Medical science book: Emergency call medical science- The vagina that the tumor cause bleed

Medical science book: Emergency call medical science- The vagina that section 6 tumor cause bleed

Gynecology tumor, in spite of positive or malignant, can express the vagina issue of blood of different degree, the issue of blood endangers sufferer's health and life but needs an urgent processing, there is following tumor.

A, cervical cancer

(A)organization occurrence according to organization occurrence, the temple neck cancer can be take place in the temple neck pillar form top skin or the temple neck vagina department scale form top skin inside the tube and the former less sees for the temple neck gland cancer, have a temple neck 5% of the cancer around;The latter is the temple neck scale cancer, the most familiar, have a temple neck 95% of the cancer.

The occurrence of the temple neck cancer, experience slow-moving but gradually enter of development process, normally ascend skin →the simplicity increase to living →not the typical model increase to living →home position cancer →gradually cancer.

(Two)big body type earlier period temple neck cancer's being familiar is debauched form or grain form Tu to rise and touch of easy issue of blood, afterward according to tumor grow direction, big body the performance mainly has the following 3.

1.outside living a tumor to outwardly grow from the temple neck surface, the kind Tu which presents nipple form or condy-loma accuminata rise, quality frailty, easy issue of blood.

2.inside living type or knot stanza gradually a type the tumor takes care of to gradually make the temple neck increase inside wall toward the temple neck thick become big, the temple outside the neck is often smoother, the temple is beside gradually with basin the knot with lymphoid chamber transfer of opportunity more and outside living a type to want have another, the clinical symptom appears to compare a night.

3.the ulcer type be above-mentioned 2, the tumor bad dead becomes after shed off empty, the form is like crater of volcano form, easy occurrence infection and bleed.

(Three)the main symptom of clinical performance temple neck cancer be a vagina row liquid and bleed, its manifestation and degree and course of illness sooner or later with the big body type of the tumor relevant.

1.vagina row liquid most temple neck cancer cases have the vagina secretion of different degree the increment, in early days because the temple neck gland body secreted Kang enter, performance for glued liquid kind white take, along with course of illness of development and after hair infection, the white take present rice soup kind or bloody pus, have smelly.

2.vagina bleed temple neck the cancer expressed for the white to bleed after take the blood or the sexual intercourse in early days, along with the development of tumor, bled anti- Fu to go into action, quantity hour many hour little, the tumor after sheding off or eroding greatly afferently can cause a great deal of of fatal of vagina bleed.

3.tumor gradually or oppression basin the symptom cause by chamber organ such as basin the chamber nerve be invade or be subjected to oppress can cause ache;The afferent or lymphoid reflux get difficulty can with the result that the legs swells with ache;Urine bladder or urethra implicate and can cause urine Pin, wet pain or blood in urine, wet to shut and urine poisoning disease;When rectum implicate, often heavy empress have nasty inside and then blood or have a bowel movement difficulty.Later period case, because of anti- Fu issue of blood and consume over a long period of time, there is the quality performance of bad disease.

(Four)diagnosis earlier period the temple neck cancer advertise for because of lacking a typical symptom and body, usually at census discover.To the women who there is issue of blood or vagina of the vagina anomaly row liquid, the women, who especially cut off menstruation in front and back, should consider to have a temple neck the cancer of possibility, basin chamber check want to cautiously observe a temple neck circumstance, make a vagina cytology check, to can the clever place carry on living a body organization check and check to live check under the instruction in the vagina mirror when it's necessary.Later period the temple neck cancer advertise for because of having a typical symptom and body and the diagnosis has no difficulty more.The basin chamber should notice the quality, size of temple neck when the basin chamber check, the vagina Qiong window depth and flexible change.In addition carry on in response to the normal regulations three match to diagnose a check to make sure pathological changes scope, carry on exactitude a clinical cent to expect.

(Five)the processing be as state above, the temple neck cancer case all expresses vagina of have different degree to bleed, to the suspicious case, carry on a chamber check, should make first to diagnose, understanding the temple neck circumstance and the tumor big body type, the vagina have have no gradually.The action wants to be light and soft while putting to go in to peep a machine, the in order to prevent knocks and break lump organization to cause a great deal of issue of blood, such as the tumor break Kui issue of blood more, then make pure bleed part after, carry on gauze to stop up, oppress to stop bleeding.

The treatment of temple neck cancer is mainly to project treatment and surgical operation to cure, home position cancer or in early days gradually the cancer can go womb excision, gradually the cancer(Ⅰ b, Ⅱ a) can go an extensive temperament temple to cut off and basin the chamber lymph is through the clearance Shu.To Ⅱ b the period be above of temple neck cancer then should not the surgical operation cut off and the adoption projects a treatment.

Such as without the surgical operation condition, each period gradually the cancer all can carry on projecting a treatment and the effect is as well good.

Two, malignant nourish cell tumor vagina to transfer

Malignant nourish one of the characteristics of cell tumor is transfer occurrence early but extensive.The vagina transfer more familiar, according to concord hospital data in Peking analysis(1949~1975 years), there is vagina in 429 Rong cancers transfering 119(27.7%);441 invade to have vagina to transfer 70(15.5%) in the insecticide grape foetus.

(A)formation mechanism the vagina transfer the formation of lump is in order to delivering the lump cell incursion womb vein at first inside womb, the treacherous acts moves home to inside vagina vein, bolt in formation lump inside the vein first and subsequently develop to become vagina to transfer lump.Because the vein cluster of the vagina ex- wall many in Houpi, but the end of vein again concentrated in the vagina.So vagina's transfering lump be see in the vagina ex- wall more, takes urethra as many, transfer lump to be located on vagina more to glue under the film.

(Two)the clinical performance vagina transfer lump can single hair, may also much deliver, but with list hair for much see.Transfer part the most familiar at the vagina ex- wall, is see in urethra more.The or so two sides' occurrence's opportunity has no obvious difference.Be located on the transfer of vagina coping lump most is transfered lump by the side of the temple or basin chamber to expand but become downward.

The vagina transfers the size of lump different, the general diameter is a 2~3 cms, big of such as egg big, small of such as green lentil big, but Be located on transfer of vagina top lump can be very big.

The vagina transfers lump small but do not break Kui, the vagina glued a film usually just like often see, just in diagnose can Men and vagina wall glue there is sub-footing stanza under the film.Greatly but about to break the knot stanza of Kui then surface to glue a film to become thin, transfer lump through glue a film but present royal blue knot stanza.Have already broken a Kui then it is thus clear that transfer lump outwardly outstanding, often the companion not and with same quantity bled, several hours can with the result that patient's shock.The knot stanza which breaks Kui is easy to an infection, secretion guts but have bad smell.

(Three)the rash break the diagnosis that the vagina transfers lump, generally have no difficulty, can discover in the normal regulations vagina the check.Should make first to diagnose while check, cautiously explore to touch vagina four walls, notice after exploring to transfer to stay its part, size, piece, whether surface breaks Kui or not, examine fingerstall to up have no blood etc..Check the action wants lightly and the in order to prevent occurrence breaks Kui issue of blood.The general after diagnose discover to transfer lump needed again use to peep a machine check, if then need to be notice when it's necessary peep a machine to lightly insert, in order to prevent the blindness inserts to cause to transfer lump to break Kui issue of blood.

(Four)processing according to transfer whether lump breaks Kui issue of blood or not, adopt different treatment.

1.transfer lump didn't°yet break Kui,such as vagina, to transfer lump haven't broken Kui, then can adopt 5 use of the vein intravenous drop of the fluorine Mao Mi Ding(5 Fus)ses medicine method, measures for the 28~30 mgs/kg, add in 5% glucose liquid 500 mlses, slow-moving vein intravenous drop 8~10 hs, everyday once, 10 day for on treating a distance treat distance partition for two weeks.Adopt the above-mentioned method, the most transfers the lump all natural disappearance.Can add to transfer to inject inside lump with the 5 Fus such as the ineffective hour.The dosage presses to transfer lump size to decide, in common use measure for the 5~10 mls(don't the 5 Fus of dilution), once go to transfer lump to obviously contract every 2~3 days.Go the part toed notice when go the part inject:The ① strictly obeys to have no germ an operation, in order to prevent the occurrence infect;The ② enters needle from the healthy part, and usually change into the needle part, the in order to prevent cause because the anti- Fu wears to stab the surface be damaged;③ Each time inject amount of medicine can't lead greatly, the in order to prevent tension inside the tumor leads big Cu with the result that tumor proliferation.

2.transfer lump have already broken Kui can first stop up with the gauze, and start a vein intravenous drop 5 Fus.Should work well vein to lose a liquid before stop up and go together with a good blood back up.The gauze should notice when the gauze stops up to stop bleeding:The ① first diagnoses a lane with pure transfer the part of lump, lead long vagina Houpi to open, certain transfer lump issue of blood part, slice to hate don't know issue of blood part the blindness stops up, extend to break Kui noodles and cause more issue of bloods.The ② uses square yarn a cake of first and pour to up have no germ to stop bleeding medicine(like white medicine in Yunnan, stop bleeding powder) to place in break Kui to bleed of transfer and knot stanza, by hand point to tightly press to stop bleeding.The ③ is tightly pressing to stop bleeding finger of orderly stop up gauze under, first vagina Qiong the window fill with, then gradually and outside fill, withdraw to oppress hemostatic finger, keep fill to the vagina, tightly press out yarn noodles to blood, slice to hate to fill gauze in the vagina in get empty and could not have a hemostatic function.The ④ gauze stops up a 24 hs and have to replace, the in order to prevent once stopped up long, cause an infection.

Malignant nourish cell tumor in addition to the vagina transfers and can cause seriously bleed, inside womb at first be taken bad the cooking stove erosion womb blood vessel or lump to organize bad dead to shed off may also cause severity bleed, generally after aggressively transfuse blood, whole body give using to stop bleeding a medicine, carrying on a whole body chemotherapy in the meantime, the issue of blood much can control.Such as through above-mentioned the processing be invalid and the issue of blood endangers a sufferer health, should cut off womb in time.

Three, womb muscle lump

The womb muscle lump is a tumor with the most familiar chamber, is also the most familiar benign tumor of human body, cultural heritage report way year over women over 35 years of age, about 20% gets womb muscle lump, don't be disheveled hair because the muscle lump is small or have no clinical symptom now.

The occurrence and estrogen of the womb muscle lump contains obvious relation, puberty and ex- women, few muscle lump happen.Unique through after, ovary function decline, the muscle lump atrophies but contracts with the womb.

(A)the pathologic womb muscle lump can is divided into two major types: the womb body muscle lump and cervix muscle lump.The former much sees, have 95% of muscle lump and the latter is seldom seen and have 5% around.

The womb body muscle lump is take place in womb muscle more wall of smooth muscle cell, become wall muscle lump first, along with the growth of muscle lump, outwardly develop formation syrup a film to descend muscle lump, to temple chamber development the formation glue a film to descend muscle lump.Strach the film descend the muscle lump sometimes only has Di and womb to connect with each other, separately case, the Di is thinner and thinner, the nourishment of tumor mainly comes from big retina or close by organ, end escape from with womb, become to live on tumor.Glue the film after descending muscle lump grow up gradually can be outstanding from the temple neck at the vagina inside, even outstanding at the outside of the vagina, the serious case can cause to turn over inside chronic womb.Take glue of Di a film to descend muscle lump, easy the occurrence bleed, infection.Be located on a womb side the smooth muscle lump of the wall, to the breadth growth inside the ligaments, become muscle lump inside the breadth ligaments, push a womb body to to the side.

The temple neck muscle lump much takes place to after temple before the neck lips, muscle lump grow up often change around dissect a relation, increase a surgical operation difficulty.

Muscle lump the size be different, the small only grain of rice is big, big of can be full of a chamber, generally in order to much deliver, usually is the muscle lump of different type to exist in the meantime.

(Two)the muscle lump change the antinomy of that sex supplies because of the muscle lump growth and blood, most muscle lumps can take place a variety to back to go sex to change, such as the glass kind change, glue the liquid kind change, the bag change, calcify, above-mentioned change sex much without the clinical performance.The red change sex be take place in gestation period or postnatal period more, because the blood overflows into the lump body, the muscle lump assumes red, the muscle lump tumor kind change the incidence rate be about 0.5%.

(Three)clinical performance most muscle lumps have no obviously clinical performance, basin chamber check start disheveled hair now, womb muscle lump of clinical the performance is a menstruation change and oppresses symptom.

1.the change express in order to be increase by quantity, the menstruation prolong and the period shorten, or the anomaly bleed.Menstruation change, main according to the muscle lump size and part settle.Womb wall muscle lump, enlarge because of womb, temple chamber area as well big, in the meantime muscle lump often the companion have a film inside the womb to increase to living, as a result film inside the womb sheds off noodles greatly and bleed more, again because of muscle lump influence womb constringency, can't effectively close an afferent cross section, make Be increase by quantity or the menstruation prolong;The womb glues a film to descend muscle lump, not only can cause a menstruation change and fair express irregular vagina to bleed;Strach the film descends muscle lump an amenorrhea change often.

2.oppress a symptom muscle lump to grow up to certain degree, to close by the organ can produce oppression symptom, such as the womb ex- wall muscle lump can oppress the urine bladder creation urine Pin, urine nasty;Muscle lump in womb Houpi oppresses rectum, cause to have a bowel movement a difficulty and muscle lump inside the breadth ligaments can oppress urethra to cause pelvis to accumulate water.

3.the stomachache, stomach fall to the muscle lump generally doesn't produce stomachache, can cause violent stomachache while taking Di syrup a film to descend the muscle lump occurrence Di to turn round and glue a film to descend muscle lump outstanding at the temple neck may also have the abdomen ache.The muscle lump red change sex in addition to stomachache, also have fever.Big womb muscle lump Chong Ying basin chamber, there is abdomen falling to bulge.

(Four)the diagnosis of the diagnosis womb muscle lump, main check according to the basin chamber.When basin check if discover womb aggrandizement, shape anomaly, the quality is harder, combine the history of disease, not difficult diagnosis.But when the syrup film descend muscle lump or muscle lump to change sex, should be swollen with ovary bag while carry on diagnosis with enclosure burning sex pack piece discriminate.The ovary bag is swollen amenorrhea change with general piece with enclosure pack, and relate to with womb not and closely, meet a difficult case, should go a super voice or womb fallopian tube to build shadow check to carry on discriminating diagnosis.

The one who have dysmenorrhea history of the womb aggrandizement, should go a hCG measurement with excepted gestation.

(Five)processing according to the symptom severity of the sufferer's age, muscle lump size, part, bleed and oppress degree and had never grow to request but adopt a dissimilarity treatment a method.

1.surgical operation treatment,such as muscle lump, more big, the womb is big in 12 weeks gestation or menstruation the quantity much causes anemic or already oppress close by organ symptom, should go womb excision.If the sufferer needs reservation to grow function, may also the muscle lump pick and get rid of Shu.

Cervix muscle lump or glue a film to descend muscle lump should adopt surgical operation excision womb.Take the Di glues a film to descend muscle lump Tu to go into vagina, such as Di department thin long, can wrench off a Di department, avoid excision womb.

2.conservative treatment such as muscle lump have no clinical symptom, physical volume not big, can periodically with diagnose, reexamine once every half year.If the menstruation contains change, can take the A Ji testicle vegetable, Fu rather slice, decrease through measure.Sometimes can go diagnosis to pare off a temple, not only can excepted malignant pathological changes, may also rise treatment effect.