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A new method for treating hysteromyoma
A new method for the treatment of hysteromyoma: Expectation therapy Expectation therapy The so-called expectation therapy is often observed in clinic, and no drugs or other treatments are needed. Gynecological diagnosis and B-ultrasound examination are performed every 3 months. If the growth rate of fibroids is not fast, it has little effect on menstruation, and it can be expected that uterine fibroids will shrink with the increase of age and the decline of sex hormone levels. This situation is mainly suitable for patients over 40 to 50 years old who have started menopause and have mild clinical symptoms. Of course, young patients who are unmarried or childless, with small fibroids and no clinical symptoms can only choose this expectation therapy.
Medication Medication is suitable for those who are younger (under 40 years old), have smaller fibroids, have fertility requirements and have regular menstruation. At present, I am afraid that this kind of patients are the most exposed in clinic. Because patients don't want to remove the uterus prematurely, and they are worried that the growth of fibroids will affect themselves, it is the most tangled part of patients with uterine fibroids. In fact, these patients have become the best population for drug treatment. There are also some patients who are most suitable for drug treatment, that is, close to menopause. Because drug therapy can not only improve the menstrual status of these patients, but also promote their early amenorrhea. However, drug therapy can only inhibit the growth rate of fibroids and relieve symptoms, but it can't fundamentally solve the problem at present. Therefore, if drug treatment is not ideal, minimally invasive or surgical treatment should be considered.
Treatment of hysteromyoma: Traditional Chinese medicine decoction and Chinese patent medicine are used to regulate the endocrine and microcirculation of patients, regulate qi, promote blood circulation and remove blood stasis, and eliminate hysteromyoma from the source. Because of the small side effects of traditional Chinese medicine, patients can easily accept it, and treatment can be started when hysteromyoma is found. But Chinese medicine is slow to take effect and often takes a long time, so patients should do well? Fight a protracted war? Mental preparation.
Western medicine treatment
Generally, it is only suitable for those who are close to menopause, menstrual disorder and endometrial cancer, such as commonly used methyltestosterone and goserelin. In recent years, mifepristone has also been used to treat uterine fibroids, and it is said that the effect is also good.
Surgical treatment has always been the most traditional and effective method to treat uterine fibroids, and it is also the most unacceptable method for patients. Generally speaking, since hysteromyoma is a tumor, it is natural to remove it surgically. But hysteromyoma has its particularity, that is, the malignant rate is low and the recurrence rate is high. The low malignant rate gives patients more time to choose treatment methods, while the high recurrence rate puts patients who try to preserve the uterus at more risk. As for when to operate, different patients have different requirements, so it is difficult to generalize.
However, surgical treatment should be considered when patients have the following conditions:
1, those with obvious symptoms, especially those with irregular menstruation or menorrhagia accompanied by obvious anemia, who are ineffective in drug treatment.
2, uterine fibroids increase rapidly, beyond the pelvic cavity, or accompanied by abnormal urination and defecation.
3, uterine fibroids with degeneration with abdominal pain.
4, uterine fibroids lead to infertility.
Traditional open surgery for hysteromyoma and its nursing The most common method for treating hysteromyoma is traditional open surgery. Traditional open surgery refers to cutting a knife in the patient's abdomen, cutting the uterus, removing fibroids, and then stitching the uterus and abdominal wounds. Open surgery takes a long time and recovery is slow. It takes at least 15 days from operation preparation to discharge, which will seriously affect work and study. Moreover, there will be a big scar on the abdomen after the operation, which will affect the appearance. In addition, laparotomy can easily lead to surgical complications, such as abdominal infection, pelvic adhesion and other diseases, which can lead to infertility in severe cases.
In addition, for patients with hysteromyoma, hysteromyoma oppresses the entrance of fallopian tube and hinders pregnancy. In addition, patients with hysteromyoma are often accompanied by ovarian dysfunction, which leads to infertility. Uterine fibroids deform the uterus, prevent fertilized eggs from implanting, and also affect the proliferation of endometrium. Even if the embryo is implanted, it is easy to cause abortion because of the existence of fibroids. Women with uterine fibroids are infertile and other tests are normal. At this time, the cause of infertility may be uterine fibroids. Suspected that fibroids lead to infertility, it is necessary to operate in time.
Surgical treatment can remove fibroids, but it is risky. A little carelessness will damage the body parts, making it difficult to get pregnant after surgery and taking a long time to recover. Let's share the postoperative precautions of hysteromyoma, hoping to help patients with hysteromyoma.
1. Anti-inflammatory drugs and Yunnan Baiyao and other hemostatic drugs can be taken orally for 3-5 days to prevent the above situation, and patients only need to take the medicine on time;
2. Try to rest within 2 weeks after discharge to avoid heavy physical labor and strenuous exercise;
3. Sexual life is prohibited within 2 weeks after discharge;
4. Drink plenty of water or soup for clearing away heat and toxic materials, except anemia patients, which generally does not need tonic.
5. Physical therapy can be properly combined, such as irradiating the abdomen with a spectrometer, or simply applying hot compress with a hot water bottle.
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