Endometriosis is a common and difficult disease in gynecology, a worldwide disease that is not restricted by race, region, or economic status. The age of onset is mostly between 30?40 years old, and there is a trend of increasing incidence and decreasing age of onset year by year. According to statistical data, the incidence of endometriosis accounts for about 10% of women of childbearing age. Because of its recurrent course, it causes great pain and economic burden to women of childbearing age in terms of fertility, body and mind. So, what is endometriosis?

朱古力瘤症狀

Endometriosis (abbreviated as endometriosis) is a disease caused by the growth function of the endometrium that appears outside the inner wall of the uterine cavity. Under the influence of ovarian hormonal changes, periodic bleeding is accompanied by the formation of proliferation of surrounding fibrous tissue and adhesions. Endometriosis is mostly located on the peritoneal surface of the genital organs and their adjacent organs in the pelvis and is often clinically referred to as pelvic endometriosis.

新冠檢測

However, once disturbed, it will involuntarily "run" to other parts of the body, such as within the myometrium, forming uterine adenomyosis and adenomyoma; if ectopic occurs in the ovaries, it will form chocolate cysts; it can also occur in the uterine sacral ligament, intestinal wall, caesarean section scar, vaginal lateral incision, and a few can ectopic to the lungs, stomach, bladder, lips, and recruitment cavity. The lungs, stomach, bladder, lips, and fund-raising cavity may also be ectopic.

Endometriosis is histologically benign, but the clinical behavior and manifestations are as proliferative, infiltrative, and diffuse as malignant tumors, and even transvascular dissemination and distant metastasis. As long as the ovarian tissues secrete hormones, the disease gradually worsens, so the disease is an estrogen-dependent disease, a modern disease called "benign cancer".

Treatment of endometriosis.

It is mainly used for young, fertile people. The uterus and adnexa are preserved, only the lesions are removed, adhesions are separated, ovaries are reconstructed, and tissues are repaired. The main methods are laparoscopic surgery, endometrioid cyst puncture of the ovary under ultrasound and conservative surgery by cesarean section.

One of the important purposes of conservative surgery is to achieve a full-term delivery, so both partners should be tested for infertility before surgery. Post-operative recurrence can still be treated by conservative surgery again, and the results can still be obtained.

(2) Semi-curative surgery: for those without fertility requirements and with severe lesions but at a younger age (<45 years old), total excision of the uterus and lesions is feasible, but the normal ovarian tissue on one side is preserved as much as possible to avoid the premature appearance of menopausal symptoms. The recurrence rate after semi-curettage is generally considered to be low with few sequelae. Hysterectomy removes the source of viable endometrial cells to colonize and reduces the chance of recurrence, but may occur if the ovaries are preserved.

Total hysterectomy and bilateral adnexal resection should be performed if the age is close to menopause, especially if the disease is severe and there has been recurrence. Ruptured ovarian endometrial cysts should be avoided during surgery if possible. The cyst fluid should be aspirated and irrigated as soon as possible when it flows out. For postoperative menopausal syndrome, sedatives and Nylstilbestrol are available.

In the treatment of endometriosis, Chinese medicine mainly uses the following methods:

According to TCM, the occurrence of pelvic endometriosis is closely related to the menstrual cycle, dysmenorrhea combined with the treatment of menstrual periods and different body types. Generally, before menstruation, the main treatment is to regulate qi and eliminate stasis; during menstruation, the main treatment is to activate blood circulation and remove stasis, regulate temperature and menstruation to relieve pain; after menstruation, the main treatment is to benefit qi and tonify kidney, activate blood circulation and remove stasis.

If it is accompanied by excessive menstruation, it is still necessary to remove blood stasis and stop bleeding during menstruation. Many symptoms of endometriosis show its direct pathogenesis, and the pathogenesis is "blood stasis", and "blood stasis" has the difference of cold, heat, deficiency and reality. Clinical treatment should be based on the basis of the basal pelvic endometriosis machine, but should also be based on deficiency and reality, especially for the main clinical symptoms, combined with appropriate diagnosis and evidence, or tonifying the kidney, activating blood stasis to regulate menstruation, or tonifying the kidney and activating blood to promote ovulation and promote pregnancy, or activating blood stasis to disperse nodules.

Posted by: antonia at 07:23 AM | No Comments | Add Comment
Post contains 750 words, total size 6 kb.