During the two sessions of Guangdong Province this year, Zhao Guangjun, a deputy to the Guangdong Provincial People's Congress, put forward a proposal on attaching importance to patients with adenomyosis. In his recommendations, he proposed that adenomyosis was figuratively called "undead cancer." Patients with adenomyosis are women of childbearing age, it is the highlight of life, is the child's dependence, half of the family, the backbone of society, the impact of their disease can not be ignored.
Hysterectomy is extremely harmful to women's bodies and minds
Zhao Guangjun proposed in the proposal that when the endometrial glands and interstitium invade the uterine muscle layer, it is called adenomyosis, more 30-50 years old menstrual mothers, according to public data, the number of diseases in recent years has increased significantly, due to the large population base of the mainland, this population can not be ignored. According to the People's Medical Publishing House, the 9th edition of "Obstetrics and Gynecology" P268, and endometriosis is different from the cause of endometriosis, but all are regulated by estrogen, 35% of uterine adenomyosis has no typical symptoms, 40% to 50% of the performance of excessive menstruation, prolonged menstruation, 15% - 30% of the performance of progressive dysmenorrhea, affecting the quality of life of women physically, psychologically, socially and economically. Diagnosis is relatively simple, and the diagnosis is based on typical progressive exacerbation of dysmenorrhea and multiple histories of menorrhagia, combined with gynecological examination of uniform uterine enlargement or localized bulges, hard tenderness, and imaging. There are currently no radical effective drugs, and total hysterectomy should be performed for those with severe symptoms, no fertility requirements, or ineffective drug treatment.
Zhao Guangjun talked to patients with adenomyosis
The treatment of adenomyosis is now divided into conservative treatment and hysterectomy treatment. Conservative treatment has some significance for patients with mild and near-menopause, and for more patients, the incurable treatment increases the economic burden of treatment and other risks of medical intervention. If the hysterectomy program is implemented, the uterus is removed, many uterine-related functions will be lost, causing prognosis physiological, psychological, family problems, such as the absence of the uterus will change the physiological structure of the pelvic floor, followed by pelvic floor dysfunction, the blood supply to the ovaries will be significantly reduced, will greatly accelerate the process of ovarian aging, so that menopause is advanced, the lack of endocrine function in the uterus causes a series of reproductive endocrine problems, as well as related immune function decline, couple quality of life problems. The loss or decline of these physiological functions can lead to the emergence of psychological problems in women, bringing a series of negative effects to individuals, society and families. Adenomyosis is known as "immortal cancer", and it is a problem for gynecological communities around the world to preserve the uterus and completely remove the pain.
Patients with adenomyosis are women of childbearing age, it is the highlight of life, is the child's dependence, half of the family, the backbone of society, the impact of their disease can not be ignored. Many patients are plagued by dysmenorrhea and anemia for a long time, extremely painful, according to the assessment, the pain caused by adenomyosis can reach three times or more of the labor pain, more serious is the pain every month, and progressively aggravated; some menstrual volume is progressively increased, resulting in severe anemia, weakness or even inability to work. Because of the radical treatment of adenomyosis clinically most of the way to remove the uterus, they in order to save the uterus to seek medical treatment, due to illness caused by poverty, back to poverty, some patients thus develop depression, dysmenorrhea accompanied by self-harm phenomenon and the idea of light life, some patients can not bear the pain and then are urgently removed from the uterus, causing economic burden to individuals, bringing new problems to physical and mental health, bringing challenges to marriage and family, and increasing difficulties to social harmony.
Zhao Guangjun said that the Guangzhou Population Welfare Foundation in Guangzhou noted the situation of the adenomyosis group, learned about their pain and the call to protect the uterus, as well as economic difficulties, the foundation decided in November 2020, in November 2020, in the national "Happiness Project - Rescue poor mothers action" activity project, took the lead in Guangzhou to set up the "Ankang Mother - Adenomyosis" rescue project, in order to treat adenomyosis to preserve the uterus as the principle, A certain maternity hospital in Huadu, Guangzhou, which has the technology of uterine protection surgery to treat adenomyosis, was designated as the implementation unit of the rescue project to rescue families living in adenomyosis in Guangzhou.
To this end, Zhao Guangjun suggested that the advanced technology of uterine adenomyosis uterine treatment should be promoted, on the one hand, the uterine protection technology has matured, on the other hand, due to the asymmetry of medical technology and patient understanding information, the current advanced medical technology papers are often published in obstetrics and gynecology professional journals and are included in foreign SCI, etc., the general patient can not understand, and even many doctors in the industry are not clear, many patients can not contact the uterine preservation surgery technology, are enduring the pain of illness or are being removed on the way to the uterus.
It is hoped that the policy will give support to resolve this contradiction, so that patients can understand and choose the methods and procedures for retaining the uterine treatment of adenomyosis, such as the Health Bureau organizing visits and academic promotion, the media giving support to news reports, etc., so that more people know, more patients enjoy advanced medical standards, and reduce social problems.
Secondly, reduce the economic burden of medical treatment for patients with adenomyosis, because patients with adenomyosis will experience repeated medical treatment in many ways, resulting in difficulties due to illness, and then perform uterine surgery, rehabilitation and other processes, the resulting medical and rehabilitation costs will cause certain economic pressure on patients, hoping to cause medical insurance, commercial insurance attention, increase the directory of adenomyosis-related surgery and treatment, and give an increase in the reimbursement ratio, so that patients can enjoy medical insurance benefits.
Third, let the province's patients with adenomyosis and patients living in Guangzhou enjoy the same rescue or subsidy policy equally, and hope that the civil affairs, women's federations or relevant departments will provide uterine medical subsidies for patients with adenomyosis in other cities and counties in the province, so that more people will be full of sense of gain and happiness, and increase the harmonious force for a harmonious society.
Text/Guangzhou Daily, New Flower City Reporter: Xiao Huanhuan
Photo/ Guangzhou Daily, New Flower City Reporter: Xiao Huanhuan
Video/Guangzhou Daily, New Flower City Reporter: Xiao Huanhuan
Guangzhou Daily New Flower City Editor: Cai Lingyue
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