Lingnan Gynecological Health Workshop | "Grape" in the uterus?

Team instructor

State Chinese Medicine Leaders "Qihuang Scholar", Lingnan Famous Chinese Medicine, Guangdong Famous Traditional Chinese Medicine, Chief Physician Wang Xiaoyun

【Open Language】

From ancient times to the present, literati and Mo Ke have liked to use flowers to help women, beautiful and delicate.However, gynecological diseases have become the primary enemy of this flower.Whether it is adolescent menstrual disorders, infertility in childbearing age, depression, and sleep disorders in menopause, it can make people feel frustrated and beautiful.It is not as good as preventing diseases. The provincial famous Chinese medicine medicine Wang Xiaoyun with you to maintain the flowers of life together.

Ms. Li’s uterus has "grapes"?

Ms. Li, 40, has been pregnant with her second child for more than 2 months. Because the first child is smooth and smooth, when the second child arrives, it can be considered experience. After the menstruation expires, she has a urination at home and saw the red and bright gorgeous.The two bars are relieved and too lazy to go to the hospital for examination. As a result, the body was a little vaginal bleeding in the past two days, and I was a little worried. I went to the hospital to see the doctor.What? I’m fine, there is nothing uncomfortable, why do you want to do ultrasound? I heard that it is not good to do ultrasound for your baby! "I reluctantly made an ultrasound. As a result, Ms. Li was frightened. The ultrasound report said "Suspected Porture Tiger". What do you mean, I am pregnant with a grape?Is it caused by too much grapes with me during pregnancy?What should I do?

What is a hydatidifier?In fact, hydatids are not real pregnancy, it is a benign tumor.Portom tires, also known as blisters, refers to nourishing cell hyperplasia after pregnancy, edema of velvet, blister -shaped, blisters are skewed. It is named after grapes and is benign nourishing cell tumors.Caused by some abnormalities.

Don’t think that if you are pregnant with a hydroma, you will have a bunch of grapes. The occurrence of hydatidal tires is really not related to eating grapes.Moreover, the tires are not tires at all, and it is not even a placenta. It is just a bit like grapes. People have meat, seeds, and stalks. It is just a pack of water.Therefore, its more formal name is called blisters.In ancient times, due to limited understanding, the abnormal abdomen of the pregnant woman increased, and the vagina was repeatedly bleed or soaked in the water as "ghost tires" or "pseudo -fetus".

So why do hydatidites occur?

With the deepening of research, it is generally believed that hydatiditic tires are mainly due to abnormal fertilized egg chromosomes, that is, excessive genetic substances from the father’s source, which leads to the growing "blisters" tissue of nourishing cells (cells that form velvet in the future).The chromosomal abnormalities are caused by abnormalities. As for why the fertilized eggs find abnormal chromosomes, the exact cause is not clear. At the same time, folic acid deficiency, vitamin A deficiency, multiple abortion history, virus infections, Eurasian mixed blood, too old or too small, etc.Both will increase risks, and nutritional conditions and economic conditions may also have a certain correlation.

How can we discover hydatidites?

(1) After menopause, vaginal bleeding is more common in pregnant women with 2 to 3 months of pregnancy;

(2) The uterus is particularly large;

(3) The pregnancy reaction is serious, and the duration is relatively long;

(4) Ovarian cysts appear.Some also have symptoms such as abdominal pain, hypertension, proteinuria, hyperthyroidism;

(5) Gynecological ultrasound: The blisters of the completely hydatidal tire under ultrasound change or "falling snow" in "honeycomb". Most patients’ blood HCG value is higher than that of normal pregnancy.The blisters of partial hydatidum are not obvious, the HCG value is not obvious, and it is similar to that of ordinary embryos. It is easy to miss the diagnosis and require pathological testing.

How to treat hydatidus?

Once the hydatidium is diagnosed, the palace must be cleared in time.

It is emphasized here that the clear palace surgery of hydatidum needs to be hospitalized, so as to ensure that the danger is lifted in the safest situation.Yes, the Qing Palace is about the same as the artificial abortion technique that everyone understands.Portuguese patients are often relatively large, and the texture is very soft. When making the palace, there will be risk of uterine perforation without paying attention.For the obvious uterine enlarged, it is necessary to sculpt multiple times to ensure that it is completely cured.

More importantly: After the Portugal Past Palace is completed, please go to the hospital once a week to check the blood HCG. After three consecutive negatives, you need to check it again each month (check for six months), and then check every two months.Once (six months), it takes a year to review for a total of one year, and it cannot be less at a time.

Is hydatidal a benign disease or a malignant disease?

Hydroplast is divided into two types: complete and partiality. Whether it is a complete hydatidal or partial hydatidal tires, it is a benign disease, but there is a certain probability that it will change evil.Therefore, after removing, the chorionic gonadotropin (blood HCG) must be followed closely.

95%of patients will fall to the normal range from 9-14 weeks after the Qing Palace.However, 5%of patients will have blood HCG without falling (ie, 1, 7, 14D, blood HCG measurement 3 times), or blood HCG reaches the platform period (ie, 7, 14, 21d, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, and 21D, and 21D, and 21D, and 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, 21D, and 21D, and 21D, and 21D, and 21D, and 21D, and 21D, and 21D,Blood HCG is determined 4 times to presented a platform state), or the blood HCG level continues to be abnormal for half a year or more, or/or accompanying the remote metastasis (80%lung metastasis).Any case indicates that the hydatid tires have transformed from benign to a malignant pregnancy nourishing cell tumor (GTN).

In addition, the high -risk factors that are prone to vulnerability of complete hydatidal fetuses are: ① age is greater than 40 years old.② The uterus is greater than the menopause month.③ Blood HCG> 100,000.④ Ovarian cyst ≥6 cm.⑤ Repeated hydatidum.

What should I do if the hydatidiform is unfortunately a malignant pregnancy nourishing cell tumor?Can it be surgery?

Other malignant tumors in gynecological department are indeed mainly surgical and chemotherapy.But only pregnancy nourishing cell tumors (GTN) is a disease that can be cured by chemotherapy.According to the latest tumor staging and guidelines, Phase I and low -risk metastatic GTN patients, the cure rate of single chemotherapy drugs was almost 100%, and patients with high -risk metastatic tumors were treated with multiple drugs, combined with radiotherapy or surgeryTreatment and cure rate can reach 80%-90%.

Introduction

Wang Xiaoyun:

Chief physician, professor, doctoral supervisor, and post -doctoral collaborator.The leading talent of Chinese medicine, "Qihuang Scholar", famous Chinese medicine medicine in Lingnan, a famous Chinese medicine medicine in Guangdong Province, a well -known teaching teacher in Guangdong Province, and the fifth batch of national and old Chinese medicine scholars inherited the inheritance inheritance inheritance.The head of the gynecological academic leader of the Guangdong Hospital of Traditional Chinese Medicine, the head of the inheritance studio of Lingnan Traditional Chinese Medicine Gynecological Gynecology School in Lingnan Traditional Chinese Medicine, Guangdong Province, the leader of the 15th, 11th, and 12th Gynecological Specialty Cooperation Group, Wang Xiaoyun’s nationwide and old Chinese medicine medicineExperience inheritance Studio Instructor, President of the Gynecological Committee of the Chinese National Medical Society.

Democratic time: Monday afternoon and Wednesday morning (the music therapy room on the third floor of Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine), Friday afternoon (the special clinic for special clinics on the fifth floor of the West District of Dade Road, Dade Road, the Guangdong Provincial Hospital of Traditional Chinese Medicine)

Huang Xuchun:

Chief physician, a master’s degree in medicine.The talent inheritance of the clinical technical inheritance of Chinese medicine in the country, the head of Wang Xiaoyun’s national and old Chinese medicine inheritance studio, the nation ’s famous Chinese medicine medicine, the capital of the capital national medical teacher Xiao Chengzheng academic inheritors, the national traditional Chinese medicine leader“ Qihuang Scholar ”, and the academic of Professor Wang Xiaoyun, a famous Chinese medicine medicine in Guangdong ProvinceInheritor.Deputy Chairman of the Bone Song Branch of the China Traditional Chinese Medicine Research Promotion Association, chairman of the Gynecological Professional Committee of the Chinese Medical Research Promotion Association, executive member and deputy secretary general of the Gynecology Professional Committee of the Chinese National Medical Society, deputy secretary general of the Gynecology Commission of the Chinese Academy of MedicineDirector.

Democratic time: Tuesday morning (gynecological clinic on the second floor of Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine), and Tuesday afternoon (the music therapy room on the third floor of Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine).

Cao Xiaojing:

Deputy chief physician, doctor of clinical medicine, post -doctoral, and Swedish Karolinska Institutetite visiting scholars.The national Chinese medicine leader "Qihuang Scholar" and the academic inheritor of Professor Wang Xiaoyun, a famous Chinese medicine medicine in Guangdong Province.Director of the Gynecological Committee Branch of the Chinese National Medical Society, member of the abdominal acupuncture committee of the Chinese Acupuncture Society, director of the Orthopedic Loose Branch of the China Traditional Chinese Medicine Research Promotion Association, member of the Gynecological Professional Committee of the Orthopedic Society of the China Traditional Chinese Medicine Research Promotion Association, and a female of the Chinese Chinese Medicine Association Female WomenSecretary of the Endocrinology Group of Reproductive Health Drug Research Committee, Secretary of the Traditional Chinese Medicine Professional Committee of the 6th Council of the Eugenics Association of Guangdong Province.

Democratic time: Monday morning and Thursday afternoon (gynecological clinic on the second floor of Ersha Island Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine).

Supply: Lingnan Traditional Chinese Medicine Gynecology School of Traditional Chinese Medicine Hospital of Guangdong Province

Executive editor: Zeng Mengyun

Review school pair: Zhuang Yingge

Editor in charge: Song Liping

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