Today, Zhimei wants to tell a true story, and I hope you can read it to the end.
How important the womb is to a woman is self-evident. It not only helps women to conceive new life, but also protects women's health (menstruation).
But when a fatal acute illness comes to the door, some people are lucky enough to keep the uterus; others are not so lucky and have to choose to remove the uterus.
I am the latter. At the age of 42, in order to cure my adenomyosis (a type of endometriosis), the doctor helped me make a difficult decision to remove the uterus.
In the days that followed, my life also became bleak.
To this day, looking back, if I had been able to discover this disease earlier in the ten years I missed, maybe the plot of my life would have been completely different.
After giving birth at 32, my figure began to look out of shape. I am 1.60 meters tall, but I weigh 65 kilograms.
In the past ten years, unlike others who have come to menstruate, every time I come to menstruation, it is like a flash flood.
Other people's menstrual blood is oozing and flowing out, I am not, my menstrual blood is always "uproar" gushing out.
Every time you menstruate, this state of blood rushing outwards lasts for several days. Several times, I wondered if I had blood collapse, as if the blood in my body was running out.
Along with a lot of blood loss, I also have to bear severe abdominal pain, that pain is different from ordinary dysmenorrhea, it is more and more painful, sometimes it hurts, and people are almost unconscious.
The tenth degree of pain in giving birth to a child is nothing in the face of adenomyosis.
Even if it was so uncomfortable, I didn't expect that it would be a disease. Always thinking in my heart, women menstruate is going to hurt, and some people have a large number of people, some people have a small amount, and it seems to be normal.
Moreover, on the days when I don't have menstruation, I don't have a little uncomfortable feeling, I think that it is the pain brought to me by the big "nemesis" of menstruation, and those few days will be fine.
Later, during a menstrual period, I was in so much pain that I had to live, obviously it was the coldest winter, and my whole body was like a sauna, covered with sweat.
The pain was so unbearable that I went to the hospital to see the internal medicine doctor to see the emergency department, and the doctor listened to my description, looked at me doubtfully, shook his head, and said:
"You may not be my problem in this department, go to the gynecologist to see it!"
Funny to say, menstruation pain for almost ten years, I never thought about whether I have a gynecological disease, to go to the gynecological examination.
When a person is sick, don't you know it? Later I learned a word: sense of illness.
In short, some people can realize that they are sick and call themselves a good sense of illness, on the contrary, they lack a sense of illness.
I think that I, who am dull of illness, must belong to the latter.
That day in the emergency room, the gynecologist on duty at night gave me a touch examination and was very surprised,
Your uterus is too big! It's far beyond the norm.
She suggested that I come back to the hospital during the day for further examinations.
Lacking a sense of illness, my stomach did not hurt the next day, and I had to take care of the children, so I did not take the doctor's words to heart. Thought it was over.
Until one night, the menstrual blood surged violently, from eleven o'clock in the evening to three o'clock in the night, just over three hours, the menstrual blood soaked all 16 extended sanitary napkins.
I felt like I was about to burst into blood, and the blood in my whole body seemed to be empty.
At seven o'clock in the morning, I was swept up by a wave of blood, and as soon as I rolled over and got out of bed, I realized that something was wrong!
By the time the 120 ambulance took me to the hospital, I was almost in shock. The doctor gave an emergency injection to stop the bleeding.
The results of the examination came out: I had adenomyosis, a very specific endometriosis.
The doctor explained that the glandular tissue that should have grown on the inner wall of the uterus grew to the outer wall of the uterus, wrapping my uterus layer by layer, making the uterus volume surge and the blood supply abundant, so each menstrual holiday increased the menstrual flow and showed very obvious symptoms of dysmenorrhea.
This is completely consistent with the symptoms I've had for ten years.
Although the cancer rate of this disease is not high, some people call it "immortal cancer", because this disease is not only very difficult, but also brings pain, not cancer, better than cancer.
If it is not cured, I don't know if there will be a next time.
Because the disease has a diffuse nature, surgical peeling is difficult, even if the peeling will be longer, the doctor advised me - remove the uterus.
She also told me that if I didn't make a decision, as things are going, my life could be in danger.
Oh, my God! A question that I don't usually pay attention to at all can actually endanger my life. I was completely frightened.
But the removal of the uterus is also terrible! The womb is a life-like existence for women, especially for women like me, who love beauty. Without a womb, am I still a complete woman?
In a recent hit movie, "Love Myth", it is discussed what is an incomplete woman.
There are many answers in the movie: women without children, women who make 1 million, women without egos...
Compared with my womb, aren't all things outside the body when they say this? Without the womb, how can she live a complete woman?
Originally, we were keen to pursue so many external things, in fact, to ensure our own integrity, health and pleasure, is the real happiness and fulfillment.
I asked my familiar surgical expert friends whether the uterus should be cut off. He advised me to take conservative therapy and try to keep the uterus as much as possible.
I was embarrassed. On the one hand, the gynecologist's serious and solemn prediction of the development of the disease, on the other hand, my own worries, reluctance, and the advice of expert friends.
I weighed it up and had a hard time making a choice, and in the end, my husband made a decision for me.
He said, let's put the safety of life first. The uterus is only a small part of the body, and it is worth sacrificing the uterus in exchange for your own safety and health.
I followed my husband's advice. At critical moments, my family allowed me to find the strength to trust and rely on.
The night before the operation, I leaned against the window, looked out the window at the watery night, and cried all night. After this night, I am not who I am now.
After I lose my womb, what will happen to my body, what will happen to my psychology, will my appearance, my figure, will I still be as delicate and straight as I am now?
Will my husband still love and care about me as much as he does now?
Everything is unknown, and I can only reluctantly accept the arrangement of fate.
The only thing that comforts me is that compared to the young woman who was forced to remove her womb without giving birth, my womb has fulfilled its mission, and God has not deprived me of my right to be a mother.
The doctor comforted me that the maintenance of female secondary sex characteristics depends mainly on the secretion of estrogen and progesterone from the ovaries.
After the removal of the uterus, the blood supply of the ovaries may be affected, but it will not affect the hormone secretion of the ovaries, nor will it affect sexual life. However, there will be no more menstruation in the future.
However, the changes that occur in the body after the removal of the uterus still surprise me.
In addition to menopause, my ovaries are affected, estrogen secretion is reduced, causing the vaginal wall to shrink, and the skin will gradually become rougher and less elastic.
I also read a report that many women without a uterus will suffer psychological torture, which in turn will affect the harmony and health of the whole family, which is another type of "surgical complication" that even surgeons cannot think of.
Later, a series of postoperative "reactions" occurred in me.
The uterus is gone, the ovaries have blood supply disorders, endocrine disorders, follicles overgrow, and they cannot be discharged into the uterus normally, and many ovarian cysts have been formed.
The ligament tissue of my pelvic floor muscles was also affected after the operation, and some problems such as bladder prolapse and leakage of urine also occurred.
Sometimes with a little force, the urine will run out uncontrollably, making me shy and afraid.
Complete one's misery. Just two years after the hysterectomy, sudden hypertension came to the door again.
One day I was driving, and suddenly I felt weak, the whole person was like a prostration, even the steering wheel could not be controlled.
I hurried to find a place to stop urgently, and for the first time in my life, when I was fully awake, I lost control of my body, as if my hands, feet, and arms were not mine, and I did not listen to my commands at all.
When driving, the body is out of control, this is going to be a big deal!
Subsequently, he went to the hospital for examination and found that his blood pressure was as high as 236/101 mmHg, accompanied by hypokalemia.
At that time, the blood vessel was like a mesh bag as thin as a cicada's wing, and it was pressed tightly by a large stone, and the blood vessel would collapse in minutes, and its life would be in danger.
The doctor said that if I came 5 minutes late that day, I would be dead.
I was suffering from high blood pressure in my prime, and I was a little confused. High blood pressure is different from other diseases, it is like an invisible killer, always silent, probably more than half of the patients have no symptoms, so it is easy to be ignored.
But once shot, the injury is the heart, brain, blood vessels, the most critical parts, the trick is fatal.
Many highly fatal and disabling diseases, such as myocardial infarction and cerebral infarction, are more than 50% related to high blood pressure.
The test report clearly states that everything is normal, how can I get high blood pressure?
"Hypertension, low blood potassium", my attending doctor Professor Xia Min pulled out the cocoon to help me find out the cause.
Through adrenal CT he found out that my adrenal glands had a small tumor and confirmed that I had an endocrine disease, hyperaldosteronism, which caused secondary hypertension.
After the adrenal gland surgery, the risk of this small tumor was completely relieved.
In the past year, the sudden two serious illnesses have also taught me to reflect. The grinning female character made me ignore my illness.
I always go to the hospital after multiple symptoms and life-threatening situations, and if it weren't for the critical condition, I wouldn't have felt it was a disease.
I hope that everyone will learn from me, identify it as soon as possible when there is discomfort, and never wait until the day when the disease is raised into a tiger, and then regret it.
Doctor reviews
After reading this patient's medical experience, I feel regretful, mixed and heavy.
Adenomyosis is a common disease that occurs in women aged 30 to 50 years, and the cause is mostly due to the endometrial trauma caused by caesarean section of abortion, electrotomy of uterine polyps, caesarean section, natural delivery, etc.
Because the endometrial glands and interstitium invade the uterine muscle layer, symptoms such as increased menstrual flow and dysmenorrhea occur.
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The whole course of the disease in this patient is as typical as described in the textbook, so the diagnosis is not difficult.
If diagnosed early, the uterus can be preserved by levonorgestrel intrauterine contraception system or endometrial removal, supplemented by drug therapy such as danazol, pregnenone, GnRh-a, or minimally invasive surgery.
However, hysterectomy is done when the condition is severe, the uterus is large, the menstrual volume is extremely large, and the drug is difficult to control.
Through her experience, I would like to give 4 tips to all female friends:
01
There must be a basic sense of disease, that is, a basic understanding of the difference between normal and disease states.
For example, normal girls with menarche are 13-14 years old, the cycle is 21-35 days (average 28 days), the menstrual period is 2-8 days, the total blood volume of a menstrual period is 20-60ml, and more than 80ml is abnormal.
Generally, during menstruation, there will be a feeling of falling lower abdomen and lumbosacral, but there is no severe abdominal pain.
If the patient in the text could have seen a menstrual abnormality 10 years ago, they could have been treated early.
02
Women with sexual life, every 1-2 years routine gynecological physical examination, such as cervical cancer screening, gynecological ultrasound, perimenopausal secretion conditioning, etc.
I wish this patient had been treated sooner if he had even had a gynecological checkup in 10 years.
03
Don't ignore any of your body's alarm signals.
When she was in so much pain that she was going to the emergency room, the gynecologist said, "Your uterus is too big, far more than the norm", at that time, didn't you already know that you were sick?
If you choose active treatment at that time, discuss the treatment plan with the doctor, and fully evaluate the body and psychology, you may choose a uterine lesion removal and win the battle to defend the uterus.
And when it came to "the surging menstrual blood, the blood vessels of the whole body will be empty, and the moment of crisis of life", according to her husband, he can only choose the safety of life first and sacrifice the womb.
04
1, 3, 6, and 12 months after hysterectomy, the gynecologist will give professional rehabilitation guidance.
I am an obstetrician and gynecologist with 40 years of clinical experience and have seen patients who have had to have their uterus removed for various reasons, and the vast majority of them have a good quality of life.
It is true that there are complications after hysterectomy, such as changes in the structure of the pelvic floor, which may cause disorders of pelvic floor function; the influence of ovarian blood supply, resulting in hypofunction of the ovaries.
However, through pelvic floor rehabilitation training and gynecological endocrine conditioning, normal life can be restored. In my opinion, what you need more is postoperative psychological guidance.
Finally, I would like to say: be kind to yourself and face it positively, in order not to be limited to the haze of disease.
This patient developed a dangerous hypertension (236/101 mmHg) due to the hormone "aldosterone" secreted by the adrenal small adenoma.
Excess aldosterone secretion leads to sodium and water retention, increased potassium excretion in the urine, and decreased potassium in the blood.
And low blood potassium can cause muscle weakness, so the danger of her driving is really scary.
The adrenal glands are the most mysterious and hidden organs of the human body, located at the upper poles of the bilateral kidneys, with an average weight of 8-10 grams. Don't look at it small, but the regulation of the human endocrine is very extensive and important.
Clinically, when the organ is diseased, it can be hyperplasia or adenoma, and the secreted hormones have a great impact on metabolism.
We attach great importance to the lesions of the adrenal glands, a mysterious and hidden organ, because its pathogenesis is characterized by the diversity of clinical manifestations, affecting the patient's glucose metabolism, lipid metabolism and water electrolyte imbalance, resulting in hypertension to cardiovascular and cerebrovascular diseases will also cause great harm.
If it is a tumor, most of it is benign, so we must despise it strategically and pay attention to it tactically.
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