肌子瘤.怎样治疗

肌子瘤.如何治疗配图，仅供参考

Description of the intervention
Recommended treatment for uterine fibroids depends on the severity of symptoms,the woman’s age,pregnancy status,desire for future pregnancies,general health,and the characteristics of the fibroids ). If a woman shows no symptoms,or the fibroids are small,she may not need any treatment except regular routine gynaecological examination to monitor whether they have grown. If a woman has mild symptoms,such as pain,the health care provider may suggest non-steroidal anti-inflammatory drugs (NSAIDs),such as ibuprofen or naproxen sodium for symptomatic treatment ). If a woman has serious symptoms or pain,medical therapy can be used to relieve symptoms. Such treatment may include gonadotropin releasing hormone agonists (GnRHa) ); synthetic steroids with antiprogesterone activity,such as mifepristone or RU486 to slow or stop the growth of fibroids; and the use of progesterone and its derivatives (including an intrauterine device releasing levonorgestrel) for short-term treatment of bleeding and for inhibiting the fibroids’ growth ). GnRHa is often used in conjunction with hormone therapy with the intention of reducing the side effects of GnRHa alone,especially where use is long-term. Several medications are currently under investigation,in use in some countries,or pending FDA approval for use in the management of fibrosis: gestrinone,pirfenidone,tibolone,raloxifene,tamoxifen,and cetrorelix ).
Surgical therapy is considered to be an effective treatment and includes myomectomy to remove only the fibroids and leave the healthy uterus,or hysterectomy to remove the entire uterus ). Another accepted treatment is uterine artery embolization (UAE),which is used to block off the blood supply to the uterus and so make the fibroids shrink ). Other operative treatments,under development or of limited clinical experience,include cryomyolysis (using liquid nitrogen to ’freeze’ the fibroids to make them shrink); myolysis (using electric current to destroy the fibroids and shrink the blood vessels that feed them); and endometrial ablation (removing the lining of the uterus to control the bleeding) ). However,few women with uterine fibroids prefer surgery and women may seek less invasive options,such as pain medication,medical therapy,or hormone therapy.","department":"