Jul 24, 2008

Women can not see the hidden danger

Uterine fibroids in adult women is common, as fibroids the size, number and location of different, can have symptoms, can also be no symptoms. It is not difficult to find general gynaecological examinations, B super-scan can also help confirm that, it seems that do not need more "advanced" inspection. The main symptoms are bleeding, the performance of the menstrual cycle or more irregular. Truth is not hard to understand: as a result of uterine fibroids volume increased congestion, expansion of uterine, endometrial area has increased, which contributes to the increased or irregular menstruation. Suffering from submucous fibroids, especially this group of symptoms.

In my gynecological cancer specialist out-patient cases, 1 / 3 is uterine fibroids.

-50-Year-old 30-year-old adult women, 1 / 5 of people suffer from uterine fibroids, only a very small tumor, a little more, some people have symptoms, it was silent, and some were found and confirmed, some Did not feel it is life.

Therefore, I am very easy to find in patients with uterine fibroids with dialogue, too many stories to tell.

This is a 40-year-old Wang Xing of the middle-aged woman, her daughter has been secondary, is a celebrity, he has great achievements in their career, is a well-off family.

Ms Wang Jiao Hao face, slender build, very good at dress up, they unwittingly found Yidai gradually bear, thought the session Buhuo, is also a blessing, is Shaoshi training, in order to maintain weight loss shape, but provided lower abdomen Penglong No effect. One morning her husband even feel wrong, exclaimed: "You are not pregnant again!" "It can not, I have to sterilization for many years." She said. "What is uncomfortable?» "Fu Jun is very concerned about. "What is particularly Dao Yemo, the number of urine is more." FOR her.

She is also here that I have come. As history, several asymptomatic. But I do abdominal inspection, has been predicted Qi Bafen - an obvious uterine fibroids. The pelvic examination and ultrasound scan, the diagnosis certainly. Not a small uterine fibroids, and there is more than the entire uterus like a size 12 weeks of pregnancy.

Patients and companions from the Fujun are puzzling for the diagnosis, ask questions one after another: "My menstrual regularity, the output is also normal!" "She Butongbuyang, why the president of« "" removal to the uterus? » "

"2 Shaoanwuzao, slowly, to let me." I made the following explanation:

Uterine fibroids in adult women is common, as fibroids the size, number and location of different, can have symptoms, can also be no symptoms. It is not difficult to find general gynaecological examinations, B super-scan can also help confirm that, it seems that do not need more "advanced" inspection. The main symptoms are bleeding, the performance of the menstrual cycle or more irregular. Truth is not hard to understand: as a result of uterine fibroids volume increased congestion, expansion of uterine, endometrial area has increased, which contributes to the increased or irregular menstruation. Suffering from submucous fibroids, especially this group of symptoms.

"I am sorry, what is submucosal fibroids» "Dr. Wong interrupted by my words.

"Yes, that should be, according to the location and growth of fibroids, fibroids can be divided into intramural fibroids, subserosal fibroids and submucosal fibroids. Uterine wall by stretches of a muscle fiber, and it The outer surface layer is the serosa, is the mucous layer lining, or endometrium. Fibroids of course, is long out from the myometrium, mostly intramural (between inside and outside wall) fibroids. Inward can also prominent, formed Submucous fibroids can also be done to open the surface into subserosal fibroids. Sometimes grow into a new entity, with only a pedicle connected with the uterus. Submucosal fibroids often pedicle to the vagina, and weeping. More than three Forms often co-exist.

Uterine fibroids large and small, some huge as the first, some as small beads; difference between the number of poor, single and multiple of other, more up to the hundreds of people. Everywhere for uterine fibroids in the "home", often in and around the Palace at the bottom, but also in the uterus and cervix Zuogeng angle, a particularly bad effect, such as to infertility.

Uterine fibroids is one of the main symptoms of oppression, increasing the womb of oppression forward bladder, a frequency, dysuria; back to oppression rectum, constipation or stool for the performance of difficulties. Abdominal pain may also occur, about 1 / 4 of the patients have the symptoms, especially those found in submucosal fibroids. This is very interesting, in a submucosal uterine fibroids, uterine contraction will be, it seems to be an effort to exclude, like delivered fetus, the longer form of Beattie, to vaginal prolapse,. Such patients menstruation, Lin Li bleeding, abdominal pain significantly. In the out-patient clinics, young doctors often because the patient is bleeding that can not check, in fact, the vagina with a glimpse of a distraction, to see the ball fibroids.

Uterine fibroids are a common problem of infertility, accounting for about 20 percent to 30 percent, this may be due to fibroids position in the uterine cervix or Pianyu angle, the impact of a tubal patency.

Talking about the cause of uterine fibroids, now is not clear. Some people think that male and female hormones and high levels of chronic pelvic congestion or related to women of all ages can happen in this disease, even in young girls. Of course, in postmenopausal women with fibroids will no longer develop, but some say it can shrink or disappear, this is probably too naive.

"Heard that fibroids can occur degeneration, especially malignant transformation. This is not very terrible?» "Ms Wang's husband seemed very line.

I said to them: "Basically, uterine fibroids are benign tumors that can, in malignant transformation, or sarcomatoid little opportunity for change, less than 3% -4 ‰, and more common in older patients, if the growth of fibroids The attention should be paid promptly. Uterine fibroids in general should not unduly worried, we have to conventional surgery incision to view the fibroids, see organized crispy soft, Huihuang Se, the Health and fish-shaped or brain tissue samples were immediately sent to frozen Sections of diagnosis to determine the nature is not difficult. "

"You know what uterine fibroids there are other degeneration?» "I ask them. Two shook their heads do not know, of course, is the reluctance. "Well, I tell you next to the treatment of the problem is." I said with a smile.

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