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36 “НАШЕ ЖИТТЯ”, ТРАВЕНЬ 2009 UTERINE FIBROIDS by Ihor Magun, M.D., F.A.C.P. Uterine fibroids are noncancerous growths commonly appearing during the childbearing years. Ironically, because of their asymptomatic presen - tation, three out of four women are not aware their presence. They range in size from microscopic to the size of a football. Uterine fibroids never develop into a cancer, and since most women do not have any symptoms they rarely require any treatment. The exact cause is unknown. Risk factors are limited to heredity. If your mother or sister had fibroids, you are at a higher risk of developing them. Most fibroids are found incidentally during a routine pelvic exam or with an ultrasound during a prenatal examination. Other imaging studies may include a hysterosonography (ultrasound using sterile water to expand the uterine cavity for exami - nation), hysteroscopy (use of lighted telescope, which releases a gas or liquid to expand the uterus), or hysterosalpinography (use of a dye to highlight both the uterine cavity and fallopian tubes). This is frequently utilized during fertility workups. Fibroids usually do not interfere with conception or preg - nancy, but can affect fertility. The location of the fibroid determines signs or symptoms. When fibroids grow into the uterus, heavy, prolonged menstrual periods can be present with bleeding in between periods. This can present as anemia. Fibroids growing outside of the uterus can press on the bladder, rectum, or spine. These produce urinary incontinence, frequency, constipa - tion or a backache respectively. Other symptoms include pain with intercourse or spotting in between periods. When these symptoms develop, medical consultation should be sought. Treatment of fibroids is symptom/p roblem driven. If no significant medical issues are present, watchful waiting is an option. If you are near menopause in life, fibroids regress somewhat during menopause, so waiting is a viable option. If treat - ment is necessary for symptoms, they are targ eted. Hormonal manipulation may be an option. Com - plete removal of the uterus (hysterectomy), is the only complete treatment solution. If only the fibroids are removed, permitting the uterus to remain, a procedure called a myomectomy, is performed. It can be done abdominally and lapr a - oscopically utilizing small incisions. Varia tions of myomectomies include use of electric current or using liquid nitrogen. Some patients may be candidates for a procedure referred to as uterine artery embolization. It involv es Injecting small particles into the arteries supplying the uterus, thereby cutting off blood supply to the fibroid with subsequent regression in size. There are no preventive measures for fibroids. But being armed with this information can lead to a dia gnosis in a timely fashion foregoing problems mentioned above. ГУМОР У ЛІКАРНІ – Роздягайтеся, пані! – Навіщо? – Я вас послухаю. – А я й одягнена балакаю так голосно, що мене всі чують. * * * – Ти чула? Леся так захворіла, що втратила мову. – Ал е котру? Вона знає їх п’ять. Видання C оюзу Українок A мерики - перевидано в електронному форматі в 2012 році . A рхів C У A - Ню Йорк , Н . Й . C Ш A.
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