Author＼Yuanqi.com
Do you know what the "first gynecological tumor" is? Gynecologists point out that uterine fibroids are a serious problem for many women. According to statistics, about one in three to four women has uterine fibroids. More than half of women aged 40 to 50 suffer from this disease. It is a common gynecological problem. However, if the fibroids are too large, they may cause frequent urination, excessive menstrual bleeding, affect the quality of life, and may even lead to infertility.
If uterine fibroids are too large, is hysterectomy the only option?
The Taiwan Gynecological and Gynecological Therapeutic Medical Association hosted a lecture on "Incisionless Surgery to Protect the Uterus - Haifu Knife". Dr. Cheng Chengjie, Chairman of the Taiwan Gynecological and Medical Therapeutic Medical Association and Professor of Obstetrics and Gynecology at National Taiwan Medical University, Many mothers, daughters, and sisters came with questions and asked enthusiastically.
Zheng Chengjie pointed out that there are many methods to treat uterine fibroids, and surgeries have evolved from highly invasive and minimally invasive to non-invasive. HIFU is a non-invasive surgery that uses high-energy focused ultrasound to focus heat energy of 60 to 90 degrees on the fibroids. Because human cells will die when exposed to a high temperature of 56 degrees, it can achieve the effect of ablating fibroids without the need for There is no wound during the operation and the uterus can be preserved. Ablation is different from hyperthermia. The temperature of hyperthermia is only 40-55 degrees, and the tissue cannot be completely necrotic.
Most of the gynecological hysterectomy surgeries in southern Taiwan are performed by Zheng Chengjie, most of which are used to treat uterine fibroids. He also found that many patients went south specifically, so he went north to Taipei Boren Hospital. , cooperated with Gaoyijianjiao to establish Haifu Treatment Center, twice a week, hoping that non-invasive medical technology can benefit more women.
Uterine fibroids are benign tumors that grow from the muscle layer of the uterus. Lin Yushan, an attending physician at the Department of Obstetrics and Gynecology at Boren General Hospital, said that the cause of formation is unknown. Women's uterine fibroids increase in size during childbearing years and shrink after menopause. , so it is determined that female hormones are one of the causes of uterine fibroids.
Lin Yushan said that uterine fibroids are divided into three categories: muscle layer fibroids, subserosal fibroids and submucosal fibroids based on their growth location. Usually, when the fibroids become larger and compress the organs near the uterus, They will only be discovered when symptoms such as frequent urination and constipation occur. Pay special attention to the symptom of submucosal fibroids, which is excessive menstrual bleeding. It is best to have regular check-ups and follow-up every 3 to 6 months.
The probability of malignant uterine fibroids is about two in 1,000, which is extremely low. However, patients should still pay attention to changes in symptoms, such as abnormal increase in bleeding, sudden growth of new fibroids, and excessive growth of fibroids. If the fibroids continue to grow quickly or after menopause, Lin Yushan recommends discussing with a doctor whether to have them surgically removed.
Zheng Chengjie said that in the treatment of uterine fibroids, drugs can temporarily shrink the fibroids, while traditional laparotomy, hysteroscopy, laparoscopy, and Da Vinci laparoscopy can completely remove or remove the uterus. Fibroids. However, for women who want to have children, laparotomy or endoscopic surgery may still cause infertility or adhesion problems.
Haifu Knife is a non-invasive surgery that requires no incision and does not damage other tissues. The treatment time is about 1 to 2 hours. Severe sedation or hypnotic anesthesia can be used before the operation. Recovery after the operation is about 1 week, which can be faster. Symptoms such as frequent urination and bleeding are improved, and the fibroids gradually disappear after the operation. The fibroid volume will shrink by 40% in about 3 months, 50% in half a year, and 85% in one year. However, the symptoms improve very quickly. Usually, they improve significantly in the next menstrual period after treatment, and a few only improve in the 2nd and 3rd cycles.
Zheng Chengjie reminded that before treatment, patients need to undergo ultrasound examination, MRI scan and blood test to check the tumor index. Only when malignant fibroids are ruled out can they be suitable for Haifu surgery. The effect depends on the fibroids. Location, size, etc. vary. In addition, if you have uncontrolled high blood pressure, a history of myocardial infarction, severe arrhythmia, heart failure, kidney failure, liver failure, etc., you are not suitable for Haifu Knife treatment.
Zheng Chengjie added that women over 45 years old who are approaching menopause and do not want scars on their belly due to surgery, or those whose uterine fibroids have repeatedly recurred and are afraid of general anesthesia, may consider Haifu Knife treatment. Relapse may still occur after receiving Haifu Knife. Therefore, Lin Yushan recommends that people pay attention to a balanced diet and develop exercise habits to avoid diseases.
Which conditions are suitable for considering Haifu knife surgery?
■Afraid of anesthesia, surgery, or minimally invasive surgery. ■Approaching menopause. ■I hope there will be no scars on my belly. ■History of uterine fibroid surgery. ■Multiple fibroids or giant fibroids are not suitable for laparoscopic or Da Vinci surgery. ■I hope to get pregnant in the short term without affecting the uterus. ■Those with poor liver and kidney function.
■The purpose is to relieve or alleviate symptoms, such as dysmenorrhea, bleeding, frequent urination, etc. The fibroids are not required to disappear quickly. ■Those who are worried about sticking due to surgery.