Is infantile uterus easy to treat?

Update Date: Source: Network

summary

The uterus is the only organ in the human body that gives birth to a fetus. Such a disease will undoubtedly affect their normal work and study. It is neither like the fallopian tube, but can be replaced by tube baby because of obstruction; And unlike ovaries, failure can be assisted by an ovarian transplant or a gift to a baby. Let me share with you the treatment of infantile uterus?.

Is infantile uterus easy to treat?

First: basic stage: expand g. R. treatment with gynecological diagnosis and treatment instrument, three times a month. At the same time, oral administration was started on the fifth day of drug withdrawal and bleeding: shenchebugong pill (prescription attached) 10g, TID × 22 / month; Diethylstilbestrol 0.5mg, q.d × 22 / month; VTE 100mg bid was taken for a long time until delivery. In case of uterine amenorrhea, the dosage of diethylstilbestrol 0.5mg Q. D. was given on a fixed day of each month × On the 18th day of medication, progesterone 20mg was injected intramuscularly, Q. D × 5。 Next month, the next labor cycle will still start on this day. In order to improve the sensitivity of the uterus to estrogen and progesterone, bleeding can occur after 3-4 simulated artificial cycles. The administration methods of VT E and shenchebugong pills were the same as before. When the bleeding was positive and g. R. reached 5ml, it entered the critical stage.

Second: critical stage: after removing the drug and clearing the bleeding, take one dose of pelvic Zhuyu Decoction every day for three days The fallopian tube was dredged by three-step method. Routine disinfection of vulva, take lithotomy position, raise the arm to 40 ° Keep the uterine orifice higher than the fallopian tube angle. The first step is to place the cervix in the middle of the speculum, disinfect it, insert the double lumen catheter, inject a proper amount of normal saline into the trachea, and then inject 4ml of 2% lidocaine into the water injection pipe; In the second step, 4 ml of 1500 u hyaluronidase solution was injected; The third step is to connect the water outlet of the gynecological diagnosis and treatment instrument with the water injection port of the double lumen tube, press the liquid valve of the instrument, and the instrument will automatically inject liquid medicine into the uterine fallopian tube (the liquid medicine is normal saline plus gentamicin 80000 u, dexamethasone 1ml, which is forbidden if TB is not ruled out) If 20ml of liquid medicine can be injected, it is considered that the fallopian tube is unobstructed (monitor the sound of water passing through the fallopian tube to determine which side is unobstructed, or both sides are unobstructed). If the pressure rises to the preset value if 20ml of liquid medicine can not be injected, it indicates that the fallopian tube is blocked. The instrument automatically turns on the treatment massager and massages both sides of the fallopian tube for 3-5 minutes. After the injection system is started again, a part of liquid medicine can be injected, or it can reach 20ml, but it can not reach 20ml on the right side. Then the instrument keeps the pressure and slowly infiltrates the liquid medicine into the uterine cavity. After the operation, take three doses of pelvic Zhuyu Decoction again, and then make another pass. Only twice a month, after two times, continue to take 4 doses of pelvic Zhuyu Decoction. Generally, the fallopian tube can be unblocked within 2-3 months. That is to say, it enters the mature stage.

Third: mature stage: after the first two stages of treatment, enter the mature stage. The characteristics of this stage are: G. R. has reached 5ml, fallopian tube is unblocked, drug withdrawal and bleeding are positive. On the third day of drug withdrawal, diethylstilbestrol 0.5mg, q.d × 10, Xianhua Yunzi pill (prescription attached) 10 g TID × 10, fadiland 50mg, Q. D × 5, v.t.e. 50 mg tid for long term. When the follicles grow to 18mm, h.c.g. 5000U is injected intramuscularly to promote the rupture of follicles. Do a.i.h. the next day. On the third day, B-ultrasound reexamined. If the follicle has ruptured, do a.i.h. again; If the follicle was not ruptured, h.c.g. 5000U intramuscular injection was continued. On the fourth day, the patient was given a second a.i.h.

matters needing attention

First of all, it is mainly caused by endocrine disorders, especially the insufficient secretion of estrogen and progesterone caused by ovarian dysfunction. Secondly, many girls in puberty can't see the change of their body shape correctly, mistaking the normal weight gain of puberty as obesity and losing weight at random. And weight loss is bound to limit the intake of fatty food, thus affecting the level of sex hormones in the body, so that the uterus involved. Thirdly, some girls blindly pursue the beauty of body and excessively girdle their waist, so that the blood circulation is blocked, and the uterus develops slowly due to insufficient blood supply, or even stops developing, eventually forming a childish uterus. In addition, puberty malnutrition (such as anorexia) or some chronic diseases may also affect the secretion of sex hormones, thereby affecting the development of sexual organs, including the uterus.