00:09We'll be right back to the RISE and SHINE Philippines.
00:12Mga ka-artspeak, kalusugan ng ating mga kababaihan,
00:16ang ating tututukan ngayong umaga.
00:17Marami sa mga kababaihan,
00:19yung nagbabaliwala lamang po ng mga sakit
00:21na nararamdaman sa kanilang reproductive system.
00:24Kaya naman ngayong Women's Month,
00:26mahalagang pag-usapan natin ang isa sa mga karaniwang kondisyong bumabagabag
00:31sa reproductive health ng mga kababaihan,
00:38ang uterine fibroids o tinatawag ding leiomyoma.
00:42At mga kasama po natin umaga,
00:44si Doc Mace Kiong, isang OBGYN upang bigyan linaw sa atin
00:49kung ano nga ba ang sakit na ito.
00:52Good morning po, Doc, and welcome sa RISE and SHINE Philippines.
00:54This is Prof. Fee together with Oji, RISE and SHINE.
00:57Good morning!
00:59Good morning!
01:01Okay, Doktora, una sa lahat,
01:03para sa kalamang po ng mga ka-RSPE po natin,
01:06ano po ba itong sakit na uterine fibroids o yung leiomyoma?
01:12Yes.
01:13Actually, itong mga leiomyoma o uterine fibroids,
01:16maliliit ito na bukol,
01:18which is usually benign.
01:19When you say benign, it is not cancerous.
01:22Nandito siya sa location usually ng uterine, matres.
01:26So, most of the time, yung pasyente,
01:29wala siyang nararamdaman.
01:30Misan incidental finding lang.
01:33And then, when you see a doctor,
01:35sometimes, because of the physical exam
01:38and the clinical history,
01:40nadadiagnose yung myoma.
01:43Okay, Doktora, ano-ano po mga karaniwang sanhi
01:46o risk factors kung bakit nagkakaroon itong uterine fibroids,
01:50lalo ng mga kababaihan?
01:53Since the exact cause,
01:55yung bakit nagkakamayoma is unclear,
01:57hindi natin alam exactly why nagkakamayoma.
02:00So, it's very difficult also to prevent it.
02:02But there are certain demographic areas
02:06that are more prone like race and genetics.
02:11So, genetics meaning if you have a parent or relative
02:14na mayroong myoma,
02:15mas malaki din ang chance mo na magkamayoma ka.
02:17Some factors would be early menarche,
02:20mas maaga nagregla,
02:23obesity,
02:24overweight,
02:25and also decrease in vitamin D.
02:27Let me just correct myself,
02:29hindi lalo, mga kababaihan.
02:30Okay, well, Dokt,
02:33ano po ba itong mga sintomas
02:35na dapat bantayan ng ating mga kababaihan?
02:38Yes, I think mga women
02:41should be aware of what they're feeling.
02:44So, may feel na silang medyo mas masakit
02:46ang regla o naiba,
02:48yung flow ng regla mahaba
02:50or mas maiksi na yung interval,
02:52they should see a doctor talaga.
02:54Theoretically,
02:55ideally pag nasa reproductive age ka na,
02:58you should have a regular check-up
02:59with your BGYN.
03:01One of the most common thing na
03:03wala silang alam
03:04nung biglang may myoma na pala sila
03:06is bigla silang dudugo ng malakas
03:08to the point na baka mag-anemia sila.
03:11So, that's the time that they will see a doctor
03:12then we will find na may myoma pala sila.
03:15Yung iba naman pa,
03:16parang ang sakit umihi.
03:17Yung pala malaki na yung myoma,
03:19dumagal na dun sa pantong.
03:20Okay, dumagal sa ibang organs ng katawan.
03:23That's why pupuda sila
03:24kasi may nararamdaman sila
03:25then that's the time that we diagnose myoma.
03:27There are other things pa
03:30na the patient can feel.
03:32Parang bloated,
03:33masakit mag-poop,
03:35nahirapan mag-poop,
03:36masakit umihi,
03:37or masakit during intimate moments.
03:41Doc, how can we diagnose this?
03:44What are the tests
03:45na karaniwang ginagawa
03:46para matuklasan po ito?
03:50So, aside from the clinical history
03:52and the physical examination,
03:53nung isang pagkapa lang namin,
03:55nag-susin na namin malaki yung matres.
03:56So, we suspect already myoma.
03:59But the most common thing,
04:01the most common diagnostic
04:05things that we use
04:06is ultrasound.
04:07Most of the time,
04:08transvaginal ultrasound.
04:09And then,
04:11for patients who have
04:11really big myoma,
04:13pwede ding abdominal
04:14and transvaginal ultrasound,
04:15sometimes MRI could help,
04:16but the most common modality talaga
04:18is transvaginal ultrasound.
04:20The transvaginal ultrasound,
04:22by the way,
04:22will show us where the myoma is,
04:24na saan siya.
04:25Kasi the location of the myoma
04:26is very important.
04:28Pag nasa lining siya ng matres,
04:29ito usually ang nagkakos
04:31ng profuse bleeding.
04:32Pag nasa matres naman siya,
04:34sa muscle mismo or outside,
04:36less cost for bleeding
04:37but can cause the compression symptoms.
04:39Ito na yung nakadagan
04:41sa pantog
04:42o kaya sa bituka.
04:44Ito yung nagkakos ng pain
04:45and discomfort sa babae,
04:47yung pagmalaki na talaga
04:48yung myoma.
04:49Kaya most of the time,
04:50if it's penine,
04:51patients,
04:52hindi sila nagpapacheck up
04:53kasi wala silang na-feel.
04:55Okay.
04:56Well, Doc,
04:56gaano po kadalikado
04:57itong sakit na ito?
04:58Maaring po ba itong
04:59magdulot ng komplikasyon
05:01kung hindi agad
05:03mapapagamot?
05:05Yes.
05:06In extreme cases,
05:07yes,
05:07it can cause a lot of problem
05:09but one of the most common
05:10talaga na problem
05:11is pag nasa lining
05:12ng matres yung myoma
05:13which can really cause
05:14profuse bleeding
05:16leading to blood transfusion
05:18and sometimes
05:18nanghimatay na lang
05:19yung babae
05:20sa sobrang lakas
05:20ng bleeding.
05:22A very small case
05:23of the myoma
05:24will lead to cancer.
05:26Very, very small.
05:27So,
05:28most of the time,
05:29we have to monitor
05:31the myoma
05:31kung feeling natin
05:32lumalaki
05:33so that we can give
05:34options like
05:35medical management
05:36like injection
05:37and all that.
05:39But,
05:40ang importante
05:40is mamonitor yung babae
05:42kasi kung sobrang
05:43lakas yung bleeding
05:44we have the option
05:45of medical treatment
05:46or we can remove
05:48the myoma.
05:49Okay,
05:49Doc,
05:50ano-ano po mga
05:50paraan ng paggamot
05:51para sa uterine fibroids
05:53at kailan po
05:54kinakailangan naman
05:55ng operasyon?
05:57Okay,
05:58so as much as possible
05:59we don't want to go
05:59to operation
06:00right away.
06:01So,
06:02it really depends
06:02kung gaano kadami
06:03ang myoma niya,
06:04gaano kalaki,
06:05nasaan ang location.
06:07If the myoma
06:08is nasa lining
06:09talaga ng matres,
06:09most of the time
06:10we really have to reset
06:11the myoma
06:12to remove
06:13the cause
06:14of the bleeding.
06:15There are medical,
06:16mga medical management
06:17like injection,
06:18GnRH agonist,
06:19sometimes low-dose
06:21oral contraceptive pills.
06:23We also have
06:24the
06:24e-embolize
06:25yung
06:26blood supply
06:27ng myoma
06:28para mag-shrink na siya.
06:30There's also
06:30the HIFU
06:31which is
06:31high-intensity
06:32focused ultrasound.
06:34Hopefully,
06:34this will help
06:35shrink the myoma
06:36or at least
06:37hindi na siya lumaki.
06:38But,
06:39the end point
06:40is if
06:40hindi wala talagang choice,
06:42like sobrang laki talaga
06:43yung myoma
06:44that you know
06:45it won't
06:46really respond
06:47to any medical treatment
06:48at saka yung pasyente
06:49talaga ang dami
06:50ng signs and symptoms,
06:51then the most
06:52common thing
06:54that we usually do
06:55first is
06:55myomectomy.
06:56We just remove
06:57the myoma,
06:58not the whole uterus.
06:59Okay?
06:59Ang pagtanggal
07:00ng buong matres
07:01is only if
07:02kailangan,
07:03example,
07:04may nung post naman na siya,
07:05ayaw naman na niyang baby,
07:07tapos na,
07:08and masyado malakte,
07:09then that's the only time
07:10that we do
07:10hysterectomy.
07:11But the myomectomy,
07:13yung pagtanggal ng myoma
07:13and hysterectomy
07:14is reserved for
07:15if really needed.
07:17If we can give
07:18the patient
07:18medical management,
07:19that would be
07:20the first line.
07:21Okay,
07:22panghuli na lamang po,
07:23Dok,
07:24lalo na ngayong
07:24Women's Month,
07:25ano po ba yung inyong
07:27maipapayo
07:27sa ating mga kababaihan
07:28para makaiwas
07:29o mga panatiling
07:31malusog
07:31ang kanilang
07:32reproductive health?
07:35First,
07:36please see your
07:36gynecologist.
07:37Okay,
07:37kahit na routine,
07:38check up lang
07:39at least once a year.
07:40Eat healthy,
07:42exercise,
07:43sleep well.
07:44There is always
07:45power in choosing yourself.
07:47Ang ganda
07:48ng sinabi nito.
07:49Diba?
07:49Napakaganda
07:50ng kanyang
07:50mga information
07:52na binigay sa atin.
07:53Napakamalaman.
07:54On that note,
07:55maraming salamat
07:56sa pagbibigay
07:56ng kalaman
07:57patungkol
07:57sa sakit na uterine
07:59fibroids,
08:00Doc May Sikiyong.
08:01Maraming salamat,
08:02Doc.
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