Jul 28, 2008

Too much blood and "hypertrophy of the uterus"

A primary school teacher Miss Zhang, 40-year-old, has been excessive menstrual of six years, sometimes as a blood Chung, the majority of walking time over eight days, until the "functional uterine bleeding" treatment less effective. The B-through gynecological examination found that the uterus uniform increase, as in 2-3 months pregnant look, diagnosed as "hypertrophy of the uterus."

Uterine hypertrophy of the uterus is that even increased, and with varying degrees of a bleeding disease. The clinical performance of menorrhagia, and sustained numerous extended performance for the cycle has been shortened to about 20 days, the volume and sustained no significant change in the number of days or performance for the period continued falling into, but not much blood. Firming catch menstrual pain, back pain, usually the amount Leucorrhea.

At present, the uterus hypertrophy of the basic pathological changes, both in the myometrium blood vessels, muscle fiber and connective tissue. The cause of the uterus caused hypertrophy generally have the following areas:

First, producing too many infertile women. As many times motherhood, the myometrium, the elastic fibers, in between the smooth muscle and blood vessels around the proliferation, thus leading to the uterus hypertrophy, or because of repeated in puerperal infection, which caused incomplete uterine involution.

Second, ovarian dysfunction. Excessive secretion of estrogen, long-term stimulus, which caused hypertrophy myometrium.

Third, chronic inflammation. Annex to the uterus or chronic inflammation caused substantial uterine fibrosis, can lead to uterine mast.

4, pelvic congestion, or myometrium vascular sclerosis. Also can cause uterine connective tissue proliferation, leading to the uterus mast.

As the disease such as the amount of menstrual symptoms can easily function of uterine bleeding and confused, so should pay attention to clinical differentiation. For example, dysfunctional uterine bleeding have no laws, and many occurred in adolescence or menopause, the uterus does not increase or slightly increased the number of uterine mast in the productive and reproductive age women, although the quantity but more normal cycle Or shortened, the uterus increased significantly. In addition, intramural uterine fibroids and submucosal fibroids, uterine uniform have increased, the amount of menstrual symptoms, can B Chaodeng detailed examination, and uterine mast of a differential.

Uterine hypertrophy of the treatment, first application of drugs, including hemostatic, androgen drugs and traditional Chinese medicine to control bleeding, such as drug treatment does not work, they have adopted all or hysterectomy, the surgical excision therapy.

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