The Father Boy
ALA109'S CHAT. Procedure of action
"Hmmm…." The doctor looked seriously at the results of the blood test.
"Positive fibroids, seen from red blood cells that are more in number. The USG period earlier, looks poking even though the size is small." Hearing the doctor's explanation, he sounded like he wanted a re-examination to know more precisely the number.
"What is the cure for this disease, Doc?" Izza looked hurried for all of these processes.
"If the size is large and needs to be lifted, usually the action taken there are three kinds. First, the hysterectomy. Hysterectomy is the procedure of removing the entire uterus including the cervix. The procedure can be performed with the help of laparoscopy, or with laparotomy. Hysterectomy is usually an option for women who are married and over forty years old. The advantage of hysterectomy over myomectomy is that it eliminates the possibility of fibroids and ends all symptoms including heavy menstrual bleeding, which can last a long time even after myomectomy is performed. The second is myomectomy. Myomectomy is the procedure of removing fibroids without removal of the uterus. It can be done either laparoscopically, or with laparotomy. The main advantage of myomectomy is that it allows the patient to become pregnant in the future. One drawback of this procedure is that it can cause a lot of blood loss during surgery so a blood transfusion may be needed. Another disadvantage is the possibility of fibroid recurrence and the possibility of heavy menstrual bleeding after surgery. In the case of recurrent pain, subsequent myomectomy will become more difficult to perform because the previous one may have caused the formation of adhesions. There is another third, but for one of the types of fibroids I just mentioned this. The third action, transervical fibroid resection. In submucosal fibroids, fibroid resection can be performed by hysteroscopy. Usually done when submucosal fibroids are still small. A device called a resectoscope is used to cut the fibroids into small pieces until the fibroid base is reached. Small fibroid fragments are then removed through the kew******." The doctor smiled, after explaining the length.
Essentially, if a hysterectomy is removing her uterus as well. Myomectomy is to remove the fibroids only, if the resection of the transervical fibroids is to cut off the new fibroids removing them.
"What's the best advice, Doc?" tanyaku later.
"The best advice, follow-up examination first to determine the location of fibroids and how many fibroids. In many cases, these fibroids number in the tens, then removed before menopause due to a large increase in size" he replied with a smile back.
"The exact cause is what exactly, Doc?" I'm thinking badly, not because I got her married wrong again.
"What's your age?" he asked by pointing at Izza with his thumb.
"Twenty-three years, Doc." Izza answered quickly.
"It could be, because of heredity. There is one of the most rational causes, which is estrogen levels. Many women who suffer from fibroid disease are also found to have high estrogen levels. Although it is not clear how estrogen contributes to the source of the disease, it has been confirmed that fibroids grow dependent on hormones, as do endometriosis. It has been explained why some women experience worse fibroid symptoms during perimenopause or the menopausal transition, because their estrogen levels are so high at this stage. However, symptoms recover naturally after menopause due to a significant drop in estrogen levels. Under estrogen deficiency, fibroids usually shrink, and sometimes disappear on their own without treatment. But your age, not in perimenopause or the menopausal transition. Most likely, yes because of heredity. Maybe his mother, sister or it could be from his grandmother."
Hearing the doctor's explanation, I remembered the Izza family who had difficulty obtaining offspring and even some who had no children at all. The descendants of them were not many, but the descendants of his grandfather were many. Izza has three conjoined grandmothers, in addition to a biological grandmother, although with one grandfather only.
"So, how's it going now, Doc?" I want to be immediately directed to the next treatment so that Izza is cured.
"As I have said before, the next examination action is magnetic resonance imaging or MRI. Sometimes an MRI may also be needed for definitive confirmation. MRI is by far the most accurate diagnostic equipment for fibroids. An MRI can provide much more detailed images of fibroids than an ultrasound, and allows a gynecologist to determine how many fibroids are appropriate, their size and position as well as the anatomy of the degree of distortion of the uterus and surrounding organs caused by these fibroids. If you should be given action. Then it will be directed directly, to perform the operation of removal of fibroids." The doctor paused his words. He looked at Izza for a moment, then took the pen. "Sorry, do you have any children?" slowly tanyanya.
"Not yet, Doc," Izza replied later.
"Well, for the rapture action. Maybe I'll have myomectomy, ma'am. Where, only the fibroids are removed. But if the type of submucosal fibroids, it may be possible to resection transervical fibroids. Depends on where it is and how much it is too." He made writing with his pen on a piece of paper.
"When is the month of Mother? To be scheduled for an MRI." The doctor looked at Izza again.
"Maybe about four more days." Izza squinted his head upwards.
"Good, Mom. The mother can come back after the completion of the menstrual period, to schedule an MRI examination. No need to worry too much and think badly, Mom? It's a benign tumor. I have not been able to give any prescription, but later if after the MRI is found to be so small, it may be given medication so that fibroids can shrink. But the side effects are usually on the hormones of the mother. If it is not pleasing, you can discuss it with your husband, parents or family at home." The doctor gave me a piece of paper. "Later this paper was brought in for a check-up, huh, ma'am? Is there anything to ask?" continue then.
"Sorry, Doc. What if the hormonal changes in a woman will have an effect?" Izza asked with a smart question.
I didn't think of any such question at all.
"This condition can result in the appearance of a variety of symptoms, ranging from excessive heat or sultry or hot flushes, kew****dry, decreased arousal s**s, insomnia, recurrent urinary tract infections, etc, emotions become unstable, until depression. There are also those who feel abdominal pain, bloating, nausea, dizziness, headache and excessive anxiety."
Why are there drugs that have terrible side effects?
"No cure is safe, Doc?" Sliding my question, I instead got an elbow elbow elbow elbow in my stomach from Izza.
The doctor laughed a little. "The safest course of action, myomectomy. But the risk of bleeding is great. So, before the myomectomy is done. Families are asked to seek donors for more than two people, in anticipation that the blood supply at the hospital is empty."
Safe what? That's a life bet. I hear her explanation
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