Sunday, March 9, 2008
Uterine fibroid treatment and prevention
Uterine fibroids from the uterus is the proliferation and tumor formation. Common's performance bleeding, pain, abdominal mass, adjacent organs of oppression symptoms, leucorrhea increase anemia and cardiac dysfunction, and so on. Part of the patients and asymptomatic, often in gynecological census found only suffering from uterine fibroids. Uterine fibroid is the most common gynecologic tumors, was particularly prevalent in the 30 -50 years old, According to the host of uterine myoma muscle wall can be divided into different parts of intramural and subserous, submucous fibroids and within the broad ligament. Treatment : If the fibroid small, asymptomatic, without complications and degeneration and generally do not need medical treatment. Especially close to the age of menopause, because of postmenopausal estrogen level is low, that is, fibroids shrink or disappear naturally. only periodically (3 ~ 6 months) can be reviewed. If the review found fibroid symptoms or increased significantly, before considering further treatment. Surgical treatment of : (a) hysterectomy, the uterus in "three months pregnant uterine size, fibroid symptoms is not large but obviously, or fibroids can not be excluded fast-growing malignant; (b) fibroids enuclearion : apply to 35 years of age, unmarried, or maternity patients; Drug therapy : for the smaller fibroids, the symptoms could not hear, Near menopause or body of persons can not be tolerated surgery. (A) methyl testosterone, testosterone; (2) and progesterone category. ① norethindrone, demand for fertility patients; ② medroxyprogesterone acetate, megestrol acetate, norethindrone, one of the options; ③ luteinizing hormone-releasing hormone analogues. Prevention : suffering from uterine fibroids, regular checks, such as three-six months for a B - or gynecological examinations. If older women, fibroids rapidly in a short period of time or increased postmenopausal vaginal bleeding should also guard against the occurrence of sarcoma degeneration. Menorrhagia should actively correct anemia, the prevention of ischemic heart disease, myocardial degeneration occurring.
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