Observation on the curative effect of curettage on irregular menstruation
Irregular menstruation does not require curettage, and emotions sometimes lead to irregular menstruation. Curettage is only necessary when there is no clean stream of people. Irregular menstruation can be adjusted by dietotherapy and traditional Chinese medicine, plus moderate exercise to relax the mood. Pay attention to your diet. Surgical removal of endometrial or uterine cavity contents. Small operations often performed in obstetrics and gynecology are one of the ways of induced abortion.
There are two types of curettage: diagnostic curettage and therapeutic curettage. ① Diagnostic curettage can be divided into general diagnostic curettage and sectional diagnostic curettage. The general diagnosis of curettage is suitable for endocrine abnormalities. Need to know the changes of endometrium and its response to sex hormones, whether there is ovulation. Whether there is tuberculosis or not, diagnosis and curettage refers to scraping the cervical canal and then scraping the uterine cavity, and sending them to diagnosis and curettage for pathological examination respectively. It is suitable for the diagnosis of uterine malignant tumors such as cervical cancer and endometrial cancer, and can understand the scope of cancer focus.
② Therapeutic curettage can be divided into suction curettage and forceps curettage. Suction curettage is to suck out the contents of uterine cavity with negative pressure suction tube, and curettage is to take out the contents of uterine cavity with oval forceps before curettage. Indications for therapeutic curettage If the pregnancy needs to be terminated in early pregnancy, curettage should be used within 3 months of pregnancy, and curettage should be used for removing intrauterine residues in 3 months and above, as well as patients who need to empty uterine cavity such as incomplete abortion, inevitable abortion, expired abortion, placenta retention and hydatidiform mole.
Contraindications include acute genital tract and pelvic inflammatory disease, trichomonal vaginitis and fungal vaginitis, and patients with serious medical diseases who cannot tolerate surgery. Pay attention to things, master indications, and choose appropriate timing and surgical methods for different diseases. Doctors should skillfully avoid all kinds of unnecessary complications, such as uterine perforation, incomplete curettage, postoperative intrauterine adhesion, infection and so on.
Precautions for curettage
1, you must stay in bed for two or three days after curettage to get out of bed and move slowly. Don't do heavy physical labor for half a month after curettage, and avoid contact with cold water. It takes a month to recover from curettage, so during this period, we should pay attention to strengthening nutrition and take enough protein, which can help patients to enhance their resistance and promote the recovery of organs. Fish, meat, beans and so on. You should eat more and eat more fresh vegetables.
2. The uterus is not completely closed after curettage, and it usually takes one month to return to normal. During this period, we must pay attention to the cleanliness of vulva, and do not take a bath after operation, so as to avoid sewage entering the vagina and causing infection. At the same time, we should also pay attention not to share the same room within one month after operation.
3. There will be bleeding in the vagina after curettage, generally not more than one week. If vaginal bleeding lasts for more than a week, accompanied by abdominal pain, fever, increased leucorrhea, turbidity, odor and other symptoms, you should seek medical attention in time.
4. After curettage, the ovary recovers slowly, but during the recovery process, the ovary will ovulate and get pregnant, so it is necessary to take contraceptive measures.
Although curettage is a minor operation, we should not ignore its harm. Some women can't get pregnant after curettage. Some women are prone to gynecological diseases after curettage. Therefore, for curettage surgery, it is not allowed to be performed in some small clinics or small clinics, but must be performed in regular hospitals, so as to prevent infection and other phenomena.