One of the most common diseases in women is uterine fibroids
Fibroids of the uterus - the most common form of the disease
. Treatment of the disease is carried out differently. In some cases only Policy Pay medication, sometimes the tumor removed by surgery, and in some cases it is necessary to remove not only the fibroids but also the uterus.
Basic principles of treatment of uterine fibroids
Treatment of uterine fibroids is selected for each woman individually and depends on the size, location sites, age and general condition of the woman, in her presence of concomitant diseases.
However, there are general principles of the treatment of fibroids. Of great importance are also a healthy lifestyle, proper nutrition
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, Alternation of work and rest, good night's sleep
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Lack of stress and inadequate load - depends on the state of metabolism and immunity - the main factors contributing to the restoration of hormonal levels and suppress tumor growth.
Depending on the different reasons for the treatment of fibroids apply hormone therapy, surgery (radical surgery, and organ) as well as new low-impact treatment of uterine fibroid embolization of uterine cells and destruction of various sources of energy.
Treatment nodes small size
The nodes of small size (less than two centimeters in diameter), which are detected by chance on ultrasound, and did not appear, do not treat. To suppress the growth of these sites are now used hormonal contraceptives (HC), such as the regulon. It prevents the growth of fibroids and the introduction of hormonal intrauterine device Mirena
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If the fibroids are several small size (but the total size of the uterus does not exceed the size of 8 weeks' gestation), the disease is often accompanied by uterine bleeding, pain and infertility. In such cases, before the appointment of the Civil Code are being actively suppress the growth of fibroids using drug treatment: is assigned a long (at least six months) treatment with medicines from the group of agonists (amplifying effect) hypothalamic hormones that stimulate the secretion of gonadotropin-releasing hormone pituitary (GnRH agonists such as Zoladex) . These drugs are actively inhibit the growth of fibroids, and reduce their size. Then appointed hormonal contraceptives. Such treatment usually results in a long (and sometimes permanent) inhibit the growth of fibroids.
Treatment of medium-sized sites
Treatment of uterine fibroids, the diameter of which is less than 4 centimeters, depending on the age of the woman and her desires to have or not to have children. Young women of reproductive age is usually carried out organ operations - only the tumor is removed. This operation is called a conservative myomectomy.
Conservative myomectomy is usually carried out using a gentle way laparoscope or hysteroscope. Laparoscopic myomectomy is carried out at subserous myomas and interstitial fibroids myoma node with the location closer to the outer membrane of the uterus. In this case, the skin of the anterior abdominal wall is a few small incisions, through which are special tools with which the operation is conducted. The doctor conducting the operation, taking care of her image on the monitor screen.
Gisteroskopiseskie operation occasion when submucous fibroids, as well as interstitial closer to the uterine lining. The hysteroscope is inserted through the cervical canal into its cavity, and the doctor conducting the operation, controlling their actions with the help of the image on the monitor screen.
Women who do not plan to have children, spend first active hormonal therapy and then uterine artery embolization. If the fibroids are medium in size and they have a few different location, the woman offers radical surgery - removal of the uterus (hysterectomy). In this case, usually held subtotal hysterectomy or uterine supravaginal amputation with preservation of its neck.
Treatment of large-sized units
When uterine myoma nodes large size (diameter of more than 6 centimeters) conservative myomectomy possible only in the case when the nodes are arranged subserous. When other nodes localization performed uterine artery embolization or hysterectomy.
When multiple myoma nodes of different localization is usually performed first course of hormone therapy (GnRH agonists), and then, after reducing the size of sites, depending on the woman's age and her desire to have children, held myomectomy, hysterectomy or uterine artery embolization.