatment and make your periods better. 它可能会救你的命. 感谢收看范围.
播音员: Want 范围 delivered straight to your inbox? 在thesoperadio输入您的电子邮件地址.com and click "Sign Me Up" for updates of our latest episodes. 范围 Radio is a production of University of Utah Health Sciences.