Tuesday, March 11, 2008

Uterine Fibroids clinical performance

Clinical common phenomenon is bleeding, breast pain, a small abdominal secret anguish, adjacent organs of oppression symptoms, leucorrhea increase Infertility, anus with a sense of falling, increased menstrual flow or dripping constantly, waist pain, face pigmentation or chloasma, eyes were black and appeared, anemia, heart dysfunction, pelvic examination can lay hands to the body of the uterus and increased quality hardware. Uterine Fibroids clinical manifestation of the growth of fibroids with the location, size, growth rate, variability and availability of secondary complications varies. Clinical common phenomenon is bleeding, abdominal mass, pain, pressure adjacent organs near symptoms, leucorrhea increasing infertility, anemia and cardiac dysfunction. Uterine fibroids (1) Uterine fibroid uterine bleeding for the main symptoms seen in the 50% or more patients. With the cyclical hemorrhage (excessive menstrual flow, menstrual extended or shortened menstrual cycle), about pruning and aperiodic (continuous or irregular) accounted for one-third of bleeding. Intramural hemorrhage mainly due to fibroids and submucosal fibroids cause. Cyclical bleeding occurred in intramural fibroids. Submucous, intramural and subserosal fibroids hemorrhage rates were 36% and 100%,74%. Bleeding caused by fibroid volume of reasons : one, because fibroid patients at high estrogen merger and the proliferation of endometrial polyps, When menstruation to the quantity, 2, due to uterine fibroid volume increases, an increase in endometrial bleeding and excessive bleeding too long. 3, submucosal fibroids, mucosal surface often fester, necrosis, resulting in Chronic Endometritis caused dripping constantly bleeding. 4, intramural fibroids, and uterine contraction affecting vascular oppression, or submucosal fibroids endarterectomy itself and not contraction both bleeding volume and duration of the extension, 5, can be larger fibroids and pelvic congestion, so that blood volume and strong, 6, Menoxenia menopause. Or excessive menstrual periods can be extended alone or appearing together. If the menstrual cycle and reduce the (frequent) exist in a short period of time can be lost a lot of blood due to severe anemia. Submucosal fibroids emerge in the vaginal bleeding was aperiodic, the volume can be enormous. Polypoidal large fibroids often caused continuing bloodshed. (2) abdominal mass under regular abdominal mass in patients with uterine fibroids to the complaint, can be as high as 69.9%. Sometimes may be the only symptoms of fibroids. Abdominal mass found in the uterine fibroids grow into the pelvis, often in the early morning hours fasting bladder filling obvious. Because uterine fibroids and was pushed over, it was easier to have their own contacts, over 4-5 months pregnant uterus large, not filling the bladder can also touched on. Uterine fibroid general at the center of the lower abdomen, few are almost side of the lower abdomen, quality hardware or severe flu. Larger, more degeneration, soft and smooth. (3) performance of pain, abdominal pain were about 40%, waist acid were 25% and 45% of those Dysmenorrhea also showed lower abdomen bulge flu or back pain, the degree is not more serious. Pain is a pelvic tumor vascular compression caused bleeding, and nerve or oppression, or pedunculated submucosal fibroids can stimulate uterine contraction. Intrauterine outward from the discharge pipe caused by cervical changes generous and pain, or fibroids cause pelvic inflammatory disease infected necrosis. Adhesions, such as traction caused. If the individual because of uterine myoma red degeneration, abdominal pain and drama than with a fever. Subserosal uterine fibroids or uterine torsion axis torsion when severe acute abdominal pain. Big subserosal fibroids to grow within the broad ligament, not only oppressed nerve, vascular cause pain, but also oppression caused ureter or ureteral hydronephrosis where low back pain. Where severe dysmenorrhea and gradual increase frequently for uterine fibroids with adenomyosis or endometrial disease caused. (4) compression symptoms occur in cervical fibroids, or for the lower uterus myoma increased, with the pelvis, oppression around the organ involved. Bladder pressure, occur in urinary frequency or difficult urination, urinary retention; Oppression ureter, to hydronephrosis, pyelonephritis, Growth in the posterior wall of uterus myoma may oppression rectum, caused constipation and even bowel problems. Pelvic vein compression, there will be lower extremity edema. Oppression pre-menstrual symptoms in the more notable, which is swelling of uterine fibroids congestive about it. If subserosal uterine leiomyoma incarcerated in Waterloo rectum can also arise bladder or rectum compression. Fibroid symptoms oppression caused about 30%. (5) Leucorrhea Leucorrhea increased 41.9%. Uterine cavity increases, increased endometrial glands, or associated with pelvic inflammatory congestive enable both leucorrhea, When submucosal fibroids occur ulcer, infection, hemorrhage, necrosis, created bloody pus or foul Baidai sexual leucorrhea, can be a lot of volume. (6) 30% of infertility and abortion in patients with uterine fibroids infertility. Treatment might be the guilty party to be pregnant, and the inspection found the existence of uterine fibroids. Uterine fibroids cause infertility for many reasons. Spontaneous abortion rate is higher than normal crowd, the ratio of 4:1. (7) chronic anemia bleeding without timely treatment of anemia can occur. Severe anemia (5 grams) can lead to ischemic heart disease, myocardial degeneration. (8) Some hypertensive patients with uterine fibroids hypertension, fibroids with hypertension (except for a history of hypertension) in the removal of fibroids after the majority returned to normal, may lift the oppressed of the ureter. Submucosal uterine fibroid (9) signs fibroids less than 3 months pregnant uterus large and generally difficult abdominal touch. Generally could be reached in the lower abdomen Central, quality hardware, and multiple formation. Home Uterine fibroid anterior or posterior or anterior who were more prominent wall, multiple fibroids in the uterus may be touched on a number of smooth, Spherical hardware block; Uterine clearly consistent increase, which is harder and may have hidden in intrauterine or cervical canal submucosal fibroids, If cervical mouth slack, and can often be submerged fingers touch the smooth spherical tumor, and some have already been disclosed in cervical mouth, or to penetrate the vagina. Fibroid growth may also affect parts of the body of the uterus and cervix position.

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