Precautions after uterine fibroid surgery

  Uterine fibroids are a kind of hormone-dependent tumor, so it is appropriate to eat less hormone-rich foods, such as soy products, beauty products and health products. Emergency contraceptive pills contain high levels of estrogen and should be used sparingly. The body needs the nutrients that exist in different foods. The most important thing that patients with uterine fibroids should pay attention to is to maintain a good mood, which can have a slowing effect on the growth of fibroids. This is because more and more studies have shown that there is a strong correlation between the occurrence of fibroids and depression.  I. Surgical conditions and scope Surgical methods can be divided according to the patient’s condition and the scope of surgery: 1. Hysterectomy: It is suitable for those whose uterus is > 3 months gestation uterus size, whose fibroids are not large but have obvious symptoms, or whose fibroids are growing fast and cannot be ruled out as malignant, especially for women who are relatively old and have no fertility requirements. This can prevent malignant change.  2.myomectomy: It is suitable for patients under 35 years old, unmarried, or those who do not have children. If such patients have fertility requirements, they should preserve the perfection of the uterus as much as possible, just peel off the myoma without damaging the normal uterine tissues, and supplement the treatment with drugs to consolidate and strengthen the treatment after the operation, and also use drugs to prevent adhesions of the uterus after the operation, which will bring obstacles to fertility.  3.Ablation knife minimally invasive surgery: The preliminary conditions for doing ablation knife are that the number of fibroids does not exceed 3; the size is usually below 8cm; fibroids in the position of intermural, submucosal, pressure cavity and part of ectasia can be done.  4.If the fibroids are less than 5cm and the symptoms are not obvious, you can use conservative Chinese medicine to treat them, and the cream Yanzhi chemotherapy paste is applied externally according to the principle of internal disease and external treatment to achieve the purpose of eliminating the fibroids, which is clinically proven to have good inhibiting effect on the growth of fibroids larger than 5cm.  After the surgery, there are two kinds of uterine fibroid surgery, one is complete hysterectomy and the other is excavation of fibroids.  After hysterectomy, you can have a normal sex life after 6-8 weeks of surgery when the tissue in the deep pelvic cavity recovers, and avoid heavy physical labor for 3 months after hysterectomy.  3, 3 months do not sedentary, long-distance travel, avoid yoga and rhythmic dance and other exercises that increase abdominal pressure, so as not to cause bleeding in the pelvic cavity 4, after toilet, wipe from the back to avoid infection 5, daily observation of the wound for redness, swelling, heat, pain or abnormal discharge, if the above symptoms, please return to the clinic as soon as possible 6, eat more fruits and vegetables and high-fiber food, daily intake of 2000-3000cc of water, to prevent constipation 7, if the bilateral side of the wound is not intact, the wound is not intact. Prevent constipation. 7. If you have bilateral oophorectomy, you are prone to osteoporosis, so you should increase calcium and hormone intake, such as animal bones, dried fish, soy foods and proper exercise to avoid falling and fracture.  Second, myoma debridement First, post-operative cleanliness: the incision on the abdominal wall should be kept dry after discharge, and then bathed a week later (tub bath is prohibited), because the sutures were just removed at the time of discharge, the eye of the needle has not yet completely healed, and the scab of the incision has not yet fallen off, so it is not advisable to bathe. Of course, the skin of the whole body still needs to be kept clean in order to wipe the bath is appropriate, every night or after the bowel wash perineum.  Secondly, care: Generally, when discharged from the hospital, there may still be a slight abdominal incision hanging pain, from time to time there is a needle-like pain is normal, such as incision pain is obvious, need to check whether the redness, swelling, to exclude the possibility of infection, if there is pus squeezed out need to go to the hospital to change the medicine, only redness and swelling can buy infrared bulbs installed in the base of the lamp, properly placed after irradiation of the abdomen, twice a day, 20 minutes each time, to do not feel hot as appropriate.  Third, personal diet First of all, eating time must not be too early, generally after 6 hours after surgery patients should eat nutritious, easy to digest food. The patient’s diet should not be too fine after uterine fibroid surgery. The post-operative nutrition must be comprehensive, high protein, high vitamin, low-fat and low-salt diet, spicy and stimulating, fatty and greasy, barbecue, pickled and other foods as far as possible not to eat. Usually eat regularly and quantitatively, reasonable nutrition and regular life, which is the key factor to help post-operative recovery.  Uterine fibroids patients should eat more lean meat, chicken, eggs, quail eggs, carp, snapper, white fish, cabbage, asparagus, celery, spinach, cucumber, winter melon, mushrooms, tofu, seaweed, nori, fruits, etc. after surgery. For the old and weak, should properly extend the time to eat liquid, semi-liquid food to facilitate digestion, such as lotus root powder, orange juice, etc., or select lean meat or fresh fish boiling soup, both to ensure nutrition and to enhance appetite, will soon heal. If there is anemia, eat more food with high iron content, such as pig liver, black sesame, grapes, purple cabbage, wolfberry, shiitake mushroom, etc.  Fourth, special attention uterine fibroids is a benign disease related to age. Young age and high hormone secretion can easily cause this disease. Ultrasound examination is performed every 3 months. Properly understand fibroids, keep a good state of mind and exercise more.  Since there are no very special symptoms at the beginning of fibroid disease, many patients ignore some abnormalities in their body, such as uterine bleeding, pain, abdominal mass, pressure symptoms of adjacent organs, increased leucorrhea, anemia and heart dysfunction. A part of patients do not have symptoms and are often found to have uterine fibroids only during gynecological screening. Therefore, it is important to pay attention to maintenance after surgery. If the above symptoms are found, it may be a recurrence of surgery, so go to the hospital regularly for examination in order to confirm the diagnosis in time and choose the appropriate method of treatment.