【Incidence rate 】cervical cancer merger the gestation refer to gestation and discover in 6 months for period or postnatal period of temple neck cancer.The outbreak rate that domestic and international cultural heritage reports is inconsistent.The incidence rate of local data temple neck cancer merger gestation is 0.7~9.5%, while the gestation erupt a cervical cancer more seldom seen, take up 0.035~0.26% of the pregnant woman around.Incidence rate low reason and gestation much at 25~35 years old, good hair age and cancer organization of the non- temple neck cancer may jam a temple neck, the secretion increases hindrance to conceive an etc. factor relevant.
【The influence of the gestation upon the cervical cancer 】some authors think, the gestation expects blood and lymphoid circulation increment, the metabolism is prosperous and be advantageous to cancerous proliferation.In the meantime gestation period the estrogen level goes up, is also one of the factor that helps the cancer to develop.Expose first to squeeze to easily cause a temple neck to split wound while giving birth to baby in addition, accelerate proliferation of cancer lump and transfer, after preparing badly.But the author, who as well have, has different interpretation to this and thinks the function that the gestation has already repressed a cancer lump growth.Possibility and gestation Huang Ti Su repress estrogen etc. endocrine function the change is relevant.Also pass clinical observation, confirm a cervical cancer to merge the preparing of gestation is behind and non- gestation is close by.
【Clinical performance and diagnosis 】the cervical cancer merge gestation of symptom and non- gestation homology.The sufferer often had no symptom in early days, but early Yun period the gynecology check a rules to often prevent cancer Tu Pian detection.Along with the development of cancer lump, can appear the vagina secretion bleeds after increasing, the sexual intercourse bloodshed with irregular vagina.The later period sufferer appears abdomen department and waist leg ache, even the companion have urine bladder, rectum to oppress symptom.
Gestation when the gynecology checked in early days in response to the careful check cervix, and made the vagina Tu Pian's check according to the normal regulations.Any gestation period companion has vagina to bleed, should carry on a vagina check in time, definitely bleed reason, carry on a temple neck to live check when it's necessary, but bit to take organization don't once want deeply, lead big, in order to prevent cause a great deal of issue of blood.Gestation's expecting generally should not adopt a temple neck the awl slice.The confirming needs circumspect for the temple necks home position cancer, already such as above.Because the gestation expects a temple neck scale-like in shape up the film gland in the skin and the temple neck body increases to living and present the nipple lump kind change or Tui film kind changes, sometimes can be mistaken for a cancer, therefore the Yun expects to diagnose a temple neck cancer have to special circumspect.
【Treatment 】should according to temple neck cancer of clinical expect to don't count to wait to draw up concrete processing measure with gestation week.In addition to the temple neck home position cancer and later period gestation, take no account of the baby's survival in principle.The mainly curing a method still currently is a surgical operation and projects.
A, temple neck the cancer merge the processing of the gestation in earlier period
Confirm for the home position cancer, can be cut off by the stomach gold temple excision or time extensive womb, reserve one side ovary.If the sufferer is young to request to grow, can continue under the tight observation gestation, wait for postnatal period again press the above processing.Such as sufferer's general circumstance bad, have the serious Medicine the merger disease, not proper surgical operation, can absorb a temple first to terminate gestation, the Shu juniors goes congelation, laser or radium inside the chamber to treat, but doesn't need to make a body outside irradiation.Ⅰ A~the Ⅱ an expect a temple neck cancer, can take the womb direct surgical operation treatment of gestation.Generally can'ting influence to expose surgical operation is wild, its surgical operation scope together non- Yun period temple neck cancer.Because the gestation period organizes loose, easily separate, but because basin the chamber Chong blood, blood vessel is thicker and bleed in the Shu may be more, the operation has to be with quiet attention.Such as isn't suitable for a line to cure for good a Shu because of other reason, can carry on radium inside the chamber to treat and 60 cobalt bodies are outside to project light upon.Generally after putting to treat a beginning 4~6 weeks namely self-moving have a miscarriage, when it's necessary abortion empress again continue to complete project to cure.Ⅱ B period above of temple neck cancer, only suit to make to put to treat, generally lay claim to in advance the radium inside the chamber treat.
Two, temple neck the cancer merge the processing of the gestation in middle
Home position cancer, first the Pou temple take a foetus, after go all of womb excision or time extensive womb excision.To the young one who request to grow, may also continue gestation, wait for postnatal period again do a processing.
Any confirms for gradually cancer, should adopt a surgical operation treatment.Ia~Ⅱ a period sufferer, the Pou temple takes a foetus to make an extensive womb excision or temple neck cancer to cure for good Shu in the meantime.Ⅱ B the period is above, the Pou temple takes the foetus Shu juniors line to put to treat.Some authors lay claim to Pou to give first before the temple the 2000 mg the radium inside the vagina chamber treat, can control cancer cell vitality and reduce proliferation for hour.Go a Pou temple again to take a foetus for 2 weeks after projecting light upon.
Three, temple neck the cancer merge the processing of the gestation in later period
Because the baby has already had survival ability, the home position cancer can allow vagina childbearing, the postnatal period confirms a treatment furthers again.Ⅰ A~the Ⅱ a period temple neck cancer, should make the temple body last Pou temple to produce and the temple neck cancer surgical operation.Ⅱ B the period is above and absolutely avoid through vagina childbearing, should in advance the Pou temple produce and start putting to treat for 2 weeks after the Shu.Generally and outside project light upon be over empress again go radium inside the chamber to treat.
Four, the childbed expect the processing of temple neck cancer
The childbed period discovers a temple neck cancer and handles a principle and non- Yun period homology.But because cancer lump the development is quick, and easily the merger be infected, worse after preparing.Start for general assertion postnatal period 2~3 weeks in advance a body being outside to project light upon, after treat by radium inside the chamber.To the cancer sufferer in earlier period, may also consideration enforcement cures for good surgical operation.
The temple neck cancer merges gestation
3.13.2009
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