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MYOMA

WHAT IS MYOMA?
Myoma is a condition where there is a benign
growth or tumor of smooth muscle in the wall of
the uterus. The said growth is made up of fibrous
tissue; hence it is often called a fibroid
tumor. Uterine fibroids can be present and be in
apparent. Fibroids vary in size and number, and
are most often slow-growing and usually cause no
symptoms.
 Approximately 25 % of the myoma will cause
symptoms and need medical treatment. Myomas
that that do not produce symptoms, do not need to
be treated. The said 25 % of women cause
significant morbidity, including prolonged or
heavy menstrual bleeding, pelvic pressure or  pain,
and in rare cases, reproductive dysfunction.
SUBSEROUS FIBROIDS
These fibroids grow predominantly
outside the uterus and bulge into the
abdominal or pelvic cavity. Like all fibroids
they can vary in size. Because they grow into
the abdominal cavity where there’s a lot of
room they can achieve a very large size
before they produce symptoms.
INTRAMURAL FIBROIDS
Intramural fibroids the word
“mural” means “wall”. An
intramural fibroid is one that arises
within and remains in the wall of
the uterus
SUBMUCOUS FIBROIDS
Ones that are no more than an inch (2-3
centimeters) in diameter can produce very heavy
and prolonged menses. The reason is quite simple
—the superficial blood vessels that fibroids
contain often rupture at the time of menses and
the resulting bleeding can be severe enough to
require hospitalization and even blood
transfusions.
NURSING CARE MANAGEMENT
Administer Iron and BT as ordered
Encourage verbalization of feelings
Offer emotional help
Help patient develop effective coping
strategies
Refer for counseling
MEDICAL MANAGEMENT
Ultrasound
Dilatation and Curretage
Blood Studies
Submucosal Hysterosalphingography
M.R.I
Laparoscopy
Hysteroscopy
SURGICAL MANAGEMENT
Myomectomy
Hysterectomy
Uterine Artery Embolization
Myolysis
PATIENT’S NAME: Lady L.
AGE: 51 years old
GENDER: Female
PERMANENT ADDRESS: Banilad, Negros Oriental
BIRTHDATE: August 26, 1968
BIRTHPLACE: Banilad, Negros Oriental
CIVIL STATUS:M arried
CITIZENSHIP:Filipino
RELIGION: Roman Catholic
ADMISSION DATE: Febuary 20, 2019
ADMISSION DIAGNOSIS: Vaginal Bleeding
ATTENDING PHYSICIAN:  Dr. Bulado
HISTORY OF PRESENT ILLNESSS:
Patient was having her menstruation since
Febuary 15,2019 and patient noted heavy vaginal
bleeding and
body weakness but she did not mind it since she
thought it was just a normal menstruation until
she experience diziness and vomiting and decided
to go to the hospital last Febuary 20,2019.
“nakuyapan najud ko ma’am wala najud ko omoy”
as verbalized by the patient. Patient hemoglobin
was 5.2 and was given 2 bags of blood transfusion.
Her Ultrasound result was Uterus is enlarged with
Intramural Myoma in pecterior body measuring
3.9 cm.
Pathophysiology
Precipitating Factors:
Age Predisposing Factors:
Obesity Genetic
HPN Hormones
No history of Pregancy

Pregnancy Early Menarche

Stimulate growth of
fibroid

Grows in the anterior


wall of the uterus
Pelvic pain

Deformed uterine
cavity

Menorrhagia

Myoma

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