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Uterine fibroids are common in uterine tumors
Uterine fibroid is the most common disease in the tumors of the uterus.
1. Characteristics of uterine fibroids.
In uterine fibroids, fibroids can have a uterus, but often many uterine fibroids throughout, committing smaller or larger, depending on each case.
Most of the growth occurs in the body of the uterus, but in rare cases the nucleus may be seen in the cervix, in the circular ligament or broad ligament.
The fibrosis is cancerous, accounting for only 0.5%.
According to scientists, the cause of uterine fibroids is not well known, but the hormone estrogen,
has a significant effect on the fibroid, because people with uterine fibroids, often with the hormone estrogen state.
In fact, quite clearly, women use a high dose of hormone estrogen, which will cause the fiber to grow faster,
The fibroid is also fast growing with the uterus, during pregnancy, and the fibroid will stop growing when it reaches menopause.
However, there is no solid evidence to prove that the hormone estrogen, which causes uterine fibrous growth,
It is not known whether the hormone estrogen, the cause or effect of the uterus.
The prevalence of uterine fibroids in women is high, in our country, the estimated incidence of uterine fibroids in women,
About 18 to 20 percent of all gynecological diseases are actually considered to be low,
Probably because there are women with uterine fibroids, but no clinical symptoms, so not examined for examination.
Although small intestinal fibrosis is asymptomatic, they can sometimes cause severe symptoms, requiring immediate medical attention.
The scientists note,
Cystic fibrosis usually develops in women with estrogen hormone deficiency and is common in premenopausal women.
Depending on the anatomical location, the uterine fibroids originate in the muscle, which can be divided into three distinct categories:
The fibrosis below the mucosa develops just below the lining of the uterus, and grows toward the uterus,
This fibroid may have a stalk, and grow into the uterine cavity, sometimes through the cervix that grows toward the vagina,
fibrous stems, which can be twisted or infected.
Human interstitial fibrosis, or fibrous nucleus in the muscle, is located in the uterus, which causes the muscle to become enlarged.
Peritoneal fibrosis develops towards the abdominal cavity, peritoneum, sometimes with stems,
If the peritoneal nucleus develops in the two broad ligaments, it becomes the nucleus in the ligament.
2. Pathological symptoms.
Symptoms of myocardial infarction:There may be cases of patients with uterine fibroids,
It does not cause clinical symptoms, especially obesity, although the fibroid is enlarged, but the patient does not know and detect.
Depending on the location of the anatomy and mass, the uterine fibroid may cause symptoms,
such as abnormal bleeding, abdominal pain, pinching, infertility, and so on.
Abnormal bleeding is an important symptom, initially characterized by menorrhagia,
It can cause menstrual bleeding, more menstrual bleeding than normal,
Finally, the menstrual cycle is altered, the abnormal bleeding due to the fibrous nucleus, eventually leading to anemia.
Abdominal pain is a rare symptom, often painful due to degenerative fibrosis,
or the uterus contracted to subdue fibrosis, out of the uterus,
Can cause severe sensation in the lower abdomen, fibrous growth in the sub-frame, can compress the nerves, causing pain symptoms spread to the lower limb.
Pressing is a phenomenon, the fibrous nucleus in the ligaments, which can cause compression of the organs in the sub-
such as the ureter, the bladder, the rectum, etc., create urinary symptoms, digestion, and so on.
Infertility is a condition in which the fibrous nucleus deforms the uterus, causing abortion and premature birth.
About physical examination:two-handed gynecological examination can easily detect uterine fibroids,
Sometimes the cervix is pulled up high on the joint, due to large fibrous cervix.
Co-ordination of gynecological examination, with functional symptoms, can determine the location of the fibroid:
Peritoneal fibrosis protrudes into the abdominal cavity, causes the outside of the uterus to deform,
It can be seen just below the hand placed on the abdomen, which causes less bleeding.
The fibrous uterus in the uterine layer also causes less bleeding, but causes the entire uterus to enlarge, very often confused with the pregnancy in the uterus.
The subcutaneous mucosa develops towards the uterine cavity, causing a large bleeding, infection of the fibrous nucleus,
However, when the examination is difficult to know, because the uterus is almost normal, if a type of fiber stalk, commonly called uterine polyps,
Can see the fiber, when the platypus test specimen vagina and cervix.
On subclinical testing:Blood counts are often seen in red blood cells, because patients with persistent blood loss, leucocytes may increase, and the rate of blood clots is usually high.
Imaging of the uterine cavity by contrast medium, which can be seen in the distal uterus,
In the case of fibrous tissue under the mucosa, the entire uterine cavity is enlarged, in the case of interstitial fibrosis,
In the case of peritoneal fibrosis, imaging of the uterus reveals the normal uterus.
Measurement of the uterus indicates that the uterus is larger than normal, and if there is a fibroid in the uterine cavity, the metric may touch the nucleus and be deflected.
Dilation of the uterus in case of uterine fibroids,
The uterus of the uterus develops normally, the glands secretion many, with the image of hormone estrogen.
In diagnosing uterine fibroids, differentiating between intrauterine pregnancies, stillbirths, ovarian tumors, and so on, should be distinguished.
Pregnancy in the womb may be confused with a fibrous nucleus in the interstitium, because the uterus is large and tender,
and determined by HCG test, (human chorionic gonadotropin), positive.
Pregnancy in the womb can be confused with uterine fibroids, especially the peritoneum,
Thorough examination, to detect tumor mobility relative to the uterus, uterine film, and fallopian tubes, can also be seen in the fallopian tube, around the ovary tumor.
3. Common complications.
Although uterine fibroids are benign, they can cause some complications to be noted.
Although uterine fibroids are benign, they can cause some complications to be noted.
Pressurization of the ureters, bladder, colon, may be caused by enlarged fibroid tissue.
Fibrosis can cause infertility, uterine cavity deformity, abortion, premature birth.
During labor for childbirth, the uterus of the cervix, which can cause abnormal fetuses, may become a prostatic tumor to block the exit of the abortion.
After birth, uterine fibroids may affect uterine contraction, resulting in postpartum haemorrhage.
In the postnatal period, the uterine fibroids may be infected.
4. Treatment and prevention.
The choice of treatment, depending on the patient's age, number of births,
pregnancy status, clinical manifestations, position and fiber mass.
In many cases, the uterine core does not need to be treated, without causing a symptom,
Or, if the patient is already menopause, however, be sure it is fibrous, not ovarian,
Therefore, patients should be screened again every 6 months.
Surgical treatment is the cheapest and most radical treatment,
However, it is difficult to determine the size of the fibrous nucleus, but it is recommended that surgery,
Surgical removal of the fibrous nucleus, if the uterine fibroid is pregnant from 12 to 14 weeks of age, although no complications of compression and bleeding.
Surgery may involve the removal of fibrosis, vaginal fibrosis, hysterectomy, or complete removal.
In cases where the patient has uterine fibroids, causes mild complications, or contraindicates surgery,
Because of a disease of the whole body, such as diabetes, high blood pressure, etc.,
medical treatment with synthetic progestatif, from day 15 to 24 of the menstrual cycle,
At a dose of 5mg x 2 tablets a day, progesterone tube 10 to 20mg every 2 days,
On the 16th, 18th, 20th, 22nd, and 24th of the menstrual cycle, if the patient is near the menopause,
Can use testosterone, with doses of 25 to 50mg per day, to stop bleeding and subsequent surgery, can also cure the entire uterus to stop bleeding while preparing for surgery.
In addition, radiotherapy may be used, in rare cases of bleeding, uterine fibroids,
Systemic conditions that do not allow surgery, such as elderly patients, or have heart disease, diabetes, and so on,
Indications for use of radioactive rays, wilt two ovaries, menopause to stop bleeding.
Note, during pregnancy, the uterine fibroid enlarges rapidly with the uterus, but there is no indication of surgical removal of the nucleus,
The majority of patients may have normal spawning, if the spinal cord is enlarged, if the spinal cord is enlarged, or the cervix,
formation of the tumor striker, occupying the fetal descent, the caesarean section,
There is no indication for removal of the fibroid, unless the peritoneal nucleus has a stalk, which can be removed easily,
After birth, the uterus shrinks normally, the fibrous nucleus narrows, it will decide, whether surgery to remove or not.
Prevention of uterine fibroids, by being careful when using estrogen.
When taking oral contraceptives, choose the type with the lowest estrogen hormone,
and regular clinical monitoring, with the doctor's recommendation, especially for premenopausal women,
Because scientists have suggested that uterine fibroids are involved in the effects of hormone estrogen.
5. Doctor's advice.
Although uterine fibroids are identified as benign tumors of the uterus, they are most commonly seen in women with gynecological diseases.
The progression of uterine fibroid tumors is usually quite long, over a period of 5 to 10 years,
So, just surgical management, when there are complications bleeding and squeezing.
Excellent doctor, doctor:NGUYEN VO HINH.
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