physiological characteristics of the female body leads to a high susceptibility to various gynecological pathologies.According to medical reports, the first position takes uterine fibroids.
According to the WHO, more than 25% of women of reproductive age in the country diagnosed this tumor.And the figure is increasing steadily each year.The disease occurs in young persons and patients in menopause.Even the doctor on a gynecological examination is not always able to differentiate the symptoms of uterine fibroids.How to recognize education at an early stage and avoid surgery?Answers to all questions can be found in the submission.
What kind of disease is that?
This benign tumor of different sizes.Fibroids are located in the myometrium - muscle layer.The tumor is a smooth muscle fibers rounded, densely braided blood vessels.Her weight, diameter and volume can be huge.In medical practice, fixed unit weight of 63 kg.But the more common small size of uterine fibroids.The signs and symptoms are directly dependent on the flow stage, anatomical location, growth rate, number of nodes, and age of the patient.This hormone-dependent disease, so its development is characterized by a high content of estrogen (female sex hormones).
types of education on localization
In clinical medicine allocate multiple and single miomnye education, depending on their localization:
- submucosal, or intracavitary, form develops in the endometrium, can fall into the vagina and cervix.
- subserous or subperitoneal, found under the outer layer of the body.
- Interstitial (intra-muscular) - the most common uterine fibroids.Signs and symptoms are characterized by painful menstrual bleeding.Nodes are aligned in the thickness of the layer in areas of the body or bottom.
- Cervical.
- Mezhsvyazochnaya subperitoneal localized in space, and often refers to himself.
Certain formations can grow up to 2-3 kg.Only with regular (every six months) dispensary examination of possible correct diagnosis and undergo drug therapy.
Who is at risk?
It is possible the emergence of this disease in the period of sexual form.But such cases are extremely rare.Basically pathology appears after 30 years.The first signs of uterine fibroids are imperceptible, that is, the patient lives a normal life, without feeling discomfort and pain.
main precipitating factor, according to experts, is a hormonal imbalance (excess levels of estrogen and progesterone deficiency, dysfunction of the appendages).Typically, such disorders in girls later come monthly, and sometimes non-existent.
an important role in the occurrence of fibroids plays an irregular sexual life (rare intercourse, dissatisfaction).In this situation, there are disturbed flow and congestion.Scientifically proven that the disease has a genetic character.She was exposed to those who in the family through the female line dating fibroids.
Aggravating factors are also inflammation (adnexitis, endometritis, endometriosis), late delivery, endocrine pathology, many abortion, injuries and gynecological surgery.All this leads to hormonal fluctuations.
main symptoms of uterine fibroids: how to recognize a tumor?
So, let's talk about your symptoms.At the initial stage of the disease is rarely detected signs of uterine fibroids.How to recognize the disease?Only with the help of a number of diagnostic techniques.With the growth of tumor start to disturb the patient discomfort that signal malfunctions in the body.To those should include:
- prolonged and heavy menstrual bleeding.Subsequently, it can lead to anemia (dizziness, pallor covers, migraines, weakness).This phenomenon should be powerfully alert.Sometimes you need urgent hospitalization.
- Pain suggest that the tumor progresses and grows.Symptoms of uterine fibroids small size are usually inconspicuous, sometimes accompanied by pain in the lower abdomen and lower back.
- Failure of nearby organs - bladder, and rectum.There is a tightness, heaviness, urinary disorders and constipation.Should visit a urologist, gynecologist, gastroenterologist.
- Increased tumor characterized by pain in the heart.Also, there is increased pressure, shortness of breath, allergic rashes and metabolic disorders.
Young women is sharply reduced reproductive function (obstruction of the fallopian tubes).Very often, it becomes a cause of infertility.For the prevention of disease should be timely to conduct a survey and conservative therapy.There is evidence that education alone can dissolve or reduced in size with the arrival of menopause.But do not look for it, it is better to eliminate the unit before it will increase and will cause irreparable damage to health.
Clinical manifestations of the type of tumor
For each form characterized by different manifestations.The first signs of uterine fibroids small size when submucous nodes caused by menstrual disorders.Cramping pain states only if the tumor is lowered into the cavity of the body.
Subserroznoe anatomical location asymptomatic.When Pumping units patients complain of constant nagging pain in the abdomen.Manifestations often confused with the clinic of acute abdomen and put the patient in the surgical department.
Mixed myoma education at an early stage is not impersonating.Discomfort, compression of adjacent organs and defecation disorders are marked with significant amounts of tumor.
Pregnancy and fibroids
If the nodes are located away from the placenta does not affect it, the period of gestation is often held without pathologies.Difficulties arise when the formation of localized near myoma embryonic organ.The fact that the tumor produces substances which cause uterine contractions.The risk of premature birth or miscarriage.To pregnancy went smoothly, doctors try to stop the growth nodes.After all, as they increase the fetus can develop a variety of cranial deformation, hypoxia and other pathology.Labor is often very weak and protracted, so doctors performed a caesarean section.
Diagnostics Methods
On the basis of medical history and pelvic examination can not be revealed uterine fibroids.US (signs in which is appointed by the survey, - bleeding, pain, infertility) can help to identify the deformation of the uterus.Unique informative method determines all the pathological changes: size, location, structure.
For large size of the tumor is assigned to MRI.It reveals a good number of nodules, determine their shape and location.Sonographic signs of uterine fibroids at subperitoneal formation characterized by increased zvukopogloschaemostyu.For accurate diagnosis of the disease must undergo several studies: a CT scan, laparoscopy, hysterosalpingography.
Therapy
More recently, the only way to wipe out the disease is surgery.Today, doctors were able to achieve great results in the treatment.Slow-growing small nodules located in the thickness of the endometrium, do not cause inconvenience, but in order to prevent the development, prescribed conservative therapy.The doctor prescribes hormonal medications: produced by androgens, progestogens, combined contraceptives and analogues GnRHa.
Modern types of surgery
Conservative therapy is not always the case, effectively and efficiently, especially with large formations.If time does not remove nodes, the symptoms of uterine fibroid growth may adversely affect the health of the woman.Heavy blood loss can be fatal or permanently deprive the happiness of motherhood.
There are several options surgery (individually selected one or another way to remove, thus must take into account the age of the patient, the rate of tumor growth, for localization, size and other factors):
- Laparoscopic myomectomy - using a special instrument, the laparoscope,a small incision is made, and extirpate cavity nodes.
- Hysteroscopic myomectomy to remove the inside of the tumor.
- FUS ablation - is carried out by means of ultrasonic waves, it is assigned only when single entities.
- artery embolization - prevents the flow of nutrients to the nodes.
- Hysterectomy - an extreme method is carried out when the tumors reached an enormous magnitude.Produced amputation of the uterus.
What not with uterine?
There are certain limitations that must be observed for women with such a diagnosis, so as not to aggravate the situation.Contraindicated any physical stress on the region and the pelvic peritoneum.Protect yourself from the horse riding and cycling.You can do yoga, walk on the treadmill and be sure to make daily walks - this will improve blood flow.Doctors do not recommend Vibro bathrooms and mud.It is necessary to pay attention to your diet: eliminate solid and fatty foods that promote tumor growth.
healthy food, rich in polyunsaturated fatty acids.Increase the consumption of fish, vegetable dishes, nuts and wheat germ.Do not forget to hold vitamin therapy 3-4 times a year.Combines traditional therapy with therapy folk remedies.Watch your health and surveyed every year, even when there are no symptoms of uterine fibroids.How to recognize the disease and prevent its development, describe in detail the gynecologist.
