In our lives, there are some words that we are the most unwilling to see, especially the hospital diagnostic report, such as the XXX disease, XXX tumor, which is more scary is XXX cancer.These three words appear casually, which makes people panic, especially for the pregnant mother.
Ms. Huang, 36, was pregnant for more than a year, and finally conceived her second child.However, the old pregnancy journey is destined to be uneven: daily pregnancy is severe, a cold, fever, and vaginitis have occurred.What worried her even more was that at 18 weeks of pregnancy, a B -ultrasound found a 3cm -sized uterine fibroids, and fibroids were located between the muscle wall.She hopes to remove the tumor, but she hopes to keep the child, because the second child is not easy.
Medical Guidance: Jin Yujie, Director of Gynecology, Director of the Third Hospital Affiliated to Guangdong Pharmacy
Hit the fibroids on the journey, causing 4 troubles
Uterine fibroids are a benign tumor in the childbearing age, and their incidence is as high as 20-30%.At present, the growth of fibroids is mainly related to women’s hormones-estrogen.
"After women are pregnant, the level of estrogen and progesterone has increased, and the growth rate of uterine fibroids is much faster than non -pregnancy." Jin Yujie, director of gynecological director of the third hospital affiliated to Guangdong Academy of PharmacyThe trouble of complications is mainly that pregnancy and uterine fibroids affect each other and affect the safety of maternal and infants.
As the fetus in the pregnant woman’s belly continues to increase, the fibroids also absorb nutrients, and rapidly increased by the action of estrogen and progesterone.The fibroids do not stop throughout pregnancy, and can at least have the following four aspects:
Impact 1: When fibroids are oppressed to the uterus, it will prevent the fetus from growing and developing in the palace, causing problems such as fetal position, low placenta or front, and increasing the chance of cesarean section.
Impact 2: The existence of fibroids and large fibroids can stimulate uterine contraction and easily cause abortion.
Impact 3: The fibroids grow rapidly during pregnancy, and red -like changes may occur.Although this red degeneration is benign, it can cause adverse consequences such as fever, abdominal pain, and even adverse fetal birth and abortion.
Impact 4: The growth position of fibroids is not good. For example, it grows on the cervix. It is easy to block the production channel during childbirth, hinder the entering the head of the fetus into the birth canal, causing dystocia, and it can also affect uterine contraction, which causes fatigue, extension of labor, postpartum bleeding, etc.Essence
It can be seen that pregnant women with uterine fibroids must be closely monitored during pregnancy to ensure the safety of maternal and infants.The risk of uterine fibroids during pregnancy is too large, and bleeding, uterine rupture, abortion, infection, etc. may occur
The fibroids grow in two places, so don’t worry about termination of pregnancy
Many pregnant women find that they have uterine fibroids. First of all, they are most concerned about whether they can get pregnant smoothly.In fact, whether the termination of pregnancy needs to be stopped according to the size, location of the fibroids, and the fertility requirements of pregnant women.
Depending on the growth position, uterine fibroids are commonly divided into muscle wall fibroids (tumors grow inside the muscle layer), subcarm fibroids (fibroids grow outside the uterus), and submucosal fibroids (fibroids grow on the growth of fibroids.In the uterine cavity) and other types.
"The fibroids located between the muscles or under the membrane, and the size of the tumor is below 5cm, and can usually continue pregnancy. In addition, the pregnant woman has a strong tire preservation requirements, so the treatment of fibroids is mainly observed." Jin Yujie said, Pregnant women must review the B -ultrasound regularly according to the doctor’s order to monitor the growth of fibroids and fetal condition.As long as the fibroids do not increase significantly, you can continue to get pregnant.If the fibroids are larger or significantly increased, especially repeated abortion, the pregnancy may be considered, and if there is no symptoms of uterine fibroids in the middle and late pregnancy, the tire treatment can be performed and the condition is strictly monitored.
Although the fibroids under the slurry membrane, although the fibroids growing in this position have a small impact on pregnancy, the tirers are reversed. If conservative treatment cannot be controlled well, surgical intervention is still needed.
Subcidial fibroids have a large impact on the ending of pregnancy, which will affect the shape of the uterine cavity. Most of them will cause infertility or early pregnancy. In this case, pregnancy needs to be terminated as soon as possible.
Not any fibroids, they can be removed in hand during childbirth
The uterine fibroids are in peace with the fetus. When they come to the end of delivery, they start to tangle whether they are smooth or caesarean section?Ms. Huang listened to others that she could squeeze fibroids, and she was safer.
"Most of the pregnancy of uterine fibroids can be given naturally." Jin Yujie said that during childbirth, if the fibroids are small, within 5 cm, grow in the uterine body, not hindering the birth canal, not affecting the tire first exposure and production power, thenCan give birth.Small tumors are generally not squeezed by the fetus during the production process.Just pay attention to prevent postpartum bleeding during childbirth.
Large fibroids, located at the lower end of the uterus, and fibroids near the cervical mouth and cervical canal may block and affect the tire first, or the fibroids have caused the fetal position to be incorrect. At this time, you should choose a caesarean section.
In addition, whether you can remove the uterine fibroids while childbirth, this is also a question that many expectant mothers will care about.For patients with fibroids that meet the cesarean section, the cesarean section must be cut. If the fibroids can be removed by the way, the sword can be avoided in the future.
In this regard, Jin Yujie responded that not all fibroids can be removed by hand, and it is necessary to depend on the size, location and patient of the fibroids.Compared with a cesarean section, the fibroids are eliminated during caesarean section. The amount of bleeding is not much, and the operation is not difficult.However, fibroids have abundant blood flow, are prone to bleeding during surgery, and easily increase the risk of postpartum bleeding and infection.In addition, after the fetus is delivered, the uterine shrink and deform, the position of the fibroids changes, the boundary is unclear, and it will also increase the difficulty of surgery.
Therefore, patients should be careful to remove fibroids at the same time.For safety reasons, for fibroids that are easy to eliminate, and do not cause more bleeding, you can consider excluding during childbirth surgery. Otherwise, it is recommended that you wait for the body to recover after delivery.(Correspondent Swallow)