Tuesday, July 8, 2008
Can remove fibroids after birth?
The incidence of uterine fibroids account for about 20 percent of women of childbearing age to 25 percent, mostly in age between 30 to 50-year-old. Fibroids affect pregnancy, fibroids and the location, size, number of related. For example, cervical fibroids could affect sperm into the uterine cavity, submucosal fibroids easy to endometrial infection Yunluan not conducive to implantation, the giant multiple tubal uterine fibroids easy to be squeezed between the quality of the sperm and prejudice through. Some scholars believe that uterine fibroids can muscle wall or endometrial vein congestive expansion, resulting in the womb environment conducive to change without Yunluan implantation, or the result of embryonic development insufficiency abortion, the abortion rate of non-pregnant women of fibroids 2 Or three times, and often do not complete abortion. Big muscular, fibroids or submucosal fibroids in the uterus can hinder fetal activities, resulting in Abnormal Fetal Position unrighteousness, such as cross-bit, breech presentation, and so increase the cesarean section. In the course of delivery, due to uterine fibroids affect the normal contraction, the birth process can extend the pelvic incarcerated in the middle, fibroids can be blocked, causing dystocia. Uterine fibroids can also affect postpartum contraction, the cause of postpartum hemorrhage or uterine involution bad. If the impact of uterine fibroids surface drainage or ulceration, also vulnerable to infection. Pregnancy on fibroids are also affected. Pregnancy after uterine fibroids edema, smooth muscle hypertrophy, is often accompanied by uterine fibroids increases with the increase due to fibroids in pregnancy increased faster and insufficiency, resulting in degeneration, which changed the most in red - Common, the patient may appear fever, headache, vomiting, local tenderness and interleukin increased symptoms such as acute abdomen. From the visible, the uterine fibroids do have a certain impact on fertility, should be actively treated. For the following 40 years of age and that they have requested, genital function in patients with normal, to avoid excessive growth of fibroids, promptly remove fibroids can improve reproductive function, and prevent the future occurrence of pregnancy when the fibroids red degeneration or secondary infection. Some patients worry that the number of multiple fibroids not suitable for surgery, in fact, as long as the operation carefully, does not prevent the removal. With the development of minimally invasive surgery and surgery to improve the way, many fibroids can be removed by laparoscopic or hysteroscope, the trauma of the patient than in the past has been greatly reduced. To remove fibroids recurrence of 30.4 percent, mostly in the five years after the recurrence of age at the time of surgery is less than 30 years of age or multiple fibroids are more easily relapse. Although fibroids removed, patients can improve reproductive function, but there are still some of the body is conducive to the growth of fibroids, after some time interval fibroids may grow, so after three years at the suitable moment of conception. Nearly 80 percent of patients able to maintain pregnancy to full term. Many patients worry about surgical scar in pregnancy or childbirth will be broken, but research shows pregnancy after one year after the uterine rupture rate of only 1.5 percent. Therefore, the fibroids removed in the women under the guidance of doctors, after contraceptive to be six months or one year after pregnancy. If during pregnancy, delivery period in abdominal pain or tenderness, will have to guard against the possibility of uterine rupture.
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