Women usually have irregular menstruation. The cycle is 23-60 days, with a small amount and no pain in the history. On November 1, 2022, due to the "abortion of abortion" in the outpatient pedestrian flow.On November 9th, the B -ultrasound reminded the uterine cavity abnormal sound image and cleared the palace again.On December 9th, there is a tide of menstruation, and the amount of menstruation with the past.On January 16, 2023, the patient consciously abdominal pain. When he went to the clinic, he went to the clinic and checked: HCG <1.2miu/ml, progesterone 16.1ng/ml; B-ultrasound: Uterine endometric abnormal sound image-does not rule out the uterine cavity adhesion.On January 16, cervical dilatation was performed in the outpatient clinic. A little blood flowed out, and abdominal pain was significantly relieved.The menstrual tide came from January 19th to 24th, and the same period of menstruation.Due to further diagnosis and treatment of "uterine adhesion" income institutes.
Specialty examination: The vulva is developing normally, the vagina is smooth, and a small amount of white secretions are seen inside. The cervix is often large, smooth, closed in the uterine mouth, the uterus is often large, and the bilateral attachments are not stubborn and abnormal.
Auxiliary examination: Hospital check on January 16, 2023: HCG <1.2miu/ml, progesterone 16.1ng/ml; B-ultrasound show: endometrium abnormal sound image-does not rule out the uterine cavity adhesion.
1. Diagnosis: 1. Hystech adhesion?2. Polycystic ovary syndrome
The basis of diagnosis: (1) B -ultrasound discovery the uterine cavity adhesion for 12 days; (2) B -ultrasound results.
Check blood routine, five aggregate, liver function, leucorrhea routine, no obvious abnormalities, HCG: <1.2miu/ml, progesterone: 0.1ng/ml.Biochemical uric acid 406.0 umol/L; sodium (NA) 134 mmol/L, other abnormalities.ECG: Sinic arrhythmia, incomplete right beam branches.If the position of the uterine cavity affects the discharge of menstrual blood, it can cause periodic abdominal pain.No fertility requirement, asymptomatic uterine adhesion can be followed up; if there are fertility requirements or symptoms affect life, consider surgical treatment of hysteroscopy.Prepare afternoon surgery and prepare pre -surgery.High uric acid, pay attention to review.
In the afternoon, the woman in the operating room’s venous hemp routinely disinfected the towel downward hysteroscopy. The anterior uterine was checked before surgery, and the depth of the uterine cavity was about 8.0cm.The wall is densely adhered, the uterine cavity narrows about 1/3, the bottom of the palace and the left palace horns are tightly adhered.Sui Xingyu adhesion is separated, and brown blood flows out of the palace bottom and right palace corner. The bleeding of about 10ml during surgery is about 10ml. Seeing the shape of the uterine cavity roughly recovered after surgery.Open, place a "Man Yuele".See the position of the birthplace again to see the position of the birthplace, and place the gel of sodium hyaluronate in the uterine cavity to prevent adhesion. The process is smooth. The antibacterial drugs are given antibacterial drugs and symptomatic treatment after surgery.
A little blood bleeding in the vagina, no abdominal pain, nausea, vomiting, no fever, big, normal, normal.Reviewing blood routine and electrolytes are not obviously abnormal.The woman’s uterine cavity of the uterine cavity of the uterine cavity is pine solution+"Man Yuele" placement. The general situation is generally good and given discharge.Give estrogen to promote endometrial recovery.
The next menstrual period is cleaned (after one month) to review B -ultrasound; forbidden sex, January of the basin; uncomfortable clinic.
The uterine cavity adhesion is a common clinical gynecological disease, and it is also the "pain" that many patients with infertility after abortion. Let the doctor open its mysterious veil for everyone!
The uterine cavity adhesion refers to a group of clinical syndrome caused by the uterine cavity, uterine gorge, and cervical tube or all adhesion caused by surgical trauma and secondary infection.A uterine disease that has poor treatment effect occurs in the mutual adhesion between the uterine muscle wall after damage to the base layer of the endometrium; its repair process includes three brief overlapping periods: the inflammatory period, the tissue formation period, and the tissue reconstruction period;Because the repair of the endometrium is mostly incomplete, its function is damaged, and scars are eventually formed.
1. Observe abdominal pain
Postoperative infection is often related to the invasion of the uterine wound bacteria after surgery, and low resistance will also aggravate the infection.It is manifested as abdominal pain, which is severe when it is severe.
2. Increase nutrition
Surgery can cause a small amount of bleeding and cause a certain damage to the body.Therefore, it is advisable to eat foods rich in high -quality protein, such as chicken and fish. Of course, you still need to match the vegetarian. Don’t forget to eat fresh vegetables and fruits.Don’t avoid or partial eclipse.
3. Rest proper rest
Good sleep helps to improve immunity and restore women’s bodies faster. It is recommended to rest for at least one week.
Within 3 days, if the body temperature is normal, the vaginal discharge is less bloody secretions, and abdominal pain and other discomfort can do some minor housework.
After a week of blood, you can take a walk and soothe the mild exercises such as yoga.Mild exercise helps to resolve bad emotions and restore physical and mental health.
4. Pay attention to personal hygiene and keep the vulva clean
After abortion, the uterine mouth has not been closed yet, and the endometrium also has a process of repair, so be sure to pay attention to cleaning and hygiene, prevent infection, change the sanitary napkin, clean the vulva 1 or 2 times with warm water every day, change the underwear and underwear, the underwear is the mostFortunately, dry in the sun to achieve sterilization.It is not suitable to take a bath within 4 weeks after surgery.
Any factors that cause endometrial destruction may cause uterine cavity adhesion. The most common after artificial abortion, uterine cavity adhesion will have a great impact on women’s health, and uterine cavity adhesion is also a common cause of female infertility.Therefore, the majority of female friends have the symptoms of uterine cavity adhesion after abortion surgery.
1. Planning fertility to reduce artificial abortion and induction of labor.Pay attention to sterile operations in artificial abortion and clearing the palace to prevent excessive scraping and wounds of cervical tubular trauma.
2. After the abortion, most women will return to ovulation in about 1 month, and then menstruation will come.Therefore, as long as the abortion recovers sexual life, contraceptive measures must be taken to avoid re -pregnancy.”””︁︀ ︁︀ ︁︀”
