顯示包含「子宮癌或子宮頸癌」標籤的文章。顯示所有文章
顯示包含「子宮癌或子宮頸癌」標籤的文章。顯示所有文章

2014年4月19日星期六

To Take Or Not To Take Birth Control (Contraceptive) Pills

Talking to my friend about the persistence of HPV because I am still in precancerous stage after LLETZ and hysterectomy -- VaIN1. One of the reason that I highly suspect is the 20 years consumption of birth control pills. She questioned that the pills was not as safe as doctors have claimed. Let me put it this way, with all the knowledge I have now and go back in time, would I have given up the pills? Answer is NO. But I would have done something else.

First, VaIN is rare! So rare that even collecting all VaIN patients data couldn't form a valid statistic (yet).

Second, there is no proof. I suspect it only due to non-existence of all other possible factors in my case.
(See "3. Which cancers are caused by HPVs?" in
http://www.cancer.gov/cancertopics/factsheet/Risk/HPV
and "6. How do oral contraceptives affect cervical cancer risk?" in
http://www.cancer.gov/cancertopics/factsheet/Risk/oral-contraceptives)

Third, not everyone will get high-risked HPV. There are vaccines, pap smear test to prevent and detect the infection. There are many treatments for removing progressed HPV infection. In most cases, patients will get it removed once detected the CIN progressed from 1 to 2. In my case, I didn't see a gyno nor do the test since 1998. By the time CIN2 was detected on 2010, the CIN2 might have been with me for a few years already. I might also be able to stop the progression once I knew of the vaccine by visiting a gyno.

So why should anyone give up pills and suffer from the problems they ARE ALREADY having for something that MIGHT NOT happen? Remember, even if it happens, there are methods of tackling it.

2013年8月27日星期二

關於子宮切除 [翻譯]

以下網頁資料須考慮:
1. 地理與生活文化差異
2. 各醫院各醫生手術做法有所不同
3. 做手術之原因與康復情況各有不同

women.webmd.com/features/fresh-look-hysterectomy?page2 
≪腹腔鏡子宮切除術之利弊≫ July 13, 2009

手術較傳統的長亦相對昂貴。外科醫生之技術亦是重要關鍵。不太有經驗可造成很多損害。腹腔鏡輔助經陰道子宮切除術90年代已開始,所以大多婦科醫生都會。而腹腔鏡全子宮切除術則2005才進行。一般婦科醫生之中不多做此手術,甚至不太知道怎樣做。小心選擇外科醫生。找一個你信任,對你是否適合此手術的病人坦白的。不要把自己當他的練習。

≪合適的外科醫生≫

• 一個有經驗的外科醫生致少要進行過25致50次腹腔鏡手術。
• 一個好的外科醫生應該有少於5%由腹腔鏡手術改為剖腹術的經歷。
你應該有不同的選擇。外科醫生應該很熟悉所有步驟,給予病人適當的照顧。

≪切除子宮的原因≫

• 子宮肌瘤
• 陰道嚴重出血
• 子宮脫垂
• 子宮內膜異位
• 長期盆腔疼痛
• 子宮癌或子宮頸癌

≪情感與其他方案≫

視乎年齡,切除子宮在情緒上是很難的決定。因為手術後無法生育。有些女性會應為這個器官帶來很多麻煩。有些會為失去生育能力的女性特質而傷痛。
其他選擇:
• 藥物與宮內節育器 Marena 可控制大量出血的問題
• 子宮肌瘤切除術 (可保留子宮,可懷孕)
• 子宮動脈栓塞術 (不清楚術後會否影響懷孕機會)
• 子宮內膜消融術 (很多女性術後不能懷孕)
可考慮減輕病徵的方法。不一定需要直接跳到太侵略性的手術。然而子宮切除是一些較難的病徵的選擇。那些嚴重出血的女性都會為子宮切除後的好處而感到愉快。對於貪血、疲勞、疼痛、不能上班、影響社交、不滿的性生活都能得到改善。

≪切不切卵巢≫

除非是醫學原因(遺傳性癌病),不應切除卵巢。