Uterine tumor is a common benign tumor. Patients with uterine tumor will have mild abdominal pain at the beginning of the disease. As time goes by, when the disease reaches the mid-stage, the patient will have irregular vaginal bleeding, genital pain, abdominal infection, significantly increased menstrual flow, and unstable body hormones. Patients with uterine fibroids need to choose medication, surgery, and hormone therapy. Uterine fibroids are the most common solid benign tumors in the female reproductive tract. Uterine fibroids are formed by the proliferation of smooth muscle tissue. They are common in people aged 30 to 40. They can grow singly or in multiples and can vary in size. The cause of uterine fibroids is still unclear, but most people believe that it is related to excessive estrogen stimulation in the body. The incidence of infertility in patients with uterine fibroids is approximately 22% to 32%, among which submucosal fibroids have the highest incidence of infertility. Uterine fibroids can be divided into subserosal fibroids, intramural fibroids, submucosal fibroids, cervical fibroids, ligament fibroids, etc. according to their occurrence site. Traditional Chinese medicine cannot treat uterine fibroids Sex hormone drugs are used to forcibly lower estrogen levels and relieve the symptoms of uterine fibroids, but they cannot be cured and have serious side effects. Surgical treatment, such as myomectomy or hysterectomy, is more effective quickly, but if the underlying cause of the disease, endocrine disorders, is not changed, uterine fibroids may recur. The most important thing for those with uterine fibroids is to detect them in time and have surgery early. According to the different characteristics of fibroids and the patient's own situation, choose the treatment form that suits you. Treatment principles 1. Follow-up observation: Suitable for patients with small fibroids and mild increase in menstrual volume. 2. Androgen therapy: Suitable for near-menopausal patients whose fibroids are not large and whose menstrual flow is not significantly increased. 3. Surgical treatment: It is the main treatment method for this disease. Misfetil treatment: suitable for preoperative treatment of large uterus and heavy menstruation. Medication principles 1. Postoperative infection prevention and fluid replenishment can be administered according to the limit "A". 2. Patients with mild anemia can be given medication according to the limits "A" and "B". 3. If there is secondary anemia or excessive bleeding in the hands before the operation, blood transfusion or human albumin can be given according to the degree of anemia. Expectant management of uterine fibroids Expectant management means regular follow-up observation without the need for special treatment. It is mainly suitable for patients with uterine fibroids whose size is less than 5cm and who are asymptomatic or have mild symptoms. If they are near menopausal women, it is expected that the fibroids will shrink naturally after menopause. Follow-up examination should be conducted every 3 to 6 months, and during the follow-up period, attention should be paid to the occurrence of any symptoms and whether the uterine fibroids have enlarged. A gynecological examination and B-ultrasound examination are required at each follow-up visit. If symptoms of menorrhagia, compression or rapid enlargement of the fibroids occur during follow-up, appropriate treatment should be adopted in a timely manner. Expectant management of asymptomatic uterine fibroids is appropriate under regular follow-up monitoring. It should also be noted that in a small number of postmenopausal patients, uterine fibroids do not shrink but instead grow larger, and follow-up should be strengthened. |
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