After placental abruption during microtubule abortion, there may be a little bleeding on the wound left on the uterine wall. With the contraction of the uterus and the repair of the wound, vaginal bleeding usually stops gradually in 3-5 days, at most 10- 15 days. If the amount of vaginal bleeding exceeds the amount of menstruation for too long, you need to see a doctor in time.
After microtubule abortion, most ovaries will resume ovulation around 1 month, and then menstrual cramps will appear. Therefore, as long as sexual life is resumed after abortion, contraceptive measures should be taken to avoid pregnancy again. If you are going to use IUD for contraception, you can put IUD at the same time of abortion, because IUD has high success rate, low shedding rate and few side effects.
1, you can't eat enough before the examination, eat cold drinks and smoke, and you need to rest quietly for 20 minutes.
2, check to sleep flat, the whole body muscles relax, breathe smoothly, keep quiet, don't talk or move position.
3. If you have had an electrocardiogram in the past, you should give the previous report or record to the doctor. If you are taking digitalis, potassium salt, calcium and antiarrhythmic drugs, you should tell your doctor.
4. During inspection, if electrode paste is coated, it can be wiped off with toilet paper. According to the condition, if you need to carry out ECG exercise test, you should also pay attention to the following points:
(1) before and after meals 1 hour, so it is not suitable for exercise test.
(2) During the exercise test, if the patient has angina pectoris or cold sweat, he should stop immediately and ask the doctor to deal with it in time.
(3) Exercise tests are prohibited for patients with progressive or recent angina pectoris, within 65,438+0 years after acute myocardial infarction, congestive heart failure, severe hypertension, left ventricular hypertrophy, left bundle branch block, preexcitation syndrome, obvious myocardial ischemia at rest, old and weak, and difficulty in moving.
Prevention of gynecological diseases after microtubule induced abortion
In recent years, more and more women are infertile because of tubal blockage. Nearly one-third of these patients have had an abortion. Most of them don't understand the harm caused by abortion and think it's just a trivial matter. Some people even go back to work after surgery in the morning and afternoon, paying no attention to the health care after minimally invasive abortion, and the number of abortions is too high, which makes more and more women suffer from infertility and various gynecological diseases.
According to the analysis of gynecologists, in clinic, infertility caused by tubal obstruction and hydrops accounts for about 30%-40% of the whole infertile population, which is more common in women who have given birth or aborted. Most of the causes are related to inflammatory infection, and the formation of inflammation is often related to the lack of attention to health care after menstruation and abortion, and the lack of timely treatment of vaginitis or cervicitis, which leads to the upward spread of inflammation.
From a medical point of view, the damage caused by an abortion is greater than that caused by normal delivery. If you have multiple abortions, your immunity will decrease and your energy will be unable to concentrate. The endometrium will become thinner day by day, which will affect the implantation environment of fertilized eggs and make you prone to miscarriage after pregnancy. Moreover, there is a lot of evidence in modern medicine that the rising incidence of cervical cancer in recent years is closely related to early pregnancy, early childbearing, abortion and sexual partners.
Therefore, some unavoidable people must pay attention to maintenance. First of all, abortion surgery should choose a regular hospital and have enough rest after abortion. Rest after abortion according to regulations 14 days. I really can't. Rest for at least 3-4 days. Secondly, anti-inflammatory drugs must be taken on time and in quantity.
Autoinfection refers to the infection caused by poor vaginal cleaning before induced abortion, and the common pathogen is anaerobic streptococcus. It is parasitic in the vagina. After induced abortion, it can invade and cause disease due to changes in internal environment or damage to uterine wall. Bacteria that have been parasitized in other parts of the body can also spread to the reproductive tract through blood circulation or hand contact, causing infection.
External infection means that bacteria enter the vagina from the outside before, during and after induced abortion. If surgical instruments, dressings, gloves, etc. Incomplete disinfection may bring in pathogenic bacteria. Bacteria can also be transmitted to subjects through the air. Premature sexual intercourse and bad personal hygiene habits after induced abortion can also lead to external bacteria invading the reproductive tract and causing infection.
Three common gynecological diseases after microtubule abortion;
1, pelvic inflammatory disease, adnexitis, acute and chronic pelvic inflammatory disease, endometriosis: irregular menstruation, abdominal pain on both sides of dysmenorrhea, increased leucorrhea, easy to feel sleepy, and elderly people with medical history will feel depressed, general malaise, insomnia, etc. , leading to tubal adhesion, occlusion, etc. , will lead to infertility.
2, common dysmenorrhea after gynecological abortion: some women have spasmodic pain or persistent pain in the lower abdomen before and after menstruation, accompanied by nausea, vomiting, backache, bloating, and even syncope in severe cases. This symptom is called dysmenorrhea. Dysmenorrhea is more common in unmarried women at the beginning of menarche. Because of endocrine disorders or uterine hypoplasia, severe pain in uterus, stenosis of cervical canal and poor menstrual blood circulation can also occur. Another reason is chronic pelvic inflammatory disease, uterine fibroids, uterine dislocation, endometriosis and other diseases. The occurrence of pain is often closely related to the patient's physique and mental state, and the symptoms of dysmenorrhea can not be ignored.
3. Common gynecological diseases after abortion include cervicitis and cervical erosion: yellow purulent leucorrhea, fever in the lower abdomen, dull pain, enhanced self-control, sometimes bloodshot or bloodshot, or foul smell, sometimes the uterus is too large and tender, and the pain on both sides of the lower abdomen or the whole lower abdomen continues. When inflammation develops to a serious stage, it can affect the myometrium of uterus, become myositis of uterus, and also cause upward infection of pathogens.
Causes of abdominal pain after microtubule abortion
The normal situation after microtubule abortion operation is that there is a small amount of bleeding in the vagina, which is bright red or dark brown, or light pink or light brown. There is generally no blood clot, and the bleeding is clean within 2 weeks. There may be slight dull pain in the abdomen during the operation, and then the abdominal pain disappears or occasionally there is dull pain in the lower abdomen. If postoperative abdominal pain is obvious, it is abnormal and may be caused by the following reasons:
(1) Incomplete abortion: Abortion sometimes fails. Incomplete abortion means that the villi and decidua tissue in the uterine cavity have not been completely removed during the operation. After the operation, the uterus suddenly contracted to expel the remaining embryonic tissue from the uterus. At this time, the patient's abdominal pain was paroxysmal, and the pain was unbearable during the attack, and the amount of vaginal bleeding increased, the color was bright red, and there was a large blood clot. After the blood clot is discharged, the abdominal pain is relieved, and so on. When incomplete abortion occurs, curettage is usually performed to scrape out the residual embryonic tissue in the uterine cavity, and the abdominal pain naturally disappears. Strengthen anti-inflammatory treatment after operation to prevent infection.
(2) Postoperative infection: This is one of the most common complications of induced abortion in the near future. Postoperative infection mostly occurs within two weeks after operation, which can be directly caused by surgery or by patients' carelessness after operation, such as sex life and swimming. It generally leads to acute pelvic inflammatory disease, severe abdominal pain, which is persistent and can be aggravated paroxysmally, accompanied by fever, aversion to cold, vaginal bleeding, bright red color, foul smell, or yellow secretion. Abdominal pain refused to be pressed during physical examination, with tenderness and rebound pain. Gynecological examination shows that the cervix lifts pain, the uterine body is tender, and the double appendages can be thickened in sheet or cord shape, with obvious tenderness. If chronic pelvic inflammatory disease occurs, it is dull pain, a small amount of vaginal bleeding, peculiar smell and yellow secretion. Postoperative infection, whether acute or chronic, should be treated with sufficient antibiotics or integrated traditional Chinese and western medicine to ensure thorough treatment.
(3) Uterine perforation: This is a very serious complication in induced abortion. Patients with perforation often have sudden and severe abdominal pain, and a few people may have no obvious feeling. Abdominal pain caused by uterine perforation persists with a small amount of vaginal bleeding. If there is internal bleeding, it can cause peritoneal irritation: abdominal pain refuses to press, tenderness and rebound pain coexist. The perforation is small, and the internal organs such as bladder and rectum are not damaged. Conservative treatment can be taken when there is no internal bleeding: the patient stays in bed; Give oxytocin 10 unit intramuscular injection or intravenous drip with glucose solution, 2 ~ 3 times a day; At the same time, give enough antibiotics to prevent infection; Closely observe the changes of body temperature, blood pressure, respiration and pulse. If there is still residual tissue in the uterine cavity, curettage can be performed after the condition is relieved. When the uterine perforation is large or complicated with visceral damage, or there are signs of internal bleeding, surgery is needed.
The chance of uterine perforation is rare, and it is easy to occur in women who are pregnant again within one year after cesarean section, or women who have frequent abortions.
(4) Intrauterine hematocele: It mostly occurs within a few hours after operation, and the patient's abdominal pain is unbearable, such as knife cutting. There is a small amount of blood flowing out of the vagina, and gynecological examination shows that the uterus is obviously enlarged, soft and tender. At this time, uterine curettage is needed immediately, the serum in the uterine cavity is removed, and oxytocin and antibiotics are given.
The amount of hematocele in uterine cavity is also very small, which is easy for women with too large uterine position and too tight cervix.
Harm of microtubule abortion
1. In induced abortion, there may be many complications, the most life-threatening of which is cardiocerebral syndrome, as well as bleeding, injury, cervical adhesion, pelvic inflammatory disease and so on. Repeated abortion is the most harmful. First of all, the probability of uterine injury increases, and the damage of abortion to endometrium directly affects the future fertility.
2. After abortion, menstrual flow will decrease. Menstruation is an intuitive reflection of endometrial condition, and a small amount means endometrial damage. Abortion can damage the basement of endometrium, and it is easy to get into bed after pregnancy, that is, the fertilized egg grows down like a root, and it is not easy to scrape clean after abortion, so it needs to be cleaned twice. In addition, complex inflammation may lead to infertility and ectopic pregnancy.
Dietotherapy after microtubule abortion
Several therapeutic prescriptions after induced abortion;
Candied red dates: dried red dates, peanuts and brown sugar. Wash the dried red dates and soak them in warm water. Boil peanuts slightly and peel them for later use. Put jujube and peanut coat into a small aluminum pot, add boiled peanut water, add appropriate amount of water, and simmer for 30 minutes. Remove peanut skin, add brown sugar until the brown sugar melts, and collect the juice. Has that effect of nourishing blood and regulate asthenia. It is suitable for patients with anemia or low hemogram after abortion.
Litchi and jujube soup: dried litchi and dried jujube. * * * Decoct with water, daily 1 dose. Has that effect of enriching blood and promote fluid production. It is suitable for the aftercare of women with anemia and physical weakness after abortion.
Soybean milk and rice porridge: appropriate amount of soybean milk, rice and sugar. Wash the rice, cook the rice into porridge with soybean milk, and add sugar after cooking. Take it on an empty stomach every morning. Has effect in regulating spleen and stomach, clear heat and moistening dryness. It is suitable for the aftercare of physical weakness after abortion.
Pigeon medlar soup: pigeon, medlar, a little salt. Remove hair and viscera from pigeons, wash them, put them in a pot, add water and stew them with Lycium barbarum, and add a little salt when cooked. Eat meat and drink soup twice a day. Has effect in invigorating qi, replenish blood, and regulating asthenia. It is suitable for physical weakness after abortion, qi deficiency after illness, physical weakness and asthenia, and spontaneous sweating due to exterior deficiency.
Egg and red date soup: eggs, red dates and brown sugar. Boil the water in the pot, then pour in the eggs and cook them lying down. Then put the red dates and brown sugar in the water and cook them with slow fire for 20 minutes. Has that effect of invigorating middle energizer, benefiting qi and nourishing blood. It is suitable for the aftercare of anemia and deficiency of qi and blood after illness and postpartum.