Treatment of a fibrous polyp

Conservative treatment is used in rare cases, for example, to treat nasal polyps with small formations. It is designed to neutralize the influence of factors that contribute to hyperplasia of the mucous membrane, eliminate infectious and/or allergic processes in the nasopharynx, and correct immunity.

Drug therapy is used in cases where surgical intervention is impossible due to decompensated cardiovascular pathologies: hypertension, coronary heart disease, severe heart failure or bronchial asthma; blood clotting disorders.

In such cases, corticosteroid therapy is used, most often, Prednisolone in high doses and over a long period. The drug inhibits cell proliferation, the growth of the polyp slows down, and it can regress. However, systemic therapy is fraught with serious complications from the immune system, inhibition of adrenal function, the development of peptic ulcer disease and other side effects of glucocorticosteroids. To avoid undesirable effects, local administration of corticosteroid hormones directly into the polyp is practiced. Such drug polypotomy leads to the destruction of the polyp, the death of the tissues of the mucous growth and the removal of the remains naturally with the secreted mucus. The patient "blows out" the polyp. As a rule, two injections are made: first - one, two weeks later - the second. The approach to dosing and number of injections, as well as the choice of drug, is individual for each patient. Improvement occurs within one or two months.

After the polyps are removed, appropriate treatment is selected to prevent recurrence.

In gynecological practice, attempts are made to treat endometrial or cervical polyps with medication. In general, drug treatment is considered inappropriate and ineffective, but there is information that sometimes it is possible to reduce the size of the growth or even its regression. Such treatment is especially often used when the patient is young, the polyps are small, and the patient has a negative attitude towards surgical intervention.

Various medications are used depending on the identified etiological factors that caused the polypous growths.

Patients under 35 years of age are prescribed hormonal contraceptive pills according to an individual scheme, for example, Regulon. This is a combined drug for oral contraception, which contains ethinyl estradiol and desogestrel. Its action is based on inhibition of the synthesis of follicle-stimulating and luteinizing hormones in the pituitary system. A deficiency of these hormones makes ovulation impossible, increases the density of mucus in the cervix and slows down cellular proliferation. The duration of treatment is usually at least six months.

Patients over 35 years of age are prescribed progesterone analogues, for example, Duphaston, which selectively acts on progestin receptors of the endometrial epithelium, neutralizes cellular proliferation that occurs with excessive estrogen exposure. It does not affect the metabolic processes and actions inherent in other progestogen drugs. It has virtually no side effects. The doctor prescribes the treatment regimen individually.

In the premenopausal period, agents are used that reduce the negative impact of estrogens on the uterine mucosa. Synthetic analogues of gonadotropin-releasing hormone (Zoladex) are prescribed, reducing the level of estradiol.

If there is an infection and the inflammatory process caused by it, a course of antibacterial, antiparasitic or antiviral therapy is prescribed.

However, in most cases, the presence of a fibrous polyp is a direct indication for its removal. After conducting a histological examination, the tactics of further treatment are determined in order to prevent relapses.

If a patient has been diagnosed with a fibrous polyp and there are no symptoms of hormonal disorders - the menstrual cycle is not disrupted, then after the polyp is removed, hormonal therapy is not prescribed. Anti-inflammatory therapy may be prescribed if there are indications for it.

If a glandular fibrous polyp is diagnosed, then such patients are prescribed hormonal therapy depending on their age – oral contraceptives or progestogens.

Gastric polyps of a hyperplastic nature and small sizes up to 10 mm may not be removed. However, it is necessary to be monitored, undergoing an endoscopic examination of the stomach cavity every year. In the presence of gastritis, detection of Helicobacter infection, a gastroenterologist prescribes a course of appropriate therapy, diet. It is necessary to give up bad habits - drinking alcohol, smoking. Drug treatment will be aimed at eliminating the pathology that led to polyposis. With proper treatment and elimination of the cause, regression of polypous growths can occur. With increased acidity, drugs are used that reduce the secretion of gastric juice and protect the epithelium of the stomach from the aggressive action of hydrochloric acid: Omeprazole, De-Nol, Gestal, Almagel and others. With low acidity, drugs are prescribed that stimulate its production, Plantaglucid, Romazulon, Pepsidin, gastric juice preparations. Elimination of Helicobacter pylori is carried out by standard methods of eradication of these bacteria. Polyps larger than 10 mm are subject to removal.

The only real method of treating polyps of the intestine, urethra, and bladder is their removal. Drug treatment is not practiced upon detection and can be prescribed in the presence of background diseases to prevent relapses.

Traditional treatment of fibrous polyps

Traditional medicine recipes offer to get rid of polyps in different organs. There are universal recipes concerning neoplasms in general. Of course, it is very doubtful that with the help of home treatment it is possible to eliminate fibrous polyps, especially large ones. However, small ones that do not require immediate surgery may regress. After the removal of growths, the use of traditional medicine will be a good preventive measure to prevent relapses of the disease. However, if you have been prescribed hormonal or anti-inflammatory therapy with drugs, then before using traditional medicine methods, you should consult with your doctor whether they can be combined.

For nasal polyps, seawater rinses are used. It is prepared by dissolving a teaspoon of sea salt in warm boiled water (1/4 liter). When using regular rock salt, add two drops of iodine solution and an incomplete teaspoon of baking soda to the solution. Mix well and filter so that there are no undissolved salt crystals left. To rinse the nose, you can use a small rubber bulb or a disposable 10-20 ml syringe. After the procedure, you need to blow mucus out of the nose carefully so as not to damage the vessels of the mucous membrane and cause bleeding.

In case of polyps in the nasal passages, it is recommended to lubricate them with honey using a cotton swab. Constantly, until they disappear.

Another simple remedy is to inhale the smoke from a heated piece of propolis.

For polyps in the endocervix, it is recommended to insert intravaginal suppositories made from pieces of laundry soap.

For polyps of any localization, it is recommended to drink an infusion of pine needles from young spruce or pine shoots. They are collected in the fall after the first frosts. It is believed that drinking pine infusion has an anti-inflammatory effect, prevents malignancy and the growth of polyps, and also - a large amount of vitamin C in pine needles strengthens the immune system and increases the body's resistance.

To prepare the infusion, the needles are stripped from the branches, washed under running water, crushed and six tablespoons of the raw material prepared in this way are poured into a thermos. The infusion is prepared in the evening. Pour ½ liter of boiling water and leave until the morning. In the morning, strain and take a tablespoon before each meal.

Polyps of any localization will come out after using the following remedy: seven yolks of hard-boiled fresh (no more than three days) chicken eggs are ground with six tablespoons of gruel from peeled pumpkin seeds (they should be dried at room temperature, they cannot be fried or dried in the oven) and poured with 0.5 liters of unrefined sunflower oil. Stir. The mixture must be simmered for half an hour in a water bath. After which it is allowed to cool and put in the refrigerator. In the morning on an empty stomach, take a teaspoon of the mixture for five days, then take a break for five days, and again conduct a five-day course. You need to eat the entire portion in this way.

The main plant used in herbal treatment of polyps is celandine. It is used alone and in combination with other medicinal plants. There are many recipes, however, modern research has shown that celandine works only with direct contact with the polyp. For example, with intestinal polyps, you need to do enemas with celandine, nasal polyps - rinse the nose, drink - with polyps of the stomach or gall bladder, do tampons and douches for polyps of the cervical canal and endometrium. The proportions for preparing an infusion for such procedures: two tablespoons of chopped grass per 200 ml of boiling water.

Another popular plant used to eliminate gynecological problems is the orthilia secunda. The infusion is prepared as follows: 200 ml of boiling water is poured over a tablespoon of dried fine-grained raw materials. Insist until completely cooled. Drink 100 ml twice a day before meals. A new portion of the infusion should be prepared every day.

Herbal infusions for polyposis use various plants - chamomile, calendula, sage, thyme, yarrow, hop cones. All of them help reduce inflammation, strengthen the immune system, and reduce discomfort. However, it is worth remembering that sometimes herbal remedies are not compatible with medications and have contraindications, so you need to study this issue well before using it.

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Homeopathy

Various drugs are used to treat fibrous polyps of different localizations and origins. One of the more well-known antitumor agents is Thuja (Thuja) - the tree of life. It is used for different localizations and types of tumors, including those with a tendency to polyp formation. Lycopodium (Club moss) is prescribed to patients with polyps in organs located mainly on the head - in the nose, ears, on the eyelids. Pulsatilla (Meadow pasqueflower) is a female drug, prescribed for polyps in the uterus and urethra, sometimes in the nose.

Mineral substances are often used: Aluminum oxide (Alumina), Arsenicum album (White arsenic), Aurum (Gold), animal components - Sepia (the contents of the black cuttlefish bursa), Apis (honey bee), Lachesis (South American snake venom).

To treat fibrous polyps with homeopathic remedies, you need to see a homeopathic doctor. The range of drugs used to eliminate such pathology is very large, so only a specialist in this field can select an effective drug, who will take into account the characteristics of the manifestations, localization, concomitant diseases and character traits of the patient.

Official medicine uses homeopathic preparations produced by the pharmaceutical industry. They can be prescribed to eliminate the causes of polypous growths (stop inflammatory processes, normalize hormonal levels), as well as in the postoperative period to prevent relapses. For polyps in the uterus, oral drops Mulimen, tablets Klimakt-Heel or Klimaktoplan can be prescribed, the treatment regimen for nasal polyps can include the spray Euphorbium compositum nazentropfen S, polyps of the gastrointestinal tract - Nux-vomika Homaccord. The treatment regimen can include stimulants of metabolic processes and tissue respiration - Ubiquinone and Coenzyme compositum. Homeopathic preparations and their combinations should be prescribed by a doctor familiar with the specifics of their action. In this case, they can be a worthy alternative to hormonal therapy.

Removal of fibrous polyp

The main and most effective method of combating polypous growths is their removal. Currently, preference is given to low-trauma methods of removing polyps, although classical surgical interventions are used for large formations. In addition, much depends not only on the size of the polyp, but also on its location, as well as the level of equipment of the medical institution.

Nasal polyps are currently removed in the following ways: with a polyp loop, endoscope, laser knife. Classic polypotomy with a metal loop is still practiced. This is the most traumatic method, the recovery period after loop removal is the longest and, in addition, it can only get rid of polyps that are located in the nasal passages.

With the help of a laser, polyps are removed almost bloodlessly and quickly, in an outpatient setting. The laser beam can also be used to treat only single polyps located in the nasal passages.

Cryodestruction (removal with liquid nitrogen) or thermal destruction, when a quartz fiber is inserted into the formation, with the help of which the formation is heated to 70℃, is also used to remove externally accessible polyps. Both of these procedures lead to the rejection of growths in about three days. If they do not come out on their own, the doctor removes the remains with tweezers.

The most progressive method at present is the removal of polyps using endoscopic equipment. This method can be used for any location of polyps and any number of them. Endoscopic operations are performed using instruments or a shaver (a targeting device that provides high accuracy), while only diseased tissues are removed, and healthy tissues are not affected.

External polyps of the urethra in women are removed using the classical method with a scalpel, cryodestruction and electrocoagulation are also used. The most modern method of removal is layer-by-layer excision of the formation with a radiosurgical knife using the Surgiton device. For large polyps, the method of wedge resection of the urethra using a scalpel or radio knife is used.

For the removal of urethral polyps in men and bladder polyps in both sexes, the method of choice is endoscopic.

Removal of gastric polyps up to 3 cm is performed using endoscopic equipment. Laparoscopy is performed (endoscopes are inserted through small punctures) or, as in diagnostics, through the mouth and esophagus.

If the polyp is larger than 3 cm and/or there is a suspicion of cellular degeneration, an open abdominal surgery is performed. In the presence of a malignant process, necrosis or strangulation of the polyp stalk, a gastric resection is performed.

With the help of endoscopic equipment, polyp removal operations are performed with a dielectric loop (electrocoagulation) or laser. The first method significantly reduces the risk of bleeding, the second is rarely performed - with growths less than 10 mm, layer-by-layer cauterization of the polyp with a laser is accompanied by smoke and poor visibility, and there is no material left for histological examination.

Polyps located in the intestines are removed using the following methods:

• endoscopically using electrocoagulation with endoloops (this is how small benign formations of the middle sections of the intestine are removed);
• endoscopy with the use of biopsy forceps is used to remove large growths (they are removed in pieces);
• laparoscopy – removal with special instruments through small incisions;
• open abdominal surgery, sometimes with resection of part of the intestine.

The best method for removing endometrial polyps today is hysteroscopy. Scraping of the uterine cavity and removal of the polyp occurs under the control of an optical system and allows you to make sure that all formations are removed not only in the uterine cavity, but also in its cervix.

According to indications and in the absence of appropriate equipment, blind scraping of the uterine cavity and cervix (curettage) is also performed.

The most effective and minimally invasive way to remove polyps is considered to be burning them with a laser beam.

Growths on the cervix are also removed using a radio wave knife and cryodestruction.