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ทิ้งคำถาม - รอคำตอบ

ถามตอบปัญหาปฐมภูมิ หากท่านมีข้อสงสัยเรื่องใด ๆ กรุณาทิ้งคำถามไว้ ทีมงานเราจะหาคำตอบมาให้ คลิก => ถามกันได้เลย นะคะ

ฉีดยาคุม ท้องโตขึ้น แต่ไม่ท้องค่ะ

by รำภาภรณ์ หอมตีบ @May,03 2011 11.54 ( IP : 182...254 ) | Tags : ทิ้งคำถาม - รอคำตอบ

วันนี้เจอcase ผู้หญิงอายุ 39 ปี คุมกำเนิดโดยการฉีดยาคุมตามนัด  มาด้วยอาการ 3 วันก่อน เวียนศีรษะ คลื่นไส้ ไม่อาเจียน สังเกตท้องโตขึ้น  ขาและหน้าบวมในตอนเย็น เป็นบางวัน ไปคลินิกพบสูติ-นรีแพทย์ u/s ผลปกติ  ไม่ตั้งครรภ์ ไปรพศ หาดใหญ่ u/s เจาะlab ผลปกติ  ได้ยาขับลมมากินอาการไม่ดีขึ้น  ตรวจท้องไม่พบascitis คลำได้คล้ายก้อนเคลื่อนไหวได้บริเวณ LLQ  วันนี้มีเลือดคล้ายประจำเดือนสีคล้ำๆ ปนน้ำใสๆ ออกจากช่องคลอดเปื้อนกางเกงในเล็กน้อย ผู้ป่วยมาที่ศูนย์เพื่อต้องการใบรับรองแพทย์หยุดงาน รู้สึกทรมานไม่รู้จะไปพึ่งใครที่ไหน  และวันนี้อาจไปที่วัดเพื่อไปหาพระเพื่อให้ช่วยเหลือีกทางหนึ่ง  คนไข้เป็นอะไรค จะแนะนำคนไข้ไปที่ไหนต่อดีคะ

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Posted @May,03 2011 21.16 ip : 118...239

อาจจะปรับการมีเลือดออกผิดปกติจากยาฉีดคุมกำเนิดโดยใช้ยากินคุมกำเนิดคู่กันสักระยะ
ยาฉีดคุมกำเนิดทำให้อ้วนได้ สำหรับก้อนที่คลำได้ แต่หมอตรวจusปกติน่าจะเป็นลำไส้หรือไขมัน ปัญหาในช่องท้องอาจพิจารณาปรึกษาอายุรแพทย์หรือศัลยแพทย์โรคทางเดินอาหาร

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