Quite often among women, you can hear the phrase that you can not treat the uterus in reproductive age. «Herself will pass» - Frequent phrase of women observed in women's advice on this disease. Is it really? Is the mioma so harmless and regresses themselves in the future? We will try to understand this on the example of answers to the most frequently asked questions about the Moma of the uterus.
Why and whom the uterine myoma occurs more often?
The connection has long been a link to the presence of inflammatory diseases of the small pelvic organs with the development of Moma. Not necessary. But very often they go «hand in hand». And in mind the continuous increase in the number of women with not only inflammatory diseases, but also sexually transmitted diseases is growing, respectively, the number of women with the Mioma of the uterus.
Often, the emergence of Moma of the uterus is associated with the late onset of menarche (first menstruation), the presence of a large number of sexual partners, a large number of abortions (and sometimes one) in history, cesarean sections and other extensive operations in the uterus and appendages. The risk group can also include women who used for a long time intrauterine Contraception (spirals), incorrectly and irrationally selected hormonal contraceptives ... In essence, Mioma is a kind of mirror, the reflection of the fact that once or at the moment in the body of a woman has occurred.
At the same time, you, dear reader, our site should know and understand that the risk groups listed above are not mandatory for the occurrence of Misa. The disease can develop as an absolutely healthy woman, and not developing a woman relating to several risk groups.
In view of the fact that Mioma is a benign tumor, more often from the muscular layer of the uterus, the study of her nature continues, as continues the study of the methods of its conservative, non-operational treatment.
How to suspect mioma uterus?
First of all it is worth paying attention to age. Despite progressive «rejuvenation» Diseases, still more often it occurs in women older than 27-30 years. During this period, many women think about children and try to get pregnant. Here and gets up the first problem - Conception does not happen, the childbody function is disturbed.
In this regard, the woman most often begins to resort to unacceptable methods for calculating the days of ovulation. Here, the second problem is often ovulation is difficult to reveal either a non-permanent or disturbed, or a missing menstrual cycle.
Realizing that without a doctor it is not necessary, a woman appeals to the gynecologist. And immediately at the first reception at palpation of the belly over Lyon, it detects a bug-in education, as a rule, about 12 weeks.
Gynecologist sends to ultrasound procedure «Nakhodka». Laparoscopic and hysteroscopic examination. So put a diagnosis.
How in the future should observe a woman with a miomer of uterus?
- The main thing to know every woman is the periodic observation in women's consultation with a mandatory ultrasound study every 3-6 months from the date of diagnosis.
- A more detailed examination should be carried out in order to clarify the diagnosis of the Moma (localization of nodes, their value and structure, availability of complications and other concomitant pathology). Localization of mioma nodes is of the greatest value, t.To. here and arises the question of choosing the further method of treatment.
- The direct treatment tactics are then determined - conservative (non-operational), combined (operation + drug treatment), surgical.
- Conducting conservative therapy for the prevention of growth of Moma.
- General rehabilitation of the body, treatment of related diseases, inflammatory diseases of the small pelvis organs, because it can be the cause of possible complications.
Scheme of conservative treatment of misa uterus
The main criterion when choosing a method - the presence of a complete picture of the disease. In this case, frankness is important in a conversation with a gynecologist, trust, awareness of the fact that the doctor will help the patient only in the event that.
So, the main goal of conservative treatment is to slow down the growth of myomatous nodes and avoid the operation. Due to the fact that Mioma arises on a hormonally unstable background, treatment is carried out before the period of menopause when it can really decrease as a result of age-related invalurative processes in myometry.
Also, conservative therapy is carried out in cases where the presence of pathology of other organs or systems does not allow to resort to surgical treatment. In such cases, the operations are carried out only on life indications (node necrosis with a clinic of acute abdomen, born myomatous assembly with abundant bleeding).
Food. It is best to limit fats and carbohydrates in nutrition, protein food, on the contrary, must enter the body in sufficient quantity. In case of violations from the gastrointestinal tract, many recommend to eat on an empty stomach in the morning vegetable juices (from potatoes, beets, carrots, cabbage), as well as freshly squeezed fruit juices (apple).
It is necessary to use products rich in iodine, especially in endemic in the zobu regions: marine cabbage, squid, shrimp, etc.
Vegetable and soybean oils containing unsaturated fatty acids, arachidone acid, group vitamins in.
Phytotherapy. For readers, our site I want to note and this is important to remember: the use of phytotherapy separately, as the main method of treating myoma uterus is unacceptable.
The most famous plants are Boligols, acromit, Amanita, Celandine. They use mainly poisonous properties, thanks to which the tumor growth stops.
The roots of the burdock are well proven well, which are crushed and mixed in equal shares with alcohol and honey.
If you decide to apply a few herbs, then they should alternate them every 2-3 weeks.
Immunomodulatory action has fungus Fusarium, or rather, his biomass. The drug is called Milayf.
A vitaminotherapy, physiotherapy procedures, as well as resort treatment, has considerable importance in the treatment of Moma.
Hormonal therapy. Previously, in the treatment of Moma, the uterus was trying to coal the function of the ovaries. Therefore, the most used drugs were Norcut, the data, Dunol, Gestrinol, depot-provisions. Yes, against the background of their reception in women of reproductive age, there was a decrease in the size of myoma, but when canceled, the growth resumed. Although in premopause this was not noted.
Currently, departing from the use of androgen derivatives, modern gestagens are used, regulating the menstrual function - duphaston (10-30 mg per day), urozhastan (100-300 mg), are appointed from 16 to 25 days cycles.
Intermediate, even rather, an alternative position in the treatment of myoma of the uterus occupies such a procedure as Embolization of uterine arteries. Its essence is in the cessation of blood flow in the node of Moma. And in the absence of nutrition it regresses. On the catheter in the left uterine artery, a substance is introduced (more often with gelphos, a value of 500micron), which with the current of the blood moves and encourages the clearance of mioma vessels. Then everything is repeated in the right uterine artery. At the same time, normal myometric branches of the uterine arteries remain passable. The procedure is painless and the woman is discharged the next day.
Of course, like any treatment, embolization has its complications. Most often it is:
- allergic reactions;
- hematomas and local complications in the proof of vessels;
- lack of menstruation due to blood flow violation in other vessels;
- necrosis (leaning fabrics) uterus (it happens very rarely). Long ago heard about three cases for all 25 years of use of this method.
There is along with complications and mass of advantages over other methods of treatment:
- Organship procedure (minimum intervention);
- With multiple nodes, an action takes place on everything at the same time;
- Small trauma;
- lack of blood loss;
- Efficiency 85-96%;
- Subsequently, the overwhelming majority of women did not grow up;
- minimum rehabilitation time after the procedure;
- General anesthesia do not apply, only local;
- It is not required for both operational treatment;
- After the procedure, the hatching and birth of a child is not contraindicated.
Surgical treatment of moma uterus
So, if none of the above methods, none individually, nor in the effect of the effect, or there are resistant contraindications for embolization, surgical methods are applied. At first glance, they are simple and relatively safe. Firstly, this is the scraping of the uterus, secondly - the amputation of the uterus. In the second case, the size of the operation is determined by both the age of women and the state of its reproductive function.
For example, if a married woman with two children, 45 years old, she no longer plans, and myomas sprouts all the strata of the uterus plus a fairly high risk of malignant rebirth of the tumor, then in this case the supervised amputation of uterus and appendages is shown.
Another thing - the presence of myoma in a young, broken woman. In this case, the operational intervention will be minimal.
So, scraping is carried out by the traditional method used both in abortion and various types of diagnostics. The most frequent complications in this case are punctures of uterus and secondary infection.
Extraitation (amputation, removal) of the uterus is produced in cases where it is impossible to allocate myomatous node itself when the tumor is fascinated with the surrounding tissues or sprouts all layers of uterus. Podcatt «Capture» In cases where there is a suspicion of the malignation of the tumor (rebirth of the tumor in malignant). Here complications are nonspecific, bound primarily with the postoperative period. So, when removing the appendages, replacement hormone therapy is assigned to suppressing an imminent hormonal imbalance.
Prevention of moma uterus
In conclusion, it is worth saying, of course, about prevention. It should be noted that the basis of any prevention is the timely examination and identification of risk factors. So, if Mother, Grandmother, Myque's great-grandmothers had a place, needed from 24-25 years at least 2 times a year to visit the gynecologist. Along with this, a healthy lifestyle, the prevention of abortion and sexually transmitted diseases, the exconality of insolation, especially after 40 years. When using combined oral contraceptives, you should choose the lowered.
Undoubtedly, even with the strict implementation of all recommendations, the formation of myoma. But it is important to understand that in this case it is possible for timely treatment and lack of complications.
