子宮肌瘤是在婦產科中,最常見的良性腫瘤,會因肌瘤不同位置、大小和數量,造成不同症狀。目前治療方式依據是否有生育計畫、邁入更年期、生活品質、經濟因素、手術風險等因素,而有不同的治療考量選擇。建議患者與醫師討論,找出最適當的治療方式。

手術或觀察追蹤,以「症狀」為優先考量
台大醫院婦科副教授陳啟豪醫師表示,罹患子宮肌瘤的女性要不要開刀,主要應視其所出現的症狀而定。如出現經血量多、異常出血;或是肌瘤壓迫附近器官,造成頻尿、排便困難;甚至已經影響受孕機率,就會安排手術治療。

若沒有出現特殊不適症狀,醫師通常會綜合評估肌瘤位置及生長速度、患者年齡、是否有懷孕需求等因素,建議患者每3-6個月定期追蹤觀察即可。

目前治療子宮肌瘤有侵入性的手術切除,以及非侵入性的藥物治療。陳啟豪醫師指出,針對侵入性的手術切除,不少女性擔心會在腹部留下疤痕,因此希望採用微創手術,保持腹部美觀,但並非人人都適合。陳啟豪醫師說,當肌瘤超過13公分、肌瘤顆數太多時,若採用微創手術,其操作上容易有死角,無法將肌瘤摘除乾淨;且術後縫合難度高,恐影響日後生育。這類患者建議採用傳統開腹方式,或5公分傷口微開腹方式切除肌瘤。


口服荷爾蒙阻斷藥物能助肌瘤萎縮、降低手術風險
若不想開刀、身體因素或不適用微創手術的族群,陳啟豪醫師建議,可先透過藥物抑制肌瘤大小,以利後續手術進行,或藉此減輕症狀。

目前藥物治療包含兩種方式,一種是以針劑注射阻斷荷爾蒙,藉此使肌瘤萎縮。但因荷爾蒙被阻斷,較容易出現更年期症狀,或造成骨質流失等風險。另一種口服荷爾蒙阻斷藥物,屬選擇性的黃體素調節藥物,服用3個月後可使肌瘤縮小2-3成,同時能調控月經、降低出血風險,達到改善症狀的目的。

陳啟豪醫師補充,若將口服荷爾蒙阻斷藥物用於手術前治療,不僅可使肌瘤萎縮,且能改善貧血症狀,爾後再進行手術治療,也能減少輸血、降低手術風險,預後也較佳。若在術後使用,則可減短後續修復時間,讓照護更順利。

陳啟豪醫師提醒,根據美國婦產科醫學會的子宮肌瘤臨床治療指引,若女性正介於生育年齡,且肌瘤已有症狀,一般會建議先積極以藥物治療改善症狀,接著再評估是否有侵入性治療的必要性,避免影響日後受孕以及生活品質。在治療子宮肌瘤前,最重要的還是應與醫師充分溝通,且了解各項治療方式的優缺點與風險,再選擇最適合自己的方式,才是治療子宮肌瘤的上上之策。

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飲食中如何預防癌症?癌症的出現直接威脅著人們的生活和健康,所以無論是誰在生活中都應該做好防癌工作,最重要的方法也應該注意自己的日常飲食,通過飲食防癌更好,下面來了解飲食防癌的細節。

吃新鮮,不隔夜。

年紀增長、家族遺傳、煙酒過多、缺乏運動、高脂飲食習慣等都是引起大腸癌的成因,透過改善生活習慣和留意早期病徵,是可以避免的,當出現血便、無故腹痛、大便習慣有變等,應立即求醫檢查,及早治療,長期存活率高達五成或以上。

由於“午餐成為年輕女性胃癌的誘因”,在微博上引發了又一輪的傳播熱潮。但是癌症的病因是相當複雜的,目前還沒有定論。只能說,這可能與這種生活方式有關。因此,建議你吃新鮮的食物,少吃隔夜的食物。

少辣燙,低脂糖。

熱飲食會破壞胃腸道粘膜,使其失去原有的防禦功能,並給予癌細胞服用。機器。高脂肪、高糖、易引起的肥胖已成為導致癌症的“吉魁”.33%的癌症發生在肥胖人群中,患癌症的風險是肥胖人群的6倍,而且有可能患上10多種惡性腫瘤。

仔細嚼,八分飽。

大腸癌是香港常見癌症的首位,但不少人仍然擔心到醫院做大腸鏡檢查,會帶來不適而錯過治療良機,其實大腸癌是唯一可以預防的癌症,只要透過檢查,及早發現及切除,便可避免變成癌症,所以定期接受檢查,是對付腸癌的最好方法。

唾液中的氧化酶和過氧化物酶消除了某些致癌物質的毒性。當一些含有致癌物質的食物進入*時,唾液是第一道防線。培養良好的飲食習慣,倡導緩慢咀嚼,每餐咀嚼30次(約30秒),以幫助消除食物中的致癌物質。進食過多會導致抑制細胞癌因子的能力降低並增加患癌症的風險。因此,當你吃飯時,盡量吃飽八,不要感到饑餓,不必感到飽。

淡口味,防痰擾。

飲食口味重,易助濕化痰(中醫廣義上的痰主要指一種粘稠、有害的液體),癌症是一種有形的惡疾,痰濁是最終形成癌症發病機制的關鍵。鹹味特別容易致癌。事實上,鹽本身不會致癌。致癌的原因是高濃度的鹽溶液容易損傷胃粘膜的保護層,引起粘膜糜爛或潰瘍。在這種情況下,一旦它們被致癌物侵入,它們將產生並促進胃粘膜細胞的局部癌變。一般認為,健康的鹽攝入量應控制在每人每天6克以內。

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Around the heels of document port calls by world-class cruise ships in 2017, the Hong Kong Tourism Board (HKTB) has introduced the fourth consecutive yr of advancement in ship calls and cruise guests, more strengthening the city's position as Asia's cruise hub. Hong Kong's solid cruise figures in 2017 had been shared on Monday because of the HKTB's Government Director, Anthony Lau, in a particular media luncheon ahead of the start on the yearly Seatrade Cruise World wide convention in Fort Lauderdale, Florida.

Plan your holiday with a Hong Kong Cruises trip to or from for a unique experience. The spectacular view of the Hong Kong Victoria Harbour from a cruise ship is definitely a highlight to your trip

"Hong Kong continues to be Asia's premier cruise vacation spot and homeport, as we welcomed quite a few newbuilds past year," mentioned Lau. “We had the consideration of staying the homeport for your official christening of Dream Cruises' newest three,500-guest luxury vessel, Genting's Earth Desire, that is homeporting yr round in Hong Kong."

In 2017, Hong Kong gained 245 ship phone calls, a 28 per cent year-on-year improve from that of 2016 and recorded a 33 for every cent year-on-year boost in cruise throughput, with much more than 900,000 travellers. Total passenger throughput consisted of a mix of guests from global markets, mainland China and Hong Kong. The Hong Kong domestic market produced up 42 percent of arrivals, the Chinese mainland accounted for 23 percent, and short- and long-haul global markets contributed 35 per cent.

Since the opening of the Kai Tak Cruise Terminal in 2013, Hong Kong has amassed a compound yearly progress charge of 29 per cent for ship phone calls and 47 p.c for passenger throughput.

Hong Kong's connectivity benefit, with much more than 1,100 each day flights to more than 220 places and a visa-free coverage for over one hundred seventy international locations, results in endless options to the progress of annually cruise goods. previous 12 months, Hong Kong obtained around 14 million international website visitors, which represents a big supply of shoppers for fly-cruise offers.

In 2018, Hong Kong will once yet again be the homeport for Royal Caribbean's Ovation from the Seas from May to June and Voyager with the Seas from July to August. The 2 mega-cruise ships will sail on a selection of epic itineraries from Hong Kong. Asia's most recent luxurious cruise ship, Gentling’s World Aspiration, which was christened in Hong Kong in November 2017, is homeporting with the Kai Tak Cruise Terminal calendar year round, providing two- to seven-day sailings in Asia.

On top of that to highlighting Hong Kong's 2017 cruise achievements, Lau shipped details about the new expansion options ensuing from Hong Kong's new infrastructure developments, which will usher in a new era of fly, rail and cruise tourism for Hong Kong. The Hong Kong - Zhuhai - Macao Bridge will shorten the space to Hong Kong from most areas located in China's western pearl River Delta to inside a three-hour commute, and journeys concerning Hong Kong and Zhuhai or Macau is going to be reduced to inside of an hour. The mega-size crossing, scheduled to open up in 2018, will give added usefulness for mainland people to knowledge a cruise from Hong Kong.

Yet another significant infrastructure job that could positively affect the cruise sector may be the developing of your Guangzhou-Shenzhen-Hong Kong Specific Rail Link. While using the website link, Hong Kong is poised to be section of China's rapid growing nationwide high-speed rail network, which spans 29 of your country's 33 provincial-level administrative divisions. Site visitors should be able to travel in between Hong Kong along with the Mainland with unparalleled ease and pace, opening up unlimited chances for rail-cruise business.

"Overall, Hong Kong has viewed a extraordinary efficiency within the cruise travel sector previously few yrs,'' mentioned Lau. "Hong Kong's state-of-the-art cruise terminals and operational assist, alongside one another together with the various customer experiences and ongoing development of new infrastructure, has firmly set up our place as one among the world's main cruise locations for years to come.”

LEUNG Chung fan

Lau added the support through the Hong Kong SAR Government, which has now earmarked extra funding for that HKTB to raise the marketing of fly-cruise and rail-cruise itineraries with its cruise line partners, along with the close collaboration of all customers of Asia Cruise Cooperation, are important for selling Hong Kong as being a world-class cruise hub.

Website visitors to Hong Kong will proceed to find endless ordeals, that have manufactured it commonly known as among by far the most exciting and sophisticated destinations from the globe. Hong Kong has a stunning line-up of events all year long, such as the aInternational Chinese New 12 months Night time parade in February, the Hong Kong Dragon Boat Carnival in June plus the Hong Kong Cyclothon and Wine and Dine pageant in October, to call only a few, making Hong Kong the perfect place despite enough time of calendar year.

Late very last 12 months, the HKTB debuted a spectacular new edition on the internationally acclaimed nightly multi-media light present A Symphony of Lights, which travelers can get pleasure from free of demand from a variety of vantage points, including the Tsim Sha Tsui waterfront outside the Hong Kong Cultural Centre and the promenade outside the Golden Bauhinia Sq. in Wan Chai.

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