Many young couples still indulge in the joyful world of two people and accidentally discover that they are pregnant. If they have not yet arrived or become parents, they will quietly undergo abortion surgery. If the abortion surgery is not performed properly, symptoms of intrauterine adhesions may occur. If these symptoms occur, they have to go to the hospital for surgery. So, how to maintain intrauterine adhesions after surgery?
How to maintain intrauterine adhesions after surgery
1. Early activity: Except for high-risk patients, patients can be guided to turn over and move in bed appropriately within 6 hours after surgery, and can get out of bed and gradually increase their activity level after 68 hours.
2. Pain care: Postoperative patients may experience varying degrees of pain, and instructing them to undergo relaxation surgery can often relieve the pain on their own. If the pain cannot be relieved, analgesics can be given.
3. Observation of urination: Early supervision, guidance, and assistance for patients to urinate. For those who have difficulty urinating, they can be induced to urinate and given catheterization if necessary.
4. Dietary care: After surgery, nutritious soft foods can be consumed to reduce the intake of irritating foods.
5. Routine care: Lie flat on the pillow for 6 hours to avoid premature lifting of the head, which may cause cerebrospinal fluid to leak out of the meningeal cavity from the puncture site, resulting in low cerebral pressure and stretching of intracranial venous sinuses and meninges, causing headaches.
6. Perineal care: After surgery, potassium permanganate or chlorhexidine solution can be used to scrub the perineum twice a day to avoid retrograde infection of the uterine cavity during catheterization.
The etiology of intrauterine adhesions surgery
Damage to the endometrium is a necessary condition for intrauterine adhesions, which can be caused by miscarriage, infection, and iatrogenic damage.
1. During pregnancy, the uterus becomes fragile and the endometrium and underlying layers are more susceptible to injury. The decrease in estrogen levels after pregnancy surgery (including miscarriage, curettage, etc.) affects endometrial hyperplasia. Pregnancy uterine injury (accounting for 90%), including miscarriage (induced abortion, incomplete/missed abortion), postpartum hemorrhage, placental residue, cesarean section, and trauma caused by gestational trophoblastic disease.
2. Uterine adhesions can also occur during other non pregnancy periods, such as diagnostic curettage. Occurring during non pregnancy: after curettage, myomectomy, cervical biopsy or polypectomy, and after radium irradiation. After hysteroscopy: patients who have undergone mediastinal resection, submucosal myomectomy, bilateral uterine artery embolization, and postpartum hemorrhage after uterine artery ligation.
3. Infections commonly include endometrial tuberculosis, chronic or subacute endometritis, and may also lead to intrauterine adhesions.
The above are some related answers about how to maintain intrauterine adhesions after surgery, as well as some of the causes of its occurrence. We hope it is helpful to everyone. We suggest that female friends who have undergone surgery must take care of their bodies, pay attention to having enough rest time, and also eat chicken, duck, fish, and meat in their diet to ensure sufficient nutrition. Finally, we wish you a speedy recovery.
