26/03/2021
๐'๐บ ๐ฝ๐ฟ๐ฒ๐ด๐ป๐ฎ๐ป๐. ๐ช๐ต๐ฎ๐ ๐ถ๐ณ ๐ ๐ต๐ฎ๐๐ฒ ๐ณ๐ถ๐ฏ๐ฟ๐ผ๐ถ๐ฑ๐?
Fibroids are tumors that grow from muscle tissue in the uterus. They are not cancerous. They can be as small as a pea or larger than a grapefruit. They can grow outside the uterine wall, inside the uterine cavity, or within the uterine wall. Many women have multiple fibroids of different sizes.
An estimated 40% to 60% of women have fibroids by age 35. Up to 80% of women have them by age 50. But detecting them during pregnancy isnโt always easy. Thatโs because itโs hard for doctors to tell fibroids from the thickening of uterus muscles that occurs during pregnancy. For this reason, doctors think the number of known cases is lower than the real number.
Most women who have been diagnosed with fibroids go on to have normal pregnancies, but sometimes they can cause challenges.
๐ฃ๐ฟ๐ผ๐ฏ๐น๐ฒ๐บ๐ ๐๐๐ฟ๐ถ๐ป๐ด ๐๐ต๐ฒ ๐๐ถ๐ฟ๐๐ ๐ง๐ฟ๐ถ๐บ๐ฒ๐๐๐ฒ๐ฟ
Most fibroids donโt grow while youโre pregnant, but if it happens it most likely will be during your first 3 months (first trimester). Thatโs because fibroids need a hormone called estrogen to grow. Your body produces more of it when youโre pregnant.
The primary problems that could occur are:
๐๐ญ๐ฆ๐ฆ๐ฅ๐ช๐ฏ๐จ ๐ข๐ฏ๐ฅ ๐ฑ๐ข๐ช๐ฏ. In a study of more than 4,500 women, researchers found that 11% of the women who had fibroids also had bleeding, and 59% had just pain. But 30% of the women had both bleeding and pain during their first trimester.
๐๐ช๐ด๐ค๐ข๐ณ๐ณ๐ช๐ข๐จ๐ฆ. Women with fibroids are much more likely to miscarry during early pregnancy than women without them (14% vs. 7.6%). And if you have multiple or very large fibroids, your chances go up even more.
๐๐๐๐ค๐ฃ๐ ๐๐ฃ๐ ๐๐๐๐ง๐ ๐๐ง๐๐ข๐๐จ๐ฉ๐๐ง๐จ
As your uterus expands to make room for your baby, it can push against your fibroids. This can cause a number of issues during your pregnancy:
Pain. This is the most common symptom of fibroids, especially if theyโre large. Sometimes, fibroids twist, which can cause cramping and discomfort. Other times, the fibroid outgrows its blood supply, turns red and dies. This process, called โred degeneration,โ can cause severe stomach pains. In some cases, it can lead to miscarriage. Over-the-counter medicines like acetaminophen (Tylenol) can ease your pain. But avoid ibuprofen (Advil) early in your pregnancy because it may cause problems with gestation and also in your third trimester. It could cause you to miscarry, reduce the amount of amniotic fluid or cause hearts problems in your baby.
Placental abruption. Ongoing studies seem to show that pregnant women with fibroids have a much greater chance of placental abruption than women without fibroids. That means your placenta tears away from the wall of your uterus before your baby is delivered. Itโs very serious because your baby wonโt get enough oxygen and you can have heavy bleeding. You could go into shock.
Preterm delivery. If you have fibroids, youโre more likely to deliver preterm -- meaning your baby is born before 37 weeks of pregnancy -- than women without fibroids.
๐๐๐ฟ๐ถ๐ป๐ด ๐๐ฒ๐น๐ถ๐๐ฒ๐ฟ๐
Many studies show that having uterine fibroids increase your odds of having a cesarean section. That could be because the fibroids can keep the uterus from contracting and they can also block your birth canal, slowing down the progress of your labor. Women who have fibroids are six times more likely than other women to need a C-section.
Breech birth is another potential problem. In a normal birth, the baby comes out the birth canal head first. In a breech birth, the babyโs butt or feet come out first.
๐๐ณ๐๐ฒ๐ฟ ๐๐ฒ๐น๐ถ๐๐ฒ๐ฟ๐
Fibroids often shrink after pregnancy. In one study, researchers found that, 3 to 6 months after delivery, 70% of women who had live births saw their fibroids shrink more than 50%.
๐ช๐ต๐ฒ๐๐ต๐ฒ๐ฟ ๐๐ผ๐ ๐ฎ๐ฟ๐ฒ ๐ฝ๐ฟ๐ฒ๐ด๐ป๐ฎ๐ป๐ ๐ผ๐ฟ ๐ป๐ผ๐ ๐๐ต๐ฒ ๐ณ๐ถ๐ฏ๐ฟ๐ผ๐ถ๐ฑ๐ ๐ฐ๐ฎ๐ป ๐ฏ๐ฒ ๐๐ฟ๐ฒ๐ฎ๐๐ฒ๐ฑ ๐ป๐ฎ๐๐๐ฟ๐ฎ๐น๐น๐.
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