▲Many elderly women with prolapsed uterus are not allowed to seek medical attention, and walk in strange postures; the picture is a situational photo, the characters in the picture have nothing to do with this article. (Photo provided / Pan Yiru)
Text / Pan Yiru
▲ Postpartum women squatting to do laundry may increase abdominal pressure and promote uterine prolapse; the picture is a situational photo, and the characters in the picture have nothing to do with this article. (Photo provided / Pan Yiru)
78-year-old Ms. Cai (pseudonym), accompanied by her daughter-in-law, came to the outpatient clinic and asked her if she was feeling well? She just smiled shyly, and the daughter-in-law replied: “Mother-in-law seems to have a piece of meat falling out of her crotch, and she walks with her feet open.”
Ms. Cai was asked to go to the internal clinic for examination. It was found that the uterus was prolapsed. The uterus that fell out of the vaginal opening had some ulcers due to friction. After a detailed explanation of the condition and discussion of treatment, the patient and his family were willing to undergo surgery, and the crotch was no longer stuck after the operation. card, restore freedom of movement.
Please read on…
The daughter-in-law said that her mother-in-law gave birth to 5 children. When she was young, she had to farm and take care of the children. Now the children are all married. About 3 years ago, she would travel with her children and grandchildren. The posture was weird, she said that her knees were uncomfortable, and she wanted to take her to see a doctor but she didn’t want to. After patiently asking her, she revealed her “unspeakable concealment”.
There is a feeling of sagging in the lower abdomen, there is a protruding mass in the lower genitals
Uterine prolapse is due to the relaxation and degeneration of pelvic ligaments and muscles or tissue damage, loss of supporting force and sagging. Under the kaka, the action is very uncomfortable. The symptoms are usually relieved when lying down or in the morning, but are more severe in the afternoon and evening after walking and standing for long periods of time.
Uterine prolapse is more common in patients in their 40s. Because the supporting tissue of the pelvis will weaken and atrophy with age, the pelvic muscles will naturally relax, or reduce tenacity; Estrogen decreases, and the pelvic floor tissue shrinks and degenerates, resulting in uterine prolapse.
People who are overweight, have a high number of births, have an overweight fetus, do heavy work, or have frequent constipation, asthma, or chronic cough are at increased risk.
Postpartum squatting may increase abdominal pressure
It is common for some postpartum women to squat to do things, such as laundry, bathing children, mopping the floor, etc., which may increase abdominal pressure and promote uterine prolapse, which should be avoided as much as possible.
Many women with uterine prolapse feel that there is a hidden disease in their private parts and it is difficult to tell them. , in order to have a good quality of life.
Two treatment methods can choose no surgery or surgery
◎There are two ways to treat uterine prolapse: no surgery and surgery:
●If no operation is required, a pessary can be placed to support the sagging uterus, but it needs to be taken out and washed every night, and placed again in the morning to prevent bacterial infection.
●Surgical methods include hysterectomy, omental repair or uterine suspension.
Patients can discuss with their doctors the treatment method that suits them, so as to get rid of the torment of uterine prolapse as soon as possible.
(The author is Director of Obstetrics and Gynecology Department of Changhua Xiu Chuan Memorial Hospital)
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