Uterine parental dreams for her
Have a baby, is 32-year-old Ms. CHAN has become stronger and stronger.
A few years ago together with love Dave's busy career, there is no rush to have a child, a few years, career success, family, and grandmothers are whispering is getting higher and higher frequencies. Pregnant she put aside work, without having to worry about the adoptive child. However, one evening in a few days ago, suddenly abdominal pain Miss Chen, irregular bleeding, family rushed her to hospital for treatment. Because receive timely treatment, Ms. Chen and of life, but the belly of the baby.Ms. CHAN is the result of the growth in pregnant uterine compression occurs in fetal cystic or myoma red transformation of stimulate uterine contraction resulting in abortions.
The first two years, Ms. CHAN has physical examination, she was found on long a 1.5 centimeters of uterine fibroids. At that time she was tensions in many hospitals in Gynecologic outpatients, results were told nothing big problem, periodically review the b-line, multiple review results are the same, no longer go to the hospital visits, did not know until recently, uterine fibroids has increased to 4.5 cm.Leiomyoma patients have two errors
Uterine fibroids are female uterus myoma on long, also known as uterine Leiomyoma is female genital mutilation, the most common benign tumor.
Generally speaking, in young and middle-aged women of reproductive age is a high incidence of people, usually in 5 people, a people sick.Although common, but really understand it.
For uterine fibroids, people often have two misunderstandings: too seriously and not taken seriously."On the one hand, it was examining, ultrasound finds that a couple of centimetres of myoma, scared.
"Langjinghe said, this is completely unnecessary, myoma diagnosis is easy, the treatment is rule-based, and even many of them do not require treatment. In General, if the doctor, the uterus, myoma, no particular symptoms, does not affect normal life and work, with each of the regular 1-2 times a gynecological examination, close monitoring of its changes. On the other hand, some people don't pay attention to check, ignore the body of the "alarm". For example, in the event of irregular menstruation, such as the sudden changes in the menstrual cycle, increased urinary volume, bleeding, urinary frequency and other symptoms, it is customary to eat some Chinese herbs. In fact, this is most likely myoma at work, easily overlooked is totally wrong.Uterine fibroid treatment principle, from the Department of obstetrics and Gynecology, according to the size, location of myoma, have no symptoms, patients of childbearing age, on request, recent developments and complications, diagnosis is clear, and so on, to determine the treatment of uterine fibroids.
"Therefore, neither excessive nor permissive.
Women over the age of 30, preferably every six months to a year for a gynecological examination, the most important. ”Pregnancy complicated by the effects of uterine fibroids
Of uterine fibroids during pregnancy, is called a pregnancy with uterine fibroids, which refers to check out after pregnancy have uterine fibroids, its treatment should be based on pregnancy month, myoma size, manifestation, etc.
L) pregnancy early treatment of uterine fibroids: early pregnancy intervention for uterine fibroids, easily lead to abortion can wait until the second trimester.
If leiomyomas, estimated continuing pregnancy complications, such as patients requiring an abortion you can first pregnancy termination, removal of myoma of short-term expert, or an abortion at line removal of myoma.2) pregnancy-uterine fibroid treatment:
① myoma of diameter less than 6 cm, with no symptoms, regular antenatal check, note that there are no red degeneration of myoma, the vast majority of pregnant women with vaginal delivery is available, without special treatment:
② myoma diameter greater than 6 cm, with growth of uterine leiomyomas may continue to increase, while large myoma is easy with a red transformation and stimulate uterine contraction or have symptoms of peritoneal irritation, when obstetricians are only recommended patients in bed and applications such as specifically analgesics for the treatment of preserving, seldom recommended during pregnancy row myomectomy surgery, only as a last resort cases line myomectony.
3) late pregnancy treatment of uterine fibroids: small myoma can not be processed.
If myoma diameter greater than 8 cm without any symptoms, can wait for the full term for cesarean section when, at the same time line myomectomy surgery. Not only because of the large myoma of uterus, uterine contraction may impact, productivity in the lag, and postnatal placental retention, postpartum hemorrhage and postpartum infection more than normal maternal probability. Individual cases, also possible because no control postpartum hemorrhage or postpartum infection forced the removal of the uterus. Therefore, the mode of delivery to elective caesarean section should be at the same time for myoma caesarean section operation.Uterine fibroids ¡ù infertility
Generally cause infertility causes many, still have uterine fibroids smooth natural conception of women, experts said, uterine fibroids cause women's infertility, but chances are small, even women don't know already pregnant, the amount of excessive bleeding during and abortion, but ignorant.
Therefore cannot be concluded that the main cause of the infertility of uterine fibroids, but if the menstrual cycle, abnormal and excessive bleeding volume, to early medical checks to prevent future pregnancies and production difficulties.Pregnant uterine fibroids don't need treatment or processing, and physicians with do periodic observation, early pregnancy increase ovarian estrogen, myoma larger, to become pregnant later, myoma in, not too will become larger, maybe will shrink, but not a also debatable.
Take the medicine vs axe
Doctors said that uterine fibroid treatments depends on individual needs, you can take conservative drug treatment or surgical removal of the myoma, even extirpation uterus and turn.
Drug treatment: If you just want to treat bleeding volume, or improving infertility, generally are available drugs to
Control, you can reduce the volume, but myoma after myoma will again grow, recurrent high, is a temporary treatment.Surgical treatment for pregnant women is not considered, Zhang Yao Director recommends that can completely excised myoma and uterine, will not only address the symptoms, and does not recur; if there are plans to become pregnant, you can implement uteri, can maintain the functionality of the uterus, but after resection, myoma is still a possibility of regeneration.
(Practice editing: xiujie)
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