Recurring menstrual cramps may be a risk factor for uterine fibroids.
Dr. Jutatip Poonsaratha Obstetrician-gynecologist specializing in surgery.Laparoscopic gynecological surgery at Vejthani International Hospital. Uterine fibroids are explained as masses of tissue that originate from the uterus.Uterine fibroids, which are benign (non-cancerous) tumors, may grow into the uterus.It can grow inside the uterus or protrude outside the uterus, becoming large enough to be felt.From the abdomen, generally, tumors grow in the uterus.They often have slow growth, and some may be asymptomatic.
Factors affecting the growth ofMeatOng In the uterus, these include:
- Estrogen, which is a female sex hormone.
- Exposure to medications or substances containing estrogen.
- Genetics: If the mother has uterine fibroids, her daughter will have a risk of developing the same condition.
The uterine fibroids have grown larger.
Types of uterine tumorsThey can be categorized according to where they are found as follows:
1. Subserous Myoma (tumor on the uterine wall) It is a tumor protruding from the wall.Uterine fibroids often don't show any obvious symptoms, but if the mass is large, it may press on nearby organs such as the bladder or intestines.
2. Intramural Myoma (Fibrous within the uterine muscle wall) This is the more common type and may cause symptoms such as heavy or prolonged menstruation, menstrual cramps, or difficulty conceiving.
3. Submucous Myoma (Fibrous in the uterus) The tumor protrudes inward.If it enters the uterus, it can cause irregular menstruation.Small lumps; common symptoms include:
- Heavy, prolonged, or frequent menstruation can even lead to anemia.
- Menstrual pain or lower abdominal cramps.
- Frequent urination, difficulty holding urine, or constipation can occur due to a tumor pressing on the organ.
Adjacent organs - A mass was found palpable in the pelvic area.
- Difficulty conceiving or frequent miscarriages.
The patient may have no symptoms, but a tumor is detected.Outbreak from an internal examination orUltrasound available.
Potential complications include:
- Twisting of the tumor causes sudden pain.
- The tumor grew and pressed on the ureter, causing kidney swelling.
- Pain from ischemia (lack of blood flow to the tissue).
Osteoarthritis (degeneration) is often found in pregnant women with tumors. uterine fibroids - Uterine cancer from uterine fibroids
It is found in very small numbers (less than 1%).
Disease diagnosis can be made from...
- Medical history taking and physical examination.
- Internal examination
- Pelvic ultrasound
Treatment planning will be based on the symptoms, location, and size of the tumor, which vary from patient to patient.Drama The treatment plan is as follows:
1. Monitoring symptoms and inflammation.Ultrasound In patients with asymptomatic cases, small tumors, and no complications.
2. Medication use. Currently, there is no medicine that...It can reduce the size of uterine fibroids.Permanent treatments would involve medication to control symptoms, such as painkillers or medications to reduce menstrual flow.
3. Surgery For treatment purposes, this involves removing the tumor or removing the uterus.
There are now techniques for performing surgery.There are many methods, each with its own advantages and disadvantages.
Laparoscopic Surgery
The doctor will make 3-4 small incisions, 0.5-1 cm in size, and then use a camera and other instruments to perform the surgery.A small surgical incision will help...Helps reduce tissue damage.The surrounding environment causes the patient to experience less pain and recover faster.
It is a surgical procedure through an opening.It utilizes the body's natural processes, such as the vagina, so there are no abdominal scars, reducing post-operative pain. It is suitable for those who need a hysterectomy.
Da Vinci Robotic Surgery
It is a laparoscopic surgical technique.Use a robotic system to help control the machine.The surgeon's hands control the operation of the surgical instrument.A console with a display that shows...High resolution, being a 4D image, allows for instrument movement.To be precise and accurate.
During the surgery, the doctor will make 4-5 small incisions to insert the camera and instruments.The patient will undergo surgery, and then a robotic system will be used to control the movement of the instruments.Surgery allows for procedures to be performed even in confined spaces.Small, hard-to-reach areas or areas with a lot of scar tissue should be treated to minimize impact on the affected organ.adjacent
This technique is suitable in cases where...Requires precision in surgery, such as for tumors located deep within the tissue.It is close to critical structures, which requires precision.It is accurate in tissue separation and may help reduce trauma.Surrounding tissue
In addition, it is suitable for patients with fluid retention.It's very serious because gas is used in the surgery.More than endoscopic surgery.The standard method reduces bloating after surgery.
For patients, this type of surgery is considered a surgical procedure.Minimally invasive surgery helps reduce post-operative pain, promotes faster recovery, and allows patients to return to their daily lives.It can be received faster.
However, the option of using surgery...The Da Vinci robotics system was essential.The candidate must be evaluated by a doctor to determine their suitability based on their individual circumstances.The nature of the disease and the patient's condition, however...Each item
