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子宫腺肌症能怀孕吗?子宫肌腺症如何治疗?

发布时间:2016-08-22   问大夫  责任编辑:红豆

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女性身体容易出现问题,越来越多的女性患上妇科疾病。子宫腺肌症是常见的妇科病,多发生于40岁以上的经产妇。很多女性朋友想了解子宫腺肌症是否能怀孕,子宫腺肌病患者可以怀孕,但怀孕成功率低下。详细了解请看下面的介绍。

什么是子宫腺肌症

什么是子宫腺肌症?子宫内膜异位到子宫肌层上,如果处理不当,任其发展很有可能成为腺肌瘤。

子宫腺肌病是子宫内膜腺体和间质侵入子宫肌层形成弥漫或局限性的病变,与子宫内膜异位症一样,属于妇科常见病和疑难病。子宫腺肌病多发生于3050岁左右的经产妇,但也可见于年轻未生育的女性,约15%的患者合并子宫内膜异位症,约50%合并子宫肌瘤。

目前多认为是由于多次妊娠和分娩及宫腔手术等造成子宫内膜或浅肌层损伤,基底层子宫内膜侵入子宫生长而发病。子宫腺肌症患者的孕次、产次、人工流产次数和宫内节育环的使用均明显高于对照组。此外,还可能与雌激素的异常分泌及高催乳素血症有关。而引起内膜基底层细胞增生侵袭的因素现有如下五种理论:

1、子宫损伤,如刮宫和剖宫产均会增加子宫腺肌病的发生。

2、与遗传有关。

3、高雌激素血症和高泌乳素血症。

4、病毒感染。

5、生殖道梗阻,使月经时宫腔压力增大,导致子宫内膜异位到子宫的肌层。

本病的治疗可用药物干预,也可行手术治疗,但根治较难,只有患者绝经后子宫腺肌症方可逐渐自行缓解。故而临床治疗方案的选择,需结合患者的年龄、症状及生育要求进行个体化选择。

子宫腺肌症能怀孕吗

子宫腺肌症能怀孕吗?子宫腺肌症会导致30%-50%的患者不孕,原因是:

1、子宫腺肌症会阻碍精子通过以及胎儿发育。

2、子宫腺肌症使子宫角附近发生病变,就会压迫输卵管开口处,造成阻塞。

3、如果压迫子宫颈部,就会改变子宫颈口的朝向,阻碍子宫颈管,使之远离后穹窿部的精液池,不利于精子进入子宫颈口。

4、子宫腺肌症还会影响子宫收缩的幅度、持续时间和频率,干扰受精卵着床,引发着床后流产。

当然,并非所有的子宫腺肌症都会影响怀孕,要看症状的生长部位、大小以及数目,若症状会引起不孕,就应及时治疗,由这种疾病所引起的不孕在症状消失后则依然可以受孕,故而治疗是关键。

子宫肌腺症如何治疗

子宫腺肌症如何治疗?子宫腺肌症很难根治,复发的机率还是比较大,治疗的方法有很多,要根据实际情况,听从医生的建议,积极治疗。

1、中西医结合治疗:从根本入手,硫肝理气,扶正因本,活血化瘀,软坚散结,清热解毒,全面调节内分泌使气面血活,活跃脏腑,经络为本,气血为用。

2、手术治疗:保守手术包括腺肌病病灶(腺肌瘤)切除术、子宫内膜及肌层切除术、子宫肌层电凝术等。

3、激素治疗:通过注射或服用西医激素,来抑制或对抗激素达到暂时缓解疾病的效果。

4、子宫切除治疗:适用于无生育要求,且病变广泛,症状严重,保守治疗无效的患者。为避免残留病灶,以子宫切除达到治愈子宫腺肌症的目的。

子宫腺肌症的饮食

患有子宫腺肌病的女性应改善饮食,要注意饮食清淡,忌食含有雌激素成分的食物。以下是几点饮食建议:

1、饮食宜清淡,不食羊肉、虾、蟹、鳗鱼、咸鱼、黑鱼等发物。

2、忌吃辣。辛辣温热、刺激性强的食品可加重盆腔充血、引起子宫肌肉痉挛,经量过多且痛经的患者要尽量避免食用,常见的辛辣食物主要有烈酒、辣椒、韭菜、蒜苔、葱、姜、蒜、胡椒等调味品。

3、忌生冷。经前和经期疼痛明显的子宫腺肌病患者应少吃生冷寒凉食品,以免寒凝血瘀致疼痛加重,尤其是伴有胃肠功能不佳的患者,少吃冷饮、凉拌菜、绿豆、黄瓜、荸荠、苦瓜、螃蟹、田螺、蚌肉、西瓜、柚子等食品。

4、少食酸。酸性食品有固涩收敛、凝滞血液的作用,子宫腺肌病患者不宜多吃,尤其是在经期更应该避免食用,常见的酸性食物有醋、泡菜、石榴、青梅、杨梅、杨桃、樱桃、杏子、李子、柠檬等。

5、多食瘦肉、鸡肉、鸡蛋、鹌鹑蛋、鲫鱼、甲鱼、白鱼、白菜、芦笋、芹菜、菠菜、黄瓜冬瓜、香菇、豆腐、海带、紫菜、水果等。

6、禁用食品:桂圆紫河车、红枣、阿胶、蜂王浆(注:蜂蜜味甘、性平和,不温不燥,不属此列)等热性、凝血性和含激素成分的食品。

最后小编提醒大家,要预防子宫腺肌症,要尽量避免在接近月经期进行妇科手术,必须进行时应动作轻柔,避免用力挤压。要注意经期卫生,月经期禁止性生活。

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