【妇产科护理课件】子宫肌瘤病人的护理.pptVIP

Nursing care for uterine myoma子宫肌瘤病人的护理 Introduction(概述) Leiomyoma, fibromyoma or fibroids The most common benign(良性的) tumors of the female genital tract（女性生殖系统） Affect 1/4 of child-bearing age women 30- to 50-years Etiology (病因) Hormone-dependent (激素依赖性肿瘤 ) Female hormones (estrogen, progesterone) 女性激素 雌激素 孕激素 Evidences occurs in reproductive age increase in size during pregnancy decrease in size after menopause ★Classification(分类) Subserous Myoma Intramural Myoma Submucous Myoma Multiple Myomas: Classification(分类) Single Pathology(病理) Vary in size Hard Pseudocapsule(假包膜） Whorled structure (螺旋状结构) Secondary change (变性) hyaline degeneration玻璃样变 cystic degeneration囊性变 red degeneration红色样变 malignant degeneration 肉瘤样变 (0.4~0.8%. ) ★Clinical manifestations(临床表现) Symptoms Signs Depend on its size, location, the presence of degenerations or not ★Clinical manifestations(临床表现) Symptoms (1) Abnormal uterine bleeding (2) Abdominal lump 腹部包块 (3) Pressure symptoms压迫症状 ★Clinical manifestations(临床表现) ⑴ abnormal uterine bleeding The typical change is the heavier flow and prolongation of the periods. Most caused by intramural myomas and submucous myomas. ★Clinical manifestations(临床表现) (2) Abdominal lump(s) 腹部包块 Result from a myoma of considerable size, most frequently of the subserous myomas Structure of female pelvis ★Clinical manifestations(临床表现) ⑸ Pressure symptoms压迫症状 Pressure on bladder Urinary frequency(尿频) Pressure on rectum incomplete defecation (排便不尽) Constipation(便秘) Signs(体征) Pelvic signs Uterus feel larger than normal An irregular uterus mass without pain Diagnostic Tests(诊疗方法) （1） B-mode Ultrasonagraphy B超 （2） Hysteroscopy 宫腔镜检查 （3） Magnetic Resonance Imaging (RMI) 核磁共振 Treatments (治疗) The se