Kali ini saya ingin mengumpulkan beberapa maklumat berkaitan fibroid, cyst, lump dan bumps yang dikatakan berkait-rapat dengan kehidupan wanita. Hal ini termasuklah risiko barah rahim dan buah dada yang digeruni oleh golongan wanita masa kini.
Dipetik daripada :
http://www.utusan.com.my/gaya-hidup/kesihatan/fibroid-kecil-tidak-berbahaya-1.163558
Fibroid kecil tidak berbahaya
doktor jawab
29 November 2015 4:00 PM
Gambar menunjukkan rahim yang normal dan tidak mengalami fibroid.
Kakak saya baru didiagnosa mengalami fibroid. Beliau masih tidak percaya kenapa beliau menghidap fibroid. Jadi, bagaimanakah para doktor mengesahkan seseorang itu menghidap fibroid? Mohon doktor perjelaskan.
n Hawa, Seremban
Jawapan
Sebelum seseorang wanita itu disahkan menghidap fibroid, dia hendaklah menjalani beberapa prosedur atau ujian sama ada berbentuk ujian darah, radiologi (secara pengimejan) mahupun ujian biopsi tisu rahim. Setiap ujian yang dilakukan mempunyai fungsinya tersendiri. Sebagai contoh, ujian darah dilakukan untuk melihat tahap hemoglobin (unsur yang terdapat pada sel darah merah) sama ada pesakit mengalami anemia atau tidak. Tahap hemoglobin penting kerana apabila tahap hemoglobin berada pada aras yang rendah, keadaan ini menunjukkan pesakit mengalami perdarahan yang berlebihan. Oleh itu, pesakit ini mungkin memerlukan pemindahan darah (jika perlu) untuk memastikan tahap hemoglobin kembali ke aras yang normal. Kalau penghidap fibroid mengalami anemia yang tidak teruk, mereka hanya perlu mengambil tambahan zat besi (hematinik).
Bagi mengesahkan kehadiran fibroid, doktor akan mendapatkan maklumat yang lebih lanjut tentang simptom yang dialami oleh pesakit. Kemudian, pesakit akan dinasihatkan untuk menjalani beberapa ujian pengesahan seperti menjalani imbasan ultrabunyi dan ujian biopsi, jika perlu. Sebelum menjalani setiap ujian, pesakit akan diberikan penerangan lanjut tentang cara ujian dijalankan, fungsi dan kelebihan ujian tersebut serta kesan sampingan setiap ujian yang dijalani. Ujian-ujian yang dijalankan untuk mengenal pasti fibroid termasuklah ujian imbasan ultrabunyi, histeroskopi, laparoskopi dan sebagainya.
UJIAN IMBASAN ULTRABUNYI
Imbasan ultrabunyi merupakan prosedur yang biasa digunakan untuk diagnosa ketumbuhan fibroid. Ia dilakukan di bahagian abdomen atau melalui faraj (transvagina). Kedua-duanya dapat membantu mengenal pasti saiz, bilangan, posisi dan bentuk fibroid. Selain itu, imbasan ultrabunyi juga membantu membezakan fibroid daripada ketumbuhan lain yang boleh berlaku di kawasan pelvis seperti sista ovari dan adenomiosis.
Sering kali, adenomiosis kelihatan sama seperti fibroid. Walau bagaimanapun, terdapat beberapa ciri yang kelihatan pada skrin alat imbasan ultrabunyi yang boleh membezakan fibroid dan adenomiosis. Kawasan fibroid adalah berasingan (diskret) dengan batas yang jelas, dan boleh dibezakan daripada kawasan sekitarnya. Adenomiosis pula sukar dibezakan dan ia terletak di dalam dinding miometrium. Perkara ini penting kerana rawatan fibroid dan adenomiosis berbeza.
HISTEROSKOPI
Histerokopi ialah sejenis kaedah binokular (kaedah teropong) untuk melihat secara langsung keadaan dalaman rahim. Prosedur yang dilakukan adalah untuk melihat rahim dengan memasukkan kamera fiber optik yang kecil atau dikenali sebagai histeroskop melalui permukaan pangkal rahim. Prosedur ini dilakukan untuk menyiasat persekitaran di dalam rahim dan seterusnya boleh mengambil contoh tisu untuk pemeriksaan lanjutan. Ujian ini boleh membantu doktor melihat fibroid di dalam kaviti rahim. Kadang-kala ujian ini membolehkan untuk pembuangan ketulan fibroid dilakukan terus. Ini bermakna pembedahan miomektomi juga boleh dijalankan melalui prosedur histeroskopi jika fibroid adalah daripada jenis submukosa.
BIOPSI ENDOMETRIUM
Prosedur ini dilakukan dengan mengambil sedikit sampel tisu daripada rahim. Kebiasaannya, prosedur ini dijalankan bersama-sama prosedur histeroskopi. Satu alat kecil berbentuk sudu dimasukkan melalui pembukaan pangkal uterus dan akan digunakan untuk mengambil sampel tisu daripada rahim. Biopsi biasanya boleh dijalankan secara day care. Walau bagaimanapun, prosedur ini jarang-jarang dilakukan melainkan untuk membezakan fibroid dengan kanser uterus.
Prosedur biopsi endometrium ini juga boleh dilakukan di klinik sahaja dengan menggunakan sejenis penyedut plastik yang lembut yang bernama pipel (pipelle). Dalam prosedur ini, alat pipel dimasukkan melalui pangkal rahim dan terus ke dalam rahim. Selepas itu tisu endometrum disedut. Tisu yang disedut akan dihantar ke makmal patologi untuk interpretasi.
LAPAROSKOPI
Sesetengah wanita memerlukan ujian yang lebih lanjut seperti ujian laparoskopi. Doktor akan meneropong dan melihat organ-organ di dalam abdomen, khususnya untuk mengesan pelbagai penyakit di bahagian pelvik. Keadaan salur fallopio dapat dinilai dengan teliti sama ada ia berfungsi atau tidak. Begitu juga keadaan ovari, sama ada normal atau tidak. Persekitaran rahim khususnya ruang belakang rahim (pouch of Douglas) dapat ditinjau melalui teropong laparoskop. Doktor juga boleh melihat fibroid yang berada di luar rahim. Pembedahan miomektomi juga boleh dijalankan melalui prosedur laparoskopi.
Setelah menjalani beberapa ujian untuk mendiagnosis fibroid, jika seseorang wanita disahkan mempunyai fibroid, terdapat beberapa cara rawatan untuk fibroid. Jika fibroid itu kecil, tidak mendatangkan sebarang simptom atau masalah, maka rawatan tidak diperlukan.
Penghidap fibroid hanya perlu menghadiri pemeriksaan susulan yang akan ditetapkan oleh doktor. Jika seseorang wanita mengalami simptom, wanita tersebut hendaklah segera mendapatkan rawatan daripada mana-mana pusat perubatan kerana ia mungkin akan mendatangkan komplikasi jika dibiarkan.
tp://www.utusan.com.my/gaya-hidup/kesihatan/fibroid-kecil-tidak-berbahaya-1.163558#sthash.nTZG1H7Y.dpuf
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Dipetik daripada :
http://www.vemale.com/kesehatan/57751-mengenali-penyakit-reproduksi-wanita-uterine-fibroid.html
Mengenali Penyakit Reproduksi Wanita Uterine Fibroid
Jum'at, 25 April 2014 16:36
(c) vemale.comVemale.com - Ladies, penyakit reproduksi wanita banyak sekali ragamnya. Penyakit yang menyerang sistem reproduksi yang banyak dialami oleh wanita akhir- akhir ini adalah uterine fibroid yang dapat berkembang menjadi tumor kandungan. Ya, penyakit berbahaya yang membutuhkan penanganan secara serius untuk mengobatinya.Nah Ladies, untuk mengenali lebih lanjut seperti apa uterine fibroid tersebut, simak yang satu ini..
Uterine fibroid ini sering kali dikenal secara langsung dengan istilah tumor. Seperti yang dilansir ulang dari www.bettermedicine.com nih Ladies, uterine fibroid ini juga disebut sebagai fibroid myoma, leiomyoma, dan fibroma yang masih termasuk dalam kategori penyakit ringan.
Sementara untuk menjadi tumor kandungan, fibroid atau benih akar penyakit tumor ini akan tumbuh pada sel yang mendukung sistem reproduksi Anda hingga menjalar pada jaringan yang berkembang pada rahim atau kandungan Anda Ladies. Kemudian dari sel tadi dapat berubah menjadi tumor.
Di samping itu, fibroid ini mudah menyerang wanita pada usia produktif. Diketahui sekitar 20 hingga 50 persen wanita pada usia produktif memiliki fibroid ini dalam tubuh mereka meski tidak semua bekembang menjadi tumor atau bahkan kanker. Bahkan fibroid yang berkembang menjadi tumor ini masih dalam kategori tumor tidak berbahaya dan tidak tumbuh berkembang menjadi kanker. Kemungkinan fibroid ini hanya dapat bertambah besar ukurannya.
Akan tetapi Ladies, tidak ada salahnya juga Anda mnegikuti berbagai terapi untuk mencegah tumbuhnya akar fibroid ini sebelum benar- benar menyerang sistem reproduksi Anda.
Oleh : Rannie
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Dipetik daripada :
https://ms-my.facebook.com/notes/miracle-mask/makanan-yang-aktifkan-cyst/1029784460380110/
MAKANAN YANG AKTIFKAN CYST.
Makanan yang perlu dielakkan:
1.) Soya dan evening primrose.Soya dan evening primrose mengandungi phyto estrogen. Phyto ni bermaksud tumbuhan manakala phyto estrogen bermaksud tumbuhan yang mempunyai fungsi seakan akan estrogen.So, bila kita makan benda ni maka paras estrogen dalam badan kita akan tinggi dan mengalakkan pembesaran cyst. Doc ade bagitahu saya yang sume wanita ade cyst cuma kecil atau besar, boleh hilang tak boleh hilang.
evening primrose oil
**info yang baru saya tahu: minum soya sewaktu mengandung bukan boleh mencantikkan kulit anak tetapi mendedahkan risiko untuk anak tu mendapat kanser. Then, mengikut kajian keatas pesakit kanser payudara plak, ramai antara mereka menggunakan evening primrose ni.
2.) Ayam.Ayam kan disuntik hormon untuk mempercepatkan kadar pembesaran dia. Kebiasaannya ayam disuntik hormon estrogen. Tapi ayam kampung boleh makan kot.
3.) Ikan keli yang dibela.Kena tangkap ikan keli dalam sawah la pasni kalau dah mengidam sangat.
4.) KAWAL PEMAKANANKolestrol juga adelah penyebab kenaikan hormone estrogen. Kolestrol adalah precursor kepada estrogen.
NOTA TAMBAHANPemakanan bg Wanita pengidap Endometriosis/Adenomyosis/Fibroid/Cyst/PCOS
Disini saya kongsikan bersama jenis makanan yg amat sesuai & yg harus di elakan bagi wanita yg punyai masalah seperti di atas atau pun yg pernah menjalani pembedahan tetapi ia nya berulang kembali.
Makanan yg di galakkan
> Ikan laut seperti bawal emas, kembong & selar> Sayuran jenis kekacang - kacang panjang, buncis, sweet pea dll.> Kekacang - badam, kacang tanah, black bean, kacang merah dll.> Sayuran - kobis, brocoli, bayam, dan ulam-ulaman pegaga, pucuk ubi dll> Buah-buahan - Nenas & betik> Ubi kayu> Sup miso ( sejenis pes yg di buat dari kacang soya yg di peram dicampur kedlmsup utk di jadikan miso sup)> Teh hijau
Makanan yg harus di elakkan
> Daging merah (kambing & lembu)> Ayam ( Boleh di ambil dlm kuantiti yg sedikit)> Produk tenusu seperti keju> Ikan haruan> Gamat> Bahan perisa - pes segera & kiub2 perisa seperti stok ayam, stok bilis dll.> Makanan manis - kuit muih manis & pencuci mulut> Minuman berkarbonat ( krn tinggi kandungan gula)> Makanan segera - burger, sosej, nugget, mee segera dll> Makanan ringan - cip kentang, jajan dll.> Makanan berlemak/ berminyak
FIBROID DAN CYST
♛RAHIM ADALAH EMAS BAGI WANITA♛
TANDA - TANDA FIBROID DAN CYST DALAM RAHIM YANG BERMASALAH
✔ Gangguan Haid✔ Keputihan✔ Masalah ketidaksuburan✔ Kemandulan di kalangan wanita✔ Hubungan suami isteri yang dingin atau sakit ketika bersama✔ Perut kembang✔ Angin yang keluar dari vagina (Kentut Vagina)✔ Rasa gatal dan keluar bau kurang enak pada vagina✔ Kerap membuang air kecil ketika batuk, berlari dan berlompat✔ Kerap letih dan lesu✔ Sakit lutut dan tumit✔ Kesejukkan kaki dan tanggan✔ Kekejangan otot dibawah betis (simpul mengkarung)✔ Kerap keguguran✔ Ketumbuhan fibro dan cyst
BAGAIMANA KETUMBUHAN FIBROID DAN CYST TERJADI?
1. Punca penyakit ini bermula pada ganguan haid dan sengugut2. Satu kajian yang menunjukan bahawa lebih kurang 50% daripadanya wanita3. Ia sering berlaku dikalangan wanita yang tidak berkahwin dan yang pernah beranak.
Cyst dan Fibroid Pada Wanita
Cyst ni secara mudah fahamnya, ia macam jerawat dalam badan kita. Ia boleh jadi kepada orang lelaki dan orang perempuan dan di mana- mana bahagian badan. Tapi ia boleh membesar dan mengganggu sistem tubuh. Jadi cyst bukan setakat boleh jadi di ovari, tapi juga pada paru-paru, buah pinggang dan pankreas.
Antara petanda anda mungkin ada Ovarian cyst yang kritikal adalah bila period anda mula terganggu. Ovarian cyst dan fibroid ni kedua-duanya sama iaitu sejenis ketumbuhan. Bezanya, fibroid ni terdiri dari tisu yang padat dan hanya berada pada rahim. Tapi ovarian cyst terdiri dari cecair atau semi-solid dan berada dalam ovari.
PUNCA OVARIAN CYST DAN FIBROID
- Ovarian cyst dan fibroid terjadi disebabkan tubuh wanita terlebih hormon estrogen, dan kekurangan hormon progesteron. Senang cerita, hormon tak seimbang.
- Hormon estrogen boleh jadi terlalu banyak disebabkan beberapa faktor termasuk, kehadiran xenoestrogen atau kata lain, hormon yang menyerupai estrogen (xeno).
- Xenoestrogen menyebabkan hormon estrogen menjadi lebih banyak dari progesterone.
- Xeno ni terhasil daripada toksin disebabkan kegunaan harian yang melibatkan BPA (plastik) , Pthalates yang digunakan secara meluas untuk menghasilkan barangan plastik seperti bekas makanan plastik, bekas minuman plastik dan Paraben yang digunakan sebagai pengawet di dalam kosmetik dan makanan.
- Pendek kata, memang almost impossible untuk kita elak kewujudan xenoestrogen di dalam tubuh sebab seharian kita pasti akan guna plastik- air mineral kan dalam botol plastik, pasti akan makan makanan luar atau minuman yang mengandungi bahan pengawet.
ADAKAH IA BOLEH DIRAWAT?
Seperti yang ditulis oleh Dr Hamid Arshar dalam tulisan beliau tidak ada rawatan yang menggunakan ubat hospital yang boleh mengecutkan ketumbuhan fibroid TETAPI ada kemungkinan ubat-ubatan tradisional seperti akar kayu atau dedaun yang mungkin mempunyai kesan, khusus terhadap rahim boleh mengecutkan ketumbuhan pada fibroid. Bidang ini masih lagi terbuka luas dan usaha yang boleh mendapatkan ramuan untuk mengecutkan ketumbuhan fibroid.
Kebanyakan yang kita dengar ramai wanita Malaysia yang menghadapi ketumbuahan fibroid, rata-ratanya akan mengambil jalan mudah dengan menjalani proces pembedahan. Tapi masih juga ketumbuah itu akan tumbuh selepas beberapa bulan atau tahun itu pun bergantung pada aktifnya fibroid mereka
Dengan mengamalkan jamu Neem dan Multipurpose, ia dapat membetulkan hormon yang tidak seimbang. Estrogen dan progesteron akan diseimbangkan supaya tiada yang lebih dari yang lain disamping jamu Neem membantu mencuci darah kotor serta toksin, membunuh kuman-kuman dan bakteria berbahaya di dalam badan terutamanya di dlm usus kita. Manakala Multipurpose Jamu pula melancarkan darah, dapat pecahkan & larutkan ketulan darah beku & sisa tisu endometrium jika diamalkan berterusan.
Sebarang pertanyaan dan pembelian,boleh hubungi Kaknur melalui whatsapp/telegram di 0192887938
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Dipetik daripada :
http://obgyn.ucla.edu/body.cfm?id=302
Fibroids
Phone: (310) 794-7274 |
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Fibroids: Symptoms, Treatment, Diagnosis
Definition
What are fibroids?
Fibroids are the most frequently seen tumors of the female reproductive system. Fibroids, also known as uterine myomas, leiomyomas, or fibromas, are firm, compact tumors that are made of smooth muscle cells and fibrous connective tissue that develop in the uterus. It is estimated that between 20 to 50 percent of women of reproductive age have fibroids, although not all are diagnosed. Some estimates state that up to 30 to 77 percent of women will develop fibroids sometime during their childbearing years, although only about one-third of these fibroids are large enough to be detected by a health care provider during a physical examination.
In more than 99 percent of fibroid cases, the tumors are benign (non-cancerous). These tumors are not associated with cancer and do not increase a woman's risk for uterine cancer. They may range in size, from the size of a pea to the size of a softball or small grapefruit.What causes fibroid tumors?
While it is not clearly known what causes fibroids, it is believed that each tumor develops from an aberrant muscle cell in the uterus, which multiplies rapidly because of the influence of estrogen.
Who is at risk for fibroid tumors?
Women who are approaching menopause are at the greatest risk for fibroids because of their long exposure to high levels of estrogen. Women who are obese and of African-American heritage also seem to be at an increased risk, although the reasons for this are not clearly understood.
Research has also shown that some factors may protect a woman from developing fibroids. Some studies, of small numbers of women, have indicated that women who have had two liveborn children have one-half the risk of developing uterine fibroids compared to women who have had no children. Scientists are not sure whether having children actually protected women from fibroids or whether fibroids were a factor in infertility in women who had no children. The National Institute of Child Health and Human Development is conducting further research on this topic and other factors that may affect the diagnosis and treatment of fibroids.
What are the symptoms of fibroids?
Some women who have fibroids have no symptoms, or have only mild symptoms, while other women have more severe, disruptive symptoms. The following are the most common symptoms for uterine fibroids, however, each individual may experience symptoms differently. Symptoms of uterine fibroids may include:
- Heavy or prolonged menstrual periods
- Abnormal bleeding between menstrual periods
- Pelvic pain (caused as the tumor presses on pelvic organs)
- Frequent urination
- Low back pain
- Pain during intercourse
- A firm mass, often located near the middle of the pelvis, which can be felt by the physician
In some cases, the heavy or prolonged menstrual periods, or the abnormal bleeding between periods, can lead to iron-deficiency anemia, which also requires treatment.
How are fibroids diagnosed?
Fibroids are most often found during a routine pelvic examination. This, along with an abdominal examination, may indicate a firm, irregular pelvic mass to the physician. In addition to a complete medical history and physical and pelvic and/or abdominal examination, diagnostic procedures for uterine fibroids may include:
- X-ray. Electromagnetic energy used to produce images of bones and internal organs onto film.
- Transvaginal ultrasound (also called ultrasonography). An ultrasound test using a small instrument, called a transducer, that is placed in the vagina.
- Magnetic resonance imaging (MRI). A non-invasive procedure that produces a two-dimensional view of an internal organ or structure.
- Hysterosalpingography. X-ray examination of the uterus and fallopian tubes that uses dye and is often performed to rule out tubal obstruction.
- Hysteroscopy. Visual examination of the canal of the cervix and the interior of the uterus using a viewing instrument (hysteroscope) inserted through the vagina.
- Endometrial biopsy. A procedure in which a sample of tissue is obtained through a tube which is inserted into the uterus.
- Blood test (to check for iron-deficiency anemia if heavy bleeding is caused by the tumor).
Treatment for fibroids
Since most fibroids stop growing or may even shrink as a woman approaches menopause, the health care provider may simply suggest "watchful waiting." With this approach, the health care provider monitors the woman's symptoms carefully to ensure that there are no significant changes or developments and that the fibroids are not growing.
In women whose fibroids are large or are causing significant symptoms, treatment may be necessary. Treatment will be determined by your health care provider(s) based on:
- Your overall health and medical history
- Extent of the disease
- Your tolerance for specific medications, procedures, or therapies
- Expectations for the course of the disease
- Your opinion or preference
- Your desire for pregnancy
In general, treatment for fibroids may include:
- Hysterectomy. Hysterectomies involve the surgical removal of the entire uterus. Fibroids remain the number one reason for hysterectomies in the United States.
- Conservative surgical therapy. Conservative surgical therapy uses a procedure called a myomectomy. With this approach, physicians will remove the fibroids, but leave the uterus intact to enable a future pregnancy.
- Gonadotropin-releasing hormone agonists (GnRH agonists). This approach lowers levels of estrogen and triggers a "medical menopause." Sometimes GnRH agonists are used to shrink the fibroid, making surgical treatment easier.
- Anti-hormonal agents. Certain drugs oppose estrogen (such as progestin and Danazol), and appear effective in treating fibroids. Anti-progestins, which block the action of progesterone, are also sometimes used.
- Uterine artery embolization. Also called uterine fibroid embolization, uterine artery embolization (UAE) is a newer minimally-invasive (without a large abdominal incision) technique. The arteries supplying blood to the fibroids are identified, then embolized (blocked off). The embolization cuts off the blood supply to the fibroids, thus shrinking them. Health care providers continue to evaluate the long-term implications of this procedure on fertility and regrowth of the fibroid tissue.
- Anti-inflammatory painkillers. This type of drug is often effective for women who experience occasional pelvic pain or discomfort.
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Dipetik daripada :
http://www.womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html
What are fibroids?
Fibroids are muscular tumors that grow in the wall of the uterus (womb). Another medical term for fibroids is "leiomyoma" (leye-oh-meye-OH-muh) or just "myoma". Fibroids are almost always benign (not cancerous). Fibroids can grow as a single tumor, or there can be many of them in the uterus. They can be as small as an apple seed or as big as a grapefruit. In unusual cases they can become very large.
Why should women know about fibroids?
About 20 percent to 80 percent of women develop fibroids by the time they reach age 50. Fibroids are most common in women in their 40s and early 50s. Not all women with fibroids have symptoms. Women who do have symptoms often find fibroids hard to live with. Some have pain and heavy menstrual bleeding. Fibroids also can put pressure on the bladder, causing frequent urination, or the rectum, causing rectal pressure. Should the fibroids get very large, they can cause the abdomen (stomach area) to enlarge, making a woman look pregnant.
Who gets fibroids?
There are factors that can increase a woman's risk of developing fibroids.
- Age. Fibroids become more common as women age, especially during the 30s and 40s through menopause. After menopause, fibroids usually shrink.
- Family history. Having a family member with fibroids increases your risk. If a woman's mother had fibroids, her risk of having them is about three times higher than average.
- Ethnic origin. African-American women are more likely to develop fibroids than white women.
- Obesity. Women who are overweight are at higher risk for fibroids. For very heavy women, the risk is two to three times greater than average.
- Eating habits. Eating a lot of red meat (e.g., beef) and ham is linked with a higher risk of fibroids. Eating plenty of green vegetables seems to protect women from developing fibroids.
Where can fibroids grow?
Most fibroids grow in the wall of the uterus. Doctors put them into three groups based on where they grow:
- Submucosal (sub-myoo-KOH-zuhl) fibroids grow into the uterine cavity.
- Intramural (ihn-truh-MYOOR-uhl) fibroids grow within the wall of the uterus.
- Subserosal (sub-suh-ROH-zuhl) fibroids grow on the outside of the uterus.
Some fibroids grow on stalks that grow out from the surface of the uterus or into the cavity of the uterus. They might look like mushrooms. These are called pedunculated (pih-DUHN-kyoo-lay-ted) fibroids.
What are the symptoms of fibroids?
Most fibroids do not cause any symptoms, but some women with fibroids can have:
- Heavy bleeding (which can be heavy enough to cause anemia) or painful periods
- Feeling of fullness in the pelvic area (lower stomach area)
- Enlargement of the lower abdomen
- Frequent urination
- Pain during sex
- Lower back pain
- Complications during pregnancy and labor, including a six-time greater risk of cesarean section
- Reproductive problems, such as infertility, which is very rare
What causes fibroids?
No one knows for sure what causes fibroids. Researchers think that more than one factor could play a role. These factors could be:
- Hormonal (affected by estrogen and progesterone levels)
- Genetic (runs in families)
Because no one knows for sure what causes fibroids, we also don't know what causes them to grow or shrink. We do know that they are under hormonal control — both estrogen and progesterone. They grow rapidly during pregnancy, when hormone levels are high. They shrink when anti-hormone medication is used. They also stop growing or shrink once a woman reaches menopause.
Can fibroids turn into cancer?
Fibroids are almost always benign (not cancerous). Rarely (less than one in 1,000) a cancerous fibroid will occur. This is called leiomyosarcoma (leye-oh-meye-oh-sar-KOH-muh). Doctors think that these cancers do not arise from an already-existing fibroid. Having fibroids does not increase the risk of developing a cancerous fibroid. Having fibroids also does not increase a woman's chances of getting other forms of cancer in the uterus.
What if I become pregnant and have fibroids?
Women who have fibroids are more likely to have problems during pregnancy and delivery. This doesn't mean there will be problems. Most women with fibroids have normal pregnancies. The most common problems seen in women with fibroids are:
- Cesarean section. The risk of needing a c-section is six times greater for women with fibroids.
- Baby is breech. The baby is not positioned well for vaginal delivery.
- Labor fails to progress.
- Placental abruption. The placenta breaks away from the wall of the uterus before delivery. When this happens, the fetus does not get enough oxygen.
- Preterm delivery.
Talk to your obstetrician if you have fibroids and become pregnant. All obstetricians have experience dealing with fibroids and pregnancy. Most women who have fibroids and become pregnant do not need to see an OB who deals with high-risk pregnancies.
How do I know for sure that I have fibroids?
Your doctor may find that you have fibroids when you see her or him for a regular pelvic exam to check your uterus, ovaries, and vagina. The doctor can feel the fibroid with her or his fingers during an ordinary pelvic exam, as a (usually painless) lump or mass on the uterus. Often, a doctor will describe how small or how large the fibroids are by comparing their size to the size your uterus would be if you were pregnant. For example, you may be told that your fibroids have made your uterus the size it would be if you were 16 weeks pregnant. Or the fibroid might be compared to fruits, nuts, or a ball, such as a grape or an orange, an acorn or a walnut, or a golf ball or a volleyball.
Your doctor can do imaging tests to confirm that you have fibroids. These are tests that create a "picture" of the inside of your body without surgery. These tests might include:
- Ultrasound – Uses sound waves to produce the picture. The ultrasound probe can be placed on the abdomen or it can be placed inside the vagina to make the picture.
- Magnetic resonance imaging (MRI) – Uses magnets and radio waves to produce the picture
- X-rays – Uses a form of radiation to see into the body and produce the picture
- Cat scan (CT) – Takes many X-ray pictures of the body from different angles for a more complete image
- Hysterosalpingogram (hiss-tur-oh-sal-PIN-juh-gram) (HSG) or sonohysterogram (soh-noh-HISS-tur-oh-gram) – An HSG involves injecting x-ray dye into the uterus and taking x-ray pictures. A sonohysterogram involves injecting water into the uterus and making ultrasound pictures.
You might also need surgery to know for sure if you have fibroids. There are two types of surgery to do this:
- Laparoscopy (lap-ar-OSS-koh-pee) – The doctor inserts a long, thin scope into a tiny incision made in or near the navel. The scope has a bright light and a camera. This allows the doctor to view the uterus and other organs on a monitor during the procedure. Pictures also can be made.
- Hysteroscopy (hiss-tur-OSS-koh-pee) – The doctor passes a long, thin scope with a light through the vagina and cervix into the uterus. No incision is needed. The doctor can look inside the uterus for fibroids and other problems, such as polyps. A camera also can be used with the scope.
What questions should I ask my doctor if I have fibroids?
- How many fibroids do I have?
- What size is my fibroid(s)?
- Where is my fibroid(s) located (outer surface, inner surface, or in the wall of the uterus)?
- Can I expect the fibroid(s) to grow larger?
- How rapidly have they grown (if they were known about already)?
- How will I know if the fibroid(s) is growing larger?
- What problems can the fibroid(s) cause?
- What tests or imaging studies are best for keeping track of the growth of my fibroids?
- What are my treatment options if my fibroid(s) becomes a problem?
- What are your views on treating fibroids with a hysterectomy versus other types of treatments?
A second opinion is always a good idea if your doctor has not answered your questions completely or does not seem to be meeting your needs.
FDA warning on power morcellators in treatment for uterine fibroids
If your doctor recommends a hysterectomy or myomectomy to treat your uterine fibroids, ask your doctor if a power morcellator will be used. Power morcellators break uterine fibroids into small pieces to remove them more easily. Recently, the FDA warned against the use of power morcellatorsfor most women. This is because uterine tissue may contain undiagnosed cancer. While breaking up the uterine tissue, power morcellators can spread an undiagnosed cancer to other parts of the body without your doctor knowing it. Most uterine fibroids are not cancerous, but there is no way to know for sure until the fibroids are removed and tested.
How are fibroids treated?
Most women with fibroids do not have any symptoms. For women who do have symptoms, there are treatments that can help. Talk with your doctor about the best way to treat your fibroids. She or he will consider many things before helping you choose a treatment. Some of these things include:
- Whether or not you are having symptoms from the fibroids
- If you might want to become pregnant in the future
- The size of the fibroids
- The location of the fibroids
- Your age and how close to menopause you might be
If you have fibroids but do not have any symptoms, you may not need treatment. Your doctor will check during your regular exams to see if they have grown.
Medications
If you have fibroids and have mild symptoms, your doctor may suggest taking medication. Over-the-counter drugs such as ibuprofen or acetaminophen can be used for mild pain. If you have heavy bleeding during your period, taking an iron supplement can keep you from getting anemia or correct it if you already are anemic.
If you have fibroids and have mild symptoms, your doctor may suggest taking medication. Over-the-counter drugs such as ibuprofen or acetaminophen can be used for mild pain. If you have heavy bleeding during your period, taking an iron supplement can keep you from getting anemia or correct it if you already are anemic.
Several drugs commonly used for birth control can be prescribed to help control symptoms of fibroids. Low-dose birth control pills do not make fibroids grow and can help control heavy bleeding. The same is true of progesterone-like injections (e.g., Depo-Provera®). An IUD (intrauterine device) called Mirena® contains a small amount of progesterone-like medication, which can be used to control heavy bleeding as well as for birth control.
Other drugs used to treat fibroids are "gonadotropin releasing hormone agonists" (GnRHa). The one most commonly used is Lupron®. These drugs, given by injection, nasal spray, or implanted, can shrink your fibroids. Sometimes they are used before surgery to make fibroids easier to remove. Side effects of GnRHas can include hot flashes, depression, not being able to sleep, decreased sex drive, and joint pain. Most women tolerate GnRHas quite well. Most women do not get a period when taking GnRHas. This can be a big relief to women who have heavy bleeding. It also allows women with anemia to recover to a normal blood count. GnRHas can cause bone thinning, so their use is generally limited to six months or less. These drugs also are very expensive, and some insurance companies will cover only some or none of the cost. GnRHas offer temporary relief from the symptoms of fibroids; once you stop taking the drugs, the fibroids often grow back quickly.
Surgery
If you have fibroids with moderate or severe symptoms, surgery may be the best way to treat them. Here are the options:
If you have fibroids with moderate or severe symptoms, surgery may be the best way to treat them. Here are the options:
- Myomectomy (meye-oh-MEK-tuh-mee) – Surgery to remove fibroids without taking out the healthy tissue of the uterus. It is best for women who wish to have children after treatment for their fibroids or who wish to keep their uterus for other reasons. You can become pregnant after myomectomy. But if your fibroids were imbedded deeply in the uterus, you might need a cesarean section to deliver. Myomectomy can be performed in many ways. It can be major surgery (involving cutting into the abdomen) or performed with laparoscopy or hysteroscopy. The type of surgery that can be done depends on the type, size, and location of the fibroids. After myomectomy new fibroids can grow and cause trouble later. All of the possible risks of surgery are true for myomectomy. The risks depend on how extensive the surgery is.
- Hysterectomy (hiss-tur-EK-tuh-mee) – Surgery to remove the uterus. This surgery is the only sure way to cure uterine fibroids. Fibroids are the most common reason that hysterectomy is performed. This surgery is used when a woman's fibroids are large, if she has heavy bleeding, is either near or past menopause, or does not want children. If the fibroids are large, a woman may need a hysterectomy that involves cutting into the abdomen to remove the uterus. If the fibroids are smaller, the doctor may be able to reach the uterus through the vagina, instead of making a cut in the abdomen. In some cases hysterectomy can be performed through the laparoscope. Removal of the ovaries and the cervix at the time of hysterectomy is usually optional. Women whose ovaries are not removed do not go into menopause at the time of hysterectomy. Hysterectomy is a major surgery. Although hysterectomy is usually quite safe, it does carry a significant risk of complications. Recovery from hysterectomy usually takes several weeks.
- Endometrial Ablation (en-doh-MEE-tree-uhl uh-BLAY-shuhn) – The lining of the uterus is removed or destroyed to control very heavy bleeding. This can be done with laser, wire loops, boiling water, electric current, microwaves, freezing, and other methods. This procedure usually is considered minor surgery. It can be done on an outpatient basis or even in a doctor's office. Complications can occur, but are uncommon with most of the methods. Most people recover quickly. About half of women who have this procedure have no more menstrual bleeding. About three in 10 women have much lighter bleeding. But, a woman cannot have children after this surgery.
- Myolysis (meye-OL-uh-siss) – A needle is inserted into the fibroids, usually guided by laparoscopy, and electric current or freezing is used to destroy the fibroids.
- Uterine Fibroid Embolization (UFE), or Uterine Artery Embolization (UAE) – A thin tube is thread into the blood vessels that supply blood to the fibroid. Then, tiny plastic or gel particles are injected into the blood vessels. This blocks the blood supply to the fibroid, causing it to shrink. UFE can be an outpatient or inpatient procedure. Complications, including early menopause, are uncommon but can occur. Studies suggest fibroids are not likely to grow back after UFE, but more long-term research is needed. Not all fibroids can be treated with UFE. The best candidates for UFE are women who:
- Have fibroids that are causing heavy bleeding
- Have fibroids that are causing pain or pressing on the bladder or rectum
- Don't want to have a hysterectomy
- Don't want to have children in the future
What new treatments are available for uterine fibroids?
The following methods are not yet standard treatments, so your doctor may not offer them or health insurance may not cover them.
- Radiofrequency ablation uses heat to destroy fibroid tissue without harming surrounding normal uterine tissue. The fibroids remain inside the uterus but shrink in size. Most women go home the same day and can return to normal activities within a few days.
- Anti-hormonal drugs may provide symptom relief without bone-thinning side effects.
Rujukan lain:
http://www.healthline.com/health/uterine-fibroids#RiskFactors4
http://www.webmd.com/women/uterine-fibroids/
https://en.wikipedia.org/wiki/Uterine_fibroid
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APA YANG DIMAKSUD DENGAN PENYAKIT FIBROID SERVIKS?
Fibroid serviks adalah tumor yang tumbuh di dalam rahim atau di luar rahim, ukuran tumor ini sekitar 10-20 cm atau bisa lebih besar.
PENYEBAB PENYAKIT FIBROID SERVIKS
KARENA ABORSI ATAU TELAH MELAKUKAN PROSES MELAHIRKAN BEBERAPA KALI
Setelah aborsi atau melahirkan serviks belum sembuh dengan sepenuhnya. Pada saat ini, penyakit yang sering menyerang wanita adalah mengarah ke serviks.
ULKUS SERVIKS
Ketika terjadi peradangan kronis serviks jangka panjang akan menyebabkan efek pada rahim secara bertahap dan akan terbentuk fibroid rahim ektopik.
KARENA PERADANGAN GINEKOLOGI
Peradangan ginekologi berkepanjangan baik yang tidak diobati ataupun diobati berulang secara bertahap akan membuat endometrium proliferasi yang berlebihan. Ketika lapisan menebal secara bertahap dapat menyebabkan pembentukan fibroid rahim di luar dinding rahim.
KARENA GANGGUAN HORMONAL
Terutama yang berkaitan dengan esterogen yang terlalu tinggi. Selain itu, baik mengeluarkan esterogen yang banyak atau sedikit tidak baik, terutama jika terlalu banyak mengeluarkan esterogen yang terlalu tinggi dapat menyebabkan kanker.
GEJALA PALING UMUM DARI PENYAKIT FIBROID SERVIKS
Terjadi pendarahan yaitu menstruasi berlangsung lebih dari 2 minggu yang bisa menyebabkan penderita terkena anemia.
Gejala yang paling umum adalah gangguan menstruasi ,seperti siklus menstruasi tiba-tiba menjadi lebih pendek.
Dispareunia, hubungan seksual yang menyakitkan bagi perempuan.
Nyeri sakit perut, biasanya di bagian bawah perut atau punggung bawah.
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