How to cure an external uterine uterus 5 cm. Sizes Moma uterus for surgery

24.09.2020

Content

Benign neoplasms are removed by conservative methods, and their treatment proceeds under medical control. If the tumor grows, puts pressure on neighboring organs, then subject to immediate removal. Experts are clinically determined by which sizes of Moma uterus make an operation to avoid complications.

Dimensions for the operation of moma uterus in millimeters

Absolute indication to carry out surgical intervention is the rapid growth of benign neoplasm. At the launched stage of the disease, pain syndrome is present, and it is important not to ignore such patients complaints. The operation makes not all women with a characteristic tumor, the doctor individually determines the permissible dimensions for the operation of the uterine moma in millimeters. The parameters are as follows:

Small myoma in size can be as 6 mm, so 14 mm or more, corresponds to the period of pregnancy 4-5 weeks. The limit of this stage is a tumor parameter 20 mm in diameter.
The average mission of 40-60 mm in size, which corresponds to the term of pregnancy 5-11 obstetric weeks.
Majoma - from 60 mm in diameter, which corresponds to the beginning of the second trimester.

Moma size in weeks and centimeters

Determine the parameters of a benign tumor can be clinically by performing an ultrasound. The sizes of the neoplasm for weeks and centimeters are established, and doctors in this matter adhere to the standard classification. If the female body of pathology reaches large dimensions, an operation is necessary. Approximate sizes of misa in weeks and centimeters for reliable diagnostics are presented below:

5 obstetric weeks - up to 5 cm;
7 -ndella obstetric period - from 6 cm;
10-13 weekly obstetric period - 10 cm;
18-19 weekly obstetric period - 16-21 cm;
24-25 -ndelnoy obstetric period - 23-28 cm;
30-32 Obstetric Week - 29-33 cm;
40-41 -New Obsteric period - 34-35 cm.

How to operate Mioma

If the active growth of the Miser nodes is observed, a diagnostic procedure is necessary - ultrasound. If there is a small mioma, the doctor offers a minimally invasive type of operation with minimal health complications. The neoplasm of large sizes is subject to immediate excision, so doctors urgently operate with uterus. Before doing this, the patient is recommended to undergo a full examination, determine the characteristics of the clinical picture. If the focus of pathology is growing, doctors operate, while choose one of the following surgical interventions:

laparoscopy;
laparotomy;
hysteroscopy;
hysterectomy;
extensive operation.

Indications for Operation in Moma

In practice, there are different, but large neoplasms are subject to mandatory excision. The testimony for the operation in the Moma of the uterus is voiced by a doctor. Small cysts leave under observation, the patient is registered with the gynecologist. The answer to the main question is whether it is necessary to remove the uterus to be removed, depends on the size of the neoplasm and the peculiarities of growth. If the uterine myoma is developing - the sizes for the operation determine the clinical picture:

expressed pain syndrome;
abundant menstruation of different etiology;
uterine bleeding;
necrosis node of myomatous;
subsurose and submucose mioma on the leg,
twisting the long leg feet;
deformation of the organ or group of neighboring bodies;
intramural Mioma;
not tooling pregnancy, infertility;
violation of the functions of neighboring organs, for example, intestinal obstruction;
the appearance of symptoms and signs of rebirth into cancer.

Operation Moma 8-9 weeks

If the tumor acquired the characteristic of the average stage, while continuing to grow, doctors recommend surgery. The optimal version of the Operation of the Moma in 8-9 weeks - Laparoscopic Momectomy, which provides for the removal through small punctures on the abdominal wall. Scars on the skin do not remain, but after such surgical intervention, the woman needs two weeks of rehabilitation.

In such a surgical method, the safe removal of 3-4 pathogenic nodules with a joint diameter of no more than 1.5 cm. With hard-to-reach nodes, in complicated clinical patterns and with large formations, it is better to choose another method of treatment, which already implies the execution of cuts, access to the heart of pathology through the vagina . Alternative is hysteroscopy, which is more considered to be a diagnostic procedure.

Moma operation 10 weeks

If the average fibromyoma develops, and the violation of the bladder functioning is not excluded, laparotomy is recommended by doctors. This is a serious operation, appropriate with a large world that corresponds to the obstetric period of 12-15 weeks of pregnancy. Surgical manipulations are performed through the incision of the front wall of the peritoneum. The operation is appropriate if the ultrasound shows the deformation of the uterine body against the background of the pathogenic growth of benign neoplasms. Tightening the procedure is dangerous. Operation Moma 10 weeks requires long rehabilitation.

Operation Moma 12 weeks

If the tumor has large dimensions and grows, it is immediately important to act. In the presence of one node in the neck, the front or rear wall of the uterine body, the hysterectomy is recommended. This radical method of treatment provides for a complete removal of a critical organ. Such an operation of myoma at 12 weeks is carried out if other methods of treatment are not suitable or are ineffective. In complicated clinical paintings, doctors do not exclude a curvature operation in solid sizes of the focus of pathology.

2012-12-12 08:11:54

Irina asks:

Hello! I really need your answer to such a question. I am 51 years old. I have uterine myoma. I do an ultrasound every year, I follow the growth of myoma, recently, in October, I did an ultrasound in October, since the monthly went 9 days earlier, and here are the results: the size of the body of the uterus: length is 56 mm, front-rear 52mm, width 70mm. Width. The form is incorrect. Myomatous nodes 1) on the left edge Conglomerate nodes of 42x38mm in an inhomogeneous structure with a variable (could not read the blood flow to accurately). 2) In the rear wall, the interstitial node is 16 mm. M-ECHO 3 mm "Three-layer". The left ovary 27x19mm follicular apparatus is differentiated, follicle 10mm. The right 15x10mm follicular apparatus is not differentiated. Ultrasound signs of moma uterus. Please comment on the results of the ultrasound. Is it necessary in my case the operation, if so, what. I heard that the doctors are trying to not delete the uterus to the last. Myoma does not bother me, but sometimes in front of the menstruation sobs a little behind the abdomen. Last year, the ultrasound did not set the conglomerate of the nodes, they talked about nodes on the front wall 36x33 mm and on the rear two nodes 17 and 14 mm in diameter. It comes out this year the knot has grown, much is the increase in the previous ultrasound. What should I do? Watch the following will be the growing mioma or require operation? With great impatience waiting for your answer.

Replies Silina Natalia Konstantinovna:

Irina, the testimony for the operational treatment of myoma is its rapid growth (in your case it is not a rapid growth) uterine bleeding, disruption of the operation of related bodies. To eliminate the endometrium hyperplastic process, it is necessary to undergo therapeutic diagnostic hysteroscopy. And if the histological conclusion is good, take phytotherapy.

2012-12-10 15:38:33

Asks Rita:

Good day! With hysteroscopy, a fibrous-iron-iron polyp PSC was found. Endometrium fragile type. The doctor appointed a Duphaston for 2 half MC of 1 tons. 2 times to 2 months. At the same time, I also myoma uterus. In many publications, the categorical prohibition of the Dufeston's preyoma in Mioma is written, because It affects the growth of myoma. Tell me, whether I was treated correctly. And what are the drugs that will simultaneously have a positive effect on both of my problems?

Replies Wild hope Ivanovna:

Dufaston is prescribed for the treatment of hyperplasia, according to different schemes, according to the reproductive plans of a woman, Dofaston is a synthetic progesterone, its reception is possible if fibromomoma is possible.

2012-12-06 15:42:45

Asks Catherine:

Hello! Help please figure out: According to an ultrasound in a paid clinic on 5 DMC M-ECHO: 1.36, heterogeneous structure, contours are clear, separated through the basal edge, the uterus cavity is not expanded. In the uterine cavity heterogeneous formation of 0.92 * 0 , 51, not protruding outside the endometrium. The back wall is located intramural miom. The supel is reduced. Echogen.2.02 * 1.74. Diagnosis: Mioma of the uterus, adenomyosis diffuse form, zhue? Polyp Endomeria?
On the same day, the ultrasound was converted into consultation, because Two cycles ago made an ultrasound in Semashko and no signs of ZhE and a polypa, and there was no Moma, adenomyosis initial signs I have long. Due to the ultrasound from the LCD: M-ECHO 0.5 cm, the uterine cavity is somewhat expanded (the doctor asked me Allocations, at that time they were no longer there, a little bitmacked and all), the myometrics of the inhomogeneous structure, the neck of the uterus without features. Translude: impossible to exclude adenomyosis. Signed in the words that there are also blood in the uterus, but the selection is so bigger and not It was ... Endometrium is thin and normal.
Next, how many opinions are completely divided by the doctors, I went even in one place on the same day and made another ultrasound: M-Echo: 0.5, the endometrium of a homogeneous structure, the uterus cavity is not extended, not deformed, the structure of myometrium is homogeneous (it She said that he would not make the diagnosis of adenomyosis, because changes in myometries are completely insignificant and on the basis of one ultrasound, this diagnosis is not made. The conclusion: M-ECHO picture corresponds to the first phase of MC.nachable signs of adenomyosis.
Both recent ultrasound correspond to the fact that I did two cycles back to Semaashko. When such a meticulous study was a planned pregnancy. The endometrium hysteria occurred about the year ago (according to the results of hysteroscopy, showed itself a small crawling in the cycle: 28-32 days), now The cycle is clear, I do an ultrasound every 6 months. It was good, I take a Duphaston from 16 to 25 DMC at the present moment. In this cycle, in two days, it was a little smeared, straight a drop, menstruation came on time. My such thing is: what should I do with the planned pregnancy , in fact, in the first case, ultrasound is clearly not the norm, could the error might occur in the formulation of such a diagnosis, because with two other opinions does not coincide? At the moment it is very important for me, because. This pregnancy is very arrogant and I pass the plasmferressee course, there are a lot of problems and unsuccessful attempts too. Please, please advice !!! Thanks in advance, Catherine.

Replies Wild hope Ivanovna:

Get ready for pregnancy, repeat ultrasound after 2 weeks, and then after menstruation. Preferably in one place at the same doctor. Then you can expect results. Ultrasound is an additional research method, there may be errors. Therefore, you need control, especially if you are planning a pregnancy.

2012-12-04 16:42:55

Lida asks:

I have a mioma of the uterus knot 22 * \u200b\u200b17mm on the front wall, I am pregnant-7 weeks. Is I going to give birth? I have a first pregnancy, I have not done only 22, the turns did not do, where did I come from? Could it be

Replies Palyg Igor Evgenievich:

Do not worry, it's not even mioma, but a node that during pregnancy can increase, after it needs to be observed on the WORD, but to carry out and give birth to a child, I think you can.

2012-12-03 21:06:00

Aerlena asks:

Hello! Tell me please, can I pregnant with a diagnosis of uterine myoma with an intramural node size 10 * 18mm?

2012-11-30 08:19:59

Lyudmila asks:

For example, 45 years old with periods regular but strong bleeding with zgoshki! I have Mioma uterus 10 weeks Polyp mendometry Rommers uteri82-83-88mm Vol314cm3 Intraminorally subsernosno Fibromatous node for the front walls of D37mm at the bottom of 62mm Rear walls 10mm Endometry 9mm in the hyperechogenne row Sprinkle vascular legs neck uterus 42-34mm PR JIACH 36_20_21vol7.7cm3 Leo Eggs32 18 17Vol5cm3 The doctor said to do the lapaterati operation

Replies Kondratyuk Vadim Anatolyevich:

Obviously, you are offered to remove the uterus. This intervention is shown at a reasonable suspicion of a malignant tumor. If there is no suspicion, it is possible to do with more gentle methods - embolization of the uterine arteries.

2012-11-28 15:45:18

Asks Galina:

Hello! My name is Galina, I am 59 years old. For the past 10 years, I observe the gynecologist about the moma of the uterus. Last ultrasound showed: Body of uterine uanteflexio, irregular shape, increased, contour smooth, clear boundaries, smooth surface. The inhomogeneous structure of the inhomogeneous structure is due to numerous, small EXHOs of positive containing and EXE negative sections up to 10 mm, at the rear wall of the uterus Intramoral-subseroic fibromatous node 35x40mm, slightly deforms the uterine cavity, on the left subserososnous fiber-matheal. node up to 25 mm, numerous intramural fibromatous nodes up to 12-13 mm. The cavity of the uterus is reddoded. Endometrium 2 mm, thin EXHO positive, contour smooth. The cervix of ordinary sizes, homogeneous. (etc.)
To my question, whether I need treatment, the doctor answered that in menopause patients with such a diagnosis were not interesting and no treatment requires any treatment. Only periodic ultrasound control.
My question: Does the doctor or still need to take some measures?

2012-11-27 14:12:45

Asks Natalia:

Hello!
Results of the ultrasound: Dimensions of the uterus for: 85mm, P \\ s: 70mm, Shir: 72mm, corresponds to: 9-10 weeks of pregnancy. Contours: uneven, v \u003d 223ml. Structure: on the rear wall of intestitz. Node D48mm.
M-Echo: 3mm, endometrium: narrow hyperehogen strip
The cavity: rejected to the front. In the bottom expanded to 5mm anechogen content.
The cervix: 33-25-27mm, on the front lip single cyst stroma D5mm.
Right ovary Dimensions: 21-18-18mm, position: on the edge of the uterus
Echostructure: V \u003d 3.6ml, the folic machine is not expressed.
Left ovarian Dimensions: 20-20-17mm, position: above the uterus.
A echostructure: v \u003d 3.7ml, when tv inspection is achieved with difficulty.
Features: in the rear edge free liquid strip up to 4mm. Wearing l / knots are not visualized.
Conclusion: Echocartine interstitial uterus with the deformation of the cavity. Signs of transferred ooforita.
Question: Please explain to me that I have an unscientific language and what is possible treatment?
Thank you!

Replies Gritzo Marta Igorevna:

You have been observed by the inflammatory process of appendages and a benign tumor (mioma), which deforms the uterine cavity. It is quite large and most likely requires surgery. It depends on your age, in a more mature age, in the preclimacteric period, for a similar tumor, you can simply observe. If you are a young woman, up to 40 years old, then the operation is required. Refer to the appointment to the gynecologist, which will prescribe treatment and can send it to the hospital if necessary.

2012-11-23 09:42:34

Asks Catherine:

Hello! Help please understand. In November 2011 I was aimed at hysteroscopy. I was done by the RDV. 2 polyps were removed in c / k. Histology results: C / K blood, mucus multilayer flat epithelium. P / m glazier-cystic polyp endometrial. After 9 months I went to the control appointment without complaints and the doctor appointed to me 3 months at 1 tablet 2 times a day to take Nigolut continuously. After 3 months, I came monthly, although before that, I did not have them for 5 years. I did the ultrasound on November 23, 2012. The uterine 80 mm, front-rear 55mm, width64mm. The contours are uneven, the structure of myometrium is non-uniform. The wall in the N / s. Interst. / Not particularly understood / node D 25mm, according to s / st / not clear / subserosnous. On a wide base of D 13mm node. M-ECHO 9.8MMMMMUMSTRUMENTS comprises an increase in echogenic-9 * 28mm. : Myoma of the uterus and polyp endometrial. Recommended "D" scraping. I am 55 years old. Momoma 6 weeks since 2002 was without increasing to this time. Whether all this was prefabricated by Norcaluta / T.E. Increase in Mioma and the growth of the polypa / what should I do in the future and how seriously that the doctor comes to delete The uterus in order to further avoid serious consequences. Thank you !!!

Replies Kondratyuk Vadim Anatolyevich:

Diagnostic scraping is needed to influence malignant tumors and precancerous states. If such is not detected, the removal of the uterus is not shown, it is a crumpleholder that can significantly worsen the quality of life at any age. The most reasonable alternative is the embolization of the uterine arteries.

In what cases can be observed for the Moma and not operate?

There is no universal answer. When deciding this issue, we take into account the desire of the woman itself, the presence and severity of complaints, age and reproductive plans of a woman (desire to have children in the future), a decrease in the quality of life, the size, location of myomatous nodes, etc. The decision is made jointly with a woman on the basis of comprehensive discussion and consideration of possible alternatives. You can resort to conservative treatment methods. True, today they are not effective enough. Hormonal drugs of a new generation allow you to suspend the growth of myoma, if the tumor consists mainly of muscle fibers and when there are receptors in the muscular uterine layer, allowing these hormones to "catch" and give a response. Someone such therapy will help someone - no. Treatment of non-steroidal anti-inflammatory agents slightly reduces pain and bleeding.

With the beginning of Menopause Mioma usually decreases. And if the Specialists of the Gynecology and Oncogynecology Department of the EMC refers to a woman with this disease, which approaches menopause, usually we propose not to hurry with the operation. She should be supervised and coming to check every six months to make sure that there is no fast growth of myoma.

Mioma uterus: testimony for surgery

Absolute testimony for surgical treatment of uterine misa, regardless of the age of the patient are:

the magnitude of the Mioma exceeding the size of the uterus during pregnancy is 12-14 weeks;

the rapid growth of the uterine misa (for the year by the amount corresponding to 4-5 weeks of pregnancy);

uterine bleeding with a decrease in hemoglobin due to abundant blood loss;

sharply pronounced pain syndrome;

secondary changes in the node (necrosis, infection);

the presence of submucous or subserosaceous nodes of any size on long legs, with a high probability of inclusive to twisting;

cervical, intercoupe, "born" node;

infertility, unbearable pregnancy, incl. as preparation for the ECO program;

pronounced disorders of neighboring organs (rapid urination, long constipation). Due to the pressure on the rear wall of the bladder, the reflux arises (brought urine into the ureter), increases the risk of inflammatory diseases (for example, the exacerbation of chronic pyelonephritis), the expansion of ureterals and renal pelmers up to the secondary hydronephrosis.

Operational treatment of moma uterus

The choice of volume and access of surgical intervention depends on the size and localization of the myomatous node, the age of the patient, its desire to maintain a childbearing and menstrual function. In any case, in the treatment of young women, we are guided by the principle: "Delete Mioma is to save the uterus!". However, it is impossible to forget that momectomy, being a conservative, organ-bearing, reconstructive-plastic surgery, has a certain percentage of Moma relapse, which in some cases requires a re-operation.

In the clinic of gynecology and oncohycinecology, Laparoscopic Miomectomy is performed, practically no restrictions on the size of the uterine mioma nodes, hysterorezectoscopic removal of submucosic uterine, combined laparoscopic-hysteroscopic momectomy. The question of hormonal preoperative preparation of patients is solved individually. With multiple myomatous nodes above the surface of each of them, the wall of the uterus is observed, the nodes are fixed by special tools and removed. The vessels in the bed of the node are coagulated (turn into a clock), after which a complete layer-by-layer reconstruction of the uterine wall is performed by applying seams using a modern absorbable suture. Adequate layer-by-layer restoration of the integrity of the wall of the uterus is the key to the success of laparoscopic momectomy. Patients who have undergone Miomectomy will be able to start preparing for pregnancy 6-12 months after surgery (the question is solved individually). Most of these interventions can be laparoscopically, with the exception of very large nodes that occupy the entire abdominal cavity.

In some cases, the method of choice may have embolization (blockage) of the vessel eating, as a result of which the growth of the node is stopped, and it "wrinkles". Also possible treatment of the node with a focused high-energy ultrasound. Women in pre- and postmenopause show the embolization of the uterine artery, extirpation (complete removal) of the uterus with appendages or without them. If myoma does not grow and does not cause discomfort, in this case the treatment is not recommended.

Moma uterus is a benign neoplasm that develops in women of any age. This is the reaction of the female organism on the impact of damaging factors, the main of which is menstruation. The size of the uterine misa is determined by weeks of pregnancy. In centimeters, the volume of myomatous formation, gynecologists are determined by ultrasound. If you encountered the Miser of the uterus, contact us and organize treatment in the best.

This text was written without support, and therefore all information is familiarized.

Many gynecologists with a large amount of Moma remove the uterus. They believe that only this can be prevented by the transformation of myomatous education in a malignant tumor. The doctors of the clinics, with whom we cooperate, adhere to other opinions. After examining the patient with the help of modern diagnostic techniques, endovascular surgeons determine the dimensions of the misa in weeks and centimeters, localization and structure of myomatous formations. After installation of an accurate diagnosis, an innovative procedure is performed - embolization of the uterine arteries. It allows you to save the patient from the symptoms of the disease, save the uterus, restore sexual attraction and fertility (the ability to the birth of children). Our specialists will be with you in touch at all stages of diagnosis and treatment. You have the opportunity to get expert advice

Mioma species depending on the size of the node

Mioma 3 cm - how many weeks of pregnancy? Small mioma (about 2-3 cm) corresponds to a period of 4-6 weeks of pregnancy. In this case, the operation is performed only in the case of twisting the legs of the myomatous node, the development of plenty of bleeding, which leads to the anemia, or infertility. Momoma 9 weeks - how many centimeters? With increasing the size of the uterus, up to 9 weeks of pregnancy, the volume of Moma does not exceed 20mm.

Often women are interested, Mioma uterus 4 cm is a lot or a little, mioma 4 cm - how many weeks of pregnancy. The average is considered to be Mioma with a volume of 4-6cm, which corresponds to 10-11 weeks of pregnancy. If there is no active growth in myomatous formations and pronounced symptoms of the disease, the operation can be not carried out. Education, which are placed on the outside of the uterus, sometimes violate the work of the organs located closest. With a moma size 5, 6 cm may have infertility or miscarriage. The size of the middle of the uterus varies from 20 to 60mm. The size of the standing of the bottom of the uterus corresponds to the following pregnancy timing:

8-9cm - up to 10 weeks;
9-10cm - up to 11 weeks;
10-11cm - up to 12 weeks.

Momom exceeding in diameter 6 - 8cm is considered large. At the same time, the uterus increases to the period of 12-16 obstetric weeks of pregnancy. Most of the gynecologists are removed to be operative way or conduct drug therapy. Myoma uterus 9 mm is big.

The doctors of the clinics with whom we cooperate, regardless of the size of the Mioma, the embolization of the uterine arteries is carried out for the treatment of the disease. This is a minimally invasive procedure, after which myoma decreases in size, some myomatous nodes disappear. A year after operations in all patients, according to ultrasound, the uterus becomes normal sizes.

Moma sizes in Moma in centimeters

To make the right diagnosis of the gynecologists of our clinics not only conduct a traditional inspection, but also send a patient to an ultrasound study. The diagnosed tumor is described in centimeters and weeks. The size and height of the bottom of the uterus at the same time correspond to the obstetric periods of pregnancy. For convenience, doctors use a table where data on the sizes of myoma, uterus are combined, periods in weeks.

Little consider the uterus up to 20mm. The standing height of the bottom of the uterus 1-2cm corresponds to 1-4 weeks of pregnancy, 3-7cm - up to 7 weeks, 7-8 - up to 9 weeks. Under the morning of the uterus, 7-8 weeks the diameter of the neoplasm 2 cm.

The size of the middle of the uterus varies from 20 to 60mm. The size of the standing of the bottom of the uterus corresponds to the following pregnancy timing:

8-9cm - up to 10 weeks;
9-10cm - up to 11 weeks;
10-11cm - up to 12 weeks.

The size of large misa exceeds 60mm. With a standing height of the bottom of the uterus 11-12 cm, the organ itself increases to 13-14 weeks of pregnancy. With an increase in the uterus until 19-20 weeks of pregnancy, the standing bottom of the body is 16-20 cm, 39-40 weeks - from 39 to 49cm.

Moma symptoms depending on the size of the node

Mioma no more than four weeks of pregnancy in the early stages of the disease proceeds asymptomatic. Mioma 8-10 weeks with an increase in nodes to 5cm is manifested by the first symptoms - painful menstruation. With an increase in the uterus to 12 weeks of pregnancy, bloating appears. If the myomatous node is located on the leg, when it is twisted, a sharp pain in the abdomen, nausea, vomiting appears. With miscarriage of myomatous education, the body temperature increases, the symptoms of inflammation of the peritoness are developing.

With a lot of large sizes, there is a compression of neighboring organs, urination is disturbed, constipation arise. Patients worry pain in the lower back and near the rectum. Moma for more than 12 weeks cause the formation of adhesive processes in a small pelvis.

Influence of the size of misa for pregnancy

With a moma of small or medium sizes, pregnancy can leak normally. If a large-sized tumor, then the conception is natural, and tooling pregnancy is impossible. Mioma, speaking in the uterine cavity or located in the field of the cervix, often becomes infertility and spontaneous miscarriage.

In the first trimester of pregnancy, the dimensions of Moma are increasing. This leads to anomalies for the development of the fetus, the pathology of the placenta. In 20% of patients during pregnancy, Mioma progresses. In this case, normal genera are impossible. For this reason, our gynecologists recommend women in the presence of moma of any size to perform embolization of the uterine arteries at the pregnancy planning stage.

Diagnosis of Moma

An examination with suspicion of Mioma uterus gynecologists begin with careful collection of anamnesis. Pay attention to the beginning of the menarche, the presence and number of abortions, childbirth and their complications, the presence of the disease in close relatives of the patient. Doctors find out whether the woman has been carried out with the diagnostic or therapeutic goal of operational interventions, whether it suffered infectious diseases of the women's reproductive system. These factors provoke the development of myoma. Gynecologists clarify the degree of severity and duration of blood loss during menstruation.

During the objective inspection, the color of the skin and mucous membranes is evaluated. When palpation of the abdomen in a suplocked area, you can define the uterus, an increased up to 12 weeks of pregnancy and more. With a bimanual vaginal study, they find much less smaller sizes. The absence of palpator signs of myomatous nodes does not exclude their presence.

Using ultrasound scans, the dimensions and localization of the Mioma are precisely determined. For better visualization of the neoplasm and evaluation of its features, the doctors of functional diagnostics use transabdominal and transvaginal sensors. This method allows you to monitor the growth rate of myomatous nodes and control the effectiveness of treatment. Ultrasound scanning is also carried out as screening in the risk of risk of uterine.

The following ultrasound signs of Moma are exist:

increase in the size of the uterus;
the irregularity of its contours;
displacement of the median m-ech;
the presence in the thickness of the mineometrium or in the uterus of the structure of the ovoid structures, the rounded shape with increased echogenicity.

The use of a transvaginal sensor allows our doctors to obtain information about the presence of ultrasound signs of the Misa of the uterus, which is in the proliferation stage. At the same time, doctors detect cystic inclusions and dense tumor components. Their ratio varies according to the severity of proliferative processes. Our experts explore blood flow inside the misa with the help of three-dimensional echography and dopplerography.

The integrated use of ultrasonic diagnostic methods to identify and a fairly accurate assessment of the state of myomatous education. This allows you to predict the course of the disease, to carry out a differentiated approach to the choice of treatment method.

Computer or magnetic resonance imaging is used to clarify the structure of the Myomatous node and conducting differential diagnosis with adenomyosis. In suspected, endoscopic and radiographic examination are suspected of a submembratus localization of misa. Diagnostic laparotomy is performed with the subseroic arrangement of the Moma, the presence of formations on the leg, and in order to estimate the state of the small pelvis organs.

Treatment of misa uterus depending on the size

If myomas increase in size, corresponds to a period of 8-9 weeks of pregnancy, most gynecologists recommend a woman to make an operation - laparoscopic momectomy. Momatous nodes are removed through suns done on the front wall of the abdominal cavity. After such an operational intervention, there is no cosmetic defect, but the quality of the scar in the uterus is not always good.

The removal of Moma 10 weeks is carried out through the incision of the front wall of the abdominal cavity. This is a complex operation to remove the uterine neoplasm. It requires a long operation. After surgery, the scars on the skin of the abdomen and the uterus remain. Pregnancy and childbirth can proceed with complications.

Deleting Mioma 12 weeks gynecologists perform hysterectomy - complete removal of the uterus. After the operation, a woman is deprived of a childbearing organ. The term of rehabilitation is about two months. In the postoperative period may develop mental health disorders, arterial hypertension. After the embolization of the uterine arteries, the restoration of fertility occurs quickly, the women increases libido, pregnancy and childbirth proceed to physiologically.

The main indicators for removing gynecologists consider:

later identification of myomatous formations;
long-term blood loss;
suspicion of malignant neoplasm;
increasing anemia.

The doctors of the clinic with whom we cooperate, adhere to the opinions that the testimony for the removal operation is unreasonably expanded. Modern diagnostic methods make it possible to determine the nature of the volume formation in the uterus. Even with a lot of large sizes, our doctors first make embolization of the uterine arteries, and after a decrease in the size of Moma, the remaining nodes of the laparoscopic method are removed in technically more favorable terms.

Bibliography

Savitsky G. A., Ivanova R. D., Svechnikova F. A. The role of local hypergormmia in the pathogenesis of the growth rate of the mass of tumor nodes in the Moma of the uterus // Obstetrics and gynecology. - 1983. - T. 4. - P. 13-16.
Sidorova I.S. Myoma uterus (modern aspects of etiology, pathogenesis, classification and prevention). In the book: Myoma uterus. Ed. I.S. Sidorova. M: Mia 2003; 5-66.
Meriakri A.V. Epidemiology and pathogenesis of the uterus. Sib Med Zhurn 1998; 2: 8-13.

Content

Today, the uterus myoma is one of the most common diseases in gynecology. Not so long ago, it began to treatment only after reaching the size of 9 cm in diameter. In this case, an operation was carried out, which lies in the total amputation of the uterus (hysterectomy).

Today, doctors in the arsenal has a huge number of various methods of fibromic treatment: from therapy with medicines and minimally invasive methods of removal of neoplasms, to safe and gentle methods of surgical operations designed to preserve the reproductive function and health to women.

What

Mioma is a benign neoplasm in the uterus, which is formed, primarily as a result of the improper work of the hormonal system of a woman. Moma of the uterus may appear one or several minutes. Most often, it has the right rounded shape or form of oval, and sometimes a node is developing on the leg.

The size of myoma can be both quite small (only a few millimeters) and very impressive (reach 20 cm in diameter). It is customary to use when determining its parameters, the circumference of the uterus, which, with an increase in myoma, is growing as during pregnancy. Thus, in the card, the doctor will record the "age of mime" in the number of week corresponding to the increase in the uterus during pregnancy.

"Age" of myoma and symptoms

Most often, a small Mioma is found on a planned examination of a gynecologist or at an ultrasound study of the small pelvis organs. In this case, it does not bring any discomfort to a woman, because its size will be no more than three cm (8 weeks). Little neoplasms do not show themselves and most often do not require an urgent surgery.

When the uterine mioma is found On the leg, the operation is carried out at mandatory. Arbitrary twisting legs can cause tissue necrosis and sepsis development - life-threatening condition.

Misa is medium in size equal to about five cm (11-12 weeks), a woman can even detect himself. Some symptoms of the disease will be prompted:

increase in abdomen with a negative pregnancy test;
pain in the lower abdomen and the sacrum;
menstrual disorders (failures, lack of menstruation, bleeding for more than six days);
acyclic blood blood or breakthrough bleeding;
infertility;
miscarriages;
soreness when urination;
constipation.

If there is still no symptoms of the disease - you can try to treat the average myomatous node conservative way. This is especially true in the period before the onset of menopause, when there are still chances of independent regression of the disease.

Large Mioma, the size of more than 8 cm (from 12-15 weeks of pregnancy) is simply impossible.Such Mioma always brings discomfort to the patient, and an increase in the abdomen because of its growth is noticeably even with a naked eye.

Big Mioma, the size of more than 12 weeks requires a mandatory urgent minimally invasive or complete surgical intervention.

When the operation is needed in the morning of the uterus 12 weeks (8 cm)

The main method of treating a large myomatous node or multiple neoplasms is considered a surgical operation - Momectomy. Miomectomy is carried out in several ways.

Laparotomy is a full-fledged surgery, which is carried out through a sufficiently long cut on the bottom of the abdominal wall. Indications for laparotomy will be: large nodes, strong deformation of the walls of the uterus, multiple education. During the laparotomy doctors, most often, it is possible to avoid bleeding, completely remove all patients of fabrics and make the right seam on the uterus, which does not prevent the normal development of pregnancy and natural breeds.
Laparoscopy is a minimally invasive type of surgical operation, during which the removal of nodes occurs through several small cuts in the abdominal wall. Laparoscopy is carried out if the formation is not more than 6 cm in diameter and only on nodes available to laparoscope. Conducting such a type of operation in hard-to-reach areas is dangerous, since the uterus is thickly equipped with blood vessels, and any of their damage can lead to extensive bleeding.
Hysteroscopy is a way to remove myomatous nodes without cuts. The thin tube is injected through the vagina and the cervical channel in its cavity and under the control of the miniature video cameras are removed by neoplasms.
Hysterectomy is a complete or partial removal of the uterus. This is an extreme measure on which the doctors go to the most neglected cases of the disease, with strong lesions of the fabric, which are not amenable to recovery, with severe concomitant diseases.

Momectomy helps Not only to completely remove the formation of almost any size, but also to preserve the reproductive function of the female organism. For rapid recovery, preparations are used, normalizing the state of the uterus, accelerating the healing of tissues and prevent disease recurrence.

momectomy

There are a number of absolutely clear indications when surgical treatment is necessary:

when the moma size is more than 8 cm (12 weeks of pregnancy), the operation is the only output;
too rapid growth of myoma (2-3 cm for 12 months);
the appearance of multiple nodes;
uterine bleeding (oscillation or breakthrough);
anemia;
pain in the area of \u200b\u200bthe lower back and lower back;
myoma uterus on the leg;
"Birth" of Mioma (germination of it outside the cervical canal).
remaining tissue tissues;
infertility;
non-pregnancy;
violation of the functions of organs associated with the growth of myomatous node (constipation, frequent or painful urination, violation of the blood supply to neighboring organs);
danger of rebirth of fibromomy into a cancer tumor (sarcoma).

The operation for these manifestations is carried out regardless of the age of the patient.

Moma treatment of 5 centimeters

With miomas of 4.5.6 cm in size (age 8-12 weeks), there is treatment with alternative ways.

Treatment with laser (fuz-ablation) - elimination or decrease in misa without cuts and damage to healthy tissues. The procedure is the "burning" of the tumor with the help of a laser beam. The operation is carried out under the control of the magnetic-resonance tomography apparatus, which makes it possible to maximize the manipulations and completely eliminate the injury of the small pelvic organs, save the reproductive function.
The embolization method of the uterine arteries is to overlapping blood flow to fibromome. In the area of \u200b\u200bthe right femoral artery, a small incision is carried out through which the catheter is introduced into the artery to the vessels of the uterus. With the help of a specially designed drug, the blood blocks are cleared, after which the basement of the neoplasm occurs and its gradual die. Then the uterus is then excreted from the body during menstrual bleeding.

How to treat Mioma 9 weeks

Most of the world up to 12 weeks can be tried to treat medication.

Analogs of gonadotropin - hormone rilizing provoke a drug occurrence of menopause by reducing the amount of estrogen. Treatment is able to significantly reduce education, however, it is more appropriate for women after 45 years, when not very long to real menopause remains.
Combined oral contraceptives are used in young women, when fibromic is detected to two centimeters in diameter. It is good to carry out such treatment during preparing for pregnancy.
The intrauterine hormonal helix helps with small and medium-sized formations in the subserosine (external) layer of the uterus.
Antiprogestin is the newest drug (synthetic steroid) to reduce nodes.

It is important to remember that with the help of tablets completely get rid of myoma will not work. Such treatment is necessary in order to suspend its growth or temporarily reduce it in size. After some time after the end of the treatment of Mioma again will begin to grow.

The doctor should decide on the method of treating myoma. If you doubt the competence of your doctor, consult with several specialists and listen carefully why each of them recommends a specific treatment. Remember that the gynecologist always estimates the situation as a whole: collects history, studies the history of the disease and the results of the tests. Therefore, if several doctors recommend the operation, do not delay it. On time, the treatment passed will protect you from complications.